Memo to Ceo

Our goal is to inspire, engage and develop our people to unleash full potential as individuals and as an organization. The organizational components of the hospital are its governing board, administration, the nursing staff and other key personnel. Each group has primary responsibilities specific to the nature of their function. However, each group share common Interests with others and must work cooperatively on issues such as long range planning, budgeting, capital equipment acquisition, facilities design, maintenance, and quality assurance.According to Giuliani (2004) decentralization is a structure that would promote better-informed decision-making, ensure effective articulation. Additionally, decentralization encourages self-sustainability and enable greater of understanding of local needs as well as better use of local resources and growth potentials for improving productivity and increased quality of care.Being cognizant of how Select Medicals' decentralized structure function s will help to formulate effective strategies for improvement. There are crucial responsibilities In the organizing of Select Specialty. The Governing Board represents corporate leadership and ownership. The Governing Board address legal and regulatory manliness, Investments and business procedures, allowably Insurance, gulden and directing the organization, and establishing its policies and for charting its future course.Of crucial importance is the need for the governing board to ensure that specific organizational goals and philosophies are identified so that all parties have a clear understanding of why the institution exists and what goals everyone should be working toward. The Administrator is responsible for the implementation of the Board's policy in the daily operations of the hospital. While the board is primarily unconcerned with whether the hospital will do well, the administrator is responsible for how it will be achieved.Typically the administrator focuses on hiring, o rganizing and supervising personnel and staff, designing and implementing proper policies and procedures, and allocating resources efficiently. The nursing staff and other key staff are responsible for caring out the interventions prescribed by the physician according to polices and procedures designed by the Governing Board. The staff team approach works to identify all of the patient's medical conditions, devise he administrator is the liaison between the Governing Board and the rest of the organization.The identification and knowledge of Selects structure and functionality will assist in developing a strategic plan that will be in align with the vision, mission and objectives of the organization. Please feel free to contact me. Best regards, Michelle Frank References Giuliani, V. S. (2004). Decentralization of Health Care: Understanding the Relationship Between Values, Social Interaction and Health Policy. Conference Papers American Sociological Association, 1 . Dot: as_proceedin g_35637. PDF

Application of a Communicative Competence Skill Essay

Introduction I will first describe the components of Communicative Competence then the four spheres of Multiliteracies Pedagogy then conclude by applying a skill. Communicative Competence Communicative Competence has five components: 1. Discourse Competence: The selection, sequencing, and arrangement of words, structures and utterances to achieve a unified spoken or written text. Examples of Discourse Competence skills: A. Cohesion B. Deixis C. Coherence 2. Linguistic Competence: The basic elements of language: A. Syntax B. Morphology C. Lexicon D. Phonology E. Orthography 3. Actional Competence: Conveying and understanding speech acts. Examples of Actional Competence skills: A. Interpersonal Exchange B. Suasion C. Problems 4. Sociocultural Competence: The knowledge of how to communicate appropriately within the social and cultural context of communication. Examples of Sociocultural Competence skills: A. Social Contextual Factors B. Stylistic Appropriateness Factors C. Cultural Factors 5. Strategic Competence: The knowledge of communication strategies and how to use them. Examples of Strategic Competence skills: A. Avoidance or reduction strategies. B. Achievement or compensatory strategies. C. Interactional strategies. The Multiletracies Pedagogy model: 1. Situated Practice: It provides immersion for students to develop familiarity for the activities and learn by doing. 2. Overt Instruction: It provides direct information from the teacher to let the students learn the important features of the learning activities and focus on the structure (grammar) of the activities. 3. Discourse Analysis: It helps students analyze their activities and know how to benefit best from the materials. 4. Transformed Practice: it give an opportunity for students to use what they learned in new situations. Applying the model I chose service encounters to apply to the multileteracies pedagogy model: 1. Situated Practice: show the students a service encounter on how to order in a restaurant or book a room in a hotel via video or a role play. 2. Discourse Analysis: Let the students have a discussion on how to do service encounters well and what kind of language they should use. 3. Overt Instruction: Explain the structures and expressions used in service encounters, for example the use of â€Å" I want †¦, please† and â€Å"How much †¦?† 4. Transformed practice: Have the students do a role play as employee at a travel agency and a client, or a waiter and a customer. Student can also record a service encounter on the phone or a digital recorder calling for a takeout meal or the mobile service company to file a complaint

Alcan Case Four Essay Example | Topics and Well Written Essays - 1250 words

Alcan Case Four - Essay Example Emergence conditions may arise any time in any organization and measures should be put in place in order to provide the employee with the best care in case of such an appraisal. The development and implementation of an emergence plan would ensure that such situations are handled well. Injuries are the inherent risks in emergence situations, and the only way to respond appropriately to emergent situation is been always prepared. Being adequately prepared requires that there is an emergence plan; proper training of personnel, making sure medical equipment is well maintained, proper and adequate means of communication, proper utilization of medical equipment, and continued education for all personnel in emergency medicine (Belmer, 2006)..This paper discuses the Alcan organization with a major focus on Organization Disaster Recovery Plan, Political Forces Influencing IT Improvements within the organization and the Change in Management Plan. Alcan Disaster Recovery Plan In cases where the re arises an earthquake, there is the need for an Emergency Plan Rehearsal. Emergence or the disaster can be defined as a crisis situation that causes wide spread damages that far exceeds our abilities to recover. The possibility of occurrence of an Emergence or disaster, place, time, and its severity of striking might be reasonably and in certain cases be accurately predicted by scientific and technological advances (Belmer, 2006). There is always a definite pattern of occurrence of emergence and thus to some extent the impact of damage can be reduced though the extent of damage itself cannot be reduced. Earthquakes are among the natural types of emergences that cause physical injury and fractures. Disaster or Emergence management refers to the action that is taken by an organization as a response to an unexpected event that is adversely affecting either resources or people, as well as threatening the normal operations of the organization. In this case, Disaster Management involves the development of the disaster recovery plan and the implementation of such a plan (Belmer, 2006). The development of the disaster recovery plan is meant to minimize the risks of the disasters and helps in handling them whenever they occur. Related techniques for disaster management include contingency management, risk management and crisis management. Emergency management, on the other hand, is a discipline that deals with avoiding risks and it entails preparing for emergence before its occurrence, emergence response such a quarantine, emergence evacuation, and mass decontamination, as well as rebuilding and supporting the societies after the occurrence of either man-made or natural disasters (Belmer, 2006). There are a number of advantages of developing an Emergency Plan Rehearsal. First, while coming up with an Emergency Plan Rehearsal, one would need to develop a disaster recovery continuity plan. The disaster recovery continuity plan will be a helpful tool in identifying area s of concern. One would have to engage with a community to help him, or her in arranging the brainstorming events, prepare checklists, interviews, questionnaires, workshops, access expert facilitators, review assumption lists, and use data from other projects. Dong this, would help assess each event on a probability scale (Belmer, 2006). Secondly,

IT SYSTEMS MANAGEMENT COURSEWORK PART 2 Essay Example | Topics and Well Written Essays - 750 words

IT SYSTEMS MANAGEMENT COURSEWORK PART 2 - Essay Example The IT groups within the company are always working round the clock to put in place architecture and tools which will support the company process. Delma SSS has implemented the Service Oriented Architecture (SOA) a technology which is meant to make re-orientation to their core technology that will ensure new consumption patterns are in place (Rajput 2000). Even though Service Oriented Software (SOA) has been used in the past to support data integration and system rationalization, SOA has been realized to provide a technical basis for the sake of business improvement processes of Delma SSS. SOA has characteristics that enhance simplification, flexibility, consistency, ease of change and encapsulation which are helpful in helping the IT department within Delma SSS implement constant improvements. The Service Oriented Architecture is quite valuable and its tools are fundamentally focused as it presents an atomic view of the functions and data that Delma SS supports. The only challenge i s that the business manager with a list of services of which they may not know how to operate some of them in the efforts of the company to improve in the future (Footen & Faust 2008). To help this challenge the SOA needs a partner in the equation to further improvements of the IT solutions. Delma SSS therefore integrates the Business process Management (BPM) technology to work in conjunction with the SOA for the sake of consistent improvement of the technological operations of the Company (Grembergen 2002). Business Process Management (BPM) is used by the company to enable their business teams to provide a competitive advantage when driving the improvement of operations of the company. The competitive advantage of Business Process Management (BPM) to aid SOA is realized through self sufficiency in terms of process discovery, better prioritization and requirement of the requests made to the technical teams. Furthermore, the BPM presents a more efficient environment for collaboration with the ability to drive requirements down in the SOA layer (Footen & Faust 2008). With the projected revenue growth of the company by 45% in the next few years, Delma SSS decided that it needs to improve its core business processes for the support of a high revenue realization with low staffing growth. A simple functional architecture of what this process looks like is as shown:- The red side components of the figure represent the familiar elements of SOA. This IT component provides an architecture that gives room for rationalizing of data across all its multiple stores. Just apart from ensuring there is cost reduction, SOA provides a model for abstracting out system-specific calls (Footen & Faust 2008). These services then are really better ways to expose and govern the hard-core IT assets so that they can be more easily consumed and therefore more easily re-used. The building of access to data as presented by the system means that a consolidation and dynamism specific underlyin g data structures and engines, this is not only easier now but in the future. SOA also provides the tools that technical teams will use to build out the services that implement a business process. However, at this point, technical teams need the input from their business counterparts about which events matter, who uses the specific business services and when. In short, how these services are

