The Importance of the Central Limit Theorem

The Importance of the Central Limit Theorem As far as possible hypothesis is an outcome from likelihood hypothesis. This hypothesis appears in various places in the field of insights. Despite the fact that as far as possible hypothesis can appear to be theoretical and without any application, this hypothesis is very imperative to the act of measurements. So what precisely is the significance of as far as possible hypothesis? Everything has to do with the circulation of our populace. This hypothesis permits you to improve issues in measurements by permitting you to work with a conveyance that is around typical. Proclamation of the Theorem The announcement of as far as possible hypothesis can appear to be very specialized however can be comprehended in the event that we thoroughly consider the accompanying advances. We start with a basic arbitrary example with n people from a populace of intrigue. From this example, we can undoubtedly shape an example imply that compares to the mean of what estimation we are interested about in our populace. An inspecting circulation for the example mean is delivered by more than once choosing basic arbitrary examples from a similar populace and of a similar size, and afterward registering the example mean for every one of these examples. These examples are to be thought of as being autonomous of each other. As far as possible hypothesis concerns the inspecting dissemination of the example implies. We may get some information about the general state of the inspecting appropriation. As far as possible hypothesis says that this testing circulation is roughly typical generally known as a ringer bend. This guess improves as we increment the size of the basic irregular examples that are utilized to create the inspecting dissemination. There is an extremely astonishing element concerning as far as possible hypothesis. The shocking truth is that this hypothesis says that an ordinary appropriation emerges paying little heed to the underlying conveyance. Regardless of whether our populace has a slanted conveyance, which happens when we inspect things, for example, salaries or people’s loads, a testing circulation for an example with an adequately huge example size will be ordinary. Focal Limit Theorem in Practice The surprising appearance of a typical circulation from a populace dissemination that is slanted (even intensely slanted) has some significant applications in measurable practice. Numerous practices in measurements, for example, those including speculation testing or certainty stretches, make a few presumptions concerning the populace that the information was gotten from. One supposition that is at first made in a measurements course is that the populaces that we work with are ordinarily circulated. The presumption that information is from an ordinary conveyance rearranges mattersâ but appears to be somewhat ridiculous. Only a little work with some true information shows that anomalies, ​skewness, different pinnacles and asymmetry show up routinely. We can get around the issue of information from a populace that isn't ordinary. The utilization of a fitting example size and as far as possible hypothesis help us to get around the issue of information from populaces that are not ordinary. Along these lines, despite the fact that we probably won't have a clue about the state of the dispersion where our information originates from, as far as possible hypothesis says that we can regard the examining dissemination as though it were typical. Obviously, all together for the finishes of the hypothesis to hold, we do require an example size that is sufficiently huge. Exploratory information examination can assist us with determining how enormous of an example is important for a given circumstance.

Pulmonary Embolism as Manifestation of Right Atrial Myxoma

Pneumonic Embolism as Manifestation of Right Atrial Myxoma Aâ case report and survey of writing Theoretical We present an instance of a 55-year-elderly person who experienced brevity of breath and syncope; he was sent to our specialty for suspecting aspiratory embolism. We continued Computed tomography aspiratory angiography (CTPA) and Transthoracic echocardiogram (TTE) , affirmed the conclusion which was brought about by right atrial mass. After the medical procedure the patient was analyzed as right atrial myoma (RAM) with aspiratory myoma emboli without no antagonistic occasion. The leftover emboli were mostly improved following one month anticoagulation. We announced this case and survey of the relevent writing to assist clinicians with improving the comprehension of analysis and treatment of pneumonic embolism brought about by RAM. Catchphrases: aspiratory embolism, right atrial myxoma, treatment Pneumonic embolism, most normally beginning from profound venous apoplexy (DVT) of the legs, ranges from asymptomatic, by chance found emboli to huge thromboembolism causing prompt passing. PTE is a hazardous infection with a high grimness. Every year, upwards of 300,000 individuals in the United States kick the bucket from intense PTE, which is considerably more typical in China at present than 10 years back (1). Around 50-70% emboli of aspiratory embolism started from profound venous apoplexy (DVT), the vast majority of which in lower furthest points. Such patients without DVT should screen mysterious malignant growth. In spite of the fact that malignancy related venous apoplexy was far reaching depicted, the emboli from amiable tumor are less referenced (2). Greater part of the atrial myxoma muddled pneumonic emboli are tumoral, thrombotic emboli were less detailed (3,4). We report an uncommon instance of RAM with a pneumonic limitation copying aspiratory emboli. Case introduction A 55-year-elderly person was admitted to crisis live with continuously expanded brevity of breath for 2 months, syncope and right chest torment for 6 hours. He had a propensity for long time sitting and a background marked by 20 pack-year smoking, and quit smoking 10 years before affirmation. Beginning evaluation uncovered cyanosis and right breath sound diminished. No pitting edema in lower furthest points. Research facility tests demonstrated ALT 52IU/liter; 93IU/liter; D-Dimer >10î ¼g/ml; NT-proBNP 3544 Ã'â‚ ¬g/ml; Troponin I 0.49 ng/ml. Blood vessel blood gases uncovered extreme hypoxemia, oxygenation record was 89mmHg; Electrocardiogram indicated Sà ¢Ã¢â‚¬ ¦Ã‚ Qà ¢Ã¢â‚¬ ¦Ã‚ ¢Tà ¢Ã¢â‚¬ ¦Ã‚ ¢. CTPA uncovered right primary (Figure 1a), both lobar(Figure 1b,1c) and segmental (Figure 1d) aspiratory arteries(PA) different filling surrenders; right chamber unpredictable mass(Figure 1d). TTE demonstrated growth of right chambers and a privilege atrial 54*47mm mass connected t o the top divider, clear edge, sporadic and halfway unpleasant on surface, free in interior structure, moving alongside heart cycle, mellow prolapse through the pamphlets of the tricuspid valve and hole of mediocre vena cava, moderate disgorging of tricuspid valves with gentle pneumonic hypertension. Packed venous ultrasonography demonstrated negative in both lower appendages. The careful methodology was through an average sternotomy under extracorporeal dissemination. The correct chamber divider was opened and a coagulated consistency tumor with putrefaction, delicate, estimating 40*50mm, holding fast to the between atrial septum (Figure 2), a 30*20*70mm tumor embolus in the correct fundamental PA, the distal end was close to right upper PA. The tumor cells communicated CD34 and calretinin, and were negative for CK and SMA. The histopathological assessment affirmed myxoma (Figure 3) in right chamber and right pneumonic corridor. The patient was dealt with warfarin (target INR, 2-3) for multi month. Rehashed CTPA demonstrated left lower PA filling imperfection with no improvement following 2 months (Figure 4c), right and other left PA filling deformity settled (Figure 4a, 4b). 2 years follow-up he was asymptomatic. Conversation Cardiovascular tumors are less normal, a large portion of which are from metastasis. The rate pace of essential heart tumors (PCTs) in post-mortem examination ranges from 0.02 to 2.8†°. 30-half of PCTs are myomas, 75% in the left chamber and just 10-20% emerging in the correct chamber, which may creating from undeveloped or crude gut rests (5,6,7). Histologically, they comprise of a corrosive mucopolysaccharide rich stroma. Polygonal cells orchestrated in single or little groups are dissipated among the network. The clinical signs of RAM may stay asymptomatic or show up with sacred, obstructive or embolic side effects as indicated by the size, delicacy, versatility, area of the tumor just as body position and movement (5,8). Vague sacred signs, which present in 10-45% of patients with myxoma, are weariness, fever, dyspnea, ceaseless sickliness, weight reduction, general arthralgia, and increment of IL-6, ESR, and CRP (8). Accordingly the consequences of research facility tests may emulate those for rheumatic issue. These signs are progressively normal for patients with enormous, various, or intermittent tumors, and typically recouped after resection (9). Pneumonic embolism of RAM pieces or thrombi from the surface may likewise happen, bringing about dyspnea, pleuritic chest torment, hemoptysis, syncope, aspiratory hypertension and right cardiovascular breakdown even abrupt passing. Intense stomach torment was referenced in two cases (10). Embolic occasion in cardiovascular myxoma is normal, with the occurrence going from 30% to 40% (5). In the instances of RAM with aspiratory embolism, a littler size, villous or unpredictable surface and multi-foci are most regular variables related with embolization (11). The term time frame was going from 1 day to 3.5 years. The period of patients went from 17 to 76 years (mean age 42.8 years), with a higher occurrence in ladies (20/35, 57%). In these cases RAMs are generally joined by a short pedicle to the between atrial septum (22/35), for the most part in fossa ovalis, others are in free divider, crista terminalis, Koch triangle and numerous roots. A large portion of the patients were determined to have TTE (Transthoracic echocardiography), CT, transesophageal echocardiography (TEE) and attractive reverberation imaging (MRI), others were with angiography and post-mortem examination. In practically all cases treatment was careful with evacuation of the intra-atrial myxomas and the pneumonic emboli, which are generally tumoral. Larger part of such patients recuperated well after medical procedure. Four preoperative passings, two postoperative passings were accounted for. Right atrial apoplexy, transient ischemic assault (TIA), ischemic hepatitis and renal disappointment were the uncommon confusion (Table 1). TTE and TEE are the most ordinarily utilized analytic strategies in the location and beginning depiction of atrial myxomas (23). TTE is almost 95% delicate for the affirmation of heart myxomas, and TEE arrives at about 100% affectability (45). TTE encouraged bedside test to securely distinguish myxomas in lethal aspiratory embolism as in our patient. TEE produces unequivocal pictures of little tumors (1 to 3 mm in breadth), particularly in fat patients with poor TTE pictures (46). The TEE likewise allows a more clear image of the connection of the tumor and progressively exact portrayal of the size, shape, surface, inward structure and area of the mass (47). Despite the fact that TEE is a semi-intrusive symptomatic test with a low pace of noteworthy complexities, deadly pneumonic embolism during TEE strategy has been accounted for (22). Better than echocardiography, multi-identifiers winding registered tomography (MSCT) and cardiovascular attractive reverberation imaging (CMR) are progressively exact in deciding the relationship to ordinary intra-heart structures and tumor invasion into the pericardium, augmentation to adjoining vasculature and mediastinal structures, pneumonic veins emboli and careful arranging (48,49). RAMs show as a low-lessening intra-chamber mass with a smooth, unpredictable or villous surface on MSCT. Calcifications are seen in about 14% and are progressively basic in right side sores. Blood vessel stage differentiate upgrade is typically not obvious, however heterogeneous improvement is accounted for on considers performed with a more extended time delay (50,51). Differing measures of myxoid, calcified, hemorrhagic, and necrotic tissue gives them heterogeneous appearances on T1 and T2-weighted pictures. Postponed improvement is normal and generally inconsistent in nature. Consistent state fre e preceesion (SSFP) arrangements may slow prolapse through the tricuspid valve in diastole stage and can recommend the connection purpose of a tail injury. Recreation of cine angle reviewed reverberation (GRE) pictures empowers evaluation of injury portability and connection (52). 18F-FDG PET/CT can help the noninvasive preoperative affirmation of threat (41). Mean SUVmax was 2.8â ±0.6 in favorable cardiovascular tumors and altogether higher in both threatening essential and optional cases. (8.0â ±2.1 and 10.8â ±4.9). The SUVmax of myxoma is extending from 1.6 to 4. Harm was resolved with an affectability of 100% and particularity of 86% with a cut-off SUVmax estimation of 3.5. A powerless connection between's the SUVmax and the size of tumors is found because of the halfway volume impact, cardiovascular movement and respirtatory development (53). Angiography is an intrusive examination that presents an extra danger of actuating movement of the tumor and just reasonable for suspected intense coronary illness (37). Careful expulsion of the RAM with aspiratory embolism is the principal treatment of decision and typically remedial (44,45). The significant parts of medical procedure are measures for bi-caval cannulation to forestall intra-usable embolism (27), en-coalition extraction of the myxoma with a wide sleeve of ordinary tissue, evacuation of sections in aspiratory supply routes, and led under moderate or profound hypothermia, low circulatory stream or absolute circulatory capture dependent on the degree and locales of the emboli (44). Careful treatment prompts total goals with low paces of repeat and great long haul endurance. The general repeat rate is about 1â€3% for irregular atrial myxoma (5,54), which grows a normal of 0.24â€1.6 cm every year. The

