Tuesday, August 25, 2020
Conference wk 5 Coursework Example | Topics and Well Written Essays - 500 words
Gathering wk 5 - Coursework Example This data can be consolidated with insight administration to give ground onto which examinations about foes and malignant acts can be begun. Data can likewise be utilized to make the individuals of the United States strength. The data sharing technique is confronted with the test of the media through which the data can be passed (Purpura, 2007). This is on the grounds that the internet is accepted to be a basic foundation confronted with dangers, for example, cybercrime. The achievement of the assurance of basic framework strategic intended to keep the data secure and hidden. The data must have the sender and the recipient. The recipient goes about as the crowd. The data must be coordinated to the correct crowd. The messages that are sent must be educative and advising. Country security office should then search for criticism from the crowd. Input would then be able to enable the office to realize how to treat the data, the crowd or the subject (Coppola, 2011). They can know whether it is defiled. Country Security office influences the ecological equity through the effect of its activity, administrative exercises and through money related help to ancestral, state and nearby governments. The activities made by Homeland Security division can in some cases influence nature which could be the individuals, network, associations and its accomplices. The participation of the considerable number of players is required to give comprehension of the strategic, (2011). Ecological equity can be given through preparing and training on the known and obscure dangers. For known debacles, Homeland Security, Energy and Justice Departments can dispatch battle to prepare people in general on the best way to manage explicit circumstances when they occur or before they occur. People on call are generally accessible to help where people and networks neglect to manage calamities (Purpura, 2007). Making sure about
Saturday, August 22, 2020
Themes for May Classroom Activities
Topics for May Classroom Activities Here is a rundown of May topics, occasions, and occasions with relating exercises to go with them. Utilize these thoughts for motivation to make your own exercise plans and exercises, or utilize the thoughts gave. Get Caught Reading Monthâ The Association of American Publishers broadly propelled Get Caught Reading Month to remind individuals how much fun it is to peruse. Commend this month by having understudies perceive what number of books they can peruse in the period of May. The victor of the challenge can get a free book! National Physical Fitness and Sports Month Celebrate by getting dynamic, finding out about sustenance, and making sports creates. American Bike Month Observe American Bike month by having understudies ride their bicycles to class on May eighth and learning the principles of the street and how to be protected. Childrens Book Weekâ Childrens Book Week regularly happens toward the start of May, however youll need to check the dates every year. Since 1919, National Childrens Book Week has been devoted toâ encouragingâ young perusers to appreciate books. Praise this day by providingâ activitiesâ that will urge your understudies to adore perusing. Educator Appreciation Week Educator Appreciate Week happens in May, however the dates can differ. During this week, schools the country over praise the difficult work and commitment of instructors. Attempt a couple ofâ these educator gratefulness activitiesâ with your understudies. National Postcard Weekâ During the main entire seven day stretch of May, observe National Postcard Week by making postcards and sending them to different understudies the nation over. National Pet Week During the principal entire seven day stretch of May, observe Pet Week by having understudies get a photo of their pet to impart to the class. National Police Weekâ National police week happens the schedule week during which May fifteenth falls. Welcome a neighborhood police officer to your school, or plan a field outing to your nearby police headquarters to respect this week-long festival. National Transportation Week National Transportation Week for the most part happens during the third seven day stretch of May. Commend the network of transportation experts by having understudies investigate potential employments in the transportation field. Have understudies research and round out an application for an employment opportunity in their preferred field. Moms Day Mothersâ dayâ is saw on the second Sunday of May each year. Observe withà Mothers Day exercises, or attempt these very late exercise plans. You can likewise utilize this word rundown to assist you with making a Mothers Day sonnet. Commemoration Day Commemoration Day is praised on the last Monday of May every year. This is an opportunity to celebrate and respect the officers that relinquished their lives for our opportunity. Respect this day by giving understudies a fewâ fun exercises, and show understudies the benefit of regarding the memory of the individuals who preceded us with aà Memorial Day exercise plan. May 1: May Dayâ Observe May Day with artworks and exercises. May 1:à Mother Goose Day Investigate reality with regards to Mother Goose by perusing the Real Mother Goose. May 1: Hawaiian Lei Day In 1927 Don Blanding thought of having a Hawaiian occasion that everybody can celebrate. Respect his desires by participating in Hawaiian conventions and finding out about the way of life. May 2: Holocaust Remembrance Dayâ Find out about the historical backdrop of the Holocaust, and read age-fitting stories, for example, The Diary of Anne Frank and One Candle by Eve Bunting. May 3: Space Dayâ A definitive objective of Space Day is to advance math, science, and innovation, and motivate youngsters about the marvels of the universe. Praise this day by having your understudies participate in a couple of fun space-related exercises to help sustain their interest of the universe. May 4: Star Wars Dayâ This is a day to commend the Star Wars culture and respect the movies. A great method to praise this day is by having understudies get their activity figures. You can utilize these figures as motivation to make a composing piece. May 5: Cinco De Mayoâ Commend this Mexican occasion by hosting a get-together, making a pinata, and making a sombrero. May 6: No Homework Dayâ Your understudies buckle down every day, praise this day by giving your understudies a No Homework Pass for the afternoon. May 7: National Teachers Dayâ At long last, a day to respect and commend the entirety of the difficult work educators do! Show your thankfulness for our kindred educators by having understudies compose a letter of gratefulness to every one of their instructors (workmanship, music, physical training, and so forth). May 8: National School Nurses Dayâ Respect your school nurture by having understudies make an exceptional endowment of appreciation. May 8: No Socks Day To praise this wacky and fun day have understudies make makes out of socks, become familiar with the history, and wear fun shaded socks to class for the afternoon. May 9: Peter Pan Day On May 9, 1960, James Barrie (the maker of Peter Pan) was conceived. Praise this day by finding out about the maker James Barrie, viewing the film, perusing the story, and learning the statements. In the wake of perusing his statements have understudies attempt and thought of their own. May 14: The Start of the Lewis and Clark Expeditionâ This is an extraordinary day to show your understudies Thomas Jefferson and his job in the Lewis and Clark undertaking. Gain proficiency with the historical backdrop of the undertaking, and read understudies the book Who Was Thomas Jefferson by Dennis Brindell Fradin and Nancy Harrison, and visit the Monticello site for photographs and extra assets. May 15: National Chocolate Chip Day Whats a superior method to observe National Chocolate Chip Day than to prepare a few treats with your understudies! For some additional fun, attempt this chocolate bar math exercise. May 16: Wear Purple for Peace Dayâ Help improve the world a spot by having all understudies don purple for harmony day. May 18: Armed Forces Dayâ Pay tribute to the people who serve the United States military by having understudies compose a thank you letter to somebody in your nearby military. May 20: Weights and Measures Day On May 20, 1875, an International arrangement was marked to set up a global part of loads and measures. Commend this day with your understudies by estimating objects, finding out about volume, and exploringâ non-standard measures. May 23: Lucky Penny Dayâ Fortunate Penny Day is commended to fortify the hypothesis that on the off chance that you discover a penny and get it, you will have good karma. Commend this pleasant day with your understudies by making a penny art, checking and arranging pennies, or utilizing pennies to diagram Another great thought is to give understudies the composing brief, Once I found a fortunate penny and when I got it... May 24: Morse Code Dayâ On May 24, 1844, the primary Morse code message was sent. Praise this day by encouraging your understudies Morse Code. The understudies will adore the mystery, all things considered, May 29: Paper Clip Dayâ In 1899 Johan Vaaler, a Norwegian innovator imagined the paper cut. Respect this astounding little wire by having understudies concocted another approach to utilize it. May 29: John F. Kennedys Birthdayâ John F. Kennedy was one of the most cherished United States Presidents within recent memory. Respect this momentous man and the entirety of his achievements by having understudies make a KWL Chart, at that point read your understudies his life story, called Who Was John F. Kennedy? by Yona Zeldis McDonough. May 31:à World No Tobacco Dayâ World No Tobacco Day is a day to fortify and feature the wellbeing dangers related with tobacco use. Invest significant energy on this day to stretch the significance of why understudies ought not smoke.
Sunday, August 2, 2020
Twas the Night before Finals
âTwas the Night before Finals My apologies to Clement Clark Moore. âTwas the night before finals, and all through the âtute, You would think that the students had all become mute. The freshmen were nestled all snug at their desks, While hoping for at least one 5 AM rest; And I with my physics, roommates with their chem, Had just settled down for some quick SHM, When out on the ânet there arose such a clatter, I sprang to my Mac to see what was the matter. âIâm going to fail physics!â I saw one frosh yell. âIs torque in or out? Thereâs just no way to tell!â The seniors all clammered, âThereâs no need to stress, Youâre on pass/no record, and itâs just one test!â (âhttp://www.youtube.com/watch?v=Be6jlCuMvVQ,â Was what I replied, adding my two cents, too.) Though after a bit, that commotion died down, And I went back to physics and tried not to drown. But if youâre like me, your attention spanâs shot, So I went to the kitchen to make something hot. Well, it turns out our suite had some Chinese around, And MIT moral code says to free food Iâm bound, So armed with some chicken, to work I returned, But facebook then beckoned (you think Iâd have learnedâ¦) âBout two hours later, my status updated, My procrastination seemed slightly abated. So I went back to physics- attempt number three! And this brings us to now, about 1:23. My review sheet is awesome, my psets are read, My exams are all studied, and I am in bed. In just a few hours, fiziks will be done, And I will have finished exam number one. Itâs hard to believe that just one year ago, I was just one of you- yeah, I still didnât know! So while I wait for finals, and you for decisions, Hereâs something to think about during admissions: Early admits, in one year you, too, could be, Freshmen learning the truth in: IHTFP!
