Friday, May 31, 2019

The Great Gatsby :: essays research papers

The Great Gatsby by F. Scott Fitzgerald is more than a story about a mans love for a women, but rather a mans will to achieve greatness as he perceived. Jay Gatsby was a man driven by money and power. He was a man with a vision, a vision to succeed in life. As a child, Jay Gatsby grew up on a farm. He saw his parents as nothing but lethargic farmers. Gatsby knew on the dot what he didnt want to be and that was like his parents. They were people who were content with who they were. Gatsby, on the other hand, was the exact opposite. He wanted to move on. Jay Gatsby wanted to be someone special, someone with prestige and someone definitely with money. Gatsby developed a self improvement plan to help him flourish as a teen board man. His plan detailed dumbbell exercises, studying electricity, practicing elocution and studying needed inventions. Even his parents knew he was driven. His father said "Jimmy was bound to get ahead.. He continuously had some resolve like this or someth ing. Do you notice what hes got about improving his mind? He was always great for that" (182). The unified drive let Gatsby prevail in his endeavors. However, there are some things people just cant get away from. James Gatsby desperately wanted to achieve success in life. However, it is difficult to flourish with a background like Gatsbys. So to escape his past, he changed his name at the age of 17 from James Gats to Jay Gatsby. Nonetheless, changing his name only did so much for him. Gatsby ended up living a life of lies because of his hidden identity. Nobody sincerely knew Gatsby. So in the absence of peoples knowledge, they conjured up rumors. "One time he killed a man who found out he was a nephew of von Hindenburg and second to the reach"(65). These were just some of the rumors about Gatsby. Some believed he was a German spy, while others thought he was a war hero. These were things he had to go through with(predicate) to reach his ultimate goal in life, which was to succeed. After he left the farm, Gatsby went to work for a man named Dan Cody. Cody was a stable father figure for Gatsby. He looked up to Dan and saw what he really wanted to be. "Thats Dan Cody, old sport.

Thursday, May 30, 2019

The Theme of Time in Slaughterhouse-Five Essay -- Slaughterhouse-Five

The Theme of Time in Slaughterhouse-FiveMany writers in history have scripted science fiction impudents and had huge success with them, but only a few have been as enduring over judgment of conviction as Kurt Vonneguts Slaughterhouse-Five. Slaughterhouse-Five is a personal falsehood which draws upon Vonneguts experiences as a scout in World War Two, his capture and becoming a prisoner of war, and his witnessing of the fire bombing of Dresden in February of 1945 (the greatest man-caused massacre in history). The novel is to the highest degree the feel and times of a World War Two veteran named Billy Pilgrim. In Slaughterhouse-Five, Kurt Vonnegut uses social system and point of view to limn the theme that time is relative. The way Kurt Vonnegut structures Slaughterhouse-Five aids in the portrayal of the theme that time is relative. The novel is broke down into twain parts Vonneguts story about the novel and the life story of Billy Pilgrim. The life story of Billy Pilgrim which is presented as a series of episodes with no chronological order . This mirrors the structure of the novel which has a beginning, middle, and end but not in there respective places. (Dawley 1) Billy states numerous times in the novel that he has become washed-up in time and that the time travel periods atomic number 18nt necessarily fun. (Vonnegut 23) While the reader never leaves the main plot cast of the fire-bombing of Dresden for very long, Billy even so travels alot. Billy has seen his birth and death many times and all the events in between. (Vonnegut 23) The reader learns that the things Billy Pilgrim cannot change are the past, the present, and the future. (Vonnegut 60) Many of the time warps are to his later-life as an optometrist. During his life as an optometrist he marries one o... ...y the good moments and bad as well that life brings to us. (Dunstan 1) Slaughterhouse-Five gives the reader insight on the meaning of life, time, and war. The thought of humans world able to view their lives moments concurrently and not linearly is erroneous to the reader, yet Kurt Vonnegut brings into the readers passing play the idea of time being relative and only existing in humans imaginations. Works Cited ClassicNote. Insanity of war in Slaughterhouse-Five. 29 Jan 2001. http//www.gradesaver.com/ClassicNotes/Titles/slaughterhousefive/essays/insanitywar.htmlDawley, Jason. The use of Fragmentation in Slaughterhouse-Five. 29 Jan 2001. http//www.geocities.com/hollywood/4953/kv_fragmentation.html. Dunston, Brittany. devastation of Dresden, destruction of Vonneguts dream. 29 Jan 2001. Vonnegut, Kurt. Slaughterhouse-Five. New YorkDell, 1991. The Theme of Time in Slaughterhouse-Five Essay -- Slaughterhouse-Five The Theme of Time in Slaughterhouse-FiveMany writers in history have written science fiction novels and had great success with them, but only a few have been as enduring over time as Kurt Vonneguts Slaughterhouse-Five. Slaughterhouse-Five is a personal novel which draws upon Vonneguts experiences as a scout in World War Two, his capture and becoming a prisoner of war, and his witnessing of the fire bombing of Dresden in February of 1945 (the greatest man-caused massacre in history). The novel is about the life and times of a World War Two veteran named Billy Pilgrim. In Slaughterhouse-Five, Kurt Vonnegut uses structure and point of view to portray the theme that time is relative. The way Kurt Vonnegut structures Slaughterhouse-Five aids in the portrayal of the theme that time is relative. The novel is broke down into two parts Vonneguts story about the novel and the life story of Billy Pilgrim. The life story of Billy Pilgrim which is presented as a series of episodes with no chronological order . This mirrors the structure of the novel which has a beginning, middle, and end but not in there respective places. (Dawley 1) Billy states numerous times in the novel that he has become unstuck in time and that the time tra vel periods arent necessarily fun. (Vonnegut 23) While the reader never leaves the main plot line of the fire-bombing of Dresden for very long, Billy still travels alot. Billy has seen his birth and death many times and all the events in between. (Vonnegut 23) The reader learns that the things Billy Pilgrim cannot change are the past, the present, and the future. (Vonnegut 60) Many of the time warps are to his later-life as an optometrist. During his life as an optometrist he marries one o... ...y the good moments and bad as well that life brings to us. (Dunstan 1) Slaughterhouse-Five gives the reader insight on the meaning of life, time, and war. The thought of humans being able to view their lives moments concurrently and not linearly is erroneous to the reader, yet Kurt Vonnegut brings into the readers head the idea of time being relative and only existing in humans imaginations. Works Cited ClassicNote. Insanity of war in Slaughterhouse-Five. 29 Jan 2001. http//www.gradesaver.c om/ClassicNotes/Titles/slaughterhousefive/essays/insanitywar.htmlDawley, Jason. The use of Fragmentation in Slaughterhouse-Five. 29 Jan 2001. http//www.geocities.com/hollywood/4953/kv_fragmentation.html. Dunston, Brittany. Destruction of Dresden, destruction of Vonneguts dream. 29 Jan 2001. Vonnegut, Kurt. Slaughterhouse-Five. New YorkDell, 1991.

Wednesday, May 29, 2019

Polymerase Chain Reaction Lab :: essays research papers

Title Polymerase Chain Reaction Simulation ProposeThe propose of this research laboratory was to understand how by running a gel electrophoresis on a batch of DNA we are able to see how many approximately cycles it has gone through.Methods Casting the Agarose Gel In this experiment .8% event was used. By using a 250ml flaskful the buffer solution was prepared. Using the equating to make enough solution for the entire lab class the equation had to be multiplied by four. The contents of this equation were added to the 250ml flask and swirled to evenly distribute it contents. Then a mark was dictated on the outside of the flask to indicate the level of the solution before heating. The flask opening had perafilm placed over it so that there was little to no evaporation. The solution was then placed in the microwave and heated. The solution was then heated for one min and swirled for evenly dissolved Agarose. The Agarose was then cooled, so that it was not to hot and the plate would c rack. nearly water was added to the solution because of there was some evaporation during heating. Once the gel had cooled, it was poured into the plate between the guard dams. The plate was filled about half charge up the comb arms. These dams are placed in the plate to prevent leaking. Then the gel was added and allowed to completely soiditify, which takes around 20mins. Preparing the Gel for Electrophoresis once the rubber dams have been removed (carefully), the comb was then removed. Then the buffer was made. The buffer was made by using the equation, but also multiplying it by four, for the three lab groups. Then the chambers around the gel plate is filled with the buffer, just enough buffer to cover the gel plate in a genuinely small amount. Then the dyes were loaded to there correct wells. Once the gels were added (carefully) the lid was placed on the plate and corpse was turned on. The system ran for about 10mins. (Hint the system is running when there are bubbles occur ring in the buffer solution.Once the gel had been run the exactly gel had been removed from the buffer, placed on tin plunder and moisten with a small amount of buffer solution. Then the gel had a DNA Instastain sheet placed on top of it. The sheet was placed on the gel firmly and a beackr and gel casting tray were placed on top of the gel.

Computers in the Classroom :: Technology Education Learning Essays

Computers in the Classroom Education has recently become a major media topic, drawing daily headlines in newspapers across the country. One issue on this topic is the recent rush to increase technology in the schools. This oft is observered to as educational technology. Educational technology is defined as the theory and practice of design, development, utilization, management and evaluation of process and resources for learning (Ely 2000). The thought of incorporating technology into the schoolroom is an idea occurring only thorough the 20th century. This concept evolved during and immediately following WWII, when technology began to increase and became available for individual use. The originators of increased technology in the classroom focused on the use of audiovisual media, such as TV and video clips. Today when we say educational technology we most frequently refer to the use of computers in the classroom or similar electronic devices. There are more positive aspe cts of having computers present in the classroom and used as a tool throughout the learning process, especially in math and science. This is a relatively new idea, considering computer use has increased dramatically all over the past 10 years. Few deny that students do not require computer access in school, however some individuals feel this ultimately pull up stakes negatively affect schools and students. I however am not one of those individuals. I feel computer technology can positively affect many areas of education. In this paper I will cover the areas of computer impact on constructivism, possible assessment processes of the future, and technology use with at-risk students. With increasing standards across the country, many students are falling behind their peers. These students are considered at-risk for academic failure. In the past, these students were educated through tracking at a lower level, by narrowing particular proposition circulla, rigid instructional procedure, and pullout programs. However, recent studies show that by not challenging at-risk students or encouraging them to use complex thinking skills schools underestimate the students capabilities (Means 1997). consequently not providing them with the best education possible. Many students that are at-risk have difficulty with subject matter because it is irrelevant, uninteresting, or too abstract for them to absorb, ultimately the students do not try in school and eventually fail out. Well it sounds like an easy solution then make the lessons relevant to the students life.

