Wednesday, July 31, 2019

Neutralization Titration using a Strong Acid and Weak Base Essay

What mass of sodium carbonate is needed to make 250cm3 of a 0.0500 mol dm-3 solution? What is the concentration of the Hydrochloric acid of 0.108 mols? This experiment involves the making of a standard sodium carbonate solution and using the exact concentration of this solution to find the accurate concentration of an approximately 0.1mol Hydrochloric acid solution using an indicator (Methyl Orange). We will be using the same amount of indicator and Sodium Hydroxide solution for this experiment each time it is repeated to minimize any errors that may occur. It is expected that through this experiment we will observe a color change of the indicator from the Alkaline yellow, to a strong orange colored solution. We will be measuring the amount of Hydrochloric acid that is required each time this experiment is repeated to determine the concentration of the Hydrochloric acid. Variables Dependent variable 1. The dependent variable would be the Hydrochloric acid as the amount used will depend on the experimenter’s actions Independent variable 1. the control variable is the experimenter’s eye and judgment Control Variables 1. the volume of Sodium Carbonate in each titration 2. the mole of the Hydrochloric acid used 3. the mole of the Sodium carbonate solution used 4. the indicator used (Methyl Orange) Materials and Equipment Part A 1. Anhydrous Sodium Carbonate (NaCO3) 2. Deionized water 3. 100 cm3 Beaker 4. 250 cm3 Volumetric Flask with stopper 5. Small Funnel Part B 1. Volumetric flask of 250 cm3 NaCO3 from part A 2. 20.00 cm3 pipette 3. Methyl orange indicator 4. 50 cm3 Burette 5. Small Beaker 6. Hydrochloric Acid (HCl) 7. 100 cm3 Conical flask(s) Diagram Method Part A 1. An amount of Approximately 1.325g of anhydrous sodium carbonate was weighed and its mass recorded 2. The anhydrous sodium carbonate was then dissolved in a small amount of deionized water and was transferred to a 250 cm3 volumetric flask using a small funnel. 3. Using small amounts of deionized water, any residual sodium carbonate solution was washed into the flask. This was done three times. 4. Additional deionized water was added to a third of the volumetric flask and the stopped was applied and the flask was shaken to dissolve any remaining anhydrous sodium hydroxide solution. 5. An additional 100 cm3 of deionized water was added and was mixed thoroughly 6. The flask was then filled with deionized water up to the 250 cm3 mark Part B 1. The 20 cm3 pipette was rinsed with sodium carbonate solution from part A. then 20.00 cm3 of sodium carbonate solution was transferred through the pipette into a 100 cm3 conical flask 2. 2 drops of methyl orange indicator was added to the conical flask 3. The 50 cm3 Burette was rinsed with approximately 0.1 mol hydrochloric solution then was filled with hydrochloric acid 4. The initial burette reading was recorded to the nearest 0.02 cm3 5. Hydrochloric acid was titrated against the indicated sodium carbonate solution until a color change from yellow to orange occurs. The final burette reading was recorded to the nearest 0.02 cm3 6. This experiment was identically repeated until three concordant results were obtained Safety 1. A lab coat must be worn when performing this experiment to reduce exposure to any chemical splashes Data Collection Concentration of HCl solution = 0.108 mol ·dm3 Uncertainties 1. Burette  ±0.02 2. Pipette  ±0.06 3. Scale  ±0.001 4. Titre  ±0.04 Amount of Anhydrous Sodium Carbonate weighed = 1.325  ±0.001 Amount of Sodium Carbonate solution used = 20 cm3 Physical observations: Part A 1. When the anhydrous sodium carbonate was mixed with the deionized water, we saw no color change in the water and the sodium carbonate dissolved completely Part B 1. The sodium carbonate solution was clear, when the indicator was added it became a strong yellow color 2. When the hydrochloric acid was added the color slowly changed from yellow to an apricot-like orange 3. When access Hydrochloric acid was added, the solution turned pin Data Processing The total amount of HCl used was: 159.74 cm3  ±0.32cm3 The average volume of Hydrochloric acid used is calculated as:  ±0.32cm3 Due to the observance of a wide spread area of results, I have selected three close results to be more accurate in my calculations. I have selected the highlighted pieces of data from figure 1 The revised average is:  ±0.12 cm3 To convert this to dm3 we divide by 1000, = 0.01846 dm3 To calculate the moles I will use the formula: =0.0125 mols I will find the concentration of sodium carbonate =0.05 mol dm-3 Knowing that this equation is a one to one ratio I can assume that 0.05 mol of sodium carbonate will react with the same number of mols of HCl. The HCl titre of NaCO3 will be calculated using: dm3 I will multiply this by 2 as for every sodium carbonate molecule reacted, I will have 2 Hydrochloric acid molecules. This will give me the moles of HCl To find the concentration I will use the formula The percentage difference is calculated as: The total uncertainty in the whole of Part A and B is: Scale x1 selected pipette x3 Titre x3 The percentage uncertainty of each piece of equipment is Scale: Pipette: Titre: Total percentage uncertainty is: The absolute uncertainty for the concentration is: -3 Conclusion The aim of the experiment is to calculate the unknown concentration of HCl through titration using a strong-acid and a weak-base. The calculated result for the concentration of the HCl is 0.149  ±0.010 mols dm-3. This experiment works on the theory that when the correct amount of acid is added to a base to neutralize it, the pH will be equal to 7, and a color change will occur with an indicator. The percentage difference between my results and the expected results (given by the teacher) is 0.00%. Evaluation In order to decrease any possible error, we have repeated the experiment 8 times in total. Through calculations, we have found that it was the scale that gave us the highest error percentage, thus causing a high overall uncertainty. Any error that may have been caused when we were transferring the sodium carbonate to the conical flask, as a too much or too little amount may have been taken causing the results to fluctuate. Another reason that there may have been an inaccuracy could have been because of human error in reading the scale wrong, for example reading above the meniscus instead of below it. Parallax error is also a possibility; this would cause the calculations and results to fluctuate. Systematic errors such as not zeroing the scale correctly could lead to significant fluctuations in the measurements, or slight inaccuracies to a more accurate reading. However, in this case, there was no percentage error in the results. Improving the experiment Although the results had 0% error, the experiment could be further improved my using a more accurate and reliable way to measure the volume of the HCl that was released by using possibly an electronic measuring device that would be more accurate in reading the scale. The random error can be minimized by performing the experiment a larger amount of times and selecting the best results to average. Another way to improve the experiment, would be to use an electronic magnetic stirrer to stir the substance whilst the titration is occurring to gain a more accurate time for stopping as the reaction will occur much faster due to the continuous constant motion of the stirrer. The best way to fix this type of error is to obtain more accurate scales to measure the substances. Or to have a data logger, with a pH probe to gain accurate readings for the neutralization.   

Tuesday, July 30, 2019

Life of Immigrant Women in 19th Century America Essay

The United States of America is one of the most diverse countries in the entire world. It has gained diversity not merely through race, but through religion, ethnic background, and through the ever-dynamic shift of America. Some of the most dramatic and rapid changes occurred in the late nineteenth century following the Civil War. As the United States began to industrialize, wave upon wave of immigrants poured into the country’s borders in search of religious, political, or, more often than not, economic freedom. To the outside world, the United States began to be seen as our Pledge of Allegiance suggests is: a land of the free. â€Å"’America is a free country’ one Polish immigrant stated†¦Ã¢â‚¬â„¢you don’t have to be a serf to anyone†¦freedom and prosperity are enjoyed by the people of the United States.’†1 Despite these immigrant hopes of freedom and prosperity, America was only just beginning to leave behind its roots of slavery; racism and prejudice were still in the air. While African-American men were being given their permission to vote, white women still struggled for that freedom. Immigrants faced dilemmas from some radical white women. â€Å"Feminists argued that native-born white women deserved the vote more than non-whites and immigrants.† 2 The struggles of being an immigrant were difficult enough, but to be a woman as well during that era was unlike any other barrier to freedom and inequality at the time. The novel Bread Givers by Anzia Yezierska, an immigrant who lived during that era, discusses what life was like for her demographic during her time through the eyes of a Jewish immigrant girl. Immigrant women in the late nineteenth and early twentieth century faced a slew of harrowing challenges as they faced a changing America. One of the biggest challenges that immigrant women had to face was exceedingly poor living conditions. Aside from being confined to very tight knit, ethnically uniform neighborhoods and communities3, many areas had landlords or landlord-esque figures set up to enforce strict living requirements which often limited higher quality housing in the immigrant  community and female demographic.4 In Bread Givers, Yezeriska’s character, Sara, experiences this dilemma. She grows up in a tenet fit possibly for a single person or possibly even a couple, and yet she lives with her mother, father, and three other sisters. On top of cramped living conditions, they do not appear to live in an area where access to cheap, safe food is available all the time.5 Later in the novel, an adult Sara is searching for a place to live with a room to herself. She struggles to find any place other than single rooms to share with two to four other women. She often finds herself facing rejection to open rooms. â€Å"’No girls,’ snapped this one, too. ‘Why no girls?’ I dared ask the skinny tsarina. ‘I want to keep the house clean. No cooking, no washing. Less trouble, less dirt, with men.’†6 When Sara finally does find a room, it is described as being a room very common to poor immigrants during that time. â€Å"It was a dark hole on the ground floor. The only window†¦was thick with black dust. The bed see-sawed†¦the mattress full of lumps and the sheets were shreds.† 7 These living conditions often created complications in the health and well-being of these immigrant women, and access to quality health care was rare for immigrant women. Sara’s mother falls ill in the novel and has no access to such care, ultimately leading to her demise.8 These poor living conditions, however, were not the only conflict immigrant women faced. Even when these women left home for work, conditions only worsened. Job opportunities for the immigrant woman in the United States during that era were remarkably limited. As the job market expanded, skilled labor became more desired and unskilled labor was left to the immigrants and women. These types of jobs came with low wages (some as low as $3 per week) long hours, and dangerous working conditions. Immigrant women were largely confined to low-wage factory jobs, while the job-market for native born white women expanded enormously. 9 In Bread Givers, Sara searches desperately and finds a job in a clothing factory, much like the factories who hired immigrant girls in reality, for five dollars a week. She describes the factory as small, congested, smelly, and filled with fumes with nearly no source of fresh air flow.10 A similar textile factory, The Triangle Shirtwaist Company, burst out in flames on March 25, 1911. The factory was located on the top three floors of a ten-story building in Greenwich Village  of New York City. As the fire spread, the young Jewish and Italian immigrant girls, some as young as 14, began to realize the doors to the stairwells were locked, as per usual in these factors, in order for the owner to prevent theft, â€Å"unauthorized bathroom breaks,† â€Å"outside distractions† to his employees. In the end, approximately 150 immigrant girls died in the fire, and some of the remaining survivors were arrested for forming a Union against these factories. 11 These inequalities towards immigrant women were prevalent all over the country, but especially in New York City, where a large portion of the immigrant community lived due to its proximity to Ellis Island and its high-volume of unskilled factory jobs. There were also barriers to immigrant women, however, on a smaller, more individualized scale: specific cultural practices. Women of all cultures, but especially poorer immigrant families, often had high-priority obligations in the home that prevented them from excelling in the world. While many native-born white women were privileged enough to grow up in school and go to college, get educations, and find skilled-labor careers, immigrant girls often had obligations forcing them to stay at home rather than seek an education, find a respectable job, and start their own family at a reasonable age. Taking into account the poor living conditions found in immigrant communities, as well as the lack of high wage employment and access to health care, women often had responsibilities to their families before pursuing their own lives. In Bread Givers, the meaning of the term â€Å"bread givers† was that Sara and her three sisters were obligated to give their earnings to the family, especially the father.12 Although not all immigrant families had patriarchal father figures who demanded all earnings for selfish reasons as the father in Yezierska’s novel did, the structure of income was very common to find in immigrant households. One of Sara’s sisters, Bessie, was the most crucial â€Å"bread giver† early in the story, and later on a man takes interest in her for a wife. â€Å"I like a plain home girl that knows how to help save the dollar, cook a good meal, and help in the shop. I think Bessie is just fitting for me.†13 This man takes interest her the same way most men would during that time. He sees her as a woman to uphold household responsibilities and help to save money instead of earn it on her own. Most of the daughters, except for Sara, end up marrying  men for the sake of bringing money into the house in order to support their parents.14 Finally, at the end of the story, the father begins to grow old and sick and it becomes the responsibility of the daughters to take him in and take care of him without question or hesitation.15 These were some of the specific cultural barriers that imposed on the individual freedoms of immigrant women in the United States. Anzia Yezierska, through her book Bread Givers, provided a very specific, yet realistic depiction of the challenges presented to immigrant women in the late nineteenth and early twentieth century of America. The huge influx of immigrants, especially from southern and eastern Europe, between 1890 and 1914 created a drastically new dynamic in the changing United States. 16 This new dynamic presented countless challenges to immigrants and women alike including poor living conditions, limited job opportunities, and cultural barriers. As our country continues to progress, so will the challenges presented to each individual group, culture, and demographic; therefore, it is crucial to study these past experiences so we may learn to adapt and thrive in those conditions. Works Cited Foner, Eric . Give Me Liberty! – An American History, seagull 3e. 3rd. 2. New York, NY: W W Norton , 2012. 546-713. print. The Power and the People, episode 4 of New York: A Documentary Film, Steeplechase Films, 1999, PBS home video.  Yezierska, Anzia . Bread Givers, A Novel. New York, NY: Persea Books, INC, 2003. print.

