Saturday, August 31, 2019

Nursing Study Guide Block 4 Final

Study Guide for the Final Exam Here are the rules: please do not call me or email me questions about the study guide. I will answer questions about the study guide during the brief review before the exam itself. You cannot memorize the answers to the questions and do well on the exam- the questions are meant to stimulate thinking, not to be answers. Please remember to review the chapters on shock and MODS as there are questions on this content. 1.There are several ABG questions; remember these also include oxygen numbers so be prepared to determine oxygenation in addition to acid base PH: 7. 35- 7. 45 PCO2: 35-45 HCO3: 22-26 O2: 94-100 2. Review the care of the patient with pneumonia, including applicable nursing diagnoses and measureable outcomes Restrictive respiratory disorder: decreased lung expansion- low PaO2, decreased lung compliance, normal to low P/Q ration, shunt, respiratory alkalosis (blowing off co2, more bicarbonate) increased RR, TV smaller.SOB/cough, dyspnea=how many words can they say in one breath chest pain, fatigue, wt. loss, lung crackles, care: HOB 30deg, fluids to clear secretions, tidal volume–normal breathing 500mL Nursing dx: impaired gas exchange, ineffective breathing pattern, acute pain Outcomes: maintains adequate alveolar oxygen-carbon dioxide exchange, clears lungs of fluids and exudates. Demonstrates effective RR, rhythm, and depth of respirations. Reports control of pain following relief measures. . Review the treatment for TB (look in Lewis), including medications, length of treatment, evaluation of treatment plan, who is most likely to get TB infection, and side effects of the medications Medications: aggressive TB treatment: four drugs for 6 months, (INH, rifampin [Rifadin], pyrazinamide [PZA], and ethambutol) Newer: rifamycins, rifubin, rifapentine, first line for special situations Length of treatment: 6 months- 1 YearEvaluation of treatment plan: resolution of the disease, normal pulmonary function, absence of any complication, no transmission of TB, Most likely to contract: Asians have the highest TB rate, followed by Hawaiians and pacific islanders. African Americans are the highest rate inside the US. (45%) Higher rates of TB infections with patients with HIV infections Side effects of meds: alcohol increases hepatotoxicity of INH, monitor liver function.PZA may not be included in initial phase (due to liver disease or pregnancy) 4. Review the care of a patient with lung surgery, including chest tube management To keep lung inflated & Drain fluid from interpleural space How do you know if collapsed lung: Blood gases, Chest X-ray, Vital signs, Color Air leaks – bubbling in water chamber: check your tubes for air leak & make sure they’re always free of kinks. Don’t milk the chest tube (unless ordered).Continued bubbling = pneumothorax not resolved yet, Constant vigorous bubbling = air leak in system Should see tidaling if not attached to suction >100cc/hr. of drainage = call doc Determine if working correctly by: Monitor output, pain, breath sounds, assess patient breathing, auscultate, ABG, pulse ox (SPO2), skin/mucous membrane coloring, and respiratory effort Chest tube pain is common- give pain meds >7/10 5.Review heart failure: right-sided (acute and chronic), left- sided (acute and chronic), pulmonary edema, cardiomyopathy and management of the patients; remember to review the hemodynamic changes (and values) associated with right and left sided failure RIGHT SIDED HF: (FLUID RETENTION): Corpulmonale, systemic edema, neck vein distention, weight gain, fluid retention, Risk: COPD, hypoxia (pulmonary HTN), causes pulmonary vasoconstriction.CVP = increased; PVR = increased; SVR = increased; wedge = increased; contractility = decreased medication: nitroglycerine to decrease venous return, fix preload LEFT SIDED HF: (RESPIRATORY) DYSPNEA ON EXERTION, back up in lungs, pink frothy sputum, decreased O2 stat, increase RR. CVP = increased; PVR = incre ased; SVR = increased; wedge = increased; contractility = decreased HEART FAILURE: Usually starts out with one ventricle.Nitroglycerine, aspirin, O2, pericardial thump, Lasix, ACE, + inotrope, Class 4, transplant, symptomatic. ACUTE HF: Dig, Lasix, ACE, ARBS, Betas, Calcium Channel, Nitro, and Aspirin, compensatory mechanism is ok. CHRONIC HF: both ventricles can fail (left to right), Dig, Lasix, ACE, BETA, ARBS (if cough), calcium channel blocker, Primacore, compensatory mechanism makes it worse. 2 CLASSIFICATIONS OF HF: 1. Systolic: problems pushing volume out problem with too much afterload: HTN. TX: decrease SVR with dig, Lasix (diuretics), ACE. 2.Diastolic: problem with filling and getting blood in (Hypertrophic cardio) less room for blood TX: Beta blockers to reduce contraction or calcium channel then ACE. If you give them DIG it will kill them (will increase heart working too hard). PULMONARY EDEMA: hallmark: pink frothy sputum, Left- sided heart failure. Decreased albumin, d ecreased oncotic pressure, increased hydrostatic pressure. Dilated: Left vent is dilated (stretched out of shape) decreasing the ejection fraction. Vent is overstretched from CHF or chronic hypertension.Diagnose with chest X-ray: heart is BIG. TX: Dig, Lasix, Ace. Arrhythmias will increase mortality rate HYPERTROPHIC: L vent hypertrophy decreases the ability of the chamber to relax, decrease contractility (athlete, hereditary. ) TX: BB, CCB Constricted/restricted: normal size heart with decreased cardiac muscle compliance. Scarred= fibrosis, radiation, infection (rheumatic fever) control of volume overload is AGGRESSIVE: Ace, Diuretic, Dobutamine, Nitroglycerin/Nitropresside, exercise restriction . Review patho and management of COPD, especially related to acute respiratory failure. COPD: obstructive, exhalation problem, air flows in but then becomes trapped, teach pursed lipped breathing to improve FRC. Clinical manifestations: increased lung expansion, normal to increased TLC, dec reased forces expiratory volume, increased functional residual capacity, decreased vital capacity, increased CO2, O2 sat-80-100, PaO2- 60 Best mask to use is vent mask, most precise O2 is delivered.Barrel chest- chronic hyperinflation of torso Corpulmonale, > expiratory time, wheezing or rhonchi, A fib from chronic overuse of right ventricle TX: beta agonist/beta stimulant=dilates airway (epinephrine, albuterol) Anticholinergic bronchodilators, corticosteroids, mucolytic=thin out secretions, Mucinex or SVN mucomist, pulmonary vasodilators not common, prostaglandin E2, supposed to dilate pulmonary vessels but BP can plummet too.Nitrous oxide can temporarily improve pulmonary HTN but doesn’t improve outcomes Respiratory Failure: ALOC- confusion, restless. Nasal flaring, increased HR, increased BP, increased RR, increased depth, PVCs, Pulmonary Embolism=blue very fast, otherwise cyanosis is a late sign 7. Review management of patients on ventilators, including process of weaning and recognition of weaning failure AC – assist control: doing all the breathing for the patient. It’s providing Tidal volume and oxygen.For your unstable patient NO pressure support needed SIMV – synchronized intermittent mandatory ventilation: For weaning: Makes it easier for patient to take their own spontaneous breath. Tidal volume off and O2 on. Pressure support adjunct PEEP – positive end expiratory pressure, Keeps alveoli open by use of positive pressure. Increases FRC – air left in after exhalation. ARDS patient. Little bit of positive pressure at the end of exhalation. Use with SIMV or AC. Keep between 5-10, and not over