Tuesday, May 28, 2019

Essay examples --

referee Penny exsanguinous of Tennessee, lost her retention pick in 1996 after the Tennessee Conservative Union campaigned against her, state she was soft on crime and capital punishment. A retention election is beneficial because it eliminates Justices that feel pity or emotion towards cases and/or people. Justice White for example ordered a new shoemakers last sentence hearing for the case of State v. Odom and was knocked off the bench in a retention election because of her decision. This retention election process is beneficial because it allows citizens to accommodate judges who atomic number 18 doing significantly. It also allows us as citizens to vote off Judges who we think are doing poorly or do not portray us as a whole. Justice Penny White was voted off the ballot because citizen did not want the decision she made in the case on State v. Odom. Churches formed prayer circles to call community members stating that they would vote no for Justice White because she is evil. (Denver intercept Association.) White was opposed by a innovation of victims right groups as well as by Republic governor Don S... Essay examples -- Justice Penny White of Tennessee, lost her retention election in 1996 after the Tennessee Conservative Union campaigned against her, saying she was soft on crime and capital punishment. A retention election is beneficial because it eliminates Justices that feel pity or emotion towards cases and/or people. Justice White for example ordered a new death sentence hearing for the case of State v. Odom and was knocked off the bench in a retention election because of her decision. This retention election process is beneficial because it allows citizens to retain judges who are doing significantly. It also allows us as citizens to vote off Judges who we think are doing poorly or do not represent us as a whole. Justice Penny White was voted off the ballot because citizen did not like the decision she made in the cas e on State v. Odom. Churches formed prayer circles to call community members stating that they would vote no for Justice White because she is evil. (Denver Bar Association.) White was opposed by a variety of victims right groups as well as by Republic governor Don S...

Essay examples --

justness Penny snow-covered of Tennessee, lost her retention choice in 1996 after the Tennessee Conservative Union campaigned against her, express she was soft on crime and capital punishment. A retention election is beneficial because it eliminates Justices that feel pity or emotion towards cases and/or people. Justice White for example ordered a new wipeout sentence hearing for the case of State v. Odom and was knocked off the bench in a retention election because of her decision. This retention election process is beneficial because it allows citizens to book judges who atomic number 18 doing significantly. It also allows us as citizens to vote off Judges who we think are doing poorly or do not fit us as a whole. Justice Penny White was voted off the ballot because citizen did not equal the decision she made in the case on State v. Odom. Churches formed prayer circles to call community members stating that they would vote no for Justice White because she is evil. (Denv er patty Association.) White was opposed by a sorting of victims right groups as well as by Republic governor Don S... Essay examples -- Justice Penny White of Tennessee, lost her retention election in 1996 after the Tennessee Conservative Union campaigned against her, saying she was soft on crime and capital punishment. A retention election is beneficial because it eliminates Justices that feel pity or emotion towards cases and/or people. Justice White for example ordered a new death sentence hearing for the case of State v. Odom and was knocked off the bench in a retention election because of her decision. This retention election process is beneficial because it allows citizens to retain judges who are doing significantly. It also allows us as citizens to vote off Judges who we think are doing poorly or do not represent us as a whole. Justice Penny White was voted off the ballot because citizen did not like the decision she made in the case on State v. Odom. C hurches formed prayer circles to call community members stating that they would vote no for Justice White because she is evil. (Denver Bar Association.) White was opposed by a variety of victims right groups as well as by Republic governor Don S...

Monday, May 27, 2019

Goodwill Industries Essay

1. Describe the three customer types mentioned in the video. What is each customer type looking for when they cuckold at free grace? What is some important to each customer type? The video mentioned 3 specific clientele for Goodwill Industries. The fashion shoppers, the bargain hunters, and the resellers. The invent Shoppers argon most likely the frequent customers of Goodwill boutiques. Goodwill boutiques sells high end products with lower prices. These shoppers ar what the Goodwill merchandisers are targeting when it comes to selling their trendier merchandise. These shoppers are the earlier adopters of trends and they put more value on style rather than the savings itself. Bargain Hunters are the more common clientele for Goodwill investment trusts.These are the great deal that go to the stores with the mindset of getting more for their gold. To this clientele, the focus is on how much discount they could get on an item in comparison to getting them from perpetual store s. They may care about the trends as well, but their focus is more on the psychological factor of getting a deal (buying something that is 80% forward for example) rather than getting something that is trendy. Resellers are probably the shrewdest of all three. They are basically a combination of both of the latter customer types with an intent to sell afterwards. They are businessmen or women that understands trends and are also looking for the best deal for it. Resellers traditionally would buy merchandise at deeply discounted prices and then sell them for a profit. They would be the most frequent customers of the Goodwill outlet stores w present the items that were not sold on regular stores are sold in bulk for much cheaper prices. Their bushel intent is to ease up a profit, and reselling Goodwill products is their means to do it.2. What is Goodwills value proposition? Is it the same for all customer groups? According to the video, Goodwills value proposition is used merchandi se in deeply discounted prices. (Pearson Education, 2013) No, I believe that it varies from customer to customer. A fashion shoppers bargain would be different from what a bargain hunter would consider a deal. Also according to the video, social values definewhat we see as a tightness that is why they cater their stores to appeal to different demographics. 3. How do the four sets of factors alter consumer port affect the buying behavior of Goodwills customers? Which of the four sets of factors affecting consumer behavior do you believe most strongly affects consumers purchase decisions from Goodwill? The four factors that affects consumer behavior are Cultural, Social, Personal, and Psychological factors.Each factor has a serious effect on shaping a consumers buying behavior and so Goodwill makes their stores relevant by making sure to weigh in the most prevalent factor, among these four, based on location. The cultural factor makes it important to fill stores with items that ma tch the culture of the neighborhood in which the store is located. The social factor make sit important to take into consideration consumers views of thrift stores. The personal factor makes it important to consider how concerned the target market for a particular store is with timing fashion trends, and the psychological factor makes it important to consider how a buyers perception of an item is linked to the items price. (Pearson Education, 2013) In my opinion, Cultural factors plays the biggest role in affecting the consumer behavior when it comes to Goodwill stores.As have been discussed last week, marketing affects the society it is found in and vice versa.If they are to sell products that does not fit the target demographics neighborhood, then the rest of the factors becomes moot. After all, the consumers has to be in the store for any of the other factors to kick in, and being culturally appropriate would greatly help in bringing in consumers. From my own experience as well, I only go inside Goodwill stores if it look like it would be a safe place for me to buy things. If the place appear too musty, or to unclean, I would not even be tempted to go inside even if they have the best deals in the area.4. What environmental trend(s) does the video discuss that significantly impacts Goodwills performance? What two metrics are affected and why does this affect how Goodwill markets its retail goods? The video talks in detail about the challenge of depending on customer situations and economic changes. The supremacy of their whole operation rests on the ever changing economic times specifically influencing consumer purchasing habits. When the economy goes through a slight recession, it drives customers to the stores. Less money to spend means, budgeting and bargain hunting for consumers, which happens tobe the forte of Goodwill stores.However, if the economy keeps turning bad, the company gets fewer donations. Fewer donations leads to fewer products to sell a nd fewer figurehead in the supply line. Some of their stores rely on the constant product cycles to reach their target demographic. Without donations, the cycles slows, stalling e precise aspect of their operation. These also results in the raw back of employee hours, which greatly affects their mission to help people reach their full potential through learning and the power of work. (Goodwill Industries International, 2015)5. How does Goodwills recognition of consumer behavior principles affect its marketing mix? It helps them in recognizing trends, leading to better strategies and helps them in optimizing their impact on influencing consumer behavior. First off, they tailor their stores in a way that it is very similar to private retail stores. The products, the way the stores operates, and the way everything is processed are like those of traditional retailers they set themselves apart with their plying and the experience of shopping in the store itself. (Pearson Education, 20 13)They have boutiques to sell the trendier products, they have outlets to sell items in bulk, and they have an online store as well to reach a global audience. Their prices speak for themselves. They offer very low prices in comparison to regular stores and they make sure that consumers know that they are getting a bargain. All the factors are being considered here the neighborhood of the store, the perception of thrift stores by that neighborhoods populace, the buying power of the consumers, and the discounts that drives them to spend their money there.REFERENCE LISTGoodwill Industries International (2015) Our Missionhttp//www.goodwill.org/about-us/Goodwill taking into custody consumer and buyer behavior, produced by Cole Creative Group, Pearson Education (2013)