Saturday, May 23, 2020
Development of My Personal Core Values Essay - 1348 Words
Personal values are something which we develop through the course of life; they can change over time and may be influenced by our family, friends, culture, religion and the media. Personal values develop through experience and development, they impact our personal lives as well as our professional lives. This essay will look at my personal values, how they were shaped through the course of my life and the influence on my view of society and the role of the practitioner. Conclusively, I will outline my professional development by making reference to Kohlââ¬â¢s experiential learning model in addition, to my personal reflection on my development so far. The family is the main agent of socialisation and an institution. (Giddens, 2013:339). Asâ⬠¦show more contentâ⬠¦In my view, I support their decision as this goes against their beliefs. However, I also believe the happiness, health and wellbeing of individuals should be respected, and they should have the right to marry. Therefore, as an emerging professional we must be aware of diversity and bare this in mind when working with individuals and communities. It is important to remember that lives are shaped, by the way, in which we were socialised. This is a major part in how we develop. Primary socialisation is the first phase which occurs in early infancy. The family plays a vital role in teaching the infant the norms and values of their cultures. Secondary socialisation is the next stage we go through, and our values and beliefs come from the education system, peer groups and the mass media. Most societies do not have a single culture but an array of subcultures which is different from other members of society. (Haralambos Holborn 2009:1) Social class along with religion and ethnicity is a part in the socialisation process and outcomes for individuals. A personââ¬â¢s social class is a determining factor of their life chances and as such varying degrees of inequalities exist in modern day society. Research suggests My education brought disabilities to my attention. My primary school had a unit for deaf children within it, something which was unusual back then. I can remember when told of this and there being aShow MoreRelatedThe Vaule of Personal Development in The Divine Comedy, by Dante Alighieri1209 Words à |à 5 PagesIn Italian Dante Alighieri (1265) Poem, The Divine Comedy Inferno, Translated by Mark Musa. Dante demonstrates the value of personal development which is the ability to keep a balanced life and continuously learn from past mistakes in order to create a better future. Dante begins the poem wrapped in his own thoughts and suffering but by the end of the poem he begins to understand otherââ¬â¢s sufferings beyond his own. In his growth throughout his journey he learns about pain and sorrow that he cannotRead MorePersonal Statement959 Words à |à 4 Pagesworld.â⬠In implementation, the practice of ethical action, redemptive service and responsible citizenship within th e church, local community, and globally, are emphasized. As an older student at Lee University, I admit that these values were heavily communicated to me, by my mother, from an early age. After high school, I did not pursue a vocation and worked in a factory in Alabama for a couple of years. It was during this time, that I realized, that God wanted more out of and for me. I returnedRead MorePersonal Leadership Statement: Becoming an Educational Leader983 Words à |à 4 Pagesconcrete life storyâ⬠(Contino, 2004, p. 85). My vocational life story has developed over the past forty years with my first job at twelve babysitting six children to where I stand today teaching home economics at Chowchilla high school. ââ¬Å"I build my own life story through the decisions of projects I undertakeâ⬠and the choices I have made regarding my career path (Contino, 2004, p. 85). Someone looking from the outside at my wandering path might believe of my career changes seem a bit radic al. MovingRead MorePersonal Values, Culture, And Religious Beliefs883 Words à |à 4 PagesPersonal Values Personal values are derived from an individualââ¬â¢s idea of what is good, right, useful, or important. Values like honesty and discipline increase efficiency and will aid in being a positive example to others (Boundless, 2015). Values and traditions are typically shaped by the influences of family, culture, and religious beliefs. Sociologist Morris Massey defines three periods in our lives where our value system is developed. These periods are known as the imprint period, modelingRead MorePurpose And Understanding Of An Authentic Servant Leader1618 Words à |à 7 Pageschanged their thinking or the direction of their lives. The purpose and understanding of reflection is important in instruction. Authentic leaders have a clear understanding of who they are and they lead from their core values (Northouse, 2016). In discovering my core values by following my internal leading in becoming an authentic servant leader (George, 2010), I am able to recognize the importance of being self-aware, relational, supportive, and participatory with the ability to manage crisis (NorthouseRead MoreSelf Directed, Intrinsically Motivated, Active Learning998 Words à |à 4 Pagesteachers and at the same time appreciate that the inclusive education environment, irrespective of its merits, will present barriers for learners and for teachers. The learner can be described as an individual, a recipient of an educational system that values standards and results.(Gavin Reid) For a self-directed, intrinsically motivated, active learner, the individual takes the initiative and the responsibility of the learning process. The learner selects, manages and assess their own learning activitiesRead MorePersonal Development Review and Plan1519 Words à |à 7 PagesPersonal Development Stage 1 Review and Development Plan Table of Contents Page Introduction My Personal Development Review My Personal Development Plan 3 4-5 6-7 2 Introduction At the Introduction to PD workshop I identified two broad reasons why I decided to pursue my MBA. The first was to develop my competence as a manager. The second and more important reason was to advance my career by making myself more marketable. The job market today is undoubtedly very competitive and I realisedRead MoreMy Personal Values On Nursing964 Words à |à 4 PagesIdentifying personal values, beliefs and concepts ignite the individual to make a well-rounded decision and live an authentic life. As a nurse, I want to promote the best possible care for my patients because I believe in maintaining life balances. Life balances acknowledge the individualââ¬â¢s prioritizes by linking each lifestyles together. In physiological terms, maintaining equilibrium and homeostasis is critical in achieving a state of balanced. Therefore, my values about person, health, nursingRead MoreWilliam Sullivans Work And Integrity : The Crisis And Promise Of Professionalism1340 Words à |à 6 P agesexclusive group of peers who possessed a distinct body of knowledge, language, and abilities.1 The officer corps is burdened with greater responsibility based on the nature of the military construct. The officerââ¬â¢s professional military education, development of an abstract body of knowledge, a code of ethics reflecting the ââ¬Å"special trust and confidenceâ⬠bestowed by the President and Congress, and the oath of office, are all different from the enlisted branch. They must be by nature.10 This is supportedRead MorePersonal Philosophy of Leadership Essay1215 Words à |à 5 PagesPersonal Philosophy of Leadership Being a leader is more than simply holding a leadership position or having the ability to lead. Everyone is capable of being a leader, but not everyone exercises his or her leadership abilities. Each personââ¬â¢s idea of leadership is different. My idea of leadership has developed over time, and being a member of the Presidentââ¬â¢s Leadership Class has helped me develop my philosophy of leadership further than what it was two months ago. My personal philosophy of leadership
Monday, May 11, 2020
Example Question - 1605 Words
Research Method-Pastyear 1._____ is the application of the scientific method in searching for the truth about business phenomena. A.Induction. B.Application research. C.Business research. D.Science. 2.Which type of research tries to verify a theory or to learn more about a concept and is not intended to solve a particular business problem? A.Performance-monitoring research. B.Basic research. C.Total quality management. D.The scientific method. 3.Which of the following refers to the way researchers go about using knowledge and evidence to reach objective conclusions about the real world? A.Qualitative method. B.Quantitative method. C.Scientific method. D.Primary method. 4.Job satisfaction, which is an employeesââ¬â¢sâ⬠¦show more contentâ⬠¦| unit of analysis | 20. What type of variable is marital statusâ⬠(single, married, widower)? A. | Continuous variable. | B. | Primary variable. | C. | Dependent variable. | D. | Categorical variable. | 21. A statement such as: If we increase price five percent, sales will likely drop eight percent or more, is an example of a __________. A. | hypothesis | B. | dependent variable | C. | problem definition | D. | research objective | 22. The people who answer survey questions are referred to as ____. A. | researchers | B. | clients | C. | respondents | D. | users | 23. Which of the following can be the target of survey research techniques? A. | wholesalers | B. | employees | C. | consumers | D. | all of the above | 24. Systematic errors are also called ______. A. | random sampling error | B. | interviewer error | C. | nonresponse error | D. | nonsampling errors | 25. Systematic error is divided into which two general categories? A. | respondent error and administrative error | B. | random sampling error and administrative error | C. | response bias and interview error | D. | primary error and secondary error | 26. When a respondent tells the interviewer that he reads The Wall Street Journal on a daily basis so that he can impress the interviewer, this is an example of _______. A. | interviewer bias | B. | auspices bias | C. | administrative bias | D. | acquiescence bias | 27. Which term isShow MoreRelatedAn Example of the Question of Truth1531 Words à |à 6 Pagessure of the truth? In the Question of the Truth Unit we read a variety of selections based off of peopleââ¬â¢s perception of the truth, though in many of these selections the truth wasnââ¬â¢t what people expected. These selections help develop a contrast between how things seem on the surface, and how they really are. A couple of these selections accept the surface appearance of things as embodying reality and not the actual truth. Platoââ¬â¢s ââ¬Å"Allegory of the Caveâ⬠is a prime example of what appears to be trueRead MoreExample Questions LMP Exam1654 Words à |à 7 Pagesï » ¿Example Questions Essentials of Organizational Behavior. 1 Ch.1 The underlying principle of scientific management was to: A) structure organizations for the efficient management of people. B) apply statistical analysis to the design of jobs C) get people to do more work in less time. D) eliminate the need for first-line supervisors C 2 Ch.1 The human relations movement A. emphasized the importance of employee training and development. B. encouraged employee participation in organizational decisionRead MoreKraft Questions Essay examples815 Words à |à 4 Pagesï » ¿Amanda Kluszczynski Strategic Business 59-620B Eveanne Lovero Kraft Questions March 12, 2015 1. What is Kraft Foods Inc.ââ¬â¢s corporate strategy? How has its corporate strategy evolved since its independence in 2007? Kraft has a strong global strategy. They found themselves operating in more than 80 countries, which included 220 manufacturing and processing facilities and 228 distribution centers. Because of the different regulations in each country related to food, they found themselves in needRead MoreLiterature Questions Essay example1159 Words à |à 5 Pagesshrinking Questionà 2 Partially correct Mark 0.50 out of 1.00 Flag question Question text The poem ââ¬Å"The Weary Blues,â⬠by Langston Hughes, focuses on all but the following elements of modernism:à Select one or more: a. fragmentary nature of thought b. erasing the disctinction between high and low artà c. using the first person voiceà d. subjectivityà Feedback The correct answer is: fragmentary nature of thought, subjectivity Questionà 3 Correct Mark 1.00 out of 1.00 Flag question QuestionRead MoreHR Questions Essay example7470 Words à |à 30 Pagesflexible; can provide detailed information; easy to organise and prepare. Disadvantages: Time-Consuming; expensive; difficult to analyse. 