Friday, August 30, 2019

Investment in the Indian Education Sector Essay

Education is the key to unlocking and building lasting value in a robust economy. For any country to grow and prosper, a well-positioned educated young population is the fundamental requirement to meet the demands of an increasingly global economy and productive value creation. India has amongst the largest student population in the world and a low literacy level of 74. 04% (2011)1. According to census 2011 figures, over 35. 3% of the 1. 21 billion people are between the age group 0-14 years. Additionally, there is shortage of employable manpower in various industry segments. In order to meet this existing and emergent demand, there is huge need of investments in the Indian education sector. Currently, education is primarily handled by the government through its infrastructure and budget outlays. But given the small budget outlays and complex regulatory structure, supply is lagging far behind the demand of education. Expenditure on Education as %age of GDP 6000 GDP in thousnad Crores 5000 3. 64 4000 3000 3. 36 2000 1000 0 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2,098 2,261 2,538 2,878 3,282 3,779 3. 51 3. 45 4,321 4,933 3. 81 3. 74 3. 80 3. 70 3. 60 3. 50 3. 40 % expendutire on education 3. 78 3. 78 3. 90 3. 30 3. 20 3. 10 Source: Ministry of Human resource and Development (MHRD), Government of India REGULATION India’s tightly controlled regulatory structure is the primary reason for shortage of quality education institutions. Being in â€Å"Concurrent list†, education is being governed by both Central and State government with huge variations amongst the state regulations. Currently, the government regulates who you can teach, what you can teach them and what you can charge them. Some of the key bodies regulating education in India are:? Schooling o Department of School Education and Literacy – MHRD o Central Board of Secondary Education (CBSE) o Various State Boards o National Council of Educational Research and Training (NCERT) 1 Census of India, 2011 Page 3 A research report on Investment in Indian Education Sector ? Higher Education o Department of Higher Education – MHRD o University Grants Commission( UGC) o All India Council of Technical Education (AICTE) o Statutory Councils ? Medical Council of India (MCI) ? Bar Council of India (BCI) ? National Council of Teacher Education (NCTE) Voluntary Education and Skill Development o National Council for Vocational Training (NCVT) o National Skill Development Corporation (NSDC) ? In order to overcome this overlapping nature of various governing bodies especially in higher education, government is planning to come up with National Commission for Higher Education and Research (NCHER). This commission would work as a single regulatory body which would determine, co-ordinate and maintain standards in promotion of higher education and research. It will subsume regulatory bodies such as UGC, NCTE and AICTE, thus making the process more streamlined. KEY POLICY/ACT ? Foreign Educational Institutions(FEIs) o Allows FEIs to setup multi-disciplinary campuses and award degrees o Mandates FEIs to reinvest surplus from Indian operations o Mandates FEIs to invest at least 51% of capital expenditure required o Regulates the admission process, fee structure, period of operation of FEIs Right to Education o Makes access to primary education a fundamental right o Mandates 25% reservation for underprivileged students in schools? BUDGET 2011 HIGHLIGHTS ? ? ? ? ? Allocated an amount of Rs 52,057 Crores for universalizing access to secondary education Allocated an amount of Rs 21,000 Crores for Sarva Shiksha Abhiyan Increased the total allocation by 24% over the previous year Lack in allocation of funds for Teacher improvement and training Lacked emphasis on the K-12 sector in terms of school improvement, quality control etc. EDUCATION IN INDIA Indian education sector has witnessed a series of changes in the last few years, which resulted in a significant increase in market size of the education industry. With economic growth and enhanced technology it has become necessary to develop the Indian education sector. Funds are a major concern in the market to meet this demand. The government has taken many initiatives for the development of education infrastructure which needs to be supplemented led by private players. The government has also opened the doors for foreign universities by passing Foreign Educational Institution (Regulation of Entry and Operation) Bill, 2010, which will help in shaping the education industry structure specially pertaining of higher education in India. A research report on Investment in Indian Education Sector About 185,000 Indians study overseas and spend USD 4 billion annually. This is almost 10% of the private spend on education, coming from a very small 0. 001% segment of the student population. A number of these students are now returning to India after completing their studies, as job markets in India are more attractive, especially in contrast to weak macro scenarios in the western markets. Entry of leading foreign institutions will enable some of this USD 4 billion spend to stay in India, and also provide a much needed boost to quality. STRUCTURE Indian education system can be divided into formal and informal segments which are further divided into sub-segments. Formal education segment broadly comprises schools and higher education institutes. Schools often classified as K-12(Kindergarten to 12th) caters to ‘3-17 years’ age group. While higher education includes graduate, diploma, professional and post-graduation courses caters to ’18-22 years’ and above age group. On the other hand, informal education segment comprises of preschools, multimedia, ICT, vocational training, books and coaching classes. This segment is free from regulation as opposed to highly regulated formal education segment. Schools (K-12) Formal Higher Education Preschools Indian Education System Multimedia ICT Non-formal Vocational training Books Coaching classes Page 5 A research report on Investment in Indian Education Sector INTERNATIONAL SCHOOLS India is home to several well acclaimed International Schools and is increasing rapidly. This demand has been fuelled by parents looking for a new system of education which is more interesting and less stressful. Also, large number of NRIs resettling in India is also contributing to this demand. Being in India these schools have to adhere to certain requirements of the Indian national system irrespective of the examination system adopted by them. Most of the international schools opt for the International Baccalaureate (IB) Board. However, there are other examination systems like the General Certificate of Secondary Education (GCSE) and General Certificate of Education (GCE) examination systems which are also present. The IB is a recognized leader in the field of international education. It is a non-profit, mission-driven foundation that offers three programs for students aged 3 to 19. ? ? ? Primary Years Programme (PYP) Middle Years Programme (MYP) Diploma Programme -For students aged 3 to 12 -For students aged 11 to 16 -For students aged 16 to 19 In India, most international schools offer IB Diploma Programme. In this students study six courses at higher level or standard level. Students must choose one subject from each of groups 1 to 5, thus ensuring breadth of experience in languages, social studies, experimental sciences and mathematics. The sixth subject may be an arts subject chosen from group 6, or the student may choose another subject from groups 1 to 5. Additionally, the programme has three core requirements that are included to broaden the educational experience and challenge students to apply their knowledge and understanding. The â€Å"extended essay† is a requirement for students to engage in independent research through an in-depth study of a question relating to one of the subjects they are studying. â€Å"Theory of knowledge† is a course designed to encourage each student to reflect on the nature of knowledge by critically examining different ways of knowing (perception, emotion, language and reason) and different kinds of knowledge (scientific, artistic, mathematical and historical). â€Å"Creativity, action, service† requires that students actively learn from the experience of doing real tasks beyond the classroom. Students can combine all three components or do activities related to each one of them separately. Some of the International Schools in India:? ? ? ? ? ? ? ? ? ? ? ? Aditya Birla World Academy-Mumbai American Embassy School- New Delhi Amity Global School-New Delhi D Y Patil International School-Mumbai and Nagpur Dhirubhai Ambani International SchoolMumbai GD Goenka World School-Gurgoan Indus International School-Bangalore, Hyderabad and Pune KiiT International School-Bhubaneswar Pathways School-Gurgoan, Noida and NewDelhi Stonehill International School-Bangalore Sharad Pawar International School-Pune Doon School -Dehradun Page 6 A research report on Investment in Indian Education Sector ANALYSIS OF VARIOUS SEGMENTS BASED ON KEY PARAMETERS. Growth Prospect Yes Yes Yes Yes Yes Yes Yes No Regulated No Yes Yes No No No No No Scalable Yes Yes Yes Yes Yes No No No Possibility to Create Value Yes Yes Yes Yes No No No No Preschool Schools(K-12) Higher Education Multimedia ICT Coaching Classes Vocational Training Books GROWTH DRIVERS ? ? Demographic advantage o As per Census 2011 ,35. 3% of the Indian population is under the age of 14 Increasing awareness o Increase in awareness towards education as a priority and essential tool for career growth o Increase in job opportunities and salaries offered making investment in education prudent Human Resource driven economy o Increase in  the demand for an educated skilled workforce by services sector o Share of service sector in GDP increased from 30% in 1950 to 55% in 2007. Technology aided delivery o Increase in penetration of technology resulting in virtual learning and education delivery New employment avenues o Newer employment avenues such as KPO, LPO, retail, aviation, animation etc. demanding highly skilled manpower ? ? ? INDUSTRY FORECAST SCHOOLING. Segment Pre-School K-12 Tutorial Books Stationery Education CD-ROMs Multimedia in School Total 2008 1,200 21,000 5,000 1,700 1,380 120 25 30,425 CAGR 20%-25% 5%-10% 8%-13% 5%-10% 5%-10% 25%-30% 60%-70% 2013 3,500 30,800 8,000 2,400 2,000 390 320 47,410 CAGR 10%-15% 5%-10% 5%-10% 3%-8% 3%-8% 20%-25% 50%-60% 2018 5,800 43,200 11,800 3,000 2,600 1,100 3,300 70,800 (Figures in USD million) Page 7 A research report on Investment in Indian Education Sector HIGHER EDUCATION. Segment Higher Education Preparatory Total 2008 6,700 1,600 30,425 CAGR 8%-13% 13%-18% 2013 11,200 3,200 47,410 CAGR 7%-12% 10%-15% 2018 18,100 5,900 70,800 (Figures in USD million) VOCATIONAL EDUCATION AND SKILL DEVELOPMENT Segment Child skill enhancement IT training E-learning Finishing school Vocational Teacher training Total 2008 740 195 45 25 1,500 15 2,520 CAGR 20%-25% 35%-45% 35%-45% 50%-60% 15%-20% 50%-60% 2013 2,200 1,050 240 235 3,100 140 6,965 CAGR 17%-22% 33%-38% 33%-38% 45%-55% 10%-15% 45%-55% 2018 5,600 4,700 1,100 1,800 6,200 1,100 20,500 (Figures in USD million) Source: Technopak report on India Education Sector INVESTMENT SCENARIO With an education network of more than one million schools and 20,000 higher-education institutes, the market size of the Indian education system is estimated at more than US$40 billion2 (2009). However, inadequate infrastructure has placed pressure on the sector’s overall development. Education sector is unable to cope with growing market demand and global competition due to constrained investments. Increased private investment is imperative to expand infrastructure and provide greater access to quality education. Also, Government is planning to set up an education ? nance corporation with an investment of around US$4–5 billion, which aims to provide the education sector with long-term, low-cost ? nancing. PUBLIC PRIVATE PARTNERSHIP (PPP) PPP can provide the much needed finance to the education sector while serving as an efficient operating model. Establishing strong partnerships between private and public sector can achieve the growth. POSSIBLE PPP STRUCTURE The educational institute (special purpose vehicle) is set up as a Society or Trust, as per applicable guidelines. The UGC, AICTE or some other central regulatory body approves norms and standards of the institute. The state provides applicable administrative and financial support to the institute. Capital outlays are met by an educational services entity which 2 E&Y’s Private Equity Round Up April-June 2010 Page 8 A research report on Investment in Indian Education Sector provides infrastructure. The educational services entity charges a fee for use of facilities by the Society or Trust. Finally, the infrastructure facilities are transferred to the institute after a particular time period. Central Government State Government AICTE, UGC approvals Provision of grants Local approvals Land and utilities Trust/Society Service fees Infrastructure Service Provider Transfer of Infrastructure after prescribed time period Source:-2009 E & Y – EDGE 2009 report on Private Enterprise in Indian Higher Education KEY PLAYERS GLOBAL ? ? ? ? ? ? ? ? ? ? ? ? ? ? Apollo Group (USA) Mcgraw-Hill (USA) Pearson Plc (England) Benesse Corp (Japan) Devry Inc (USA) ITT Educational (USA) Strayer Education (USA) New Oriental (China) Career Education (USA) Corinthian College (USA) Capella Education (USA) Raffles Education ( Singapore) Mega Study ( South Korea) SkillSoft ( USA) Page 9 A research report on Investment in Indian Education Sector INDIA FORMAL ? ? Preschool o Kidzee o Euro Kids Multimedia in private schools o Educomp o Everonn o NIIT Vocational Training o NIIT o Aptech o Frank Finn Coaching Classes o FIIT-JEE o TIME o Career Launcher Books o Tata Mcgraw Hill o John Wiley o Navneet Publications ? INFORMAL K -12 (School) o Millennium Schools (Part of EduComp) o Kids Zee High o Billabong High (Part of Kangaroo Kids) o GEMS ( Dubai based) Higher Education o Manipal Education o Amity o IIPM o ICFAI ? ? ? ? MAJOR DEALS INVESTMENTS ? ? ? ? Rs10 billion investment plan from educational institutes in Haryana’s Rajiv Gandhi Educational City ( January’11) RS 28. 08 billion investment for setting up 20 IIITs under PPP route ( January’11) Everonn Rs 36 billion investment plan to setup 300 K-12 schools by 2015 (July’10) Educomp Rs 510 million contract to provide computer education in Bihar’s schools (May’10). PRIVATE EQUITY DEALS Education sector has witnessed 29 PE deals (refer Exhibit 1), cumulatively worth US$381 million, between January 2006 and June 2010 (as per Private equity roundup April-June 2010 by Ernst and Young). The majority of these investments have been in for-pro? t corporate entities that are not subjected to any government regulations. In future, with increased government spending and expansion plans of private players, the potential for PE investments in the Indian education sector is significant. Additionally, sector’s less correlation with the broad economic growth makes it more attractive. Page 10 A research report on Investment in Indian Education Sector SEGEMENT WISE BREAKUP OF PE INVESTMENTS IN TERMS OF NUMBER OF DEALS 9 8 7 6 5 4 3 2 1 0 3 3 1 2 2 1 1 1 1 1 2 1 1 2 Vocational Preschool K12 Education technology 4 College/University 3 Coaching 2006 2007 2008 Number of Deals 2009 2010 SEGMENT WISE BREAKUP OF PE INVESTMENTS IN TERMS OF DEAL VALUE 160 140 120 100 80 60 40 20 0 2006 2007 83 30 74 1 2008 43 2009 2010 12 13 10 37 5 9 23 Vocational 39 Preschool K12 Education technology College/University Coaching 67. Deal Value ( US$ million) Sources: Asian Venture Capital Journal; Dow Jones Factiva; ISI Emerging Market MAJOR ISSUES ? ? ? ? ? Overregulated and under- governed Not for profit structure and all surplus needs to be reinvested High involvement of politicians in higher education industry with no willingness to change the existing structure High land prices and hoarding of land reserved for educational purposes for resale Fragmentation in the sector due to difficulties in achieving scale Page 11 A research report on Investment in Indian Education Sector.