Sunday, May 26, 2019

Shark Tank Paper

Shark Tank is an Ameri good deal reality show produced by Mark Burnett. The show is about aspiring entrepreneurs bringing their business purpose up in front of a panel of potential investors to see if they can sell their crossroad to them and get the total investment amount needed. Today the first entrepreneur was Sarah Schulz the founder of Schulzies bread pudding. She was seeking an investment of $160,000 for a cardinal percent impartiality stake in Shulzies. All the investors were able to try a variety of bread pudding which turned out to be a delicious surprise.The only thing lacking in Sarahs business was a stable yet sturdy business plan. The investors definitely wanted to help her, hardly the risk was far too high. As we all know, to have a successful business you have to have a successful business plan or you will crumble. The second entrepreneur was James Ambler who is the owner of Paparazzi Proposals. They go around capturing the perfect moment of a marriage proposal. He was seeking a $250,000 investment for twenty percent equity in his company. He explained to the panel that he wants to expand his business to cities opposite than Just New York.The investors gave him stabilising advice on how to go about the expansion nd all recommended to first saturate his current market, New York City, and then go on to other destinations. tierce of the sharks simply told him they dont see the need for that amount of money because the company isnt worth that much. Laurie was very interested but was wanting a bigger piece of the pie, because she matt-up like she could show him how to move the business into extreme success. Out of the last three investors, they all decided to give him a portion of what he was asking with thirty three percent of the business.Lori and Kevin decided to partner giving him 50,000 for thirty three percent and loaning the rest when he needed it. Robert started off on the fence and gave him the straits of $100,000 with thirty three percent and also loaning the rest when he needed it. He made an offer asking Robert to allow Lori partner and Robert immediately was out. So he was left with the only offer standing and that was with Kevin and Lori. He told them if they would go down to thirty percent they would have a deal. The partners agreed and James left the room with investors for his company.The next entrepreneurs who entered in front of the panel had a new way to communicate with a child out front it is even born. Curtis and Matt are the founders of Belly Buds who are seeking an investment of $500,000 in exchange for twelve and a half percent of their company. Basically their product makes playing music to the baby much easier by using a baby bump sound system that adheres to the womans stomach. This allows her to play music and/or voices with her stomach to the baby in the womb anytime, anywhere. The investors first wanted to know if the product was patented.The partners said they have had a patent pen ding for three years, and Lori went on to say that they were probably not going to get it then. Mark aid that he had a similar product when his children were in the womb it Just didnt adhere to the stomach, which is probably why the patent is pending. Most of the investors described how the price they are asking, based on their sales, was Just too high of an amount for them to risk investing. The other two said that the product Just wasnt unique enough an they didnt see the potential to make money.The final entrepreneur that entered was a man from California with an sophisticated new cosmetic line. Abe Geary the founder of Pet Paint, colored hairspray for your dog, was seeking a $200,000 investment for twenty percent of his company. The product is veterinary tested, easy to use, easy to dampen off, and will make your dog one ofa kind. One investor commented that the product doesnt have a good price, ten dollars a can isnt something most households are involuntary to spend to spray paint their dog.Kevin said that if he was able to make a paint that no one else could make he would consider the offer but this product is one that anyone can come up with and distribute, so he was out. Lori was concerned with the amount of inventory and also said she was out. Mark was more than concerned with the fact that Abe didnt ecognize the opportunity that online sales could bring him, so because of his lack of seeing potential ways to increase his business Mark also didnt invest.With quadruplet sharks now out, Robert was Abes last chance to cut a deal and luckily he was on the fence. While trying to decide Barb comes swooping in whirl him $200,000 for sixty percent of his business. His response shocked many when he said that he didnt want to work with someone who was Just interested in equity and declined the offer. It closed with Abe stating that he will be taking the advice of the sharks and Pet Paint will soon be online.

Saturday, May 25, 2019

What Is Toxicology?

Research involving laboratory animals is important to people and to our quality of life. In the past century, most(prenominal) inhabitants of this planet have experienced an unprecedented rise in living standards, life expectancy and personal opportunity, in large rive due to the many ways chemicals have been put to work for us. For example, drugs whose effects range from curing previously fatal bacterial infections, reducing the equal of AIDS, minimizing fondness disease, decreasing age- related wrinkles, to reducing hair loss are widely available today.The many benefits of the diverse uses of our natural resources are an outcome of careful scientific research and of using chemicals in an appropriate and safe manner. Toxicologists, the scientists who help determine the limits for safe use of materials, use modern technological research methods, including tests on animals, to protect human and animal health and the environment. What is toxicology? Toxicology is the study of how chemical substances interact with living systems and affect normal processes, and the use of this information to predict safe exposure trains.toxicologic research and testing helps us to live safely and to derive benefit from natural and synthetic substances while avoiding harm. Toxicologists are involved in the evaluation of kinfolk products, medicines and the effects of incidental and occupational exposure to natural and manufactured substances. Toxicology also helps us develop the best broodments in the event that accidental overexposure does occur. What is safe? Toxicologists fill out that no substance is risk-free.One fundamental tenet of the science of toxicology is that all chemicals after part cause harm at some level of exposure, summed up in the phrase the dose makes the poison. This means that exposure to a specific small amount of any substance will have no detectable impact on normal biological processes and is considered safe. Some doses actually have beneficial effects, as we all know from use of medicines. But increasing exposure to most substances will, at some point, cause harmful effects. Substances are considered toxic at that level.For example, digitalis is a plant product that has been used with great benefit to treat heart irregularities, but too large a dose will cause death. Oxygen provides another example of how increasing the dose can turn away a safe compound into a toxic one. Oxygen is essential to life and part of the air we breathe, but when given at high concentrations it can cause lung and eye damage in infants. Sometimes the possible negative effects of a substance are outweighed by the positive benefits at that dose. Dogs are treated with heartworm medication because the risk of death from heartworms is much greater than the risk of toxicity of the medication.Similarly, chemotherapeutic agents are used to destroy cancerous cells even though they may damage healthy cells in the process. Prior to the use of new substanc es, toxicologists and policy makers are responsible for determining the range of exposure that is safe and the level of exposure that may be harmful to human health or to the environment. The effect of the level of exposure is also important when toxicologists assess the risk caused by a substance already present in the environment. The benefits of using a new substance, or the costs of removing an environmental contaminant, are viewed relative to the perception of what is safe.

Friday, May 24, 2019

Do You Prefer Eating Out to Eating at Home? Essay

Nowadays, some gr have deal like to annihilate at home and prepare food by themselves but others pick out to eat outside in restaurants or at food stands. As far as I am concerned, I prefer to eat at home. Of course, on that point are some advantages eating out. Firstly, restaurants offer a more comfortable environment to eat and the food there tastes more delicious than home-cooked meals. Everyone has different darling dishes and restaurants may satisfy all tastes of its customers. In addition, eating at restaurants is a good way of getting together with friends. People go to restaurants so that they sop up a private space to discuss something. Many people think that it is easier to do a business when they eat and negotiate at the same time. They do non need to worry about washing dishes and clearing. For people who are busy to cook, eating out is certainly an ideal choice. Furthermore, for people do not know how to cook and do not have someone to cook for them, eat out seems to be the only choice.However, many other people prefer to eat at home. This is because eating at home is much cheaper than eating at restaurants. Instead of spending money for expensive meals at a restaurant, people can prepare for a meal and save lots of money for other purposes, so that they do not want to go restaurants for lunch or dinner. Other people choose to eat at home just because they would like to spend time with their families. While having dinner at home, for example, they can cope their happiness and troubles in jobs with their folks or even talk about a television program they like best. I think that whether people eat at a restaurant or at home, the most important thing is whether they feel comfortable or not.However, if I have to choose, I result eat at home because it is a way to save my money and above all, I can have a good time with my family. The briny reason is that at home family members can prepare their meals and enjoying their food together, which can enhance their relationships. Family members can talk, make jokes and exchange feelings on current affairs with individually other while preparing a meal.Parents have a chance to communicate with their kids and keep track of what they are thinking and doing while children can learn to avail with some household tasks and develop intimacy with their parents. Imagine that you and your brothers and sisters help your mother to cook on weekend, and enjoy the food later on, and you feel everything is so nice. popular speaking, eating out side is comfortable andconvenient, but eating at home has more benefits. I prefer to eat at home.

Thursday, May 23, 2019

Aka Anta! Aka Anta

She was beautiful to last. One day, when she was taking a stroll, she met a tender prince who happened to pass by. The prince was real transferome. When she first saw the prince she felt a strong sensation for him. So did the prince for her. They exchange pleasantries and search each others feelings show up. Everyday from then on they would go out together, until unrivalled day the prince revealed his true feelings to the princess. So since the princess had long et her heart for the prince, she didnt hesitate anymore and at once accepted his love for her.One afternoon after their usual walk together, the two engaged in a more or less intimate conference under the sweet-scented plants kept by the princess. Marring Magna, how benignant your flowers are, right the flowers in our kingdom are far more beautiful and fragrant. None of those here could compare with them. Really? Tell me where your kingdom is? Yonder in those parts where no mortals can go. After a little while mo re, the prince bade goodbye with a sad look in his face. This prompted Marring Magna to ask the prince the case why. Well its because the prince couldnt find the right words to explain himself. Well, because of what? What seems to be the trouble? the princess kept skins, suspecting something was wrong. l must return radix, if non, I will not be able to return home to our kingdom anymore. I want very much to bring you along with me, but such is not permissible. Your kind is not allowed in our kingdom. Thus, farewell, my love. Come back tonight will wait for you here in the garden. Please, youll come back? Ill try, Marring Magna, the prince promised. It was close to midnight when the prince came. He was greeted by the princess who waited for him inside the garden.They talked for hours and hours. Their conversation almost touched on every subject. All the time, the princess wrapped herself tightly around the arms of the prince, never letting go. Suddenly, the prince stood up and announced, l must take off at once, Marring Magna Its about midnight. If dont depart at once I wont be able to return home. Stay put. just I want you to remember youre the one love, as he threw a gentle kiss on the petal lips of Marring Magna. The princess act to stop the prince as she grabbed his arms with all her might.She could not bear the circumstance his lover would abandon her. While tugging at each other, suddenly the prince disappeared and left his arms behind held teen the palms of Marring Magna. The princess was shocked at this that she runs quickly to a receding of the garden and buried the arms. A few days after, there sprouted a strange plant on the spot where she buried the arms. It had wide leaves but no branches. A few days more, the tree shed flowers, everyday thereafter, she would visit the plant. Then a few days later, it bore fruits in the holding of its flowers.The fruits came in bunches, each bunch looked like fingers set side by side and laid parallel to each other. These became known as the first banana fruits in the world. A very long time ago, in what is now the town of Cantina in Racial, there lived a woman named Jamaican who was well-known not only to the people of her native town but also to those of the neighboring towns. She was greatly admired for her beauty and wealth as she belonged to a rich family. But above all, she was very much loved and was highly respected by everyone for she possessed a king and generous heart.Charity was something inborn in her. Even as a little girl she would give kindly to each and every beggar who would pass by their phratry to ask for alms. She would also often go out of her way to invite the poor children in the trees to the house and let them play with her toys. As she grew up, she continued on with his charitable acts. It became a usual scope every Sunday morning when she came home after mass to see a long line of beggars, waiting for her at the foot of the stairs. With open hands and an understanding heart, she would see to it that their needs are attended to.She would personally hand in food, toys, clothes, money and the like according to what each of them would ask from her. Her goodness was very much appreciated by her town mates who made her more endeared to them. Unfortunately, Jamaican was not as lucky in love as most other beautiful omen her age were who got married and had children. She didnt fall in love again when her first love got sick and died. She remained an old maid flat after her parents have both died and was left alone in the house. Instead, she devoted her time and wealth caring for the needy.To openly express their gratitude and respect she truly deserves as would be fitting to one as elderly a woman she has come to be regarded, people began addressing her as Aka Anta Aka woman and Anta which is short for Jamaican. Altogether, Aka Anta became more than just a name the name itself became a symbol of salvation to the needy. One Christmas day , like all previous Christmas, many poor folks flocked to the home of Aka Anta for the usual yuletide giveaways. Short of their expectations, Aka Anta was not by the open window for the first time in years.They called out to her but there was no reply, nor did anyone come to the window. They tried altogether to call out to her several times, but again there was no response. Anxious and all that, a number of them decided to enter the house if anything was the matter. As the door opened, they see Aka Anta lying on the floor. Certain she was dead, the women began to scream, the men made the sign of the cross. There followed loud weeping as they affectionately cried out her name, Aka Anta Aka Anta. The more they were moved to tears when they noticed the gifts lying on the floor Aka Anta had prepared for them.x

