Violating Norms and Food Wastage Personal Statement

Violating Norms and Food Wastage - Personal Statement Example The manager of a cafeteria, kind of knows me since I am her regular visitor. I went to the restaurant with my friend, who too did not have any clues of my purpose that day. We chatted for about 40 minutes, and then thought to grab something. I ordered a plate of pasta. Had no more than three spoons from the content available to me in my dish. More, I did not ask for a separate plate that I could serve myself some in that different plate. I very much started from that bowl only. Just to make a humor out of a whole thing. Then, we finished and I asked for the bill. It was $60 that we were supposed to pay. $20 for a sandwich that my friend had ordered, and $40 for my pasta. I paid $40, for a complete bill. The boy came to me and said it wasn't $40 but $60 that we were supposed to pay. The boys were in the process of collecting the leftovers on our table. I stopped them to keep the evidence that it indeed was half a plate pasta that I consumed, and the other half I was sending back to them. Poor boy said, "Sir, irrespective of what you eat, you are charged for a complete dish." "And you know that, don't you" "Why would I pay for a full plate when I ate only half of it. There still is some food, which I am sending back. You are not going to throw it off, are you This food is supposed to be consumed by somebody else, isn't it" I said. And by the time, it was a scene created in a restaurant. My friend was not able to believe what was happening. Neither were the boys around. The manager smelt the noise and came to the floor too. I threw a big laughter. A very big laughter. And then took a serious position. With everybody's attention towards me, I started, "a management can be judged with its wastage percentage, lesser the wastage percentage efficient is the management: it is applicable for cafeteria, restaurant, family, organization as well as state. There are many types of wastage among which food wastage is on the top as it has great impact on the family expenditure as well as national economy. By saving food wastage we can save billions of dollars in developed countries, which may help us to make hunger free world." I continued, "In the USA alone, 30% of prepared, baked, canned and fresh food is pitched into landfills daily. The estimated loss to the U.S. economy is over $48 billion a year. British government statistics show that, per person, their citizens throw out 378 pounds (171 kg) of food a year. The Australians pitch 145 kilos per person annually." "Elsewhere in the food processing chain, problems that cause food poisoning cost hundreds of millions in recalls and food waste happen more often than we realize. Listeria bacteria in one company's processed meats caused several deaths and made hundreds ill, due to incomplete cleaning of meat slicers. The loss of the public's trust in their products reduced that company's annual income even further." "Food wastage may occurs in many ways: the frozen food stored in the freezer last year that is now rock-hard and stripped of nutrients; the 50 kilos of potatoes the restaurant

Synthesis Research Paper Example | Topics and Well Written Essays - 2250 words

Synthesis - Research Paper Example The Serpent of Paradise was written by Edward Abbey. And in this work he focuses on his experience like a park ranger in the south-eastern Utah’s Arches National Monument. The most important themes of Edward Abbey are- exploitation’s of pristine environment by the tourists and People’s kinship towards the animals. The Themes Present in the Works: â€Å"The deliverance considered as the engaging, suspenseful, full of fast-paced mystery and beautiful prose describing the natural environment that will soon be destroyed by a power company’s dam† (Cusatis p.110). The main theme of Deliverance is that of the survival in the nature against its overpowering odds. And the main themes that are present in the Serpents of Paradise are- exploitation’s of pristine environment by the tourists and People’s kinship towards the animals. Some of the other themes as present in the Most Dangerous game are; Arrogance: Rainsford, an arrogant animal hunter an d he have no pain or fear. And Zaroff, another arrogant hunter and he feel that in order to entertain himself, he should hunt humans. Violence: It relates to the behavior of characters towards each other and also towards the surrounding animals. Degradation of man: â€Å"The final and most prevalent theme is the Degradation of Man† (Marin p.5). It deals with the degradation of man from being a mere animal hunter to being a hunter of man and the changes from being hunter to that of a murderer. The Common Themes in these Works: While comparing the works of The Deliverance, The Serpents of Paradise and The Most Dangerous Game; we can find a common theme which is present in all these works i.e., the attitude of humans towards the nature. Man’s struggle and survival in the wilderness. All these works focus on this particular theme and the author portrays this theme with various incidents In Deliverance, James Dickey represents the theme in such a way that before the journey starts, the three among the four travellers does not have any experience in the journey through the forest. Lewis Medlock who is one among the four is a survivalist and seasoned outdoorsmen who really plans the journey and guides the group. The centerpiece of the novel is that of the sexual assault and the attack by two mountaineers in the river bank and which leads to a sequence of murder. During the journey they faced a lot of conflicts from the nature and from men. And they struggled a lot to overcome these difficulties that is, during their canoe ride they confronted with the Rough River and also they confronted a conflict with the two hillbillies. Even though one among the four died and they tried to have a struggle with the local men in the wood and they were able to escape from it. All these incidents show that man struggles for survival and they all learn an experience from this journey. In the beginning of the story, Ed was lacking the knowledge about the nature and after facing all the difficulties through the journey, their attitude toward the journey have changed a lot and they consider nature as more powerful and as a result they opinioned that respect should be given to the nature. In the Serpents of Paradise by Edward Abbey, he is viewing the Arches national park as wilderness. This work gives the