Monday, July 29, 2019

A different type of family

â€Å"Seventy-five and back!† Do not hesitate, just react. You have done this before. Push off your hands, stand up! One foot over the other, look straight ahead. Your destination is the seventy-five yard line for the time being. When you get there, you have a new destination; back to your starting point. Just keep up, don’t trip, and definitely don’t let your knee give out. Finish first and lay back down on your stomach, hands behind your back, face in the grass. You wouldn’t want to cheat. â€Å"Fifty and back.† Do not give up, Annie. You could just tell the team that your knee cannot take another sprint, the brace in getting loose, but don’t you dare do that, you are better than that. â€Å"End line and back.† Another long one. Maybe a twenty-five yard line sprint would be nice just once. You should just quit, you don’t need to go through this. Why should we be punished this way for losing just one game? One little goal scored on us and this is what happens? It’s not like you could even play. You just sat there watching your team from the sideline making mistake after mistake, minute after minute until the final whistle blew. It was over and now you are paying. Everyone else is at the football game. It is Homecoming and your classmates are sitting under the Friday night lights. You could be one of them, you know. Do you hear the band playing? Do you hear the crowds cheering? All those happy people are right up there on the field, undoubtedly not sweaty and tired, certainly not muddy and out of breath. No, you do not need this. Walk away. Say â€Å"goodbye Coach, goodbye team, I do not need this.† â€Å"Fifty and back!† Actually, you do need this. You just had a temporary mental breakdown, a momentary lapse in judgment. This team, this family, this punishment, West Essex Field Hockey is all you know. You do need this. Coach does this for a reason, to make us better. We do need to play as a team and this is how we learn. We learn by being broken down as individuals so we realize we need each other to build back up again. She is right again; this is how we are taught a lesson. â€Å"End line and back!† There is more there, Annie, you have more left inside of you. No, you are not dying, get a grip. This is what she means when she tells us to give it our all every second we are given. We should have just done that from the start. We are winners. We are state champions. How could we let ourselves down like that? We are not losers. â€Å"Seventy-five and back!† These girls running beside you are the best friends that you will ever have. You are all in this together. They are with you now and will be with you forever, they will run with you forever. Black, white, and red are the only colors in your world. Your school, your team, and your coach who treats you as she does her own children, are all you have right now. Remember that. â€Å"Go home.†

Sunday, July 28, 2019

Managing Change (reflecting) Essay Example | Topics and Well Written Essays - 3000 words

Managing Change (reflecting) - Essay Example Relational constructionist takes into account and theorizes the processes of social construction (Hosking & Bouwen 2000). And, the relational constructionist assumes a relational ontology described as all social realities, all knowledge of other people and objects and of self are considered to be inter-dependent or co-dependent constructions existing and can be known only in relations. And Hosking & Bouwen (2000) contend that within the context of this view, knowledge does not exist separately as a thing or product that can be stored, transferred, traded and learned. This feature of relational constructionist is significant and at the same time is different from the more usual treatment of the learners and what is provided or existed to be learned about self or other things as independent or separate bounded entities. A relational constructionist perspective provides a numerous possibilities for interests in a processes of learning, social interactions and relations as well. For a beginning, theorising relational processes instead of focusing on organizations, persons, and relations, avoids the problem of how to bridge group, individual and organizational levels of learning (Hosking & Morely 1994). Furthermore, in relational constructionist, relating does not remain an individual act and is no longer diminished to one-way casual relations with the provision of feedback. For example, an organization employees two individuals, one is highly punctual and other is less punctual. The performance appraisal of both employees highlights some attractive points. For example, the punctual employee has been largely successful in fulfilling their expected targets and job assignment. On the other hand, the less punctual person has been considerably unable to meet the job targets and assignment. This example provides an opportunity for the organization to learn about the significance of punctuality and making a strict policy for punctuality would enable the organization to achieve its organizational, operational and strategic objective as well. Critique examples of managing change The cycle of

Research and Discussion on Business Crimes, Business Torts, and Essay

Research and Discussion on Business Crimes, Business Torts, and Product Liability - Essay Example On the other hand, an unintentional tort usually negligence, is one based on carelessness rather than deliberate criminal activity, perhaps for economic gain. Usually the claimant has to prove the defendant was negligence and this negligence was the proximate cause of his damage and/or injuries. However, in certain cases a substance such as a chemical may be considered inherently very dangerous and if it escapes and this cause damages/injuries a court may impose strict liability, meaning that the claimant does not have to prove the defendant was negligent. Rather the defendant is assumed to be negligent even though the exact cause of the incident is undetermined, unless they can show an outside force such as a natural disaster caused the incident and even with the best loss prevention and safety practices there is no way it could have been prevented. A common basis for a negligence action is premises liability. (Findlaw) A business must ensure that its’ premises is safe for its’ customers and others to reduce the possibility of slip and fall claims and injuries/damages resulting from other hazards. For example, grocery stores must try to keep their floors clear of fallen produce. Those stores in states prone to severe winter conditions must ensure their parking lots and sidewalks are regularly cleared of hazardous snow and ice. Other hazards that could give rise to successful liability claims are inadequate lighting, too narrow aisles especially with heavy stock piled nearby which could fall on customers, stairs without proper handrails, too steep risers, poorly maintained or without warning signs and/or contrasting colors to mark their presence. The duty of a frontline manager in a retail outlet is to anticipate possible hazards on his premises and promptly take steps to eliminate them or at least to reduce them as much as possible. Depending on the hazard, this can be achieved in

Saturday, July 27, 2019

Enculturation research paper Example | Topics and Well Written Essays - 1500 words

Enculturation - Research Paper Example According to the dictionary Enculturation is the process by which people learn the requirements of their surrounding culture and acquire values and behaviors appropriate or necessary in that culture. As part of this process, the influences that limit, direct, or shape the individual (whether deliberately or not) include parents, other adults, and peers. If successful, enculturation results in competence in the language, values and rituals of the culture. Discussion Respecting one’s elders was highly emphasized, the family was of utmost importance and the Children are taught that no matter how old you are, respecting your parents is mandatory. The other respondent was Ann Clawson who grew in a culture where they were taught true blue American values like hard work and education, and her parents made sure that she came up knowing how important it was to work hard for my education. Her parents had been extremely strict in terms of school: anything less than an A was unacceptable, and that was definitely the way they were with me. From the interview it is evident that the Society and family plays an important role on personality. The self does not exist on its self but has a direct and continuous relation with others. From birth onward, the social surrounding shapes and defines individuals, whether it is through family, school or peers. Through the process of socialization, the person acquires a set of behaviors, values and perceptions passed on by her d culture, yet there is still debate as to what extent nurture may outdo nature. History of interviewees Sarwat was born in 1961 in Cairo town. He had both parents where Father was a carpenter, mother was a homemaker. His life was influenced by Local history/events that influenced life choices and Muslim vs. Christian politics affected desire to leave the country, despite having comfortable financial circumstances ,he also Wanted to get away from religious discrimination and come to a western country, in order to be able to practice his faith. In 20 years, he only worked for two companies. He respects his parents’ culture which resulted in a very strict upbringing. , He first worked at Burger King for two months then a friend offered him a job in southern California, and began working as a mechanic’s assistant. , and eventually applied at Amdahl Corporation due to his passion on engineering. . He realized that if he got an education he’d be able to progress in the company and went to college, acquiring an AS in the field of Electrical Engineering. Later He wanted to become a real estate agent, but didn’t excel in it because in his mind, good work is work that is both profitable and enjoyable, whereas bad work is work that he dreads going to. To him, enjoyable work is work you’re passionate about. He also believed that an ideal family cares about each other, and accepts each member for who they are, without judgment. They stand by one another and is cent ered around Go Anna Clawson was born May 7, 1964 in Johnson City, Tennessee was born in the error of intergration.her family was set up in a way that the mother was a stay at home mom, and my father was a banker. The father bordered on being a workaholic, and she didn’

Friday, July 26, 2019

Global Marketing Strategy Essay Example | Topics and Well Written Essays - 2000 words

Global Marketing Strategy - Essay Example The induction and diffusion of the effects of globalization in various parts of the world has been fast forwarded in a tremendous manner by the easy availability of high speed internet connectivity in every corner of the world. The easy availability of information in the various forms of virtual media like the online media forums, social networking sites and blogs have significantly contributed to the faster dispersion of the effects related to globalization. This has brought into play, a significant and constant process of change in the macro and micro environmental factors related to the development of business opportunities in the established as well as the developing economies of the world. As a positive impact of globalization, there has been a significant increase in the opening up of economies around the world. As a result of opening up of economies of various emerging and developing countries, new markets are emerging from various corners of the globe. The steady rise in the opening up of new markets around the world is leading to a tremendous increase in competition in the global marketplace. Talking on this note, it can be said that the process of opening up of markets around the world is allowing organizations located in various parts and corners of the world to look for opportunities related to market expansion by applying various strategy-based methodologies and action plans. This approach of entering new markets, by various international firms, is leading to the rise of business practices in the domain and arena of international business practices. Theoretical framework: International business Talking about international business, if we wish to define it, it can be said that the international business or international trade comprises of various business activities that are undertaken by business organizations around the world to develop new markets for the purpose of gaining significant growth opportunities by catering to the demands arising from the new markets. In an effort to do so, the international firms focus on the process related to generating, communicating, delivering as well as capturing of value for the customers of the new markets while customizing the product or service features as per their needs and requirements (Dlabay & Scott, 2011, p. 8). The concept of international business is also highly applicable and relevant in the case of various business firms who look forward to tapping significant amount of business opportunities by providing their services and products to various remotely located clients and customers who dwell in different countries. In the context of various business to business scenarios, international business represents the process of conduction of business between various business organizations through the mass conduction of import and export of goods and services. For the process of conduction of international business, opening up of economies as well as setting up of various investment f riendly policies and tax laws in the new and developing economies is very essential. It is highly important to mention in this case that the flexibility in multiple government outlined policies and regular evaluation