4. Observation interviews: Similar to individual interviews but give additional information, for example: visual or auditory information; these contextual clues make it more difficult for the analyst to be misled; the methods may expose both the analyst and the worker to increase safety hazards. 5. Group interviews: Similar to the individual interviewRead MoreMacroeconomics: Questions and Answers Essay example890 Words à |à 4 Pagesà Work à Assessment PROBLEM à SET à NO à 4 à (Chapter à 3033) Student #1 Name and ID: Gwee Yi Xuan S3506518, 10148285 Student #2 Name and ID: Cheah Wei Yun, S3509385, 10148653 Student #3 Name and ID: Yong Chang Wei Stanley, S3532641, 10154582 Question 1 Suppose that a countryââ¬â¢s inflation rate increase sharply. Explain the following situations. (1 mark for each) a) What happens to the inflation tax on the holders of money? As inflation rate increases sharply, the price level also increases sharplyRead MoreMgt Pre Questions Essay example601 Words à |à 3 Pagesyour explanation? 6. How do the results of your analysis affect the alternatives proposed to resolve the strategic issue? Explanation for identifying underlying causes of performance: Now determine the WHY behind their performance. For example if profitability is declining or profits are negative, try to identify why. Look for evidence in the common-size statements that you prepared as well as industry information in the case. The purpose is to link strategic analysis with financial analysisRead MoreHypothesis and Research Question Essay example543 Words à |à 3 PagesResearch questions are formulated in a study to inquire about variables, both independent and dependent variables, and the relationship between them. Research questions are categorized into two, that is, qualitative and quantitative research questions. Qualitative questions are used in qualitative research like case studies, surveys and action research where the approach is non-numerical and analyses special phenomena that occur in nature. Quantitative research on the other hand is more of a systematicRead More Development During Adolescence: Questions Essay example978 Words à |à 4 PagesQuest ion 1: Discuss adolescence: a)The period of adolescence and the cultural aspect thereof Pinpointing the start of any developmental phase is difficult as different people view adolescence and who is classified as an adolescent in different ways. This is because of perspective as well as cultural differences of what an adolescent is. As a rule of thumb,we say that the onset of adolescence is when puberty starts. This is fairly easy to notice because of the physical changes. However, determiningRead MoreImportant Questions on Financial Accounting Essay examples844 Words à |à 4 Pages 1. Which of the following statements is true about hedge accounting under U.S. GAAP? a. If a derivative qualifies as a cash flow hedge, a company may choose to account for it as a fair value hedge. 2. When a currency is allowed to increase or decrease in value relative to other currencies, the currency is said to: a. Float 3. What has occurred when one company purchases the right to buy a foreign currency some time in the future at an exchange rate quoted today? a. the company has acquired
Wednesday, May 6, 2020
Mrs. Thomas Holistic End of Life Care Free Essays
string(48) " is worse or that the pain is deserved somehow\." Governors university Scenario A brief synopsis of the scenario explored in this paper will be forthcoming so the following observations and detail will have context. The key points in the scenario explored for Mrs.. We will write a custom essay sample on Mrs. Thomas: Holistic End of Life Care or any similar topic only for you Order Now Thomas, her husband and family are as follows. Mrs.. Thomas is a candidate for palliative care; In specifically hospice If she Is given a prognosis of six months or less. She has suffered breast cancer twice In the past year. A year ago she had a right mastectomy with removal of five auxiliary lymph nodes, with chemotherapy and radiation. Six months ago she had a second mastectomy on her left breast, followed by chemotherapy and radiation. After said treatment it was discovered that the cancer had metastasisââ¬â¢s to her lungs and further surgery is not a feasible option. She has not been taking her pain medication as she does not want to procure an addiction problem. Her pain has Increased and she spends most of the time In bed crying. She had to leave her job, but has a small stipend via disability. She and her husband, a police officer, are struggling to make ends meet financially Her husband suffers from chronic depression that is being managed by medication, but he is resorting to take his medication often. He is a supportive and able caregiver however, he Is showing signs of caregiver strain and Job stress. In response Mrs.. Thomas Is worried that he Is becoming classical because of the circumstances of her condition and this In turn Is causing her further suffering. Core family support Is minimal. Mrs.. Thomasââ¬â¢ close female relatives are dead from the very disease that is killing her. Because she is sick, she and her husband no longer socialize; she does not seek help from her female friends. Her sons live far away, and call often but they do not come to see her. Mrs.. Thomas is saddened that her sons are not here, but Quality of Life and Health Promotion This nurse believes that quality of life is defined individually for each patient. Each individual is unique and how they perceive life and what their life circumstances are define what is needed for end of life care. Quality of life during a time when aggressive treatment is no longer possible needs to be focused on comfort and support of the patient, caregivers and family. This nurse believes comfort (quality of life) includes the right to be free from pain, unless the patient chooses to experience main in trade for mental clarity. It includes the right to not participate in aggressive treatment or in clinical trials if the patient has no wish to do so. Quality of life to this nurse is helping the patient to do the best with the situation in life in which the patient finds themselves. It includes helping the patient with what he or she perceives as unfinished business and helping the patient conclude this business to the extent possible. Holistic end of life care includes care of all aspects of the patient (physical, social and spiritual) and care for those who love the one dying?the family. The family is whatever blood or non-blood ties this entails; whatever ââ¬Å"shapeâ⬠of family the patient has at this time. This nurse believes that holistic end of life care encompasses not only physical comfort for the patient but promotion of healthy interactions for the patient with those who love and comfort them. These sensitivities are the goals of this nurse and if applied diligently may provide the best outcomes for the patient in this time of life. Strategies Four holistic nursing goals to begin to improve quality of life for Mrs.. Thomas, her husband and family are the nursing diagnoses: Pain Management, Addressing Anticipatory Grieving and Situational Low Self-Esteem, as well as, Altered Family Processes. First one must establish a rapport with the patient. By providing an open nonjudgmental conversation the nurse can encourage an open and realistic dialogue about what Mrs.. Thomas is feeling. By reviewing past life experiences one can get to know the patient and what interests her and establish trust. This trust is of most importance as all nursing care success depends on creating a team effort with the patient. Family involvement in this time needs to be proactive to help Mrs.. Thomasââ¬â¢ mental state and via this her physical functional ability. Nurseries) A beginning conversation with Mrs.. Thomas needs to be about the importance of pain relief. By bringing the patient to an understanding of how this relief of pain will benefit those around her, Mrs.. Thomas may be more likely to try the medication for said relief. This may be the initial hook with which one can get her to take said medication. The nurse must determine a comprehensive pain history, including frequency, duration and intensity using a scale dependent upon the patientââ¬â¢s perception of pain throughout her life span. Zero pain for no pain; ten for the worst pain ever. This call gives the nurse a baseline from which to assess pain management. Her pain has been increasing for the last six months and this nurse would designate that as chronic pain, perhaps with acute episodes. Also, the nurse must ask about and continue to monitor when said pain is occurring, as well as where and how much. Morning or when? Identifying precipitating factors of pain will help in its long term management. (Nurseries) Pain is what the patient says it is; we as nurses need to accept that premise. Within the realm of pain lie both physical and emotional response. Because Mrs.. Thomas is no longer seeking aggressive cancer treatment, he ââ¬Å"variations of aggressive treatmentâ⬠pain control will not be discussed. However, as her disease progresses it is most likely that her pain will increase. Which brings up another point?reluctance of the patient to report pain because of fear that the disease is worse or that the pain is deserved somehow. You read "Mrs. Thomas: Holistic End of Life Care" in category "Life" The nurse must also be aware of unmanageable side effects (like hallucination) which if experienced must be dealt with in a matter of fact fashion and by trying another medication regime. To address pain management with Mrs.. Thomas one must address her fear of addiction. By talking with Mrs.. Thomas openly and honestly about the need for pain relief, it is hoped that she is lead to the conclusion that pain management and pain medication abuse are two different things. At the end of life, pain medication addiction is not an issue. This idea needs to be gently but openly professed. One could point to the relief of stress for her husband if she is not in pain; as well as the physical benefit (and hence mental benefit) of remaining pain free. If she remains pain free she will be more able to take care of herself and her activities of daily living. She will be able to live in this time instead of living in dread of each day. Once she is taking said pain medication it must be monitored, adjusted and changed as needed for optimal effect and to support the ability to participate in activities of daily living to the fullest as possible. Also discussing non-pharmacological comfort measures like massage and diversionary activities like music is in order. What does Mrs.. Thomas respond to; what does she like? What kinds of non-pharmacological pain intervention has worked for her in the past? Ask questions so that she can verbalize these things to help herself. Being able to relax will help her focus her attention. Encouragement of stress management skills and complimentary therapies (relaxation techniques, biofeedback, LAUGHTER, music, aromatherapy, acupressure, acupuncture and touch are a few) helps the patient to actively participate and enhances a sense of control. Heat and cold may also help by decreasing muscle spasms and inflammation. Pain makes stress, stress makes stiff muscles and increases self-focus which, unfortunately, increases pain. As the nurse interacts with the patient it is important that the patient comes up with ideas about care and becomes a proactive member of their healthcare team. (Nurseries) Mrs.. Thomas is also suffering, ââ¬Å"Anticipatory Grieving. This is related to loss of her physiological health and change in lifestyle. It is interconnected to the knowledge that she is going to die, for real, and most likely soon. This nursing diagnosis is needed because of her change in social activity level, her reluctance to tell her sons that she needs them?now. It is evidenced by her denial that she does need them and help and support in general from her friends. (Nurseries) Outcomes that are desired include the patient being able to feel her feelings and express them. By doing this she will hopefully come to the place where she is able to take one day t a time and continue her normal activities; even planning for the future. Being able to admit that she is dying, understanding and verbalizing the process is a beginning is done, she must feel supported in her grief work. One must beware of debilitating depression, the like of which is indicated by the scenario. To address this the nurse must be frank and direct in asking