Compare Wal-Mart Essay

1.Compare Wal-Mart. com with Amazon.com. What highlights do the destinations share practically speaking? Which are extraordinary to Wal-Mart? To Amazon.com? Walmart.com and amazon.com have a great deal of similitudes. A portion of the normal highlights between the two incorporate setting up a client account, the two of them have the shopping basket include, both these sites have the pursuit bar at the highest point of the page, the two of them permit you to figure out items dependent on value, ubiquity, significance, client audit, the two of them show you a rundown of things saw that coordinated what you looked for, the two of them have a blessing library, buys made on the Wal-Mart can either be delivered to your home or to a closest store either by Wal-bazaar or by an outsider seller from the commercial center. Amazon also has tie ups with various sellers everywhere throughout the world that you can purchase from. The two sites graphically show client audits for every thing. The two sites permit you to follow your request. The two locales have the arrangements of the day. Amazon’s is called today’s arrangement and Wal-Mart’s is called estimation of the day. The main thing I discovered one of a kind about Wal-Mart’s site is that it has a catch on the highest point of the page called ‘weekly ad’ that shows little coupons that clients can reclaim. Amazon doesn't have this element. Another contrast between the two sites is their arrival strategy. Wal-Mart has a multi day merchandise exchange though Amazon has a multi day merchandise exchange. 2.Will Wal-Mart become the prevailing e-posterior on the planet, supplanting Amazon.com, or will Amazon.com overwhelm Wal-Mart on the web? What components would con-tribute to Wal-Mart’s accomplishment in the online commercial center? What elements would bring down its capacity to overwhelm online deals the manner in which it has had the option to rule physical retail deals in numerous business sectors? At present, Amazon.com offers an a lot bigger and progressively fluctuated stock just as an assortment of highlights and advantages that Walmart.com can't coordinate. While Walmart’s retail locations have a colossal client base, huge numbers of whom will go to Walmart.com for accommodation, Walmart.com’s stock is for the most part made uniquely out of items that are accessible in Walmart stores. In the mean time, Amazon has a huge range of items in for all intents and purposes each class conceivable, from everywhere throughout the world. What's more, Amazon has many utilized things that are accessible at lower costs, just as uncommon, vintage, and antique things that are not part of Walmart’s stock. Amazon additionally offers an online â€Å"marketplace,† where customers can interface with venders anyplace on the planet, look at productsâ and costs, and now and then even haggle with merchants. Quite a bit of Walmart’s strength in the physical retail showcase is because of its plan of action of purchasing in such enormous mass amounts that it can offer lower costs to clients, just as being a one-quit shopping goal; in any case, since Amazon clients can correlation shop between Amazon venders, and on the grounds that Amazon can offer an a lot bigger assortment of items, both of Walmart’s points of interest are refuted. Consequently, it is far-fetched that Walmart.com will ever have the option to supplant Amazon. 3.Check the shopping helps offered at Wal-Mart. com. contrast them and those at Amazon. com. Walmart.com has an accessible database just as classifications that permit clients to peruse through their accessible items. Query items can be arranged by significance, value, client rating, top of the line, and so on. Clients can make profiles that store their delivery and charging data for comfort, just as past request data. Requests can be followed on the web. Clients who look for things at Walmart.com are additionally offered proposals for different items that may likewise intrigue them. Gift vouchers can be buy on the web, and gift voucher adjusts can be checked. Walmart.com additionally offers wedding and infant vault administrations, just as a â€Å"Wish List† that can be seen by others. A â€Å"Value of the Day† is offered to grandstand things that are marked down at even lower costs. Free delivery is frequently accessible on select buys. These shopping helps are practi cally identical to those on Amazon.com. Walmart.com offers one shopping help that Amazon doesn't have; numerous things can be delivered to the customer’s closest Walmart store for nothing, which can prompt noteworthy investment funds. 4.What online administrations can be bought on Walmart.com? Walmart.com offers the accompanying administrations on the web: †¢Ã¢â‚¬ Straight Talk No-Contract Phones,† where clients can buy a prepaid telephone, have it conveyed to their location, and actuated on the web or via telephone; †¢Same-Day Photo Pickup,† which permits clients to transfer advanced photographs to Walmart.com, which would then be able to be moved onto photograph prints, mugs, cards, schedules, and so forth., or even onto banners or fake canvases. A large portion of these items would then be able to be gotten up customer’s neighborhood store that equivalent day; †¢Ã¢â‚¬ Contact Lenses at Walmart,† which permits clients to enterâ their remedy contact focal point data and request an assortment of brand-name contact focal points at deal costs; †¢Ã¢â‚¬ Enroll in a Medicare Part D Plan,† an assistance which enables qualified candidates to apply for Medicare, just as get limits at Walmart’s drug store; †¢Ã¢â‚¬ Walmart MoneyCenter,† which gives an assortment of monetar y administrations web based, including Mastercards, prepaid platinum cards, cash moves, charge arrangement administrations, and Bluebird, a â€Å"debit and checking alternative† supported by American Express that offers a significant number of indistinguishable administrations from conventional banks. What's more, the Walmart Pharmacy offers numerous administrations web based, including medicine tops off and conveyance. Walmart likewise has a Wellness Center that offers wellbeing tips and apparatuses on the web.

Life in the Antebellum U.S Essay Example | Topics and Well Written Essays - 2500 words

Life in the Antebellum U.S - Essay Example The Native Americans were the underlying tenants of land in America. They chased and accumulated to continue their dietary necessities. President Thomas Jefferson saw the foundation of an approach which permitted Native Americans to hold their hereditary terrains east of the Mississippi. The main condition joined to this was simply the local populace was to acclimatize with the remainder of the populace. They were to enhance their chasing and assembling rehearses with agribusiness. As time slipped by, it got outlandish for the administration hold their strategy. The fast populace increment among the workers and Whites in America made it unlikely for the legislature to hold this arrangement. They, in this way, turn in the uprooting of Native Americans from their hereditary land. The president Andrew Jackson marked 'the Indian Removal Act’ on May 26, 1830 (Keegan 72). The procured land was to be utilized to set up estates. These would guarantee huge scope creation of harvests th at would be utilized for food and different enterprises. It would likewise furnish the foreigners with a spot to settle in; where they could start assembling their lives. Time resulted, and the Whites infringed on Native American’s land dwarfing the local populace. They expected complete responsibility for land and built up their own establishments and frameworks. The Natives marked bargains that promised them equivalent land West of Mississippi in return for their unique bundles of land. Clans that didn't co-work confronted compelling expulsion from their territories by government authorities who manhandled their capacity. For instance, the Cherokee individuals experienced strong expulsion from their territory. This was in the wake of marking the ‘Treaty of New Echota’ by a little piece of the whole clan. The inborn pioneers passed up a great opportunity of the whole bargain marking process. This prompted the passing of assessed 4,000 clan individuals in 1835. T he walk came to be known as the ‘Trail of Tears’ (Keegan 27). The administration legitimized their activities by asserting that the natives’ nearness disturbs the concordance in the locale. They likewise guaranteed that the land would profit the American populace. In any case, this was not so much evident. Huge numbers of the administration authorities were avaricious and basically wanted sole responsibility for land. This drove them to act in obtuse manners that prompted the passing of numerous Natives. These authorities likewise didn't respect the details of the bargains wherein they pressured the locals to sign. The Antebellum time frame saw expanded assembling of items in America. Most makers were, along these lines, needing modest work to satisfy their assembling needs. This must be given by outsider laborers. There were two classes of outsider laborers in the prior to the war time frame. The primary part is the laborers who relocated to America left their h omes to look for a way to continue their work without compulsion. The others experienced powerful removal from their nations without their endorsement. The zeitgeist of that time upheld the sweeping utilization of slave work. The flourishing slave showcase benefitted from the offer of slaves gained from vanquished states in the African mainland (Keegan 33). An assortment of components cooperated to add to boundless imperialism; and thus to subjection all around the globe. The predominant states were consistently in steady contradiction as they all raced to get pioneer domains abroad. The Berlin gathering 1885-1886 thought of rules of