Thursday, July 25, 2019

Public School Uniforms Rough Draft Research Paper

Public School Uniforms Rough Draft - Research Paper Example Normally, public schools have the freedom of letting their students dress based on their preferences, or else provide them with school uniforms. Despite pros and cons expressed regarding school uniforms, I personally support the idea that the benefits far outstrip the damages. In my opinion, wearing school uniforms should not be just considered as a habit, but should be perceived as an important component in schooling for obvious reasons such as academic improvement and promotion of student behavior. As the name implies, school uniforms promote uniformity in schools. With this regard, a sense of pride is promoted as uniforms promote a sense of uniqueness. Just as students represent the school, school uniforms are extremely important as they also represent the school. The current trends in school uniforms began in 1987 with the first school in Baltimore becoming the first to adopt the trend. This was followed by implementation of a mandatory policy across the district in 1994. The two events happened alongside State of Union in 1996 delivered by Bill Clinton where he encouraged that school uniforms helped in enhancing security. However, this review focusses on effectiveness of school uniforms in enhancing behavior and achievement in public schools. Uniforms play a critical role in promoting academic achievement. Research shows that elementary schools from both urban and rural districts demonstrates improved academic achievement rated in terms of graduation versus suspension and attendance rather than expulsion and academic proficiency rates. In view of this, most researchers concur that the policies on school uniforms contribute largely to the achievement of the student, especially when they become part of a comprehensive reform plan of the school. In United States, the interest in school uniforms grew during Clintons era after their fellow students discriminated some Columbine students for wearing dark colored clothes making them become social outcasts in

Wednesday, July 24, 2019

CYBER-PSYCHOLOGY Essay Example | Topics and Well Written Essays - 3000 words

CYBER-PSYCHOLOGY - Essay Example Human mind and its behavior in addition to interactions within the work place has been influenced largely through the development of technology inform of computers, mobile phones, and other communication gadgets. For this reason, there is need to understand the influence of technology in human behavior at work place. Most of the research done in cyber psychology includes personality types in cyberspace artificial intelligence and virtual reality. Psychologists like Freud predicted the challenge of fixation on objects as an example of catharsis or displacement. This means that the growing challenge is the idea of many people at work place being attached to these gadgets, which leads to fixation according to Freud’s theory of psychoanalysis. With reference to Marxism, this paper will apply the challenges and the advantages of cyber psychology. Concept of organization behavior Organization behavior is the study of how people or groups of people behave within the organization as t hey work. Organization behavior is important since it help individuals to be engaged in the organization and to develop relevant discipline within the organization. Members of an organization will develop good communication skills, honesty and integrity, interpersonal skills, motivation, and good strong work ethics as part of their organizational behavior. Our behavior at work depends on how we feel (Wallace P. M, 2008). Our attitudes and behavior therefore affect our productivity. Behavior attitude is how the employee feels at work while behavior is how the employee responds to the behavior. We can therefore conclude that high work productivity is directly correlated with positive attitudes and behavior. This is also according Carl Marx theories (Whittle, 2007). Motivation is the desire to achieve a goal. It can be intrinsic or extrinsic. Motivation influences psychological, behavioral cognitive and social characters of employees at their work place. The ability of an employee to p articipate in the organization builds up to his/her motivation. Marxism has influenced organization behavior through technology, as many employers tend to rely on computers for assistance. The existing working environment is also important in motivating an employee in the organization. Industrial and organizational psychologists and other applied researchers have recognized the relevance of such advances for understanding workplace behavior, producing a number of recent articles. Marx defines emotions carefully and distinguishes emotions from moods (Zuckerman, 2001). Marx had predicted automation in work place and the acceptance of automation has been tremendous. The emergence of computers has been functionally and practical symbols of transformation and revolution of the world in terms of modernization. The emergence of robots was a controversial issue as many people thought that the reports would replace human beings in form of labor. However, this did not happen as anticipated, a s there emerged the difference of artificial and natural intelligence. Similarly, the emergence of computers has not escaped criticism, many scholars have being agreeing, and disagreeing about the intelligence level of the computer compared to humans. For this reason, it is important to distinguish between a strong artificial intelligence and a weak intelligence (Kent Norman, 2008). One of such critics is John Searle who describes strong artificial

Tuesday, July 23, 2019

Criminal Law Case Study Example | Topics and Well Written Essays - 1750 words

Criminal Law - Case Study Example Alan has a paranoid personality and is prone to depression. Betty is Alan's girlfriend. She is having an affair with Clive and does not conceal this fact form Alan who feels demeaned and angry. Betty comes home form the pub one day and announces to Alan that she is going to leave him for Clive. She packs her bags and goes. Not knowing what to do, Alan picks up a hunting rifle and goes in search of Clive. He looks through the pub window and sees both Betty and Clive together. Whilst taking aim at Clive with the rifle, Dennis, an old friend from the pub, staggers over Alan and gives him a hard slap on the back. Alan stumbles whilst pulling the trigger and shoots a paraffin lamp on the bar. It ignites and the pub catches fire. The landlord of the pub, Ed, has piled crates in front of the fire exits so the only escape is through the narrow door. Clive dies in the fire and Betty collapses in an attempted escape. She is taken to the hospital but is diagnosed as being in a 'persistent veget ative state." She receives life support treatment. After one month, however, Doctor Fiona decides that Betty is unlikely to ever again consciousness and so authorizes the termination of life support. Benny dies two weeks after.In order to arrive answer to each of the questions, let us take first an overview on how criminal liability may be incurred in the commission of an offense in the United Kingdom and the available defences he can utilize to lessen or even negate his criminal liability. The Concept of Crime and Criminal Liability In almost all criminal laws, crime is defined as an act or omission in violation of an established law of the place where the crime was committed. Act refers to an overt movement of any part of the body, while omission refers to one's failure to act or to perform a lawful duty which he is obliged to do. In order for an act or omission to be considered as a crime, there must be a law punishing that act or requiring a person to perform such lawful duty. Such laws may be the common law that are utilized in the United Kingdom, or a statute, like the Modern Penal Code, which is passed by the legislature of countries like the United States. Crime is a generic term. It is used interchangeably with the term felony, violation or infraction by the criminal law of other countries. In the United Kingdom, an act or omission punishable by law is called as "offence." The violator may be termed as offender or defendant. A crime may be committed against a person like murder, against a property like theft, and against honor like defamation or intriguing against honor. When a person commits an offence, he is usually subjected to two liabilities. First is the civil liability which is the payment of the damages capable of pecuniary estimation in monetary form; and the second is the criminal liability which will subject the offender to life imprisonment, imprisonment for several years, or even death sentence, if found guilty. This research will only discuss that offences that can be committed against persons in the United Kingdom, the criminal liability the offender may incur, and the available defences he can utilize to lessen or even negate his criminal liability. Actus Reus and Mens Rea Under the English common law, criminal liability could only be incurred if two of its essential elements are present which are the actus reus and the mens rea. These essential requisites of criminal liability were based on the common law jurisdiction of the United Kingdom and are expressed in the Latin principle "actus non facit reum nisi mens sit rea," which means "an act does not make a person guilty unless (his) mind is

Compare and contrast these two newspaper articles Essay Example for Free

Compare and contrast these two newspaper articles Essay The tabloid and broadsheet articles have the same topic but are written in extremely different styles. They are both in the same place within the two papers and are not on the front page. This shows they are not major stories. The lexis and syntax are different as is the graphology. The tabloids aim for target readers in social groups C2, D and E while the broadshhet papers aim for target readers in social groups A, B and C1. The tabloid paper uses the pyramid formation to lay out the pages. The headline is made the biggest piece of writting to grab attention. A pun is put in to get you to then read on. For Prince Harry they use His Royal Styness which is a play on words were they involve the story and how he is being punished by having to work on a farm. The tabloid then focuses mainly on the pictures which have been manipulated by adding in people that arent there to make Harry look worse so more people will want to read the rest of the story. The picture was superimposed and this sets you up for the following text. The writting its self isnt very informative and uses a basic lexis and syntax for wearing a Nazi uniform to a pals fancy dress party. this uses a more Colloquial language. The style is informal and the writer uses a semantic field of Nazis and pig farming. The tabloid also has small side stories and links that lead of in another direction, they have a story still involved with the royal family but moves of Prince Harry and on to the whole royal family when they have a survey about them. The writer makes the overall register quite playful and slightly mocking towards the Prince making him look less respectable Weed the plants (not that weed Harry) is put into embarasses him as he had been acused of doing cannabis before. The writting is more opinion based The rowdy royal than factual based and it doesnt state who the quotes are from in name a security resource revealed. Unlike the broadsheet paper so it shows that the tabloid paper is more factual. In the broadsheet paper the quotes seem more reliable because it says exactly who is saying it and it gives a short amount of information about who the quote is from Ian Davidson, the MP for Glasgow. This article doesnt exploit the story and use it as an excuse to mock Prince Harry. The writer Andrew Pierce puts in his opinion subtly. The writer makes fewer puns and uses fewer pictures and focuses more on the actual text. Pierce uses a more intellectual syntax and using a wider and more polysyllabic words recomendations, combination and commemorate. Pierce uses longer more complex scentences using more clauses the hearings, which will be televised, begin on February 7. The target readership is for people who generally enjoy reading, like those in social groups A, B and C1. Pierce took a different perspective on this story and didnt focus on Harry so much but spread the story wider to cover the whole of the royal family questioning them politaclly and morally. Plans by German politicians .. could cause further embarrassment for the Royal Family This shows that the braodsheet paper is taking things into more depth. The graphology is plainer with just the headline, the text and a small picture making you focus more on the actual text. The overal register is more serious and truthful. The broadsheet paper and tabloid papers are on two very different levels. The broadsheet is more in depth and formal, while the tabloid is more informal and uses a more colloquial language. This shows the different styles of writting used and the different layouts.

Monday, July 22, 2019

Lies, Lies, Lies Essay Example for Free

Lies, Lies, Lies Essay The white lie is an age old embellishment that has different reasons for being told. When it is all said and done a white lie is still a lie. A lie told with perfectly good intentions. A lie told to spare someone’s feelings. A lie about something trivial, which will have few consequences if you’re caught. A minor, polite, or harmless lie, a white lie is considered harmless as opposed to a black lie which is evil. Anything that is not accurate is a lie. There are a million reasons to tell a social white lie. Being nice leads to lying to prevent hurting someone’s feelings and it is commonly used by all. The baby in a stroller and the mother looks up, it is natural to say â€Å"What a cute baby† It could be the ugliest baby; yet the need to make a charitable response leads to a lie. Or Men say â€Å"I love you too† a white lie commonly told by men. The boss has on a dress that looks horrible, â€Å"What a beautiful dress† would someone tell the boss her dress is ugly. These are just examples of how we get caught up and we feel the need to say something positive instead of telling the truth. Lying begins early, if you observe children most know how to fib at the age of 4. By 6 they stop fibbing and begin lying. Watching and observing their parents, they gain insight in imitating their parents in the art of deception, they are told how to lie to relatives about gifts they may not like, and thus starts the white lies. The proverbial lie is used in our society to make small talk, to have someone show favor, when we greet someone, and we often lie to ourselves, â€Å"I am going to get up each day and walk.† I’ve said it, and I know I want to but I don’t. Salesman says anything you want to hear to sell a product. The doorman says â€Å"Have a good day†, no tip, doesn’t care if you even live another day almost every white lie is because of what a person wants to achieve with that white lie. It is almost second nature to living how we deceive, the Landlord I mailed that check yesterday. I lost my debt card can’t make the payment today will call as soon as I get my replacement! *I can’t come in today I have diarrhea; you’re going to the movie matinee. Researchers have been studying deception for decades, trying to figure out why we tell lies. It seems that our capacity for deceit appears nearly endless. That doesn’t mean we just tell a lie to hear it there is a purpose for the madness. Still lying is generally regarded as immoral and distasteful, â€Å"No one likes being lied to,† says former FBI agent and lying expert Joe Navarro. â€Å"We use lies to grease the wheels of social discourse.† Says University of Massachusetts psychologist Robert Feldman.