Thursday, August 29, 2019

A Simulation Of Sustainability In Urban Environments Environmental Sciences Essay

( Parkin et al. 2003 ) Sustainability is frequently symbolised utilizing three over lapping circles ( fig 1 ) , stand foring the three facets of sustainability ( society, economic system and environment ) . However this simple diagram over simplifies the complex interactions which occur between the facets and the big figure of indexs which are used to mensurate our impact. Unless these complex interactions are clearly understood by all the stakeholders it would be impossible to to the full measure the sustainability of any development ( Foxon et al. 2002 ) . A figure of determination support tools have been created to help determination shapers in accomplishing sustainable urban developments. There has been immense attempt and resources put into making DSTs, yet despite this most are seldom used due to either the complexness of their operation or the complexness of their end product ( Isaacs et al. 2007 ) . It is hence believed that there is a demand for new determination support too ls that can cover with the complexness of urban design and which go beyond the proficient orientation of old tools ( Sahota A ; Jeffery 2005 ) to enable a robust appraisal of sustainability within the decision-making procedures. Visual image has been used to help determination devising in a figure of Fieldss including increasing the safety and effectivity of oil boring in the oil and gas industry ( Evans et al. 2002 ) , visualizing medical informations ( Fuchs et al. 1989 ) and battlefield simulations ( Hix et al. 1999 ) . Geographic Information systems are presently the most extensively used visual image platform for determination devising. â€Å" GIS is now a standard point in contrivers ‘ tool kits † ( Drummond A ; Gallic 2008 ) and there are many illustrations its usage in urban planning and determination devising over the last 20 old ages ( Harris A ; Elmes 1993 ; Stevens et Al. 2007 ; States 2000 ; Shiffer 1998 ; Lodha A ; Verma 2000 ) . Traditionally GIS provides the user with a synergistic information researching interface which allows them to cover a figure of different maps onto a 2D surface and allows the user to carry on complex geospatial analysis ( Salter et al. 2009 ) . However it has been shown ( Lowe 2004 ; Lowe 2003 ) that many non-expert stakeholders have great trouble in decoding and understanding scientific shows and maps. Due to its complexness and high acquisition curve GIS requires the user â€Å" to believe like a geographic information scientist † ( Clarke 2001 ) and is still considered to be a hard to utilize, adept tool ( Traynor A ; Williams 1995 ) . Its usage in determination devising has made it hard for non expert stakeholders, particularly the general populace, to take part to the full in be aftering determinations ( Salter et al. 2009 ; Al-Kodmany 2002 ) . Most GIS systems are purely 2D, covering with geospatial informations being draped over a map or other geographical representation. While experts can imagine the ocular impact of a proposed development from this program view it is really hard for person non trained in the usage of GIS to make this. This can take to non-expert stakeholder non to the full understanding the effects of the determinations being made and go forth them with an unintended positive or negative position of the planned development ( Danahy et al. 1999 ) . 3D representations nevertheless allow users to rapidly recognize the spacial context of the determination and besides to orientate their position of the proposed development ( Danahy et al. 1999 ) . Peoples develop the ability to voyage and visually process 3D representations of urban environments on a bomber witting degree throughout their lives as they walk through existent universe metropoliss ( Charters et al. 2002 ) . This sub witting ability means that t he user will non hold to work to visualize the development but can concentrate on the determination, and the effects of the determination, being made. SCITY VT S-City VT ( sustainable metropolis visual image tool ) is a paradigm determination support application that is designed to let a wider scope of stakeholders input into the sustainability planning procedure by leting the stakeholders to compare different scenarios utilizing a usage designed simulation and visual image engine. Figure 1: Visual image techniques used in S-City VT The visual image engine utilises a split screen rendering attack which allows the user, utilizing any of the techniques, to compare two scenarios side by side throughout the life rhythm of the development. A figure of visual image techniques have been used to expose the consequences of the implicit in simulation engine which allows the user to non merely compare the external visual aspect of the different scenarios but besides the comparative sustainability of each scenario. As already discussed traditional GIS does non supply a realistic physical representation of the metropolis or development being studied. CAD system do enable the creative activity of 3D theoretical accounts which provide the user with a realistic representation of the edifices and the developments ( Al-Kodmany 2002 ) , nevertheless CAD systems provide no ability to cover extra informations and supply small context out with the edifice or country being studied. The visual image engine combines GIS and 3D urban theoretical accounts and embeds the 3D theoretical accounts in the environing landscape to contextualise the urban country that is undergoing sustainability appraisal. The ability to visualize portion of the metropolis that is undergoing the development or regeneration within the wider metropolis context is likely to better battle with the communicating tool and convey a greater degree of engagement from all participants in the planning procedure ( Levy 1995 ) Fig 4: 3D representation of proposed development within the city-wide context. The usage engine allows the user to hold synergistic control enabling the user to see the proposed development from any imaginable point of view. This allows the user to go to the full immersed in the proposed development, to a much greater grade than 2D programs, GIS, or rendered 3D stills. As has already been shown ( Isaacs et al. 2010a ) S City VT provides the user with a feasible representation of the existent development. Design to Virtual Reality Blending Fig 5: Overview of the index blending technique The blending technique, as shown in figure 5, merely takes the all the sustainability steps for each index, calculated by the bomber system and ANP theoretical accounts, unite them into a individual value. This valued is so mapped to a individual coloring material graduated table. The coloring material graduated table used can be selected from a figure of color graduated tables known for their discriminating abilities ( Levkowitz A ; Herman 1992 ) these include the het object, magenta, local optimised, and spectral. Using the hot-cold graduated table demonstrated in figure 5 a edifice or floor with high comparative sustainability would look blue while a edifice with low sustainability would look ruddy. This method gives a individual index of sustainability and provides the easiest manner of comparing the comparative sustainability of different options or scenarios. Weaving Fig 6: Overview of the index weaving technique Whilst the blending technique, combines the index values, the weaving technique ( figure 6 ) efforts to continue some of the implicit in information so that the user can still place which indexs or bunch are doing the greatest consequence ( negative or positive ) on the sustainability of the edifice. The coloring material weaving technique ( Hagh-Shenas et al. 2007 ) uses a different coloring material graduated table for each index ( figure 6 ) to try to continue this information. The colors from each graduated table are so indiscriminately weaved into a hodgepodge like texture which is applied to each floor of the edifice. The size of the squares or spots in the weave can besides be changed depending on the user ‘s penchants. A little spot size will give an overall representation of the sustainability, with darker sunglassess stand foring low sustainability and lighter sunglassess stand foring higher sustainability. A larger spot size will let user to place rapidly which colou rs stand out the most, and hence which indexs are holding the greatest impact. Traditional Graphical Techniques Radar graphs, figure 7, let the stakeholder to compare the sustainability of different edifices based on the index values. The form, size, coloring material and point values will be different for each edifice leting a elaborate comparing. Fig7: Comparision of scenarios utilizing traditional radio detection and ranging graphs and coloring material weaving. Parallel coordinates allow the user to compare all index values for all the edifices in a scenario ( fihure 8 ) . Buildings can be selected and their hint in the graph is highlighted. The colors in the graph correspond to those in the blending technique. Fig 8: Parallel co-ordinate graph for sample development. Simple temporal graphs secret plan the all the index values over the life clip of the development. These allow the user to place the interconnectivity of the indexs and to place where and why sudden alterations occur ( figure 9 ) . Fig 9: Index graph demoing alterations in 6 indexs over clip. Real Time Simulation The index patterning involves developing bomber theoretical accounts that define how each of the indexs vary over infinite and clip. The S-City VT application is built utilizing a modular model supplying flexibleness and leting index theoretical accounts to be changed. For the paradigm application six sustainability index theoretical accounts ( credence, lodging proviso, energy efficiency, noise pollution, employment and economic benefit ) have been developed four of which are described below: Energy Efficiency The energy efficiency theoretical account is based on the Nation Calculation Method ( NCM ) which is the industry criterion leting energy efficiency of edifices to be determined ( BRE 2009 ) . The NCM method takes into history a broad scope of factors, including figure of room accesss, Windowss glazing type, exterior building, figure of floors etc, to bring forth a metric depicting the energy efficiency the edifice. A NCM study was developed utilizing the NCM tool, stand foring the typical edifices in the development for a figure of different options including external visual aspect and different mixes of edifice usage. Fig2: Graph demoing temporal alterations in sustainability index due monthly energy fluctuations. This information is input to the energy efficiency theoretical account and attenuated with the temporal energy ingestion informations ( BIS 2009 ) which reflects how the energy usage of the edifices change depending on the clip of twelvemonth. ( fig 2 ) shows how the sustainability index alterations as a map of clip for a 2 different constructing types with different utilizations ( glass, commercial and brick, residential ) . Noise Pollution The noise theoretical account calculates the degrees of traffic noise geting at each edifice and can besides cipher the proportion of people that will happen certain degrees of noise a nuisance. Datas about the jutting traffic flows for the waterfront development were sourced from Dundee metropolis councils Dundee Waterfront Traffic A ; Signing Report ( White Young Green 2007 ) . For each route in the proposed development a noise degree is calculated utilizing its projected hourly traffic flow. Using a map provided in CRT ( 1988 ) , ( equation 1 ) this traffic flow can be transformed into a noise degree which corresponds to how loud, in dBs ( dubnium ( A ) ) , the traffic noise is if the hearer were standing about 10 meters off from the route side. equation 1 A noise degree associated at each edifice based on the traffic volume is calculated based on the shortest distance ( vitamin D ) between the noise beginning ( route ) and the edifice utilizing Euclidean geometry. The sound degree emanating from each route is obtained by rectifying the basic noise degree utilizing equation 2. The equation besides includes the tallness ( H ) of the hearer which is changeless in these computations. ( CRTN 1988 ) equation 2 To find the entire noise degree received by the edifice the corrected noise from each route must be summed over n roads in the development ( equation 3 ) equation 3 Each edifice will now hold a noise degree value stand foring the entire degree of noise associated with that edifices location in relation to the roads and their projected traffic flows. Our sustainability step is achieved by normalizing the noise degree ( 0-100 graduated table as before ) and using a non additive map ( equation 4 ( Highways Agency 1994 ) ) , this calculates the per centum of people that will be bothered by a specific degree of noise. equation 4 Economic Benefit The economic theoretical account utilises a discounted hard currency flow computation to find the worth of a edifices current hard currency flow for a specific point in clip. The computation uses a price reduction rate which allows the hard currency flows to be discounted back to their present worth. equation 5 Where CF = hard currency flow for that twelvemonth. R = price reduction rate for that twelvemonth. t = the twelvemonth. In the equation the capital cost for the building of the first edifice is represented by CF0. Capital costs of subsequent edifices will be discounted to this point clip. e.g. the capital cost of a edifice built two old ages after the initial edifice would be discounted utilizing. Each edifice in the simulation has a site readying and building stage, during this clip the hard currency flow in for that period is taken every bit 0 as the edifice would non yet be sold or rented. The simulation is able to reflect the differences between hard currency flows for rented and sold edifices. Buildings which are sold will take a big income at the point of sale. As the edifice has been sold farther hard currency flows for this edifice will be 0. The price reduction factor will besides use to the sale income so for two edifices of tantamount value, a edifice sold in twelvemonth one will hold a higher present value than constructing sold in twelvemonth 10. As the edifice has been sold the upkeep and care of the edifice will be borne by the purchaser and so it non modelled here. Buildings which are rented will take a smaller income every twelvemonth. Rented edifices may hold a rent free period, to promote renters, and will hold a laic period between rentals, during these tim es the hard currency flow for that period will be 0. A price reduction factor is applied to the annual income to find its present value, once more based on the building twelvemonth of the first building.. Fig 3: PV for a individual edifice, built in twelvemonth 0, demoing differences between leased and sold income with different price reduction rates. The initial cost of the edifices are calculated utilizing the edifice type ( e.g. residential, commercial, retail, societal ) and the cost per square meter for that type of edifice. The income from sale or rent is similarly calculated utilizing the jutting income for that type of edifice. These values were sourced from the SET economic study on the waterfront development ( Buchanan 2006 ) . The maximal and minimal valleies are so mapped onto 0 100 and linearly interpolated. Credence Acceptance corresponds to the credence of possible edifice utilizations within the development. The masterplan for Dundee has been developed and it was possible through treatment with Dundee council to find the possible edifice utilizations which are under reappraisal and included commercial office infinite, retail units, cafe/bar/restaurant and residential infinite. The edifice usage study used a superior system where the participant was asked to rank possible edifice utilizations in order of penchant. If the participant had no penchant between the edifice uses at each rank the proportions chosen at each rank would be equal. To find if this is the instance Friedman trial was performed utilizing SPSS on the average rank of each edifice usage, with the void hypothesis being that the average ranks will be equal. Ranks Mean Rank Commercial 3.37 Retail 2.51 Leisure 1.54 Residential 2.58 Test Statistics a Sample Size 106 Chi-Square 107.264 df 3 Significance. .000 a. Friedman Test The consequences of the Friedman trial show that there is a important difference ( p lt ; 0.001 ) between how the users ranked the different edifice utilizations. Combined with post-hoc analysis of the consequences it is possible to pattern the acceptableness edifice uses in the undermentioned order ; Leisure ( highest ranked ) , Retail A ; Residential ( equal ranked ) and Commercial ( Lowest Ranked ) . To make a sustainability index for the acceptableness of each edifice these rankings are mapped onto a 0-100 graduated table, with Leisure at 100 ( highest sustainability ) , Retail A ; Residential at 50 and Commercial ( lowest sustainability ) at 0. MULTICRITERIA OPINION ANALYSIS One of the jobs with traditional sustainability appraisal is affecting the positions and experiences of a broad scope of stakeholders ( ( Isaacs et al. 2010b ) , . Many of the traditional methods of aggregating index values, such as Multi Attribute Utility Theory ( MAUT ) , lack transparence go forthing the users in a place where they do non to the full understand how the resulting weightings have been derived ( Dodgson et al. 2009 ; Paracchini et Al. 2008 ) . The Analytic Network Process ( ANP ) method uses synergistic web constructions which give a more holistic representation of the overall job ( Saaty 2006 ) . Components of the job are connected, as appropriate, in braces with directed lines imitating the influence of one constituent over another. The constituents in a web may besides be regarded as elements that interact and influence each other in respect to a specific property. ( Saaty 2006 ) . To execute a ANP analysis the determination shaper must place the web through analysis of the job to be solved. The determination shaper must place the bunchs, elements and the relationships and interactions between them ( Bottero et al. 2007 ) . Once the determination shaper has constructed the web to be analysed they must now make a supermatrix depicting the interactions defined in the theoretical account ( Gencer and Gurpinar 2007 ) . The supermatrix is created utilizing the cardinal graduated table and pair-wise method every interaction is described in footings of every component it interacts with ( Saaty 1999 ) . Once this has been completed the normalised eigenvector calculated from the matrix will give the determination shaper the normalised prioritised list of elements. ANP allows cross-cluster interactions every bit good as inter-relationships between elements.. It is structured of course and allows for a more realistic representation of the job, but its chief strength lies in supplying the user with the ability to include their ain personal cognition and sentiments about an interaction through the usage of pair-wise comparings ( Saaty 2006, ; Bottero et Al. 2007 ) . The prioritised list of elements which are derived from the ANP analysis are used in the 3D visual image to supply the user with a individual of sustainability index if required. Al-Kodmany, K. ( 2002 ) Visual image tools and methods in community planning: from freehand studies to practical world. Journal of be aftering Literature, 17 ( 2 ) , p. 189. Available at: hypertext transfer protocol: //jpl.sagepub.com/cgi/content/abstract/17/2/189. BIS ( 2009 ) Energy Consumption in the UK. Available at: hypertext transfer protocol: //bis.ecgroup.net/Publications/EnergyClimateChangeDECC/EnergyStatistics.aspx. BRE ( 2009 ) National Calculation Method, Available at: hypertext transfer protocol: //www.ncm.bre.co.uk/ . Buchanan, C. ( 2006 ) Dundee Central Waterfront: Market Appraisal and Economic Impact Assessment. , 1. CRTN ( 1988 ) Calculation of Road Traffic Noise Department Of Transport, London: HMSO. Charters, S.M. , Knight, C. , Thomas, N. A ; Munro, M. ( 2002 ) Visual image for informed determination devising ; from codification to constituents. In ACM New York, NY, USA, pp. 765-772. Clarke, K.C. ( 2001 ) Geting started with geographic information systems, Prentice Hall Upper Saddle River, NJ. Danahy, J. , Spiller, R. A ; Verlag, W. ( 1999 ) Visualization Data Needs in Urban Environmental Planning and Design. Landscape Research. Available at: hypertext transfer protocol: //citeseerx.ist.psu.edu/viewdoc/summary? doi=10.1.1.3.9259. Dodgson, J. , Spackman, M. , Pearman, A. A ; Phillips, L. ( 2009 ) Multi-criteria analysis: a manual, London: Department for Communities and Local Government. Drummond, W. A ; French, S. ( 2008 ) The Future of GIS in Planning: Converging Technologies and Diverging Interests. Journal of the American Planning Association, 74 ( 2 ) , pp. 161-174. Available at: hypertext transfer protocol: //www.informaworld.com/openurl? genre=article A ; doi=10.1080/01944360801982146 A ; magic=crossref||D404A21C5BB053405B1A640AFFD44AE3. Evans, F. , Volz, W. , Dorn, G. , Frohlich, B. A ; Roberts, D.M. ( 2002 ) Future trends in oil and gas visual image. In VIS ’02: Proceedings of the conference on Visualization ’02. Washington, DC, USA: IEEE Computer Society, pp. 567-570. Foxon, T. , McIlkenny, G. , Gilmour, D. , Oltean-Dumbrava, C. , Souter, N. , Ashley, R. , Butler, D. , Pearson, P. , Jowitt, P. A ; Moir, J. ( 2002 ) Sustainability standards for determination support in the UK H2O industry. Journal of Environmental Planning and Management, 45 ( 2 ) , p. 285-301. Available at: hypertext transfer protocol: //www.ingentaconnect.com/content/routledg/cjep/2002/00000045/00000002/art00007. Fuchs, H. , Levoy, M. A ; Pizer, S.M. ( 1989 ) Interactive visual image of 3D medical informations. Computer, 22 ( 8 ) , pp. 46-51. Hagh-Shenas, H. , Kim, S. , Interrante, V. A ; Healey, C. ( 2007 ) Weaving versus blending: a quantitative appraisal of the information transporting capacities of two alternate methods for conveying multivariate informations with colour. IEEE minutess on visual image and computing machine artworks, 13 ( 6 ) , pp. 1270-7. Available at: hypertext transfer protocol: //www.ncbi.nlm.nih.gov/pubmed/17968074. Harris, T. A ; Elmes, G. ( 1993 ) The application of GIS in urban and regional planning: a reappraisal of the North American experience. Applied Geography, pp. 9-27. Available at: hypertext transfer protocol: //linkinghub.elsevier.com/retrieve/pii/014362289390077E. Highways Agency ( 1994 ) Design Manual for Roads and Bridges. Volume, 11 ( August ) . Available at: hypertext transfer protocol: //scholar.google.com/scholar? hl=en A ; btnG=Search A ; q=intitle: DESIGN+MANUAL+FOR+ROADS+AND+BRIDGES # 3. Hix, D. , Swan, J. , Gabbard, J. , McGee, M. , Durbin, J. A ; King, T. ( 1999 ) User-centered design and rating of a real-time battleground visual image practical environment. Proceedings IEEE Virtual Reality ( Cat. No. 99CB36316 ) ( Figure 1 ) , pp. 96-103. Available at: hypertext transfer protocol: //ieeexplore.ieee.org/lpdocs/epic03/wrapper.htm? arnumber=756939. Isaacs, J. , Blackwood, D. , Falconer, R. A ; Gilmour, D. ( 2007 ) The function of visual image in effectual sustainability appraisal. In M. Horner, C. Hardcastle, A. Price, A ; J. Bebbington International Conference on Whole Life Urban Sustainability and its Assessment. Glasgow: Glasgow Caledonian university. Available at: hypertext transfer protocol: //download.sue-mot.org/Conference-2007/Papers/Isaacs.pdf. Isaacs, J. , Falconer, R. , Gilmour, D. 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( 2003 ) Animation and acquisition: selective processing of information in dynamic artworks. Learning and Instruction, 13 ( 2 ) , pp. 157-176. Available at: hypertext transfer protocol: //linkinghub.elsevier.com/retrieve/pii/S095947520200018X. Lowe, R. ( 2004 ) Question of a dynamic visual image during larning. Learning and Instruction, 14 ( 3 ) , pp. 257-274. Available at: hypertext transfer protocol: //linkinghub.elsevier.com/retrieve/pii/S0959475204000313. Paracchini, M.L. , Pacini, C. , Calvo, S. A ; Vogt, J. ( 2008 ) Weighting and collection of indexs for sustainability impact appraisal in the SENSOR context. In Sustainability Impact Assessment of Land Use Changes. Berlin: Springer, pp. 349-372. Parkin, S. , Sommer, F. A ; Uren, S. ( 2003 ) Sustainable development: understanding the construct and practical challenge. Engineering Sustainability, 156 ( 1 ) , p. 19-26. Available at: hypertext transfer protocol: //www.atypon-link.com/telf/doi/abs/10.1680/ensu.156.1.19.37055. Salter, J.D. , Campbell, C. , Journeay, M. A ; Sheppard, S.R. ( 2009 ) The digital workshop: researching the usage of synergistic and immersive visual image tools in participatory planning. Journal of environmental direction, 90 ( 6 ) , pp. 2090-101. Available at: hypertext transfer protocol: //www.ncbi.nlm.nih.gov/pubmed/18558460. Shiffer, M. ( 1998 ) Multimedia GIS for be aftering support and public discourse. Cartography and Geographic Information Science, 25 ( 2 ) , p. 89-94. Available at: hypertext transfer protocol: //www.ingentaconnect.com/content/acsm/cagis/1998/00000025/00000002/art00004. States, U. ( 2000 ) A Summary of Models for Measuring the Land-Use Patterns. Environmental Protection ( September ) . Stevens, D. , Dragicevic, S. A ; Rothley, K. ( 2007 ) iCity: A GIS-CA modeling tool for urban planning and determination devising. Environmental Modelling A ; Software, 22 ( 6 ) , pp. 761-773. 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Wednesday, August 28, 2019