questions about the patientââ¬â¢s mind state. (Nurseries) Frequent visiting by the nursing team and care providers, family and social support of friends can help relieve feelings of isolation and abandonment. Her ones need to be contacted with a ââ¬Å"for your informationâ⬠talk about coming to see their mom (and dad) and possibly who could be of help with caregivers as it is needed. Mr.. Thomas is also a source to find out about who may be able to help with this care this, as well. The nursing diagnosis, ââ¬Å"Situational Low Self-Esteemâ⬠is related to how Mrs.. Thomas feels about her disfiguring surgeries and subsequent treatment side effects (aliped, muscle wasting, and more) as well as feelings of self-doubt and lack of control in her life. It is about the doubt about being accepted by othersââ¬âof still eyeing a human in the world. It is also about her anxiety and fear of her disease process. This is evidenced by her not taking responsibility for self-care (not taking pain medication; crying in bed all day. ) Acceptance of her situation is an outcome that is looked for. She needs to be able to develop mechanisms to cope with her problems and set realistic goals. What coping skills has she used in the past? She needs to be able to participate in her own life by learning to adapt. The nurse can help her through this process by asking proactive questions about how she feels and perceives her world. By getting her to voice where sheââ¬â¢s at, she will also perhaps start to voice how she can manage. (Nurseries) This diagnosis ties in with the aforementioned, ââ¬Å"Anticipatory Grievingâ⬠diagnosis. By defining diagnosis and disease process beginning problem solving can occur. By anticipating what can happen, some measure of control can be taken. By working with Mrs.. Thomas and planning how daily activities can be managed, adaptation can occur. (Nurseries) Discussion about her roles in life, as a worker, spouse, and mother and problem solving about how to accomplish her goals for these roles may help reduce problems that interfere tit her self-esteem. It may help her to see how she can cluster activities at home to conserve energy but be productive. It may help her to be more able to reach out to those who love her for inclusion and support. The nurse must acknowledge troubles she is experiencing and validate the patientââ¬â¢s reality; this opens the door to the patient being able to seek measures that are necessary to cope, like counseling, and support groups. The nurse should readily be able to supply information about said resources so as to facilitate the patient in procuring more support. If Mrs.. Thomas is n hospice the social worker of the interdisciplinary team can help facilitate and direct this work; but the nurse must always continue it during her visits. Holistic Nursing Plan Amongst personal revelation the nurse must explore who may be able to help Mrs.. Thomas with her activities of daily living. Her husband is doing the Job, but he is suffering from care giver strain and could use some help. It may be that the people she has cut herself off from socially miss her and would love the chance to be able to help in some way. Caregivers avenues and their affordability need to be explored before they are needed. These interactions; providing pain control, helping with grief and esteem issues, and helping the patient to discover what will work best to live disease state progresses, but before it is needed, preparation for a lesser level of self-care must be addressed. Medicare provides a ââ¬Å"compassionate allowanceâ⬠for hospice care for those of any age with a metastasis cancer with a prognosis of six months or less. She needs to apply for this care in the beginning of the nursing visits if she qualifies. To receive hospice care via Medicare she must be eligible for Medicare Part ââ¬Å"Aâ⬠, be certified as terminally ill and then apply for hospice care. This care would be in her home. By signing an election of benefits Mrs.. Thomas would be choosing hospice care in lieu of routine Medicare-covered benefits. Hospice would pay for pain medications and those required by her terminal diagnosis, as well as services included in the palliative plan of care. Often the hospice doctor confers with the patientââ¬â¢s primary doctor and others on the hospice interdisciplinary team are included. (ââ¬Å"Your Medicare benefits,â⬠2014) Hospice of Kits County provides an interdisciplinary team consisting of the doctor, the patientââ¬â¢s primary provider and nurse practitioners, sitting nursing care, a medical social worker, a chaplain, a home health aide. Also provided are complementary services, which include massage and music therapies. Volunteers are also enlisted to help with such things as grocery shopping and the like or simply for company. These persons come to the patientââ¬â¢s home for service. Hospice care differs with regional coverage. Durable medical equipment is also covered, so if Mrs.. Thomas is in need of a hospital bed, oxygen, bedside commode, wheel chair and so on, it will be provided at no cost to her family via Medicare coverage. Grief and loss counseling is also provided. ââ¬Å"Hospice of kits,â⬠) Providers for home care must be explored as Mrs.. Thomas declines. Often the expense precludes coverage of duties in this way. Exploration of service providers and means of payment need to be explored as a way to cover Mrs.. Thomasââ¬â¢ needs as she declines. Medicare covers the cost of a short term inpatient care in a Medicare approved hospice facility, or nursing home if the caregiver is suffering from caregiver strain (for up to five days) or if it is determined by the hospice physician that symptoms must be managed in an inpatient setting. Because Mrs.. Thomas has no Eng term care health insurance this care could be instrumental in providing for her final days. ââ¬Å"Your Medicare benefits,â⬠2014) The fourth nursing diagnosis, ââ¬Å"Altered Family Processesâ⬠must be addressed for the holistic health of Mrs.. Thomas. This holistic care includes her husband as well as Mrs.. Thomasââ¬â¢ sons and families. Situational crises can develop when a family member has a long term illness. There is a change in roles in caring for a paren t and an anticipated loss of said parent. (Nurseries) Those involved need to learn to express feelings freely and demonstrate individual involvement. This individual involvement must include a problem solving process that promotes suitable solutions for the situation. Mrs.. Thomasââ¬â¢ sons need to be contacted and requested to attend a family conference. If they are unable (because of finances or schedule) to attend then this could be accomplished via phone. They must understand the need of their mother to see them in person and will hopefully comply. The reality of the situation must be broached to them in a caring way. It may be that the Thomasââ¬â¢ or Mrs.. Thomas can go and stay with them for more available for care and support of their mother. Speaking with family members in a caring, respectful manner and providing information both written and spoken helps promote feelings of empathy. It stimulates individual feelings of value and capability in ability to handle the present situation. In answering questions and providing information one can empower Mrs.. Thomasââ¬â¢ loved ones. Identifying patterns of communication and interaction between family members is an important nursing intervention. It provides information about how active said communication is. It can also identify what problems may exist that interfere with the family in helping the patient and what problems there are in adjusting to the prognosis. Role expectations must be explored and how each individual sees the situation, in sharing these thoughts the family can promote understanding within its unit. Assessing the way members are expending their energy with which to deal with the situation is needed so as to provide guidance in positive focus for the well-being of patient. Acknowledging the difficulty of the prognosis, as well as, encouraging appropriate expressions of anger helps resolution in the stages of grieving. The nurse must remain centered. Stressing the importance f continuing dialogue that is open and honest between the family members helps communication to remain open and thus facilitates problem resolution. Mr.. Thomas must be educated by the community health nurse as with regards to how anti- depressants need to maintain a certain blood level to be effective. If he is not taking them regularly this will not happen. To help achieve this goal, a pill box with days on it can be set up; perhaps an alarm set to the same time each day enlisted, so that he can remember to take his medication and thus be better able to function at this time. To provide holistic nursing care to Mrs.. Thomas her needs as a person must be addressed. Physical, social and spiritual realms must be explored. Plans of action to provide for her physical care and the demise of her abilities must be explored; help must be sought out from the aforementioned sources. Method must be applied via nursing diagnosis and indications of said diagnosis. Desired outcomes must be planned, as well as nursing interventions to work toward these outcomes. Mrs.. Thomas must be approached with honesty and treated as a human being, with a life, in her time of need. How to cite Mrs. Thomas: Holistic End of Life Care, Essays
Thursday, April 30, 2020
Rizal Reaction Paper free essay sample
Noel me Teenager and II Fulfils Terrorism, we learn about social cancer that really happens in our society and we are encouraged to apply Racals ideals in current social and personal problems and issues. Through his books, Racial asked the youth to study, to acquire knowledge, because as he said, nationality does not define your intelligence. As well as we develop an appreciation and deeper understanding of all that Racial fought and died for. It fosters the development f the F-loping youth in all aspects of citizenship and love of country.As a nation, we share the same collective experience, history, culture, and identity as one. By studying about Racals life and works, together with other historical figures that we encountered, ex: Juan Ulna, Andrea Boniface; we will learn to understand our identity as a Filipino. The Philippines experienced the suffering under the colonization of foreign power. And we saw their desire to attain reform, freedom and independence. We will write a custom essay sample on Rizal Reaction Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Racals novels reflect, through the harassers in it, the hardship and conflicts in order to attain the desired independence.But at the same time, it ignites the awareness of people and their spirit to defend their country. From the novel, I really admire Alias. We saw how he tried to prevent the revolution from happening by try to ask Barbara to help them grant the reform. Alias loves the country so much that he sacrifices his own personal need for the good of his country and others. We saw how his family suffered so much, but Alias was willing to leave his assessment behind and do whats best for his country.Aside from learning about Racial and his books, we also did our final project. We had to do a community service. From planning, executing and report about the activity that we chose. By doing this project, we were not only doing it for academic requirements, but we as well, want to apply the stewardship of the community. We belong in the same society and we respect, care, and share the same love for our country, ideology, and history. We believe that it is our accessibility to act for the common good of people, especially the less fortunate than us.Our project was a helping mission part of the Joyful Church regular activity and our group chose to collaborate with the church because one of our underlying principles to do this is to exercise our duty as a good Christian. We are always being reminded of the importance of giving. Not just material based, but as well services, time and effort. To be sincere, generous, and sacrifice to those in need. By doing this project, our group is trying to remote the people to care more about public welfare.We prefer this helping mission because we admire the simplicity, the straightforwardness, and the regularity or the continuance of the program. Due to those elements, the ability of the citizens to participate is imminent. It has been a good semester learning more about the Life and Works of Racial. We learned new things, had good discussions, watch movies, etc. We really appreciate the effort that was given by the teacher to make this subject interesting thank you.