See below Essay Example | Topics and Well Written Essays - 750 words - 2

See below - Essay Example practices can include joint undertakings in market sharing as well as price fixing.2 Article 81(2) that any such agreement be null and void.3 Article 81(3) however permits a defence by allowing for exemptions in circumstances where the undertaking is made for technological advancement and can provide consumers with a â€Å"fair share† of the market.4 Exemtions are also applicable if the undertaking and not unreasonably restrain trade.5 Upon an even narraow interpretation of Article 81(3) it is obvious that joint enterprises do not incur strict liability. In other words evidence of collusion will not be sufficient to substantiate a claim of anti-trade practices within the meaning of Article 81(3). Moreover, Article 85 of the Treaty of Rome makes provision for the European Commission to investigate suspected infringements of Article 81. This provison by implication not only erodes the strict application of Article 81 anti-competitive collusions, but also places the onus on the Commission to prove an Article 81 infringement. Article 85 provides as follows: â€Å"†¦the Commission shall ensure the application of the principles laid down in Articles 81 and 82. On application by a Member State or on its own initiative, and in cooperation with the competent authorities in the Member States, who shall give it their assistance, the Commission shall investigate cases of suspected infringement of these principles. If it finds that there has been an infringement, it shall propose appropriate measures to bring it to an end.†6 It is obvious that Article 85 places the jurisdiction of anti-trade conduct in violation of Article 81 with the European Commission. Moreover, the investiagtive provision implies that the Commission will have to collect sufficient evidence to satisify itself that an infringement took place that cannot be justified under the proviso contained in Article 81. The European court in NV Samenwerkende Elektriciteits-Produktiebedrijven v Commission of

Income Insurance Protection (IPI) Essay Example | Topics and Well Written Essays - 750 words

Income Insurance Protection (IPI) - Essay Example For example, Mr. Farid in his application failed to be honest by giving false information. Given information provided by the party seeking insurance cover provides the basis upon which sum assured and premiums are based, information asymmetry will most likely result in an adverse selection. In Mr. Farid’s case, the information he gave during application showed that he is not involved in manual or outdoor duties implying that his risk profile was low. The information contradicts the one given in the claims form which actually showed that he was doing manual duties that exposed him to higher risks than that of a company director he purported to be. Based on the information provided during application, that is, Mr. Farid was involved in inspecting construction sites and training workers on health and safety awareness, it is therefore easier to understand why the insurance company ignored his heart disorder problem and granted him the cover. Had the insurance known that Mr. Farid did manual jobs with the heart valve disorder, it would have taken him as high risk client, and therefore choose a higher sum assured (Claassen, 2008). Question 2. Whether one would approve Mr.Farid application for income protection insurance Based on the information provided by Mr. ... Question 3. Should Prudent Insurance Inc. pay or deny it? The insurance company should use its underwriter or appointed claims adjuster to investigate and verify the claims with the help of a medical practitioner to establish whether the poor health condition was work related or not. Based on the information generated, then the company can choose to compensate him in full, adjust the compensation accordingly or deny it all together. Where the poor health condition is not related the work done by Mr. Farid, the company should compensate him in full and if its work related they can adjust the compensation or deny with factual explanation. Part II: Household items insurance. Mr Green v Sun Insurance Inc. Question 1. How would the information about Mr. Green’s earlier convictions affect the insurer’s underwriting decision on Mr. Green’s application? The earlier convictions of three offences on Mr. Green would certainly have affected his application. First, he was con victed of a domestic violence which raises the possibility of a loss occurrence on household goods arising from his conduct. Secondly, his conviction for causing actual bodily harm to the police officers confirms he is a violent person increasing the propensity of a definite loss given his temperament. These two cases in point following each other would have force a company underwriter to consider Mr. Green’s application critically. Where household items to be insured are very valuable, then the underwriter can choose to abandon the application given that the probability that the company will pay a higher compensation within the cover is high. In the event that the underwriter chooses to accept Mr.

International marketing 4200 Research Paper Example | Topics and Well Written Essays - 500 words

International marketing 4200 - Research Paper Example The nature of the new product ready for introduction to the market conforms to the taste and preference of this age group (CIA). The population in the target group is the power consumers of the new product as it suits their lifestyle. According to a recent survey in UAE, both residents and expatriates use about 19.59% in communication and transport, while food, drinks, and beverages constitutes about 14,91% of the household income. These figures correspond to the target age group, between 20 and 49. The survey further shows that the average household per month is 11,241.20 Arab Emirate Dollars. The purpose of the survey was to study the spending patterns and distribution on major services and commodities to help define social and economic policies. The results of the survey show that the average national household expenditure and income has increased to exceed double that of non-national households. The report indicates that the average monthly expenditure for national is AED 22,989, while the average income if AED 36,438.10. On the other hand, non-nationals have an average expenditure of AED 9,645.40 and an income of AED 15,074.30. Majority of the working population falls under the target age group between 20 an d 49 years, accounting for 43.40% of the workforce (CIA). According to the CIA records, the labor force of eth country falls under three major occupations, which include agriculture, industry, and services. Agriculture employs 7% of the workforce, the industry takes 15% of the labor market, and services takes the remaining 78%. The new product targets the industry occupation, which accounts for 15% of the entire workforce. The CIA records further indicate that the total UAE labor force is about 4.111 million, with 85% of the force being expatriates. This then implies that the total target population in the industry occupation is 616,650, (4.11m by 15%). This is a large enough population

Copenhagen Historical Sciences Essay Example | Topics and Well Written Essays - 2000 words

Copenhagen Historical Sciences - Essay Example 'Copenhagen' draws its inspiration form a much famous or we may say notorious historical incident that involves a meeting between the two patriarchs of quantum mechanics that is the Danish physicist Niels Bohr and his German protg Werner Heisenberg in 1941. Since then, this meeting had been a topic of intense debate, conjectures and surmises amongst the historians and scientists. Infact the recently released letters drafted by Niels Bohr have only added to the confusion and controversy associated with that brief collision of the two scientific luminaries at that momentous point of time. The incident in the play alludes to a critical period during the II World War when Denmark was invaded by the Nazis and was being retained as a protectorate state. Niels Bohr was a distinguished and immensely respected physicist of the times who decided to stay back in Copenhagen and was infact allowed by the Germans to continue to act as the director of the Institute of Theoretical Physics despite hi s Jewish origins. Werner Heisenberg, who was a German, came under the tutelage of Niels Bohr at more salubrious times in the mid 20s when he accepted a lectureship at the Institute. This lead to a series of ground breaking collaborations between the tow geniuses, that laid the foundations of the much famous Copenhagen interpretation. In March 1927, Heisenberg came out with his uncertainty principle that stated that it was impossible to determine the velocity and the exact position of a subatomic particle at the same time. Following this amazing revelation, Bohr enunciated his complimentarity principle in September 1927 that emphasized the dual nature of matter at the subatomic level and highlighted the simultaneous wavelike and particle like properties of matter. It is not a hidden secret that both the scientist parted ways and abandoned their friendly ties owing to the unpropitious political unfolding of the future that accentuated their ideological differences. Bohr being a half J ew was strongly averse to the tragic possibility of the Germans getting an atomic weapon while Heisenberg though not being an outright Nazi, was a self professed patriot who choose to support his nation in its scientific endeavors in those trying times. Both the scientists being aware of the possibilities inherent in the splitting of atom were not oblivious to its military implications. In 1941, Heisenberg came to see Bohr in the German occupied Copenhagen. What transpired between the two scientists in that short meeting is still an enigma. Whether Heisenberg wanted to eke out the details of the allied nuclear program from Bohr or whether he intended to solicit his support in preventing the development of A-bomb by both the sides is still open to conjectures. Frayn uses this incident as a literary context for his play and goes on to build an intense and enticing

Business Administration (Research Article Critique) Lab Report

Business Administration (Research Article Critique) - Lab Report Example The following hypothesis may be developed for the present study: Interview schedule has been applied as the tool for data collection for the present study. Eighty seven respondents belonging to different age-groups, gender and area were selected on the basis of quota (non-probability) sampling for the interview. After the research process, the hypothesis was upheld. Balance in life maintains imperative significance in man’s life. The researches reveal the very fact that more healthy and satisfied the individuals be in a social set up, more will be the chances of the society and culture to grow and lead the world at large. It is therefore almost all societies of the world lay stress on the healthy and creative activities to make its culture a highly successful one. Though it is a fact beyond doubt that man cannot live without work, but it is also the reality that a balanced life containing professional commitment as well as recreational activities add more and more to man’s triumphs while climbing the ladder of his career life. It has aptly been stated that man is a social animal; all his needs and desires are fulfilled by living within a social set up and leading a gregarious life. He has to work hard from dawn to dusk in order to earn his bread on the one hand and keep the wolf from the door on the other. In the same way, he requires a balance life to make his life more and more comfortable. Modern industrialization and technological advancement has turned slow, sluggish and laggard life into very quick, fast and speedy one. Though demand for more and more technicalities and proficiencies in career life has got a significant boost and people look for delicacy as well as perfection in each and every profession, against which the professionals have to make hard efforts to prove their worth in this age of perfect