Creative Problem Solving Essay Example | Topics and Well Written Essays - 1500 words

Creative Problem Solving - Essay Example This paper illustrates that the identification of new and existing opportunities is what enables a business establishment and sustainment. To identify these opportunities, it really calls for creativity. According to Frigard, creativity is a kind of imagination that fosters originality. For creativity to be achieved, ingenuity has to be incorporated. Ingenuity is the incorporation of bodily-kinesthetic, logical-mathematical capacity and spatial capacity in the creative process. The ingenuity model for creative problem solving is what is used to incorporate ingenuity in the process of creativity. This technique is identified as the most appropriate problem-solving technique when there is a need to achieve new solutions to business problems. New opportunities identified in entrepreneurship enable a business to increase its productivity. They also enable the business to have a competitive advantage over other businesses in the industry. However, the identification and exploitation of th ese opportunities cannot happen without innovation. Therefore, entrepreneurship is directly related to innovation. Moreover, economic development results in the emergence of new opportunities that require both identification and exploitation. The identification and exploitation are done by entrepreneurship and thus entrepreneurship and economic development are related. Generation and implementation of new ideas and solutions require creative problem-solving. The ingenuity model for problem-solving enables an entrepreneur to achieve solutions and ideas that are different from those of others. This is what makes a particular firm different from the rest of the industry thus making it more competitive. Therefore, we can say that creative problem solving is a key aspect of entrepreneurship.  Ã‚  