Wednesday, May 22, 2019

A comparison between cardiac CT scanning and cardiac digital subtraction angiography (DSA)

AbstractCoronary arteria sickness affects nearly wholeness tenth of the UK population and remains the leading cause of death in the western world. To investigate and provide preventives for coronary thrombosis thrombosis arteria disease, imaging of the coronary arteries to alter visualisation of atheromatous plaque is askd. This re thought looked at the techniques of cardiac computed tomography s outhousening and cardiac digital implication angiography, and their contribution to the investigation of coronary artery disease. relation of the procedures considered technique, radiation therapy exposure, p atomic number 18ntage agent, clinical indications and dexterity in diagnosis of coronary artery stenosis. On comparison of the sacrosanctness of the techniques, both were shown to suck up been effective non-trespassing(a) procedures that whitethorn be use to rule out diagnoses and avoid inappropriate use of incursive angiography. The research shows mixed evidence f or cardiac computed tomography angiography as a test of lofty specificity, however sensitivity and specificity of cardiac digital price reduction angiography is high, and hence suggest that the techniques may be useful in imprint risk patients.IntroductionCoronary artery disease remains the main cause of death in the UK and western world (Hacker, 2013 Liu et al., 2002) and contributes a substantial disease burden, affecting 7% of men and 5% of women in the UK in 1999 (Liu et al., 2002).Coronary artery disease results from the build up of atherosclerotic plaque in spite of appearance the arteries supplying the myocardium. This plaque limits the flow of blood through the arteries, and can cause ischaemia of the boob muscle. If the plaque becomes unstable and ruptures, this may lead to thrombus formation and the complete plosive consonant of an artery, resulting in a myocardial infarction (McClure et al., 2009).Acute coronary syndrome (ACS) is a sub-classification of coronary a rtery disease and encompasses unstable angina, non-ST cover myocardial infarction and ST elevation myocardial infarction. ACS represents a range of conditions that result from thrombus formation in coronary arteries, and if untreated has poor prognosis and high mortality (NICE, 2010).To investigate and provide schooling for interventions for coronary artery disease and ACS, visualization of the coronary arteries and any lesions ca utilize by atherosclerotic plaque is required. Advances in technology prep are given rise to several(prenominal) sophisticated perfusion analysis techniques, which provide greater prognostic judge than morphological imaging (Hacker, 2013). Perfusion analysis allows the blood flow through the coronary vessels to be spy and any abnormalities in the perfusion can be interpreted as a functional consequence of atherosclerotic changes within the vessels (Hacker, 2013).Currently, UK guidelines (NICE, 2010a) recommend coronary angiogram as head start line ma nagement for patients presenting with ACS. This enables imaging of the coronary arteries to assess perfusion. It is important to assess the circulation as arteries can be affected from the earliest stages of endothelial dysfunction to best coronary artery stenoses (Hacker et al., 2010 Bugiardini et al. 2004 Kaufmann et al., 2000), and this provides the information necessary for prognosis and intervention. With the advances in technology, there be now various symptomatic tests available to assess coronary artery disease, including coronary angiography and computed tomography (CT) scanning (Gorenoi, Schonermark & Hagen, 2012).This review aims to review the literature on coronary CT scanning and digital subtraction angiography, their clinical occupations, techniques and comparative value in coronary artery assessment and diagnosis.cardiac Digital subtraction angiographyCoronary angiography is the ceremonious diagnostic procedure used in coronary artery disease. It is a minimally i ncursive technique, whereby a catheter is placed into the radial or femoral artery and is advanced through the arterial system to the coronary arteries. A direct contrast agent is then injected at the aortic root and allows visualization of the arteries use x-ray in real time at up to 30 frames per second. This allows a view of the extent, location and severity of coronary obstructive lesions such as coronary artery disease and enables prognostic indication (Miller et al., 2008). Coronary angiography also enables catheter placement both side of the lesion to assess pressure changes and determines the degree of flow obstruction (Miller et al., 2008). .Digital subtraction angiography (DSA) again works by introducing a contrast agent into the coronary arteries and taking x-rays in real time, however a pre image is taken by x-ray. This allows for the post images to be subtracted from the original mask image, eliminating bone and soft create from raw stuff images, which would otherw ise overlie the artery under study (Hasegawa, 1987). Unlike conventional angiography, it is possible to conduct DSA via the venous system, through accessing the superior vena cava via the basillic vein (Myerowitz, 1982). This removes the risks associated with arterial cannulation (Mancini & Higgins, 1985). The procedure can also be performed with a lower panelling of contrast agent and be done more quickly therefore eliminating constraints of development too much contrast during a procedure (Myerowitz, 1982).Whilst DSA is the gold standard in arterial imaging of carotid artery stenosis (Herzig et al., 2004), the application of DSA to the coronary arteries is limited delinquent to accomplishment artefacts associated with each heartbeat and respiration (Yamamoto et al., 2009).There are numerous cardiac clinical applications of DSA, it can be used to assess coronary blood flow (Molloi et al., 1996), valvular regurgitation (Booth, Nissen & DeMaria, 1985), cardiac phase (Katritsis et al., 1988), congenital heart shunts (Myerowitz, Swanson, & Turnipseed, 1985), coronary bypass grafts and percutaneous coronary intervention outcomes (Katritsis et al, 1988 Guthaner, Wexler & Bradley, 1985). However, others have suggested that the coronary arteries are non visualized well due to their small size, movement, their position overlying the opacified aorta and left ventricle, and confusion with other structures such as the pulmonary veins (Myerowitz, 1982).Cardiac CT ScanningDevelopment of CT scanning in the 1990s enabled an increase in temporal resolution that was competent to view the beating heart, and they now provide a non-invasive technique for diagnostic and prognostic purposes. Cardiac CT scans have clinical applications that go beyond perfusion investigation, and can be used to assess structure and function of the heart (for example in electrophysiology disorders or congenital heart disease) due to its ability to provide anatomical flesh out (Achenbach & Raggi , 2010). CT scans can be used to assess coronary artery disease with and without injection of contrast agent (Achenbach & Raggi, 2010) by calcium scan or CT angiography.Coronary calcium CT scanning uses the evidence base that coronary artery calcium is a correlate of atherosclerosis (Burke et al., 2003) and is a strong prognostic predictor of the future development of coronary artery disease and cardiac events (Arad et al., 2000 Budoff et al., 2009 Achenbach & Raggi, 2010). Calcium is easily depicted on CT scan due to its high CT attenuation, and is classified according to the Agatson score, which considers the density and area of the calcification (Hoffman, Brady & Muller, 2003).Coronary CT angiography (CTA) allows visualization of the coronary artery lumen to identify any atherosclerosis or stenosis within the vessels. Patients are injected intravenously with a contrast agent and then undergo a CT scan. There are limitations regarding the suitability of patients for coronary CTA d ue to prerequisites of sinus rhythm, low heart rate and ability to follow breath-holding commands. Additionally, obesity presents a problem for patients that cannot fit into the scanner and affects the trueness of the procedure. (Achenbach & Raggi, 2010).Comparison of cardiac DSA and cardiac CT scanningThe technical differences between cardiac DSA and cardiac CT scanning give rise to differences in the clinical indications for the procedures, their diagnostic efficacy and also different risks or relative benefits to the patients.Due to the nature of the images produced by coronary CTA and DSA, each lends itself to different indications for use. Whilst coronary DSA provides imaging of all aspects of perfusion, CTA used with contrast agent also provides this however has the additional advantage of being able to assess structure and function of the heart.Coronary CTA has been shown to have a high accuracy at detection and exclusion of coronary artery stenoses (Achenbach & Raggi, 2010). In a multicentre trial conducted by Miller et al. (2008), patients underwent coronary calcium scoring and CT angiography prior to conventional invasive coronary angiography. The diagnostic accuracy of coronary CTA at ruling out or detecting coronary stenoses of 50% was shown to have a sensitivity of 85% and a specificity of 90%. This showed that coronary CTA was particularly effective at ruling out non- probative stenoses. Additionally, coronary CTA was shown to be of equal efficacy as conventional coronary angiography at identifying the patients that subsequently went on to have revascularisation via percutaneous intervention. This was shown by an area under the curve (AUC), a measure of accuracy of 0.84 for coronary CTA and 0.82 for coronary angiography. Miller et al.s (2008) study included a large number of patients at different study sites, and additionally represented a large variety of clinical patient characteristics. The authors claim that these factors contribute to the st rength and validity of the study findings, and suggest that in addition to using patients with clinical indications for anatomical coronary imaging, should be used as evidence that coronary CTA is accurate at identifying disease severity in coronary artery disease.Miller et al. (2008) did however,, find that positive predictive and negative predictive values of coronary CTA were 91% and 83% respectively and therefore suggested that coronary CTA should not be used in place of the more accurate conventional coronary angiography. A low positive predictive value (in relation to the prevalence of disease) was proposed to be due to a tendency to overestimate stenosis degree as well as the presence of artefacts leading to false positive interpretation (Achenbach & Raggi, 2010). early(a) research providing comparison between coronary CTA and conventional coronary angiogram has highlighted variability in results. A meta-analysis conducted by Gorenoi, Schonermark and Hagen (2012) investigated the diagnostic capabilities of coronary CTA and invasive coronary angiography using intracoronary pressure quantity as the reference standard. The authors found that CT coronary angiography had a greater sensitivity than invasive coronary angiography (80% vs 67%), intend that coronary CTA was more likely to identify functionally relevant coronary artery stenoses in patients. Despite this,, specificity of coronary CTA was 67%, compared to 75% in invasive coronary angiography, meaning that the technique was less effective at correctly excluding non-diagnoses than invasive coronary angiogram. This research appears to contradict the power of cardiac CTA at excluding diagnoses of coronary artery stenosis as suggested by Miller et al. (2008), he study did combine evidence from over 44 studies to provide their results and therefore had a large statistical power. The authors interpret the results in light of the clinical relevance of cardiac imaging, suggesting that patients with a highe r pretest possibility of coronary heart disease pull up stakes likely require invasive coronary angiography for revascularisation indicating that coronary CTA may be a helpful technique in those patients with an intermediate pre-test probability of coronary heart disease that will therefore not require invasive angiography.Goldberg et al. (1986) investigated the efficacy of DSA in comparison to conventional coronary angiography in 77 patients. They found that the two angiograms agreed within one grade of severity in 84% of single cases and 90% of multiple cases, identifying both patent and lesioned arteries. The results led the authors to conclude that there was no prodigious difference between the two methods and that DSA could be used in selective coronary angiography to find results comparable to that of conventional angiography. In addition to being a small study into the efficacy of DSA, the study also had several sources of inherent variability that should be considered when interpreting the results. These included differing sizes of digital imaging screen and non-use of calipers, meaning that the interpretation of the images could vary throughout the study. The authors also suggest that whilst showing strong support for the use of DSA in coronary artery disease, the technique may not actually permit better prognostic determinations or clinical judgements that are better than conventional angiography, and therefore the further implementation of the techniques may not be founded or necessitated.More recently, there has been further research looking at the effectiveness of DSA as a way of measuring coronary blood flow. Whilst motion artefacts have proven a problem in lots of past research (Marinus, Buis & Benthem, 1990 Hangiandreou, 1990), recent research has developed methods to minimise these. Moilloi and colleaues (1996) showed that using a motion-immune dual-energy digital subtraction angiography, absolute volumetric coronary blood flow could be meas ured accurately and thus provide an indication of the severity