How this class has affected me Essay Example | Topics and Well Written Essays - 2000 words

How this class has influenced me - Essay Example Additionally I was caused to precisely characterize my own and expert jobs in future practice. In this exposition, I give an impression of the course considering the way where it has influenced me. My appearance depends on a survey and reference to the data inside the readings of the course. Likewise, I give the supports to the difference in my expert jobs and tentative arrangements dependent on the information that I obtained during the course. Besides, I will give an itemized conversation on how the reason made me explicitly choose to work with Child Protective Services. Anne Fadiman’s â€Å"The Spirit Catches You and You Fall Down† presents a portrayal of the battles that an exile family from Hmong culture in Laos. The book explicitly portrays how two distinct societies impact. The situation that is introduced by the essayist is inside California’s medicinal services framework. In the book, the author uncovers the connection between a Hmong kid with her Doctor s in America and exhibits the social issues and battles in the arrangement of medicinal services. Lia Lee is a most loved kid and most youthful of the Hmong family. The specialists discover that Lia is having a serious type of epilepsy. The creator portrays how social contrasts between the family and the American specialists acts to hinder Lia’s treatment. ... This implies medicinal services suppliers require understanding the way of life of their patients and guaranteeing that it doesn't deter their good and moral jobs of patient focused consideration. Barbara Myerhoff's â€Å"Number of Our Days† presents crafted by a prestigious anthropologist. Myerhoff was given an award to examine or consider the procedure of human maturing. Subsequently Myerhoff decided to put together her examination with respect to old Jewish people group from Venice in California. It is outstanding that the creator and anthropologist concluded that he would study and report on the indigenous network instead of on a fascinating society. When perusing Myerhoff’s story, I was changed by the manners by which she presents the lives and ceremonies of these Jewish and one of a kind elderly folks individuals. Increasingly critical is the social worth which empowered the elderly individuals to confront and experience various issues and difficulties of living. Among the issues that the creator shows that these elderly folks individuals needed to confront incorporate destitution, dejection, disregard, physical threat, poor and deficient lodging and unexpected weakness. Myerhoff’s story enlivened me to assume a job in helping individuals to conquer the issues that they face in their social surroundings and during care. The writer portrays the desolations of maturing in a way which makes a peruser to identify and want to accomplish something in easing human misery. Through this book I valued the human soul as unstoppable. In addition I was keen to the significance of social ceremonies in living and defeating issues as introduced by the creator in insightful yet entertaining methodology. The above brief portrayal of the two most compelling readings on my life is a foundation to the representation of how the human studies cause influenced me. Now I have to

Report for Potential Investor Assignment Example | Topics and Well Written Essays - 1750 words

Report for Potential Investor - Assignment Example Budgetary Analysis The Company’s Financial Analysis depends on the last 5 year’s monetary information according to London Stock Exchange Website (Source: Robert Wiseman Dairies Fundamentals). ... the crude milk and oil costs (Source: yearly report 2011, pg 17, web variant) For 2011, the Company has detailed a working edge of 4.1% (Source: yearly report 2011, pg 11, web adaptation) subsequent to altering for non repeating things like conclusion of Okehampton Dairy and Cupar Depot (Source: yearly report 2011, pg 17, web form) Net Profit Margin : Calculated as the proportion of Net Profit or Profit after assessment to Revenue NPM 2.96% 4.03% 0.78% 2.68% 3.99% The overall revenue of the Company is very unstable as observed from the multi year information. The Company profited by lower money cost which declined from ?1.3m to ?1.0m (Annual Report 2011, Pg 17, Web Version) and lower powerful assessment rate, down to 20.9% from 27.3%(Annual Report 2011, Pg 17, Web Version) in 2011 however the increases on outright premise were more than counterbalance by decrease in working benefit. Profit for Equity : Calculated as the proportion of Net Income to Shareholder’s value RoE 16.73 % 25.61% 4.89% 13.85% 17.28% Net Profit Margin 2.96% 4.03% 0.78% 2.68% 3.99% Asset Turnover (Sales/Assets) 2.72x 2.69x 2.75x 2.46x 2.50x Financial Leverage (Asset/Equity) 2.08x 2.36x 2.28x 2.10x 1.73x The arrival on value for a Company legitimizes the venture of shareholder’s assets in that firm. It ought to be higher than the expense of value which infers the Company has been increasing the value of investors. A high RoE is alluring, it ought to be dissected in its parts dependent on Dupont’s recipe (i.e ROE = Net Profit Margin * Asset Turnover * Financial Leverage) to evaluate effect of every one of segment on ROE. In view of this, instability in net revenue it appears has made ROE unpredictable with Company figured out how to improve its benefit turnover (change of advantage utilized in deals) over