5 Benefits of Soft Credit Check Loans

5 Benefits of Soft Credit Check Loans 5 Benefits of Soft Credit Check Loans 5 Benefits of Soft Credit Check LoansWith a soft credit check loan, youre likely to see lower rates than you would with a no credit check loanâ€"and it might even help your credit score!???????If you have bad credit, then you’re probably familiar with no credit check loans. These are a type of bad credit loan that doesn’t perform any sort of credit check when you apply. The most common kinds of no credit check loans include payday loans, title loans, and cash advances.But there’s another kind of bad credit loan you should know: Soft credit check loans. This is a category that includes many of the bad credit installment loans available to folks whose low scores lock them out from traditional lenders.There are many benefits to soft credit check loans, some of which they share with no credit check loans, but also some that make them an improvement on their no credit check cousins. If you have bad credit and need money to cover a surprise expense, heres what you need to know.1. The y’re easy and fast!If you’ve ever applied for a personal loan from a bank or other traditional lender, you know that the process is not speedy. Once you’ve entered in all your informationâ€"and they’ll ask for a lot itâ€"you’ll still have to wait days before you receive a decision.Soft credit check loans, on the other hand, are easy to apply for. While performing a soft credit checkâ€"and sometimes an income verificationâ€"requires more information than a no credit check application, it’s still something that you can complete very quickly.And once you submit your application, you’re likely to get a decision in a matter of minutes or hours, not days. When you’re dealing with something like an unexpected car repair or medical bill, this sort of easy application lets you get back to focusing on what really matters.And if you’re approved, you’ll get your funds quickly. Sometimes you can even receive your funds the same day, but oftentimes you’ll receive them by the next business day. Still, that’s much faster than traditional lenders and gets you the money you need when you need it: Now.2. Applying won’t affect your credit.When you apply for a traditional personal loan, the lender is going to run a hard check on your credit. This returns them a full copy of your credit report and lets them do a deep dive on your history as a borrower. Hard checks are recorded on your report and they’ll temporarily lower your score.Soft credit checks, on the other hand, are not recorded on your credit report and do not affect your score. This is because they return less information than a hard check, giving lenders a broad overview of your credit history instead of a comprehensive reporting.With traditional loans, getting your application denied is doubly frustrating: Not only do you not get the money you need, but your score has been lowered. With soft credit check loans, however, there is no downside. Even if your application for credit is denied, your score won’t take a hit!3. They come with lower rates.Soft credit check loans are still a type of bad credit loan, so their rates are going to be higher than standard personal loans. There’s really no way around it. Borrowers with bad credit default at higher rates, so these lenders have to charge higher interest rates in return to protect against potential loss.But since soft credit check loans do their due diligence on applicants and turn down borrowers who can’t afford to repay (more on why that’s a good thing in the next section), their default rates are naturally lower than no credit check lenders.What this means for you is simple: Soft credit check lenders often charge lower rates than no credit check lenders! Lower rates mean that you save money over the life of the loan, and they also lower your risk of getting trapped in an ongoing cycle of debt.4. They check your ability to repay.When you take out a loanâ€"no matter if its an online loan or one from a brick-and-mor tar institutionâ€"you want to be able to pay it back. Otherwise, you’ll end up with negative marks on your score and a debt collector hounding you for payments. You could even end up in court with your wages getting garnished!With no credit check loans, the likelihood of this happening is much higher because the lender doesn’t do anything to check whether or not you can afford the loan you’re trying to borrow.In many cases, no credit check lenders stand to make more money from their customers not paying their loans off the first time. When borrowers are forced to roll over their loan or take out another loan immediately after paying off their old one, that means more money for the lender.But with soft credit check loans, lenders will not loan money to someone that they estimate can’t afford the loan. This is why these loans are less likely to trap borrowers in an ongoing cycle of debt: Because these lenders care about their customers paying off their loan the first time, not the fifth.5. Some can help your credit.With a no credit check loan, the only way you’re going to see your credit score affected is if you default on the loan and it ends up as a collections account. In other words, the only way for your score to go with a loan like this is down.But some soft credit check lenders (including OppLoans) actually report payment information to the credit bureaus that create your credit reports. This means that on-time payments will go on your report and could help improve your score.Your payment history is the most important part of your credit score, making up 35 percent of your total. As such, good payment history is critical to maintaining a  good credit score or fixing a lousy one. And these soft credit check loans give you the opportunity to build better credit.Soft credit check loans aren’t a silver bullet by any means. But the right loan can be a great tool to help you address a financial shortfall. And the best soft credit check loans can ev en help you to start building a brighter financial future.To learn more about improving your credit and your financial outlook, check out  these other posts and articles from OppLoans:How to Raise Your Credit Score by 100 PointsBuilding Your Financial Life: Budgeting for BeginnersSave More Money with These 40 Expert Tips10 Good Money Habits to Make Your Friends JealousDo you have a personal finance question youd like us to answer? Let us know! You can find us  on  Facebook  and  Twitter.  |Instagram