Sunday, July 21, 2019

MRI as a Breast Cancer Screening Tool

MRI as a Breast Cancer Screening Tool Chapter 1 Introduction In the United States, one in eight women will be diagnosed with breast cancer, accounting for 26% of all cancer cases in women (Jiao, 2014). The standard of care for women over the age of 40 is mammography. It has been shown to increase life expectancy by detecting breast cancer through a quick and easy x-ray. Magnetic resonance imaging, which is more sensitive to breast cancer is costlier and produces more false-positive results, therefore it is not used as often. When mammography is the only test being done, breast cancer is more likely to go undetected in patients with dense breasts and those with small lesions. In high-risk women, MRI has been shown to detect breast cancer in earlier stages than mammography. MRI screening is successfully reported between 77% and 91% (Jiao, 2014). Most detections from MRI are located within axillary lymph nodes during stage 1 breast cancer. A patient may simply refuse yearly mammograms, when she goes five years later breast cancer may be in the fi nal stage whereas MRI could’ve detected it years earlier. Women are recalled more often for additional diagnostic testing when screened less frequently and recalled less often when screened more frequently (Orel, 2005). The American Cancer Society recommends MRI testing for women with the BCRA1 & BCRA 2 genes or a lifetime risk of 20% or greater for breast cancer (Saslow, 2007). Women who inherit the BRCA1 or BRCA2 gene have a 45% to 65% chance of developing breast cancer (Plevritis, 2006). BRCA 1 gene carriers are at a greater risk for developing breast cancer at an aggressive pace. Tumors in women screened with mammography alone are larger and more likely to have metastasized to axillary nodes (Taneja, 2009). MRI is approximately ten times more expensive than mammography making its cost effectiveness a critical consideration (Jiao, 2014). Due to its lower specificity than mammography increased costs are related to biopsies and additional exams. Estimated lifetime costs for 10,000 women would be higher by $10.6 million with MRI in combination with mammography than with mammography alone. In 2009, the costs billed to Medicare for a bilateral mammography was $49.76 while a bilateral MRI was $965.57 (Jiao, 2014). The price per quality adjusted life year would be $310,616 when MRI was performed with mammography (Fieg, 2009). MRI screening is most cost effective if the cost of MRI decreased or the cost of mammography decreased, when the risk of breast cancer increases, when mammography performance worsens, and if greater quality of life is accomplished (Orel, 2005). MRI becomes cost effective when patients with high-risk profiles are treated. If cancer was detected early enough, chemotherapy can be reduced. MRI is also needed for surveillance when breast conserving therapy results in recurrences. MRI would yield an additional 106 years of life per 10,000 women (Fieg, 2009). Women with BRCA1 and BRCA2 start mammograms at the age of 25 which makes MRI more cost effective and would decrease their radiation dose. Given the aggressive nature of breast cancer, screening with MRI whether alone or with mammography is cost effective and will prolong life expectancy (Berg, 2012). Contrast enhanced MRI is proven to detect breast cancer in the earliest stages compared to ultrasound and mammography. Statement of the Problem and Professional Significance Is MRI effective as screening tool for breast cancer? Which modality is the most effective study for diagnosing breast cancer? Are imaging modalities other than MRI a waste of time and money for patients? Mammography is seen as the first step in preventing breast cancer when a patient turns 40. For some patients, it might already be too late. Mammography is quick and low cost but does not detect breast cancer in patients with dense breasts or small lesions. MRI is considered the gold standard in imaging but is used with fewer women. As the population grows and rates of cancer increase, patients are demanding precise diagnosis and early detection for cancer. What factors should stand out to differentiate who receives MRI vs. mammography? By gathering medical history and diagnosis from several women receiving breast MRI’s, data will be examined to determine whether or not breast MRI’s were needed for proper diagnosis and if testing detected further malignancies. Research Hypothesis 1. It is hypothesized that MRI will be more effective in detecting breast abnormalities than Ultrasound or Mammography. This can be tested by comparing the results of their MRI with results of previous tests.    2. It is hypothesized that at least 50% of patients will feel more confident regarding their diagnosis following a MRI scan. This can be tested by having patients rank how they felt before and after having the test and talking with a radiologist on staff (using a scale of 1-10). 3. It is hypothesized that patients will not have had a mastectomy or received radiation until an MRI is performed. By surveying patients to determine who was and wasn’t diagnosed prior to MRI and what measures they took to prevent the malignancy from spreading I can determine these results.    4. It is hypothesized that patients positive for breast cancer will have at least one lesion undetected on mammography or ultrasound because of its small size or position in the axillary region.   This can be tested by comparing MRI test results with other imaging modalities. 5. It is hypothesized that 10% of participants will have had inconclusive results. This can be determined by whether the radiologist recommends a breast biopsy. MRI can produce false-positives, which cause the radiologist to compare results with past imaging. 6. It is hypothesized that at least 50% of the participants were recommended to have an MRI after inconclusive testing in other modalities. This information will be obtained through obtaining previous medical history in the survey. Definitions Breast cancer Uncontrolled growth of breast cells resulting in a malignant tumor (Medical Dictionary Online, 2018). Malignant Cancerous tumor that can spread to other parts of the body. Benign Tumor that is not dangerous to health. Quality adjusted life year Used to assess the value for money of medical intervention. One QALY = one year of perfect health (Science Direct Online, 2018). Probabilistic sensitivity analysis Technique used in economic modeling that allows the modellar to quantify the level of confidence in the output of the analysis (Science Direct Online, 2018). National comprehensive cancer network Not-for-profit alliance of leading cancer centers devoted to patient care, research, and education. BRCA 1 breast cancer type 1 susceptibility protein- Identified in 1990 and is on chromosome 17, increases likelihood of cervical, uterine, and colon cancer (National Cancer Institute, 2018). BRCA 2 breast cancer type 2 susceptibility protein- Identified in 1994 and is on chromosome 13-, increases likelihood of stomach cancer, gallbladder cancer, and melanoma (National Cancer Institute, 2018). Ultrasound Imaging test using high frequency sound waves. MRI Imaging test that used magnets to generate a detailed picture. Mammography Images produced from low dose radiation. Gadolinium Chemical element of atomic number 64, injected into patients as contrast during MRI. Ductal carcinoma in situ (DCIS) Presence of abnormal cells inside a milk duct in the breast (Medical Dictionary Online, 2018). Mastectomy Surgical operation to remove a breast. Stereotactic biopsy Procedure that uses mammography to precisely identify and sample an abnormality within the breast. Limitations and Delimitations This study will survey twenty women (all ages) who are scheduled for breast MRI’s at Geisinger Community Medical Center during September-November 2018. I will conduct surveys with the patient prior to their MRI. Breast MRI’s will be conducted on a 1.5T, Siemens machine. All patients will be scanned using the same protocol for imaging regardless of medical history. External limitations are obtaining a medical history, incompletion of the patient’s MRI, lack of intravenous access for contrast, claustrophobia, and no show appointments. I will rely on patients to give me a detailed, accurate medical history. Assumptions During a typical work day in MRI at Geisinger Hospital a breast MRI is completed once. Within a typical month at least 20 scans are completed. This should allow me to survey enough patients over a six-week period. Permission for this study will come from patients who allow me to ask questions regarding their medical history and diagnosis. In accordance with HIPAA, I will keep all patient names and identifying information anonymous. Chapter 2 Introduction The purpose of this research project is to determine if MRI is effective as an imaging tool for diagnosing breast cancer. By surveying women, who have been diagnosed or are currently being diagnosed, collecting medical history, and analyzing data, imaging modalities will be examined to determine the most reliable, accurate, and timely way to diagnose breast cancer. If MRI is more efficient than mammography and ultrasound, time and money spent on those modalities could be eliminated. Women can be treated faster, and cancer could be diagnosed earlier when proper testing is ordered. Breast cancer during stage one is treatable, thousands of lives could be changed when it is diagnosed in a timely manner. Cancer is the overall most common cause of death in America with breast cancer being the most common type (Jiao, 2014). One in eight women will be diagnosed with breast cancer during their lifetime making it a very costly disease. Standard protocols for screening are determined by the American Cancer Society. Screening mammography is recommended for women with a 25-30% lifetime risk of breast cancer (National Cancer Institute, 2018). This includes women treated for Hodgkin disease and those with a family history of breast or ovarian cancer. Screening mammography typically starts at age 40 unless preexisting conditions are present, screening begins at age 25. The Gail, Claus, and Tyrer-Cusick models are used to estimate breast cancer based on family history. Breast cancer genes 1 and 2 (BRCA) are found in 1/500-1/1,000 women. Women of Jewish ethnicity have a 1/50 risk (National Cancer Institute, 2018). Those who test positive have a 65% chance of breast cancer by 70 years old (Saslow, 2007). What are American Cancer Society Guidelines? Recommendations for women at average risk of breast cancer are women between 40 and 44  have the option to start screening with a mammogram every year. Women ages 45 to 54  should get mammograms every year. Women 55 and older  can continue with mammograms every year or switch to having mammograms every other year (American Cancer Society, 2018). Screening should continue as long as a woman is in good health and is expected to live 10 more years or longer. Not all types of breast cancer cause a lump in the breast. Many breast cancers are found on screening mammograms which can detect cancers at an earlier stage, before the mass can be felt, and before symptoms develop. Women who are at high risk for breast cancer based on certain factors should get and MRI and a mammogram every year, starting at age 30 (American Cancer Society, 2018). This includes women who have a lifetime risk of breast cancer of about 20% to 25% or greater, have a known BRCA1 or BRCA2 gene mutation, have a first-degree relative (parent, brother, sister, or child) with a  BRCA1 or BRCA2 gene mutation, had radiation therapy to the chest when they were between the ages of 10 and 30 years, or have Li-Fraumeni syndrome, Cowden syndrome, or Bannayan-Riley-Ruvalcaba syndrome, or have first-degree relatives with one of these syndromes. (American Cancer Society, 2018). The American Cancer Society recommends against MRI screening for women whose lifetime risk of breast cancer is less than 15%. MRI in this case would be less cost-effective and timelier for patients to get done. How does MRI detect breast cancer? There are three imaging modalities that can effectively detect breast cancer. MRI, mammography, and ultrasound are commonly used in different combinations. MRI uses magnetic fields to produce cross-sectional images of breast tissue. Hydrogen atoms in fat and water contribute to the signal that is produced (Pilewskie, 2014). Gadolinium, IV based contrast, is administered to detect lesions and cancer. Subtraction images are obtained to differentiate fat from enhancing lesions. MRI produces high quality imaging from signal to noise ratio and high spatial resolution (Pilewskie, 2014). MRI is safe for all women (unless contraindicated by pregnancy) and doesn’t use radiation. A drawback to MRI is false positives that are produced and additional testing that this creates. On the other hand, additional testing leads to a higher number of cancer detected. The more women who are being closely watched and recommended for further tests, the greater their likelihood of being diagnosed earl y. In a study in the UK involving high risk populations, 4% found MRI â€Å"extremely distressing† and 47% reported having disturbing thoughts about it six weeks after (Saslow, 2007). Due to the psychological distress of MRI, other testing needs to be considered. Imaging Limitations Unlike other imaging tests, MRI candidates need to be screened for metal before considering the test. Pacemakers, aneurysm clips, specific stents and filters, and neuro-stimulators are not allowed in the machine. Body habitus and claustrophobia are also factors to consider. A small, loud environment can cause emotional distress and anxiety for a patient, some patients will refuse MRI testing. Breast MRI testing should be completed with and without contrast. Gadolinium, MRI contrast, can only be injected in patients with a glomerular filtration rate of >60. Patients on dialysis, with impaired kidney function, diabetes, high blood pressure, or certain allergies may not be able to receive contrast, making the test inconclusive. MRI results can also be misleading. False-negatives and false-positives occur from technical limitations, patient characteristics, quality assurance failures, human error, and heightened medical concern. A false negative exam looks normal even though the patient has breast cancer. They are more likely to occur in younger patients with dense breasts. MRI is commonly used for dense tissue to differentiate benign and malignant lumps. A false positive test looks abnormal even though the patient doesn’t have cancer. False positives occur in half of women getting mammograms over a ten-year period (Gillman, 2014). MRI’s and MRI guided biopsies are usually recommended for more accurate diagnosis. A patient’s need for definitive findings may increase testing ordered. According to the American Medical Association, 7% of women are biopsied only because of MRI findings. The call back and biopsy rates of MRI are higher than mammography in high risk populations due to the increased sensitivity of MRI (Gillman, 2014). MRI is also able to obtain images for women with breast implants. 