Stakeholders and the One Industry Town Essay Example for Free

Stakeholders and the One Industry Town Essay 1. Identify the stakeholders that influence and/or that are influenced by the company’s decision. The appropriate identification of stakeholders is very important to business corporations as one approach to understanding the environment in which they operate. According to this case, there are insufficient eligible workers in the immediate area and workers would have to be attracted from other communities. Employees want to have the convenient transportation of back and forth. And onside accommodations are feasible for them. However, if the company decided to build and maintain a road, they will spend too much money on it. 2. Use the stakeholder mapping matrix to plot the stakeholders based upon their support or opposition to the plant and their importance to the decision. The stakeholder matrix mapping methodologies give managers a practical approach to assessing the influence of stakeholders. Matrices can be based on a variety of dimensions and designed to suit the company’s purpose in stakeholder understanding. Using the stakeholder mapping matrix to plot the stakeholders based upon their support or opposition to the plant can ascertain the likely impact of stakeholder demands on the company’s strategies and identify appropriate courses of action to counter influence these demands. 3. Make recommendations to management how they should establish relationships with various stakeholders. The company’s arrangements must be in place to understand the relationships and ultimately to interact with stakeholders. The company can allow employees to adopt new ideas from external networks and encourage the employees share their information and work collaboratively. Expropriate to Expedite Development 1. Who are the stakeholders involved in this situation and what are the issues? The stakeholders are Developers, St. John, 19 property owners, Brendan Murphy, and City Council. * Developers indicated in building a hotel in downtown. * St. John’s wants the area to be developed because if it developed, the area would be a source of taxation revenue. * 19 property owners, the developers were successful in negotiating purchases with 19 property owners. * Brendan Murphy, who is only one of 20 owners, and only he refused to accept the offer from Developers. * City Council, the City Council thinks it was in the public interest to develop the site as employment opportunities. 2. Should governments have the authority to expropriate private property? Yes, I think so. Because government expropriate private property in order to develop public facilities such as parks, public library, and roadway and so on. It is conducive to residents’ daily life. In addition, it is a good way to create more employment opportunities. 3. What are the implications of the practice of the government expropriating property for the purposes of private development? First implication is the government is a non supportive Stakeholder, because government is trying to reduce the organization’s dependence on stakeholders. Then, Developers are the supportive Stakeholder such as Langton Green Development and Halifax-based Pacrin Hospitality Services. They are estimated to cost between $30 and $40 million to develop the area.

Improving Tissue Support- Altered Cast Technique

Improving Tissue Support- Altered Cast Technique ABSTRACT Aim: Cast partial denture made using altered cast technique creates an environment in which the teeth and the edentulous tissues support the denture bases as compatible as possible, resulting in a more stable cast partial denture. Background: The tissues of the edentulous ridge in distal extension removable partial denture are liable to be displaced under occlusal pressure. This is a result of the displaceability of the mucosa. The difference between the resiliency of the residual ridge tissues and the teeth causes disparity of support, that causes the denture to rotate about its distal abutment, inducing heavy tortional stresses on the teeth and possible traumatisation of alveolar ridge. Studies have proved that better support and stability can be achieved in distal extension cases using functional impression along with altered cast technique. Case description: The following article is a case report of a distal extension cast partial denture using altered cast technique for better tissue adaptability and stress distribution. Conclusion: For recording Kennedy’s class I and II edentulous areas, optimum residual ridge coverage with a well fitting denture base is required. This reduces stresses, preserving the remaining supporting structures which can be achieved with the use of altered cast technique. Clinical significance: The altered cast technique allows the residual alveolar ridge to be recorded in functional form and relates to the teeth so that when the prosthesis is seated, it derives support simultaneously from the teeth and the soft tissues. Keywords: distal extension, stress distribution, functional impression, altered cast technique. BACKGROUND: The most important consideration in replacement of missing teeth for a distal extension removable partial denture as per DeVan’s statement must be â€Å"the perpetual preservation of that which remains, and not the meticulous replacement of that which has been lost.†1-4. When occlusal forces are applied to distal extension removable partial dentures, the forces must be distributed equally to the abutments and the tissues of the residual ridge.2 This cannot be accomplished on a master cast made from a single impression. A dual impression technique is used in which a â€Å"corrected cast† can be generated which can record and relate the tissues under uniform loading, distribute the load over as large an area as possible and accurately delineate the peripheral extent of the denture base.2 Functional impressions are defined as â€Å"The impression which records the form of the residual alveolar ridge under some loading whether by occlusal loading, finger loading, specially designed individual tray or consistency of recording medium.†5 Several methods may be used for registering the alveolar mucosa in its supporting form. The dual impression techniques are categorised as 1). Physiologic impression techniques. a). McLean-Hindel method, b). The functional reline method, c). The fluid wax method. 2). Selective pressure techniques.2 According to Leupold6 , the functional reline method is accomplished after the denture base has been processed onto the framework. The disadvantage being it requires a greater degree of occlusal adjustment after processing of acrylic resin and so it is necessary to modify the new denture before delivering it to the patient.6 So to overcome this the master cast is altered to accommodate the secondary impression and thus altered /corrected cast is generated.2,6. Cast partial denture made using the altered cast technique helps create an environment in which the teeth and the edentulous tissues support the base as compatibly as possible resulting in a more stable denture that improves the support for the occlusal relationship of the opposing dentition and the removable partial denture restoration.2,3. For preservation of the residual ridge, Becker and his colleagues, critically reviewed the evolution of removable partial denture and outlined six principles for its design which include a rigid major connector, multiple positive rest seats, mesial rests, parallel guide planes, the I-bar clasp design and the altered cast technique.7 This technique has the potential benefits of reducing the number of postoperative visits, preserving the residual ridges, improving stress distribution, decreasing food impaction and decreasing the torquing of abutment teeth leading to increased patient satisfaction.8-11. The following case report will explain the use of altered cast technique used in the fabrication of a distal extension cast partial denture. CASE DISCRIPTION: A 60 year old male patient reported to the Department of Prosthodontics Dr. D.Y.Patil Dental College and Hospital, Navi Mumbai with the chief complaint of missing teeth and difficulty in eating. Extra-oral examination revealed that the patient had an ovoid tapered face, with mild prognathism, competent and thick lips. Patient had a habit of cigarette smoking since 20 years and so was advised to stop the habit. Intraoral examination revealed that there was only one tooth 23 remaining in the maxillary arch and 31,32,33,41,42,43 in the mandibular arch. The teeth were lost due to caries and periodontitis. (fig.1,2) Radiographs were evaluated and the treatment was planned. Tooth supported overdenture for maxillary arch and cast partial denture for mandibular arch was planned. Diagnostic impressions were made in irreversible hydrocolloid (Imprint, DPI). The impressions were poured using dental stone (type III, kalrock) and casts were procured. For the maxillary arch, the canine was endodontically treated. Pattern resin (DPI) was then used to make a Thimble-shaped coping for the canine which will help in additional retention of the maxillary denture. Primary impression was made using irreversible hydrocolloid (Imprint, DPI) and custom tray was made. The coping was then cemented with zinc phosphate cement (Dentsply). Border moulding was done with low fusing compound (greenstick, DPI) and wash impression was made using polyether impression material (3M ESPE). Master cast was poured in dental stone (type III, kalrock). For the mandibular arch, Diagnostic cast were surveyed and cast partial framework design was planned. The design included Lingual Plate as the Major Connector, Modified Ladder shapped minor connector. RPI system was planned for the rests and guide planes on 33 and 43. Mouth preparation was done which included the preparations of rest seats on 33 and 43, guide planes on distal of canines. Composite build up on the mandibular anterior teeth was done for better anterior giudance. Impression was made in a custom tray using medium bodied polyether impression material (3M ESPE) and master cast was poured using dental stone (type III, kalrock). Cast partial denture framework was fabricated on the master cast. The cast partial denture framework was checked on the master cast and in the patient’s mouth for the fit. (fig.3,4). The cast partial framework was used as a part of the custom tray for recording the functional impression. Spacer wax (DPI) was adapted on the saddle area of the framework and acrylic custom tray was made using Self cure acrylic resin material (DPI). The custom tray was checked in the patient’s mouth for correct extension. Border moulding was done using low fusing impression compound (green stick, DPI). Spacer wax was removed to provide space for the wash impression material. Tray was coated with a layer of adhesives so that the elastomeric impression material adheres to it. Wash impression made using polyether impression material (3M, ESPE). The master cast was sectioned into 3 pieces with the help of a hand saw and the distal edentulous area was removed. (fig.5). The wash impression made on the framework was placed on the sectioned master cast making sure that it seats completely in the rest seat areas. (fig 6). The entire assembly was sealed using utility wax to prevent its dislogement or movement during pouring of the cast. Beading and boxing was done around the framework and sectioned master cast and the impression was poured using a different coloured dental stone (type IV, kalrock) to distinguish with distal extension areas. The cast thus obtained was the altered cast. (fig.7). Jaw relation was recorded and teeth arrangement was done. Try in of the maxillary and mandibular trial dentures was done and dentures were fabricated using Heat cure acrylic resin (Leucitone,Dentsply). At the denture insertion stage dentures were checked in the mouth for retention and stability. (fig. 9,10). Post insertion instructions were given and follow up at the interval of 1month and 3 months was done. DISCUSSION: The fabrication of distal extension partial denture is a difficult task since it involves taking support from both the tissues and the teeth. Both of them have different amount of movements when forces of mastication are applied to them. Thus, the use of special impression techniques becomes necessary. However, in some cases, soft tissue displacement is slight. As a result, the functional and anatomic contours of the ridge may be virtually identical. However, that was not in this case. The decision to use dual impression technique along with altered cast technique was determined in the beginning using a test. Here, first the acrylic denture base was made on the diagnostic cast and placed in the mouth and finger pressure was applied to the base. There was some amount of lift seen in the framework suggesting that there was some soft tissue displacement. So by using the dual impression technique we can get a precise and functionally formed denture border and seal.2,3,7,8. The dual impre ssion used is indicated for mandibular distal extension cases because of a limited ridge area, the mobility of the floor of the mouth, to record the stress bearing area and proper peripheral extension.2 There are two categories of dual impression techniques mainly the physiologic impression techniques and selective pressure techniques. Physiologic impression techniques record the tissues of the residual ridge in its functional form by placing an occlusal load on the impression tray during impression procedures. The methods are the McLean-Hindels method; the functional reline method; and the fluid wax method.2 The need for physiologic impressions was first proposed by McLean and others. He recorded the tissues of the residual ridge in a functional form and the remaining teeth in anatomic form. However the disadvantage of this technique being that the dentists could not produce the same functional displacement generated by occlusal forces because of design of tray being used.2,12 In response to this shortcoming, Hindel developed his impression procedure by modifying the tray as a result of which the finished impression was a reproduction of the anatomic surface of the ridge and the surfaces of the teeth. Disadvantage being that the tissues recorded in this technique continue to be in a functional form all the time. This results in compromised blood flow with adverse soft tissue reaction and resorption of the underlying bone. Also sometimes because of this there is presence of premature contacts of the teeth replaced which will not be acceptable to the patients.2,13,14 The Functional Reline technique and the Fluid wax method where fabrication of the distal extension denture is done before and the new surface is added to the intaglio of the denture base afterwards. It can be done in cases where the denture becomes loose. However, as in the earlier methods this method too, has some difficulties mainly, the problems caused by failure to maintain the correct relationship between the framework and the abutment teeth during impression making procedure and also failure in achieving accurate occlusal contact following the reline procedure.1,2,3,15. To overcome this, along with this method corrected cast procedure was used yielding a better result.1,2,3,9,10,15 In the mentioned case report we have made use of the altered cast technique along with selective pressure impression procedure. The main advantage of this procedure is that the framework was ready before we make the final impression and alter the master cast. So the adaptation of the framework to the teeth and the soft tissues doesn’t change after the final impression. Also the other advantages are, 1. Remarkable stability of the denture base in distal extension removable partial dentures. 2. A positive occlusion which will be maintained for long periods of time. 3. Reduced stress on abutment teeth from unfavorable forces. 4. Reduced numbers of post-insertion adjustments.2,7,10 CONLCUSION: Fabrication of a cast partial denture for mandibular distal extension class I cases is a challenge for the prosthodontist. Several functional methods have been proposed for recording the edentulous area and the abutment teeth. An altered cast technique for fabricating cast partial denture was used in the above article. This impression technique helps in registering and co-relating tissues of different resiliency. This improves the stability and support of the denture, resulting in optimal load distribution. CLINICAL SIGNIFICANCE: An altered cast technique is a way better and faster as compared to other techniques. In this technique the cast partial framework is kept ready before the recording of functional impression. Because of the correct fit of the cast partial framework this technique helps in recording the hard and soft tissues in a better way. Thus, it can be routinely utilized for the recording of distal extension area. 1