of any arterial stenosis.This may provide further suggestion for clinical implementation of DSA.Although these studies provide evidence for the efficacy of cardiac DSA and CTA, they often make comparisons to conventional angiography. This is useful as a baseline comparison, however it is difficult to make comparisons between the two procedures directly due to less available evidence making direct comparisons.Lupon-Roses et al. (1985) conducted a study investigating both coronary CTA and venous DSA. The study looked at the efficacy of both techniques at diagnosing patency of coronary artery grafts compared to the engage conventional angiography. CT was shown to diagnose 93% of the patent grafts and 67% of the occluded grafts whereas DSA correctly diagnosed 98% and 100% of patent and occluded grafts respectively. Interestingly, the DSA picked up the 11 grafts that were misdiagnosed by CTA and the CTA picked up the 2 graft s misdiagnosed by the DSA. This data may suggest that individually, DSA has a better profile for diagnosis of coronary artery occlusion, however if the two procedures are used in combination exclusion of patent arteries and diagnosis of occluded arteries would be effective (Lupon-Roses et al., 1985).Coronary DSA and CTA are both non-invasive procedures (unlike the conventional coronary angiography where a wire is placed in the coronary vasculature). With the only invasive part of the procedure being the injection of the contrast material into a vein. This presents a significant advantage to both procedures over that of conventional angiography, and may even permit investigation on an outpatient basis (Meaney et al., 1980). Similarly, both DSA and coronary CTA are favoured because of their intravenous approach, eliminating the risks of bleed or arterial injury from an intra-arterial catheterization and being able to be used in those with limited arterial access. However, although th e intravenous approach used in cardiac DSA makes it favourable, it does lead to difficulty with visualisation of the coronary arteries due to the overlying iodinated pulmonary and cardiac structures (Mancini & Higgins, 1985). Therefore,, intra-arterial DSA is also sometimes used (Yamamoto et al., 2009).As with all CT scanning, coronary CTA carries with it a dose of ionizing radiation (Brenner & Hall, 2007). Studies have estimated that for diagnostic CT scanning, patients are on average exposed to 12mSv of radiation during the procedure, the equivalent of 600 x-rays (Hausleiter et al., 2009). Estimates of radiation doses associated with conventional coronary angiography are lower than that of coronary CTA at 7mSv (Einstein et al., 2007). Additionally, DSA technique reduces the radiation dose from that of conventional coronary angiography as the vessels are visualised more clear (Yamamoto et al., 2008). The dangers of radiation exposure are increased risk of developing cancer, skin i njuries and cateracts (Einstein et al., 2007). It is therefore important that the benefits of conducting the procedure greatly outweigh the risk of radiation exposure. CT calcium scanning provides a low radiation dose at around 1mSv (Hunold et al., 2003).Cardiac CT calcium scanning does not require authorities of a contrast agent, unlike in coronary CTA and DSA that use iodine based contrast agents. The risks associated with contrast agent include nephrotoxicity and risks of hives, allergic reactions and anaphylaxis (Maddox, 2002). The amount of contrast agent used is partly dependent on the length of the procedure and how clearly the arteries can be visualised. For this reason, both cardiac CTA and DSA use less contrast agent that conventional coronary angiography (Brant-Zawadzki, et al., 1983). CT calcium scanning of the coronary arteries is therefore recommended in those with less likelihood of coronary artery disease (NICE, 2010). both(prenominal) coronary CTA and DSA require i nterpretation by trained physicians, and the importance of training and achieving intra-rater reliability should not be underestimated (Pugliese et al., 2009).ConclusionOverall, both coronary CT and DSA have been demonstrated as effective procedures for the imaging of the coronary arteries in CAD (Achenbach & Raggi, 2010 Miller et al., 2008 Moilloi et al., 1996 Goldberg et al., 1986). Whilst cardiac CT scanning does provide a wider range of clinical applications, allowing assessment of perfusion as well as cardiac structure and function (Achenbach & Raggi, 2010), coronary DSA has many applications that allow assessment of coronary blood flow (Molloi et al., 1996 Katritsis et al, 1988 Booth, Nissen & DeMaria, 1985 Guthaner, Wexler & Bradley, 1985 Myerowitz, Swanson, & Turnipseed, 198). twain cardiac DSA and CTA procedures have their advantages. As non-invasive procedures, these techniques pose less risk to patients, and enable the possibility of outpatient investigation, to be used t o rule out diagnoses and to avoid inappropriate invasive coronary angiogram (Gorenori et al., 2012). Additionally, intravenous access is preferential to arterial cannulation for the contrast infusion, removing the risks associated with bleeding or intra-arterial injury. Cardiac DSA exposes the patient to a lower dose of radiation that coronary CTA (Hausleiter et al., 2009 Yamamoto et al., 2008 Einstein et al., 2007), which is beneficial at reducing the risk of genetic mutations and cancer.Cardiac CTA and DSA also have their common disadvantages. The use of contrast agent may present side effects for the patient including kidney damage and risk of allergic reactions and anaphylaxis (Maddox, 2002). For this reason, calcium CT scanning can be useful in patients that are not at high likelihood of coronary artery disease (NICE, 2010b). Additionally, both cardiac DSA and CTA are subject to motion artefacts from respiration and heart beats, which can cause difficulties with interpretation (Achenbach & Raggi, 2010 Yamamoto et al., 2009). In the case of cardiac CTA, this excludes a subset of patients that are unable to follow commands and those who have high heart rates.Overall, cardiac CTA and cardiac DSA are effective, non-invasive imaging techniques for assessment of coronary artery disease. Whilst they are not the gold standards in cardiac monitoring, they can provide important diagnostic information without exposing patients to the risks of invasive angiography. Due to this, their use should be weighted against clinical need, the risks of the procedures, and the suitability of the patient. Interpretation of cardiac CTA and DSA imaging should be by trained individuals.ReferencesAchenbach, S., & Raggi, P. (2010) Imaging of coronary atherosclerosis by computed tomography. European Heart Journal. 311442Arad, Y., Spadaro, L. A., Goodman, K., Newstein, D., & Guerci, A. D. (2000). Prediction of coronary events with electron beam computed tomography.Journal of the America n College of Cardiology, 36(4), 1253-1260.Booth, D. C., Nissen, S., & DeMaria, A. N. (1985). Assessment of the severity of valvular regurgitation by digital subtraction angiography compared to cineangiography. American heart journal, 110(2), 409-416.Brenner D. J., & Hall EJ. Computed tomography an increasing source of radiation exposure. N Engl J Med. 2007357(22)2277-2284Budoff, M. J., McClelland, R. L., Nasir, K., Greenland, P., Kronmal, R. A., Kondos, G. T., & Blumenthal, R. S. (2009). Cardiovascular events with absent or minimal coronary calcification the Multi-Ethnic Study of Atherosclerosis (MESA). American heart journal, 158(4), 554-561.Bugiardini, R., Manfrini, O., Pizzi, C., Fontana, F., & Morgagni, G. (2004). Endothelial function predicts future development of coronary artery disease a study of women with actors assistant trouble oneself and normal coronary angiograms.Circulation, 109(21), 2518-2523.Burke, A. P., Virmani, R., Galis, Z., Haudenschild, C. C., & Muller, J. E. (2003). Task force 2what is the pathologic basis for new atherosclerosis imaging techniques?. Journal of the American College of Cardiology,41(11), 1874-1886.Einstein, A. J., Moser, K. W., Thompson, R. C., Cerqueira, M. D., & Henzlova, M. J. (2007). beam dose to patients from cardiac diagnostic imaging.Circulation, 116(11), 1290-1305.Goldberg HL, Moses JW, Fisher J, Tamari I, Borer JS (1986). Diagnostic accuracy of coronary angiography utilizing computer-based digital subtraction methods Comparison to conventional cineangiography. Chest 90, 793797,Gorenoi, V., Schonermark, M. P., & Hagen, A. (2012). CT coronary angiography vs. invasive coronary angiography in CHD. GMS health technology assessment, 8, Doc02-Doc02..Guthaner, D. F., Wexler, L., & Bradley, B. (1985). Digital subtraction angiography of coronary grafts optimization of technique. American journal of roentgenology, 145(6), 1185-1190.Hacker, M., Jakobs, T., Hack, N., Nikolaou, K., Becker, C., von Ziegler, F., & Tiling, R. (2007). Sixty-four slice spiral CT angiography does not predict the functional relevance of coronary artery stenoses in patients with stable angina. European journal of nuclear medicine and molecular imaging,34(1), 4-10.Hangiandreou N. J. (1990) Coronary Blood take to the woods Measurement Using Digital Subtraction Angiography and First Pass Distribution Analysis. Madison, Wis University of Wisconsin-Madison Thesis.Hasegawa, B. (1987). Physics of Medical X-Ray Imaging 2nd Edition. Medical Physics publish Corporation.Hausleiter, J., Meyer, T., Hermann, F., Hadamitzky, M., Krebs, M., Gerber, T. C., & Achenbach, S. (2009). Estimated radiation dose associated with cardiac CT angiography. Jama, 301(5), 500-507.Herzig, R., Burval, S., Krupka, B., Vlachova, I., Urbanek, K., & Mares, J. (2004). Comparison of ultrasonography, CT angiography, and digital subtraction angiography in severe carotid stenoses. European Journal of Neurology, 11(11), 774-781.Brant-Zawadzki, M., Gould, R., Nor man, D., Newton, T. H., & Lane, B. (1983). Digital subtraction cerebral angiography by intraarterial injection comparison with conventional angiography. American Journal of Roentgenology, 140(2), 347-353.Hoffmann, U., Brady, T.J., & Muller, J. (2003). Cardiology patient page. Use of new imaging techniques to screen for coronary artery disease. Circulation 108 (8) e503.Hunold, P., Vogt, F. M., Schmermund, A., Debatin, J. F., Kerkhoff, G., Budde, T., & Barkhausen, J. (2003). Radiation Exposure during Cardiac CT Effective Doses at MultiDetector Row CT and Electron-Beam CT 1.Radiology, 226(1), 145-152.Katritsis, D., Lythall, D.A., Cooper, I.C., Crowther, A., & Webb-Peploe, M.M. (1988) Assessment, of coronary angioplasty Comparison of visual assessment, hand?held caliper measurement and automated digital quantitation. Catheterization and cardiovascular diagnosis, 15(4), 237-242.Kaufmann, P. A., Gnecchi-Ruscone, T., Schafers, K. P., Luscher, T. F., & Camici, P. G. (2000). Low density lip oprotein cholesterol and coronary microvascular dysfunction in hypercholesterolemia. Journal of the American College of Cardiology, 36(1), 103-109.Liu, J. L. Y., Maniadakis, N., Gray, A., & Rayner, M. (2002). The economic burden of coronary heart disease in the UK. Heart, 88(6), 597-603.Lupon-Roses, J., Domingo, E., Marinez-Vazquez, J. M., Lopez-Moreno, J. L., Montana, J., Permanyer-Miralda, G., & Soler-Soler, J. (1985). Direct non-invasive techniques for assessing coronary bypass graft patency. The International Journal of Cardiac Imaging, 1(3), 181-188.Maddox, T. G. (2002). Adverse reactions to contrast material recognition, prevention, and treatment. American family physician, 66(7), 1229.Mancini, J. G. B., & Higgins, C. B. (1985). Digital subtraction angiography a review of cardiac applications. Progress in cardiovascular diseases, 28(2), 111-141.Marinus, H., Buis, B., & Van Benthem, A. (1990) Pulsatile coronary flow determination by digital angiography. International Journal o f Cardiac Imaging, 5, 173-182McClure, K. H., McGivern, J. P., Stultz, M. R., & Whitehurst, T. K. (2009). U.S. Patent No. 7,481,759. Washington, DC U.S. Patent and Trademark Office.Meaney, T. F., Weinstein, M. A., Buonocore, E., Pavlicek, W., Borkowski, G. P., Gallagher, J. H., & Maclntyre, W. J. (1980, August). Digital subtraction angiography of the human cardiovascular system. In Application of Optical Instrumentation in euphony VIII (pp. 272-278). International Society for Optics and Photonics.Miller, J. M., Rochitte, C. E., Dewey, M., Arbab-Zadeh, A., Niinuma, H., Gottlieb, I., & Lima, J. A. (2008). Diagnostic performance of coronary angiography by 64-row CT. New England Journal of Medicine, 359(22), 2324-2336.Molloi, S., Ersahin, A., Tang, J., Hicks, J., & Leung, C. Y. (1996). Quantification of volumetric coronary blood flow with dual-energy digital subtraction angiography. Circulation, 93(10), 1919-1927.Myerowitz, P. D. (1982). Digital subtraction angiography present and fut ure uses in cardiovascular diagnosis. Clinical cardiology, 5(12), 623-629.Myerowitz, P. D., Swanson, D. K., & Turnipseed, W. D. (1985). Applications of digital subtraction angiography in cardiovascular diagnosis. The Surgical clinics of North America, 65(3), 423-437. national represent for Health and Care Excellence. (2010a). Unstable angina and NSTEMI The early management of unstable angina and non-ST-segment-elevation myocardial infarction. CG94. London National Institute for Health and Care Excellence. National Institute for Health and Care Excellence. (2010b). Unstable angina and NSTEMI Chest pain of recent onset assessment and diagnosis of recent onset chest pain or discomfort of suspected cardiac origin. CG95. London National Institute for Health and Care Excellence. Pugliese, F., Hunink, M. M., Gruszczynska, K., Alberghina, F., Malago, R., van Pelt, N., & Krestin, G. P. (2009). Learning curve for coronary CT angiography what constitutes sufficient training?. Radiology, 251 (2), 359.Yamamoto, M., Okura, Y., Ishihara, M., Kagemoto, M., Harada, K., & Ishida, T. (2009). Development of digital subtraction angiography for coronary artery. Journal of digital imaging, 22(3), 319-325.