Lord Of The Flies By William Golding - 1191 Words

After detecting smoke coming from the island a British naval officer goes to investigate: â€Å"I should have thought that a pack of british boys- you’re all british aren’t you- would have been able to put up a better show than that,† (Golding 202). Britain was one of the most advanced societies of the early to mid 1900’s, and complete mayhem emerging out of a group of British boys stranded on an island is more than shocking for the naval officer. It is ironic that the same boys who boldly stated, â€Å"We ve got to have rules and obey them. After all, we re not savages. We re English, and the English are best at everything,† (Golding 40), quickly regressed into the primal habits of mob mentality. Lord of the Flies was written shortly after World War II. A strong connection can be made between the leadership of the antagonist, Jack, and World War II icon: Hitler. The two leaders both display devoted followers, and a corrupt sense of leadership and c ontrol. Golding insists that fear and mob mentality provoke irrational thinking by placing Jack and his followers’ unintelligible response to fear in contrast with Ralph and Piggy’s diplomatic approach. Furthermore, Jack and his followers overcome their fear by providing comfort for each other with a tribal attitude, which ultimately leads to mindless calamity on the island. Golding intentionally creates conflict between Jack’s gang-like solutions, and Ralph’s equitable solutions, which splits the island into two political parties andShow MoreRelatedLord Of The Flies By William Golding869 Words   |  4 PagesLord of the Flies Psychology Sometimes people wear fake personas like a cloak over their shoulders, used to hide what is really underneath. This harsh reality is witnessed in William Golding’s classic Lord of the Flies, a novel that is famous for not only its sickening plot, but also for the emotional breakdowns all of its characters experience. These issues are akin to those shown in certain real-world psychological experiments. A summary of Golding’s Lord of the Flies, combined with the evidenceRead MoreThe Lord Of The Flies By William Golding1347 Words   |  6 Pages The theme of The Lord of the Flies, by William Golding, is the reason society is flawed is because people are flawed. Although Piggy is knowledgeable, he has many flaws including his laziness and physical inabilities. Ralph is an authority seeker. He sets rules and laws, yet does little to enforce them. Ralph wants to be the ruler, without doing the work to enforce his laws. Jack is persistent. He is rude, harsh and violent in or der to get what he wants. He wants to be supreme. Piggy’s flaws areRead MoreLord Of The Flies By William Golding1123 Words   |  5 PagesIn the novel Lord of The Flies by William Golding, the characters Ralph, Piggy, and Jack represent important World War II leaders Franklin Roosevelt, Adolf Hitler, and Winston Churchill. Golding, who had served in World War II, was well aware of the savagery created, and used it to base his book on. Ralph represents Franklin Roosevelt , Jack represents Adolf Hitler, and Piggy represents Winston Churchill. Ralph being of the novel’s main protagonist is important in the outcome of the story becauseRead MoreThe Lord Of The Flies By William Golding1065 Words   |  5 PagesThe Lord of the Flies Essay The Lord of the Flies written by William Golding and published on September 17, 1954 is a story told about a group of stranded boys and their fight for survival against the wilderness and themselves. In this story many signs of symbolism are used by Golding to point out certain aspects of society that Golding thought strongly of. This story on first read may just seem to be a survival- esque piece of literature but, on a deeper look one can find Golding’s true motiveRead MoreLord of The Flies by William Golding619 Words   |  2 PagesGovernments are no different; they fight for power just like the rest of us do. They just do it on a much bigger scale. Qualities from Oligarchy, Totalitarianism, Democracy, Dictatorship, and Anarchy governments are used in several parts of Lord of The Flies that represent different characters and different situations. An Oligarchy is a small group of people having control of a country or organization. A Totalitarianism government is a form of government that permits no individual freedom and thatRead MoreThe Lord of the Flies by William Golding1306 Words   |  5 PagesIn The Lord of the Flies, William Golding creates a microcosm that appears to be a utopia after he discharged from the British Royal Navy following World War II. After an emergency landing, Golding places a diverse group of boys on the island that soon turns out to be anything but utopia. The island the boys are on turns out to be an allegorical dystopia with inadequate conditions (Bryfonski 22). The boys reject all lessons they learned from their prior British society, and they turn towards theirRead MoreLord of the Flies by William Golding932 Words   |  4 Pagesdiscussing two particular themes from a novel called Lord of the Flies by William Golding. Lord of the Flies was written in 1954 after World War II. Ruler of the Flies is a purposeful anecdote about something that many readers can’t really describe. Individuals cant choose precisely what. Its either about the inalienable underhanded of man, or mental battle, or religion, or personal inclination, or the creators emotions on war; however William Golding was in the Navy throughout World War II, or perhapsRead MoreLord Of The Flies By William Golding1383 Words   |  6 PagesAccording to Lord of the Flies is still a Blueprint for Savagery by Eleanor Learmonth and Jenny Tabakoff, the words â€Å"I’m afraid. Of us† first appeared in Golding’s novel 60 years ago. Lord of the Flies by William Golding follows a group of schoolboys trapped on an island after a plane crash during a world war. At the beginning, they celebrate as the y have total autonomy as there are no adults around. They attempt to establish a civilization but when order collapses, they go on a journey from civilizationRead MoreLord of the Flies, by William Golding1055 Words   |  5 Pages In William Goldings Lord of the Flies a group of English school boys crash land onto an uninhabited island somewhere in the Mid Atlantic ocean. Ralph, the protagonist and also the elected leader, tries to maintain peace and avoid any calamity on the island. However, Jack is neither willing to contribute nor listen because he is jealous of Ralph and has a sickening obsession with killing boars. Ralph has some good traits that help him maintain peace and balance for a period of time. He is charismaticRead MoreLord Of The Flies By William Golding Essay1475 Words   |  6 Pages Outline Introduction Short intro for Lord of the Flies Short intro on Gangs The bullying and group mentality demonstrated in gangs has resemblances to the characters in Lord of the Flies. II. Bullying/Group mentality Gangs Drugs/Loyalty B. Lord of the flies Jack kills the pig/Jack and Ralph fight III. Effects B. Lord of the flies Jack killing the pig aftermath Violence IV. Conclusion Gangs are considered a group of people that have a common link together

Post-Traumatic Stress Disorder - 962 Words

Post-Traumatic Stress Disorder (PTSD) is a psychiatric sequel to a stressful event or situation of an exceptionally threatening or catastrophic nature. It develops after a person is involved in a horrifying ordeal that involved physical maltreatment or the threat of physical harm. These events can include combat or military experience, abuse during childhood or adulthood (physical or sexual), terrorist attacks, serious accidents or natural disasters. This person may have been the one that was harmed, witnessed a harmful event or had a loved one who was harmed. It is normal for the body’s fight or flight mechanism to engage in times of danger. With a person who has PTSD, that mechanism is damaged and the person feels this even when they are not in danger. Symptoms can be categorized into four different areas – re-experiencing symptoms (flashbacks, bad dreams, frightening thoughts) , avoiding situations that remind the person of the event, negative changes in belief s and feelings (may be fear, guilt, shame or losing interest in those activities that once were enjoyable) and hypervigilence (always feeling keyed up, trouble concentrating or sleeping). There are also feelings of hopelessness, despair, depression or anxiety, alcohol or substance abuse, physical symptoms or chronic pain and problems with employment and relationships. According to the National Center for PTSD, 5.2 million adults are reported to have PTSD during a given year and 8% of theShow MoreRelatedPost Traumatic Stress Disorder980 Words   |  4 PagesToday we are here to figure out why is it that past events are the triggers that cause Post Traumatic Stress Disorder. Post-Traumatic Stress Disorder is an anxiety disorder that some people get after seeing or undergoing a dangerous event. There are various symptoms that begin to show or actions that can give a clear answer whether one may be diagnosed with this disorder. One of the many problems is that no age range is safe fro m suffering PTSD. One must ask themselves what set of events happenedRead MorePost Traumatic Stress Disorder851 Words   |  3 PagesPost Traumatic Stress Disorder Introduction â€Å"There are currently over 400,000 Veterans in treatment for PTSD (Post Traumatic Stress Disorder) and it is estimated that with the Iraq and Afghanistan wars there is an additional 33% increase in our returning soldiers.† Post Traumatic Stress Disorder has become a severe issue for veterans returning from overseas. One of the most effective, yet unused resources given to veterans to help them cope with their disorder is specially trained dogs. TheseRead MorePost Traumatic Stress Disorder884 Words   |  4 Pagesof traumatic incidents, such as mugging, rape, torture, being kidnapped or held captive, child abuse, car accidents, train wrecks, plane crashes, bombings, or natural disasters such as floods or earthquakes.† (NIMH) Families of veterans struggle to help their loved ones. â€Å"Post-traumatic stress disorder (PTSD) is an anxiety disorder caused by a person’s exposure to life-threatening or otherwise traumatic circumstances.† (Post-Traumatic Stress Disorder (PTSD). Post-Traumatic Stress Disorder affectsRead MorePost-Traumatic Stress Disorder1630 Words   |  7 Pagesare now accessing mental health services for the treatment of Post-traumatic Stress Disorder. Post-traumatic Stress Disorder (PTSD) defined by DSM-IV-TR is â€Å"characterised by the re-experiencing of an extremely traumatic event accompanied by symptoms of increased arousal and by avoidance of stimuli associated with the trauma† (Diagnostic and Statistical Manual of Mental Disorders 2000). There are many impacts and effects this disorder has on refugees requiring treatment, interventions, education andRead MorePost Traumatic Stress Disorder1004 Words   |  5 Pagescurrent criteria of Post Traumatic Stress Disorder has changed since the DSM-IV. In the DSM-V, the diagnostic criteria draws a clearer line when detailing what establishes a traumatic event. The DSM-V pays more attention to the behavioral symptoms that accompany PTSD and proposes four distinct diagnostic cluster s instead of three. They are described as re-experiencing, avoidance, negative cognitions and mood, and arousal. Re-experiencing is the spontaneous memories of the traumatic event, recurrentRead MorePost Traumatic Stress Disorder1086 Words   |  5 Pagesfirst hand the effects of posttraumatic stress disorder. It is not possible to respond to emergency after emergency and not be subject to some of PTSD’s effects. When I saw this topic in the list I felt compelled to use this opportunity to learn more. My hope is by increasing my knowledge, of a disorder so prevalent in my career field; I can recognize the symptoms in others and myself before there effect becomes devastating. Posttraumatic Stress Disorder, or PTSD as it is more commonly referredRead MorePost Traumatic Stress Disorder ( Ptsd )944 Words   |  4 Pageswith Post-traumatic stress disorder (PTSD Stats). Post-Traumatic Stress Disorder is a mental disorder common found in veterans who came back from war. We can express our appreciation to our veterans by creating more support programs, help them go back to what they enjoy the most, and let them know we view them as a human not a disgrace. According to the National Care of PTSD, a government created program, published an article and provides the basic definition and common symptoms of PTSD. Post-traumaticRead MorePost Traumatic Stress Disorder ( Ptsd ) Essay1550 Words   |  7 PagesPost Traumatic Stress Disorder â€Å"PTSD is a disorder that develops in certain people who have experienced a shocking, traumatic, or dangerous event† (National Institute of Mental Health). Post Traumatic Stress Disorder (PTSD) has always existed, PTSD was once considered a psychological condition of combat veterans who were â€Å"shocked† by and unable to face their experiences on the battlefield. Much of the general public and many mental health professionals doubted whether PTSD was a true disorder (NIMH)Read MorePost Traumatic Stress Disorder ( Ptsd ) Essay1401 Words   |  6 PagesAccording to the Mayo-Clinic Post Traumatic Stress Disorder, commonly known as PTSD is defined as â€Å"Post-traumatic stress disorder (PTSD) is a mental health condition that s triggered by a terrifying event — either experiencing it or witnessing it. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event† (Mayo Clinic Staff, 2014). Post Trau matic Stress disorder can prevent one from living a normal, healthy life. In 2014, Chris Kyle playedRead MorePost Traumatic Stress Disorder ( Ptsd ) Essay1453 Words   |  6 Pages84.8% of those diagnosed Post-Traumatic Stress Disorder still show moderate impairment of symptoms, even 30 plus years after the war (Glover 2014). As of today, the Unites States has 2.8 million veterans who served in the Afghanistan and Iraq wars, of those it is estimated that 11 to 20% currently suffer from Post-Traumatic Stress Disorder. As of 2013, a total of 12,632 veterans of the Afghanistan and Iraq wars are currently diagnosed with Post-Traumatic Stress Disorder (Glover 2014). Of course it