Critical Abstract-MacBeth :: essays research papers

I. â€Å"The Tragic Essence† by Margaret Webster II. Source: Class Handout III. â€Å"In MacBeth, the subtle power of darkness becomes all-pervading; it takes the form of â€Å"supernatural soliciting,† it employs â€Å"instruments of darkness,† it drenches the play in blackness and in blood, poisons the air with fear, preys on bloated and diseased imaginings, turns feasting to terror and the innocent sleep to nightmare, and employs a terrible irony of destruction in the accomplishment of its terrible irony of destruction in the accomplishment of its barren ends. Evil is alive of itself, a protagonist in its own right.† IV. There is a tradition among actors that tie in with MacBeth. Saying the name can be very unlucky. No other play has held such a fatal influence to actors than this one. The characters in this play had evil traits as well. Lady MacBeth was stripped of her feminine qualities to give her the will power to carry on the deed of killing Duncan. To do this, she called for evil spirits to enter her. The death of Duncan is a sign to the both of them that evil has taken control of their lives. It has become an overpowering force that they cannot control. MacBeth’s life becomes a living nightmare. He cannot stop killing people; he has become the slave to evil. The only connection left between MacBeth and his wife is the blood of the murdered. The last part of Lady MacBeth is filled with echoes, regardless of the sleepless nights. Fear has set in around the whole play. Everyone fears his or her lives. As the play comes closer to its end the spread of evil accelerates rapidly. The root to all evil of this play is connected with the witches. Their disgusting bodily features and appearances, their spells and the belief in witchery of the time give them a strong power. As superstitions have changed, so did the figureheads of evil in MacBeth. When Orson Welles did his Negro MacBeth, he used voodoo, which was perfectly equivalent. V. This thesis has a very true argument. MacBeth does hold a strong sense of superstition, evil, and blackness. Actors who have to act in MacBeth portray its superstition by never saying â€Å"MacBeth† unless it is necessary. Several times in her work she shows how evil slowly takes over the play.

After Apple Picking :: After Apple Picking

After Apple Picking Throwing all sexual connotations aside, "After Apple Picking" is about a dying man who is pondering the accomplishments in his life, and contemplating on the opportunities that he has let pass by. As our narrator drowses off into his final sleep, he is tired of having had so many options, but still he knows that his mind will have time to think and wonder if he should regret. As the poem starts, he is standing on his long ladder pointed towards heaven, and looking down on the apples that he didn't pick. But, he shows no sign of regret, for he admits that he is "done with apple-picking now." Though he seems quite confident in this declaration, the reader questions his sincerity as he looks down at the barrel he didn't fill. For this is his last waking hour, and questions are sure to come while "the essence of winter sleep is on the night." Our narrator goes on to talk about his strange view of the "hoary grass" through a small sheet of ice. As he is looking through this piece of "glass", it begins to melt, thus symbolizing how his view of the world is about to end. Although completely aware of his waning time, he is comforted by knowing "What form [his] dreaming was about to take. With a somewhat optimistic outlook, he is confident of the positive nature of his thoughts in the afterlife. He supposes that his "dreams" shall be of his many accomplishments; a "stem" to "blossom" overview of his life's works. The narrator also figures that his dreams will show him how he was sturdy, swaying little, when boughs of the trees were bending in the wind. He will see himself as strong under the heat of a barrage of apples come rolling in. After admitting that he has had too much of apple-picking, he seems ready to watch the "Highlights" in his dreaming. While thinking of how successful he has been in his "apple-picking", he begins to wonder of the fruitful opportunities that he has let slip through his hands and fall through to the ground.

Drama Monologue Velocity vs. Viscosity :: Drama

Drama Monologue Velocity vs. Viscosity Insanity comes in two basic varieties: slow and fast. I'm not talking about onset or duration. I mean the quality of the insanity. The day to day business of being a head case. There are lots of names I guess: depression, catatonia, mania, anxiety, agitation. They don't really tell you much though do they? The predominant quality of the slow form in viscosity. Experience is thick. Perceptions are thickened and dulled. Time is slow, dripping slowly through the clogged filter of thickened perception. The body temperature is low. The pulse is sluggish. The immune system is half asleep. The organism is torpid and brackish. Even the reflexes are diminished, as if the lower leg couldn't be bothered to jerk itself out of stupor when the knee is tapped. Viscosity occurs on a cellular level. And so does velocity. In contrast to viscosity's cellular coma, velocity endows every platelet and muscle fibre with a mind of its own, a means of knowing and commenting on its own behaviour. There is too much perception, and beyond the plethora of perceptions, the plethora of thoughts about the perceptions and about the fact of having perceptions. Digestion could kill you! What I mean is the unceasing awareness of the processes of digestion could exhaust you to death. And digestion is just an involuntary sideline to thinking, which is where the real trouble begins. Take a thought - anything. I doesn't matter. For example - I'm tired of sitting here in front of the nurses station. I perfectly reasonable thought. Here's what velocity does to it. First break down the sentence. 'I'm tired' - well, are you really tired, exactly? Is that, like, sleepy? You have to check all body parts for sleepiness, and while you're doing that , there's a bombardment of images of sleepiness along these lines: head falling onto pillow, head hitting pillow, Wynken, Blynken and Nod, Little Nemo rubbing sleep from his eyes, a sea monster. Uh-oh, a sea monster. If you're lucky you can avoid the sea monster and stick with sleepiness. Back to the pillow, memories of having mumps aged five, sensation of swollen cheeks on pillows and pain of salivation - stop. Go back to sleepiness. But the salivation notion is too alluring, and now there's an excursion into the mouth. You've been here before and it's bad. It's the tongue: once you think of the tongue it becomes an intrusion. Why is the tongue so large? Why is it so scratchy on the sides? Is that a vitamin deficiency? Could you remove the tongue? Would your mouth be less of a bitch without it?