Starting an Extracurricular Club in High School TKG

Starting an Extracurricular Club in High School Extracurricular activities are an important aspect of the college application process. But not in the way that many students think they are. Deciding which extracurriculars to pursue is an exercise in branding yourself, and it starts freshman year. Let’s compare two different activity lists and then discuss: Student #1:Environmental science club (freshman year)Debate team (freshman year)French club (freshman, sophomore, and junior year)Student newspaper (junior year)Math club (junior and senior year) Community service club (sophomore, junior and senior year)Student #2: Environmental science club (freshman year)Started recycling program at NYC apartment building (sophomore year)President of environmental science club (appointed junior year)Sustainability research with a professor at NYU (senior year)Coursera online courses on climate change initiatives (all years)When a college admissions team looks at your application, they should be able to easily discern what you’re interested in. Their takeaway should be that you took recognizable steps to educate yourself about your area of interest. They should see progress. Student #2 has achieved this goal. Student #1 has not. Joining multiple clubs and not progressing or diving deeper into any of them is 1) a waste of time and 2) not impressive to competitive colleges.  Now that we’ve shown you an activity list that demonstrates progression and dedication, let’s get back to the question. What do you do if you’re not interested in the extracurricular activities that your school has to offer? What if you’re interested in feminist literature, but your school isn’t? We often hear from students that the clubs at their school are lackluster, uninteresting, and not worth joining. Maybe they meet only once a week and/or get nothing done. If that’s the case, you’re not off the hook. Here are a few courses of action that you can take:Start your own club. No robotics team at your school? Make one. You’ll have to convince your school that there is a need for a club, and there will be additional barriers to cross if your club will cost money. But create a proposal, try to keep costs down, and have a meeting. Build on an existing club. Let’s say you’re in the Mandarin club, but you’re also interested in the political climate of China. Approach the president of the club and ask if you can be in a charge of a meeting. Look for tangible improvements that you can make and pitch your ideas to those in charge. Take online courses. Coursera and Edx have thousands of ~free~ online courses. These classes are especially great because you can build on existing knowledge while stumbling upon potential new areas of interest. And most importantly, use the knowledge! Don’t just click through the slides. Use what you’ve learned to help you apply to internships, jobs, and summer programs. Read books. It’s time to get on board with the fact that colleges are starting to ask what you read during y our free time. Geniuses read! Reading is so important. And we are not talking about the high school textbooks. If you’re interested in history, become an expert on a time period or region. Find your niche. This blog post is exclusively about things that you can do during and/or after school, and we have another blog post coming about summer options. If you take anything away from this post, it should be that you still have options even if your school doesn’t currently have the best extracurricular activities to offer. Your goal is to become an expert in your field of interest, and while sometimes that requires thinking outside of the box, it’s still entirely possible.  Need help figuring out how to find opportunities that stand out? Contact us here.

Diagnostic Paper on Joan Crawford - 2376 Words

Diagnostic Paper on Joan Crawford Abnormal Psychology Dr. Lewis Ethical Disclaimer In writing this, I am attempting to demonstrate an awareness of ethical practice. In preparation of writing this paper, I have researched information on the famous person indicated in an effort to make an attempt at providing a possible diagnosis of a psychological condition for which two theoretical orientations will be evaluated and used to support what is only an opinion. I am in no way qualified to give a diagnosis for the people mentioned within this document as it is a document written to demonstrate an understanding of educational material as it relates to the field of psychology. Any information mentioned with regard to the mental condition†¦show more content†¦In consideration of some of Crawford’s early childhood occurrences, it may be possible to speculate on the etiology and possible diagnosis for conditions that Mrs. Crawford might have been suffering throughout her life. Joan Crawford was born at the turn of the century as Lucille Fay LeSueur in San Antonio, Texas to a single mother as Joan’s father left the family shortly before her birth (â€Å"American Legends,† 2013). Though there are claims that her actual birthdate was before 1908, the date printed at the place of her interment reads as 1908-1977. For Hollywood starlets, lying about age might elongate audience and industry interest especially in regard to women, therefore it is easy to understand why the relentlessly ambitious and accomplished actress might have felt compelled to be untruthful over the years. Crawford had to climb her way to the top never having a moment to assess all the obstacles with which she would face throughout her life though, according to her, she would never have accepted professional assessment during her life as she explains to talk show host David Frost, â€Å"I have never had to go to a psychologist or psychiatrist because I feel if you have an ounce of good sense and one good friend, you’ll never have to go to a psychiatrist† (The David Frost Show, 1970). With attention to the enormous influence of the Roaring Twenties, Joan Crawford certainly embodied the newfound independence, freedom, andShow MoreRelatedManagement Course: Mba−10 General Management215330 Words   |  862 PagesEdition Jones−George Driving Shareholder Value Morin−Jarrell Leadership, Fifth Edition Hughes−Ginnett−Curphy The Art of M A: Merger/Acquisitions/Buyout Guide, Third Edition Reed−Lajoux and others . . . This book was printed on recycled paper. Management http://www.mhhe.com/primis/online/ Copyright  ©2005 by The McGraw−Hill Companies, Inc. All rights reserved. Printed in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of this publicationRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesYork—Buffalo Savannah Clay, Central Piedmont Community College David Connelly, Western Illinois State University Jeffrey Conte, San Diego State University Jane Crabtree, Benedictine University Suzanne Crampton, Grand Valley State University Douglas Crawford, Wilson College Michael Cruz, San Jose State University Robert Cyr, Northwestern University Evelyn Dadzie, Clark Atlanta University Joseph Daly, Appalachian State University Denise Daniels, Seattle Pacific University Marie Dasborough, Oklahoma State

A Report On Organizational Environment Essay - 1537 Words

a. Organizational Environment (1) Product Offerings: â€Å"What are your main product offerings?†, (Baldrige Performance Excellence Program, 2015). The agency provides law enforcement and security services in the protection of government employees and GSA owned and leased facilities. The main product offerings are: †¢ Enforce Federal Laws, conduct criminal investigations, serve warrants through law enforcement authority granted by the Secretary of Homeland Security derived from Section 1315 of Title 40 (40 USC 1315) of the United States Code. †¢ Provide law enforcement coverage for high security events to include major sports events such as the Super bowl and Final 4. †¢ Provide special operations utilizing FPS K9 support. †¢ Law enforcement response to crisis events and natural disasters. †¢ Provide training to tenant agencies in crime prevention, active shooter and Occupant Emergency Plans (OEP). †¢ Conduct Facility Security Assessments (FSA) for government tenants. †¢ Provide armed contacted security services for federal facilities. (2) â€Å"What is the relative importance of each to your success?†, (Baldrige Performance Excellence Program, 2015). Each service that we provide is essential for securing federal assets from potential terrorist threats. 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The Topic Of Breast Cancer Treatments - 924 Words

I have chosen to research and argue the topic of breast cancer treatments. Breast cancer can be found in both women and men, and affects millions of lives a year. There are many treatment options for breast cancer such as radiation, lumpectomy, and mastectomy; however, many people are starting to choose not to undergo any treatment. A Mastectomy is when a person has their entire breast removed, and a lumpectomy is when only the tumor cell and some of the surrounding tissue is removed from the breast. If a person chooses to get a lumpectomy they have to have radiation for a least five weeks, and their risk of cancer coming back is higher. Chemotherapy and radiation are very hard on a person’s body and can cause more harm to the body than the actual cancer. I am interested in this topic because I want to go into the medical field. I am also interested in breast cancer treatments because it is a frequently diagnosed cancer, but there is a high survival rate. 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Positron Emission Tomography

