Friday, November 29, 2019
Book Review of 1984 free essay sample
He was a member of outer party, who has better life than the proles according to the government. Winston did not believe in the party, the Big Brother. He remained the memory before the Revolution, some fragmented memory about a better life than he was experiencing. He held a belief in abiding faith, contrary to the faked fact that he produced for the sake of work. Through the process that how the party reintegrated Winston, we saw the party controlled the society, using what they learned from the history to improve the method of doing a brainwashing. Julia is the second main character. She is Winstonââ¬â¢s love, a beautiful young woman. Julia was born after the Revolution. She knew a little about the past through her grandfather, who disappeared when she was eight. She was zealous in the activities that government promotes, like Junior Anti-Sex League, Two Minutesââ¬â¢ Hate and community center. We will write a custom essay sample on Book Review of 1984 or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page However, she is a girl who does not care about what the life will be tomorrow. She used her body to exchange for inner partyââ¬â¢s good. Everything she did for the government was a mask, to distract attentions from sexually promiscuous rebel. She was sex criminal. After she fell in love with Winston, she believed that ââ¬ËItââ¬â¢s the one thing they canââ¬â¢t do. They can make you say anything ââ¬â ANYTHINGââ¬â but they canââ¬â¢t make you believe it. They canââ¬â¢t get inside you. ââ¬â¢ However, she was also tortured to be perfect and even suffered more than Winston. ââ¬ËHer face was sallower, and there was a long scar, partly hidden by the hair, across her forehead and templeââ¬â¢. The third main character is Oââ¬â¢Brien, a member of Brotherhood, which is leaded by Goldstein, the target of Two Minutesââ¬â¢ Hate. But Oââ¬â¢Brien was actually a member of inner party, a zealous supporter of the Party, a thought police, a spy. He made Winston believed in him that he opposed that Party and pretended to be a member of Brotherhood. With the help of Mr. Charrington, Winston was caught by Thought Police, as well as Julia. Oââ¬â¢Brien engaged in most part of reintegration of Winston. He was the first one who inspires Winston to oppose the Party, by a sentence, ââ¬ËWe shall meet in the place where there is no darkness,ââ¬â¢ Oââ¬â¢Brien had said to him. And then he leaded him to believe in the existence of Brotherhood, finally to the love of Big Brother, the death. The story started from Winston Smith, a member of outer party. Winston lived in a dark age, though others may deny it. There are three biggest powers in the world: the Eurasian, Oceania and Eastasia. Winston was in Oceania, under the control of the new partyââ¬âINGSOC, English Socialism. The official language is New Speak, contrary to the Old Speak. It is used to limit and finally eliminate all modes of thought, therefore nobody would rebel, even just a secondââ¬â¢s thought. There are three classes: the Inner Party, the Outer Party and the Proles. Telescreens and microphones are everywhere, monitoring every act of the citizens. There are four ministries, the Ministry of Love, the Ministry of Plenty, the Ministry of Peace and the Ministry of Truth. Each of the ministries is working on the things that are contrary to its name. Winston worked in the Ministry of Truth, where all the documents should be rewritten in order to support the eternal positive of the Party. It is a department that holds the output of Medias, books, news and podcast, falsification was made to the history and facts, which promote the Party doctrine. Winston never believed in the Party. He lived with a mask, controlling every movement, every word that he gave out. However, accidentally he fell in love with a young woman, Julia. They had sex, enjoying the food that Julia brought from the Inner Party, and talked about their doubts on the Party, sharing pieces of memory before the Revolution. They decided to join the Brotherhood, to fight against the Party. They could do everything, except stop loving each other. Oââ¬â¢Brien, as a member of Brotherhood, received them and gave them the book, The Theory and Practice of Oligarchical Collectivism, written by Emmanuel Goldstein. However, when Winston and Julia were still reading the book in Mr. Charringtonââ¬â¢s shop, they were caught by though police. The Brotherhood was a trap. Oââ¬â¢Brien was actually an Inner Party member. Winston suffered for a long period of reintegration, and finally built up his loyal love to Big Brother, before his death. The mainline is easy to summarize, however the idea that the story wants to tell is difficult. In the book, the politics have been gone to the worst part. Those covers, like ââ¬Å"to help the poorâ⬠, ââ¬Å"for the sake of freedom and equalityâ⬠, or ââ¬Å"to release the proles and reform the societyâ⬠, are abandoned. The aim of the Party is so direct, that is even adverse, to attain the pure power, nothing else but only the power. The method they used was successful. Language is the access to mind. It is clever to not only limit people to express their opinion but also change their tools, the language itself, by reducing the amount of words and meanings it can represent. It can stop the rebel from the beginning point. ââ¬Å"A thought diverging from the principles of Ingsoc ââ¬â should be literally unthinkable. â⬠This aim is attainable as long as the Party could replace the Old Speak entirely. The new generation would know nothing about the Old Speak and have no ways to understand the past since those past were record in the Old Speak and possibly had been rewritten totally by Ministry of True. They are as ignorance as animals, who have no past and even no inherit genes. In order to let people have no spare time to think about the meaning of their