Tuesday, August 27, 2019

Assessment task 3 Assignment Example | Topics and Well Written Essays - 2000 words

Assessment task 3 - Assignment Example ed that that nation will face crucial problems due to such impacts specifically in terms of unemployment, inflation, business process and financial growth. In this regard, it is quite indispensable for the government of the nation to adopt and execute effective measures in order to boost and promote the domestic demand of national goods and/or and develop the economic conditions of the country at large. Macroeconomic dimension of economics is regarded as the field of studying different behaviours of economies that entail unemployment, national income and growth rate among others and their impact on the nation as well as international market. Macroeconomic issues are duly considered to be the major issues for an economy that mainly emerges due to having discrepancies in certain important developmental aspects including full employment and economic stability along with growth. It is projected that the macroeconomic issues will lead towards generating problematic situations within any particular nation in the form of lowering employment rate and raising inflation, resulting in hindering the growth of a nation at large. This factor will likely to impact the revenue, profitability, wage system and employment rates of the nations by an extensive level (McConnell, & et. al., 2009; Carson, & et. al., 2005). Correspondingly, the assignment will highlight the major macroeconomic issues that have been facing by Australia’s economy in relation to its current account deficit despite the mining boom recorded in terms of trade. Besides, various important aspects including the short along with long-term economic impacts of having deficit in current account and strategies that can be implemented by the government of the nation to address the situation will also be discussed in the assignment. Macroeconomic issue related to the deficit in current account often arise at the time when the trading of imported products exceeds the amount of export during a specified time frame. It

Monday, August 26, 2019

HSBC Social Responsibility Essay Example | Topics and Well Written Essays - 1250 words

HSBC Social Responsibility - Essay Example Their coperate and social reponsibilites are degined in the areas of housing, community, Education, including the environment. HSBC invest in many educational programmes, they provide financial and economic welfare and scholarships to the students and also support the organizations that educate youth age 3-19. They also provide online guidelines to people who need financial assistance. Through their website "www.yourmoneycounts.com", they give financial and credit education in English and Spanish. The site is designed to help people in understanding more about saving and investing money on usefull measures. They also provide Financial Education Grant programme. HSBC has supported 36 organizations and granted over 3million dallars in order to develop financial literacy programs in the communities. They say they are committed to provide access to education. In order to find motivated and deserving students who can receive scholarships, they have formed partnerships with many organizations. Organizations like The United Negro College Fund, TheHispanic Scholarship Fund(HSF), University of Maryland University College (UMUC), and the Bennett College for Women. HSBC is also in patnership with Junior Achievement, the world's largest non-profit youth economic organization. ... Owning a home doesnot only meand providing a shelter and building persnil wealth but it also creates a scence of pride, resposibility, gives self satisfaction and a feelings of accomplishment which strengthens community. It provides a wide veriety of programs to promote home ownership. They support IDAs (industrial develepment accounts) with grants so that they could help people to save for down payment. They also contribute to those groups that educate and train people on the importance of financial aspects of homeownership. One programme coming up with solutions of neighbourhood housing problems is HOPI (Homeownership Preservation Initiative) and also with the city of Chicago, the institution known as Neighborhood Housing Services of Chicago and many other institutions. Such groups help in providing better shelter in affordable housing to the families in the neighbourhood of Chicago. It also helps in reducing foreclosures. The work day and night to provide people with loans, loans that are right for them and ensure that they follow and understand each rule and condition made by the firm and pay accordingly. But if the problems arise in repayment they also help people by offering programmes like the Foreclosure Avoidance Program, and the Consumer Rescue Fund. Green electricity in Australia, Brazil, the UK, and the US is also another example of its projects. HSBC group is trying to buy green electricity, which can be generated without the use of fossil fuels. Offsetting some remaining carbon dioxide emissions by the help of carbon allowances or credits. The Bank Working Ground that comes under the banner of the Climate Group is having its founder member as HSBC. In order to speed up the process of

Human sexuality Essay Example | Topics and Well Written Essays - 1250 words

Human sexuality - Essay Example The ancient Greeks are notorious for their fixation on the male genitalia, making it the focal point of various types of art and pageantry (â€Å"History of Sex†, 2004). This has led many to believe that they were primarily a race of homosexuals, who only copulated with their wives when necessary for the purpose of procreation. To a certain extent, especially as it applies to the life of the wife, this is quite true. When the wives are thought of at all, it’s typically in the context of, â€Å"gee, I wonder why those women put up with their men out partying with their guy friends all the time?† Very little consideration is ever given to the concept of a sex life for the women of ancient Greece. â€Å"The male idea of female sexuality was that Greek men believed that women envied their penises† (â€Å"History of Sex†, 2004). Despite this rather skewed view of female sexuality, there is a wide body of information regarding the rather formalized viewpo ints this society held regarding their women as they became sexual beings. Basically, these women were relegated to two very distinct general categories – they were either wives or they were prostitutes (Thompson, 2005). It was in the role of a prostitute that a woman had the greatest societal flexibility, but this did not mean they were able to live better lives than the wives, who were essentially ignored other than to have children (Thompson, 2005).

Sunday, August 25, 2019

Pope Gregory VII Research Paper Example | Topics and Well Written Essays - 2500 words

Pope Gregory VII - Research Paper Example From such evidence we come to understand that there are no biases as such and hence the source seems to be quite reliable for study. Contemporary reformers condemned the moral abuses that took place during that time. Two such abuses that were of primary concern were – 1) The heresy of Simony (the buying and selling of orders and offices in the church and 2) Nicolaitism (clerical marriage and unchasity) In 1059, after the Election Decree, the power of the emperor was reduced considerably while the Roman cardinals were given more power. This insightful book details the events of Pope Gregory’s rule, as he stood at the center of these affairs as the arch deacon of the Roman Church. The book describes Gregory’s religious motives of freeing the church from these heresies and gaining liberty for its people. The source being reliable would be very useful for the study. The author Rev. John Cowdrey was a medieval historian and a leading authority on the ecclesiastical reform movement led by Pope Gregory VII. In my opinion, the text served to kindle my interest further on the subject. Ephraim Emerton’s book titled ‘The Correspondence of Pope Gregory VII’ is a selection of Gregory VII letters from the Registrum that was translated by him. These letters served to highlight the zeal, hard work and vigor with which Pope Gregory pursued to bring about a revolutionary change in the conduct of the church. Professor Ephraim Emerton had authored many books but for this book of letters, he had only translated them. He was a graduate from Harvard College and was also one of the founders of the American Historical Association. In 1882 he was elected as the Winn Professor of Ecclesiastical History. These papal documents translated by Ephraim provides the reader with great insight through the evidence describing the religious policies of reform that Pope Gregory brought about during his period as Pope of the Christian Church. The book also serves to shed

Saturday, August 24, 2019

Basilica di santa maria del fiore Research Paper

Basilica di santa maria del fiore - Research Paper Example The cathedral complex is composed of the basilica, the baptistery and Giotto’s Campanile. The basilica was regarded as Italy’s largest church and the dome is deemed as the world’s largest brick dome ever constructed. Although the church still serves as a whole, history of its construction is still ambiguous. Plan and structure, dome, facade, and gothic elements are the main points that hold the crucial evidences of medieval architecture. Thesis To analyze the development of urbanism, Christianity, and power in the Early Modern Florence City after the crumbling of the Roman Empire in the sixth century, leading to the construction of the Basilica di Santa Maria del Fiore. Bibliography Florence: The Biography of City. Hibbert, Christopher. New York: W.W. Norton & Company Inc., 1993. This book will help me with in-depth insight into the transition of Florence as symbol of wealth and power among other the Tuscan communities in the medieval era. The Gothic Cathederal C hristopher Wilson April 1, 2005 | ISBN-10: 0500276811 | ISBN-13: 978-0500276815 | Edition: 2nd Revised This book will allow me to study the gothic elements in the church and, if necessary, compare it to other significant churches. A Presentation Drawing for the Facade of Santa Maria del Fiore, Florence Mary L. ... New York: William Morrow, c2002. xv, 269 p., [8] p. of plates : ill. ; 24 cm. Achieving great success by engineering the biggest brick dome in the entire world, Brunelleschi is considered as a pivotal architect who has changed and challenged the art world ever since. This evidence will help be praise Brunelleschi with his magnificent work. Arnolfo's S. Maria del Fiore: A Working Hypothesis Franklin Toker Journal of the Society of Architectural Historians, Vol. 42, No. 2 (May, 1983), pp. 101-120 I will be using this source despite its focus on the engineering part of architecture, because Toker is a major scholar of this building. Trachtenberg, Marvin. Dominion of the Eye: Urbanism, Art, and Power in Early Modern Florence, Cambridge, 1997. I will use this book because it focuses on the urban transformation of Florence in the 14th century which is a hypothetical subject of this paper. Introduction Since the emergence of architectural designs practices long before Santa Maria del Fiore was constructed, the design and construction of buildings, has always relied on the ability of an architect to graphically visualize and present their ideas using a variety of different media. Architects formulate and refine spatial, artistic, and functional concepts through drawings, sketches, and models, whereby they rely on their personal artistic skills and preferences to accomplish this (Myers 7). Around the period when the Duomo was constructed, new architectural advances were being invented as is true of the advanced structure and interior design of the building. This advancement in arts and architecture was to revolutionize the world of architecture (Hibbert 66). Brunelleschi’s work in Santa Maria del Fiore liberated architecture from the technological and aesthetic

Friday, August 23, 2019

The US Presidential Electoral System Essay Example | Topics and Well Written Essays - 1500 words

The US Presidential Electoral System - Essay Example After the election, the delegates cast their electoral vote and the winner is decided. This system was necessitated at the birth of the nation when counting a national popular vote was impractical. In addition, it protected the government offices from being decided by an ill-informed electorate. Though it is generally an adequate reflection of the voters' preference, it has several weaknesses. One weakness in the electoral college, that a popular vote system would rectify, is the unequal distribution of voter power. Under the current system, the number of electoral votes is equal to the number of House members plus two. Since the number of House members is based on population, this gives an advantage to the smaller states (Bennett 3). Voters in the least populated states have more power with their individual votes than the voters in the larger states do. In addition, since the apportionment of electoral votes is based on the census, it is always out of date, sometimes by as much as 1 0 years (Edwards 2). A popular vote system would alleviate both of these problems and accurately reflect the population on an equal basis. Individual voter power is further hampered when the minority (loser) in the large states are awarded no electoral delegates at all. Leib and Mark state that, "Minority voters in large non-swing states—say Republicans today in California or New York, as well as Democrats in Texas—have the most reason to be upset with the current method of awarding electoral votes" (106). Uneven apportionment, out of date census data, and no minority voice creates an unjust system of voter unfairness. One of the purposes of an electoral system is to facilitate and encourage voter participation. When voters feel like their vote is of little or no value, they will be discouraged from participating in the process. As an example, Indiana has traditionally voted overwhelmingly for the Republican presidential candidate in the last several elections. Though Democrats make up as much as 40 percent of the vote, their votes have not been counted for years. For all practical purposes, they have no reason to vote for a candidate that can not carry the state. "These disincentives essentially take the form of reducing the perceived benefits of voting for a Presidential candidate by restricting the power of votes to state jurisdictions rather than allowing all votes equal value (power) in a national election determined strictly by a popular vote" (Cebula and Murphy 188). Reforming the electoral college to reflect a more equitable system of voter power would encourage greater voter participation. Moving to a popular vote system would not only more fairly represent the voters, it would also reduce the special favor spending projects that are awarded