Question: Discuss about the Positron Emission Tomography. Answer: Introduction: Positron emission tomography (PET/CT) is a nuclear medicine scan used in medical diagnosis. Nuclear medicine imaging utilizes small quantities of radioactivematerial in the diagnoses and determination of disease severity or treatment of various types of diseases including neurological, endocrine, gastrointestinal, heart, cancer disorders, among other body abnormalities. Because molecular activity can be pinpointed through nuclear medicine, the procedures involved allow for the potential of early disease detection and subsequent immediate response to the necessary interventions (Guiberteau, 2016). In most medical center, superimposition of images is done with CT or MRI to create special images. These images give information from two separate exams which are correlated and then interpreted into a single image that has information that is more precise and also diagnosis that is accurate. Additionally, PET/CT scans are able to do imaging exams simultaneously. The PET/CT scan does body functions measurements such as oxygen utilization, blood flow, glucose metabolism, which help doctors in the accurate evaluation of the functioning of tissues and organs (Wehrl, Judenhoffer, Wiehr, et al., 2009). CT imaging utilizes specialized x-ray equipment with contrast materials where necessary to give several images of the internal workings in the body.(See Appendix 1 for basic architecture and flow chart of PET/CT scanner). Radiologists interpret these images using a monitor. CT scans offer anatomic information in a precise manner. The PET scanner has low specificity but high sensitivity whi le the CT scanner has high specificity and low sensitivity hence a combination of the two offers the best image resolutions for specific diagnoses. The use of PET/CT scans in diagnosis of cancer is known to result in therapeutic decision changes in 30% to 40% of cancer cases (Hillner, 2009).The characterization and diagnosis by MRI and CT imaging is premised on different criteria such as tissue attenuation, texture, and size. MRI and CT offer information on tissue density, organ size, and also precise topographic and spatial localization. On the other hand, the basis of PET imaging is the radioactive agent bio-distribution over space and time which enables the visualization of pathophysiological and physiological processes of disease functionality characterization. Risks of a PET scan When the PET is used in combination with a CT scan, additional tracers are needed and this can prove to be harmful to persons with a history of kidney diseases or persons with high levels of creatinine from medications they may be currently taking. When the eGFR45 it is an indication that there is no increased risk of damage to the kidney form the contrast material while an eGFR30, but does not surpass 45 indicates a slight risk of kidney damage. In such a situation, injecting additional fluid into the veins prior to and after injecting the contrast material will effectively prevent renal damage to the patient(Zagoria, 2015) Other minor risks include discomfort for persons who are afraid of needles or enclosed places (claustrophobic). There is also the possibility of developing an allergy due to the tracers. A person should alert the physician of any such allergies prior to having the test done. The Physician will require the patient to answer a number of questions to determine their eligibility (see Appendix 2 for the questionnaire) Benefits of PET/CT PET/CT scans offer tremendous advantages which can be summarized as: precise monitoring and treatment; accurate localization and staging; and early disease diagnosis. With the high quality images, patients have a better chance of getting precise diagnosis and avoid any additional and unnecessary procedures. A PET/CT scan allows for early cancer detection and reveals tumours which could be obscured by scarred tissue resulting from radiotherapy or surgery especially in the neck and head area (Fleming Johansen, 2008). Previously, difficulty was experienced in the interpretation of CT scan results done at different locations and at different times than a PET scan mainly because the body position of the patient changed with each scan. A PET/CT scan provides a complete image of the body occurrences both metabolically and anatomically simultaneously (RSNA, 2014) The ability of the scan to study the body functions allows for detection of any anatomical changes making it an effective diagnosis tool. The scan is able to distinguish between malignant and benign tumours which reduce the possibility of unnecessary surgeries. It is also effective in diagnosing the early stages of Alzheimer's disease, dementias, epilepsy, and other neurological disorders. PET/CT scans are infection free and pose no danger of secondary infection for patients (Glaudemans Signore, 2010). The Future of PET/CT Scans Molecular imaging using PET/CT scans is pivotal in cancer management as it assists in choosing the radiotherapy and cytostatic procedure that is most appropriate. It also contributes to the recurrence early detection. PET/CT shows promising signs of improving personalized medicine through better characterization of tumour extent, biological features, and response (Oyen, 2007). The use of intra-operative probes aid in minimal invasive surgery in tumour and sentinel nodes removal which could present morphological alteration that is unremarkable. Additionally, PET/CT offers treatment that is efficient through target radiotherapy of neuroendocrine tumours, thyroid disease, pain palliations for diffuse bone metastases patients, as well as non- There are new approaches being investigated which utilize alpha particles (Lucignani, 2008). In addition, PET/CT scans use in defining volumes of biological tumours and radiotherapy dose painting is promising plans for more efficient but less toxic tumour control (Weber et al., 2008; Anderson Ferdani, 2009) Positron emission tomography (PET) is now a vital imaging tool for cancer diagnosis and staging, as well as presenting prognostic evidences based on response. PET is important for the evaluation of unspecified solitary pulmonary nodules or masses, where PET has confirmed to be significantly more precise than computed tomography (CT) in the distinction between malignant and benign lesions. In the examinations for metastatic spread, PET is a vital in conventional imaging. However, currently, PET does not exchange conventional imaging. Benefits of PET/CT scan for cancer diagnosis Due to nuclear medicine image inherent characteristics as well as their low power resolution, it becomes challenging to define the exact disease' anatomical location which further complicates the interpretation of results. To avoid this challenge, a combination of the functional and molecular imaging offered by PET and the CT provided anatomical imaging is merged using combined scanners (Townsend, 2008) while development is underway for PET/MRI prototype (Wehrl et el., 2009).These hybrids allow for a diagnostic procedure to be carried out singularly through structure and function evaluation. The introduction of combined imaging allows for the possibility of diagnostic process re-examination, order of studies performance, and also therapeutic pathway construction. A radionuclide in a PET scanner tracks at a molecular level, a precise biological process. The radioactive tracer is able to distinguish between molecular/cellular activities that are normal from the abnormal. The positron emitters commonly used in this process include nitrogen-13, oxygen-15, carbon-11, and fluorine-18. These emitters while in their non-radioactive form are all active molecule biological constituents. Fluorine-18 is most suited for hydrogen. The emitters are thus suitable for labelling any molecule without making any changes to the respective metabolic pathway (Bockisch, Freudenberg, Schmidt, et al., 2009). Tumour Growth Process The simple way of describing the process of a tumour growth is that they divide and multiply before infiltrating neighbouring tissues and structures and finally spreading to distant locations through a process referred to as metastasis. Tumours require energy for growth and metastasis and hence utilize glucose. Glucose provides the tumour cells with the necessary energy for activity. While the normal body cells also utilize glucose to carry out their respective functions, tumour cells utilize glucose at higher rates than the normal cells (Salskov et al., 2007). Labelling is done using fluorine-18 which like FDG is a glucose analogue. Fluorine-18 is used as a tracer as it decays quickly which minimizes exposure of the patient to radiation. Fluorine-18 is also preferred as a tracer because it naturally indicates the metabolic state of cells and more so in cancer cells and hence it is detected easily. For the detection of cancerous cells using PET/CT scan, Fluorine-18 is often used in t he form of the biologically active F18-FDG model which is a radioactive labelled glucose analogue which allows for metabolism of glucose in both abnormal and normal cells (Salskov et al., 2007) In this case study, the patient was a 39 year old female who had a documented history of colorectal cancer. She was first evaluated in April 2015. After the initial evaluation, the patient went through preoperative radiation therapy. This was followed by rectal cancer surgical resection which was done in late May 2015. Systematic chemotherapy course was adhered to after the surgical procedure. In September 2015, a follow up PET scan showed a previously identified uptake of FDG in the pelvic area which was consistent with the malignancy that had been treated. The respective lung lesion pathology results indicated adenocarcinoma that was metastatic and which was consistent with primary colorectal cancer. As mentioned earlier, a follow PET/CT scan that was done some months after the resection indicated that there was no recurrence f cancer or existence of any residual malignancy as shown in the images below. A follow up was scheduled for July of 2017 and is likely to show no evidence of malignancy. PET/CT after resection showing no evidence of malignancy The role of FDG-PET was critical in the patient's initial staging of colorectal cancer and also in the monitoring that followed. In addition, PET/CT also aided in the characterization of the SPN lesion as being suspicious for cancer. Physicians and professionals in the medical field have recognized and appreciated the role that PET/CT scans play in managing solitary metastatic lesions and more so in the determination of whether a patient is a candidate for a metastasectomy or lymph node, liver, or lung lesion ablation using radiotherapy. In the case where the metastasis is solitary, the outcomes have shown to be promising as seen in the case study discussed above. In this case, the nodule was characterized using PET/CT scan as being suspicious for cancer while it was still at a relatively small size and at an initial stage of metastasis. By using PET/CT scan, the SPN lesion was confirmed as being solitary and eligible for a procedural metastasectomy. However, it should be noted that nodules that are less than a centimetre in size cannot be characterized reliably by a PET/CT scan. References Anderson, C.J., Ferdani, R., (2009). Copper-64 radiopharmaceuticals for PET imaging of cancer: advances in preclinical and clinical research, Cancer Biother Radiopharm. 24: 379-93. Bockisch, A., Freudenberg, L.S., Schmidt, D., Kuwert, T., (2009). Hybrid imaging by SPECT/CT and PET/CT: proven outcomes in cancer imaging. Semin Nucl Med. 39: 276-89. Fleming AJ, Jr, Johansen ME. (2009). The clinicians expectations from the use of positron emission tomography/computed tomography scanning in untreated and treated head and neck cancer patients.Curr Opin Otolaryngol Head Neck Surg.16:12734. Glaudemans AWJM, Signore A.(2010). FDG-PET/CT in infections: the imaging method of choice?European Journal of Nuclear Medicine and Molecular Imaging.37(10):19861991 Guiberteau, M (2016) Positron Emission Tomography - Computed Tomography (PET/CT) https://www.radiologyinfo.org/en/info.cfm?pg=pet Lucignani, G.,(2008). Alpha-particle radioimmunotherapy with astatine-211 and bismuth-213,Eur J Nucl Med Mol Imaging 35; 9:1729-33. Macklis, R.M., (2007). Radioimmunotherapy as a therapeutic option for Non-Hodgkin's lymphoma, Semin Radiat Oncol. 17:176-83. MacManus MP, Seymour JF, Hicks RJ. (2007). Overview of early response assessment in lymphoma with FDG-PET.Cancer Imaging.7:108 Oyen, W.J., et al. (2007). Targeted therapy in nuclear medicine--current status and future prospects. Ann Oncol. 18:1782-92. RSNA (2014). FDG-PET/CT UPICT V 1.0 Imaging Protocol. https://www.rsna.org/uploadedFiles/RSNA/Content/Science_and_Education/QIBA/UPICT_FDG-PET_Protocol_ver08July2014.pdf Salskov, A., Tammisetti, V.S., Grierson, J., Vesselle, H., (2007). FLT: measuring tumor cell proliferation in vivo with positron emission tomography and 3'-deoxy-3'-[18F]fluorothymidine, Semin Nucl Med. 37;6:429-39. Townsend, D.W., (2008). Dual-modality imaging: combining anatomy and function, J Nucl Med.49:938-55. Weber, D.C., et al., R.,(2009). Recurrence pattern after [(18)F]Fluoroethyltyrosine-Positron Emission Tomography-guided radiotherapy for high-grade glioma: A prospective study, Radiother Oncol. 93;3:586-592. Wehrl, H.F., Judenhofer, M.S., Wiehr, S., Pichler, B.J., (2009). Pre-clinical PET/MR: technological advances and new perspectives in biomedical research, Eur J Nucl Med Mol Imaging 36:56-68. Zagoria, R. (2015). CT and MRI Contrast and Kidney Function. (Retrieved 19th April, 2017). https://radiology.ucsf.edu/blog/abdominal-imaging/ct-and-mri-contrast-and-kidney-function.