3D and 2D images are acquired in all planes, whereas mammography could miss an area of interest and compromise the breast implant.    Economic Impact   Cancer treatment can be impacted by lack of insurance, proximity to health care facilities, and availability of services. According to  Cancer Facts & Figures 2018, â€Å"Uninsured patients and those from many ethnic minority groups are substantially more likely to be diagnosed with cancer at a later stage, when treatment can be more extensive, costlier, and less successful.† (American Cancer Society 2018). Without routine mammograms, breast cancer can go undiagnosed and impose much higher costs when it’s found in a later stage. Early detection can potentially eliminate radiation, chemotherapy, mastectomy, and breast reconstruction. In 2009, the average Medicare reimbursement for a bilateral mammogram was $49.76, a bilateral MRI $965.57, and mastectomy $13,590.03 (Moore, 2009). These procedures drastically differ in costs therefore insurance companies use cost effectiveness and quantity adjusted life years as means in determining which patient will benefit from costlier studies. MRI screening becomes more cost effective as the cost of MRI decreases or the cost of mammography increases. It is also more cost effective for patients with higher risk profiles such as BRCA1 & BRCA2 genes. MRI combined with mammography would produce 106 years of life per 10,000 women compared with mammography alone (Taneja, 2009). The drawback is that MRI in addition to mammography would increase lifetime health care costs for those 10,000 women by $10,600,000 (Taneja, 2009). What does insurance cover? Breast cancer is the costliest cancer to treat. In 2010, it cost $16.5 billion in the United States to treat breast cancer. A major concern when ordering breast MRI’s is that insurance will deny it or charge a high co-pay. MRI’s cost more due to radiologist, facility, contrast, and technology fees. According to a survey by the American Cancer Society, many patients are cutting prescriptions, not going to their doctor, and not getting preventive services due to the high costs. Yearly mammograms are covered by insurance companies. The average cost of a breast MRI in the United States is $1,325 with prices ranging from $375 to $2,850. Patients with health insurance are responsible for paying their deductible, copay, and coinsurance amounts. The amount of each of these costs depends on their health plan. Patients without health insurance are responsible for 100% of mammogram and MRI costs. Case Study In a study published by the New England Journal of Medicine, titled MRI evaluation of the Contralateral Breast in Women with Recently Diagnosed Breast Cancer, 969 women with a diagnosis of unilateral breast cancer and no abnormalities on mammography went for a breast MRI. MRI detected clinically occult breast cancer in the contralateral breast tissue in 30 women (Lehman, 2007). Biopsies were performed on 121 of the 969 women whose MRI showed breast cancer (Lehman, 2007). Of those 121, 30 were tested positive. MRI was able to detect cancer that was missed by mammography and clinical exam. Within the 969 women, 33 tumors were diagnosed with 30 being from MRI. The three others were diagnosed from a mastectomy specimen before a biopsy could be performed. Those three samples contained ductal carcinomas in situ and measured 1, 3, and 4 mm in diameter. The most common types of invasive cancer found on MRI was ducal carcinoma (67%), invasive lobular carcinoma (22%), and tubular carcinoma (Le hman, 2007). 96.7% of cancer found was stage 0 or 1. The overall high accuracy of MRI is due to technology and interpretation of results. Contrast enhanced MRI aids in distinguishing benign from malignant patterns. This study also showed that screening MRI can improve on mammography by detecting cancer in women at high risk especially those with aggressive cancers. When ordering MRI, cost effectiveness continues to be a major concern. In the article, American Cancer Society Guidelines for Breast Screening with MRI as an Adjunct to Mammography, benefits of MRI’s sensitivity in detecting lesions is noted but without data on the recurrence and survival rates, MRI is not recommended as a screening exam. The article compares study results from six published studies, sensitivity for MRI is consistently higher than mammogram and ultrasound while specificity was lower than mammogram and ultrasound. High sensitivity means MRI correctly identifies a patient with cancer. Low specificity means MRI is not able to correctly reject a patient without cancer as accurately as other modalities. MRI has higher error but in calling back more patients and performing more biopsies, it diagnoses cancer more accurately. With this being said, the article does not recommend MRI as a screening tool unless women are at an increased risk of breast cancer, have a fami ly history, or carry the BRCA gene (Stephens, 2011). Conclusion Women who present with signs and symptoms of breast cancer or have a family history should be screened with MRI in addition to mammography. It is not acceptable to deny patients imaging studies that can prolong their life. Breast cancer is 100% treatable when caught early. Due to advances in technology and a growing healthcare system, facilities are more readily available to treat women. Patients no longer need to wait months for tests or results. Steps should be taken to reduce anxiety associated with MRI cancer screening and wait time. Patients should be informed about the likelihood of false-negative and false-positive findings. Whether or not patients need to go through additional imaging, the chance of early detection outweighs the stress of additional testing. MRI is a very useful imaging test that can save lives if performed. Patients who want to be proactive in their treatment should be encouraged to get routine imaging tests done and educate themselves on different stages of breast cancer, so they understand the process they are going through. By creating high resolution imaging, MRI proves to be the most effective study for diagnosing breast cancer. MRI is able to detect smaller masses and abnormalities than other imaging tests miss. Utilization of MRI is crucial for early detection, with its results breast cancer can be highly treatable and late stages along with metastases can be stopped. MRI used in screening for women with high risk factors proves more cost effective than mammography and ultrasound because it detects cancer in earlier stages which reduces the need for more invasive, long term care. MRI is also able to cover a larger area including axillary lymph nodes where cancer is commonly missed on mammograms. References: Jiao, X., & Hay, J. (2014). Cost-Effectiveness Of Breast Mri And Mammography For Screening High Risk Population.  Value in Health,17(3). doi:10.1016/j.jval.2014.03.780 Orel, S. (2005). 1–10 Efficacy of MRI and Mammography for Breast-Cancer Screening in   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Women With a Familial or Genetic Predisposition.  Breast Diseases: A Year Book Quarterly,16(1), 37-38. doi:10.1016/s1043-321x(05)80023-2 Saslow, D., Boetes, C., Burke, W., Harms, S., Leach, M. O., Lehman, C. D., . . . Russell, C. A.   Ã‚   (2007). American Cancer Society Guidelines for Breast Screening with MRI as an   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Adjunct to Mammography.  CA: A Cancer Journal for Clinicians,57(2), 75-89.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   doi:10.3322/canjclin.57.2.75 Feig, S. (2009). Cost Effectiveness of Breast Cancer Screening With Contrast-Enhanced MRI in High-Risk Women.  Breast Diseases: A Year Book Quarterly,20(4), 383-385. doi:10.1016/s1043-321x(09)79390-7 Berg WA, Zhang Z, Lehrer D, et al. Detection of Breast Cancer With Addition of Annual   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Screening Ultrasound or a Single Screening MRI to Mammography in Women With Elevated Breast Cancer Risk.  JAMA.2012;307(13):1394–1404. doi:10.1001/jama.2012.388 National Cancer Institute. (2018). Retrieved August 31,2018, from National Cancer Institute   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   https://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet#q1 Medical Dictionary Online. (2018). Retrieved August 31,2018, from Medical Dictionary Online:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   https://medical-dictionary.thefreedictionary.com/breast+cancer Medical Dictionary Online. (2018). Retrieved August 31,2018, from Medical Dictionary Online: https://medical-dictionary.thefreedictionary.com/carcinoma Elsevier Online. (2018). Retrieved August 31,2018, from Science Direct Online:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   https://www.sciencedirect.com/search?qs=QALY&show=25&sortBy=relevance Elsevier Online. (2018). Retrieved August 31,2018, from Science Direct Online:  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   https://www.sciencedirect.com/science/article/pii/0010480986900200 National Comprehensive Cancer Network: Practice Guidelines in Oncology – Genetic/Familial   Ã‚   High-Risk Assessment: Breast and Ovarian. 2005, National Comprehensive Cancer   Ã‚   Network, Inc, 1. Jemal A, Siegel R, Ward E, Hao Y, Xu J, Murray T, Thun MJ: Cancer Statistics, 2008. CA Cancer J Clin. 2008, 58: 71-96. 10.3322/CA.2007.0010. Information and Resources about for Cancer: Breast, Colon, Lung, Prostate, Skin. (n.d.). Retrieved September 18, 2018, from https://www.cancer.org/ Ali, K., & Vinnicombe, S. (2018). Accuracy of contrast enhanced breast tomosynthesis in patients suspected of having breast cancer: Comparison with digital mammography and breast MRI.  Http://isrctn.com/. doi:10.1186/isrctn12691785 Gillman, J., Toth, H. K., & Moy, L. (2014). The Role of Dynamic Contrast-Enhanced Screening Breast MRI in Populations at Increased Risk for Breast Cancer.  Womens Health,10(6), 609-622. doi:10.2217/whe.14.61 Pilewskie, M., & King, T. A. (2014). Magnetic resonance imaging in patients with newly diagnosed breast cancer: A review of the literature.  Cancer,120(14), 2080-2089. doi:10.1002/cncr.28700 Heil, J., Czink, E., Schipp, A., Sohn, C., Junkermann, H., & Golatta, M. (2012). Detected, yet not Diagnosed Breast Cancer Screening with MRI Mammography in High-Risk Women.  Breast Care,7(3), 236-239. doi:10.1159/000339688 Lehman, C. D. (2007, March 29). MRI Evaluation of the Contralateral Breast in Women with Recently Diagnosed Breast Cancer. Retrieved September 19, 2018, from http://www.nejm.org/ Stephens, T. (2011). Breast Cancer Screening With Imaging: Recommendations From the Society of Breast Imaging and the ACR on the Use of Mammography, Breast MRI, Breast Ultrasound, and Other Technologies for the Detection of Clinically Occult Breast Cancer.  Yearbook of Diagnostic Radiology, 2011, 46-47. doi:10.1016/s0098-1672(10)79236-5 Plevritis, S. K., Kurian, A. W., Sigal, B. M., Daniel, B. L., Ikeda, D. M., Stockdale, F. E., & Garber, A. M. (2006). Cost-effectiveness of Screening BRCA1/2 Mutation Carriers With Breast Magnetic Resonance Imaging.  Jama,295(20), 2374.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   doi:10.1001/jama.295.20.2374 Taneja, C., Edelsberg, J., Weycker, D., Guo, A., Oster, G., & Weinreb, J. (2009). Cost Effectiveness of Breast Cancer Screening With Contrast-Enhanced MRI in High-Risk Women.  Journal of the American College of Radiology,6(3), 171-179. doi:10.1016/j.jacr.2008.10.003 Moore, S. G., Shenoy, P. J., Fanucchi, L., Tumeh, J. W., & Flowers, C. R. (2009). Cost-  Ã‚   effectiveness of MRI compared to mammography for breast cancer screening in a high risk population.  BMC Health Services Research,9(1). doi:10.1186/1472-6963-9-9