The USSR Under Stalin Essay Example for Free

The USSR Under Stalin Essay 1)a) Evidence in Source D that suggests that Stalins motive for the mass arrests of the late 1930s was to obtain slave labor is that â€Å"the mass arrest of the late 1930s may have been carried out to satisfy Stalins desire for slave labor,† and â€Å"more prison laborers were urgently needed.† b) In Source D, â€Å"absurd inefficiency† means that the overpopulation of the prison laborers in the camps made them disorganized and made it difficult for the camp commanders to be able handle them all. 2) In both Sources B and E, Stalins view of industrialization as a war economy is expressed as: Both sources share the view that the purpose of industrialization was for the making of a war economy, â€Å"to prepare for war against the capitalist enemies abroad.† However, for Source B, the view for the Five Year Plans is that, â€Å"Essentially the Plan was a huge propaganda project, aimed at convincing the Soviet people that they were engaged in a great industrial enterprise of their own making.† It was a propaganda project promoting industrialization for the purpose of war, but the Soviet people werent aware of the â€Å"war† part, only the industrialization. In Source E, since it is a poster that is used for the purpose of propaganda, it instead puts the Five Year Plan in a better light, showing that the Five Year Plan will be successful in the future, that it will surely benefit the U.S.S.R. in the future, and that the U.S.S.R. will be prepared to defeat its enemies abroad (the capitalist enemies) in case of future wars. 3) The origin of Source A is that its a speech by Stalin, 1st March 1927, to workers in the Stalin workshops of the October Railway. The purpose of this speech is to spread his view of the U.S.S.R. being able to industrialize on its own to the workers of the workshops, saying it with confidence. Filling the workers up with confidence will give them the will to work more for the sake of the industry. The value of this speech is that this is a primary source and its a speech by Stalin himself, so it clearly expresses his views on the U.S.S.R. industrializing on its own. The limitations of this speech is that it only shows Stalins perspective and it doesnt show the views of the public or of the workers on his view on industrialization. He was trying to express his idea in a confident way to the workers to convince them that this is to solely benefit the U.S.S.R. The origin of Source C is its an extract from Women in Soviet Society: Equality, Development, and Social Change by Gail Warshofsky Lapidus, Berkeley, 1978. The purpose of this extract is to tell of the reason for the increased employment of women. It was necessary to hire women to work because of the rapid expansion of the economy, so there was a need for more workers. It wasnt for the purpose of economic equality. The value of this is that it shows us that eventually everyone in the society, including women, were required to work to follow Stalins Five Years Plan. It shows us the economic status of women during this time period. The limitation of this source is that we dont know the publics opinion or a womans view on the increased employment of women. It is a secondary source since it is an extract from a book that was written after the time of Stalin Russia. 4) Stalins methods for a â€Å"change-over from a peasant country to an industrial one† include: In Source A, he expresses his view in that the U.S.S.R., unlike other countries like Great Britain and Germany, can industrialize on its own. He says it in a confident tone to instill that confidence in the workers in the Stalin workshops so that they will be convinced that industrialization for the means of production is beneficial for the U.S.S.R. as a whole. In Source B, Stalin declared that â€Å"he was promoting a war on the inefficiences of Russias past, a war on the class enemies within, and as preparation for the capitalist enemies abroad.† The U.S.S.R. â€Å"adopted a similar industrial pattern in its drive toward modernization,† but it would â€Å"take the path of socialism† instead of capitalism. The Plan itself â€Å"was a huge propaganda project, aimed at convincing the Soviet people that they were engaged in a great industrial enterprise of their own making.† In Source C, due to the rapid urban development in the U.S.S.R., â€Å"A new perspective emerged in official documents, one that viewed the increased employment of women not in terms of its effects on women but as essential to the fulfillment of the economic plans.† The purpose was to â€Å"ensure the fulfillment of the production program of the Five Year Plan, it was necessary to draw more wives of workers into production.† In Source D, it says that â€Å"the mass arrests of the late 1930s may have been carried out to satisfy Stalins desire for slave labor† because â€Å"more prison laborers were urgently needed.† There were camps where mass number of slave laborers were kept. The more the slave laborers, the more the work, and the faster the Five Year Plans goals would be achieved. In Source E, the poster is for the purpose of propaganda, showing Stalins idea in a â€Å"good light† to the Soviet public by showing the people that the Five Year Plan would be successful in the future, that the U.S.S.R. would be powerful in terms of military due to the mass industrialization, so that it could defeat its enemies abroad in future wars. Other methods that Stalin used to change the U.S.S.R. from a â€Å"peasant country into an industrial one† that werent mentioned in the Sources were: Stalin made all industry and services nationalized, managers were given predetermined output quotas by central planners, and trade unions were converted into mechanisms for increasing worker productivity. Many new industrial centers were developed and thousands of new plants were built throughout the country. Stalin, a pro-Socialist, used collectivization to improve agricultural productivity so that the surplus would be sufficiently large enough to feed the growing urban labor force, all for the sake of industrialization. Collectivization was also expected to free many peasants so that they would go into industrial work. However, Stalins forcefulness on collectivization on the peasants (who fiercely resisted) resulted in a disruption in agricultural productivity, but it still helped achieve Stalins goal of rapid industrialization.