Thursday, August 22, 2019

Plato Apology Essay Example for Free

Plato Apology Essay The Apology is Plato’s accurate depiction of the Socrates’ own defense at the trial provoked by Meletus. However, besides current accusers, Socrates has to speak out to defense against former accusers who have created prejudices of him for long time. Former accusers prosecute Socrates for â€Å"studying things in the sky and below the earth† and â€Å"[making] the worse into the stronger argument† (Plato 18b-c). Moreover, Meletus, who is one of recent accusers, charges Socrates of â€Å"[corrupting] the young and not believing in the gods in whom the city believes, but in new spiritual things† (Plato 24c). The dialogue between Socrates and the jury as well as Meletus describes the true personality of Socrates and answers the question if Socrates is guilty or innocent of those charges. First, Socrates is accused of studying â€Å"things in the sky and things below the earth† (Plato 23d). In this time period, Athenian people believe that gods are the ones who create and rule the world. Everyone must believe in and worship with no doubt. Therefore, if anyone tries to study and explain matters in terms of natural phenomenon instead of religious belief, he or she is immediately charged of not believing in gods and receives punishments from whole society. In this case, older accusers believe that what Socrates is doing is as same as other philosophers who trying to oppose religious belief and negatively impact the society. This is reflected by the comedy of Aristophanes depicting Socrates as a person who has ability to â€Å"walk on air† and present â€Å"a lot of other nonsense† matters (Plato 19c). However, Socrates proves that he is not that type of person and he does not have any knowledge of those matters by saying â€Å"I do not speak in contempt of such knowledge† and asking if anyone has ever heard him discussing about these subjects (Plato 19d). In fact, Socrates’ occupation is a wisdom searcher who dedicates his life to find wise men and to discuss about virtues (Poage). Therefore, the first accusation is not true, and Socrates is not guilty because Socrates does not â€Å"[study] things in the sky and things below earth† to oppose the trust of gods. Second, the earlier accusers prosecute Socrates for â€Å"[making] the worse into the stronger argument† as many Sophists do (Plato 18b-c). The accusers claim that Socrates is one of many Sophists who are â€Å"very good speakers. Indeed, they [have] reputations for being able to convince a crowd that up [is] down, that day [is] night, that the wrong answer could be the right answer, that good [is] bad and bad is good, even that injustice is justice and justice would be made to appear as injustice† (Pecorino). Furthermore, Sophists are paid for delivering speech and only care about winning debates and lawsuits more than anything else. Thus, most of them are feared and hated by Athenian people. Nevertheless, Socrates distinguish himself from Sophists by giving evidence that he â€Å"live[s]in great poverty because of [his] service to the god† (Plato 23b). While Sophists such as Gorgias of Leontini, Producs of Ceos, and Hippias of Elis charge fee for their services, Socrates never asks or receive money from anyone whom he approaches and asks questions regarding to wisdom and virtue. Unlike Sophists who are wealth and famous, Socrates is so poor because of his free service. In addition, Socrates’ intention is to help other people understand virtue and become wiser rather than teaching them how to become good speakers as Sophists do. Therefore, Socrates is not guilty of â€Å"[making] the worse into the stronger argument† (Plato 18b-c). Another charged brought by later accusers against Socrates is â€Å"corrupting the young† (Plato 23d). Socrates teaches his young men be wiser and think about themselves. This annoys the Athenian government and officials because they think those young could break the laws and create rumor among the society. Hence, Meletus prosecutes Socrates for teaching the young to go against the government and emphasizes that all the Athenians make the young become better except Socrates (Plato 25b). In order to reverse that accusation, Socrates uses example of horse breeders who are trained and have experience to take care of horses and make them better while the majority lacking of skills and knowledge cannot. As a result, it is impossible for all the Athenians to know what benefits the young. Only Socrates who has knowledge and skills is able to teach the best for the young. Moreover, Socrates indicates that no one wants to harm oneself; neither does Socrates. If he intentionally corrupts the young, he is putting himself at risk because â€Å"the wicked people do some harm to their closest neighbors while good people do them good† (Plato 25e). Therefore, it is impossible for Socrates to teach the young in the way to harm him. After Socrates disproves Metelus’ charge, he criticizes Metelus’ prosecuting procedure. If Socrates harms the young unintentionally, Metelus has to â€Å"get hold of [Socrates] privately, instruct and exhort [Socrates]† (Plato 26). In contrast, Meletus brings Socrates straight to the court â€Å"where the law requires one to bring those who are in need of punishment, not of instruction† (Plato 26). As a result, Socrates again shows that he is not guilty. The last accusation brought against Socrates is â€Å"not believing in the gods in whom the city believes, but in other new spiritual things† (Plato 24c). In order to prove that Socrates does not trust in gods, Meletus states that Socrates â€Å"says that the sun is stone, and the moon earth† (Plato 26d). If Socrates does say this statement, he denies the presence of Apollo the god of the sun and the presence of Selene the goddess of the moon. Nevertheless, Socrates claims that Anaxagoras of Clazomenae is actually the one who said those matters. Moreover, Socrates catches Meletus’s contradiction when he claims that Socrates does not trust in gods. To make Meletus admit his contradiction, Socrates asks Meletus â€Å"[d]oes any man believe in spiritual activities who does not believe in spirits? † and Meletus answers there is no one (Plato 27c). Socrates believes in the Oracle of Delphi which is related to spiritual activities, and everyone in Athens including Meletus knows that. This means that Meletus agrees that Socrates also believe in spirits which are â€Å"either gods or the children of gods† (Plato 27d). Now, Meletus contradicts himself by saying Socrates believe in gods. Consequently, Socrates successfully shows Meletus’s false and prove that he not guilty of the charge. In conclusion, Socrates is not guilty of the charges from the earlier accusers as well as the recent ones. Socrates provides many evidences and uses his excellent argument skill to prove that he is innocent, but the jury still is not convinced and sentences him to death. What Socrates does is not harmful to anyone in Athens; he only try to question about wisdom and discuss about ethics in order to find the answer for the Oracle. Socrates teaches his students to realize that they are not wise as they thought and show them the way to better themselves by seeking more wisdom. Unfortunately, jealous people and conservative culture does not understand his divine destiny and fallaciously accuse him like a criminal. Works Cited Pecorino, Philip A. An Introduction to Philosophy: An Online Textbook. Study Web. n. d. Web. 13 July 2013. Plato. Five Dialogues: Euthyphro, Apology, Crito, Meno, Phaedo. 2nd ed. Indianapolis: Hackett Publishing Company, Inc. , 2002. Print. Poage, Nathan. Apology Outline. Behavioral Social Sciences Department. Houston Community College. n. d. Web. 13 July 2013.

Wednesday, August 21, 2019

Me, Myself, and Why Problem Set Essay Example for Free

Me, Myself, and Why Problem Set Essay 1. What is the difference between self-interest and selfishness? Why is this distinction important when considering the competitive market economy as appropriate for society? Self-interest is looking out for your best interest and finding the best possible alternatives that will benefit yourself in the business world. Selfishness is putting your own interests above the interests of others and making decisions solely based on how they will benefit you. This distinction is imperative in considering the competitive market that is appropriate for society because you need to make sure that you are looking out for yourself but at the same time you should not make market decisions based solely off your own selfish interests. A selfish business man or woman will never be successful in the long run. 2. Does your textbook present only positive economics and avoid any normative economics? If not, give some examples of normative economics covered in your textbook. The textbook presents both positive economics and normative economics. An example of normative economics that is used in the textbook states â€Å"a value-free interpretation [of economics] leads to all sorts of abuses† (42). Normative economics incorporate subjectivity in to their analysis. Normative economics are heavily influenced by value judgment as well as theoretical situations. Normative economics are the opposite of positive economics. 3. What did Adam Smith believe serves to curb self-interest in an economy? â€Å"People care what others think of them and it is this desire for the good opinion of others that constrains people in their pursuit of self-interest† (41). Adam goes on to say, â€Å"this constraint is reinforced by competition and by the jurisprudence system† (41). Smith believes that others opinions shape what they pursue. Smith opposed the exclusive privileges of corporations and even went as far to oppose  regulations such as taxes which he claims gave individuals the ability to gain an unfair advantage. 4. What does it mean to seek the Kingdom of God in a democratic capitalist economy? How can it be done? Capitalism and Christianity can be combined. It may be difficult to combine the two because many Christians believe that it is better to always put the interests of others before yourself. However, Christ calls us to be good stewards of what He has given us and it is important to be good business men and woman that strive to be warriors for the Lord. Christ has not called us to be mediocre but to rise to the top and to shine for Him. The book states, â€Å"we’re not perfect, but we can strive to act righteously with in a system that accommodates both vice and virtue† (50).