Understanding Child and Young Person Development

Unit title: Understand child and young person development Unit number: CYP Core 3 Question 4 4. 1 Analyse the importance of early identification of speech, language and communication delays and disorders and the potential risks of late recognition. It is essential that speech, language and communication delays and disorders are noticed early so the relevant interventions can be used to support the child or young person. Answer the questions below. 1. How can observation be used to identify speech, language and communication delays? 2. What should you do if you have concerns about a child’s development of speech, language and communication skills? 3. What would be the risks if these delays were not identified? Use your answers to help you analyse the importance of early identification of speech, language and communication delays and disorders and the potential risks in late recognition. The early years are a time for rapid learning and development in a child’s life. Language is very important to learning since it helps the child to store information in an organized way and to express the child’s thoughts. If a child has difficulty in communicating with others due to a speech and language delay or disorder the child will be at a disadvantage. The child will have many problems. The child may fail to understand instructions given by the adult and this may be interpreted as misbehaviour. For example the child has been instructed to put away the task and line up to go for the music lesson to another room at school. However the child has not understood what has to be done because of his inability to process the information. Instead the child goes and has a drink of water and takes out his lunch box. Teaching in schools is usually done through verbal description and instruction. The adult presents learning situations with the use of language or speech. Failure to understand means the child will be unable to store or use information provided. For example the child has to play a board game with three other children and so has to follow specific instructions shown by the adult according to the rules of the game. A child with language delay has limited resources for demonstrating knowledge and explaining their reasoning. For example the child wants to explain to the teacher the properties of a three dimension solid but finds it difficult to do so because of language delay. Oral language serves as a precursor to literary skills. For example the child first has to be a good communicator and then uses this skill to interact with others. Then the child uses vocabulary to understand and experience stories, songs, poems and rhymes. The child begins to enjoy reading and writing. Language ability is central to the ability to establish friendship with other children. The child has to be able to communicate and talk to his peers and form social relationships with them. For example the children use language to imagine at role play and develop social skills. There are a number of reasons why children experience difficulties and delays in speech, language and communication development. The causes may be due to ear infection where the child is unable to hear words or hear distorted sounds, or find it confusing and tiring to focus on verbal communication. The ear fluid may pose a problem for the child and sounds are muffled and not clear to the child’s hearing. The child may be experiencing specific difficulty in using their oral muscles effectively and this may affect speech. For example a child with cerebral palsy does not have much control over the mouth and the muscles around it and so cannot form the words properly. The child may say ‘b’ sound instead of ‘v’ and so the meaning of the word could be totally different-base for vase. Sometimes speech and language difficulties are passed down families. For example stammering or lisping. Problem’s during pregnancy and birth can also affect the child’s developing brain and contribute to speech and language difficulties as part of a wider developmental delay. For example a mother may experience bleeding of the placenta during pregnancy and this may affect the unborn child. The child born thus may be able to say certain sounds but not be able to speak clearly as the vocal chords may be affected or due to damage in the brain that controls language. There may be a recognised syndrome or disorder that causes language difficulty for the child and is not able to communicate with others. The child may have a lack of stimulation and support to provide the rich language experience necessary to develop speech, language and communication skills. For example at school, the setting may not have an enabling environment to stimulate the child’s different interests necessary for acquiring language. The books, music, songs and so on may not stimulate and interest the child. For most children there is no clear reason as to why there is a delay in the development of speech, language and communication skills. Therefore, an adult should never assume that the child’s speech, language and communication problems are due to hearing loss. It may be that the child is experiencing communicating difficulties that are unrelated to their hearing problems because the child may not have acquired the vocabulary necessary to express his thoughts and actions. It is important to observe the child carefully, closely and to listen to them in different situations to ensure that the teacher is clear about what their needs are, their strengths and difficulties. It is important to observe the child in a range of settings and in both structured and unstructured situations. For example the child can be observed in the classroom; playground or lunch hall and the assessor can identify the child’s needs and plan the next step for the child’s development in speech, language and communication skills. Some children who begin settings with an apparent delay in their skills quickly progress as the child experiences language rich activities. Other children who are shy take a while to develop confidence to speak and express themselves because the child may be shy or reserved by nature. The most reliable assessor will take into account the child’s views, parents’ knowledge of the child and observations from all professionals who are involved with the development of the child. Assessment should be a continuous process and over a period of time so that one can gather evidence to inform and enable appropriate and timely support and provision for the child. The assessor should never be tempted to â€Å"wait and see†. There is a â€Å"window of opportunity†: if a child’s speech, language and communication skills are similar to his peers by age 5 12years then the child is making good progress. If it is not, then the child needs support at an early stage over a period of 2 years so that the child can progress and be at the same level as his peers so it is always better to start now when the problem has been identified. The assessor will enquire about the child’s hearing and request a test if necessary. The assessor will check physiological factors affecting development like vision, cleft palate, motor difficulties. The assessor will show particular awareness and sensitivity to, the needs of a child learning English as an additional language. To encourage and develop the child’s speech, language and communication skills most effectively, the adult needs to position herself face to face as the adult plays and talks to the children. The adult needs to shift her gaze between the activity the child does and the child. For example when the child sees the face of the adult it allows the child to understand the facial expressions and the lip pattern help the child to understand words. The adult must make sure that the child is paying attention each time the adult talks to the child. For example at circle time the teacher must ensure that the child is facing her and not be distracted. The child must be able to concentrate and not play with a piece of string found on the mat. The adult must keep language simple and avoid long and complicated sentences when talking and giving instructions to the child. Long winded sentences confuse and distract the child and the child may not be able to follow. At group time the adult must make sure that the child is seeing the adult’s face. This will help the child to understand emotions and facial expressions when the child is being read a story. The adult must use gestures since this will help and encourage the child to become good communicators. Learning to listen and speak emerges out of non-verbal communication like eye contact, facial expressions and hand gestures. The adult must ensure that there is no background noise that will affect the ability of the child to hear what the adult is saying. If there is noise the child will distracted and lose interest in the lesson. The adult should have knowledge of the child’s use of a dummy at home and should discourage parents to use it because problems arise in speech and the child may not be able to speak and pronounce words clearly. Sucking habits impede progress in speech, language and communication skills since the child interacts less socially with his peers and people around the child. The movement of the tongue is restricted and the child does not talk as much if the child did not have the dummy in the mouth. The dummy should be given to the child at bedtime or when really required and not to keep the child quiet. The adult should talk at a natural pace. If the adult speaks too fast the child will not understand what is being spoken. If the adult speaks very slowly the child loses interest and attention gets diverted since the child has a short attention span. If a child is shouted at and given commands then the child’s speech gets hampered. Shouting, by the child is viewed as unpleasant and jarring to the ear and the lip pattern gets distorted. The child may develop a fear and become withdrawn and afraid in the adult’s presence. If an adult in the school setting is concerned about the speech, language and communication skills of a child then the adult must discuss it with the parents. The adult can approach the parents in a sensitive manner and say the child has a problem with these particular speech sounds and not say that they cannot understand what the child says. With permission the school can seek specialist help so that the child’s needs can be supported appropriately at the right time and right age keeping all the other factors that help towards the building of good speech, language and communication skills. If the child has a delay in speech development, the child will not understand language spoken to them. The child will develop a range of sound speech inappropriate for their age. The child will not develop use of words and sentences appropriate to their age. The child may use language inappropriately. For example saying phrases that do not make sense in context or repeating chunks of language without any meaning. The child may find it unusually difficult to follow rules or join in conversation by looking, taking turns, sharing, interest in a subject and so on. The child may show frustration and be upset and may withdraw from conversation due to non-fluency in language. Sometimes the parents are very anxious about the child’s speech and then this reflects on the child’s behaviour and development. If an adult observes that the child is non-fluent that continues more than 6 months then the adult have to take serious action and appropriate measures should be adopted because it has been seen that with extra support, the child makes good progress. Speech, language and communication difficulties are common among children. Early identification therefore prevents difficulties later on especially in talking, listening, literacy and making friends.

Paganism and Christianity in Beowulf Essay

Like a man outlawed for wickedness, he must await the mighty judgement of God in majesty. † (Beowulf, Heaney, p. 65) Finally, as Beowulf is dying after being mortally wounded by the Dragon, he ultimately thanks and praises God for the future prosperity of his kingdom, passing off the fame and glory to God instead of claiming it solely himself: â€Å"To the everlasting Lord of All, to the King of Glory, I give thanks that I behold this treasure here in front of me, that I have been allowed to leave my people so well endowed on the day I die. (Beowulf, Heaney, p. 189) The attempt at bridging Pagan tradition with Christianity is clear and powerful. Fate and personal fame and glory are important doctrine in Paganism, and the author of Beowulf is able to mend these characteristics with the Will of God and the ultimate power and glory of God, all major aspects of Christianity. 2-B2 The Gospel of Matthew was and still remains a critical text to Christians, both cradle Christians and converts from Judaism. It depicts the life of Jesus, as did the other two synoptic gospels – Mark and Luke. It includes depictions of Jesus’ birth in Bethlehem, his temptation, his baptism by John the Baptist, his teachings, his crucifixion, and his resurrection and Great Commission to his disciples. ?The Great Commission is arguably the most significant excerpt from the Gospel of Matthew as is believed to be Jesus’ instructions dictated to his disciples to go out and spread the teachings of Jesus. It is found in Chapter 28, verses 16-20: â€Å"Then the eleven disciples went to Galilee, to the mountain where Jesus had told them to go. When they saw him, they worshiped him; but some doubted. Then Jesus came to them and said, â€Å"All authority in heaven and on earth has been given to me. Therefore go and make disciples of all nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit, and teaching them to obey everything I have commanded you. And surely I am with you always, to the very end of the age. † This excerpt has been interpreted by Christians as divine instruction to evangelize nations, baptize non-Christians, as well as to perform missionary work. It is central to the theology of most Christian religions. Also of note, the Gospel of Matthew served as a bridge from Judaism to Christianity. In it, Matthew attempts to demonstrate how Jesus fulfilled the prophecies of the Old Testament and that Jesus is, indeed, the Messiah foretold in the old texts.

o what extent is Measure For Measure a conventional comedy?