History of Argumentative Essays

History of Argumentative EssaysWhen you write a persuasive essay, you are not simply using facts to support your argument. You are making a person believe something that is contrary to their moral beliefs or their most sacred beliefs. You must convince them that the subject matter is correct or else they will be moved by your argument and will change their opinion. It can be very dangerous if you do not have the best idea on what your topic could be.Writing a persuasive essay does not only mean facts. It also involves using words that will take people by surprise and that will cause them to think about their opinions and beliefs differently. You need to know the differences between these two types of essay topics. Facts are often compared to facts and opinions. When the essay does not depend on facts, it is considered an essay on ideas.However, in order to write a persuasive essay you do not only need facts and opinions. You must have a passion, knowledge, and experience. All these t hree elements are required to write an essay on an original idea. This is why experts say that writers should have the history of the topic in their back pocket.The history of a topic is what brings about success in writing a persuasive essay about politics or about political figures. A history of a topic will give the writer a clearer picture on what happened in the past. This will make the topic sound more real and not just like a myth. If the history was originally used for a political party, then the writer must know how that party was formed and by whom. This will enable him to add his own views to the information that has been used before.Passion is also essential in writing a persuasive essay. If you want to win people over, you have to make them listen to you. Once you have reached this point, you will know that you have successfully won their trust. This will make them believe your views and thoughts and they will be willing to share them with you.Since the purpose of writi ng a persuasive essay is to persuade someone, knowledge is an additional requirement. You should know the different information about your topic. This will help you connect your ideas to each other. You must also have knowledge about the subject so that you do not have any doubts or confusion in your mind when you will present your essay. Your research can also contribute to your presentation.When writing a persuasive essay, experience is a must. Since you want to convince someone to your way of thinking, you should know what motivates them to do the opposite of what they normally do. Knowing how to write a persuasive essay and knowing how to persuade others is your responsibility.The secret is to know what the subject matter is about and to know the history of that topic. This way, you will be able to write a persuasive essay in a better manner.

The UK Education System for Disabled Pupils - 3474 Words

The Education System in the UK is presently experiencing a major transform which has no occurred at any time since Butler Education Act in 1944. There are currently an enormous variety of schools with extensively mismatched governance, funding arrangements and legal obligations. All pupils in England, excluding those at self-governing (i.e. private or fee paying) schools and the recent academies are necessary to remain to the National Curriculum. Northern Ireland and Wales mainly pursue the National Curriculum needs. United Kingdom independently addresses the needs and rights of pupils and children with disability/special educational requirements (Adams Brown, 2006). The Special Education Needs Disability Act (Stationary office 2001)†¦show more content†¦Disabled children’s need for support can be recognised late; families are develop to put up with a culture of little prospects about what their child can attain at school; parents don’t have fine knowledge abo ut what they can and have in way of options about the most excellent schools and care for their child; and families are required to discuss every bit of their support independently, with a range of professionals. The UK education system United Kingdom studies are rewarded, recognized and respected across the globe. United Kingdom qualification will give people a concrete foundation for their future. It will improve people career and their possibility to progress more quickly and earn extra money. United Kingdom colleges, universities and schools are offer a creative, vibrant and challenging background in which to expand pupils prospective. Educational quality standards are in the middle of the most excellent in the globe. The colleges, universities and schools are frequently monitored and checked so that their subjects answer the measures set by educational system here. Several other regions are now trying to pursue the example of the United Kingdom (Barton Armstrong, 2008). In this world or era people require particular quality and skills to do well. All the companies desire employees who are creative, effective and extremely skilled. This is the exclusiveness of United Kingdom institutionsShow MoreRelatedThe Development Of The Welfare State And Social Policies1563 Words   |  7 Pagesconstructions of education based on human life and evaluation, preparing the working class for employment. Within sociological terms the education system