Case Study Abdominal Aortic Aneurysm Health And Social Care Essay

Case Study Abdominal Aortic Aneurysm Health And Social Care Essay A 72 year old male patient, smoker and family history of AAA, was referred by his GP to x-ray department. With clinical indication of fall at stairs 2 weeks ago and pain in lower back and right hip, to have an x-ray of lumbar spine and pelvis. After justifying the request card and check his details, they did AP and Lateral of his lumbar an AP examination of pelvis. And they send him back to have a result by his GP after 10 days. Radiologist reported on his x-rays and sends it back to the GP. There was an evaluation of the classification in the abdomen and suspected abdominal aortic aneurysm. So GP asked him to attend the surgery to discuss the x-ray result, and request an ultrasound of abdomen to have a better result and rough indication of the internal diameter and accurate assessment .Gp asked him to wait until he received appointment letter from hospital. After 4 weeks he had his appointment. Clinical indication was classification on lumbar x-ray, query abdominal aneurysm. Before he goes to do the screening he was fast for eight hours because food and liquid in the stomach and urine in the bladder can make it difficult to a get clear picture of the aorta for the ultrasound technician. He changed into a gown. Radiologist asked him to lie on his back and then he applied small amount of cold gel in his abdomen because the air between the skin and aorta will help to reduce by using the gel, by pressing the transducer against the skin over the abdomen. Radiologist monitored blood flow through the abdominal aorta to check for an aneurysm (Myo clinical staff 2010 and NHS website 2010). After procedure he discussed the result with patient. And reported the scan to his GP. The evaluation of ultrasound scan was an abdominal aortic aneurysm which was 4.5 cm. Heart was in normal size. No evidence of any significant mediastinal mass or lymph node enlargement. Kidneys were in normal sizes. The routine measurements and protocol are: Longitudinally, will examine the aorta from diaphragm to bifurcation, and will Document the length of the aneurysm and measure the anteroposterior (AP) diameter from outer wall to outer wall, and also will examine the iliac arteries to the iliac bifurcation and measure aneurysm from outer wall to outer wall. Transversically will Document the maximum diameter of the aorta at the diaphragm, superior mesenteric artery (SMA), and distally, and Measure AP and transverse diameters from outer wall to outer wall, also will Visualize the iliac arteries and measure aneurysms (Vikram and Deborah 2004). GP reoffered him to vascular surgeon, after 3 weeks he met the surgeon, He reviewed his medical history and discussed the x-ray and ultrasound result with him And rerecommend him watchful waiting, it means that the if aneurysm was smaller than 2 inches (5 centimetres) in diameter, it is not serious enough to require surgery. In this case, his doctor will check his condition every six months using additional ultrasound exams or other imaging tests until aneurysm reaches to 5.5cm (Medline Plus 2004). He also asked him to quit smoking, because Smokers are approximately 5times as likely as non-smokers to develop AAA (Hafez 2008). Six month after In Dec 2007 he received his second appointment for scan of his abdomen. He attends his appointment with same procedure. There was a small amount of increase in his aneurysm. Therefore report was send to Gp. Evaluation was 4.7cm aortic aneurysm. In April 2008 he had another scan with aneurysm with 5.2cm aneurysm. He could not stop smoking, but his GP strongly advised him to stop smoking. In March 2009, it was 5.6cm aneurysm and if the abdominal aortic aneurysm expands by more than 0.6 to 0.8cm per year, repair is usually recommended (Robert et al 2008). http://www.e-radiography.net/radrep/Vascular/Vascular_AAA_US_55mm/Vascular_AAA_US_55_long.jpg Radiological Report : US Abdominal Aorta : The maximum A.P. internal diameter of the abdominal aorta is 5.6 cms. Mural thrombus reduces the internal diameter to 2.0cms (x-ray 2000).   