Tuesday, August 20, 2019

Pathophysiology of Liver Diseases

Pathophysiology of Liver Diseases ONG SUAN LING Liver Failure The liver is responsible for regulatory, detoxification, metabolic and synthetic activities. Liver cell known as hepatocyte, is responsible for about 500 or more specific biologic processes [2]. Liver failure occurs when large parts of the liver become damaged and the liver is dysfunction [1]. Liver failure occurs over many years and gradually. However, the acute liver failure is difficult to detect initially and occurs rapidly (as rapid as 48 hours) [1]. Chronic liver failure is caused by excessive alcohol intake, Hepatitis B or C, malnutrition, Hemochromatosis (body absorb and store too much iron) and cirrhosis (irreversible inflammatory disease) [2]. Figure 1 show the stages of liver damage which eventually lead to cirrhosis. Liver Hepatitis Hepatitis means inflammation of the liver. Hepatitis B and hepatitis C is the most common hepatitis which can lead to the liver damage caused by their chronic forms. Viral hepatitis is cleared from the body in a period ranging from weeks to months, by the immune system but when it is not as seen in chronic hepatitis, the disease must be managed medically [5]. Hepatitis can also be brought on by excess alcohol consumption or inherited (congenital hepatitis)[5]. When hepatitis left untreated, it can damage the liver over many years, eventually resulting in cirrhosis [5]. Liver Cirrhosis Cirrhosis is a condition in which normal, healthy hepatocyte are damaged and replaced by nodular and fibrotic tissue. A cirrhosis-damaged liver can cause decreased hepatic function and widespread disruption of many body functions [3]. For cirrhosis, the biliary channels become obstructed and caused portal hypertension. The hypoxic necrosis is developed as a result of blood circulation is shunted away from the liver (due to neovascularisation) [4] Figure 2 shows the normal appearance of the cells of the liver, compared to cells of cirrhotic livers. Hepatopulmonary syndrome (HPS) Hepatopulmonary syndrome is the clinical relationship between hepatic dysfunction and the existence of pulmonary vascular dilatation which can result in a range of arterial oxygenation abnormalities [6]. HPS is defined by the presence of chronic liver disease; abnormal arterial oxygenation or an arterial partial pressure of oxygen in the absence of an alternate cause; and evidence of intrapulmonary vascular dilatations (IPVDs) [7] Pathophysiology Hepatopulmonary syndrome occurs mostly in patients who have established cirrhosis and portal hypertension [8]. From a pathophysiological point of view, abnormal intrapulmonary vascular dilatation is linked to portal hypertension, which in itself leads to altered bowel perfusion and an increased rate of enteral translocation of gram-negative bacteria and endotoxin. This process in turn stimulates the release of vasoactive mediators, which include tumour necrosis factor, haem-oxygenase-derived carbon monoxide, and nitric oxide. The increased production of nitric oxide in the lung plays a central part in the pathogenesis of the hepatopulmonary syndrome [8]. Increased concentrations of exhaled nitric oxide are positively correlated with the increase of alveoloarterial oxygen difference. The constitutive and the inducible isoforms of nitricoxide synthase have been implicated in this process. In addition, the endothelin system, especially abnormal activation and increased expression of endothelial type B endothelin receptors, is implicated in the pathogenesis of the hepatopulmonary syndrome [8]. In patients who have pulmonary hypertension, endothelin predominantly exerts vasoconstrictive and mitogenic effects due to activation of type A and type B endothelin receptors on pulmonary arterial smooth muscle cells [8]. (Refer to figure 3) Figure 3 show in presence of portal hypertension, hepatic production occurs of endothelin-1 and expression of endothelial type B receptors, but no type A receptors increase in pulmonary vasculature. Signaling via endothelially expressed endothelin B receptor leads to increase NO production by eNOS, with the overall effect of pulmonary vascular dilatation. Below is how defective synthesis and metabolism of pulmonary vasoactive substance lead to intrapulmonary Vasodilation. Due to the vasodilation and development of shunt, the blood flow is not uniform leading to ventilatation-pefusion mismatch and also restricts the oxygen molecules to reach the centre of the capillaries and hemoglobin in the erythrocyte [9]. (Refer to figure 4) Figure 4: Ventilation-perfusion mismatches the oxygen reach the capillaries and blood. The nonuniform perfusion blood flow may lead to the formation of functional intrapulmonary vascular dilations which is the major cause of hypoxemia and the defining feature of HPS [9]. The hyperdynamic circulation as well as the increased cardiac output which associated with liver disease reduces the transit time of blood in the lung vasculature, thus the time available for the oxygen diffusion is reduced. This in turn contributes to the hypoxemia [9]. HPS also caused a decreased arterial partial pressure of oxygen (PO2) as a result of the inability of oxygen molecules to diffuse to the center of the dilated pulmonary capillaries to oxygenate the haemoglobin in the erythrocytes [8]. Figure 5 shows illustration of precapillary pulmonary vascular dilatations. On the other hand, the increasing of alveolar PO2 with supplement oxygen may increase the blood arterial PO2 and improve the hypoxemia [8]. HPS patients have been reported to have decreased pulmonary vascular resistance and decreased hypoxic pulmonary vascular constriction [8]. Hepatorenal syndrome (HRS) Hepatorenal syndrome (HRS) is generally occurs in patients with cirrhosis and portal hypertension [10]. HRS is characterised by major disturbances in circulatory function and renal failure [10]. Intense vasoconstriction of the renal circulation has resulted in renal failure [10]. The HRS is the final consequence of extreme underfilling of the arterial circulation secondary to arterial vasodilatation in the splanchnic vascular bed [10, 11]. The principle abnormality in the systemic circulation is low arterial pressure caused by greatly reduced total systemic vascular resistance [11]. The prognosis remains poor, particularly when there is rapidly progressive renal failure [11]. HRS occurs in the setting of cirrhosis predominantly, but it can also be developed in other types of chronic liver disease like alcoholic hepatitis. Figure 6: Proposed pathogenesis of HRS in cirrhosis, according to the arterial vasodilatation [13] The mechanism of HRS is vasoconstriction of the renal circulation is multifactorial, involving disturbance in the activity and circulatory function of systemic and renal vasoactive mechanisms [13]. There is severe arterial underfilling in the systemic circulation which is related to the portal hypertension [13]. The arterial underfilling is caused by the vasodilatation of the splanchnic circulation related to increased splanchnic production of vasodilator substances, particularly nitric oxide [17]. The increased activity of the vasoconstrictor systems caused greatly reduce in renal perfusion and GFR however tubular function is preserved [13,14,16]. The vasoconstrictor system has resulted in the retention in free water (arginine vasopressin) and retention in sodium (renin-angiotensin and sympathetic nervous system) that occurs in advanced cirrhosis [15, 16]. In the early phases of decompensated cirrhosis, increased synthesis of renal vasodilator factors (mainly prostaglandins) caused maintenance of renal perfusion within the normal range because of [17]. In later phases of the disorder, renal perfusion cannot be maintained because maximum activation of vasoconstrictor systems caused by the extreme arterial underfilling, has decreased production of renal vasodilator factors, or both, and lead to HRS developement [17]. The activation of vasoconstrictor systems also results in vasoconstriction of some vascular beds other than the kidneys, including the legs, arms and brain. Due to the greatly increased local production of vasodilators, the splanchnic area escapes the effect of vasconstrictors [18]. References Webmd.com. (2014).Liver failure causes, symptoms, treatments, tests more. [online] Retrieved from: http://www.webmd.com/digestive-disorders/digestive-diseases-liver-failure [Accessed: 11 Jan 2014]. Vitaltherapies.com. (2014).Liver disease | vital therapies. [online] Retrieved from: http://vitaltherapies.com/liver-disease/ [Accessed: 11 Jan 2014]. Hn632campus.wikispaces.com. 2014.HN632campus Cirrhosis. [online] Available at: https://hn632campus.wikispaces.com/Cirrhosis [Accessed: 11 Jan 2014]. Buob, S., Johnston, A. N., Webster, C. R. L. (2011). Portal hypertension: pathophysiology, diagnosis, and treatment.Journal of Veterinary Internal Medicine,25(2), 169-186. Livermd.org. (2014).Hepatitis cirrhosis. [online] Retrieved from: http://livermd.org/hepatitis.html [Accessed: 11 Jan 2014]. Krowka, M. J., Cortese, D. A. (1994). Hepatopulmonary syndrome. Current concepts in diagnostic and therapeutic considerations.CHEST Journal,105(5), 1528-1537. Fritz, J. S., Fallon, M. B., Kawut, S. M. (2013). Pulmonary Vascular Complications of Liver Disease.American journal of respiratory and critical care medicine,187(2), 133-143 Hoeper, M. M., Krowka, M. J., Strassburg, C. P. (2004). Portopulmonary hypertension and hepatopulmonary syndrome.The Lancet,363(9419), 1461-1468 Zhang, J., Fallon, M. B. (2012). Hepatopulmonary syndrome: update on pathogenesis and clinical features.Nature Reviews Gastroenterology and Hepatology,9(9), 539-549. Ncbi.nlm.nih.gov. (2014).Hepatorenal syndrome national library of medicine pubmed health. [online] Retrieved from: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001519/ [Accessed: 12 Jan 2014]. Emedicine.medscape.com. (2014).Medscape: medscape access. [online] Retrieved from: http://emedicine.medscape.com/article/178208-overview#a0104 [Accessed: 11 Jan 2014]. Ginà ¨s, P., Guevara, M., Arroyo, V., Rodà ©s, J. (2003). Hepatorenal syndrome.The Lancet,362(9398), 1819-1827. Arroyo, V., Ginà ¨s, P., Gerbes, A. L., Dudley, F. J., Gentilini, P., Laffi, G., Schà ¶lmerich, J. (1996). Definition and diagnostic criteria of refractory ascites and hepatorenal syndrome in cirrhosis.Hepatology,23(1), 164-176. Arroyo, V., Guevara, M., Ginà ¨s, P. (2002). Hepatorenal syndrome in cirrhosis: pathogenesis and treatment.Gastroenterology,122(6), 1658-1676. Schrier, R. W., Arroyo, V., Bernardi, M., Epstein, M., Henriksen, J. H., Rodà ©s, J. (1988). Peripheral arterial vasodilation hypothesis: a proposal for the initiation of renal sodium and water retention in cirrhosis.Hepatology,8(5), 1151-1157. Schrier, R. W., Niederberger, M., Weigert, A., Ginà ¨s, P. (1994). Peripheral arterial vasodilatation: determinant of functional spectrum of cirrhosis. InSeminars in liver disease(Vol. 14, No. 1, pp. 14-22). Martin, P. Y., Ginà ¨s, P., Schrier, R. W. (1998). Nitric oxide as a mediator of hemodynamic abnormalities and sodium and water retention in cirrhosis.New England Journal of Medicine,339(8), 533-541. Angeli, P., Merkel, C. (2008). Pathogenesis and management of hepatorenal syndrome in patients with cirrhosis.Journal of hepatology,48, S93-S103.

Monday, August 19, 2019

Essay --

â€Å"Different Shades of Achilles Character† ​This paper is based on a great poem named â€Å"The Iliad†. This poem has various difficulties for the readers and based on many characters. In fact this poem covers many different themes such as interaction between fate and free will, pride, pursuit of glory and glory of battle and horror of war are the key themes that covers by the author. These themes are very difficult and complicated for the reader who read this poem first time. The key and main character of this poem is Achilles; we can say that he is the hero of this poem (Russell Selva 18.92-4) ​Achilles is a child and portrayed by the author as a resentful, proud and insignificant character. The character of Achilles provides to exhibit heroic qualities even in today society. When his one of the best and most loyal friend Patroclus dies, we can see a sudden change in Achilles character drastically. In fact he tackles with a very drastic horror of death, so he puts his all immature ways to fulfill duty to his friend, competitors and his principles. In a way we can say that the character of Achilles is an analogy for the evaluation from youth to maturity level of life (â€Å"N.S. Gill’s Ancient Classical History†). ​In fact Achilles possesses his character as a superhuman and strengthen person of this world with close relationship with the gods. Achilles has the marks of great warrior and shows by his personality in the mightiest man in the Achaean army. The depth of his character flaws in very consistent manners which has hampered the ability to act with nobility and integrity of Achilles throughout the poem. In fact he has no idea and no strength to control his pride that flow up with that pride is injured. This attribute of this poem leave... ... his youthful brashness mercilessly insults Agamemnon in the same book of this author. Because the refusal is to let him go his anger and concern for his own future and also very helpful to indicate a more adolescent or young adult viewpoint while his childless. When prime comes to retrieve the Hector Achilles treats him respectful manners. He is finally seen to the heart of his fury and pointless and distractive individual. He shows that who he treats his enemies with respect and courtesy because they are human as well and he also treat them as a loyal and good human. In this whole poem the progress of Achilles character can be seeing very easily from child to an adult. He is the spiteful rage in the beginning to the compassionate respect in the end of epic, so Achilles development mirrors of a stereotypical human from childhood the level of maturity (Homer, 13-16).

Electronic Forms of Expression :: Internet Technology Communication Essays

Electronic Forms of Expression The confusion of new forms of media can be overwhelming. For those of us who grew up with the Internet, it may not be all that difficult to grasp its concepts and to tackle its nuances; but for those who grew up with print, the transition between the two could be exhausting. The concepts in new forms of electronic expression are in their developmental stages—still trying to find a dynamic equilibrium between mimicking print and inventing new ways of performance. Electronic media are trying to take advantage of their unique characteristics, while not proving to be too tedious for the audience to understand. Janet Murray explores the virtual swamp of electronic media conventions in her chapter entitled â€Å"From Additive to Expressive Form,† in Hamlet on the Holodeck: The Future of Narrative in Cyberspace. Electronic forms of expression are still in a sort of primordial ooze phase, still clinging on to the life forms that previously inhabited the area, but trying desperately to create an evolutionary creature that is nothing like what a tourist in the area may have seen. In this case, the entire world has access to this digital environment. Murray’s claim is that â€Å"digital environments are encyclopedic† (83), or rather that we have the world at our fingertips: Since every form of representation is migrating to electronic form and all the world’s computers are potentially accessible to one another, we can now conceive of a single comprehensive global library of paintings, films, books, newspapers, television programs, and databases, a library that would be accessible from any point on the globe. It is as if the modern version of the great library of Alexandria, which contained all the knowledge about the ancient world, is about to rematerialize in the infinite expanses of cyberspace. (84). The Internet has encyclopedic capabilities that surpass any previous knowledge collecting endeavors. The pages that we move through seem almost infinite, offering different perspectives and intersecting accounts. These qualities lend a feeling of omniscience to the surfer. â€Å"The limitless expanse of gigabytes presents itself to the storyteller as a vast tabula rasa crying out to be filled with all the matter of life† (84). Filling this â€Å"limitless expanse† is not without complication. â€Å"The reality is much more chaotic and fragmented: networked information is often incomplete or misleading, search routines are often unbearably cumbersome and frustrating, and the information we desire often seems to be tantalizingly out of reach† (84).