is the most important way in which society reproduces (Oliver Barton, 1997). The concept of educating disabled children in the UK, was a medically classified facility that expanded segregation practices from the past special school systems. The focus on education for the handicapped child was the consequence of mass elementary education in responseRead MoreDisability in Modern British Society1600 Words   |  7 PagesKingdom are registered disabled (Office of National Statistics 2002 cited in Giddens 2006:287). Definitions of disability is important to the way in which its nature is investigated and also to its extent in society. This essay will illustrate the broad definitions of disability and the dissimilarity between disability and impairment. It will also discuss how in modern British Society inequality and disadvantages are still being encountered by the disabled and the policies that haveRead MoreInclusive Education: Laws and Policies3095 Words   |  13 PagesInclusive education INCLUSIVE EDUCATION: LAWS AND POLICIES FOR INCLUSIVE LEARNING LEVEL 3 ADVANCED BTEC Learning outcome 1: Demonstrate understanding of what is meant by the term Inclusive Education and its relationship to the Warnock commission of 1981. Inclusive Education is a philosophy which challenges the traditional approach to regard disability and disabled people as an after-thought stating that disability is a part of common experience of humanity. It is the approachRead MoreA Brief Note On The European Education System2261 Words   |  10 PagesIn Europe the education department are constantly trying to improve and they therefore create new policies that all Member States are expected to implement to insure we are providing efficient, skilled and independent work force to help boost our economy. However many different countries within the EU have different types of education systems which causes issues in the end of year education stats as there is a variety, this therefore is an issue that Europe is working on. Even though many EuropeanRead MoreMulti Cultural Education And Educational Achievement2269 Words   |  10 PagesInclusive Learning (Policy and Practice) There is more to multi-cultural education than simply showing cultural awareness within the classroom. To successfully reflect a multi-cultural society within your classroom, you would need to implement a series of strategies that would address the diverse range of under-represented groups within the curriculum. Not purely focusing on race and culture, this would also include women and those with disabilities who were more often than not, forgotten aboutRead MoreTitle: Critical Perspectives On Inclusive Education: A4974 Words   |  20 PagesTitle: Critical Perspectives On Inclusive Education: a literature review Assignment: â€Å"Will UN Article 24 bring about the demise of Special Education? Referring to the literature on special education and inclusive education, discuss what you see as the positives and negatives of this possibility.† Abstract Article 24 of the Committee on the Rights of Persons with Disabilities (CRPD), contains the first legal enshrinement of the right to inclusive education for people with disabilities. The CRPD maintainsRead MoreSupport Children and Young People with Disabilities and Special Educational Needs2247 Words   |  9 Pagesentitlements of disabled children and young people and those with special educational needs. Anyone providing services for children with special needs – health, education or social service departments, as well as voluntary organisations – must act within the legal framework. Legislation can change at any time and all health, education and social care practitioners, also Early Years workers, should be alert to new Acts and Regulations. There have been many changes to legislation in the UK over recentRead MoreInclusion Is Not Just A Humane Act2989 Words   |  12 PagesDeclaration of Human Rights (1948), then in the UN Convention on the Rights of the child, and most recently, in the Convention on the Rights of Persons with Disabilities (2008), which names inclusive education as the best model for educating children with disabilities. Education, particularly inclusive education, is able to reduce discrimination through enabling children with and without disabilities to grow up together, giving children with disabilities skills to allow them to become positive role modelsRead MoreInclusion Education For Children With Disabilities3055 Words   |  13 Pagesinsight into what inclusion education is, and the way in which a target school relates inclusion to their students. It will focus upon Asperger s within the school, and show how Asperger s is treated to ensure inclusion is met. The assignment will argue the policies set in place and, with the literature review, will source findings and compare them with the schools ethos. Introduction The earliest legislation and act brought about that acknowledged a disability within the UK came about in the 1300’sRead MoreTda 2.5: Schools as Organisations Essay2027 Words   |  9 Pagesstages 3 4. Nurseries - Funded by the Government and cover the Early Years Foundation stage. Colleges - For 16- 18 year olds offering vocational training and A levels. Grammar schools - Funded by the Government and cover key stages 3 4 but pupils are selected by Academic ability. Free schools - Funded by the Government but run and governed by teachers and parents, they cover key stages 1, 2, 3 4 Faith schools - Funded by the Government and have an allegiance to a particular faith. Covers