Saturday, March 21, 2020
Our science and technology have a quickly development. In the international marketplace, there are many unusual and high technology products. The WritePass Journal
Our science and technology have a quickly development. In the international marketplace, there are many unusual and high technology products. Introduction Our science and technology have a quickly development. In the international marketplace, there are many unusual and high technology products. Introduction1. Background2. Design Specifications2.1 Voice Navigation System2.2 Article Identification2.4 Enquiry Service System2.5 Barrier Detection System3. Marketing Strategy3.1)à à Description the blindness products in HK market3.2) The advantage and disadvantage of each productTraining a guide dog is too difficult and the prime cost is too high. It also has a life limited of the guide dog.3.3) à Functional comparison with our product4. RFID Technology Specification5.2 Operation of RFID Systems6. Methodology6.1 Hardware communication Diagram:6.2 The part of Enquiry Service System:6.3 The part of Article Identification:6.4 Article Identification Flow chart:6.5 Voice Navigation System Bus Arrival Detection System6.6 Voice Navigation System Bus Arrival Detection System Flow chart:7. Cash Flow ForecastAdvantageResearch result9. Project Lifecycles10. Project PlanningConclusionRelated Introduction Today, our science and technology have a quickly development. In the international marketplace, there are many unusual and high technology products. They usually make our life to be more convenient and easier to solve the different problem. However, the populationà growthà in recent years, congenitalà blindnessà and blind peopleà with acquiredà blindness, that the number for them was gradually increased. The blind people always need the help from walking stick, other people or guide dog to walk on the road. But there are no enough technology products to help the blind people that more easy way to know the obstructions in front of them. Therefore, we thought that we should design a product to help the blind people. Theà present isà requiredà toà assist the blind people withà anà electronicà guideà system, effective and immediateà wayà to improve their life. We need to developà a product withà convenienceà and low costà system is veryà important for them. The product should include helping them to walk on the road without barriers, to take the bus, to purchase in the supermarket, to know the pedestrian signals, to arrive at the destinations and have an emergency call etc. Also, this product isà used to mark the sound output to tell users the information. The blind people use of thisà system,à theyà canà get the useful of guide informationà easier without asking the strangers on the street. Theseà are very importantà for themselves. Finally, our team design to create a new product which fulfill the almost functions ââ¬â it calls ââ¬Å"Arm Channelâ⬠.à We hope that after our product come out; it will cause the universal of guide system in the world. And the product cost will become lower and lower with the developed technology. Then make the blind people can be easily and more convenienceà to have aà better quality of their meaningful life. 1. Background The green land in a park, the blue sky, the sightseeing of the Victoria Park, I-pad, and 3D movie all of these can give people the visual and feeling of entertainment to people who are with the health of visual. Actually, somebody who locate in darkness world, they cannot see anything. They always rely on sense of sound, touch, smell and taste to living in their narrow community. According to the different research of the marketing information of the blindness in Hong Kong, we found out the numbers of people who are with vision disorder; analyze their necessary in the normal dairy life and their problems in Hong Kong. Furthermore, we found out some major product which applied in Hong Kong and similar product in the world to carry out the comparison which related to the dairy life of the blindness. Nowadays, there are about 73900 people with vision disorder in Hong Kong. They always rely on sound and sense of touch to detect the object from the surroundings. Then, the almost relevant products which sell in Hong Kong cannot fully satisfy the necessary with blind people. According to the article from the America foundation for blind (living in vision disorder), they noticed that the blind people need to learn the essential skill in vision loss, which include interdentally living, communication, mobility and low vision devices to adapt their dairy life. Therefore, in this project, we decide to invent the product which helps them to adapt the normal lift easily without learning the essential skill. After the comparison, we figure out our product is more functional than the other product in Hong Kong market and the similar product in the world. Also, the cost is reasonable too. On the other hands, our product has a large range for development and improvement area in the future. And the market potential in Hong Kong and the world is very high. The main reason is the reasonable cost and the multiple functions can satisfy the necessary of the blindness. 2. Design Specifications For our product ââ¬â Arm Channel, we hope that the functions of product including helping them walk on the road without barriers, to take the bus, to purchase in the supermarket, to know the pedestrian signals, to arrive at the destinations and have an emergency call etc. And the main purpose of these functions should be totally dependent on themselves. Therefore, our team designs the five main themes which are suitable for our ideas and shown these below. 2.1 Voice Navigation System Build in speaker; To guide the user to the destinations; Preset a new location for user to follow. 2.2 Article Identification Build in speaker and digital camera; To compare the goods and the goods photo in database .Then tell the user of the price, expire date and the name of the products when they are buying in anywhere. 2.3 Bus arrival Detection System Build in speaker; To identifies the bus number when it arrived and then tell the user. 2.4 Enquiry Service System Build in simple machine connector box. User can connect the call center for enquiry or emergency; Download the new information to our product. 2.5 Barrier Detection System Build in speaker; To tell the user that has the barrier or not in front of them. 3. Marketing Strategy In the Hong Kong market, the government plan to carry out the improvement of the public facility community, call ââ¬Å"disability friendsââ¬â¢, which include blind navigation system, blind person stone and write cane etc. These products are the common product in HK market now. But these products are not enough to satisfy their necessary, because they cannot buy something, take the transportation, and tell them the real location by themselves. Therefore, we directly against with these problem, we create our product Arm Channel. At the below table, there are divided 3 parts, that are 1) description the blindness products in HK market, 2) state their advantage and disadvantage of the products and 3) the functional comparison with our product. 3.1)à à Description the blindness products in HK market Product function Blind People Stone: Flooring and paving for blind people to show the direction or exit location. Blind People Mobile Phone The blind people mobile phone is easy to use and carry. It can save one or two phone number in its memory. It also has a SOS function key on the mobile phone. White Cane It can help blind people to find out the Barrier in front of them Guide Dog The Guide dog can guide the blind people to the destination safety Navigate hermit Help the blind navigate around the obstacles in their part, and thought them go to the destination using GPS RFID Stick Tell them the location, signal for traffic light, distance between the destination and time to achieve Guide shoe Help the blind navigate around the obstacles in their part, and thought them go to the destination use GPS 3.2) The advantage and disadvantage of each product Product advantage disadvantage Blind People Stone: Its manufacture cost is not expensive Its construction costs and period are very high and long. Also, it produces sound pollution during the implementation. Blind People Mobile Phone It is a good media for provide a communication method for the blind people It canââ¬â¢t indicate the location for the user or show the destination direction to the user. White Cane Convenient to find out the Barrier It canââ¬â¢t indicate the location for the user or show the destination direction to the user Guide Dog Social experience, autonomy for changing environment Training a guide dog is too difficult and the prime cost is too high. It also has a life limited of the guide dog. And cannot bring the dog into the bus or other transportation. Navigate hermit Convenient to find out the Barrier Can take the user to the right location easily as a long way Can not help the to communicate to other person easily RFID Stick Can take the user to the right location easily, decrease the opportunity of traffic accident event Can change the location voluntary The technology is very expensive and cant take them as a long way Guide shoe Effective for outdoor navigation, Convenient to find out the Barrier That make the user very inconvenient when there are very rough 3.3) à Functional comparison with our product Voice navigation Article identification Bus arrival detection Barrier detection enquiry service Arm Channel Y Y Y Y Y Blind People Stone N N N Y Y Blind people mobile phone Y N N N Y White Cane N N N Y N Guide dog N N N Y N Navigate hermit Y N N Y N RFID Stick Y N N Y N Guide shoe Y N N Y N *(Y ââ¬â Yesà à N ââ¬â No) 4. RFID Technology Specification Radio frequency identification (RFID) is a technology that uses communication via radio waves to exchange data between a reader and an electronic tag attached to an object, for the purpose of identification and tracking. RFID technology makes it possible to give each product in a grocery store its own unique identifying number. Compare that to the situation today, with bar codes, where it is only possible to identify the brand and type of package. Furthermore, RFID tags can be read if passed within close enough proximity to an RFID tag reader. The brief differences between the Barcode technology and RFID: Parameter Bar Code RFID Frequencies used for tag reading Optical frequencies Radio frequencies Type of communication Line of sight communication Non-line of sight communication Data Volume Physical limitation exists. It is very difficult to read a very long barcode. Can carry relatively large volume of data. Range of data readability Very limited range, less than feet or two. Can be read up to several feet. Cost Cheap Expensive, but likely to cost less as more industries adopt the technology. Benefits of RFID Can identify moving object that have tags embedded. Can be used in different environments, including live stock, military Non-line of sight identification of tags Unaccompanied operations are possible, minimizing human errors and high cost. Larger area of coverage. Up to several feet. à Automatic integration with back end software solutions provide end to end integration of data in real time RFID can be used in addition to Bar Code. 5.1 Active and Passive RFID Tags: There are primarily two types of RFID tags. One is active and the other is passive. An active tag is powered using internal battery, where a passive tag gets energized using a power from a tag reader. A passive RFID tag will not have a battery or any kind of power source by itself. It extracts the required energy from a reader. Hence, a passive RFID tag reader must be able to emit stronger electromagnetic signals, and in return, identify very weak signals from the passive RFID tag. The primary differences between a Passive and Active RFID tags Passive RFID Active RFID Power Source External (Reader provided) Internal (Battery) Tag Readability Only within the area covered by the reader, typically up to 3 meters. Can provide signals over an extended range, typically up to 100 meters.. Energize A passive tag is energized only when there is a reader present. An active tag is always energized. Magnetic Field Strength High, since the tag draws power from the electromagnetic field provided by the reader. Low, since the tag emits signals using internal battery source. Shelf Life Very high, ideally does not expire over a life time. Limited to about 5 years, the life of a battery. Data storage Limited data storage, typically 128 bytes. Can store larger amounts of data. Cost Cheap Expensive Size Smaller Slightly bulky (due to battery) 5.2 Operation of RFID Systems Various components of the tag are as shown. Normally, the antenna is external to the tag chip, and large in size The operation of the RFID tag is described belo The reader continuously emits Radio Frequency carrier signals, and keeps observing the received RF signals for data. The existence of tag (passive tag) modulates the RF field, and the same is detected by the reader. The passive tag absorbs a small portion of the energy emitted by the reader, and starts sending modulated data when sufficient energy is acquired from the RF field produce by the reader. Note that the data modulation (modulation for 0s and 1s) is accomplished by either direct modulation or FSK or Phase modulation. The reader demodulates the signals received from the tag antenna, and decodes the same for further processing. 