Measure For Measure, to all intents and purposes, is not a comedy akin to Much Ado About Nothing or As You Like It. However, I believe it is still a comedy for the simple reason it does not have enough defining features of a tragedy – but most certainly heralds the end of Shakespeare’s comedic run. Traditional Shakespearean comedy includes aspects such as marriage, dramatic irony and largely inconsequential acts by the ‘villain(s)’ of the play. In Measure For Measure we see all three. Marriage is both a resolution and a punishment in this play. Claudio and Juliet are to be wed by the end of the play, finally able to continue their relationship – this is a classic happily ever after sort of ending that the audience were hoping for if not expecting. However, this is the only marriage we as the audience are certain is due to love. The other two, possibly three, are the results of the Duke’s doing – Angelo is to marry his jilted lover and Lucio is to marry a whore. The Duke himself asks for Isabel’s hand in marriage but it is an unresolved aspect of the play. Nevertheless, these are still marriages so do meet my expectations. There is heavy use of wit in this play, the Duke and Lucio often are the source though there are other gibes, for instance Escalus remarking that Pompey in a ‘beastly’ way is Pompey the Great. This pokes fun at the Roman Republic political and military leader Gnaeus Pompeius Magnus – a small yet very witty, very select joke. Deception and disguise are key elements in this play – The Duke’s concealment of himself via the persona of Friar Lodowick, Mariana fooling Angelo into thinking she is Isabel and the use of Ragozine’s head for Claudio’s. These rely on heavy coincidence for the most part which justifies them as comedic features – extending the disbelief. Interestingly, Ragozine is the only death of the play. His total insignificance however means that the audience has no emotional or moral attachment to him and thus he is forgotten somewhat quickly – he is more of a plot device than a character. Indeed, Ragozine’ head, not Ragozine himself is the key part of his involvement. This lack of meaningful death means that death and tragedy are not on the minds of the audience. This also links in with forgiveness – the other pirate, Barnadine, is pardoned by a reinstated Duke regardless of his prior actions and Isabel effectively forgives Angelo, for the sake of helping Mariana yet still forgiveness nonetheless. There are also no reprimands for Escalus for the way he spoke to the Duke under disguise as Friar Lodowick – mainly because Escalus is not a main character. However, the Duke does not forgive Lucio – though his predicament is a humourous one so does not require the soft touch of reconciliation. As touched upon above, the punishments at the end are somewhat unorthodox and fairly incongruous – marriage as a punishment is both an amusing commentary by Shakespeare and soft. For instance, Lucio at first is told that he is set to die, then the tension is released when it is revealed he will not and will instead be married (released tension for the audience at least). During the final scene, all is unravelled and Claudio is reunited with Isabel – this reunification of family is a key feature of Shakespeare’s comedy, seen before in Twelth Night most famously. As mentioned above, Pompey provides humour for the audience and is the fool of the play. Though he is not the only fool. There is Elbow as well and even Lucio to an extent is a fool. In accordance with this, Measure For Measure has the largest portion of fools in its character list of any comedy – perhaps this is balance out the darkness that hangs over most of the play. Regardless, they are still fools and fools are allies of comedy. Lucio as a fool is a brilliant case as almost every scene he is involved with after the inital visit to Angelo is between him and the Duke disguised as the Friar. There is a huge amount of dramatic irony wherein Lucio slanders the Duke unknowingly to the Duke – the audience knows what a terrible mistake he’s making that it’s such delicious irony but the things he says are extremely slanderous, making it all the more amusing for the audience knowing that eventually Lucio will get his comeuppance. Dramatic irony is a classic expectation I'd have of comedy. However, it is understandable why Measure For Measure causes such debate. It was definitely not the same exact genre as Comedy Of Errors with its farcical and outrageous tone. Measure For Measure is an extremely dark play. Its main themes are vice, power and judgement – these are not easily identified as comedic features. There is also no safe place like other comedies have – the entire city of Vienna is under the rule of Angelo and none can hide from him. In this play there is no change in where the characters are like in A Midsummer Night's Dream where they flee the city and enter a wood. Interestingly Angelo wrestles with his conscience through a series of soliliquies, which are supposedly more resemblant of a tragedy. Hamlet has one of the most famous Shakespeare soliloquies – but I'd argue that Benedick in Much Ado About Nothing has soliliquies and Much Ado is a far brighter play. In conclusion, Measure For Measure should be described as a tragicomedy, as it is not definitively either comedy or tragedy. But in terms of comedy or tragedy alone, it is more a comedy than a tragedy and meets my expectations of such far more due to the more numerous comedic features listed above.