I am Alzheimers - Free Essay Example

Sample details Pages: 5 Words: 1604 Downloads: 7 Date added: 2019/04/12 Category Medicine Essay Level High school Tags: Alzheimer's Disease Essay Did you like this example? My name is Alzheimers. I live in Janes brain. She has been dealing with me for a few years now; Ive slowly been growing stronger and stronger as the years have passed. But Ive finally made my presence known, and Janes life is about to change forever. My technical name is Alzheimers Disease. I am a sort of sub-category of an even greater brain disease called dementia. I was named after the famous Alois Alzheimer, a German psychologist. Alois worked alongside fellow psychiatrist Emil Kraeplin back in 1906 to identify different cases of dementia. Eventually with the publishing of his book, Kraeplin officially deemed a type of dementia to be called Alzheimers disease. Don’t waste time! Our writers will create an original "I am Alzheimers" essay for you Create order I do not want to brag or anything, but I am the most common form of dementia. Speaking in scientific terms, dementia is considered a general term for a decline in mental ability severe enough to interfere with daily life, (Alzheimers Association 2017) and I promise you that is extremely true. As I said before, dementia is not one specific mental disease; it refers to an overall term that describes a bunch of different symptoms, the best being me! What do I do you ask? I affect memory and behavior. I am a progressive disease, meaning I significantly get more powerful as the body ages; but please do not mistake me for a disease of old age. Now stick with me here, this is where my power over the brain gets a little confusing. In a body that I have infected, the acetylcholine-releasing neurons within the brain undergo a process called selective degenerating. Acetylcholine is the most widely spread neurotransmitter within both the central and peripheral nervous systems. It is responsible for the stimulation of muscle contractions and behavior. It is also required specifically for memory and cognitive function, including motor control. With that being said, I cause the neurons that release acetylcholine to deteriorate preventing the body from obtaining it. In a brain that I have inhabited, these so called scientists have been able detect the main/prominent abnormalities I cause. Because of me, Janes brain has two abnormalities: plaques and tangles. Plaques are clumps of beta-amyloid which are protein fragments that cause the destruction of the synapses of neurons and lead to nerve cell death. Tangles are basically knots of brain cells that also interfere with the brain tissues ability to transmit nervous messages. I was able to live within her brain undetected for a while, at least up until she started showing very noticeable symptoms; I guess I am just that powerful. I have the power to cause brain cells to lose ability to make connections that transmit information in regards to memory, learning and communication. (Alzheimers Association 2017) I also significantly hinder the bodys ability to undergo glutamatergic neurotransmission. Glutamate is a powerful excitatory neurotransmitter within the brain that is responsible for sending sig nals between nerve cells, and plays an important roll in learning and memory. (Campos-Pea, et al.,2014) These symptoms are mild in my early stages, for example mild memory loss. But again, as time passes, I become stronger and symptoms worsen. Jane is 74 years old, and has finally reached a moderate stage. She has had some memory loss, poor judgment in certain situations, and what I think is the funniest part, continuously loses things which her husband always finds in the strangest places. I dont normally infect-and-tell, but typically in the past when Ive become even stronger, people I have infected become extremely forgetful of their surroundings and lose the ability to carry a normal conversation. While Janes exercise and dieting history are definitely qualities that I look for in a body, there are actually three main reasons why I might inhabit a body. Although I am not a disease of old age, those who are older in age are at greater risk for developing me. I dont want to start any trouble, but you can even blame your family history. The risk of developing me is even greater if family members, especially more than one, has it. This is because heredity and environmental factors play a considerable role in whether I decide to show up. There are two different types of genes that determine whether I can inhabit a body: risk genes and deterministic genes. Risk genes increase the chances of developing any type of disease, but dont actually guarantee that it will happen. The deterministic genes are what gets you. These types of genes guarantee that any person who inherits them will develop some sort of disorder. But those that determine whether or not Im coming are rare, and typicall y cause symptoms to show in a person in their early 40s to mid-50s. As I said before, those scientists can be a real pain in my Alz. Theyve actually found ways to find me through new technological advances, such as the Alzheimers Disease Assessment Scale. This scale quantifies the severity of those with symptoms of Alzheimers, including cognitive and noncognitive behavioral