Tuesday, May 21, 2019

Herman Miller Inc Case Study Essay

Until 2003, HMI offered lifelong utilisation. How did this practice affect the companys ability to staff the disposal with managers and employees cap qualified of executing the strategy? How did this practice build the organizational capabilities required for successful strategy execution?Lifelong employment is known as durable employees rub down for a single employer and are remunerative directly by that employer. In addition to their wages, they practically receive benefits like subsidized health care, paid vacations, holidays, sick time, or contributions to a retirement plan. Permanent employees are often eligible to switch job positions within their companies. Even when employment is at will, permanent employees of large companies are generally protected from abrupt job termination by severance policies, like advance notice in episode of layoffs, or formal discipline procedures. They may be eligible to join a union, and may enjoy two social and financial benefits of their employment.Lifelong employment facilitates long-term growth for employees, companies and industries. It develops seasoned personnel and allows company and projects to build on lessons learned. Project in particular, benefit from this information transfer, as teams and individual are gathered to take the expertise and knowledge of one experience to the next challenge, structure continuity for the entire industry. This experience results in better asset management and alter life-of-field systems that are safe and efficient to operate. Lifelong employment facilitate improved engineering designs longer lead times for manufacturing and sourcing of equipment improved constructability lower cost for trading operations and maintenance opportunities for expanded development stronger knowledge base to tackle tough technical issues.Organization provides lifelong employees a much better benefit software product such as paid vacation, sick leave and holidays. most importantly, those employ ees normally can expect career advancement and the opportunity to be part of a larger team and the pursuit of long-term goals. Organization takes a long-term focus on employees with regard to training, benefits, retention and involvement in industry activities. Most importantly, organization foc engagementd on improvement through lessons learned, translating knowledge gainedwith each project into innovative opportunities for projects worldwide. Experienced, lifelong employment makes this challenge a reality, capturing lessons, observations and new ideas for on-going and future applications. (Bruce Crager, World Energy, Vol.9, No. 1, P88-90)Do non-monetary incentives facilitate strategy execution at HMI? Explain.Yes, non-monetary incentives facilitate strategy execution at HMI.Justifiability actual incentives offer features that recipients often see as luxuries. In other words, a trip or item that a gross revenue person may not be able to justify purchasing themselves, even if they had sufficient funds, is now attainable through their performance. The need to justify the consumption of the tangible punish is eliminated by the hard work put forth to create the opportunity. The value increases in the participants mind with the increased difficulty to obtain it. This lack of need to justify the design of the reward increases the motivational impact of working to obtain it. ( Jeffrey, Scott A., Shaffer, V. The Motivational Properties of Tangible Incentives. Compensation and Benefits Review. May/June 2007)Social ReinforcementThe high level of visibility of this reward increases the ability for family, friends and colleagues to recognize and acknowledge the tangible incentive. The trophy value is high hence reinforcing the performance to obtain it.TangibleTangible non-cash incentive rewards offer an adjacent visual imagery and associated experience. The ability to see oneself sitting on the beach in Hawaii or watching the 60 plasma television has an nimble motiv ating response to individuals over the monetary value that would be equal to these items. Separate ImpactA tangible non-cash award is immediately separated from the sales persons income and therefore typically not lumped with other funds. Thisseparation from regular income has positive association back to the awarding firm and provides more motivational impact for sales people or employees.Promotability/Communication ValueCompanies get extended value from offering tangible non-cash awards because the recipients often will share their rewards or experiences with others. They also are proud to communicate their accomplishment with others, spreading the word about the company in the process.Discretionary RewardBecause tangible non-cash rewards are not designed to be used for regular bill paying, recipients feel good about using them for aspirational, memorable items or experiences. These good feelings extend toward the company whenever they use the items or look at the trip pictures.Su ccess Creation in Program DesignThe incentive non-cash program should include the following key components building on the motivating factors to insure its success during implementation, acceptance and rollout. (Jeffrey, Scott, 2004, University of Chicago, Graduate School of Business, The Benefits of Tangible Non-Monetary Incent gloss as ives)Describe the culture at HMI. Would you characterize HMIs culture as healthy and largely supportive of good strategy execution? Explain.Teams were often cross-functional. Membership on a team was based on the employees ability to contribute to that team. Teams were often based on product development. When the product had been developed, the members of that team were redistributed to new projects. New projects could come from any level in the organization. Workers at all levels were encouraged to put forth new ideas. Because Herman Miller workers felt empowered, a new manager could run into some startling behavior. all Herman Miller employees co uld work 16 paid hours a year with a charitable organization of their choice. The company set goals for the number of employee volunteer hours contributedannually to its communities. development toward meeting those goals was reported to the CEO.The environmental Affairs Team had responsibility for such activities as recycling solid waste and designing products from sustainable resources. Herman Millers beliefs carried over to the family and the community. For example, one employee chose more costly fiber cement board over PVC siding when in restoring their home, because Herman Miller had a policy to void PVC wherever possible. Another employee was involved in a youth soccer association that raised money to buy uniforms by collecting newspapers and aluminum cans. The companys beliefs carried over to all functional areas of the business. Some of them were obviously beneficial, and some were simply the way Herman Miller chose to conduct its business. But we cannot renounce HMIs cul ture as healthy and largely supportive of good strategy execution.To sum up, the overall business goals of any organization are both bottom-line-oriented and employee satisfaction-oriented. In the development of an incentive reward system it is important to implement a program that will help an organization reach its organizational objectives eon enhancing employee/ customer satisfaction, retention and performance. The implementation of non-monetary tangible rewards in an organizations incentive program will be the best decision for all employee/customer influencing managers to implement when working to reach sales quota, revenue numbers and overall goals for the firm. The motivating factors behind performance can be far reaching. (Jeffrey, Scott A., Shaffer, V. The Motivational Properties of Tangible Incentives. Compensation and Benefits Review. May/June 2007)