Vascular surgeon discussed with patient that he need a surgery as soon as possible, also explained the existence of two possible methods of repair and to outline the major risks and benefits of each. The traditional (open) surgical approach involves direct exposure of the aneurysm followed by replacing the aneurismal part of the aorta with a synthetic graft. Endovascular aneurysm repair (EVAR) is a more modern and less invasive technique which is becoming widely used (Hafez 2008). Patient preffered to have EVAR operation, but everybody is not suitable for EVAR, because of the shape of their aneurysm. So he was asked to have a CT angiogram to check if he is suitable for EVAR, otherwise he should have open surgery (NICE 2006). Surgeon request CT angiogram for him with clinical indication of EVAR 5.6cm in ultrasound scan. The week after he had a CT angiogram aorta. The technologist asked him if he has allergy to any contrast media, then positioned him on the CT examination table, lying flat on his back. He inserted an intravenous (IV) line into a small vein in his arm. A small dose of contrast material injected through the IV to determine how long it takes to reach the area under study. Week after the surgeon received the report from Radiologist. Evaluation of CT scan was a 6.2cm infrarenal AAA with a satisfactory neck and good potential common iliac landing zones suitable for EVAR ( Bhattacharya ). He asked to attend a pre-operative assessment clinic to meet his surgeon and other members of clinical team. They took his medical history and carried out a physical examination. The surgical team carried out a number of tests to make sure that he is healthy enough to have an anaesthetic and surgery. The tests were included: Arterial Blood Gas (ABG) levels, to monitor oxygenation, ventilation, and acid base status. Complete blood count to monitor Red blood cell, White blood cell(WBC), and platelet counts altered haemoglobin levels and hematocrit reflect any blood loss and the oxygen carrying ability of the blood. An elevated WBC count reflects an inflammatory response. Serum electrolyte panel-monitors fluid ,electrolyte, and acid base status Serum creatinine and blood urea nitrogen (BUN) levels, to monitor renal function. Blood coagulation studies to monitor clotting. Urinalysis to monitor renal status including secretion and concentration Blood crossmatching necessary for blood replacement Electrocardiography (ECG) may reveal cardiac changes associated with ischemia Chest X-ray may reveal abnormalities of the chest, heart and lungs (Holloway 2004). his RWS was 4.6 M/mcL, WBC: 6 K/mm^, haemoglobin levels: 11 g/dL, Hematocrit 44%, Blood urea nitrogen 13 mg/dL, Bilirubin, direct 0.2 mg/dL, Bilirubin, total 0.2 mg, Creatinine 0.8 mg/dL,( GAIL  HOOD 2007). The surgical team gave him advice about what he can do to prepare for surgery, and they also asked him about his home circumstances so that his discharge from hospital can be planned. If he still smoker, he strongly advised to stop smoking as soon as surgery is required. Research has found that people who stop smoking for at least two months before having surgery are four times less likely to experience complications following surgery compared with those who smoke. He already stopped smoking. Surgeon discussed him what will happen before, during and after his procedure, and any pain he might have. On admission day which was the week after, he was seen by one of the junior doctors who was obtained a detailed medical history and did a full physical examination. Blood tests were repeated and any pending investigations (for example heart scan) performed. One of the more senior doctors took through the consent form which you was required to sign before they can proceed with surgery. He was fasting from midnight before the procedure. Nursing care was focused on restoring and maintaining hemodynamic stability. Administer supplemental oxygen, monitor the patients cardiovascular status, insert two large-bore I.V. devices, and fluid resuscitate with 0.9% sodium chloride or lactated Ringers solution if hes hypotensive (Raymond 2006). He was taken to the theatre complex in his bed, In the anaesthetic room. the anaesthetist gave him an epidural and involves a needle puncture into his back. He also had a tube in his bladder, so that they could monitor the function of his kidneys; a tube in his hand, so that they could monitor his blood pressure. Then he transferred to the recovery area in the theatre complex, where he was taken care of by one of the recovery nurses pending transfer to the High Dependency Unit or the Vascular Ward. All the above mentioned tubes stayed in till the next morning, when all the tubes are removed and was encouraged to start walking and moving around. They gave him aspirin and cholesterol-lowering medication. He strongly advised to stay on these for life to reduce the risk of developing heart problems or having a stroke as he grow older. During his hospital stay, he was getting a mini-injection of heparin (Fragmin). This will thin his blood and prevent him from getting clots whilst he is in hospital (Inglott 2007). So surgeon start elective surgery to repair an aorta. He made small cut in his groin and passed up a catather inside an artery in his leg until it reached the area of the aneurysm. A compressed stent graft was fed to the site of the aneurysm. The procedure was guided using intensifier x-ray machine and radiographer took images step by step. The stent graft is made of a tube supported by a