The Golden Door To America Essays - Demography, Population

The Golden Door To America Writen by Randy j 11/24/00 I wrote this paper for Political Life 1110 Should America Close the Golden Door? America has, is, and will always be a nation of immigrants: the great melting pot. In the years that have passed since Emma Lazarus' poem was inscribed on the Statue of Liberty ?the golden door? has seen times when it was open wide and times when it was closed shut to almost all immigrants. Many people tend to look at the present immigration problems as a purely modern dilemma. The truth is America has always struggled with the issue of immigration, both legal and illegal. Changing times however make it imperative that our government re-examine and adjust today's immigration laws to today's standards. Those standards however are not easily defined. All too often the issue of immigration is used as a political tool or is lost in heated moral debates. In any discussion about immigration you will have those who claim it is good for our nation and those who claim it is ruining the nation. More often than not the bottom line in any debate of this sort is money; will more or less immigration mean more or less money for those already in America. The moral debates come down to a question of who we are as a nation and how we want the rest of the world to perceive Americans. If this great country was forged and built by immigrants passing through ?the golden door? , then how can this same country turn away new immigrants. The inscription on the Statue of Liberty invites all to enter, yet not all are allowed to enter. Immigration has become a selective process with many gray areas. Now Americans are faced with a new dilemma; the nation must decide not whether it is willing to accept new immigrants, but whether it can afford new immigrants. All new immigrant, both legal and illegal must be considered in this equation. Congress can attempt to ease the burden of legal immigration by passing restrictive laws and only allowing in those who they believe will become self-sufficient. Congress must also find a way to slow the flow of illegal i mmigration by enforcing the laws already in place. What this paper will attempt to do is bring the immigration issue into perspective. America most certainly has immigration problems but they will not be fixed by eliminating immigration all together. In fact, America will never totally eliminate immigration, because no matter how tightly the door is closed some illegal immigrants will get through. As long as America continues to be seen as a nation of prosperity, opportunity, and freedom there will be those who wish to come to America. Immigrants have always come to America looking for a better life and Americans are always forgetting that their forefathers were once looking for that same life. As a nation there must be a decision on whether immigration is an issue of conscience or economics. History of Immigration Laws Though most Americans see immigration as a modern problem it has been heavily debated since the 19th century. Throughout most of America's history immigration was se en as a natural process that benefited the nation (Divine 2). Until the 1890's there were no clearly defined policies on immigration. During this time the country started questioning the economic benefits of more immigrants, so things have note changed in that respect. In May 1921, the first bill in American history restricted European immigration and created the quota system (Divine 5). This turn toward restriction could be justified by the downward turn in the economy. Who could argue for more immigrants when the nation's own citizens couldn't find work. The slowing economy and the ?spirit of intense nationalism? in the United States at this time made immigration a hot topic (Divine 23). After the depression hit everyone was in agreement that there was a ?need to limit immigration,? of course the extent of those limits were not easily agreed upon (Divine 77). World War II brought with it a new set of immigrants, and eventually the passing of the Displaced Persons Act of 1947. This allowed immigrants, displaced by the war to enter

12 Angry Men Essays

12 Angry Men Essays 12 Angry Men Paper 12 Angry Men Paper Essay Topic: 12 Angry Men Play This essay will be discussing the methods used to increase and decrease tension by the playwright Reginald Rose in the play 12 Angry Men. The play takes place on a blazing hot day in the middle of July, and begins as some Jurors enter the jury room to discuss a murder committed by a young man. The jurors begin light conversation as they enter the small, hot and cramped room and find their seats. They begin discussing the murder, and soon it is clear that the majority of the jurors believe the young man to be guilty and that they have no desire to sit and deliberate, they would rather talk about a baseball game, which starts at 7pm that evening. Although they seem keen to dismiss the case with a guilty verdict, Juror 8 stands up and declares that there is room for reasonable doubt. He would like to examine the evidence thoroughly. Eventually this Juror persuades the others that the accused is not guilty. Throughout the play, the playwright uses this conflict to inflame and reduce the tension. Reginald Rose uses a few methods to increase and decrease tension. We can firstly tell by the little things he uses. Some of these consist of the room being cramped and stuffy, the fan not working, and the weather. The different moods of the characters also make tension. Small things like these cut the tension in noticeable ways. The weather changes at one point into lightning, thunder and heavy rain and the fan starting to work. These examples break the tension that has been building in the room. Whilst this is happening the mood of the jurors change too. As we know, this scene is set on a very hot day; coincidentally, we see that there is going to be tension because Juror 7 says, This is the hottest day of the year. To make even more tension, we see that in this tiny room, a juror is sweating and tries to turn on the fan, which doesnt seem to work, making the already blazing hot room even hotter. The atmosphere is unstable because the heat makes the jurors insecure. The hot weather continues to make an impact on the mood. In Act 1, Juror 6 says, What a murderous day, which is commenting on the weather and is a pun on the case itself being about murder. In Act 2 the weather turns bad, the vote is still guilty, so they take another vote. The vote is even: 6-6. At the same time the weather gets cool again and the foreman says Wow! Look at that come down, will ya? Think itll cool things off? Juror 8 replies Yeah, I guess so. This signifies to the audience and the reader that the tension has broken. When the play ends the rain stops and the skies clear showing that the tension has been released and they have succeeded in breaking it. The jury room is set in a random way There is a bathroom which is used to release tension; there are also other objects about the room which are used to increase and decrease tension. For example, the fan only works after the tension is released as the weather becomes cooler and the vote becomes 6-6. This can all reflect the jurors calm. The knife that Juror 8 leaves jammed in the table is a reminder of the tension that has been. It is revealed that the jurors are all different types of people with totally different backgrounds. They are regular Americans, representing different strands of opinion in 1950s America. Tension increases in the play as each characters personality and nature are revealed. However, this brought out the truth everyone as they all displayed their true emotions throughout the play. In conclusion, I think that the author used successful methods to increase and decrease tension. In the first half of the play there is much tension and emotion as the jurors fight and contradict Juror 8. At the beginning of the play, the use of weather increases tension and this breaks when the group votes 6-6. You can see this reflected in the jurors: for example, Juror 3 is dark with rage after he shouts Ill Kill him, Ill Kill him! at the end of Act 1. The jury room also adds to the tension when the guard outside locks the door. A juror says, I never knew they locked the door. This creates a feeing of panic and claustrophobia. Objects in the room itself play their part, such as the water cooler, where jurors go to cool down after an argument. This decreases tension as well. Overall, the playwright is successful in his aim.