dysfunctions, can you believe that? From what Ive heard, these scale ratings have determined that those that I have infected had more prevalent cognitive and noncognitive dysfunction that those without me. (Rosen Ph.D, Wilma G., et al. 2006) If you thought that was bad, there is a similar scale that has been used in the past called the Clinical Dementia Rating (CRD). Apparently, the CRD is a numerical scale that measures the severity of the symptoms of dementia, with the ability to read people that range from healthy to severely impaired. (Hughes, C. P. et al. 1982) Unfortunately, I cannot be passed along through direct contact which would totally make my life easier. (Kwon 2015) However I can tell you that maternal and or paternal transmission is extremely possible according to certain studies. What most people dont know is that because women typically have longer lifespans than men, we can assume that the amount of women with dementia is way higher than in men; I guess you can call me a ladies man (or disease rather), am I right? (Lindsay, J Anderson, L. 2004) According to the scientists, there have been genetic epidemiological studies that observe whether or not my spread through maternal or paternal transmission is more likely. Oddly enough, while no evidence actually suggests that I can be passed through maternal inheritance, and I swear I was not making all that up before, there is significant evidence indicating increased paternal transmission. (Ehrenkrants et al. 1999) Doctors may think that they have me beat, but I am so much bigger than what they can handle. There is NO way to cure me. Again, I am a progressive disease and continue to get worse as time goes on. They are trying to destroy me though; they have been giving Jane these treatments that slow down my progression. Apparently, this FDA organization has approved two different types of medications which include cholinesterase inhibitors and memantine which are used to treat memory loss, confusion, and other cognitive dysfunctions. Jane has been given the Cholinesterase inhibitor which used against my early to moderate stages. It prevents the deterioration of acetylcholine which again is important for learning and memory. Just when I thought we were moving forward, the doctors go ahead and slow down all my progress! This medication increases the levels of acetylcholine, which is actually the exact opposite pf what I have been trying to do. The other medication, which Jane will eventually have to take, Memantine, is used against moderate to severe stages and regulates glutamate activity which is important for information processing and storage. It will eventually help to improve Jills ability to function normally and participate in average daily activities. Its like I can never win. I will not lie to you; I am very confident in my future. Even with all the bodies that I have inhabited, doctors still have not been able to catch on. They can tell their patients all they want to do all of these preventative things in hopes that they will not develop me. People think that taking anti-aging pills, training your brain with brain games, and even drinking red wine are the keys to prevention. But justice always prevails, and so will I. According so my sources, the National Alzheimers Project Act (2010) was established as a goal to find a cure from Alzheimers disease by the year 2025. But lets be real here. I am just way too high maintenance for researchers to even afford. They will need about $2 billion dollars annually just to meet this goal, which is highly unlikely. Although some may say that even without proper funding the path to finding highly effective treatments is picking up the pace, I dont buy it. Because Jane has been given medication that will slow down the progress I have made, she has been able to improve her ability to function normally and participate in average daily activities. But we know that Jane has a poor exercise and health regime, so she probably will not live for much longer. Jane is now 78 years, old and has reached a more severe stage; the majority of her cognitive function has gone. Her brain will continue to deteriorate, and she will eventually reach an extreme advanced stage where she will have little to no cognitive function and will be unable to function on her own. Jane is far beyond these preventative stages. At this point there is nothing she can do. I am sure she will continue to confide in her doctors, but pretty soon her mind will have completely gone. I am confident that I will not be stopped. I am ultimately, undefeatable.

Fossil Fuels vs Energy Alternatives - 730 Words