metal mesh. The stent graft was placed across the aneurysm. The stent kept the aorta open and aneurysm was protected from further pressure. The stent graft is slowly released from the delivery system into the aorta. As the stent graft is released, it was expanded to its proper size so that it snugly fits into aorta both above and below the aneurysm The guide wire is then removed from the Body. The stent graft remained inside the aorta permanently. Imaging procedures was Performed to check whether the stent graft is properly placed. the cut was closed with stitches and a dressing was placed over the stitches. (Bupas Health Information Team 2010). After the procedure, his breathing tube removed and he was taken to the intensive care unit for recovery. He received fluids and nutrition through his IV. The catheter in his bladder was remained in place for several days. The hospital stay was 5 days. During this time he was encouraged to get up and out of bed. Complete recovery was 3 months. In order to detect any complication he had need to follow-up carefully, particularly in the early stages. CT angiography was performed at day 2 after placement. No evidence of endoleak was detected during arterial phase scanning or after a 2-min delay. The patient was discharged without complication.Follow-up CT angiography was performed at 1 month and five month. Then every year after that, to make sure there are not any problems. Discussion: Aorta is the main blood vessel in body. This carries blood from heart to the rest of the body. The part of the aorta in the abdomen is called the abdominal aorta. It supplies blood to the stomach, pelvis and legs. An aneurysm is a weak area in a blood vessel. If a blood vessel weakens, it starts to bloat like a balloon and becomes unusually big. If an aneurysm forms on the abdominal aorta and grows too big, the aorta might tear or rupture (Upchurch and Schaub April 1, 2006, Heather 2008). The most common of these aneurysms known as abdominal aortic aneurysms AAA, is below the origin of the arteries to the kidneys. A more anatomically correct description would be infrarenal aortic aneurysms. In men, the maximum normal aortic diameter at this level should not exceed 2.5 cm. An aorta that is 3 cm or more in diameter at this level qualifies as being aneurismal. The prevalence of AAA varies according to ethnicity, age and gender. Men are six times more likely to be affected by this condition. At the age of 65 years, 3% of men will have an AAA. The popularity then increases with age to reach nearly 8% at the age of 80. AAAs represents nearly 98% of aneurysms of the whole aorta (Hafez 2008). The rate of growth and the risk of rupture increase exponentially with the diameter of the aneurysm, with a watershed level for serious risk at about 5.5cm. Therefore until the patient is gravely ill from other causes, any aneurysm wider than 5.5 cm should be operated upon electively (Raymond 2006 and Dillon et al 2010).Abdominal aortic aneurysm is usually asymptomatic .smoking and high blood pressure, are most important risk factors (patient booklet 2009 and Hafez 2008) About 80% of patients who present with a ruptured abdominal aortic aneurysm have no previous diagnosis. When rupture occurs, mortality is very high (Scot et al 2008 and Philip et al 2009).February On physical examination, AAAs with 3 to 3.9 cm range are palpable 29% of the time, compared with those with an AAA more than 5 cm. which can be palpated 76% of the time (Gilbert et al 2008). The symptoms associated with AAAs are: blurred abdominal or back pain, abdominal pulsatile and abdominal mass may be present in obese patients, Palpation of aneurysm may be difficult Early satiety, nausea or vomiting may occur due to duodenal compression. Ruptured or leaking aneurysms may present with severe back, abdominal, or flank pain that may radiate to the groin Hypertension or tachycardia Syncope Abdominal mass on exam Signs of retroperitoneal hematoma (Scott et al 2004 and Rosalyn 2006 and Louise and Anderson 2001). Compared with open surgery, EVAR has lower operative mortality, lower morbidity, and shorter length of hospital stay and greater likelihood of discharge to home than open surgery (Schermerhorn 2009) CT is the next step to help determine which treatment should be used (endovascular or open surgery) .Serial CT scans can be used to visualise the proximal neck (the transition between the normal and aneurysmal aorta), the extension to the iliac arteries, and the patency of the visceral arteries. They can also measure the thickness of the mural thrombus. With three-dimensional imaging, helical CT and CT angiography can provide additional anatomical details, especially useful if endovascular procedure is considered.