Lectopia. More Convenience And Control to Learning in Tertiary Essay

Lectopia. More Convenience And Control to Learning in Tertiary Education - Essay Example In Australia, for example, employers' dissatisfaction rate with fresh graduates was increasing. Obviously with these concerns in mind, the University of Western Australia (UWA) developed the country's first iLecture system in 1998, followed by Macquarie University in 2005. According to McElroy & Blount (2006), another consideration for the introduction of Lectopia in these schools was the changing socioeconomic profile of students in Australia, which now runs third behind the US and UK in hosting the largest number of international college students. A non-English speaking background is a handicap for international students because they may go through a lecture with little comprehension (Bennett & Lockyer, 2004). Applicability remains one of the most compelling reasons for the adoption of Lectopia in Australian universities. The student population in Australian universities being dominated by the Net Generation, Lectopia is compatible with the characteristics identified with this generation, whose preferences include online communication, mobility and accessibility (Thielfold & Scheef, 2004). Williams & Pardon (2007) observe that the youth in the Net Generation are more comfortable with hypertext, laptop libraries, instant messaging and beamed messages such that they took to iLecture like fish to water. For this reason, a survey on the use of Lectopia by Macquarie students showed that 73.15 percent agreed to its capability to improve the quality of education (McElroy & Bount, 2006). The survey involved 828 students in a second-year accounting course, of which 202 were locals and 626 were foreign students.... This essay stresses that education is the latest sector to join the ICT bandwagon because of the increasing realization that technology can provide academics with the tools to interact with students in a more flexible way and support a more student-centered approach to teaching. The desire for an alternative system in the conduct of lectures was impelled partly by growing concerns that today’s university graduates lack the skills and competencies that would make them competitive in the technology-driven workplace In Australia, for example, employers’ dissatisfaction rate with fresh graduates was increasing. Obviously with these concerns in mind, the University of Western Australia (UWA) developed the country’s first iLecture system in 1998, followed by Macquarie University in 2005. most compelling reasons for the adoption of Lectopia in Australian universities. The student population in Australian universities being dominated by the Net Generation, Lectopia is co mpatible with the characteristics identified with this generation, whose preferences include online communication, mobility and accessibility. This paper makes a conclusion that there are as diverse types of students as there are different learning styles and preferences. For this reason, it is not advisable and educationally beneficial to adopt Lectopia as replacement for traditional face-to-face lectures. As in other newfangled technologies, the one-size-fits-all approach will not work for this system since there as many foreign and working students as there are locals who are professional students.

Executive Summary Essay Example | Topics and Well Written Essays - 500 words - 14

Executive Summary - Essay Example teve Jobs; decline in share prices; and emergence of stiffer competitors offering cheaper products; among others, investors and spectators were gleaming at any possibility that Apple’s future performance could be on the decline. First, to counter competitors’ move of producing relatively cheaper alternatives to the iPhone, it was revealed that â€Å"Apple could produce an iPhone for less than $150 to broaden its appeal† (Has Apple peaked? par. 7). This is a viable strategy given that competitors have already launched several alternatives to the smartphone at significantly affordable prices; especially in emerging markets, like China. Secondly, Horace Dediu, a spokesperson from Asymco, a research firm, was cited to disclose that â€Å"it would be a mistake to think Apple is resting on its laurels† (Has Apple peaked? par. 13). His proof was the soaring of capital expenditure of Apple which is an indication that it is producing a new product to be launched in the market. Third, the legal battle Apple has encountered with Samsung was noted to be indicative of it being on the defensive stance. I am convinced that any organization threatened by competitors in terms of product patent would do the same thing. As a competitor, like Samsung, the apparent increase in capital expenditure that indicates that Apple is concocting a new innovative product should spur me to increase my research capabilities and try to find out from all possible avenues what these technological gadgets could be. Likewise, I could set my product engineers to design new, creative, and more innovative gadgets that would potentially be seen as blockbuster products and could be purchased at relatively cheaper amounts than what Apple normally offers. If I am personally involved in Apple as an employee, I would definitely by knowledgeable of any possible new product innovation or future product launches that are being designed. As such, I could validate that Apple could simple be at the steady state