Applying Ethical Frameworks in Practice Free Essays

Running head: APPLYING ETHICAL FRAMEWORKS IN PRACTICE Applying Ethical Frameworks in Practice Grand Canyon University Ethical Decision Making in Health Care NRS-437v April 14, 2013 Applying Ethical Frameworks in Practice As a nurse it is common knowledge that patient confidentiality is of up most importance. We learn this in nursing school as it is part of the Nursing Code of Ethics and it is a nurse’s duty to keep patient information confidential. (American Nurses Association, 2012). We will write a custom essay sample on Applying Ethical Frameworks in Practice or any similar topic only for you Order Now There are however, extenuating circumstances that may require and be appropriate for a nurse to break this rule. As a matter of fact, the nurse could be held responsible if harm came to the patient because she did not speak out. If a patient presents to the ER because he needs stitches in his wrist and tells the nurse that he wants to or was attempting suicide the nurse has a duty to report this and find help for the patient, or possibly the spread of sexually transmitted diseases that are required by law to report. This paper will provide an overview of ethical implications of a breach of confidentiality, an ethical theory, and alternatives to breaching confidentiality using the framework of ethical decision making and the use and role of an ethics committee. Nurses are entrusted with very private information from patients and along with this the patient expects and the law requires this to be kept confidential The patient gives this information assuming and trusting that the information will be kept private and only used for medical treatment. A breach of confidentiality comes in when the patients’ information has been disclosed to a third party that is not directly involved in the patients care or given without appropriate consent from the patient. (American Medical Association, 2013). Confidentiality should always be maintained except in cases that the law requires reporting or where more harm may come to the patient by respecting this commitment. Some ethical implications that may arise as part of breaching patient confidentiality include loosing the trust and respect of our patient and you may cause increased harm to your patient by providing information to a third party that is not required by law. In an article â€Å"Bioethics on NBC’s ER: Betraying Trust or Providing Good Care? When is it OK to Break Confidentiality? † The nurse caused more harm than good by divulging information to the girls’ school. If she would have called the school informing them of knowledge regarding risky and pote ntially harmful behavior it would have made it ethical. However, the appropriate action was action was taken in the decision to notify the girl’s parents about the cervical cancer. This prevented further harm or death to the child. In this circumstance the ethical theory that would be appropriate is utilitarianism. In utilitarianism, balance is the key. The majority should benefit using this theory. (Purtilo Doherty, 2011). In this case if the nurse had chosen not to inform the minor child’s parent more harm would have came to the child than good. She may not have received the appropriate care for her condition until it was too late and the cancer had spread. In breaching the confidentiality the nurse created a balance by preventing further harm than necessary to her patient even though she broke the trust that her patient had in the nurse. The nurse however, did not cause a balance that worked towards a greater good when she called the girls school and notified them about the sex parties. She could have let the girl remain anonymous and that would have prevented the majority of the problem. In the nurses attempt to prevent further harm to other children, she actually put her original patient at greater risk by notifying the school and divulging too much information. Using Uustals model of ethical decision making one can find the steps to make ethical and moral decisions to dilemmas that may arise (Grand Canyon University, 2013). In step one this is where the problem is recognized. The problem in the previously discussed case was that the nurse fought herself on whether or not to disclose the information to the girls parents regarding the cervical cancer diagnosis and on whether or not she should inform the school regarding the sex parties taking place. In the second step the nurse had to identify her own person values as they pertained to the problem at hand. In this case she respected the minors rights but knew not telling would cause further harm and she felt like informing the school could also prevent further spread of STD’s to other students. In the third step the nurse must consider the factors that relate to the problem at hand and consider alternatives to resolve the dilemma. In this situation the factors are breaching confidentiality or protecting the patient from further harm by keeping the information confidential and the patient not being able to receive appropriate treatment for cancer. Alternatives would have been for the nurse to educate the patient on the importance of getting treatment and possible assisting the patient in informing her parents and the other would have been for the nurse to report to the school that she had knowledge of the sex parties and keeping the names confidential. The fourth step would have been for this nurse to review and categorize the alternatives to come to a conclusion of the alternatives and to decide what is consistent or inconsistent with her own person values. If the patient had been given the option of telling her parents herself this would have been consistent with the nurses values as long as the parents were informed and the patient received appropriate care. Not telling the parents was inconsistent with her values. The fifth step is predicting possible outcomes. If the patients informed her own parents confidentiality would not be breached, therefore; no harm would be caused to the nurse patient relationship. The sixth step is to find appropriate alternatives from the greatest importance to the least. In this case the patient could have been given the option of informing her own parent and the least desirable option was the nurse telling the parents without the patient’s knowledge. The seventh step is developing an action plan. After giving the minor the option to inform her own parents and she still decided not to tell then the nurse should take actions in her own hands and inform the parents to prevent further harm to the patient. The eighth step is implementation. The plan should have been for the nurse to educate the patient and assist her in telling the patients parents regarding her new diagnosis. The final step is evaluate the action plan. Confidentiality was breached when informing the patients parents but to prevent further harm, however; the school did not need to be given names the nurse should have simply notified the school of her knowledge. There are ethics committees in place to assist with situations such as this. These committees are in place and help support patients rights, and assist clinicians with decision making. They assist with promoting ethical decisions amongst health care providers. These committees review medical records and hold meeting to determine case specific information and communicate between healthcare providers and families at time. The committee will write recommendations based on case information regarding any ethical dilemma that may have arisen during the patients care. (Pearlman, 2010). Many ethical dilemmas will arise during a nurse’s career. Being equipped and knowledgeable in resolving the dilemma is important. It is important to remember that breaching patient confidentiality is against the Nursing Code of Ethics and should be avoided if possible. However, there are times that a nurse is legally liable to make a breach in confidentiality. This type of dilemma should be resolved by causing the least amount of harm to our patients. (Purtilo, 2010) References American Nurses Association (2012). Code of Ethics For Nurses with Interpretive Statements. , retrieved April 2013. , http://nursingworld. org Pearlman, R. A. (2010). Ethics Committees and Ethics Consultation. In (pp. -). University of Washington School of Medicine. , retrieved, April 2013. , http://depts.. washington. edu/bioethics/topics/ethics. html Purtilo, R. Doherty,R. (2011). . In Ethical Dimensions in the Health Professions (p. ). , retrieved, April 2013. , http://pageburst. elsevier. com/books /978-4377-0896-7/outline/Root How to cite Applying Ethical Frameworks in Practice, Papers