How can energy be converted from one form to another? All forms of energy can be converted to another form of. For example: A pendulum is an object is suspended by a string or wire for support. If the object is moved to one side and then released, it will swing back and forth in an arc. At that moment the object reaches the top of its swing, it stops for an instant, and then begins another swing. At that instant of stopping, the object has 100 percent potential energy and no kinetic energy. The object starts back down through the swing, the object is gaining kinetic energy and losing potential energy. At the instant the object is at the bottom of the swing, it has 100 percent kinetic energy and no potential energy. As the object climbs†¦show more content†¦The Biomass energy is an organic matter that is used by photosynthesis. This is used to generate energy and the most common energy is coming from the wood of the trees, corn, municipal solid waste, and sugarcane. The biom ass is used to create ethanol, biodiesel, bio oil and biogas. This in turns create electricity with steam turbines and gasifies to produce heat. The advantage of using the biomass over the fossil fuel is that biomass is a renewable carbon source, zero net carbon dioxide emissions, lower methane, sulfate, and hydrocarbon emissions, and the most important is no dependence on foreign oil. Another is the geothermal energy, in which it uses the heat from the earth to warm things up. The common source is cost effective, reliable, and environmentally friendly. The main sources of uses are to heat homes, greenhouse, industrial process heating mineral recovery, fisheries and also mitigate global warnings. Geothermal energy is more valuable than the fossil fuels because it is an inexhaustible energy source, lot less emissions in the atmosphere, more efficient than solar energy, work under any kinds of weather conditions. The fossil fuels are irreplaceable, create massive environmental pollut ion and are also causes the major factor of the global warming and the ozone layer depletion. Also the Biomass and the Geothermal are very inexpensive compare to the fossil fuels by almost 50 percent. References Haluzan,Show MoreRelatedAlternative Energy Vs. Fossil Fuels Essay1407 Words   |  6 PagesAlternative energy versus fossil fuels is a very controversial issue surrounding America today. The issue is so controversial for many reasons, such as our economic dependence on fossil fuels and the possibility of global warming due to the burning of these fossil fuels we are so dependent on. Where one argument seems to succeed in persuading the reader one way, another rebuttal can be made that will neutralize the arguments before it. If the United States become more alternative energy dependentRead MoreFossil Fuels Vs Alternative Energy2272 Words   |  10 PagesFossil Fuels versus Alternative Energy The continued use of fossil fuels without seeking alternatives is a very dangerous practice. Earth’s temperature is rising, oceans are rising, polar ice caps are melting, Pacific waves are washing over some island nations, and extreme weather and heat waves are increasing. Alternatives to fossil fuels that pump carbon dioxide into the air seem hardly controversial. The controversy is about what can be done to reduce dependency on fossil fuels and how can weRead MoreBiology - Fossil Fuels vs. Alternative Energy Source1525 Words   |  7 PagesNicoletta Philippides March 15, 2013 Mr. Dunleavy, Period 4 The Effect of Fossil Fuels on Biodiversity Alternative Energy Resources Fossil fuels are hydrocarbon deposits derived from the remains of ancient plants and animals under enormous amounts of heat and pressure. Oil, or petroleum, is one of the most common fossil fuels utilized by people all over the world on a daily basis. Crude oil is a smelly, yellow-black, viscous liquid composed of mostly nitrogen, oxygen, and sulfur, which isRead MoreNuclear Fusion And Nuclear Energy Essay1638 Words   |  7 Pages ¬Nuclear energy is energy in the nucleus (core) of an atom. Atoms are tiny particles that make up every object in the universe. There is enormous energy in the bonds that hold atoms together. Nuclear energy can be used to make electricity. But first the energy must be released. It can be released from atoms in two ways: nuclear fusion and nuclear fission. In nuclear fusion, energy is released when atoms are combined or fused together to form a larger atom. This is how the sun produces energy. In nuclearRead MoreEssay about The Rising Cost of Fossil Fue ls1576 Words   |  7 Pagesuse of burning fossil fuels. Americans are also looking for new ways to save move. Over the past 30 years, rising cost of fuel as forced many people to reconsider current and future financial plans. What type of vehicle to drive, possible carpooling plans, even acceptance of new jobs based on the logistics of their current home and as well as the finding of a new home based on current employment. With these factors in mind, Americans are now looking for alternatives to fossil fuels to save both theRead MoreBiofuels Vs. Fossil Fuels1622 Words   |  7 Pages Biofuels vs. Fossil Fuels (David Ross, 2005) Carbon dioxide, the chief byproduct of fossil fuel combustion, is a potent greenhouse gas that remains in the atmosphere indefinitely. In the U.S., the burning of coal for electricity pumps more than 2.4 billion metric tons of carbon dioxide into the atmosphere every year, according to the Energy Information Administration. People ask what about the cars? How do they affect the environment? The average American passenger car spits out 11,450 pounds ofRead MoreBiofuels : A Clean Alternative For Fossil Fuels?1737 Words   |  7 PagesA clean alternative to fossil fuels? Biofuels, like fossil fuels are hydrocarbons made from a living or once lived organism that humans can use to power something and uses biological carbon fixation, a process that takes inorganic carbon and converts it into organic compounds (Wikipedia). However, unlike fossil fuels, which can take millions of years to form, biofuels are produced in a short period of time such as days, weeks, or months. Because humans have been burning fossil fuels for overRead MoreIs Fossil Fuel Reserves Be Diminished?1354 Words   |  6 Pagesnecessary to find an alternative to fossil-fuels in transport energy. According to Shafiee, S. Topal, E, the authors of the journal article ‘When will fossil fuel reserves be diminished?’ the supply of fossil fuels will drastically decline towards a potential shortage of fossil fuel from approximately the year 2042 [6]. According to The Economist, the increase of petroleum prices are due to a number of factors including the rising global demand and the supply of fossil fuels. Statistically, producersRead MoreHybrid Automobiles vs. Fuel-efficient Automobiles1283 Words   |  5 Pageseconomic reasons, consumers are feeling a pressing need to purchase a fuel-efficient automobile. However, the array of choices on the market are staggering. Not only do consumers have the choice between different brands of automobile manufactures; manufacturers are also offering different types of fuel-efficient cars. Some fuel-efficient cars use traditional internal combustion engines alone; others offer the option to use alternative fuel sources like diesel and biodiesel; and others yet offer the opportunityRead MoreFossil Fuels And Its Effects On Our World1573 Words   |  7 PagesFossil fuels have been a big discussion in today’s world due to the pollution they have been causing on the earth. Fossil fuels have been creating energy for the world for so many years. Fossil fuels like oil, natural gas, and coals used every day by almost every American. We use it to travel, to keep us warm, to cook our food, and many other everyday activities, but we don’t know the harm it is doing to the world. Thanks to Media today we are starting to realize the damage fossil fuel is causing

Prevention of Deep Vein Thrombosis Free-Samples for Students

Question: Discuss about the Post-Operative Deep Vein Thrombosis. Answer: Post-operative deep vein thrombosis. Deep vein thrombosis is a condition in which there is formation of a clot in the deep venous of the leg occluding normal blood flow. It is manifested by leg pain, edema, erythema and tenderness(Blann, (2015)). In most cases it occurs as a complication following surgery which involved decreased mobility or prolonged bed rest with reduced ambulation (post-op deep venous thrombosis)(Blann, (2015)). Pathophysiology of DVT. Muscle movement usually increases the rate of backflow of blood from the lower parts of the feet to the inferior vena cava. However during decreased or be in immobile state the blood tend to flow backward slowly creating stasis(Cassidy, (2014).). This blood therefore forms a clot due to the accumulation of the clotting factors within the same point causing occlusion of blood flow. It therefore causes formation of thrombi which can easily dislodge and becoming emboli which can lodge in small vessels like the pulmonary and coronary arteries. Relevant history for deep venous thrombosis. Previous knee surgery which poses a greater risk for formation of blood clots that may clog the veins. A history hyperlipidemia. High cholesterol levels in the blood plasma increases blood viscosity reducing the speed of blood flow(Blann, (2015)). As a result blood clots tend to form on the walls of the blood vessels. History of hospitalization decrease ambulation hence causing decreased exercise on the calf muscle lowering rate of backflow of blood. Stress as a result of feeling of overdependence on their to perform daily leaving Risk factors to DVT occurrences. Age-people above 60 years are susceptible to developing DVT due to reduce muscle tone and decreased activity hence reducing the rate of blood flow causing stasis(Blann, (2015)). Prolonged bed rest-the lower limbs remain still for some time restricting calf muscles contraction to facilitate blood flow exacerbating risk for clot formation. Heart failure-people with this condition have limited heart and lung function. The hearth inability to pump blood cause a lot of blood accumulation especially in the lower extremities forming clots(Sun, (2014). Surgery-injury to the veins may increase chances of a thrombi being formed due to high delivery of the clotting factors to the site of injury. Sitting for long period of time-this reduces the calf muscle motility lowering blood flow rate. Musculoskeletal system. Health history. Present history of knee replacement surgery. History of decreased activities of the daily living due to chronic pain while undergoing activities. Past history of osteoarthritis affecting the knee joint. General appearance. The lower extremities of the patient cannot withstand the weight of the body for a long period due to increased pain in the knees. He is anxious of overdependence on others and anticipation of other possible complications. Physical examination. Gait and mobility-he has malalignment of the lower limbs, pain and fatigue when walking or standing, limited mobility due to stiffness of the knee joint and muscle weakness. Posture-the client is leaning on his right side following the knee surgery. Joint function-he has limited range of motion evidenced by pain in attempt to move the knee joint. Skin-has no signs of edema. Cardiovascular system. Health history. History of angina, hypertension and hyperlipidemia. History of pain joint. History of decreased level of activities. The patient easily fatigued when performing tasks of daily living. General appearance. The client is alert and oriented to place, person and