( Akalihasan et al 2011and Macari et al 2001) Informed consent for any AAA repair must include accurate information about the reason for recommending surgery (i.e. the risk of aneurysm rupture without surgery), the reason for recommending either open or endovascular surgery and about the likely outcomes. Warn about the site and size of the surgical scar, about wound infection and incisional hernia formation, about deep venous thrombosis and particularly about sexual dysfunction which, it appears, may be equally common after open and endovascular repair (Brian 2008). If the patient is hypertensive, administer beta-blockers and nitroprusside as ordered. Manage pain with morphine sulfate or hydromorphone to keep him comfortable and to combat pain-induced increases in BP, heart rate, and oxygen demand (GAIL  HOOD 2007). Gilbert R. Upchurch, Jr, MD; Christopher Longo, MD; John E. Rectenwald, MD,March 2008 Volume 63. Number 3 Geriatrics) Upchurch, Jr. G.R. (M.D.) and Schaub, T.A. (M.D.) (April 1, 2006) Abdominal Aortic Aneurysm American Family Physician online. Available from: http://www.aafp.org/afp/20060401/1198.html [Accessed 16/2/2011] Heather, B. P. ( 2008 ) Abdominal aortic aneurysms, screening and the law AvMA Medical Legal Journal,Volume 14 Number 2 online. Available from: Myo clinical staff,June 23, 2010, © 1998-2010 Abdominal ultrasound Mayo Foundation for Medical Education and Research (MFMER).online, available at: http://www.mayoclinic.com/health/abdominal-ultrasoundWhat you can expect/,MY00076/DSECTION=what-you-can-expect[accessed 23/1/2011] http://www.ruh.nhs.uk/patients/services/vascular/documents/Endovascular_Aneurysm_Repair_Patient_Information.pdf, accessed 21st DEC 2010 Ultrasound secrets,  By Vikram Dogra, Deborah J. Rubens,2004 ,Philadelphia,Pensilvania Abdominal aortic aneurysm. MedlinePlus Medical Encyclopedia. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/000162.htm. Accessed September 12, 2004 Abdominal aortic aneurysm disease: health risks,management and screening Hany Hafez Clinical Risk 2008; 14: 208-210 DOI: 10.1258/cr.2008.080076 what is ct angiography aorta of abdominal aortic aneurysm Stoeltings anesthesia and co-existing disease Robert K. Stoelting, Roberta L. Hines, Katherine E. Marschall 2008 676 pages Abdominal aortic aneurysm disease: health risks,,management and screening,Hany Hafez Clinical Risk 2008; 14: 208-210 DOI: 10.1258/cr.2008.080076 (http://www.healthcarerepublic.com/news/766641/ Abdominal aortic aneurysm is the cause of more than 6,000 deaths per year. By Mr Vish Bhattacharya) h ttp://www.radiologyinfo.org/en/info.cfm?pg=angioct (http://www.healthcarerepublic.com/news/766641/ Abdominal aortic aneurysm is the cause of more than 6,000 deaths per year. By Mr Vish Bhattacharya) Medical-surgical care planning,  By Nancy Meyer Holloway, 2004, Lippincott William Wilkins http://www.nhs.uk/Conditions/repairofabdominalaneurysm/Pages/Preparation.aspx http://www.stent-graft.com/id11.html,  Dr Ferdinand Inglott, consultant Vascular and Endovascular Surgeon at the Manchester Royal Infirmary,2007 Bupas Health Information Team, July 2010. Endovascular aneurysm repair (EVAR),online at: http://www.bupa.co.uk/healthinformation/directory/e/endovascular-repair, [accessed 16/2/2011]. (General surgical operations Page 432 Raymond Maurice Kirk 2006 723 pages Preview) Hany Hafez,2008, Abdominal aortic aneurysm disease: health risks, management and screening, Clinical Risk, Volume 14 Number 6 General surgical operations Raymond Maurice Kirk 2006 Page 432,Churchill Livingstone Elsevier Endovascular treatment for ruptured abdominal aortic aneurysm,Dillon M, Cardwell C, Blair PH, Ellis P, Kee F, Harkin DW,The Cochrane Collaboration, currently published in The Cochrane Database of Systematic Reviews 2010 Issue 12, Copyright  © 2010 The Cochrane Collaboration. Published by John Wiley and Sons, Ltd.. PATIENT INFORMATION BOOKLET ,Endovascular Stent Grafts:A treatment for Abdominal Aortic Aneurysms,2009 Medtronic, Inc. All Rights Reserved. Printed in USA. UC200805202aEN 4/09  ©2009 American Medical Association. All rights reserved. (Reprinted) JAMA, November 11, 2009-Vol 302, No. 18 Abdominal aortic aneurysm disease: health risks,management and screening Hany Hafez Clinical Risk 2008; 14: 208-210 DOI: 10.1258/cr.2008.080076 Scott Davarn, MD Rob Reardon, MD Scott Joing, MD Academic Emergency MedicineVolume 14, Issue 4, Article first published online: 28 JUN 2008 http://onlinelibrary.wiley.com/doi/10.1197/j.aem.2007.01.001/pdf Philip E. Baker Kumar V. Ramnarine,2009, Development and Application of an Experimental Abdominal Aortic Aneurysm Model, Ultrasound 2009;17(1):30-34 _ British Medical Ultrasound Society 2009 University Hospitals of Leicester NHS Trust, Department of Medical Physics, Leicester Royal Infirmary, Leicester LE1 5WW, UKULTRASOUND N February 2009 N Volume 17 N Number 1 URASOUND N February 2009 N Volume 17 N Number 1 ).