Analysis Of Revolt Of Mother Essay Example For Students

Analysis Of Revolt Of Mother Essay In Mary Wilkins Freemans The Revolt of Mother Mother is the typical woman of the late 1890s, who was brought up to be subservient to men, as was common during the era. America was a completely patriarchal society at the end of the nineteenth century. Women had always been perceived as lesser beings than men; women were thought to be less intelligent, weaker, and generally less important than men. The Revolt of Mother was written just around the time when women started demanding their rights, strong women, like Sarah Penn. The characterization of Mother as a meek woman strongly conveys an idea about real women standing up for themselves and their beliefs that was just the beginning of a womens liberation movement toward reform. Freeman portrays Sarah as the typical woman living in America in the late 1800s. Her lack of strength is emphasized strongly in her description, Her forehead was mild and benevolent between the smooth curves of her gray hair; there were meek downward lines about her nose and mouth. The physical characteristics, referred to as mild, meek and benevolent, indicate her personality and yet generalize her so that she could be any woman of that time period. The generality of calling her Mother instead of Sarah in the title symbolizes that all women, not just this one rare case, can make a difference and stand up for themselves. Adonirams lack of interest in the house reflects his lack of interest in his wife. The new house is a womanly place; Mother will take care of it and clean it and cook in it every day for the rest of her life. Adoniram cares much more about himself and his own wants and desires. He spends his days in the barns, so he would prefer a new place for himself before a new place for his wife. He believes that his desires are more substantial than those of a woman. Adonirams sense of power over Sarah is clear when he refuses to answer her questions about the barn he is building. He seems to think he is in some way better than she, for she was just a dumb, but obedient woman. He ignores her when she questions the new barn, and reminds him of the house he had promised her forty years ago. He does not even respect her enough to have a conversation of his plans with her. In his mind, she is not important. because she is a woman. To add insult to injury, he told his son three months ago, because he sees his son as being more important than his wife. Sammy is personified as a smaller, younger Adoniram. He, like his father, did not tell Mother that they were building a barn. A strong comparison is being made when he was being confronted by Mother he showed a face like his fathers under the smooth crest of hair. Similarities between father and son are pointed out as a key reason for Sarah finally taking a stand. Sarahs first rebellious attempt to change Adonirams mind about building her a house failed, illustrating her lack of power. She stood in the door like a queen; she held her head as if it bore a crown; there was that patience which makes authority royal in her voice, but still could not convince her husband to change his mind. He still has no respect for her, although she is starting to try to assert some authority in the household. She is the one who takes care of the whole family, and the house, yet he still refuses to abide by his promise and build her a new house. .u8aa0dad9d848c748301abbedad5e7bfa , .u8aa0dad9d848c748301abbedad5e7bfa .postImageUrl , .u8aa0dad9d848c748301abbedad5e7bfa .centered-text-area { min-height: 80px; position: relative; } .u8aa0dad9d848c748301abbedad5e7bfa , .u8aa0dad9d848c748301abbedad5e7bfa:hover , .u8aa0dad9d848c748301abbedad5e7bfa:visited , .u8aa0dad9d848c748301abbedad5e7bfa:active { border:0!important; } .u8aa0dad9d848c748301abbedad5e7bfa .clearfix:after { content: ""; display: table; clear: both; } .u8aa0dad9d848c748301abbedad5e7bfa { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u8aa0dad9d848c748301abbedad5e7bfa:active , .u8aa0dad9d848c748301abbedad5e7bfa:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u8aa0dad9d848c748301abbedad5e7bfa .centered-text-area { width: 100%; position: relative ; } .u8aa0dad9d848c748301abbedad5e7bfa .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u8aa0dad9d848c748301abbedad5e7bfa .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u8aa0dad9d848c748301abbedad5e7bfa .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u8aa0dad9d848c748301abbedad5e7bfa:hover .ctaButton { background-color: #34495E!important; } .u8aa0dad9d848c748301abbedad5e7bfa .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u8aa0dad9d848c748301abbedad5e7bfa .u8aa0dad9d848c748301abbedad5e7bfa-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u8aa0dad9d848c748301abbedad5e7bfa:after { content: ""; display: block; clear: both; } READ: Analysis of the Atomic Bomb EssaySarah was unsatisfied with several aspects of her life, and she hoped for a better life for her children. She did everything she could for her daughter, not even letting her do dishes or any other hard work. She wanted Nannys wedding to be in a nice parlor, and she wanted Nanny and George to move in with her, so she could continue protecting and caring for her daughter. She started to see a part of her husband in Sammy, and she saw Nanny as more meek than she, and she did not want her children to succumb to weakness. Sarahs desire for a better life for her children led her to take a stand against Adoniram. She had to show her children how to be strong and independent, and by moving into the barn, she was trying to teach them a lesson. She did not want her children to suffer because they did not know how to stand up for themselves. When Adoniram first confronts Sarah about moving, Sammy gets up and stands in front of her, as a way to protect her, which shows that he learned from his mothers example and stood up for what he believed is right. The message was meant for Nanny, but she cowered behind her mother, meaning that she is still not standing up for herself. Sammys eagerness in telling his father that the family had moved into the barn further demonstrates that Sarah has really taught her son how to stand up for himself, and he was anxious to test his newfound confidence. Adoniram was frightened when he walked in the new house. He did not know what to do when Sarah took control of the situation, and he for the first time, would be obedient to Sarah. Just as Sarah asserted herself against her husband in The Revolt of Mother, millions of women have since then and still do today. A womans position in life has changed completely since the nineteenth century. Expectations of the roles of men and women are much less clearly defined. Yet, The Revolt of Mother is still very relevant today. Many women have demanding and abusive husbands. Many women are sexually harassed or assaulted. And they need to stand up for themselves. It is their responsibility to stop the injustice occurring to themselves. Nothing is going to change if no one ever does anything about it.

Great Gatsby American Dream Essays - The Great Gatsby,

Great Gatsby American Dream The American Dream Since July 4, 1776 Americans have had the opportunity to pursue whatever they can think of. This has given the people the opportunity to become whatever they want. A person who works hard can become successful; this is what the American Dream is centered around. A person who is a hard worker and persistent can reach any goal he strives for. The American Dream changed as America did. People became more and more infatuated with possessions. The characters in F. Scott Fitzgerald's novel The Great Gatsby each work for their own American Dream. Jay Gatsby, the central character of the novel, has worked from nothing to become a very successful man. Jay is successful in the meaning that he is very rich and has everything most of the people in the novel would want. This is not what Jay is striving for though. Jay doesn't care about the money, cars, and enormous house he has. Love is Jay's goal, he worked for all the wealth and popularity to get to the love of his life, Daisy. Daisy is a woman that Jay had a love affair with when he was younger, but he could never have her because he was not in her social class. Jay then began to do anything to get the money that it would take to get in her class, even illegal activities. Once he reached this level of wealth, he moved close to Daisy to try to get her. ?Gatsby bought that house so that Daisy would be just across the bay?(83). The only thing that really mattered to Jay was Daisy. To try to meet Daisy, Jay threw enormous parties. He finally reunites with Daisy and he begins to sho w off how rich he is to try to impress her. Jay is convinced that Daisy is now in love with him, and is willing to do anything for her. Even after she kills a woman with his car, he says he will said he take the blame. In pursuit of his dream, Jay ends up being killed. Jay's American Dream may seem to be one filled with riches and possessions, but it really isn't. He works for all the things for his one true dream, Daisy, a goal that he never could have possessed. Love can't be achieved because of wealth or Jay died striving for his success, but never gave up his integrity or morals for it. Unlike Jay Tom Buchanan is a man that has no dream. Tom Buchanan is Daisy's husband. Tom is a very wealthy man, but has inherited it all and does not work. He sits around, and plays polo and collects cars. The rest of his time he spends having an affair. Tom does not try to keep this affair a big secret; she even calls him at home. It doesn't matter to Tom if anyone knows or not. Because of his money, he has become an arrogant, unkind man. He doesn't worry about anyone else's feeling than his own. He doesn't care about Daisy or he wouldn't have an affair. He doesn't care about the woman he is having an affair with because once he broke her nose for saying something he didn't like. Tom even had a part in Jay being killed. ?They were careless people, Tom and Daisy-they smashed things and creatures and then retreated back into their money or their vast carelessness or whatever it was that kept them together, and let other people clean up the mess they had made?.? (188). Tom's lack of a dream made his life meaningless. Tom had everything he could every want right from the beginning. He had nothing to work for. This made Tom's life pointless. Life is all about the working toward a dream. His wealth corrupted him and he had no compassion for what he had done. Daisy is a mix between Jay and Tom. Daisy has a dream, her dream is to be truly loved, and she isn't getting that from Tom. She married Tom just for his money. But Daisy also wants all the popularity and wealth that she has with Tom. She knows she can't have both, and is torn between