6. Methodology First, there is the introduction of the software and hardware devices that we used in our product. Software: 1)à à à à à Labview 2)à à à à à Labview Vision module 3)à à à à à MySQL Database 4)à à à à à MS speech SDK5.1 5)à à à à à AT command Hardware: 6.1 Hardware communication Diagram: 6.2 The part of Enquiry Service System: Enquiry service system includes emergency SMS and call center service function. We used the LabView to build up the software which is used to control the mobile phone to send the emergency SMS or make a call to call center. The communication protocol is used Bluetooth to build a connection between the UMPC and Mobile phone. Nowadays, there is the standard control command for mobile phone which is call ââ¬ËAT commandââ¬â¢. Therefore, we can use the AT command to control the mobile phone to send the SMS or make a call. Flow chart of Enquiry Service System: 6.3 The part of Article Identification: The Article identification is used to identify the product function. The program that we used Labview Vision module will through the video camera to capture the real time video input. Then, it will load the article templates from our database and identify which template was matched to the input article video. According to the result, the program will read the article name through the ear phone to tell the user. 6.4 Article Identification Flow chart: 6.5 Voice Navigation System Bus Arrival Detection System Since, we installed the RFID tags in each locations and the bus. The user can through the LabView program and the RFID tags to analyze the location and the bus. First, the program will make the decoding and filtering when the RFID reader received the tags signal. Next, it will identify the location name or bus number by the tag ID from MySQL database. Moreover, it will use the MS speech SDK functions to do voice prompt. The user can through the ear phone to listen the location name or bus number. 6.6 Voice Navigation System Bus Arrival Detection System Flow chart: à 7. Cash Flow Forecast Cost planning service Cost and benefit Proposed Budget Plan PARTICULARS UNIT COST PER UNIT TOTAL COST box 1 $10 $10 AI switch 2 $10 $20 UM PC 1 $5,000 $5,000 RFID Receiver 1 $300 $300 RFID 8 $10 $80 Part A $5,410 Expenditures UNIT COST PER UNIT TOTAL COST Banner 1 $350 $350 Catalogs 20 $5 $100 Bag 1 $200 $200 Headphone 1 $50 $50 Miscellaneous $500 $500 Part B $1,200 PM Maintenance fee UNIT COST PER UNIT TOTAL COST PM Cost 1 5% of PartA $270 Maintenance Fee 1 10% of PartA+PartB $660 PartC $930 Total Cost( A+B+C ) : $7,540 Proposed Benefits Plan Planà à A Planà à B Planà à C Months/Plan price $138 $248 $398 12 $1,656 $2,976 $4,776 24 $3,312 $5,952 $9,552 Months/Product price $8,000 $7,500 $7,000 12 $9,656 $10,476 $11,776 24 $11,312 $13,452 $16,552 Net Benefits(Total Benefits Product Cost ) Months/ Plan Type Planà à A Planà à B Planà à C 12 $2,116 $2,936 $4,236 24 $3,772 $5,912 $9,012 Proposed Virtual Expenditures Virtual Expenditures UNIT Time COST PER UNIT à COST Team member time 8 members 2hrs(extra work)+3 hrs xà 8 lessons $100 $20,800 Consultation time $150 Workshop time $150 Total $20,800 8. Advantage of our product Advantage In this section, there are divided as two parts, which are research result and comparison result with other product. In the research result, it is shown how many people with seeing difficulty and blind in Hong Kong, America and in the world. In the comparison result with other product, it is shown the different between our product and the other product in the world. Research result (Key points) In Hong Kong, about 73 900 persons were with seeing difficulty, 6 500 people of them are blind, according to research of Hong Kong Cerise and Statistic Department. In 2000. In America, about 10.5 million persons were with seeing difficulty; 10.5 million people of them are blind, according to research of America community survey in 2008. In America, about 15 million persons were with seeing difficulty, according to research of Prevent Blindness of in 2009. About 314 million persons were with seeing difficulty; 45 million people of them are blind, 87% are living in Developing Country, according to research of Would Health Organization. In May 2009. Observation: The marketing is not only Hong Kong, this is avoidable globally. the result is shown the trendy is increasing Our product should be user friendly and the cost need to reasonable. Comparison result with other product In the functional test, which refer to the page 6 (comparison with other product). Our product can carry out the basic function, such as barrier detection and voice navigation. But when we have the enquire service, which is the most important function, because most of the people need to take the mobile phone for communication every day. Our product has provided the basic and important function; the article indemnification and bus arrival function are the specific functions. 9. Project Lifecycles We identify the project lifecycles with four phases: The first phase in the project lifecycle is Project Initiation. We define the project purpose, scope and the justification for initiating it. We also need to find a suitably project team before the project planning phase. In the product lifecycle, the curial part is project planning which is a guideline for the team during the project. Throughout the project, groups of management take a role to monitor and control the deliverable being output throughout the project, such as quality control, time and risk management etc. The project can be performed the closure once all the deliverables has been produced. Project closure includes releasing the final deliverables to the customers, assess and review to identify the level of project success and note any recommendation for future project 10. Project Planning This is our project planning at semester 1 This is our project planning at semester 2 Conclusion Technology has been being developed very fast in recent years; people get many advantages form the technology, people get more comfort to their life, what is that technology? Such as following: 1)à à à à à Mobile phone makes people faster and easier to communication. 2)à à à à à Video conferencing make people no need to by car, by plane for seeing his / her family and friends, we just need a computer with a web camera. 3)à à à à à Internet makes people get information just in few seconds. 4)à à à à à GPS makes people easier to go to anywhere; no matter you are driving or walking. But why some people cannot get these advantages from the technology? Those people around the world, they live at any place of the world. Who is that people? Such as blinders! What is the goal in our project? Why we use technology to help blinders. We want blinders live comfortable, easier and go anywhere as they want! From the beginning of the project, one of two kind of technology may be choose, one is GPS and another one is RFID. Why we have not choice GPS? Due to GPS cannot be used inside a building, when a blinder inside a building, GPS cannot guide him / her to the destination. Therefore we choice RFID for our project! RFID is rising technology, RFID has some advantages such as more accurate, installed inside buildings, some other technologies will be incorporated in our project such as Bluetooth, camera for thing identification. What is the RFID used in our project? We use RFID to build and guiding system which can guide the blinders easily to go to anywhere by himself or herself! When the blinder want to go to somewhere, he / her can make a call to customer center to tell them where you want to go! They can know nowhere you are from the guiding system and they transmit the routing from the customer center to your guiding system to guide you to the destination! Bluetooth is use for communication between the guiding system, hands free headset and mobile phone, you can make a call to customer center by press a button, when the connection between you and customer center, you can talk to customer center by the hands free headset. If you want to make a SOS call to the customer center, you can press the SOS button to make an emergency to customer center, the customer center can know where you are by the guiding system, and then customer center call people to help you, meanwhile when you pressed the SOS button, it will automatically send SMS to your family for notice them you are in trouble! They can know where you are from the customer center. Camera is used to identify things or products, when you activate the camera identification function; the camera will let you know what the thing which is in front of you? This function can makes blinder shopping easier. What are difficulties in our project? When the subject of our project was decided, we had to decided how many functions the guiding system shall equipped? Some functions had been decided should be include in the guiding system such as following: 1) à Voice navigation 2) à Article identification 3) à Bus arrival detection system 4) à Enquiry service system 5) à Barrier detection system First difficulty thing is that how big is our product? How we can minimize the size of the product? Finally we decided minimize the size of the product is not our first priority, how to make the product must be placed in first priority, therefore minimize the size of the product will be placed at the last priority. Second difficulty thing is that the detection range is too large, we want the detection range between 0.5 meter and 1 meter, therefore the accuracy will be increased and how we can shorten the detection range of the RFID system? We decided to use some metal enclosure to enclose the RFID reader to reduce the output power of the reader, so the detection range of the RFID reader can be reduced. Third difficulty thing is what software can be used for the announcement and speaking system? From our review and research, we found a software, we can modify it for speaking many sentences, it can be used to tell the user information. How the identify a thing or product and tell the user what is it? We used another software to do it, this software can scan a photo which is taken by the camera in the system to compare with the building database, when the software find a match data, it will let the user know what is the thing or product he is facing. We are individually testing each component into project, some function such as BUS ARRIVAL and BARRIER DETECTION are still pending and waiting us to incorporate into the guiding system after we complete one system other system will be incorporated into the guiding system one by one. When all functions are tested, we will start to combine them to a whole system. In this project we act different characters in a company, such as following: 1) à Managing director 2) à Secretary 3) à Finance 4) à Project planning and control 5) à Design 6) à Quality control 7) à Engineer 8) à Sales and marketing We have not try to run a project in Role Playing mode before, we were facing many challenges in this project, such as very tight progress, we do our best to face that challenge, at the end of this trimester, we produced a prototype guiding system, it can work, but it is not working perfect, due to the guiding system is under development, we will try to make it as good as possible at incoming trimester. Finally we hope we can act any character better in the project and we will complete the project at incoming trimester.