Long Term Conditions Principles Of Care Nursing Essay

Long Term Conditions Principles Of Care Nursing Essay When you leave the clinic, you still have a long term condition. When the visiting nurse leaves your home, you still have a long term condition. In the middle of the night, you fight the pain alone. At the weekend, you manage without your home help. Living with a long term condition is a great deal more than medical or professional assistance. Harry Cayton, (DH, 2005a) This essay will provide a critical account of the health requirements of a patient suffering from a long term condition. It will concentrate on the experience of caring for a patient with type 2 diabetes, within the community. It will consider government policies and guidelines which relate to the management of diabetes, and the role of the district nurse. The Nursing and Midwifery Council (NMC, 2008) Code of Professional Conduct Guidance has been maintained throughout this essay and therefore, all names have been altered for the purpose of confidentiality and anonymity. Currently in the UK there are over fifteen million people in England reported to be living with a long term condition. (DH 2009), of these it is reported that 2.6 million people are diagnosed with diabetes. This has increased since 1996 from 1.4 million (Diabetes UK 2010), and over 500,000 more whom are unaware that they have it. It is also predicted that by 2025 over four million people will have diabetes, with the majority having type 2 diabetes. According to Clinical Knowledge Summaries (CKS) (2009) the risk of developing type 2 diabetes increases with age, possibly because as people age they become less active, gain weight, and this affects their mobility and weakening their circulatory system. However this notion is relatively weak as whilst white people over the age of 40 are prone to developing the illness, ethnic minority groups are affected from age 25 years upwards (Diabetes UK 2006). This distinction suggests that diabetes may relate to dietary choices. Another possible ex planation for the development of type 2 diabetes is a genetic link, where people are more likely to develop diabetes when a close relative already has it. Mary is a 61 year old afro-Caribbean lady whom had recently been diagnosed with type 2 diabetes. She lives alone since her husband died 10 years ago. She has no family in this country, and does not have many friends, more acquaintances. Mary had recently sustained a fall, fortunately nothing was broken, but she had suffered with severe bruising and loss of confidence. Her G.P. had been concerned about her and had asked the district nurses to monitor her blood sugars and blood pressure due to already diagnosed hypertension which she takes medication for. On assessment it was identified that Mary has been finding it hard to accept her diagnosis; she was hoping that her G.P had made an error. Hicks (2007) explains that it is not unusual to see denial in a hearing a diagnosis. Dunning (2009) goes on to say it can be appropriate in the early stages so that it enables people to keep a positive attitude and as a coping mechanism. However prolonged denial can cause future problems and possible neglect of warning signs that the condition is worsening. Marys knowledge of diabetes is very poor and her perception is that eventually everyone that has it will have to have injections, go blind, have something amputated and then die. She also stated that the only dietary advice she had been given was to stop eating sweets and food with sugar in. She had been finding it difficult to stick this as she found that most of the food she enjoyed had sugar in, she had also been told to eliminate fruit from her diet as someone told her that it was also high in sugar. Mary reported that she has started to feel low in mood and that she was feeling anxious about her bleak future. Lloyd (2008) states people with diabetes are twice as likely to have depression as those who dont. She goes on to say recent research has shown that this can have a detrimental effect on glycemic control, on self-management of diabetes and on overall quality of life. Evidently Mary has very limited knowledge of her diabetes this in turn has had a negative impact on her psychological well being. The integral place of psychological care, within a holistic approach to diabetes care, is recognised in the National Service Framework (NSF) for Diabetes (2001) where it states that The provision of information, education and psychological support that facilitates self-management is therefore the cornerstone of diabetes care'(p22). Similarly the National Institute of Health and Clinical Excellence (NICE) (2003) reports that diabetes professionals should have appropriate management and detection skills of non-severe psychological disorders, whilst being able to identify and arrange prompt referrals of people with significant psychological difficulties that can interfere with their well-being or diabetes self-management. From Marys assessment it was established that she was not in need of an urgent psychological referral, and that possibly an appropriate edu cation programme would facilitate Mary with the information to be able to understand and manage her diabetes. As acknowledged by the DH (2005b) patient education is designed to improve knowledge, skills and confidence, enabling people to take more control of their condition and assimilate self-management. Siminerio (2008) continues to say that due to the complexity of managing diabetes the patient will require health professionals to support with the appropriate amount of time and long term support to ensure self-management is achieved. Due to the interpersonal nature of their duty, district nurses play a crucial role in the primary care of those suffering from long term illnesses. Cook cited by DH (2005b) states Caring for people with long term conditions is a key part of community nurses (p5). Their home visits and interaction with patients, provides emotional support by developing close trusting relationships, and quickly identify health problems. Nevertheless, recent government policies implemented aim to improve the quality of patient care, reduce the number of hospital patients and deliver more health care to patients at home. However, due to the aging population and the demand for community care is increasing thus putting extra strain on the already full caseloads, resulting in a breakdown of strong patient-nurse relationships. Instead continuity of care may operate primarily through partnerships, shared nursing roles and the involvement of social services, voluntary agencies and NHS organisations. Even before we can really consideration of how Mary receives health promotion advice, there should be consideration for her receptiveness and readiness to receive that advice. Prochaska and DiClementes model of change (1984) (Budd and Rollnick 1996) (appendix 1) is a good example of this. Mary is in denial. It is hard to imagine that she could ignore the severity of diabetes along with the associated risks. However, this could have been to do with possible poor advice from the onset of her diagnosis or through fear (or possibly other reasons) but she has been in denial. This particular episode care following her fall and meeting with the district nurse may well be the catalyst that Prochaska and DiClemente refer to in generating a perceived need to change. Realisation of this fact should be a useful tool for any healthcare professional to capitalise on when endeavouring to manage the change process (Nickols 2004). Colin- Thome (2010) states Delivering improvements for people with long term conditions isnt just about treating illness, its about delivering personalised, responsive, holistic care in the full context of how people live their lives. In 2000 the Labour government introduced a strategy to reform the NHS. The National Health Service Improvement Plan, aimed to modernise services, raise standards, tackle under funding and make a shift towards patient centred care (DH, 2000). A key strategy to emerge was the introduction of the National Service Frameworks in 2001. Â   The NSFs were designed to bring health care in all areas to an acceptable national standard (NSF 2001). They aimed and put a stop to discrimination, offer provide person centred care, and access to fair and prompt services appropriate to peoples needs (Dimond 2008). Â   They also intend to respond to the experience and concerns of service users, use resources efficiently to achieve the greatest possible benefits and promote peoples health and independence. Standard One of The NSF for Long Term Conditions (2005c) requires healthcare professionals to deliver person centred care. Person centred care is seen as a key objective in healthcare. It lies at the heart of a number of policies and government strategies aimed at providing and improving personalised care, such as High Quality Care for All (DH, 2008) and Our Health, Our Care, Our Say, (DH, 2006). The Royal College of Nursing (RCN) (2007) describes person centred care as care which is safe, effective, promotes health and wellbeing and helps to integrate patients into todays society and community. Person centred care also informs, empowers, is timely and convenient (McCabe and Timmins, 2006). It is an approach which integrates patient ideas, expectations, beliefs, values, culture, emotional needs and social perspectives whilst ensuring mutual participation in a shared decision making partnership (Antai-Otong, 2006). The strategy of empowering and educating the patient is thought to be amongst the most useful (Peile 2004). Mary is far more likely to comply with a treatment regime if she understands the regime, the reasoning behind it and is given the tools to achieve it. (McDonald et al 1999). Empowerment and education is an important concept in patient management and has been widely used over a huge range of clinical issues (Kelly 2002). It will be particularly useful for Mary, not only with regard of accepting she has diabetes, but with the whole question of her diabetic control as well (Gadsby 2005). Mary will almost certainly have a large number of questions and concerns that she should be encouraged to raise, as understanding is a vital ingredient of compliance (Marinker 1997). District Nurses must act as teachers and counsellors, helping patients regain independence by showing patients or carers how to confidently perform care-giving duties in the absence of the nurse. Therefore play an indirect but crucial role in keeping hospital admissions and readmissions to a minimum. When educating a patient with diabetes, care must be taken to ensure that they recognise that diabetes is a progressive condition, and that their requirements will probably change during their life. Expert Patient Programmes (EPP) (DH 2007) are a valuable opportunity for individuals living with diabetes to learn more about how they can manage their condition, better themselves and not rely so heavily on healthcare services. They have been proven to be beneficial and involve lay members who nurse patients. Reports suggest they have been considerably successful at regaining patients independence (DH, 2007). It has been suggested that accident and emergency attendances could be reduced through the use of expert patient programmes, along with individuals accessing out of hours general practitioner services (EPP 2009). However, The Healthcare Commission found, following a study that in two thirds of Primary Care Trusts (PCT) 20% of people or less had been offered courses, even though there were structures of education and training in place. In half of the trusts, 10% of people reported to going to a course. Overall the reporting of attendance varied from 1% to 53%. There was also no consistency of the length, content and style of educational. Some were unstructured, not evaluated and were delivered by insufficiently trained staff. If the correct education programme is enforced then Mary would be able to manage her own care with support from the community team. Self management is seen as an integral, even central part of the system of care provided to people with long term conditions and can be instigated through the implementation of expert patient programmes (Davidhizar, 1998). The British Diabetic Association (BDA) (2005) also suggests that the overall aim of diabetes management is to enable people with diabetes to achieve a quality of life and life expectancy similar to that of the general population (p5), ensuring high quality equal care to ensure the provision of appropriate information and education to enable people with this condition to maximise their wellbeing. Kozier et al continue to explain that supported self care management refers to the individuals ability to manage their symptoms, treatment, physical and psychological consequences and lifestyle changes inherent in living with a long term condit ion (2008). Also through working in a multidisciplinary approach, different professionals can collaborate with each other in order to benefit the patient and deliver person centred care (Lethard, 1994). Nevertheless, education alone is frequently not enough. Merely providing information often does not lead to a change in behaviour. If there is a continuation of motivational struggles and unwillingness to change Prochaska and DiClemente suggest using motivational interviewing to try and over overcome this (Nickols 2004). This looks at encouraging and supporting people in adopting new behaviours. The district nurse would support the Mary whom is struggling with ambivalence about change. Encouragement is used so that there is recognition and action to move to the action stage, this where they can start to understand and feel able to change (Gallagher and Scott 2006). However, Bundy (2004) does go on to say this can be seen as quite challenging and can have elements of being confrontational. This process needs to be executed wisely, and there needs to be a relationship with trust for it to be beneficial. This can take time and as recognised previously there may not be continuity of care with the same nurse. Furthermore, care planning is also a key part of managing long-term conditions, and its importance has been stated in a number of major policy documents. The final report of Lord Darzis, High Quality Care for All, NHS Next Stage Review, (2008), stressed that over the following two years, everyone with a long-term condition should be offered a personalised care plan. In February 2008 the National Diabetes Support Team (2008) produced its guide to implementing care planning in diabetes Partners in Care and is also working with Diabetes UK and other key partners to determine ways to support the NHS in embedding the principles of care planning into the delivery of diabetes services (NSF 2008). It has been reported that Primary care is getting better at managing diabetes and one of the outstanding achievements of the Quality and Outcomes Framework is the rising numbers of diabetics receiving essential tests and measurements (for example, blood pressure and cholesterol). The results of those tests have also indicated health improvements, however an important fact is the 2005/6 National Diabetes Audit (Healthcare Commission 2007) found that not everyone is receiving every care process that they need thus indicating that there is still gaps in care. The theme of the final report of the NHS Next Stage Review acknowledged that too few people have access to information about their own care (NSF 2008). It is imperative that the person with diabetes has as much information as possible to allow for maximum utilisation of their time with the healthcare professional. The Department of Health recommend that measures can be taken to improve the lives of diabetics. Although diabetes currently cannot be immediately cured, by using medication and other therapies it can be controlled (2005a). Mary will have to be closely monitored to ensure that she is compliant with her management of diabetes. As has been demonstrated there are many interventions which district nurses can undertake. However, for Mary to have the best possible care a collaboration of multi disciplined professionals need to par-take in a proactive role in the holistic treatment of diabetes. The governments aims are to support people with long-term conditions by delivering recommend changes that will help people. This is particularly vital as the long term compliance of the person with diabetes is essential to prevent and delay complications, as diabetes is estimated to account for at least 5% of UK healthcare expenditure (DH 2008). In conclusion, it is clear that the key role of all health professionals requires knowledge and understanding of issues and policies to support patients. Furthermore, this role requires a detailed knowledge of inter-professional and multidisciplinary working. Â   It requires high levels of communication skills, diplomacy and assertiveness. Health professionals also need to have knowledge of service delivery systems to enable them to carry out their role and to provide their patients with an efficient and seamless service