Biography of Fred Hoyle, British Astronomer

Biography of Fred Hoyle, British Astronomer The science of astronomy features many colorful characters throughout its history, and Sir Fred Hoyle FRS was among them. He is best known for coining the term Big Bang for the event that birthed the universe. Ironically, he was not a big supporter of the theory of the Big Bang and spent much of his career formulating the theory of stellar nucleosynthesis- the process by which elements heavier than hydrogen and helium are created inside stars. The Early Years Fred Hoyle was born on the 24th of June, 1915 to Ben and Mable Pickard Hoyle. Both his parents were musically inclined and worked various jobs during their lives. They lived in the small town of West Riding, in Yorkshire, England. Young Fred attended school at Bingley Grammar School and eventually moved on to Emmanual College at Cambridge, where he studied mathematics. He married Barbara Clark in 1939, and they had two children. With the onset of war in the 1940s, Hoyle worked on various projects that benefitted the war effort. In particular, he worked on radar technology. During his work for the British Admiralty, Hoyle continued to study cosmology and made trips to the United States to meet with astronomers. Creating the Theory of Elements in Stars During one of his astronomy tours, Hoyle became acquainted with the idea of supernova explosions, which are catastrophic events that end the lives of massive stars. It is in such events that some of the heavier elements (such as plutonium and others) are created. Yet, he was also intrigued by processes inside ordinary stars  (such as the Sun) and began looking at ways to explain how such elements as carbon could be created inside those. After the war, Hoyle returned to Cambridge as a lecturer at St. Johns College to continue his work. There, he formed a research group focused specifically on stellar nucleosynthesis topics, including the formation of elements inside all types of stars. Hoyle, along with colleagues William Alfred Fowler, Margaret Burbidge, and Geoffrey Burbidge, eventually worked out the basic processes to explain how stars synthesize heavier elements in their cores (and, in the case of supernovae, how catastrophic explosions played a role in the creation  of very heavy elements). He stayed at Cambridge until the early 1970s, becoming one of the worlds foremost astronomers due to his work on stellar nucleosynthesis. Fred Hoyle and the Big Bang Theory Although Fred Hoyle is often credited with the name Big Bang, he was an active opponent of the idea that the universe had a specific beginning. That theory was proposed by astronomer Georges Lemaitre. Instead, Hoyle preferred the steady state universe, where the density of the universe is constant and matter is constantly being created. The Big Bang, by comparison, suggests that the universe began in one event some 13.8 billion years ago. At that time, all matter was created and the expansion of the universe began. The Big Bang name he used came from an interview on the BBC, where he was explaining the difference between the explosive nature of the Big Bang versus the steady state theory he favored. The Steady State theory is no longer taken seriously, but it was vigorously debated for years. Later Years and Controversies After Fred Hoyle retired from Cambridge, he turned to science popularization and writing science fiction. He served on the planning board for one of the most famous telescopes in the world, the four-meter-wide Anglo-Australian telescope in Australia. Hoyle also became a staunch opponent of the idea that life began on Earth. Instead, he suggested it came from space. This theory, called panspermia, says that the seeds of life on our planet may have been delivered by comets. In later years, Hoyle and colleague Chandra Wickramasinghe advanced the idea that flu pandemics could have been brought to Earth in this way. These ideas werent very popular and Hoyle paid the price for advancing them. In 1983, Fowler and astronomer and astrophysicist Subrahmanyan Chandrasekhar were awarded the Nobel Prize in Physics for their work on the stellar nucleosynthesis theories. Hoyle was left out of the prize, even though he was an important pioneer in the subject. Theres been much speculation that Hoyles treatment of colleagues and his later interest in alien life forms may have given the Nobel Committee an excuse to omit his name from the prize. Fred Hoyle spent his last years writing books, giving speeches, and hiking on the moors near his final home in Englands Lake District. After a particularly nasty fall in 1997, his health declined and he died after a series of strokes on August 20, 2001. Awards and Publications Fred Hoyle was made a fellow of the Royal Society in 1957. He won several medals and prizes over the years, including the Mayhew Prize, the Crafoord Prize from the Royal Swedish Academy of Sciences, the Royal Medal, and the Klumpke-Roberts Award. Asteroid 8077 Hoyle is named in his honor, and he was made a knight in 1972. Hoyle wrote many science books for public consumption, in addition to his scholarly publications. His best-known science fiction book was The Black Cloud (written in 1957). He went on to author another 18 titles, some with his son Geoffrey Hoyle. Fred Hoyle Fast Facts Full Name: Sir Fred Hoyle (FRS)Occupation: AstronomerBorn: June 24, 1915Parents: Ben Hoyle and Mabel PickardDied: August 20, 2001Education: Emmanuel College, CambridgeKey Discoveries: theories of stellar nucleosynthesis, the triple-alpha process (inside stars), came up with the term Big BangKey Publication: Synthesis of Elements in Stars, Burbidge, E.M., Burbidge, G.M. Fowler, W.A., Hoyle, F. (1957), Reviews of Modern PhysicsSpouses Name: Barbara ClarkChildren: Geoffrey Hoyle, Elizabeth ButlerResearch Area: astronomy and astrophysics Sources Mitton, S. Fred Hoyle: A Life in Science, 2011, Cambridge University Press. â€Å"FRED HOYLE.† Karl Schwarzschild - Important Scientists - The Physics of the Universe, www.physicsoftheuniverse.com/scientists_hoyle.html. â€Å"Fred Hoyle (1915 - 2001).† Careers in Astronomy | American Astronomical Society, aas.org/obituaries/fred-hoyle-1915-2001. â€Å"Professor Sir Fred Hoyle.† The Telegraph, Telegraph Media Group, 22 Aug. 2001, www.telegraph.co.uk/news/obituaries/1338125/Professor-Sir-Fred-Hoyle.html.

The creation of the National Assembly was important to the French Essay

The creation of the National Assembly was important to the French Revolution because it brought together the three different states - Essay Example Rousseau also emphasizes the reigning regime’s inability to bring equality, and hence the need for democracy. Before the revolution, the nation had three divisions. The divisions comprised of the Clergy, the Nobility and the Commoner, with little representation of the commoners who were the majority. As such, the commoners sought for equal rights and representation. Montesquieu work (the Spirit of the Law) aided significantly in the implementation of democracy (Halsall). He argued that there ought to be balances within the government, with the incorporation of the people and not a single family. During the Enlightenment era, the people of France had become conversant of their rights. Montesquieu and Rousseau worked significantly in highlighting the rights of the people and the ills associated with monarchy. As such, they began to perceive the ills that the reigning authorities were perpetrating to them. This compelled them to question the governing systems of the time, and hence the need to transform them. There was a great need for the creation of a National Assembly and a constitution. The introduction of democracy in the US with set rules within the constitution and a congress and senate equivalent to the National Assembly also served as a significant influencing factor for the revolution. Montesquieu article also compare the French government with the US (Halsall). The governing systems also proved to be too ineffective to govern the people. The people felt the need to introduce a National Assembly and a constitution with unambiguous rights of the people. France also faced economic challenges at the time, owing to the huge debts accumulated by the former monarchies. The king of the time, Louis 16th also lived a lavish lifestyle, thus magnifying the already worse economy of the nation. The king’s wife, Marie Antoinette was infamous for leading an extravagant life. This meant

Re-rite this thesis as a research paper, instruction in assignment Paper

Re-rite this thesis as a , instruction in assignment criteria - Research Paper Example higher costs and complications in mining operations which may require improved systems; the regulatory element is based on the changing legal elements which are shifting towards stricter environmental regulations; and the reputational driver covers the higher pressure from investors and the public on mining firms to cover issues of sustainability. Due to the issue of water scarcity in Chile, the need to evaluate the environmental sustainability of the mining industry became part of the business challenge. The government of Chile has made the necessary changes in order to support sustainability and other mining companies have also recognized the importance of reducing the impact of their actions on the environment. With these elements in place, investments and technological improvements in the mining industry are to be expected. The major pathway through which Veolia can validate its entry into the Chilean market is that of water scarcity. This challenge has the potential to harm the growth and productivity of Chile’s mining sector. It is important for Veolia to generate integrated solutions that can minimise water use, increase water reuse and improve water quality. There are two avenues through which Veolia can pursue its selling proposition. The first suggests that Veolia promotes rigorous environmental standards to leverage a conversation with clients. The second avenue suggests that Veolia develops and uses a multi-stakeholder engagement strategy both at the project and market level. Rigorous implementation of this two-pronged strategy will assist in building a strong source of competitive advantage, and will help it to maximise the value of its services. This paper is underpinned by a three-pronged research objective which called for examination of the way in which mining is regulated in Chile; the possibility for Veolia to use high environmental standards to leverage a conversation with clients; and the importance of a stakeholder engagement