time. Physical examination. Inspection-the client has facial grimace, no cyanosis, no pallor, no jaundice. Palpation-there is increased radial pulse rate, edema on the extremities, increased venous pressure. Auscultation-there is presences of heart murmurs and galloping sounds, apical pulse is fast and pounding(Schoenfeld, 2013). Risk assessment. The client is at risk of developing heart failure. This is attributed by the possibility of the dislodgement of a thrombi that might lodge in the coronary artery decreased heart muscle perfusion leading to myocardial ischemia(Schoenfeld, 2013). Hypertension also, can cause heart failure as well as narrowed blood vessels due to cholesterol deposition. This makes the heart to work with a lot of effort to overcome resistance(Moghadamyeghaneh, . (2014). ). Risk for pulmonary embolism caused by the deposition of an emboli within the narrowed blood vessels. Strategies to meet clients need. Pain management. The nurse should assess and rate the pain using the pain rating scale. This helps on determining the type of analgesia to be used. Administer weak opioids such as codeine to cater for both the angina and the knee joint pain(Sun, (2014). This is done while addressing the underlying cause to improve the clients comfort. Coping mechanism; to enable the patient to have the optimum functionality as much as possible. This done through education of the client on the mechanisms of performing activities with minimum energy input for example alternating between standing and sitting(Schoenfeld, 2013). Prevention of DVT. The client has a higher risk of developing DVT and therefore is supposed to be under close monitoring. Use of serial duplex ultrasound scans which can identify smallest forming clots. Constantly also the client should be on medications(Cassidy, (2014).); blood thinners to dissolve any clot that is present from getting bigger, or prevent the formation of a clot. In addition use pneumatic intermittent compression stockings due to decreased mobility(Domeij-Arverud, (2015). According to (Moghadamyeghaneh, . (2014). ) Use of anticoagulants before surgery and after surgery has proved to be effective method of preventing DVT. However some researchers claim that the use of anticoagulants prior to surgery may pose greater risk to postoperative bleeding hence not advisable unless the client has a history of blood clot(Cassidy, (2014).). Use of anticoagulants should be used after surgery in cases where the clients rate of mobility is reduced especially in old age where the client has to be in bed rest for long. Also, following hip or knee replacement(Moghadamyeghaneh, . (2014). ). The client is old and has knee surgery hence there great immobility. Therefore use of blood thinners can help to greater extent in preventing DVT to this client. In North American in the year 1980s use of Doppler ultrasonography scanning became the principle diagnostic tool and use of anticoagulants for management as well as prevention(Moghadamyeghaneh, . (2014). ). Evaluation. Doctors should monitor the client and prescribe the age appropriate medications and make referrals when possible. Nurses on the other should take part in assessing the client, monitoring the progress, advocate for the patient, administer prescribe medication and report any complication, health education to the patient drug compliance and prepare for the follow up. The nurse should ensure that the physiotherapist attend to the client to meet ambulation needs. Also the nurse should check with the doctor to ensure the client is given an appointment date for follow up. Strategies Evaluate pain through direct interaction with the patient. Also act the patient on the ability to undertake the current activities with minimum distress(Cassidy, (2014).). Use the ultrasound scan to check the clot formation constantly to identify if the current medication is meeting the intended need of prevention of thrombi formation. References (Blann, (. B. (2013). Deep vein thrombosis: A multispecialty approach. x. New Delhi: Elsevier. (Cassidy, (. A. (. (2014). ). Graduated compression stockings for prevention of deep vein thrombosis.. The Cochrane Library. (Moghadamyeghaneh, .. (. (2014).). Heparin?based treatment to prevent symptomatic deep venous thrombosis, pulmonary embolism or death in general medical inpatients is not supported by best evidence. Blann, A. .. ((2015)). Deep Vein Thrombosis and Pulmonary Embolism: A Guide for Practitioners. London: M K Update Ltd. Cassidy, M. R. ((2014).). Reducing postoperative venous thromboembolism complications with a standardized risk-stratified prophylaxis protocol and mobilization program . . Journal of the American College of Surgeons, 1095-1104. Domeij-Arverud, E. L. ((2015). ). Intermittent pneumatic compression reduces the risk of deep vein thrombosis during post-operative lower limb immobilisation. . Bone Joint J, 675-680. Moghadamyeghaneh, Z. H. (. (2014). ). A nationwide analysis of postoperative deep vein thrombosis and pulmonary embolism in colon and rectal surgery. journal of Gastrointestinal Surgery, 1994- 2169. Schoenfeld, A. J. (2013). Patient-based and surgical characteristics associated with the acute development of deep venous thrombosis and pulmonary embolism after spine surger. 1892-1898. Sun, Y. C. ( (2014). ). Deep venous thrombosis after knee arthroscopy: a systematic review and meta-analysis. Arthroscopy: . 406-412, 406-412.