Wednesday, March 4, 2020
All About the Word About! - Proofread My Papers Academic Blog
All About the Word About! - Proofread My Papers Academic Blog All About the Word About! One of the most common problems our customers have is how to use the word about correctly. This is particularly tricky because about is a common word and can be used in several contexts. Well run through a few of these uses here. About: On the Subject Of As a preposition, the word about can be used to link nouns and verbs, such as when using about to mean concerning or on the subject of: We spoke about her neighbors awful choice of house paint. However, a common mistake here is using about with discussed. This is incorrect; even though we speak about something, the term discuss doesnt require a preposition. As such, if we were to use discussed in the sentence above, it would simply be: We discussed her neighbors awful choice of house paint. About: To Affect The word about can also be used to mean to affect, as in: There is nothing we can do about our neighbors house. Its staying lime green. About: Around We can also use it to mean distributed around an area: In my town, there are several horribly painted houses about. Or on ones person: She concealed the blue paint about her as she crept up on the house in the dead of night. About: Approximately or Nearly It can also be used to mean approximately, as in: After repainting her neighbors house, she was caught by the cops. They say shell get about 10 months in jail for criminal damage. Furthermore, it can mean nearly: In her mugshot, she was about the same height as Jackson Pollock. About: Movement We can even use the word about to mean movement: As the cops drove up, she was still flinging blue paint about wildly. These are just some of the ways in which about can be used, so dont forget to check a dictionary if youre unsure whether you should be using this term in any particular example.
Monday, February 17, 2020
Understanding the concepts of realized return of the stock, systematic Assignment
Understanding the concepts of realized return of the stock, systematic and unsystematic risk, risk of the portfolio, beta, WACC - Assignment Example Thus the total realized value of the stock is the summation of the realized value of the different assets. Segregating the different factors or components of a stockââ¬â¢s realized return it can be seen that such return is constituted essentially by three main blocks. The first factor reflects the total return that is expected of the stock. Second factor hints on the different economic changes that are taking place in the external world and the effect of such changes on the position of the stock. The third factor endeavors to figure out alterations in the external climate, which tend to render some unique effects on the firmââ¬â¢s stock position. Understanding of the components of realized return of a stock is essential for different stocks tend to reflect different types of sensitivity depending on the various factors. Further through the understanding of the firmââ¬â¢s stock position it becomes easy to infer on the stability position of the firm. (Brigham & Daves, 2009, p. 97; What is a Realized Return?, n.d.). Q.2. Contrast systematic and unsystematic risk A.2. The concept of systematic risks hints at the evolution of risks, which happen not by the occurrence of chance events. These risks rather happen due to the simultaneous occurrence of events, which do not rely on chances. Thus systematic risks are generally undiversified in nature. They can be easily correlated to the occurrence of certain external events. Examples of systematic risks entail changes in the state of economic conditions, which brings in abrupt losses for the economy as a whole. Hence a tight regulation brought about by the monetary organizations causes the rise in the rates of interest for financial concerns. However because of the correlated happenings of these risks due to changes in the economic conditions these risks become simultaneous in nature. Thus it becomes difficult to render insurance schemes covering such risks for these risks go on occurring spontaneously with economic changes. On the other hand the happen ing of unsystematic risks is related to the occurrence of events, which generally take place owing to chance factors. Risks emanating out of chance events cannot be correlated to the occurrences of the events, which are probable, by nature. For example the outbreak of fire in a complex is simply a probabilistic event and depends highly on chance factors. Thus any amount of expected economic loss amounting from such counters an unsystematic risk and can be insured beforehand (Condamin, Louisot, & Naim, p.4). Further the due to certainty measures the amount of systematic risks can be rendered for explanations and also can be easily modeled. On the contrary, the unsystematic risks for the uncertainty factor adhered to it fails to be modeled. (Los, 2001, p.114) Q.3. Explain why the total risk of a portfolio is not simply equal to the weighted average of the risks of the securities in the portfolio. A.3. The total risk of a portfolio is computed based on the variance or standard deviatio n of the different returns emanating out of the different assets of the portfolio. However the variance computed does not depend on the weighted average of the different range of returns amounting from the employment of different assets. Rather the computation of the total risk of the portfolio is done based on the factor of correlation of each asset to other assets employed such. Thus if two assets constitute a certain portfolio then the
Monday, February 3, 2020
Evaluate the renewable energy sector in the Netherlands, using Essay
Evaluate the renewable energy sector in the Netherlands, using Porter's Diamond model - Essay Example The country has one of the most advanced off shore wind industries in the world (Jansen, Ostertag and Waltz, 2011). The renewable energy sector enjoys a top-sector status in the country hence, enjoys exponential and far reaching investment by both government, private sector and even science and technology institutions are encouraged to build capabilities, conduct research and test technologies in the country at subsidized costs (Ibon, Eguino and Anil, 201). For the top-sector, there are top- teams consisting of scientists, senior officials, small and medium enterprise representatives and figureheads in the sector (Matschoss, 2011). These top teams are responsible for identifying necessary adjustments and foreseeable challenges and possible opportunities in the sector and promptly advice the investors, businesses, scientists and the government on the best approach for maximum impact (Lovinfosse, 2008). This pragmatic intervention in the sector has greatly improved innovations in the s ector for the Netherlands. The Netherlands also has an innovation contract in the renewable energy sector which primarily seeks to achieve the realization of European targets with regards to lowering emissions and sourcing at least 14 percent of total national energy consumption from Renewable Energy Sources (RES) that was made available in the year 2012.In the contract are substantive and financial agreements between companies, scientists and the government and its implementation started in 2012 and 2013.Even though not a producer herself, the Netherlands has a strategic locational advantage in terms of pipeline transit for gas for the North-West Europe (Bruekers, 2007). This ambitious measure has been taken by the government ownedcompanies, The Gas Union and EBN (Jeroen and Bruinsma, 2008). Demand Conditions: Renewable energy is extremely popular and enjoys favorable perception among
Sunday, January 26, 2020
Religion In Life Of Pi Theology Religion Essay
Religion In Life Of Pi Theology Religion Essay If you stumble about believability, what are you living for. Love is hard to believe, ask any lover. Life is hard to believe, ask any scientist. God is hard to believe, ask any believer. What is your problem with hard to believe. Life of Pi is a tale about survival, belief in God and coming of age that unfolds while the protagonist is floating in a lifeboat on the Pacific Ocean. Belief in God is clearly a major theme in this novel, and has been the most controversial in reviews of the book. Throughout the novel, Pi makes his belief in and love of God clear. This exhilarating story begins with an old man in Pondicherry who tells the narrator, I have a story that will make you believe in God. The protagonist explores the different issues of religion and spirituality from an early age and survives even 227 days shipwrecked in the ocean. Storytelling and religious beliefs are two closely linked ideas in the novel. On a literal level, each of Pis three religions, Hinduism, Christianity, and Islam, come with its own set of tales and fables, which are used to spread the teachings and illustrate the beliefs of the faith. This book defends not only the common spirit behind these three religions, but the rituals and ce remonies of each. Its as if all three religions find harmonious common ground in this character. Seems unlikely, but then again, the protagonist argues passionately that the miraculous happens in our darkest moments. These three religions are really all the same except for small differences in the practice of their faith. Hindus have a great capacity for love; Muslims see God in everything; and Christians are quite devout. In this case, Pi enjoys the wealth of stories, but he also senses that, as Father Martin assured him was true of Christianity, each of these stories might simply be aspects of a greater, universal story about love. Pi remains unattached to any one interpretation of God. Sure, he believes each religion but he doesnt guard their specific tenets jealously. Pi shares a rich parable: Each time the milkmaids try to possess Krishna he vanishes. Likewise, each time a religious faith tries to claim sole ownership of God, true religion vanishes. This story reveals a few of the workings of Pis complex religious beliefs. You may have wondered how anyone could ever hold Hindu, Christian, and Muslim beliefs all at once. Pis answer: without a trace of jealousy. Stories and religious beliefs are also linked in Life of Pi because Pi asserts that both require faith on the part of the listener or devotee. Surprisingly for such a religious boy, Pi admires atheists. To him, the important thing is to believe in something, and Pi can appreciate an atheists ability to believe in the absence of God with no concrete proof of that absence. Pi has nothing but disdain, however, for agnostics, who claim that it is impossible to know either way, and, who therefore refrain from making a definitive statement on the question of God. So Pi sees that this as an evidence of a shameful lack of imagination. To him, agnostics who cannot make a leap of faith in either direction are like listeners who cannot appreciate the non-literal truth a fictional story might provide. Regarding with the plot of this novel, we begin with a little boy, Pi Patel, who is the main character of Yann Martels novel Life of Pi. Hes the son of a zookeeper who runs a small zoo in India. Despite all his familys ideas of modern secularism, Pi is drawn to religion. In his adolescence he adopts not only the beliefs of Hinduism, but Catholicism and Islam as well. Each religion gives Pi something that he felt was missing in his spiritual life so, because of this, he never feels compelled to choose one belief system over the other. Religion will save us, I said. Since when I could remember, religions