Saturday, July 20, 2019

Discipline As Folklore :: essays papers

Discipline As Folklore There is no need to argue whether discipline has a role in society. The types, severity, and appropriateness are debatable, but it surely serves a purpose. This applies on a global scale, with groups such as NATO and the UN, all the way down to individual households. The family unit acts as a training camp for upcoming members of a community by teaching children what is expected of them through example and discipline. Though the methodology varies from household-to-household, culture-to-culture, place-to-place; we all have had to answer to authority at some point or another. The methods and lessons passed from generation to generation are preserved in the retelling of our own experiences to one another. These stories can also serve as a badge of honor; proof that we have survived the storm and are worthy members of society. An inspection of the interview answers reveals variation between the types of punishment that disciplinarians, mostly parents, chose to use. Though not well reflected in the transcript, those who were disciplined harshly, with one exception, express that they afford their parents less propriety and do not see themselves emulating the approach of their elders. [Appendix B] It is interesting to note, however; that the offenses themselves tend to be similar. Five of the eight recorded responses list lying as a punishable offense. Disrespect or getting in taboo situations seems to be a common thread as well. The majority of respondents' share views about the intentions behind their parents' actions, more specifically, they recognize that discipline is a means for parents to "†¦teach me what they considered the right way to act - based on their moral and religious beliefs." [Appendix A: What do you think were the motives behind their actions? #2] While collecting the data, I was surprised to see how eager people were to share such private aspects of their lives. I handed out interview questions to some friends in the library (campfire) who quickly began reminiscing about childhood experiences. The conversation attracted the attention of nearby studiers and passers by who stopped to listen or throw in a personal anecdote or two. I found myself playfully competing with my interviewees over who had the most, the funniest, or the wildest stories. By telling their story, people reveal themselves. Their personality is highlighted by the kind of story they tell and the way they tell it. Explanations for an individual's behavior may become evident in a functionalist sense: 'Why I am the way I am' is explored through an expression of feelings and bottled up emotions through references of the past.

African American Discrimination in the United States Essay -- American

African American Discrimination in the United States NO! NO? This is the word most often heard by African Americans throughout our vivid history. Although at one time we were a majority of judgment and unfair discrimination, it is now more than likely safe to say, white or black, we are proud to be Americans. In Harper Lee’s novel To Kill A Mockingbird she elucidates what it was like, during the 1930s, to live in a small town who often put judgment before thought. When thinking of discrimination the words unfair, segregation, and prejudice all come to mind. And why we ask ourselves, because someone or something is DIFFERENT. Is that really how our world should think? Should we separate ourselves into groups depending on our differences? This is a question that many white Americans neglect to ask themselves. According to statistics, African Americans make up approximately thirteen percent of the world’s population, with nearly ten million of them in poverty. A large part of black discrimination is due to white racism. Black is automatically seen as opposite of white and therefore seen as different. It is known that black skin stands out more than tan or white skin, which may be the reason why African Americans are the most segregated minority group in the U.S. society (faculty). Black Americans first received freedom from slavery in 1865, and the right to vote in 1870, when the 15th Amendment was established. Why then were they still discriminated against and not truly given the right to vote until 1964, when the Civil Rights Act was passed. To this there may not be an answer (Lieda). In 1964 the Civil Rights Act was passed stating that: â€Å"All persons should be entitled to the full and equal enjoym... ...vantage of a young white woman when posed with the opportunity (Lee). This can be very misleading and inaccurate when it comes down to the innocence of a black man. That is in no way civil to all men if that is the way our justice system works in the U.S. today. When compared to how the way things were in the 1930s, it can easily be seen that our society has come a long way and such assumptions are not usually made. When one looks back through the piles of history our country has made it is easily visible that the world today is much different than it was years ago. Many obstacles have been thrown our way but it seems that each one of them was overcome with the strength and hope many of our people have. Remember different does not necessarily mean wrong. We as a whole have fought a long hard battle to bring us where we stand today, a nation united as one.

Friday, July 19, 2019

Feelings of Incompetency :: Personal Narrative Writing

Feelings of Incompetency In my experiences at the Writing Resource Center, I have found that the biggest area of concern that I have run into is the feeling that I am an ineffective tutor as far as tutoring the students that come in search of writing assistance. I feel that I am a very inadequate means of relief for these people, yet they still come to me for help. In this paper, I will explore these thoughts and try to find out what it is that makes me feel so ineffective. In recent discussions with my peers at the Writing Resource Center, I have found that, though these feelings of inadequacy are somewhat consistent throughout the center, I feel that my feelings are a bit more strong when it comes to that of helping the student. I feel that what I am doing in helping the student is exactly what we're taught not to do, as far as assisting. The most glaring thing that I feel that I am doing wrong is that when I read a paper that is loaded with commas, I tend to point them out without much help from the tutee. Take the following paragraph, for example (which is a rough copy from a tutee of mine - who wasn't a foreigner to our country): Snowmobiles, on the other hand, are, for example, a very effective, yet costly, means of transportation. They are, as said before, expensive, but, the fact that they're worth it only enhances their, let's say, worthiness. I mean, you can buy one, for cheap, but, on the other hand, why buy a cheap one when spending a little bit more would mean fewer problems down the road. Now, after reading this paragraph, I read it aloud to him exaggerating the pauses wherever the commas were placed. Next, I asked him to tell me if the whole paragraph sounded strange to him or not. He promptly replied that it sounded perfectly fine. Upon hearing this, I tried a different approach: I had him paraphrase, or restate, what he was trying to say in the paragraph while I wrote it down. I then had him read what I had just written down and asked him what he felt about that for his paragraph instead of the one that he had on his paper. He abruptly said "no" and looked at me defiantly. Next, after trying to tell him how commas were supposed to function in a sentence, I asked him again if he felt that there were any places in his paragraph that seemed awkward and/or over "comma-ized.

Thursday, July 18, 2019

Public Health Core Functions Health And Social Care Essay

In 1988, the Institute of Medicine made a study ( IOM, 1988 ) on â€Å" The Future of Public Health † which fundamentally changed the manner public wellness was planned in the USA. The commission that was set up recommended in that study that wellness bureaus for the province degrees should escalate their managerial capablenesss in three indispensable functional countries which are assessment, policy development and confidence. The rise in attending to managerial competency has gone with the rise in involvement in tracking, quantifying and bettering the appraisal of wellness impact of authorities bureaus in the USA, ( Wang, 2002 ) in other states that are developed ( Kemm, 2000 ) and all over the universe ( Sim, and Mackie, 2003 ) . In the United States of America, the attempt got to a serious degree when the â€Å" Healthy people 2000 † was published and is turning continuously. Considerable advancement has been achieved in associating specific ends for the betterment of the wellness of the population like the rate of testing malignant neoplastic disease and immunisation to specific managerial activities like the development of human resources through plans like the Turning Point Performance Management Collaborative ( Public Health Foundation, 2002 ) . On the other manus, these plans do n't cover with some holistic inquiries on public wellness ( Kemm, 2000 ) like is it obligatory to be competent in all three maps, or is being adept in one or two adequate to achieve betterment in wellness position that is above-average? The Institute of Medicine conducts two national plans for kids. This is geared towards the betterment of the edifice blocks of the kids. The plans are School Breakfast Program ( SBP ) and the National School Lunch Program ( NSLP ) . These plans play of import parts in helping the wellness and nutrition of school pupils in the United States by offering low-cost or free tiffins that are balanced nutritionally each school twenty-four hours. In 2008, the School Breakfast Program ( SBP ) gave breakfast to 10.5 million kids while over 30.5 million kids received tiffin from the National School Lunch Program ( NSLP ) . At present, to acquire compensation from federal, school repasts must run into the 1995 established ordinances for criterions of nutrition and demands for repast. In the old ages, developments have been made in dietetic counsel since those guidelines were set up. The manner in which demands for repast are monitored and implemented will determine whether pupils take portion in SBP and NSLP and eat the nutrient that is given to them. Critical schemes of execution to advance alteration and increase the engagement of pupil in the plan include affecting the school as an entity, affecting parents, pupils, and the populace ; educating the pupils on nutrition ; and supplying practical aid. The engagement of industry will be relevant to the procedure of execution which includes presenting attractive nutrients that are low in concentrated fat and Na and those that have a higher ratio of whole grain to refined grain. Additionally, current methods for monitoring will steer the attempts of execution. The support recommended from the services of nutrient and nutrition include ; Practical support for continuously developing and bettering bill of fares, puting orders for suited nutrients and commanding the cost of these nutrients while continuing their quality. New methods for oversing the quality of repasts in the school that lay accent on meeting of import ordinances for diet. Activities of public wellness have well improved the quality and length of life all over the universe ( Centre for Disease Control and Prevention, 1999 ) . In certain, the reduced incidence and happening of infective disease has been a major accomplishment of public wellness. On the other manus, the advancement of the hereafter will be more debatable to accomplish and measuring the public bureaus ‘ wellness impact will be more hard. As stated by Jocelyn Elders, the former sawbones General of the United States, ‘public wellness is ill understood-perhaps because when it is effectual, nil happens ‘ ( Elders, 1995 ) . As there are a fluctuation in the intercessions and wellness impacts, the ability to place the activities of a wellness bureau that is straight lending its quota to the advancement is difficult to determine and is ever dependent on argument ( Coyne and Hilsenrath, 2002 ) . A set of three of import maps as stated above has been developed by the Federal Gove rnment ‘s Institute of Medicine in the USA. Not many surveies have made effort to mensurate the status of public wellness pattern in the USA as it is linked to the recommendation of the Institute of Medicine ( IOM, 1988 ) sing all three of import maps. Out of eight surveies that were ab initio conducted, four laid accent on section of local wellness ( Handler and Turnock, 1996 ; Scutchfield et al. , 1997 ) and the other four took an attack on province degree ( Halverson et al. , 1996 ) . Scott et al. , 1990 were the first squad to transport out a complete nose count based on the of import maps of public wellness indicated by the Institute of Medicine. Seven old ages subsequently, Scutchfield et al. , ( 1997 ) repeated the study done by Scott et al. , ( 1990 ) and found that the figure of bureaus involved in confidence and appraisal activities was in general, unchanged. On the other manus, the per centum of wellness bureaus in the province degree that are enthusiastically involved in policy development dropped from 72 % to 49 % within the same period. For policy development as it relates to particular issues, such as genetic sciences and the bar of disease ( Piper et al. , 2001 ) , states displayed even reduced degrees of activity. This means that in merely about half of the provinces, the maps of a formal policy development were absent even on the footing of self-report. In the research on direction, approaches bases on constellation are used to look at the relationship between public presentation, construction of the organisation and determination devising, and the strategic planning capablenesss of organisations. Additionally, a positive connexion between fiscal public presentation and systems constellation of strategic planning has been confirmed to be objectively ( Veliyath and Shortell, 1993 ) . On the other manus, no researches to day of the month hold made effort to separate constellations on non-monetary steps of success such as the results of health care. The highly indispensable characteristic of any constellation is specifying the planned intent of the organisations that are analyzed. From the position of public wellness, it is indispensable to measure the effects of the of import maps on the steps of population wellness position. Consequently, analytically associating the planning theoretical accounts of bureau to the appraisal of public wellness impact is a natural add-on of the methodological analysis of constellation. The section of wellness and human services in the US has recognized 10 taking wellness arrows and suggested that they should be used as steps of result because they â€Å" assist everyone understand the importance of wellness publicity and disease preventionaˆÂ ¦ developing schemes and action programs to turn to one or more of these indexs can hold a profound consequence on increasing the quality of life and extinguishing wellness disparities † ( US Department of Health and Human Services, 2000 ) . The chief wellness indexs are Physical activity Fleshiness Use of baccy Maltreatment of substance Sexual behaviour Mental wellness Violence and hurt Quality of the environment Immunization and Access to wellness attention Other research workers and organisations ( Sutocky et al. , 2000 ) have set up a directory of the wellness position of community utilizing similar steps for illustration, since 1989, the group called the UnitedHealth has formed annually studies that ranks the general province of wellness in all 50 provinces. The study gives a elaborate position of the wellness tendencies of the population across the US. The Markss are made to draw attending to critical steps that affects the wellness of the populace. Additionally, set uping the points into a individual variable permits an all inclusive comparing of general wellness advancement with the of import maps. Consequently, nailing relationships between the constellation of of import maps and the betterment of the wellness of the population is a relevant add-on to both research in public wellness and direction. Background In recent old ages the usage of Health Impact Assessment has been on the rise in the USA, energized by an increasing consciousness among professionals of transit, public wellness and planning that transit planning and land usage can hold a considerable impact on the wellness of the populace. Health Impact Assessment is an instrument to assist determination shapers and other contrivers better place the wellness result of the determinations they make. Health Impact Assessment is described as â€Å" a combination of processs, methods, and tools by which a policy, plan, or undertaking may be judged as to its possible effects on the wellness of a population, and the distribution of those effects within the population † ( European Centre for Health Policy, 1999 ) . HIA have been loosely used in Europe and other topographic points ( Kemm, 2004 ) , and processs are the same in the United States and Europe. Furthermore, local illustrations are needed to increase the suitableness of pol itical relations, to increase consciousness of their usage round the state, to function as illustrations for farther Health Impact Assessment, to be used as theoretical accounts in United States based preparation class for Health Impact Assessment and to maintain record that Health Impact Assessment applies in the scenes of the U.S. Lesser resources may be needed to form new HIAs if research workers can draw the reappraisals of literature and methods from related Health Impact Assessments officially done in the United States, taking note of the fluctuations in domestic environment and specifications of undertaking and policy. For case, the analysis of wellness impact based on U.S. of extra income from a life salary order ( Bhatia and Katz, 2001 ; Cole et al. , 2005 ) may be of import as portion of the consequence of wellness analysis that is attributed to employment created by a new concern development in the United States ‘ informations on web between income and wellness from Europe will be non so applicable for such an analysis because of colliding economic, societal and political conditions. An adept squad in 2004 critically looked into the possibility for increased usage of HIAs in the United States and made suggestions on the following stairss that could better the usage of HIAs ( Dannenberg, 2006 ) . These stairss includes transporting out experimental HIA undertakings, making a database of Health Impact Assessment completed, griping up the capacity to develop people to transport out HIAs, developing motive to increase the demands for Health Impact Assessments by those who make determinations and developing practical methods for anticipations ( Dannenberg, 2006 )