Oedipus Tyrannos by Sophocles Essay -- Oedipus Tyrannos Sophocles Essa

Oedipus Tyrannos by Sophocles Sophocles uses a mixture of both visual and emotional imagery to create the morally questioning, Greek tragedy ‘Oedipus Tyrannos’. He presents the audience with an intense drama, which addresses the reality and importance of the gods that the Greeks fervently believed in. The play also forces the audience to ask themselves if there is such a concept as fate.   Ã‚  Ã‚  Ã‚  Ã‚  From the very beginning of Oedipus, it is made clear â€Å"that his destiny be one of fate and worse†. The irony is that Oedipus unknowingly repeatedly predicts his own fate: â€Å"It was I who called down these curses on that man.† Oedipus has unconsciously married his mother and killed his father, just as the Oracle predicted. Fate is proven to be unavoidable to Oedipus as the play shows a devout belief in the Greek gods. The Gods are seen as both â€Å"protectors† and â€Å"punishers†, who can â€Å"turn fate back away†. The gods are shown to have power over everything and everyone, and whoever ignores them will be cursed by the â€Å"darts no one escapes†. Oedipus is one of these people who is seen to have ignored the gods’ warnings and therefore has brought a curse upon himself, and all those around him: â€Å"Nothing grows in the earth, nothing in the wombs of the women.† With the idea of fate comes the question of fairness. Does Oedipus deserve his pitiful destiny and if it was so pre-decided then why? It was yet again the God’s powers.   Ã‚  Ã‚  Ã‚  Ã‚  It may be difficult to avoid pitying Oedipus, as despite his obvious sins, he is shown to be a respectable and honest man: â€Å"I bear more pain for the people than for my own soul†. Sophocles uses irony to increase your growing pity for Oedipus as he searches for the ‘abomination’ that is soon to be revealed as none other than himself: â€Å"That man must reveal himself to me†. Oedipus is frantic to find the killer of Laios (his real father) so as to save the city from the â€Å"hateful plague† that the gods have brought upon them. When Oedipus gouges out his own eyes, the difference between visual sight and insight is clearly represented: â€Å"Light, let this be the last time I look on you†. Oedipus cannot bear to see the destruction that he has brought upon his family. â€Å"Would the sight of my children have been pleasant?† he asks himself, now left in the depths of shame. Due to the severe punishment that Oed ipus inflicts upon himself it makes it difficult for one ... ...time to pass judgement on himself by first gauging out his own eyes, â€Å"Ranting, they would not see what evil he was suffering, what evil he was doing†, and by then ordering his people to â€Å"Expel me from this land as quickly as you can.† Oedipus’ sense of dignity also swiftly disappears toward the end of the play, but he manages to redeem himself by accepting all blame for his actions and does not even attempt to pass it on to someone else. He could have blamed anyone from his parents, the servant that saved him as a baby and even the Oracle, but he does not. He shows great courage when he says: â€Å"My evils are mine and will affect no one but me.† Oedipus goes from a man who has unquestionable and perhaps a dangerous amount of power to a man who himself relinquishes all rule of his land to live a life of misery that he feels he deserves.   Ã‚  Ã‚  Ã‚  Ã‚  The gods and fate play a massive role in creating the tragedy, but Sophocles leaves it up to the audience to pass final judgement on Oedipus. There is a definite moral to this play and that is no one can ever know their decided fate until they die, for â€Å"How can we say anyone is happy until he has crossed to the other side without suffering?† Oedipus Tyrannos by Sophocles Essay -- Oedipus Tyrannos Sophocles Essa Oedipus Tyrannos by Sophocles Sophocles uses a mixture of both visual and emotional imagery to create the morally questioning, Greek tragedy ‘Oedipus Tyrannos’. He presents the audience with an intense drama, which addresses the reality and importance of the gods that the Greeks fervently believed in. The play also forces the audience to ask themselves if there is such a concept as fate.   Ã‚  Ã‚  Ã‚  Ã‚  From the very beginning of Oedipus, it is made clear â€Å"that his destiny be one of fate and worse†. The irony is that Oedipus unknowingly repeatedly predicts his own fate: â€Å"It was I who called down these curses on that man.† Oedipus has unconsciously married his mother and killed his father, just as the Oracle predicted. Fate is proven to be unavoidable to Oedipus as the play shows a devout belief in the Greek gods. The Gods are seen as both â€Å"protectors† and â€Å"punishers†, who can â€Å"turn fate back away†. The gods are shown to have power over everything and everyone, and whoever ignores them will be cursed by the â€Å"darts no one escapes†. Oedipus is one of these people who is seen to have ignored the gods’ warnings and therefore has brought a curse upon himself, and all those around him: â€Å"Nothing grows in the earth, nothing in the wombs of the women.† With the idea of fate comes the question of fairness. Does Oedipus deserve his pitiful destiny and if it was so pre-decided then why? It was yet again the God’s powers.   Ã‚  Ã‚  Ã‚  Ã‚  It may be difficult to avoid pitying Oedipus, as despite his obvious sins, he is shown to be a respectable and honest man: â€Å"I bear more pain for the people than for my own soul†. Sophocles uses irony to increase your growing pity for Oedipus as he searches for the ‘abomination’ that is soon to be revealed as none other than himself: â€Å"That man must reveal himself to me†. Oedipus is frantic to find the killer of Laios (his real father) so as to save the city from the â€Å"hateful plague† that the gods have brought upon them. When Oedipus gouges out his own eyes, the difference between visual sight and insight is clearly represented: â€Å"Light, let this be the last time I look on you†. Oedipus cannot bear to see the destruction that he has brought upon his family. â€Å"Would the sight of my children have been pleasant?† he asks himself, now left in the depths of shame. Due to the severe punishment that Oed ipus inflicts upon himself it makes it difficult for one ... ...time to pass judgement on himself by first gauging out his own eyes, â€Å"Ranting, they would not see what evil he was suffering, what evil he was doing†, and by then ordering his people to â€Å"Expel me from this land as quickly as you can.† Oedipus’ sense of dignity also swiftly disappears toward the end of the play, but he manages to redeem himself by accepting all blame for his actions and does not even attempt to pass it on to someone else. He could have blamed anyone from his parents, the servant that saved him as a baby and even the Oracle, but he does not. He shows great courage when he says: â€Å"My evils are mine and will affect no one but me.† Oedipus goes from a man who has unquestionable and perhaps a dangerous amount of power to a man who himself relinquishes all rule of his land to live a life of misery that he feels he deserves.   Ã‚  Ã‚  Ã‚  Ã‚  The gods and fate play a massive role in creating the tragedy, but Sophocles leaves it up to the audience to pass final judgement on Oedipus. There is a definite moral to this play and that is no one can ever know their decided fate until they die, for â€Å"How can we say anyone is happy until he has crossed to the other side without suffering?†