History Of The Amputation Procedure Health And Social Care Essay

Harmonizing to WebMD â€Å" an amputation is the remotion of portion or all of a organic structure portion enclosed by tegument. Amputations are performed to take morbid tissue or to alleviate hurting † . The first amputations were performed in the Neolithic times, the first recorded instance of an amputation and prosthetic replacing surgery appears in the book of the Vedas. Most of the first amputations occurred during times of war, where injury to the appendages was really common. During the American Civil War if you were shot in the trunk there was a great opportunity that you would decease, but if you were shot in an appendage, quickest and most common option was amputation. When available the civil war sawboness put Chloroform on a fabric, so the fabric was held over the victim ‘s oral cavity and nose until the individual became unconscious. Because of the big figure of hurt soldiers the sawboness became experts with amputations, most of the clip the amputations could be performed in approximately 10 proceedingss. The sawboness were non healthful, because there was a deficit of H2O therefore they made no effort to rinse custodies or instruments between surgeries, despite all of this the survival rate of the amputees was at about 75 % . The bulk of the Civil War sawboness learned this process from this book â€Å" The Practice of Surgery † , by Samuel Cooper. This book was the â€Å" How To † book of executing amputations for the sawbones s. This book discusses the measure by measure ways to cut off the leg, below the articulatio genus, the arm, and the fingers and toes. Some of the instruments that the Civil War sawboness used were the compression bandage, scalpels, bone proverb, and bone childs. The compression bandage was used to curtail the flow of blood during an amputation process. The scalpel was used to do scratchs in the tegument. The bone proverb were used to cut straight through bone, and musculus. The bone childs were used to take matchwoods from the bone that the bone proverb could hold caused. Today there are many different types of amputations ; they are first categorized under upper limb amputations, and lower limb amputations. The upper limb amputations include: amputation of single figures, multiple digit amputation, metacarpal amputation, wrist disarticulation, forearm ( trans-radial ) amputation, elbow disarticulation, above-elbow ( trans-humeral ) amputation, shoulder disarticulation, and forequarter amputation. Amputation of single figures is the remotion of a finger ; this will do the patient problem hold oning objects. Multiple digit amputation is the remotion of two or more fingers, hold oning ability may be aided if the sawbones is able reconstruct the musculus. Metacarpal amputation is the complete remotion of the manus, with the carpus still integral ; with this type of amputation there is no ability to hold on. Wrist disarticulation is the remotion of the full manus up to the degree of the carpus articulation. Forearm ( trans-radial ) amputation this is the remotion radius, it is classified by the size of the staying stump ; as the stump length decreases so does the ability for the patient to revolve their forearm. Elbow disarticulation is the remotion of the full forearm up to the cubitus ; the patient still has the ability of keeping weight. Above-elbow ( trans-humeral ) amputation is the remotion of the humourous anyplace above the cubitus and below the shoulder ; prosthetic device could be used if there is some length left on the humourous. Shoulder disarticulation is the remotion the of the full arm, the shoulder blade still remains and the collar bone may or may non be removed. Forequarter amputation is the remotion of the full arm, shoulder blade, and collar bone, normally some bone is left in order to attach a prosthetic devices. The lower limb amputations include: foot amputations, ankle disarticulation ( Syme amputation ) , below-knee ( trans-tibial ) amputation, knee-bearing amputation, above-knee ( trans-femoral ) amputatio n, and hip disarticulation. Foot amputations are the remotion of any portion or part of the pes including toes, and mid-tarsal ; this type of amputation may impact balance and walking. Ankle disarticulation ( Syme amputation ) is the remotion of the full mortise joint ; with this type of amputation the victim can still mobilise without a prosthetic devices. Below-knee ( trans-tibial ) amputation is the remotion of the shinbone above the mortise joint, but below the articulatio genus ; victims keep the usage of the articulatio genus, but have problem seting weight on the stump. Knee-bearing amputation is the complete remotion of the lower leg ; it is normally more hard to make a prosthetic device for this type of amputation. Above-knee ( trans-femoral ) amputation is the remotion of the thighbone up to the degree of the thigh ; the victim can still sit with this type of amputation. Hip disarticulation is the remotion of the full leg ; sawboness try to go forth every bit much of the t highbone as possible in order to attach a prosthetic device. With all the amputations, upper and lower appendages, the sawbones will seek to go forth every bit much bone as possible in order to attach a prosthetic device. In the United States entirely there are over 350,000 amputees, and over 135,000 amputations happening each twelvemonth. In the United States the taking cause for amputations is disease ( 70 % ) , the 2nd leading cause is trauma ( 22 % ) , inborn or birth defects ( 4 % ) , and tumours ( 4 % ) . The most common diseases and conditions that can do an amputation are peripheral artery disease, arterial intercalation, impaired circulation as a complication of diabetes mellitus, sphacelus, terrible cryopathy, Raynaud ‘s disease, and Buerger ‘s disease. More than 90 % of all disease doing amputations are due to circulative complications of diabetes. 60-80 % of all of these amputations involve the lower appendages. Peripheral arteria disease causes amputations by the blood vass indurating that causes the blood to be blocked from making tissues in the organic structure ‘s appendages ; because of this these tissues finally die, which causes the demand for an amputation. Arteri al intercalation causes a blood coagulum to organize which blocks the flow of blood and so causes the tissue to decease and necessitate to be amputated. Diabetess mellitus is a disease where non adequate insulin is produced by the organic structure and hapless circulation occurs as a consequence of the diabetes, the hapless circulation can do tissue to decease, which would so necessitate to be amputated. Gangrene is the decease and decay of one time living tissue, the dead tissue is removed through an amputation. Frostbite is when tissue on the organic structure freezes, ensuing in hoar bite, in terrible instances the tissue dies and so would hold to be removed through an amputation. Raynaud ‘s disease is a disease largely found in immature adult females, it causes reduced blood flow to the appendages ; this could so do the tissue in the appendages to decease. Buerger ‘s disease is a episodic disease that causes redness and obstruction of the venas and arterias of the ap pendages, normally merely occurs in work forces under age 40, who smoke, this disease may necessitate amputation of the custodies or pess. The 2nd prima cause of an amputation is trauma. Harmonizing to Merriam-Webster injury is an hurt ( as a lesion ) to populating tissue caused by an extrinsic agent. There are many different possible injury, they can happen with but are non limited to auto accidents, terrible Burnss and gunshot lesions. During a traumatic hurt, blood vass and other organic structure tissue constituents are ripped or torn beyond fix by these types of hurts, go forthing no other option but amputation. Another cause of an amputation is a congenital or birth defect amputation. Congenital amputations occur in the uterus while the babe is still developing ; blood flow to a limb can go restricted because of other tissue. As a consequence the limb could be lost and the babe is born with a inborn amputation. The other cause of amputations are by tumours. Peoples with malign ant neoplastic disease that have malignant tumours, need to cut off the country in which the tumour is, in order to forestall the malignant neoplastic disease to further spread to other parts of the organic structure. Undergoing an amputation has many effects on the organic structure, both psychological and physical. These effects are happening before and after the surgery. Many new amputees have a hard clip with covering with the loss of a limb which has been with them since birth, merely the idea of holding to work without something that you have had entree to your whole life is a traumatic event in of its ego. When people are told that they are traveling to necessitate an amputation the most common reaction is shock. Many of the victims go through a period of denial, the people think â€Å" this ca n't go on to me † or â€Å" I wo n't allow you make this to me. † Many amputees may besides develop choler towards themselves, loved 1s and God. Amputees think to themselves â€Å" why me? † Many of the new amputees face being worried about the hurting during surgery and during the recovery period. Before the surgery the patients try to â€Å" dicker † with God, the sawbon es, or both to halt the demand for the amputation. After this does n't work many times the patient begins to hold symptoms of depression. Most people in the terminal learn to get by with the loss of their limb and accept what has happened. The amputation will hold a important impact on the patient ‘s self image, which could be positive or negative. Some of the amputees may experience a greater feeling of strength developed in the attempt to get the better of the losingss which have occurred late in their life. A good thing for amputees is run intoing with other amputees to assist each other header. However this new ego imagine of themselves could besides be negative if the amputee is concerned about how people will comprehend them, because they feel that they need to affect. Many are besides concerned because they feel that they wo n't be respected because they are crippled. Just like people need clip to retrieve psychologically and emotionally, the amputees need to retrieve p hysically. After the process, the patient will necessitate to be prescribed pain medical specialty, and antibiotics in order to forestall an infection from happening. The amputated part demands to be moved in order to make good circulation. The patient normally will get down physical therapy within 48 hours after surgery, to advance a speedy and effectual recovery. Depending on the gravitation of the amputation, depends on the clip that the patient will pass in the infirmary, it normally varies from several yearss to two hebdomads. Rehabilitation is a long procedure for amputees. Patients with an upper appendage amputation will most likely work with an Occupational Therapist. Patients with a lower appendage amputation will most likely work with a Physiotherapist/Physical Therapist. The clip that a recovery takes depends on assorted factors such as: physical form before the amputation, age, other medical jobs, ability to larn how to utilize a prosthetic device, how good you follow wa ies, motive to retrieve, and your psychological province. As with any major surgical process, amputations have major hazards with undergoing with this process. Hazards with the anaesthesia exists, every bit good as the possibility of heavy blood loss, and the possibility of blood coagulums organizing. Another major hazard of the process is infection to the amputated part. The rate of infection is at approximately 15 % , if the stump were to go septic the prosthetic device would hold to be removed and perchance a 2nd amputation higher up the appendage. Another major hazard is the stump neglecting to mend. This normally happens when there is a deficiency of blood to the amputated limb. Another hazard is phantom limb hurting, which is hurting that feels like it ‘s coming from a organic structure portion that ‘s no longer at that place. The intervention to phantom limb is hard, but it is possible. New amputees will sooner or subsequently have to confront that it will be harder to make the mundane undertakings that they used to finish. Although most of these undertakings are more hard, they are n't impossible, because of prosthetics. From the clip that amputations started, there were prosthetic device for the losing limbs. The prosthetic device were every bit simple as a wooden leg in the clip of early prosthetics. Today as engineering has advanced from the clip of early prosthetics, so has the prosthetic device made for amputees. Today there are prosthetic device that can pick up urges from the nervus that are amplified into a motor that make the elbow crook or unbend out, or the fingers open and near. For above the articulatio genus patients there are new prosthetic device which use motion-tracking detectors, vacuity suction engineering to supply improved tantrum, comfort and control. Since the recent promotions of these new prosthetic device people can populate similar to th e life that they used to populate. Amputations are a minor reverse for some unbelievable people who have gotten through their calamity, and have become noteworthy people in the universe of amputees. Heather Mills was the former married woman of Beatle Paul McCartney ; she was besides an English militant and a former glamor theoretical account. In August of 1993, Mills was hit by a constabulary bike while traversing the route, her hurts included crushed ribs, a pierced lung, and terrible hurt to her left leg. She needed a metal home base put into her pelvic girdle and the amputation of her leg below the articulatio genus. Bethany Hamilton is an American surfboarder who survived a shark onslaught in where she lost her left arm ; she overcame the serious and debilitating hurt and returned to surfing. Her narrative was so inspiring that there is a film that was late released about her called â€Å" Soul Surfer † . Daniel Inouye President pro tempore of the United States Senate is another noteworthy amputee. Daniel Inouye lost his right arm in the war, he remained in the armed forces until 1947, and he was uprightly discharged with the rank of captain. Inouye had programs to go a sawbones, but because of the loss of his arm, he abandoned his dream and returned to college to analyze political scientific discipline on the GI Bill.

Homeland Securtiy. Post-Mortem of the US Governments Response to the Essay

Homeland Securtiy. Post-Mortem of the US Governments Response to the Times Square Cesium Terrorist - Essay Example On the day of the attack, Times Square had its normal amount of visitors and wind conditions were calm. Immediately after the attack, NYPD and NYFD were quick to respond, but later crisis and radiation management efforts by the EPA were slow and hindered rescue efforts. Abstract This memo was created as the result of a post-hoc examination of the Times Square cesium terrorist attack. It aims to highlight the significance of long- and short-term fatalities, cost of property damage, and loss of public confidence in safety as outcomes of radiological attacks; and because of this significance, uses these outcomes to measure the relative success of the federal government’s response to this attack. Furthermore, this memo attempts to highlight areas that could have been improved before the attack to prevent this level of devastation, including better management of existing resources, better protection of existing radiological supplies, and a better understanding of the nuclear terrorist threat. Lastly, this memo aims to highlight the previously unexpected outcome of wind to show the effect confounding variables can have on the federal, state, and local governments’ responses to crises like this. ... Kelly stated that, â€Å"The Committee will undoubtedly agree that the danger presented by modest radiological sources that are comparatively easy to obtain is significant,† (Kelly 2002). In his article â€Å"Nuclear Terrorism Reconsidered†, Gavin Cameron offers an explanation of a terrorist’s motivation to use these weapons by saying, â€Å"The technical feasibility of radiological terrorism make it by far the most likely form of nuclear weapon. [†¦] Radiological weapons would, like nuclear-yield weapons, set a group apart and take its terrorism to a different level† (Cameron 1999). In this quote, Cameron shows why radiological terrorism remains such an appealing style of attack for many terrorists: this type of attack instills the same public fear as a nuclear attack yet is much more technologically in-reach for many terrorist groups. There are several factors that contribute to the effectiveness of a radiological terrorist device. Among these are à ¢â‚¬Å"the amount of material released, the nature of the material, the details of the device that distributes the material, the direction and speed of the wind, other weather conditions, the size of the particles released, [†¦] and the location and size of buildings near the release site† (Kelly 2002). All of these variables are important in the process of assessing the damage caused by an attack and potential evacuation and decontamination plans. Because of these uncertainties, estimations of the impact of such a weapon are extremely inaccurate and difficult to interpret. Outcomes Fatalities Fatalities are the most obvious measureable outcome of a radiological terrorist attack, yet may not be the most informative in this attack. In a radiological attack, fatalities must be divided into short-term and long-term fatalities.