Reasons for Delay in Insulin Therapy

Reasons for Delay in Insulin Therapy Although the reasons for poor glucose control amongst diabetics is complex, one concerning issue remains the reluctance of physicians and patients to begin insulin therapy. This has been widely documented, despite awareness amongst both caregivers and Type 2 diabetics of the increased health risks caused by inadequate glucose control. Diabetes, and the complications caused by poor management of the disease, are rapidly becoming a health concern of epidemic proportion in Europe and the United States. According to Celafu (2004), normal glucose levels are seldom maintained over time in Type 2 diabetics. â€Å"Even with early intervention and education, many patients with type 2 diabetes are unable to achieve treatment goals through lifestyle changes alone† (Anon 2005, 4). Oral antidiabetic drugs, the initial treatment for Type 2, â€Å"eventually fail to provide adequate glycemic control† (Anon 2005, 4). Targets are missed both due to the progressive nature of the disease and to a reluctance to initiate insulin therapy (Davies 2004). Davies (2004, S15), citing an unpublished study by the British Diabetic Association, reports that â€Å"in the UK a large dataset of over 600, 000 from across the country in the year 2000 reported a mean HbA1c of 8.6 in type I patients and 7.8 in type II patients.† This is significantly above the 6.5 recommended (Davies 2004). Funnell and Kruger (2004) similarly report that over half the Type 2 diabetics in the United States regularly exceed recommended glycemic goals, such as an A1C of less than 7%. However, they cite three large independent trials which all show significant A1C improvement with the introduction of insulin therapy (Funnell and Kruger 2004). Results from the 1998 UK Prospective Diabetes Study suggests that even a 1% Hb reduction can lead to a 21% reduction in diabetes-related death (Stratton et al 2000). Similar reductions also result in a 14% reduction in myocardial infarction, and up to a 37% reduction in microvascular complications (Stratton et al 2000). Reductions in peripheral vascular disease by over 40% are also cited (Stratton et al 2000). According to Davies (2004, S14), a number of studies show â€Å"unequivocally that reducing hyperglycemia reduces both the incident risk and progression of diabetic complications, with no threshold level of HbA1c beneath which further prognostic advantage cannot be achieved.† â€Å"Given the scope of the problem, clinicians need to identify type 2 diabetes early and initiate aggressive intervention to positively influence patients at risk for the disease and help prevent disease progression and associated complications† (Anon 2005, 3). â€Å"In order to achieve the suggested targets for glycemic control necessary to reduce the incidence of diabetic complications, it has been established that a more intensive insulin regimen† and earlier use of insulin is often called for (Cefalu 2004, 1149). Unfortunately, such early insulin use is uncommon (Cefalu 2004). Literature reviewed cites a number of barriers responsible for the slow introduction of insulin regimens to Type 2 diabetic treatment. Barriers on the part of patients typically include fear of injections, feelings of failure, misconceptions regarding the effects of insulin, and concern that the disease is worsening. Cefalu (2004) found that fear of pain and inconvenience of having to inject insulin greatly increases patient anxiety regarding initiating insulin. He concludes â€Å"a major limitation for advancing to intensive insulin therapy is that the only viable way to administer insulin is through injection† (Cefalu 2004, 1149). Davies (2004, S18) similarly found that in Type 2 diabetics, â€Å"needle phobia presents as a common additional barrier to good control.† Patients may also view moving to an insulin regimen as a indicator they have failed at other therapies, such as lifestyle management (Cefalu 2004). This can produce guilt over even minor incompliance in previous treatment, and cause the patient to want to â€Å"try harder† on their existing treatment plan rather than move to insulin (Cefalu 2004). In a recent survey, nearly forty percent of patients agreed that ‘Starting insulin would mean that I have not followed my treatment recommendations properly’ (Davies 2004, S16). Kuritzky and Nelson (2004, S11) additionally found that â€Å"well-intended practitioners may have inadvertently set the stage for patient nonreceptivity by portraying insulin as appropriate therapy for patients who have failed with oral agents.† Davies (2004) goes further, offering anecdotal evidence of practitioners who attempt to coerce non-compliant Type 2 diabetics into lifestyle and oral medication compliance by the threat of beginning insulin therapy. This can result in strong patient resistance to insulin when it is eventually called for (Davies 2004). This can even lead to belief that insulin indicates inevitable complications or death to the patient. â€Å"The perception is that use of insulin signifies progression to a more serious phase of their disease; some patients view insulin use as a ‘prelude to death’ (Cefalu 2004, 1152). Some patients also â€Å"mistakenly believe that insulin intensifies insulin resistance† (Kuritzky and Nelson 2004, S11). Others claim considerations of weight gain outweigh their desire for tight glucose control (Anon 2005). Physicians and caregivers more often cite hypoglycemia, obesity, and patients lack of coping skills as reasons to delay insulin initiation. Davies (2004, S16) found â€Å"concerns about causing hypoglycemic episodes or increasing patients’ obesity means that physicians may permit poor control to continue unduly by delaying the initiation or intensification of insulin therapy† and â€Å"regard insulin as treatment of last resort.† Instead, Kuritzky and Nelson (2004, S11) recommend â€Å"patients should be taught that insulin therapy is appropriate at any time during the course of diabetes to achieve glycemic goals.† Finally, those diabetics on insulin therapy are often on less than optimal dosages. Mayfield and White (2004, 489) conclude from their study of Type 2 diabetics that â€Å"statistics suggest that suboptimal insulin therapy is too common.† Nearly thirty percent of Type 2 diabetics use insulin therapy, â€Å"but less than one half achieve the recommended A1C level of 7 percent or less† because even physicians who are willing to intiate insulin therapy are hesitant to aggressively use insulin (Mayfield and White 2004, 489). REFERENCES Anon 2005. The Role of Basal Insulin in Type 2 Diabetes Management. Supplement to The Journal of Family Practice, October 2005, 2-8. Cefalu, W. 2004. Evolving Strategies for Insulin Delivery and Therapy. Drugs 2004, 64(11): 1149-1161. Davies, M. 2004. The reality of glycaemic control in insulin treated diabetes: defining the clinical challenges. International Journal of Obesity, 28(Suppl 2): S14–S22. Funnell, M. and Kruger, D. 2004. Type 2 Diabetes: Treat to Target. The Nurse Practitioner , January 2004, 29(1):11-23. Kuritzky, L. and Nelson, S. 2004. Insulin therapy in primary care: Practical issues for clinicians. Supplement to The Journal of Family Practice, June 2005, S10-S11. Mayfield, J. and White, R. 2004. Insulin Therapy for Type 2 Diabetes: Rescue, Augmentation, and Replacement of Beta-Cell Function. American Family Physician, August 1, 2004, 70(3): 489-500. Rizvi, A. 2004. Type 2 Diabetes: Epidemiologic Trends,Evolving Pathogenic Concepts, and Recent Changes in Therapeutic Approach. Southern Medical Journal, November 2004, 97(11): 1079-1087. Stratton et al 2000. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes. British Medical Journal, 321: 405–412. UKPDS 1998. UK Prospective Diabetes Study (UKPDS) Group: Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes. Lancet 1998, 352: 837-853.

Avicenna (Ibn Sina) Essay

Abu ‘Ali al-Husayn ibn Sina is better known in Europe by the Latinized name â€Å"Avicenna. † He is probably the most significant philosopher in the Islamic tradition and arguably the most influential philosopher of the pre-modern era. Born in Afshana near Bukhara in Central Asia in about 980, he is best known as a polymath, as a physician whose major work the Canon (al-Qanun fi’l-Tibb) continued to be taught as a medical textbook in Europe and in the Islamic world until the early modern period, and as a philosopher whose major summa the Cure (al-Shifa’) had a decisive impact upon European scholasticism and especially upon Thomas Aquinas (d. 274). Primarily a metaphysical philosopher of being who was concerned with understanding the self’s existence in this world in relation to its contingency, Ibn Sina’s philosophy is an attempt to construct a coherent and comprehensive system that accords with the religious exigencies of Muslim culture. As such, he may be considered to be the first major Islamic philosopher. The philosophical space that he articulates for God as the Necessary Existence lays the foundation for his theories of the soul, intellect and cosmos. Furthermore, he articulated a development in the philosophical enterprise in classical Islam away from the apologetic concerns for establishing the relationship between religion and philosophy towards an attempt to make philosophical sense of key religious doctrines and even analyse and interpret the Qur’an. Recent studies have attempted to locate him within the Aristotelian and Neoplatonic traditions. His relationship with the latter is ambivalent: although accepting some keys aspects such as an emanationist cosmology, he rejected Neoplatonic epistemology and the theory of the pre-existent soul. However, his metaphysics owes much to the â€Å"Amonnian† synthesis of the later commentators on Aristotle and discussions in legal theory and kalamon meaning, signification and being. Apart from philosophy, Avicenna’s other contributions lie in the fields of medicine, the natural sciences, musical theory, and mathematics. In the Islamic sciences (‘ulum), he wrote a series of short commentaries on selected Qur’anic verses and chapters that reveal a trained philosopher’s hermeneutical method and attempt to come to terms with revelation. He also wrote some literary allegories about whose philosophical value recent cholarship is vehemently at odds. His influence in medieval Europe spread through the translations of his works first undertaken in Spain. In the Islamic world, his impact was immediate and led to what Michot has called â€Å"la pandemie avicennienne. † When al-Ghazali led the theological attack upon the heresies of the philosophers, he singled out Avicenna, and a generation later when the Shahrastani gave an account of the doctrines of the philosophers of Islam, he relied upon the work of Avicenna, whose metaphysics he later attempted to refute in his Struggling against the Philosophers (Musari‘at al-falasifa). Avicennan metaphysics became the foundation for discussions of Islamic philosophy and philosophical theology. In the early modern period in Iran, his metaphysical positions began to be displayed by a creative modification that they underwent due to the thinkers of the school of Isfahan, in particular Mulla Sadra (d. 1641).