Sunday, August 18, 2019

The Illusion of Tradition in Jacksons The Lottery Essay -- Shirley Ja

The Illusion of Tradition There is a Lottery going on today and we all hold a ticket. In â€Å"The Lottery† Shirley Jackson is asking people to stop for a moment and take a look at the traditions around them. Shirley Jackson uses symbolism to show that traditions today are sometimes as misguided as the tradition of the lottery in that small town in Somewhere, USA.   Ã‚  Ã‚  Ã‚  Ã‚  Evil can be evoked in the most kind-hearted person if tradition deems it ok. Though the years there have been many wars in which many men have fought, and killed. If not put in a war torn environment the men in those wars would never have killed anyone. School children continually bully each other, sometimes to the point of serious injury. Otherwise kind, loving children, gain strength through numbers and, as a group encourage each other, making it ok to torment another. Usually a much weaker and shy child is on the receiving end of this torment. The children in â€Å"The Lottery† symbolize how humans have a duel nature that allows usually friendly people to become violent when put in the right situation with the right conditions. â€Å"On a beautiful day in June the young children choose there stones. Bobby Martin had already stuffed his pockets full of stones, and the other boys soon followed his example, selecting the smoothest and roundest stones; Bobb y and Harry Jones and Dickie Delacroix-- the villagers pronounced this name "Dellacroy"--eventually made a great pile of stones in one corner of the square and guarded it against the raids of the other boys.†(255) People in this small town are the same as in any small town, but when empowered with numbers and a tradition that deem it ok, evil shows it’s ugly face.   Ã‚  Ã‚  Ã‚  Ã‚  Today tradition is a strong part of out lives. We do not have any traditions that are as extreme as the lottery, however â€Å"The Lottery† symbolizes that relevance can be lost over time. Take the Bible for example, it has been written and rewritten several times over thousands of years, translated from one language to another and then to another. Even over the relatively short period of time in â€Å"The Lottery† many thing had been lost from there tradition. â€Å"At one time, some people remembered, there had been a recital of some sort, performed by the official of the lottery, a perfunctory, tuneless chant that had been rattled off duly each year; some people believed that the official of the ... ...obody work any more, live that way for a while. Used to be a saying about 'Lottery in June, corn be heavy soon.'† (258) â€Å"There's always been a lottery," he added petulantly.† (258) Tradition is so strongly rooted that it is tied to the fertility of the land and how well a year’s crop will be. Each and every day we face life with the chance that we may not make it through the day. The black box in â€Å"The Lottery† symbolizes the fact that we are mortal beings and just as easy as not we may die any given day. â€Å"Mr. Graves had selected the five slips and put them in the box, and he dropped all the papers but those onto the ground, where the breeze caught them and lifted them off.† (259) Automobile accidents, cancer, heart attacks, any number of things could happen to anyone any time as easy as the slips of paper fell into the box. The slips falling into the box and the wind blowing the others away symbolizes how random life really is with respect to death. Live your life full and pray the wind blows for you. Works Cited Jackson, Shirley. ?The Lottery.? Literature: An Introduction to Fiction, Poetry, and Drama. Ed. X.J. Kennedy and Diana Gioia. 6thed. New York: HarperCollins, 1995.

Saturday, August 17, 2019

RC Cola Case Essay

As we all know that Coca-Cola, Sprite, Pepsi are very famous drinks all over the world as well as Bangladesh. We can’t find single person who doesn’t like soft drinks. Mainly our young generation preferred to drinks. Now days there are many soft drinks company are coming continuously like Euro-Cola, RC Cola etc. Most of them are tastes are quite similar. Popularity of RC Cola is rapidly increasing day by day. In a small town, city even in villages RC Cola is available. RC Cola has taken a very strong place in people’s heart within very short time. One of the reasons is its price and another reason is its taste. The first line of beverages was named ‘Royal Crown’ and the first Cola was called Chero-Cola. Activities of the Management: Different activities of the management in RC Company Ltd. are given below: Planning: The overall planning approach in RC Company Ltd. is top-down. The seven members of the Board of Directors are responsible for the strategic planning and overall policy guidelines of the Company. Mainly the top level management plans al the long term and short term planning. ââ€"  Expansions of its products and sales are the long range planning. How can expand its products, sales and how it will be financed to earn more profit are its long term planning. * The lower level management of RC Company Ltd. makes short term plans. The management makes the plans of daily activities of the Company. Today or tomorrow’s work schedule making is the part of short term planning of RC Company Ltd. Organizing: Planning of the management of RC Company Ltd. establishes the goals of the company and how they are to be achieved. Organizing develops the structure to reach these goals. The CEO, Managing Director, Deputy Managing Director and Head of Factory are responsible for achieving business goals and overseeing the day to day operation. Co-ordinating: The CEO and Managing Director of the Company are assisted by a senior Management Group consisting of Deputy Managing Director and Head of Factory centrally and co-ordinates operations of offices. Management of RC Company Ltd. also trains their labors, so that they can get better performances from their labors. Directing: Through the planning the management of RC Company Ltd. builds climate, provides leadership and arranges the opportunity for motivation. Manager of the factory and offices plans and oversees the work of each of his or her sub-ordinates. Directing is aimed at getting the members of the Company to move in the direction that will achieve Company’s objectives. Controlling: The management approach in RC Company Ltd. is authoritative. Tasks are designed in such a way that one cannot leave without completing it as he is assigned for a day. Sitting arrangement in the factory and all offices is done in a way that the superior can monitor the sub-ordinates all the time. Budgeting, rewarding, punishing etc. are also practiced as control mechanism. Product planning: * RC Company designs the product according to the USA brand. * Import the raw materials from USA. * Assess the need of the market. * They assess the product cost and the price of the product in the market. * Import the machineries from USA. * They follow the production method of the foreign product. Production Method and Design: Most of the flavors of RC Cola are as concentrates, which are rigorously analyzed toensure the quality specifications. Each concentrate lot is coded and packaged, thenshipped on for the next step – the addition of sweetener and water to the concentratesto produce syrups for cola.The quality standards are very high. Mixing tanks must be of a specified grade of stainless steel. The entire syrup manufacturing system must employ hot sanitation. Precise control over water and sweetener components must be demonstrated. And,quality control professionals must oversee each step of the process. RC syrups start with fresh water, treated by using a multiple barrier filtration process.In one tank there are two large mixers, which look like wheels from outside. There tons of sugars are added to produce syrup. Then the syrup is transferred to the other tank where it is refined. After that it is kept under the Ultra Violet (UV) ray to cleanthe germs. In another tank the flavors are mixed. Finally it is transferred to thecarbonated chamber. Throughout the manufacturing process, they take special careto ensure that every step – from the selection of ingredients to the calibration of equipment – requirements. The final step is to verify that their efforts have been successful by testing the syrups for taste and adherence to their formula. Product and Customer solution: RC cola is a soft drink. We get it as a bottled drink. We get it in different size, quantity and taste. It contains calories, carbohydrate and sugar. There is no fat, protein and sodium. But diet cola has no sugar. We get it in different colors and flavors. It has no harmful element. It is a refreshing drink for all classes of people. RC is a product that consists of the basic physical offering and an accompanying set of images and services features that seek to satisfy needs. RC Cola is also that type product. Price and Customer cost: Price depends on its quantity. It is expected to all because the price is reasonable. We get it within 15-50 taka. Though the cost to market the product in the rural area is bit high, the price is same both to the urban and rural area. Pricing decisions are influenced by now responsive a target market is high or low price, the physiological created by prices and the actions of competitors. Inventory control: Inventory control balances the need for adequate stock against the costs of purchasing, handling, storing and keeping records on it. It is an attempt to keep enough material on hand to satisfy production requirements and at the same time avoid tying up too much capital in inventors. RC can keep its raw materials very well because if they do not keep their materials well they can face a heavy loss. Materials management: RC cola is a soft drink. To prepare it needs some elements that are very essential for it. The RC Company buys its raw materials from home and aboard. The RC Company establishes performance specification for required item, or accepts supplier’s specification. Department that needs submits purchase requisition to purchasing agent. Purchasing agent sends purchase order to supplier. Purchasing agent follows to confirm item will be delivered according to terms. Goods – received and inspected by the inspector of RC Company Promotion and Communication: Advertising is the main way of promoting new flavor and new design product. When the product is launched the company gives ads to the electronic media and paper media to create concentration of the people. When the new product is launched the company give discount in product. They offer several types of free gift with the newly launched product. Promotional strategy is the second element of the marketing mix. It involves the correct blending of advertising, publicity to create the promotional mix. Product and Customer solution: RC cola is a soft drink. We get it as a bottled drink. We get it in different size, quantity and taste. It contains calories, carbohydrate and sugar. There is no fat, protein and sodium. But diet cola has no sugar. We get it in different colors and flavors. It has no harmful element. It is a refreshing drink for all classes of people. RC is a product that consists of the basic physical offering and an accompanying set of images and services features that seek to satisfy needs. RC Cola is also that type product. Price and Customer cost: Price depends on its quantity. It is expected to all because the price is reasonable. We get it within 15-50 taka. Though the cost to market the product in the rural area is bit high, the price is same both to the urban and rural area. Pricing decisions are influenced by now responsive a target market is high or low price, the physiological created by prices and the actions of competitors. Responsibility to the Environment: Water pollution- Water pollution is caused by the dumping of toxic chemicals, sewage and garbage into rivers and streams. To keep the water pollution free, steps are strictly maintained by the RC Company people. Air pollution-Air pollution caused by carbon-monoxide and hydrocarbons that come from motor vehicles and by smoke and other pollutants from manufacturing plants. From the RC Company these gasses are not exhausted. Only very low amount of smoke exhausts from generators. Land pollution-Land pollution results from strip mining of coal and minerals, forest fires, garbage, disposals and dumping of industrial wastes including chemicals. RC Company is not caused any kind of land pollutions. Responsibility to Investors: Company also has a responsibility to the people who invest money to them. Proper management of funds-RC Company manages funds properly so as to return a fair profit to investors. Managers have a responsibility to thoroughly investigate their investments and to clearly present all facts and risks to investors. Access to information-RC Company has the responsibility to make stock information available to all potential investors. Executive compensation-Executives who run company carry tremendous responsibility and deserve to be compensated accordingly. A fair compensation program definitely rewarded executives for out-standing performance. Conclusion: The management approach differs from organization to organization. But all types of organization apply mare or less some common functions such as planning, marketing, HRM, co-ordinating and production. RC Company Ltd. successfully applies management functions in its operations. As a result, today RC Company deserves top position in the market of soft drinks.