Developing a Manager Essay Example | Topics and Well Written Essays - 3000 words

Developing a Manager - Essay Example From an employee perspective, management cannot be seen as a function which is pivotal to the enterprise alone because a manager helps employees to improve their overall performance and effectiveness (Zott and Amit, 2004). Due to this reason, a manager needs to constantly communicate with its subordinate employees and must maintain a positive relation with them. Along with that, organizational plans, performance measurement, psychological and analytical tools and economic measures are some of the necessary components which need to be effectively managed by organizational leaders. This essay will focus on how important managers are to a company and how they can develop organizational employees into intangible assets. Within the context of organizational development, roles and responsibilities of a manager are never limited merely to integrate employee activities with business goals and they may not always be able to bring the best out of an individual’s talent. From a broader perspective, a leader focuses on employee management and tries to influence the business environment, reduces the communication gap between employees, elucidates organizational strategies and helps employees to achieve their performance objectives by fulfilling organizational goals. This helps in achieving quality for the company and helps in producing a highly committed and hardworking workforce. With regard to employee management, it is the core duty of the organization’s management to select an appropriate team which can help in building considerable team relation and in providing appropriate training for their team members and thus building a highly productive and agile workforce. According to Woods (2010) , it is the duty of the organizational managers to coordinate and communicate with their workforce in an effective manner and explain the vision and mission of a company and defines

Piracy in the internet Essay Example | Topics and Well Written Essays - 2000 words

Piracy in the internet - Essay Example The question here is how the piracy on the internethad affected the economy? While the internet has become a useful resource over the years, piracy on the internet has had a huge impact on the economy. (Thesis) As internet is a renowned medium of communication, it is a viable platform for such illegal activities. And this popularity of internet has led to an increase in the piracy activity. A person who is engaged in the process of piracy can do all his/her activity on the internet including the advertising and sales of the product. Piracy on the internet is a significant criminal problem because of the easiness of performing it, even over a long distance. Generally speaking, the foremost piracy was done on digital music files, and this has caused much damage to the artists and music industry. Apart from this, movie industry is also a victim of piracy on the internet, and this has negatively affected the economies of many countries. II.Online Piracy : An enormous economic problem Pir acy on the internet is a significant economic problem which affects different sectors of the U.S. economy. Piracy is the theft of music, movies, videogames and software. The infringement on the copy right of these entertainment medium can affect the U.S economy on a large scale. There is a huge cast working behind the entertainment industry, and they are recording artists, songwriters, computer technicians, audio engineers, marketing experts, producers, publishers and other creative experts. Internet users, downloading illegally one or two songs or movies, may not show any negative impact on the entertainment industry, but when millions of people do the same, it causes billion dollar loss on entertainment world. When no compensation is allotted to the creative people in the entertainment industry, the effect is devastating. The problem of online piracy is not negligible and is a big enough issue to ignore. It does not only violate copyright and patency, but also steals revenue from creative people working in different fields on a business arena. The American intelligent property business provides high paying employment to many individuals, and infringement on intellectual property steals them off their wages. Loss of American jobs also is another adverse effect of internet piracy. The online theft of intellectual property cannot be considered something different from stealing of products from a retail store. So, the piracy on the internet makes it mandatory for the U.S. legislation to enforce law on the illegal internet pirates. In order to understand the negative effects of internet piracy, it is necessary to scrutinize every aspect of it deeply. A. Online piracy and U.S. economy The piracy on the internet has a tremendous impact on the economy of any country as it is a business which can be done with great aspect of anonymity. Any person or organization can indulge in piracy as internet is a business platform which allows people to conduct commercial activit y under the cover. The piracy is done on music, movies, software and e-books which indicates the amount of damage it can cause to the entertainment industry and other commercial organizations. According to Sprigman and Raustiala (1), â€Å"online piracy is an enormous problem that costs the United States economy about 200 to 250 billion dollars every year†. The piracy on the internet has caused many problems to the American economy, which sometimes can be difficult to gauge. It is the

Phase 1 Discussion Board 2 Posting Assignment Example | Topics and Well Written Essays - 1000 words

Phase 1 Discussion Board 2 Posting - Assignment Example However, it should be noted that it basically depends upon the situation and in some cases, it is quite important for experts to take up the role of project management. Project management is usually a wide area involving a wide array of things. In the process of developing a new technology or implementing a highly technical process in an organization, it is imperative that the whole process is conducted by a person who has technical knowledge in the workings of such technology. The present world is very dynamic and new technology comes by the day. In this case, it normally takes much time before people get acquainted with such technology. It is therefore important for the project manager to be an expert in the field so as to offer the necessary instruction or guidance on how the whole field should be handled. In a highly technical working environment like NASA, it is almost impossible to have a project manager who is not an expert in the project. This is because there is a high degree of technical excellence required and there is no room for any mistakes. As such, a project manager in such a case is required to have knowledge on the technology in use (Wysocki, 2010). It has always been seen that in situations where project manager do not have expert knowledge on the subject matter, challenges often arise. For instance, a layman in medical equipment might not really realize that such equipment require a lot of maintenance which might be very expensive. In that case, some of the advice directed to the project manager might be ignored since the manager does not clearly understand the weight of the whole issue. Having a project manager who has knowledge on the subject matter is very important as it greatly saves time and cost of executing roles. This is because the manager already understands much of the operations and does not really need to study the process much. On the contrary, a lay project

Summary and response Essay Example | Topics and Well Written Essays - 1000 words - 2

Summary and response - Essay Example These actions are connected with the terroristic acts, which has become very frequent and are mostly committed by the residents of Arabic countries. However, the author does not consider these actions as a racism. His further arguments show that he contradicts with his own statements. Firstly, he writes, â€Å"When thugs menace someone because he looks Arabic, that’s racism† (Rottenberg, Annette T, 2012, 19). The procedure of check-in, if someone is under suspicion, is quite rude as well as the attitude to this person. We do not need to forget, that these suspicions usually bear the subjective character. The choice of the â€Å"victim† depends upon the ordinary person. The only difference is that police acts on the legislative basis and has all legal rights to hold the procedures in case of necessity. The conclusion states that the only difference between the determination of â€Å"racism† and â€Å"no racism† is the legalization of rights of those people, who check others. It is correct from the judiciary point of view, but what about the ethical side of this issue. Does one person has a right to break the personal space of another only because he belongs to a certain nationality? In the second paragraph, the author pays attention to the rights of â€Å"black† and â€Å"white† people and the prejudice about them in the society. Again, Kinsley gives the examples, when people confuse the notion of â€Å"racism† and â€Å"stereotype†. The situation clarifies due to the example about the education of â€Å"black† and â€Å"white†. Kinsley writes â€Å"Universities could base their admissions policies on the valid assumption that whites, on average, are better-prepared for college† (Rottenberg, Annette T., 2012, 19). However, the article does not contain any statistics. There is no information in the book or scientific journal that African-Americans are worse students than other nationalities. My personal experience

Discuss the social and health needs of prisoner in the UK and why Essay

Discuss the social and health needs of prisoner in the UK and why these needs are of relevance to the wider community - Essay Example However as the population of prisoners increase by day, the conditions surrounding the imprisoned in the country have deteriorated. There is a need for better health care in prisons and for an improvement in the prisoners’ general life inside bars. The National Health Service for example has recently got the mandate to look into matters of health care for prisoners taking over this duty from the prison service (Williamson 2006). This is a good call since there is admittedly a need to look into social and health issues of the prisoners. This paper will discuss the social and health needs of the prisoners in the United Kingdom and the reasons as to why the needs are relevant to the wider community. There is a wide spread concern that the rules and regimes of the prison environment could have detrimental impacts on the mental health of the prisoners and especially those with mental illnesses already. It is also well documented that the incidences of psychiatric morbidity and subs tance abuse is higher among the prisoners than the general public. Thus with the growing population, there are now more people with mental illnesses in the prisons than ever before (Harris, Hek and Condon 2007). The overcrowding, separation from family and friends, loss of autonomy and boredom are potentially detrimental to the mental stability of the prisoners. There is therefore a need to improve the state of mental healthcare so as to get to the main of objectives of the prisons to be anti-therapeutic environments. There is a need to really care for the prisoners from reception through to discharge mentally so as to improve their perceptions in the quality of their lives. The staff administering mental healthcare inside the prisons should have extra training to identify the prisoners who need extra support, those with history of mental illness and those who will be on remand for a long time (Brooker 2009). The population of the prisons in England and Wales has doubled in the last 20 years thus making the prisons to overcrowd. Overcrowding is the state where a prison contains more prisoners than the establishment’s CNA (Certified Normal Accommodation). THE United Kingdom has the highest percentage of overcrowding in Europe. The overcrowding leads to enormous burdens on the staff making it difficult to offer adequate resources to the offenders. This exacerbates tension and frustration levels by prisoners leading to higher risks of violence. This leaves prisoners under the danger of being hurt or killed. It also deteriorates the living conditions where inmates eat, sleep and even defecate in the cell, like in the case of Bedford, a condition which leaves them to the danger of infections. The overcrowding also denies some prisoners the access to education, training and work. This is because there is a high demand due to the high population. Overcrowding also brings difficulties in mental, drug and alcohol abuse treatment services. It is also expensive an d increases the risk of a prisoner to committing crimes after release due to the above inconveniences (Singleton et al 1998). Some of the prisoners are fathers and mothers. This means that they are forced to combine serving their sentences and parenting. Their families therefore need support from the society and the administration. Their kids are especially at risks of experiencing poverty, mental illnesses, poor housing and more negative incomes. Most children with parents in prison will most likely go on to offend. There are also the