had always been close to my heart. So, in this case and because of his family, he was first introduced to Hinduism and describes it as the religion of his birth and a deep part of himself. For him, Hinduism is not a religion to be left behind when he discovers another, but rather the intrinsic framework of his own spirituality. Then, when he finds out Catholicism, he studies it through curiosity for what it entails, not because of any dissatisfaction with his current understanding of Hinduism, largely for his own pleasure. The same is true at the time that he later adds the religion of Islam to his quilt of religious beliefs. While the young boy is comfortable with his firm and serious belief in three seemingly disparate religions, the leaders of these religions are obviously not so happy when they learn of his expanded view of religion. As chance would have it, Pis priest, pandit and imam all happen upon Pi and his parents at the same time. This ensuing conversation captures current religious discord as all of the religious leaders agree that Pi cannot be Hindu, Catholic, and Muslim at the same time and despite their prodding, Pi insists that he simply wants to love and adore God. He says: I just want to love God (Martel 69) and will not choose between religions. Then, during his adolescence, he also discovers atheism through his biology teacher, Mr. Kumar. Though Pi greatly respects Mr. Kumar, and calls him his favourite teacher, Pi isnt comfortable exploring all the ideas of atheism or seeing how science holds its own beauty without need for a deity. He decides that atheists are his brothers and sisters of a different faith, but it is not a belief that he understands or chooses to explore. In fact, the concept of atheism frightens him so much. Pi, who asks many questions when he is presented with other religions, is very silent when Mr. Kumar always offers some of his atheistic views: Religion? Mr. Kumar grinned broadly. I dont believe in religion. Religion is darkness. Pi answers: Darkness? I was puzzled. I thought, Darkness is the last thing that religion is. Religion is light. Was he testing me? Was he saying, Religion is darkness, the way he sometimes said in class things like Mammals lay eggs, to see if someone would correct him? (Only platypuses, sir.)(1.7.9 11) and finally explains: It wasnt for fear of angering Mr. Kumar. I was more afraid that in a few words thrown out he might destroy something that I loved. Pis education includes both science and religion; he comes to love both these disciplines but agnosticism the suspension of belief (e.g., I dont have enough evidence to believe in God so I wont commit one way or the other.) drives the boy bonkers. For Pi, belief is one of the most beautiful actions of human life. To live otherwise is to live statically. One can either choose a rich, dynamic life or a static, uncommitted life. Yet, this religious discussion takes place well before Pi is set adrift in a lifeboat filled with wild zoo animals. Here it is the groundwork that shapes the rest of the story, a wonderful and incredible story that is only and exclusively meant to make listeners believe in god. Part two of the book begins the tale of Pis shipwreck and subsequent survival. When Pi is 16, his family decides to sell the zoo and immigrate to Canada to escape the increasingly undesirable political developments in 1970s India. They will get a better price for many of their animals in America, so the family and several of the animals of the zoo begin their journey on a Japanese cargo ship named Tsimtsum. Midway to Midway the ship suddenly and quickly sinks for unknown reasons. When this unfortunate event takes place, Pi finds himself in a lifeboat with a hyena, an orangutan, a wounded zebra, and an adult Bengal tiger. There are no other human survivors, and it is not long before the animals do away with each other-the hyena dispatches the zebra and the orangutan and the tiger dispatch the hyena-, leaving Pi and the tiger alone in the lifeboat. In the same way, we can clearly assert that Pi Patel wins lots of different challenges covering from his psychic and spiritual learning to his basic and essential instinct and survival throughout his horrific and very hard adventures at sea. The most relevant fact is that his unbelievable believing in God, helps him to survive multiple obstacles that he faces on the lifeboat. His study about all three religions, serves as a great defensive safeguard from the difficult harsh situations of life. It is a very long journey filled with too much danger, loneliness and doubt, but most of all an exploration of faith. This astonishing character maintains all his religious beliefs while on the life boat through his daily ritual prayers, which helps to sustain him. Hes faced with physical difficulty almost all time, ranging from salt-water boils, to the threat of death by a tiger, to cold, to starvation, to dehydration, to dementia and many other difficulties. He continues to pray regularly, an d must plead to God in order to survive his ordeal. He remembers the misery he felt after such a long time away from God, saying: It was natural that, bereft and desperate as I was, in the throes of unremitting suffering, I should turn to God (Martel 315). With Pi keeping his ritual prayers going, that helped him to survive. Also, he was able to maintain somewhat the religious lifestyle that he had prior to the sinking of the Tsimtsum. He also makes many religious relationships throughout his journey and lots of comparisons between Orange Juice and the Virgin Mary. She came floating on an island of bananas in a halo of light, as lovely as the Virgin Mary (Martel 111). Truly, Pis religious faith remained strong throughout his journey on the Pacific Ocean. Straightway, when Pi eventually washes up on the shores of Mexico, and the tiger dashes off into the jungle never to be seen again, he is nursed back to health by locals. While Pi is recovering, two men from the company that owned the Japanese cargo ship come to visit him. They are very anxious because they are looking for answers about what might have caused the ship to sink so then he tells them the fantastic and amazing tale that he experienced and was presented through the book. Obviously, the men do not believe him so they became very upset and tell Pi that they want to know what really happened. They only want to know a rational truth. After some discussion, Pi agrees to tell them another story, another one that does not involve animals or any marvellous fact. His second boring story involves a handful of human survivors, including one who kills the others, even including Pis mother. He affirms that at the end of the story he kills the killer and is left as the only survivor. N either story sheds any light on why the ship might have sunk. Before the men leave, Pi asks him about which of the two stories is the best, since neither provides factual information that they can use. The men who appears at the beginning, who was listening the whole story, agree that the story with the animals was a better story. This is the point of the book. It is the reason why readers are supposed to now believe in god. When it comes down to a choice between realism and fantasy, or science and religion, which story is the best? Religious minded readers may find comfort in the notion that it is better to believe in an uplifting story over more believable, but less entertaining facts. However, this argument is unlikely to be persuasive to atheists or encourage them to believe in God.
Saturday, January 18, 2020
Stress Urinary Incontinence
Stress Urinary Incontinence Jordin Lang West Coast University Urinary Incontinence is defined as leakage of urine that is involuntary. Stress Urinary Incontinence is involuntary urine leakage that is due to weakened pelvic floor muscles. It is most commonly found to be a greater problem in women. Estimates say that upwards of 35% of women 65 and older experience some form of urinary incontinence. Stress incontinence is an involuntary loss of urine that happens because of physical activity, like coughing, sneezing, laughing, or exercise. The strength of the pelvic floor muscles is inadequate to support the urinary tract under pressure. The anatomy of the urinary system involved in continence in women includes the bladder, urethra, pelvic floor muscles and sphincter. Urine is stored in the bladder which fills like a balloon to accommodate up to two cups of urine. When a woman urinates the muscles surrounding the bladder contract to squeeze the urine out. Pelvic floor muscles support the uterus, bladder and rectum. There are also many nerves some of which send the signal to the brain that one needs to urinate. What occurs with stress urinary incontinence is that the sphincter and pelvic floor muscles when weakened cannot support the closure of the urethra when increased pressure from the abdomen occurs. Such as coughing, sneezing, laughing or exercising. (ââ¬Å"Medlineplus stress incontinence,â⬠2011) Many women under the age of 65 develop issues with stress urinary incontinence following pregnancy and childbirth. Vaginal deliveries and episiotomies often result in stress urinary incontinence that is temporary and frequently clears up o its own within six weeks following delivery. In addition to pregnancy and childbirth some women may experience stress urinary incontinence during menopause. Estrogen keeps the lining of the bladder and pelvic floor plump and healthy, when estrogen decreases during menopause, some women may develop mild urinary incontinence a result. Risk factors for developing stress urinary incontinence include, being female, childbirth, increasing age, chronic coughing such as occurs with chronic bronchitis and asthma, multiple childbirths, obesity and smoking. (ââ¬Å"Merkmanual: Polyuria,â⬠2011) Diagnosis of stress urinary incontinence is made after assessment of symptoms and in some women a pelvic exam will reveal the bladder or urethra bulging into the vaginal space. Tests may possibly include cystoscopy (inspection of the interior of the bladder), a ââ¬Å"pad testâ⬠, pelvic or abdominal ultrasound and tests to measure post-void residual (amount of urine left after urination). Urinalysis is usually performed as well in order to conclusively rule out urinary tract infection. Health care providers may also perform a q-tip test to measure the angling of the urinary tract when resting and under pressure. An angle of greater than 30 degrees suggests significant pelvic floor weakening. There are three major modes of treatment for stress urinary incontinence. The first is pelvic floor muscle training and behavioral changes such as smoking cessation, losing weight and abstaining from alcohol and excess caffeine. Medications such as anticholinergic drugs, antimuscarinic drugs that block bladder contractions, alpha adrenergic agonist drugs also have been known to aid in the tautness of the urinary sphincter muscles. Surgery is often only indicated after all other treatments have failed. Anterior vaginal repair and retropubic repair are most common surgeries to treat severe stress urinary incontinence. (ââ¬Å"Medlineplus stress incontinence,â⬠2011) Stress Urinary incontinence is surely a troublesome and perhaps embarrassing ailment. An ailment that can most definitely can interfere with a patientââ¬â¢s quality of life. With proper medical treatment, prognosis is generally good. References Medlineplus stress incontinence. (2011). Retrieved from http://www. nlm. nih. gov/medlineplus/ency/article/000891. htm Merkmanual: Polyuria. (2011). Retrieved from
Subscribe to:
Posts (Atom)