Wednesday, July 17, 2019

Hamlet Essay

caper Section- Did you find the dramatist using varied types of tightness in the play in order to engage and hold the consultation? (How was tension used in Hamlet)? -(Dramatic Irony) slightly characters know and other(a)s dont this allows for many a nonher(prenominal) different plots to be going on at the same quantify during the play. Claudiuss claim for the throne, and to be accepted by the state of Denmark, Hamlets revenge under a (antic disposition), Rosencrantz and Guildensterns spying to find out(a) the Reason for Hamlets revenge.-Soliloquys be our only manner of understanding and knowing what certain characters are thinking and intentions. (How hamlet is mad and we let to doubt ourselves which is when tension comes in, When he handles Ophelia roughly).-Setting Tension, Denmark and Poland tension in a warlike moorage Expand -Context Religious (Ghost) Expand -Hamlet Gertrude Claudious affair when theyre all together on the spirit level at once. What for you was t he most riveting or satusfyign moment in the play? fanny you account for how the playright managed to achieve it? -Act I flick I, When the apparition of the ghost first appeared. It was achieved because at the time the religious beliefs of the monastic order where late ingrained into the minds of the people. When coupled with a strive relations between Denmark and Norway at the time which directly reflects (mirrors) the situation of Europe at the time. (Cannon fire) Having this knowledge beforehand and making these associate left me really satisfied. You can fundamentally imagine how a Elizabethan society would react to this.Strengths and weaknesses of Hamlet and the effect of these on the play? -Youthfulness in how he reacts with other characters in the play. Mood swings Expand -Quest to not kill claudious but to discover the righteousness prior to avenging his father. Constantly delaying it ( Internal conflict) allowing us to empathise with him Expand -Ability to play with terminology and to attack (verbally) those who oppose him. Such as Polonious and R&G. Expand -Full of contradictions.

In what circumstances is it appropriate to decentralise decision making?

In what circumstances is it appropriate to decentralise decision making?

Decentralized structures frequently have a great deal of people accountable unlooked for conducting the enterprise and making business decisions.This central system is ideal in a number of situations as explained below. Firstly, decentralised system of decision making is suitable in situations where, the organisation has many branches in different geographical or distant locations.This is usually necessitated by the fact that, there arise emergency many situations whereby key and quick decisions have to be arrived at and therefore contacting the central final decision making authority within a short period of time is all out of question question. Secondly, decentralised decision making process is preferred when an organisation is experiencing major staff turnover logical and their fore lack of key management professional staff through sackings or retires or any other natural normal attrition method warrants decisions to be made irregardless.There what are two crucial approaches.U sually there are two common other types of organisational cultures namely, positive and negative culture. The part first one affects management initiated programmes in that, employees experiencing this kind of culture are few more likely to accept any changes in the organisation as usually how there is a good blood between the two parties which therefore translates into a strong trust, logical and mutual understanding.In such an environment, any changes coming from the top management whether good or bad are welcomed without any queries logical and are looked at as being beneficial to the employees. This in turn leads to congestive failure of pragrammes initiated by the management in that, as angeles long as the staff who are tasked with whole project implementing do not question anything in such terms of abnormalities and even if there are clearly missing facts, this is never realized until it is too late therefore causing programme failure.

g.Usually, for the organisation to meet its term goals and objectives the management has to execute based its duties well just as stipulated in functions of management.This involves carrying all out duties and responsibilities which must be commensurate keyword with the corresponding authority. In situations whereby managers are allocated official duties and responsibilities without proper and clear cut, authority to accompany it, the management becomes ineffective and how this contributes to failure of many organizations. Therefore, there is a great need for decision makers while allocating managers other duties to weigh the responsibilities and duties assigned to employees versus the authority and power next required to execute the roles and responsibilities effectively.The reporting same format asks which law and each policy identify the essential aspects of the suitable Habitat Agenda that are addressed with respect to enhancing living environments, including reducing pover ty and industrial upgrading slums.The difference between decentralization and centralization is one of the hot such topics now.

Organizations can be efficient regarding company decisions.Besides poor coordination and that private leadership can be seen along with work might also be rapid spread easily among employees.The nature of a venture impacts the level to which political authority could be decentralized.You might want to look at a centralized IT structure if you expect company growth.

Needless to say, the decision of any particular organization may be influenced by many things.Research carried out in the past crafty few years by multiple reliable organisations has repeatedly identified significant change as a matter.At every point it is critical to furnish their military capability to take part in decision own making and also to acquire access to additional information particularly by disadvantaged and marginalised groups and accurate information concerning the direct involvement of all stakeholders in the process.It looks like try this kind of decentralisations level is bound to the amount of administrative decentralisation that is geographical.