The tourism and events

The rapid growth of events In the past decade led to the formation of an Identifiable events Industry (Bowdon et al. , 2006). This paper will be focusing mainly on the sports events Industry and will Identify and discuss what the events Industry actually has to offer. Firstly It will investigate the different sizes of sporting events followed by examining its characteristics and their economic value.The past motive for an event used to be creating an opportunity to get away from the normal routine of day to day life and loud spring organically from communities or prompted by personal, individual milestones usually triggered by nostalgia. An event could also be a cultural occasion such as Christmas when all societies can celebrate and commemorate together. Personal and cultural occasions are no longer the only motive for an event, today the events industry is widely known for generating extremely attractive business chances and Is frequently economically motivated.Sporting events appe al to a large number of participants and spectators and can vary In size from community events, for example the local schools sports day, to a mega event such as the Olympics or the World Cup. Hallmark events and major events are the other two groups within the industry that events are categorized under. Marries in Get (2005, p. 1 8) defines a mega event in the following way: â€Å"Their volume should exceed one million visits, their capital cost should be at least $500 million, and their reputation should be that of a ‘must see' event. Where as Get (2005, p. 6) will interpret a mega event to be one that also yields extraordinarily high levels of tourism, media coverage & prestige. The proliferation of sporting events are linked to a combination of factors, one of them being IT and communications. As technology has developed the coverage of sport can now be broadcast to a global audience, this attracts companies and sponsors who will Inject money into the event and use It as a marketing and advertising opportunity. Sporting events are major contributors to the economic growth and development of the host country. † Road et 2011) Mega sprung events can help promote and develop cities and be utilized to Improve transport infrastructure, adapt buildings, construct cultural spaces, landmarks and dernier sports facilities. They can increase tourism levels, which can then have a positive knock on effect to the local community. Local businesses will benefit and the injection of income into the local economy can potentially create more Jobs.These mega events attract global media coverage, it can put the hosting country at a new level of local, national and international importance and the venue can become a tourism landmark for the foreseeable future. â€Å"The London 201 2 Games have definitively served as a catalyst for development and Improvements, both tangible and Intangible, which would otherwise have taken decades to achieve. There Is no doubt that the citizens of London and Great Brutal will benefit from the Games for a long time to come. † (Great Britain, UK Government. 013) potential threats and inconveniences have to be considered. The risk of terrorist attacks on the events location can drastically increase, the event could have negative effects on the environment and traffic congestion can become an inconvenience for participants, spectators and locals if the right planning and management has not been addressed. Sporting events employ drama and can attract large numbers of people so to keep negative impacts on the host country or organization to a minimum understanding the events characteristics is an important factor when planning an event of any size.Event managers should investigate the area type; whether it is in a rural, urban or metro environment, the event location and the time the event is held and its duration, a prediction of the expected attendance and who the event is aimed at and how you are going to market the event and finally how your going to accommodate your customers and participants. In sporting events you also need to consider the sports governing body and employ the correct professionals to ensure he governing body rules and regulations are met and maintained throughout the event.For a mega event such as the Olympics the opening and closing ceremonies and the medals being awarded to the competitors are significant and memorable characteristics of the sporting event. In conclusion, the events industry has a lot to offer, with the government's support, increase in tourism and continuing to create ways in which to attract events to the county the industry will continue to flourish and play a significant role in the economy, as well as having a positive input on the coal community and the host country it will also go on to provide memorable experiences for those involved.

Platos Life Essay - 747 Words

Platos Life Plato was born in Athens, about 427 B.C., and died there about 347 B.C. In early life Plato saw war service and had political ambitions. However, he was never really sympathetic to the Athenian democracy and he could not join wholeheartedly in its government. He was a devoted follower of Socrates, whose disciple he became in 409 B.C., and the execution of that philosopher by the democrats in 399 B.C. was a crushing blow. He left Athens, believing that until â€Å"kings were philosophers or philosophers were kings† things would never go well with the world. ( He traced his decent from the early kings of Athens and perhaps he had himself in mind). For several years he visited the Greeks cities of Africa and Italy,†¦show more content†¦Plato’s works, perhaps the most consistently popular and influential philosophic writings ever published, consist of a series of dialogues in which the discussions between Socrates and others are presented with infinite charm. Most of our knowledge of Socrates is from these dialogues, which views are Socrates’ and which are Plato’s is anybody ‘s guess. ( Plato cautiously never introduced himself into any of the dialogues. Like Socrates, Plato was chiefly interested in moral philosophy and despised natural philosophy ( that is, science ) as an inferior and unworthy sort of knowledge. There is a famous story (probably apocryphal and told also of Euclid of a student asking Plato the application of the knowledge he was being taught. Plato at once ordered a slave to give the student a small coin that the might not think he had gained knowledge for nothing, then had him dismissed from school. To Plato, knowledge had no practical use, it existed for the abstract good of the soul. Plato was found of mathematics because of its idealized abstractions and its separation from the merely material. Nowadays, of course, the purest mathematics manages to be applied to the heavens. The heavenly bodies, he believed, exhibited perfect geometric form. This he expresses most clearly in a dialogue called Timaeus in which he presents his scheme of the universe. He describes the five ( and only five) possible regular solids– that is, those with equivalent faces and with allShow MoreRelatedPlatos Views On Life And Death1859 Words   |  8 Pagesfocusing on nonphysical forms as a means to the truth, Plato uniquely analyzes the true implications of life and death. Plato applies his personal viewpoints on the connection between soul and body in order to direct people towards an appropriate approach to life and prepare them for what to expect after. After much conversation with others, Plato created his own firm ideals about the topics of life and death that I am later going to compare to my own. Philosophers are known to be avid seekers of knowledgeRead MorePlatos The Apology : The Meaning Of Life759 Words   |  4 PagesPlato’s â€Å"The Apology† takes places in Athens in 399 BC. Socrates, a natural philosopher, is put on trial and accused of failing to recognize the god of Athens, creating new deities, and corrupting the minds of the city youth. The Athenians, Anytus, Meletus, and Lycon fear that Socrates’ teachings lack respect for the legal customs and religious beliefs established in the city and could create a damaging effect on Athens’ community (Dan I.(n.d.). In this piece, Plato writes an account of Socrates’Read MorePlatos Happiest Way of Life Essay780 Words   |  4 PagesPlatos Happiest Way of Life A just life in a just society would be the happiest possible way to live for Plato. Justice is defined as a balanced and well-integrated specialization of functions both within the scope of society and the individual. 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The similarities between Socrates’ definition of the Philosopher King of the aristocracy and the tyrant are that a single ruler governs over the republic. In some ways, the empowerment of a single individual provides a catalyst for an aristocratic engagement of the nobleman to support this form of governance. In these seeminglyRead MoreShutter Island : A Life In The Cave : Platos Allegory Of The Cave1677 Words   |  7 PagesHayley Vlaz-Troutman Professor Mileo Philosophy 243 17 Septemeber 2017 Shutter Island: A life in the cave Plato’s Allegory of the Cave dates back many years. However, it is relevant today in many ways. This view can be observed and experienced in our society, in our personal ways of thinking and being, and in many cinematic adventures one can enjoy. I chose to look at it in terms of personal application to find its relevancy andRead MoreImmanuel Kant : A Worthwhile Life In Platos Five Dialogues1632 Words   |  7 PagesWhat determines â€Å"a life worth living† has remained a question philosophers have asked since the birth of philosophy. Socrates, a well-known philosopher puts it simply: â€Å"The unexamined life is not worth living† (Plato 41). Now, this is wonderful advice if one could only figure out what exactly an â€Å"examined† life would consist of. While Socrates, through Plato’s Five Dialogues, provides a method for examination, it is not very clear what is always right or wrong. Immanuel Kant through his work, GroundworkRead MoreE ssay about The Value of Life in Plato’s Cave and the Divided Lines674 Words   |  3 Pages Plato’s Cave and the Divided Lines People must learn the value of life and the difference between living a dream and making your dreams come true. Being considered a father in western philosophy, Plato presented the Divided Line and Plato’s Cave to show the differences between the intelligent and visible world people live in; as the visible world being a world of one’s own reflections and shadowing’s, while the intelligent world is about the mind and thoughts. Plato uses a complex dialogue ofRead MoreIn the words attributed to Socrates in Plato’s Apology, â€Å"The unexamined life is not worth living.†1000 Words   |  4 PagesIn the words attributed to Socrates in Plato’s Apology, â€Å"The unexamined life is not worth living.† David Foster Wallace expands on this idea in his â€Å"Kenyon College 2005 Commencement Address,† pointing out the importance of awareness and escaping the natural, default-setting of an unconscious, self-centred life. While commencem ent speeches are typically epideictic—celebratory—in nature, Wallace takes a deliberative rhetorical stance. According to Fahnestock, deliberative discourse is used in order