- Abdominal aortic aneurysm Gilbert R. Upchurch, Jr, MD; Christopher Longo, MD; John E. Rectenwald, MD, March 2008 Volume 63. Number 3 Geriatrics Screening programmes ,Abdominal Aortic Aneurysm , © NHS Abdominal Aortic Aneurysm Screening Programme 2010 Produced by COI for the NHS ,401590/C 1p December 2010, http://aaa.screening.nhs.uk/ Baker L;  Anderson E, 2010 May; Abdominal aortic aneurysm: simple screening could save lives, Primary care nurse practitioner, Generations Family Health Center, Norwich, CT, American Journal for Nurse Practitioners (AM J NURSE PRACT), 2010 May; 14(5): 29-34 (27 ref), journal article pictorial, tables/charts. In a Page Surgery  By Scott Kahan, John J. Raves,2004,Lippincott Williams Wilkins,Philadelphia Rosalyn Gendreau , 2006, Is it a kidney stone or abdominal aortic aneurysm? : 22-4 (journal article pictorial) Louise A. Anderson, MS, RN,2001, Abdominal Aortic Aneurysm,,THE JOURNAL OF CARDIOVASCULAR NURSING/,Article 1 5/21/01 11:11 PM Page 1, J Cardiovasc Nurs 2001;15(4):1-14, © 2001 Aspen Publishers, Inc Marc Schermerhorn, MD, Discussant ©2009 American Medical Association. All rights reserved. (Reprinted) JAMA, November 11, 2009-Vol 302, No. 18 online available at http://jama.ama-assn.org/content/302/18/2015.full.pdf+html, [accessed 14/2/2011]. Royal United Hospital Bath, NHS, Endovascular Aneurysm Repair Patient Information, http://www.ruh.nhs.uk/patients/services/vascular/documents/Endovascular_Aneurysm_Repair_Patient_Information.pdf, accessed 21st DEC 2010 NICE 2006 Abdominal aortic aneurysm ,N Sakalihasan, R Limet, O D Defawe,2011 at http://www.surgical-tutor.org.uk/default-home.htm?specialities/general/aaa.htm~right Michael Macari, MD, Gary M. Israel, MD,Phillip Berman, BA, Maria Lisi, BA, Anuj J. Tolia, BA, Mark Adelman, MD, Alec J. Megibow, MD, MPH, August 2001 Infrarenal Abdominal Aortic, Aneurysms at Multi-Detector, Row CT Angiography: Intravascular Enhancement without a Timing Acquisition1,520 z Radiology Macari et al, Volume 220 z Number 2 Abdominal aortic aneurysms, screening and the law ,Brian P Heather, AvMA Medical Legal Journal, 2008 Volume 14 Number 2 at http://cr.rsmjournals.com/content/vol14/issue2/ http://www.nursingcenter.com/prodev/ce_article.asp?tid=693846 (How to protect a patient with aortic aneurysm GAIL  HOOD  IRWIN RN, CEN, BSN   Nursing2007 ,February 2007   ,Volume 37  Number 2,Pages  36  

Summary of Walden Pond :: essays papers

Summary of Walden Pond For about the first half of the book Thoreau questions the lifestyles that people choose. He makes his readers wonder if they have chosen the kind of life that will really offer them happiness. Are they merely living a career or some other narrowly focused routine or is a worthwhile life being lived. Thoreau wonders if the truly valuable elements of life are being taken advantage of if a person isn't living simply. If a person is so caught up in working or never having enough then life, its wonders, and satisfaction are difficult to obtain. As he states in the beginning (pg4), "most men even in this comparatively free country, though mere ignorance and mistake, are so occupied with the factitious cares and superfluously coarse labors of life that is finer fruits cannot be plucked by them." This to me means that people care more about the fine things in life and easier work instead of nature's gifts and hard work. Thoreau draws a parallel between others preoccupation wit! h money and his own enjoyment of non-monetary wealth. Thoreau's statement " A man is rich in proportion to the number of things he can afford to leave alone" means that rich refers to having the opportunity for spiritual and intellectual gains and afford refers to the self-actualization rather than to cash in the bank. Those are just some of the materialistic terms that Thoreau uses to refer to non-materialist values, making fun of the capitalist in the process. Thoreau uses the opportunity of the first chapter to discuss the issue of how we spend our time and energies. It is obvious that his townspeople are not as economical as they spend many hours working very hard to accomplish very little, showing a false sense of economy. Thoreau believed that all attempts to redeem mankind from its problems were useless unless such attempts began with the person. The individual person had to stop thinking more about the lesson nature had to offer. Thoreau thought that by living simply with few needs or material possessions man would have more time to enjoy life to its fullest natural potential. In the other chapters of the book Thoreau goes on to tell about his experiences with nature while living on Walden Pond. The bean field which he grew, and put so much work into. He did not know himself what the meaning was of planting the garden only that he felt self-respect from doing so. They "attached him to the earth." And he got strength from it.