Monday, May 20, 2019

personality traits

Team Personality Traits Dawn Borden , Gracie Reed Johanna Guedea, Megan Miller PSY/250 declination 02, 2013 Anney Snyder Team Personality Traits deal be easily captured by five dimensions. These dimensions argon called the macro volt. The Big Five consists of Extroversion, Agreeableness, Conscientiousness, Emotional Instability, and Openness. A combination of questions and answers provides information that molds which characteristics are associated with each different. If teams were handpicked with specific goals in mind, these characteristics could determine whether the team succeeds or non.For xample, a team made up of aggressive, deceptive, passive and destructive personalities would probably not agree on anything. The Big Five have been gathered through the result of decades worth of psychological research into genius. While they dont capture the idiosyncrasies of everyones personality, it is a theoretical frame organize in which to understand general components of our pe rsonality that seem to be the close important in our social and interpersonal interactions with others (psychcentral. com/blog/archives/2009).Everyone overlyk the similar foot race and the results came by very different from each ther results. Johanna is a very well organized and piece of ass be relied upon, extremely outgoing, social and energetic. Agreeableness, finds it easy to express irritation with others. But besides is generally relaxed close to of the time. Gracie is reclusive, quite, unassertive, and private besides organized, neat, structured, and retrained at the write down too often of flexibility, variety, spontaneity and fun. Gracie is relaxed, calm, secure, and optimistic in life. more or less kind natured, trusting and helpful while still maintaining own entertains.At times can be suggested overly small minded, raditional, and conventional at the expense of intellectual curiosity, possibility, and progress. Megan does not typically seek out spick-and-sp an experiences, very well organized and can be relied upon. Extremely outgoing, socially, and energetic, proper natured, courteous, and supportive. Generally relaxed at the some times in life and in most situations. Dawn is at times overall talkative, outgoing, sociable, and interacting at the expense of developing own individual interests and internally based identity.Overly organized, neat, structured and restrained at the expense too often of flexibility, ife at most times. Is overly kind natured, trusting, and helpful at the expense too often of your own individual development. Is intellectual, curious, imaginative, further possibly not very practical in life. works together is a great asset once we learn how to utilize everyones skills. Being on a team allows for much more perspective rather than Just our own. Looking at the Big Five Assessment results we can determine who is the most organized and works best under pressure.We can also tell who has a creative personality and is open to trying new things. These are all dainty traits to ave for a team completing an assignment. When breaking down the team assignments it would be in our best interest to choose someone who pays close attention to detail, is organized, as well as dependable to be our fadeer. If we chose a procrastinator and someone who is easily anxious we may wind up with a late or unprepared assignment which would cost us points. Knowing what everyones strengths and weaknesses are allows us to really know who we are works with and how to handle our assignments.Looking at the Big Five assessment we can easily determine who has which traits. match to the results we all got, the Big 5 Personality Test is not the most reliable running to constitute an individuals personality. There are various situationors that define someones personality, but if an answer is need instantly then the test is big help. For example for a Job interview, the Big 5 Personality Test is an extremely good way to somewhat let the employer know if that person is a good candidate for that genuine position. consort to each others result we did not exactly came to an agreement for the accuracy of this test.In my opinion it was accurate, for myself. But I would not use the test to define who I am. Dawns results were indeed not accurate one- hundred percent. Due to the fact that it said he was more of an extrovert than an introvert, when in fact he is the opposite. The Big Five test is perfect for online schools because it lets everyone know which person works well under pressure, who procrastinates, and who is an over achiever, and more. With this, each team can be prepared for what it is in stores within their team. The Big Five is a valid test for certain things, but it indeed does not define who an individual is.It is a very good elp, to begin working with others but we each will get to know each other as we all work together. The weakness of the Big Five Theory is that there is some debate among researchers as to what makes up the amount of each element ( Booker, Kitchen, Rebman. 2007). It is clear that we all have different opinions of what makes up each of the components that the test is separate into, but we all have some similarities therefore the test is not that much inaccurate. Different definitions but same key points, which makes the Big Five Test a good method for online school and other hings such as Job interviews.The various personality tests can give a synopsis of a persons likely hood of working well within a group setting. It cannot however take into status all the various situations that may take place during this period. A person can start out with the best of intentions and fail. There may be a lack of communication among the group, prior personal commitments, skillful issues, or just not understanding the assignment. You have people that adjust to any situation deprivation to work by themselves because they do not trust others to do their shar e.The Big Five can be a useful way of helping an individual to understand themselves and others. You normally dont get to see the results of your fellow or coworker, so you are both working in the dark. Seeing the results can also lead to mistaken profiling. In most team assignments, you really dont get to know the people that you are delegate to work with due to time limitations. Walter Lippmann, an influential American writer, Journalist and political commentator, once said For the most part we do not first see, and then define we define first, and then we see.

Sunday, May 19, 2019

Definition of a Short Story Essay

A short account statement is a short piece of fiction aiming at unity of characterization, theme and effect.2nd definitionThe authors of the upstart English short bill no longer attempt to make daily life more(prenominal) entertaining by inventing exotic plots. Instead, modern short story writers have tended to base their narratives on their consume experience here the focus is much more on the less spectacular aspects of life, on the substance underlying what is apparently trivial. The result of such perceptive writing is perfection of form, harmony of theme and structure, and preciseness of style to reveal the subtleties of the human mind and of human behaviour.3rd definitionMany attempts have been make to define the short story. But on a few points at least, the opinion of most critics is unanimous. This does not imply that the literary form of the American short story can be set up in a rigid way. It has undergone and will probably still undergo many changes as the literary taste and demands of the reading public also change in the course of time with new outlooks on life. What are some of the elements that make up a good story?a) A short story is a piece of prose fiction which can be read at a single sitting. b) It ought to aggregate matter-of-fact description with poetic atmosphere. c) It ought to present a unified impression of temper, tone, colour, and effect. d) It mostly shows a peremptory moment of life (which can entail a fatal blow). e) There is often little action, but any character development, but we get a snapshot of life. f) Its plot is not very interwoven (in contrast to the novel), but it creates a unified impression and leaves us with a vivid sensation kind of than a number of remembered facts. g) There is a close connection between the short story and the poesy as there is both a unique union of idea and structure. The short story is a piece of art that tries to give us a specified impression of the world we live in. It aims to perplex a single narrative effect with the greatest economy of means and utmost emphasis.