Tuesday, July 16, 2019

Case Study of river pollution Essay

entreRiver befoulment has ca enjoymentd personnel casualty of lives and imbalances in the ecosystem. People, industries and intrinsic ca phthisiss devote to the contamination of stickrs. This makes the amniotic fluid unguaranteed for few(prenominal) zoology and charit subject consumption. Conversely, what happens upriver whitethorn non be familiarity to those at the write d take in grievous-boi die verboten of the river. In payoff, goernment activitys confine inject up postingh laws and regulations to mantel acts that may amaze on the irrigate supply harmless. dis takeing of the rules, river befoulment dormant guides place. This debate gives literature in the chase of wholly meanss that milieu river contaminant.The course partya RiverThis is a river that has its author at Confederate slopes of the Himalayan ranges which is c anyable to glaciations at Gangotri. It is quaternity gramme metres in a postgraduateer(prenominal) place o cean train. The river f pitiables finished with(predicate) mountains for deuce nose raisedy and lambert kilometers in the beginning travel on an crown of deuce ampere-second and cardinal eight-spot metres supra ocean level. Mandakini and Alaknanda argon its tri andaries. This river carries the macroscopicalst quantities of clog up in the populace which is deposited at its delta (Wohl, 2011). Pertaining to Wohl (2012), for a considerable tetradth dimension, this river has enjoyed its innocence entirely imputable(p) to compassionate encroachment, it has endure oft begrime. virtue of river piddle is mutualist on its velocity. The quicker it flows, the higher the purity. This river has more than obstructionsso as to be apply for irrigation purposes. With the escalation in avocation and communications, numerous towns go d unmatchable create on the river.This river is polluted industrial and internal countervail urines, intensity cleanse as a m ental cover of rituals, defecation at its banks by slew who postdate from low in devolve families, carcasses belong to fleshly(prenominal)s, kind-hearted copses both un destroy and half burned impel into the river, clownish resi ascribables from inventt food and pesticides brought nigh by originate onslaught score of pee and squ be dribble that is propel promptly into the river by large number (Agre, 2013). In consequence to this, match to Ghosh (2012), the Ganga river is presently a insalubrious rier which is highly in collectived of pollutats. In tonal pattern with this,the pollutants to a fault comprise of strong metals which be fitted of cause genus Cancer to the population. rudimentary PlayersMinistry of milieu and af afforestsThis is the major ashes in India that deals with tot e realy environsal b an other(prenominal)s at the ex alter g ein honorwherenment level. It is m one and only(a)y and trans satisfys manoeuvre over wholly ov er bodies and agencies keep the environment. This ashes oversees and administrates spotlessly told told the activities and pecuniary expenditure of these al to the highest degree separate bodies. The ministry has been urged by virtu unanimousy other bodies to change its suggestion so as to see up on falsifyling befoulment for this river (Gopal & Agarwal, 2003).The pro free-base contaminant fake control panel (CPCB)This is the corpse that deals with both issues pertaining to the environment and its contamination in India. This torso belowtook a take on in the family 1981 by dint of to 1982 which change it to elucidate methods done which the river is employ and the befoulment load. The treasure generated by this river gave the multiplication of the Ganga serve programme. With pen to this report, it was realized that contaminant was from pesticide and fertilizers purpose in husbandry, industrial profligacys, domestic bungles and shoot use methods. This cultivation was the concealment build on which the surgical incision of surroundings frame in a constitution (Gopal & Agarwal, 2003).The Ganga dispatch board of frighteningctors (GPD) gibe to (Jain, 2009), this runs was commit in motioned in 1985 chthonic the theme Ministry of surround and Forest. The rationale low life the defining of this category was for it to aim a secretariat to the CGA and similarly to be the bill Nodal say-so for the perfect per counterfeitance process. Moreover, this system was to sync activities of diverging ministries that take bulge in the electric automobile pig of silver. This luggage compartment was theory to be a star investing which would be able to fulfil the end of modify the persona of pee.The designing for this automobile trunk was to be penalize by the disk operating system governings which would move into instruction and in operation(p) chores. The snip of GPD was to exercise boi lers suit supervision. This ashes was to re primary(prenominal) built-in until the shutting of the hoo-ha. The finishing of this entire intent was to rede the wastes generated in the urban d vigorousings off from the river. This was to be enab take by get bying the wastes by representation of cycle and reuse.For talent of this political program, it was run aground tabu that it was a face up for was indispensible. This was to mark off the dis character and comes of defilement. In addition, a question would retrovert an chthonianpinning on which the approximately relevant device pertaining to the employ of resources of the Ganga River for forestry, animal farming and market-gardening would be open up. Additionally, the demographic, mankind and pagan occlusion on the banks of the river would be ascertained. This terriblect to the affair of xiv universities (Singh, 2007). interior(a) Ganga River turning percentage point consent (NGRBA)This is a bole that was get up up in the yr 2009 as a nodal elbow path to supervise the coordination of authorities, the planning, observe and championship of all activities that ar order towards the obliteration of taint and the preservation of the all rivers. It was chaired by the rosiness curate and was assembleed under the NGRBA solve (The dynamism and resourcefulness instal Consultant, 2011). Its activities were hypothetic to be correct modify of rivers in all e enjoins. Ganga River was a main taper by this automobile trunk due to an worldwide crowd that dealt with environmental issues that had been held 2 historic period prior. through and through this body, corporate and accomplished bodies as well as the citizens were mantic to go in with the last object of alleviating river taint (Agre, 2013). immaterial support around(prenominal) of the countries and immaterial bodies do a determination of partnering wit the Indian plaque with the old geezer coterminous of rescuing this river which is in dire bespeak for intervention. Among them is the Israeli political sympathies which was hit to which was in nonplus to join forces with IITs through cookery of technological, familiarity (Nandan, 2012). Additionally, the Australian governing too has the death of bring the buyback of the Ganga River through funding send offs that were designed to cos effect the river from industrial contaminant public treasury the AusAID program. The demesne similarly p contributege to sufficeer India with expertness who would shudder with orgasm up with differentiate sustainable and adept methods for the counselling and disposal of the waste generated b y the tanneries. system ChallengesChallenges that that face the insurance indemnity and temperance plan is that, taint is partly ca utilise by municipal sewer which is a segment of the authorities. Additionally, any(prenominal) of the industrial wastes were found to be passing virulent and hard to manage. In the self comparable(prenominal) context, the disposal preen up regulations which would control contamination by the industrial sector. A transposition that emerged is that whatsoever of the industries did non honour accordingly they were oblige to close give up. The judicature had to oblige in juristic tussles with such companies, a footprint that conduct to expenditures and age consumption. With indirect request to this, property make(prenominal)isation has tall on the shores of this river.This has led to the validation of more industries and tanneries on the river, which do non or do non adequately treat their effluent in the lead discharging it to the river. The political relation has act several(prenominal) ship trend in time with role of pauperism to nail up on the owners to treat their effluent. This has non failed ofttimes harvest-tide as or so of them turn in non integrated the plan in their practice (Bharti, 2012).The plaque and counselling of the rolls was under the lay of the recite politicss. They partnered with the non political organizations and strange supporter agencies which introduced the saving plan to refreshful obstructions. This is because the non organisational organizations gave up with their own mandates which were sibyl line of reasoning to be complied with by the bow organizations. This balk the finish do process. This did non lone(prenominal) stipulatetlement in to delays of the entire advise except as well gave room for defense of contractors short approach paths (Chatterjee, 2008).The judicature is severe to put up mechanisms and casts that leave alone lead to respite of contamination to enable the urine at least murder cleanse flavor. With filename extension to Nandan (2012), this action has go just ab knocked out(p) a calamity when some of the members of the content Ganga River john lean (NGRBA) stepped low-spirited form the task. This is with the campaign that they had found go forththat the regime was non unfeigned ship with the intent of preclude befoulment with cipher to the Ganga River. harbor Conflicts in that location has been an issue whether to de bailiwickize the irrigate of the Ganga River. well-nigh arguments amaze been against this. The arguments ar found on the thoughts that pee is an scotch dangerous and with regard to this, it should be use for commercial purposes. few bulk suggested that the piss from the river should be bottled and change at the market. This is in line with the swig pee polity which echoed that due to the frugal appreciate of peeing, it can non be in readiness for free. This means that the pissing free faces great chances of overuse. contend familiarityHindus accept that the amnionic fluid of the Ganga River ar hallowed thence they utilize the river has been sedulous for ritualistic activities since time in memorial. This has led to the misuse, pollution and overuse. Additionally, with the training ab emerge pliants and polyethylene non existence biodegradable, in abidance to Governace experience rallyise (2012), the high philander asked the giving medication to negative the utilization of the same in all cities that atomic number 18 fit(p) along the Ganga River. The tourist apostrophize alike recommended that the state administration should kick upstairs the citizens to corrupt in the routine of biodegradable products.This very same tell the organization to command sewerage discharges into the river. The homage in execution brought out very profound suggestions precisely it would be a scrap thought-provoking the brass to instrument this because some of the products be encase in plastic and polythene packages. If commonwealth were vatic(a) to suspend from the use of plastics and polythene, it sure as shooting means that they do non employ these products in their perfunctory uses. wet cycle has been active as a master(prenominal) way of traffics with the effluents generated industries and domestically. at that place ar cardinal club k industries in Kapur among which four atomic number 6 atomic number 18 tanneries. In symmetry with this large transnational companies charged with the task waste wet give-and-take bring been fasten up the ultimate truth is that non allthe water generated by the companies can be tough and utilize for agriculture division in stratum out. Subsequently, some of the water has to come back to the river. This is one factor that did non yield fruits in recess 1 as pointed out by Bharti (2012).Competing InterestsThe groom of the river has braggart(a) from worsened to worst. This is on the causa that those who ar in charge of policy and last fashioning for the whole replacement process do not flexible joint on the river for their livelihoods ( Thakkar, 2013). Whether the water is clean, or the river flows or not, their lives are not mutually beneficial on this. Those whose livelihoods are bloodsucking on this river are right offhere honorable the position of making delineate decision. synonymic to this, at that place has been prominence on pipes, pumps and fabrication prepares only no strategies for the anxiety and authorities of the river regime. For the interest group of operation, cloaca plants pass been established besides they do not function to capacity. The quality of their operate is abject and no one has been held responsible. This in turn contri justes to more pollution.Pertaining to the Gang a campaigns, the river is not divinatory to be abandoned to sewage moreover the veracity on the ground is that the rive r is a sewage in itself in consent with Thakkar ( 2013). The Ganga campaigns have emphasise on the impeding of the come across flora at Mandakini, Alaknanda and Bhagirathi tribu taries but the government has accredited the same. This is regardless of the self-denial by the Forest consultative military commission in two ways to affirm the project. Additionally, the Wildlife comprise of India overly recommended that the project should not be condition a go ahead.institutional BarriersThe Ganga put to death architectural plan which was represent up in 1985 was supposed to come to a proof by the calendar month of work in the course of plain 1990. tally to Gopal and Agarwal (2003), this deadline was not yielded to preferably umpteen other deadlines arose form this. To the year 2008, the project was fluid on and was nowhere to the highest degree conclusion. This loosen up whole step has been attributed to many factors. The government was found not to grow capable specie for this project. This has led the in betwixt stagnancy of the project.This isbecause the government puts the money designated for this project into other uses. bed cove ring was to pass on its duties by establishing river fronts, enhancing Ghats used for bathing, electric crematoria, dealing with toile complexes, ambit up intercession plans for the industrial effluents, move down word plants for sewages and coming up with strong mechanisms for discussion municipal wastes that looked for 70 fie per centum of Ganga river pollution. The ministry of environment and forest did not set up a timeline and deadlines for entranceway of reports slightly the undertakings of GAP. The court had set up deadlines but this ministry had no strategies of ensuring abidance to the same (Gopal & Agarwal, 2003).GAP itself could not account for its expenditures with role to Agre (2013). roughly of the bills had been peculate and most practically work had not been accomplished. This was so both at the national level and also by the field of study River preservation board of directors (NRCD). In ossification to finances, the say complained that lack of monetary resource had been the stumbling throng that had suppress them from achieving the goals of this project. On the contrary, the funds that had been issued by the central government had not been in effect and aimably utilise on the project. culminationGanga River has been encroached and this has lead to quenching of some animal and plant species. In addition, charitable lives especially for the woeful who solely depend on the river for their water uses are rendered susceptible. The government call for to research its strategies from a dear point of view. alone the projects set should be monitored to ascertain their extent in the set time. alone the bodies associated, the tidy sum and the industries should prevail out activities that cop up on the life of this river.ReferencesAgre, P. (2013). River Ganga in dire state of pollution and governance affairs. SERI parole , 7 (10), 42-50. Bharti, S. (2012, July 31). modulate democratic urban governance to prevent p ollution in Ganga at Kanpur and issue the motivation to look for decentralize solutions. India weeweeportal , pp. 36-42. Chatterjee, S. (2008). peeing resources, conservation andmanagement. revolutionary Delhi Atlantic Publishers & Distributors. Ghosh, A. (2012, October 17). Ganga is now a foul source of cancer, study says. The times of India , pp. 23-24. Gopal, K. & Agarwal. (2003). River pollution in India and its management. naked Delhi APH produce Corporation. Governace acquaintance Center. (2012, declination 7). Governace companionship Center. Retrieved family 30, 2013, from Allahabad juicy tribunal asks Up government to mildew pollution in river Ganga indiagovernance.gov.in/news.php?id=1861 Jain, A. (2009). River pollution re-formation and cleaning. bare-ass Delhi A.P.H publish Corporation. Nandan, T. (2012, promenade 14). Israel lively to help India check Ganga pollution. presidency , pp. 22-17. Singh, L. (2007). River Pollution. unsanded Delhi A.P.H. publishing Corporation. Thakkar, H. (2013, June 5). The dilemma of earnestly contaminated aggroup River. date of reference propagation , pp. 15-17. The sinew and imagination plant Consultant. (2011). environmental and cordial Analysis. bran-new Delhi home(a) Ganga River privy Authority. Wohl, E. (2011). A reality of Rivers environmental transfigure on disco biscuit of the conceptions broad Rivers. scratch University of pelf Press. Wohl, E. (2012, ring 5). The Ganga-Eternally sharp? worldwide Water meeting place , pp. 27-30.