Conflict Management Style Essay -- Conflict Management

When considering your conflict management style with others, be it; personal or professional, we tend to use the style that seems appropriate to the conflict. Managing conflict is a difficult task that we all face, but becoming aware of your own characteristic style could help determine why conflicts result exactly the way they do. It helps determine what is a healthy outcome. Each circumstance is different. Interpersonal conflict is very common with many relationships. It occurs when two people can not meet in the middle or agree on a discussion. Cooperation is key to maintaining a healthy debate. More frequently; when dealing with members of your own family, issues arise that include conflict and resolution. During this process our true conflict management style appears â€Å"out of thin air†. (Steve A. Beebe, 2008, p. 191). Our behavior or conflict style tells a lot about us as humans. It is an important piece of life’s puzzles, and how we go about living a healthy life. Our particular path decides where conflict will lead to, or if it could be resolved quickly with everyone feeling content. However, our non-verbal behavior could indicate when a person is upset or anoid.This is usually related to unmet needs or goals (Steve A. Beebe, 2008, p. 191). I participated in a conflict management style quiz that was created by Reginald Adkins to see what style I followed. The style that I tend to follow is Harmonizing. I did find this a little surprising because I usually stick to my guns. I will debate with just about anyone, especially if I feel that I am right about something (Steve A. Beebe, 2008, p. 204) The characteristics of a harmonizing style indicates that this type of person tends to give into the demands of oth... ...part of my future I could change directions a few more times. However the significance, and the confidence that I have managed to maintain as a stylist and a member of my community, I am certain that I could contribute very positively in the human services field. I am comfortable around the public and have been a shoulder â€Å"to cry on† for years. I try to practice professionalism as expected and develop relationships that I truly appreciate. I am hopeful and anticipate that things will go well for me, my fellow students and with our future clients. Works Cited Hall, J. (1969). Conflict Management Survey. Washington: The Leadership Center at Washington State University. Steve A. Beebe, S. J. (2008). Interpersonal Communication. In A. a. Pearson, Interpersonal Communication, Relating To Others- Fifth Edition. Toronto, Ontario: Pearson Education, Inc.

Explain with examples how the theoretical perspective of the researcher accepts choice of method

The choice of method used to collect data is used by the theory that the given sociologist accepts. Most sociological theories have certain types of data they tend to collect, and certain methods that they choose to adopt. The two techniques used are quantitative and qualitative. Quantitative techniques are used to measure distribution and the extent of a social characteristic. This technique is also useful when comparing two social variables such as social class and educational achievement. The technique provides a percentage or numerical feedback, allowing a statistical approach to sociological research. This type of research relies heavily on secondary data, i.e. research not collected by other parties, such as official statistics and social surveys, especially ones involving a formal interview. The Quantitative research technique is favoured highly by positivists who see measurement and statistics as a crucial element in making sociology more scientific. This technique can easily be duplicated, repeated and classified to achieve the same results, meaning the conclusion can be confirmed as fact. Positivists may also create their own primary material through creating questionnaires or structured interviews. The second research technique is Qualitative. Qualitative research is not based on measurements or statistics, and is useful if the researcher does not require a quantified figure or if the subject that is being studied cant be precisely measured. This style works well with participant observation as the observer may want to simply observe behaviour rather than record it. Interpretivists prefer the Qualitative technique as they employ methods such as in depth interviews, non-participant and participant observation. These methods are not easily repeated and no two observations may be the same, but that are still very valid. Traditionally, those who followed positivism were the Structuralists, the Functionalists and to a certain degree the Marxists. The Structuralists believe that the system of society took greater precedence than the elements within the system, so individuals are directed by society. Functionalists like Durkheim and Parsons believed that the actions of the individuals in society were controlled by the cultural system that they belonged to. Marx tried to apply more generalised historical social laws to his theories to try and predict society's future. However, some positivists have criticised him for not being scientific enough, and claim that his ideas are merely theoretical. The main body of interpretivism is made up of Phenomenologists and ethnomethodoligists. Phenomenologists are concerned with understanding how humans understand their environment and the world around them. The distinction between Phenomenology and positivism is often exaggerated. For example, Durkheim, the founding father of Functionalism did not stick rigidly to his own methodology. He made mental sketches of what it was like to be a Roman Catholic or Protestant. Ethnomethodology looks at how humans categorise the world around them, how people give meaning to their social world. This approach is only concerned with the subjective approach. Some sociologists do not fit directly into a category, interpretivist or positive. Symbolic interactionists such as Becker are commonly described as interpretivists as they understand they must appreciate the point of view of the actor, nevertheless, they still try to maintain a casual relationships. Some develop hypotheses and assess these against further evidence. Another example of a sociologist who crossed the boundaries was Cicourel, and ethnomethodoligist also used statistics to study juvenile justice. In modern times, theoretical commitment is not seen as important as structure and action and a mixed of methods is employed. For example Lea and Young have both used in depth interviews and statistics when analysing crime. Important points to take into consideration are that some techniques are better at analysing phenomenon than others. For example you would have great difficulty using social survey or official statistics to study police brutality or new age travellers. Some methods may be rejected as unethical such as covert participant research. Practical considerations are also noted. Time, money and number of collaborators may be affected if research is funded by a particular body. In conclusion, tradition dictates that there are only two choices of research technique that are adopted by different social theories, but in reality however, many sociologists find that the best way to achieve reliable and valid results is by combining both qualitative and quantitative.