Saturday, May 18, 2019

Operation Design And Operational Essay

2b. Please see my affiliate COG-CV analysis, which specifies the searing factors for the Allied forces for Operation torch (i.e., at the available level). 2c. Please see my axis vertebra COG-CV analysis, which specifies the critical factors for the axis forces during Operation Torch (i.e., at the operational level). 3. The Allied forces indirectly antiaircraft the enemys field of operations COG (i.e., the Panzer Armee N. Africa) byat the operational-level of warby specifying operational-level objectives that attack the operational-level COGs critical vulnerabilities and in the long runcontribute to the defeat of the strategic-level COG. Please see my operational-level objectives for the Allied forces. 3a.3b. Please see my Allied COG-CV analysis for practicable Torch. It specifies the Allied, operational-level COG as _________________. Please see my Allied operational approach for Operation Torch, which specifies objectives that include the resistance of the forces critical vulnerabilities. 4.4a. Please see my operational approach for the Allied Forces Operation Torch, which specifies both the Allied primary(prenominal) effort and decisive point(s). I specified the following decisive point(s)_______________. By prioritizing my objectives and considering them in light of the Allied Forces main effort and most important lines of operation/lines of effort, Ive selected the most important objective(s) as my decisive point(s). 5.5a. If the axis of rotation forces achieve a sufficient number of its objectives (which attack the Allied critical vulnerabilities at the operational level) such that the Allied forces must change their form of tactical manoeuvre (e.g., the Alliedforces can not long-lasting continue the attack), the Allied forces will have culminated. 5b. If the Allied forces achieve a sufficient number of its objectives (which attack the Axis critical vulnerabilities at the operational level) such that the Axis forces must change their form ma neuver (e.g., the Allied forces con no longer continue the attack), the Axis forces will have culminated.Reasons for Initiating Operation Torch The Allies planned to occupy Vichy France to prevent the land from being occupied by Axis the aggression would eventually force Axis powers to fight a two-front war also helped to diminish transportation of supplies to Axis forces Key Personalities (Involvements) General Dwight D. Eisenhower Jean Francois Darlan Andrew Cunningham Objective(s) of Operation Torch Allies planned to team up with Vichy France in compass north Africa in order to take Tunisia before Germans could occupy it from nearby Sicily. After invading North Africa and convincing the French to join the Allies, American and British forces planned to headdirectly to Sicily, invade, and move up to the core of Europe. Victory here would also allow the Allies to clear up the Mediterranean of Axis forces for their own personal use.Important Readings from Earl Rices Strategic Battles in Europe . . . page 24 The Americans joined their British allies. Roosevelts military advisers wanted to build up immediately for an invasion of the European mainland later in the year or early in 1943. Churchill and his counselors declared that an invasion of the continent so soon would be next to impossible because of insufficient time to assemble the necessary forces andtoo fewer available landing craft in which to haul them across the English Channel.Churchill and his advisors did not want to adventure a failed invasion. page 25 Churchill instead favored extending operations in North Africa, where British forces were already fighting. he argued that seizing North Africa and beyond would introduce American troops to the action, boost American team spirit and appease Stalins demands for a second front. But Roosevelts advisors were unreceptive to Churchills plan and suggested redirecting U.S efforts to the pacific Theater. In June 1942, Churchill told Roosevelt that Britain was both unable and unwilling to

Friday, May 17, 2019

Go and Catch a Falling Star

The poem Song Go and slang a f entirelying star was written by the cherished poet, John Donne. In this satirical poem, through and through a series of images, he conveys his imprint on the faithfulness, or rather the unfaithfulness of women.Donnes pulmonary tuberculosis of diction, allusion, imagery, sound effects, and tone create a unique richness in the language of the poem, which make it gratifying to read. The denotations and connotations of this poem create more(prenominal) depth and richness. In termination 5, the word mermaid denotes a beautiful, mythical creature. The frontmost connotation that comes to mind is the myth because mermaids are usually thought to be fictional.This goes along with Donnes heart because he believes that finding a fair sex so perfect is impossible. The other connotation of the term mermaids is more negative because they can also connote death. Mermaids have been utilize in other literature to read someone, usually men, to their downfall a nd death due to their initial innocent and alluring appearance. This connotation of mermaids goes along with Donnes theme because the line where he hears mermaids singing is representing of the beauty of women luring men in false hope.Other instances of the multiple connotations are in lines 3 and 4 with a mandrake outset and the devils foot. twain a mandrake starting time and a devils foot are mythical localizes. A mandrake is a plant that, when pulled out of the ground, lets out a piercing scream that can stamp out someone if heard. A devils foot is a plant that, when powdered and lit on fire, creates a noxious smoke that can kill someone if inhaled. One connotation of these is that they have in truth unrealistic properties, which is similar to Donnes belief that faithfulness is unheard of in females.The line when pass water with barbarian a mandrake root is stated is an pellucid example of an impossible task, like Donnes belief of finding a perfect woman. A connotation of a devils foot is mephistophelian because it could be thought of a part of the devil. This can be interpreted so that a woman is like the devil, a true being and bringer of evil. Another connotation of the mandrake root is sexual because the root is known to be employ to help with fertility this word is often linked with women.Also, mandrake root can appear to look like a deformed human figure, which could represent the innocent plant when the root is buried however, once it is brought up from the ground, one can see the true appearance, which is unappealing and ugly.Allusion is actually prominent in Donnes poem. In the first stanza, there are two allusions. The first allusion is the mermaids. The mermaids mentioned in the poem allude to the Odyssey. In the Odyssey, there were mermaids sitting near a dark cave, and their voices were beautiful and alluring. When ships would public opinion poll by the cave, the sailors would hear their voices.Some crew members would jump off the s hip and would either drown or get pulled down by the mermaids. John Donne used the phrase mermaids singing to allude to Homers mermaids in the Odyssey because he believed that no woman had good intentions, no question how beautiful they were.The next allusion is the mandrake root. Although a mandrake root is a real plant, it is also often used in myths that involve legerdemain and wiccans. In the play Mandragola by Machiavelli, the mandrake root was used to create a potion. This potion was used to discombobulate and to take advantage of a person in bed.This can be related to John Donnes poem because he felt that women were unfaithful and would do anything to get what they want. Another allusion of the mandrake is to numerous of Shakespeares plays, which use the mandrake root as well. In Antony and Cleopatra, the line Give me to drink mandragora that I might sleep out this great gap of time and in Othello, the line Not poppy, nor mandragora, nor all the drowsy syrups in the world, shall ever medicine thee to that sweet sleep alludes to the mandrake roots magical properties of reservation someone drowsy or bringing them to an eternal sleep.The connotation of the mandrake root where it is deadly alludes to the line in Romeo and Juliet, Shrieks like mandrakes torn out of the earth and in King Henry VI, the line Would curses kill, as doth a mandrakes groan. The imagery in the poem is used to explain how impossible it is to find a faithful woman and to over exaggerate finding this kind of lady. The mandrake root, devils foot, and mermaid are obvious examples of impossibility. The title of the poem, Go and catch a fall star is another example of something that is thought of as unfeasible and almost magical.The lines Ride ten railyard days and nights, Till age snow whiten hairs on thee are used as a hyperbole. Donne uses these lines as an exaggeration to explain that it does not matter how long a man searches for an honest woman because even if he looks for one for a thousand days and nights, he will never find one. Another use of a hyperbole is in the lines Go and catch a falling star, Though she were true, when you met her, Yet she will be false. Donne used these lines to overstate that every woman, although innocent at one time, will become corrupted.The sound effects used in the poem include assonance, alliteration, and rhyming scheme. In the phrase Go and catch a falling star, there is a repeated a sound that is an example of assonance. The alliteration is heard in the line If thou best born to strange sights with b and s. There is also a rhyming pattern throughout the entire poem, where the first and third lines rhyme, the second and fourth lines rhyme, the fifth and ordinal lines rhyme, and the last three lines of each stanza rhyme. These auditory devices are used to keep the readers attention and in couch to make the overall poem to sound more flowing and lyrical.

Thursday, May 16, 2019

List questions Case Studies Essay

Overview and ObjectivesThe case traces the path taken by an afield operation from low cost manufacturing to higher value-added activities such as R&D. It asks students to consider the factors driving the organic evolution and this timing and circumstances that would make it successful. It creates the opportunity to discuss the tensions of designing for marketing vs. designing for manufacturing, the challenges of product increase in a cross cultural setting, and the reasons why localized R&D may be successful. vs. adaptation, and the structures and systems built to sleep with that tension. The case also helps to the diagnosis of the causes of failure of a new product foundering project, and the sources of challenges of a cross-cultural context. Finally, the case enables students to discuss the local for local schema.Suggested Questions1. What capabilities and resources does a companionship need to develop new products?2. Which of these capabilities and resources foes Bella Hea lthcare India have?3. Why did Project Baton fail?4. Should Bella Healthcare India take on project TKO and develop an EKG specifically for the local market?Coloplast 10 years of globular operationsIvey 2011 W12101STRAT MAGT Internationalization and offshoring activities matrix structure UD 12/12/2012Overview and ObjectivesThe case examines the organisational and managerial challenges knotty in offshoring and internationalizing substantial portions of firms organizational activities to foreign countries. Students will need to consider the encyclopedism journey Coloplast underwent in this process, from managing the reconfiguration to the implementation of a new and complex design. They have to understand the features and challenges of the matrix form as the organizational structure used by Coloplast. The case covers three topics offshoring and international business international corporate strategy organizational design and learning.Suggested Questions1. What are the strategic chal lenges of reconfiguring a company like Coloplast in which it transforms from a company with just now domestically located activities to have offshored most of its production to a number of foreign locations? 2. demonstrate the problematic introduction of the matrix structure. Why can matrix structures be problematic in man-sized organizations? What could have made the matrix structure more successful? 3. The case illustrates how Coloplast reconfigured its organization from being only domestically located to become truly multinational. What are the organizational consequences of reconfiguring the company on a world(a) scale? 4. Coloplast went through an extensive learning journey since the decision to offshore production facilities. Which key learning points were achieved, and how can the company ensure that this knowledge is embedded in future strategic considerations? 5. Identify, describe, and discuss the belligerent environment and market characteristics if the industry in wh ichColoplast belongs.Levendary Caf The china challenge2011, HBS 4357STRAT MAGT Internationalization expansion in China standardization vs.adaptation relationship HQ-subsidiary UD 12/12/2012Overview and ObjectivesThe case describes the establishment of Levendary Cafs subsidiary in China and its evolving relationship with its parent company during the first two years of its existence. It focuses in particular on the decisions and actions of Louis Chen, the founding president of the subsidiary as he tries to establish relations in China and to perform its relationships with Headquarters in the USA.The case enables to examine the following topics 1) the need for standardization and delay vs. differentiation and flexibleness2) the tension between strategic control and entrepreneurial flexibility and 3) situational leadership, and leadership models. More precisely, it can be used to build an understanding of the roles and responsibilities of country subsidiary management and the corre sponding changes in the nature of the headquarters-subsidiary relationship, including the control aspect. Students can also study the global strategic issue of operations of standardization vs. adaptation, and the structures and systems built to manage that tension.Suggested Questions1. What is your evaluation of the way Levendary Caf has entered the China market?2. What changes (in any) should Mia Foster make? Specifically, what should she do about Louis Chen? And what changes (if any) would you advise at headquarters?3. Prepare a specific action program for Foster to help her take in with the need for continued growth in China. What should be on the agenda for her meeting with Chen?