Magazines articles Essay

I enjoyed multiple stories in this film. The first story that stood out for me the most was the mother who had cancer. This story was extremely sad for me because I could not picture my mother in that position. I believe they are communicating through filming because the mother wants to put her story out there. By watching this film the mother seems like she is a strong person who does not mind putting her story out there because she does not want anyone to feel like they are the only ones going through this experience. My reaction was surprised when I saw her marks on her back from the cancer. I did not think she would show that on camera to the world. In her case I believe that verbal communication was the most affective especially when she was talking to her son. The next story that stood out for me was the older couple who wrote their vows for each other. I found that clip humorous. I believe for them communicating verbally is special for them to share what they want for each oth er. Just from watching their clip I could get an insight of their life just by the way they jokes with each other in their vows. It is easy to tell that they have a strong marriage and are not afraid to joke around with each other. The next story that made me think was the story of the women from Afghanistan. This story was interesting to me because for Americans it is portrayed that the women in Afghanistan have no freedom and are controlled by the men in their life. Showing the women doing karate was an eye opener because it showed me we do not know everything that is going on in Afghanistan. Just because one part of Afghanistan may be a certain way does not mean it is all like that. Non verbal communication made the most impact because just seeing the women doing something they enjoy meant a lot. No words can describe that better than seeing the looks on the women’s faces when they are enjoying themselves. Being in different countries sometimes you can’t believe everything you see in politics or see on the news and media. This clip was a perfect example of that. This whole video made an impact on me because it showed me that when I am laying in my bed with all my blankets and pillows there are many people out there my age sleeping on the streets with no food or even shelter. When I am riding the bus to class somewhere around the world a young man or woman is carrying all of their belongings on their back.

The Current State Of Renewable Energy Consumption Between...

Target 7.1: Dimensions can be created to track the progress of this target however, they are difficult to quantify. This is due to the fact that the metrics which can be created to measure this target depend on what the key elements of the target (such as universal, affordable, reliable, and modern) are agreed to be defined as. What is considered to be affordable/reliable/modern can be subjective especially in a global context. Therefore, the dimensions can be measured, however the target itself is not truly measurable. Target 7.2: The global energy mix is the breakdown of the consumption of primary energy sources. The breakdown is based on the geographical regions of the world (Planà ¨te Énergies, 2015). If the different types of energy in regions all around the world can be measured as a percentage, then they can be tracked and measured over time. This will allow for the comparison of the current state of renewable energy consumption between today and 2030. Target 7.3: Improvement is difficult to measure because it is very subjective and relies heavily on the context that it is placed in. However, the use of a global rate and energy efficiency as measures of this target allow for easily quantifiable dimensions since they rely on mathematical equations. So long as the standards for â€Å"improvement† are set, this is a measurable target. Target 7.a is a broad and general target with many components. Its separate components (such as access to clean energy research and technologyShow MoreRelatedThe Global Trend Of The European Union1260 Words   |  6 Pagesscarce resources energy efficiency and renewable energy become increasingly important. It is also well-known that the climate-change as a result of high CO2-emissions, among others, can only be stopped or at least slowed down by reducing these emissions. The general global trend therefore should move towards an increasing use of renewable energies while gradually stopping dependence on non-renewable energies, such as coal or oil. Despite trade-offs in terms of a possible rise in energy prices and impactsRead MoreHow The End Of Cheap Energy Affects Greenhouse Gas Emissions Essay1342 Words   |  6 Pages which would limit the global temperature increase to 2  °C above pre-industrial levels. This paper examines how the end of cheap energy affects greenhouse gas em issions. I focus my attention on China and India because of their shared identities, shared norms, and increasing significance in the discourse of climate change. I propose that by 2050, the end of cheap energy will bring China and India closer together, and as a result China and India will lower their emissions and the planet will be onRead MoreIn 1998, China signed the Kyoto Protocol and, like all other signatory countries, its enforcement1600 Words   |  7 Pagesemissions peak in 2030. As we all know, the main â€Å"excuse† for China and for other developing countries has been and still is the rapid economic growth they are undertaking. The claim is that we, developed countries, have had our time during the industrial revolutions and later, to pollute and develop our industries as much as we wanted without restrictions. Although this is a perfectly legitimate claim, it also is true that we, at the time, had little knowledge of alternative sources of energy, like renewabl esRead MoreThe Need to Renewable Sources of Energy1644 Words   |  7 PagesINTRODUCTION Energy is vital for human survival and development. Most of today’s energy comes fossil fuels and Biomass. However these types of fuels are deplitable and emit green house gases e.g. CO2which leads to global warming. (See Fig 1.1).On the other hand, renewable energy is inexhaustible and does not any produce green house gases that can pollute the environment. Therefore there is need to shift to renewable sources of energy. Figure 1.1: A graph showing energy consumption and developmentRead MoreGermany : A Powerful Leader And Complete Its Energy Transition By The End Of 20502105 Words   |  9 Pagestuition-free higher education, and most importantly, a well-established environmental protection program. The Energiewende, or the Energy transition, is a sophisticated long term plan that hopes to minimize the usage of coal and other non-renewable energy by the end of 2050. The plan began in 1990 and the country has made constant progress ever since. While renewable energy technologies develop and Germany continues to dominate the world as an innovative green leader, new problems also arises. HoweverRead MoreGlobal Warming : The Rise Of The Earth s Average Surface Temperature Essay1533 Words   |  7 Pagesand solutions of this phenomenon. While global warming is still considered highly controversial topic, there is research and statistics that help explain global warming is happening. Global warming is si gnificant to not only to the lives of people today, but also to the lives of future generations. The main cause for global warming can be accounted to the â€Å"human expansion of the greenhouse effect† (â€Å"A Blanket around the Earth† par. 1). Humans expand the greenhouse effect through many activitiesRead MoreNonrenewable And Renewable Energy : Nonrenewable Energy2064 Words   |  9 Pagesbe able to do anything in the world today the use of energy comes in play. Driving your car, turning on lights, and even turning on the water to take a shower are all forms of energy we use daily. Some tasks we do daily can use different types of energy. The two different types of energy make the world go around. Without the significance of nonrenewable and renewable energy, the world would never be able to function. Though some energy such as nonrenewable energy can be harmful to the environment,Read MoreThe Effects Of Global Warming On The Environment And Heath Of Human And Animals Essay1624 Words   |  7 PagesGlobal warming has taken a significant toll on the environme nt and heath of human and animals. The use of non-renewable fossil fuels such as natural gas, coal, crude oil, tar sands and oil shales are finite resources on the planet and will one day run out because they are regularly used. Subsequent pressure and heating while being buried consisting of organic matter and dead plant over millions of years are what created these fossil fuels. Burning fossil fuels form greenhouse gases from carbon dioxideRead MoreThe Effects Of Climate Change On The United States1397 Words   |  6 Pagesdisplay during the current presidential transition. But putting near-term politics aside, the mounting economic and scientific evidence leave me confident that trends toward a clean-energy economy that have emerged during my presidency will continue and that the economic opportunity for our country to harness that trend will only grow. This Policy Forum will focus on the four reasons I believe the trend toward clean energy is irreversible. ECONOMIES GROW, EMISSIONS FALL The United States is showing thatRead MoreAn Analysis Of Naomi Klein s Writing On Climatic Change Versus Capitalism1988 Words   |  8 Pagesothers have no base of research. Naomi talks about reduction of the consumption levels as one the solutions to obtain a better climate in the planet, but she is too ambiguous in her writing not having specified the exact levels and the types that need to be reduced. She states, â€Å"The truth is that if we want to live within ecological limits, we would need to return to a lifestyle similar to the one we had in the 1970s, before consumption levels went crazy in the 1980s† (Klein 91). Naomi should have taken