lives, to explore the things that the Party does not tell, they have war continuously. This could help to avoid rebellion. ââ¬Å"War is peace. â⬠It also keeps the life standard just right above the poverty line. People have to work hard, though the government has always claimed that they have made progress on production, they still do not have enough to eat or enough fuels to make them warm. The life was terrible that everyone works like animal, do what orders, and no more think. But it was a blast of strong power, to have so much unconscious workforce. ââ¬Å"Ignorance is strength. â⬠To explain the last part of the Partyââ¬â¢s practice, ââ¬Å"Slavery is freedom. â⬠it relates to the concept of individual and group. As an individual, you are slaved, but groups of slaved have the strength to achieve power and freedom. One should escape from its own identity, and to be slaved, to be remixed into a group, which finally reaches the ultimate freedom. The story has been making a big background in the Chapter 1. After Winston met Julia, the plot has been speeded up. I think the most special point of this book is that he put the climax as the end. ââ¬Å"He loved Big Brother. â⬠The final turning point, and then everything become silent. Actually it just looks like George Orwell him selfââ¬â¢s life, ended at the climax. The book reveals several methods of safeguarding the pure power. They came from George Orwellââ¬â¢s real life. George Orwell had been policing in Burma, and then experienced bottom level life in Paris and London. Then he and his family experience the civil war in Spanish and after that was World War Two. These experiences gave George Orwell the elements needed for this book. The poor life standard, the deep hate to those powerful and rich people, the cruelty of war and all of them made up the main background of 1984. George Orwell was a really sensitive writer, who made words to represents more than it should be. His novel was not long and you seldom see some extremely difficult sentence, but you still cannot get its idea only after one-time read. It takes time to catch the main part. Meticulous as him, the principle of New Speak was also provided at the end, to illustrate how this power weapon works. I would definitely recommend my friends to read this book, since it shows how bad the politics, the government might be, and what they would do to maintain their position. I have heard about a comment, which said that you can find many books to help you know the true face of the politics, say that is 5percent, however 1984 could provide you 100percent of that. Reference: http://ebooks. adelaide. edu. au/o/orwell/george/o79n/contents. html
Monday, November 25, 2019
buy custom Customer Service Delivery in Starbucks Corporation essay
buy custom Customer Service Delivery in Starbucks Corporation essay Evaluation of Customer Service Delivery in Starbucks Corporation Starbucks Corporation is a leader in providing quality coffee to customers. Although it operates hundreds of product lines, the largest percentage of its profit comes from beverages. The corporation has an overwhelming presence and offers convenience. Moreover, its distribution strategy is unsophisticated and the corporation puts great efforts in making customers access to its products with ease and as well its locations avails more convenience to the customers (Evans and Hansen 4). The company has huge numbers of customers since most of its outlets are located in high- visibility, high-traffic and non-company retail channels. Nevertheless, Starbucks faces stiff competition from other similar corporations such as the McDonalds and Minneapolis-based Caribou Coffee. Despite this competition, Starbucks has always provides its customers with high-quality coffee (Roby 2). This paper therefore evaluates customer service delivery in the corporation. The success of this multinational corporation can be attributed to its focus on customer service delivery and customer satisfaction. To ensure that its customers derive utility from the consumption of its products, the corporation has through time been making good use of human resources in creating this customer-oriented value. The corporation has actually ensured that it has put in place a conducive atmosphere where any visiting customer will be in a position to relax, enjoy (to fullest) his/her social interactions as w ell as have ample time with others (Evans and Hansen 7). In so doing, the company has actually transformed the original norm of buying coffee just as a drink to a more attractive new-fashioned norm of having an experience of enjoying the drink. Owing to this fact therefore, any visiting customer would wish to stay for a longer period in the store since the environment is inviting. Another element that the cororation has looked into in ensuring that its customers get utility is the provision of quality coffee. Since all its stores are company-owned, the company is in a position to control the quality of services and products for the customers. Besides, Starbucks has engaged in controlling its supply chain by working hand in hand with coffee growers and has implemented the enforcement of coffee standards (Roby 8). This move makes customers to esteem Starbucks products. Starbucks has greatly invested in employee training and development for both old and new employees. Its workforce has continuously been trained of hard as well as soft skills with an objective of making the service delivery experience to customers pleasant. Through the soft skills, the workforce is better equipped to smoothly connect with customers. This equally enhances a friendly environment between the workforce and the visiting customers (Roby 11). Besides, the company has always ensured that the workforce is satisfied since this satisfaction among the employees leads to a higher level of customer satisfaction. The workforce is well remunerated and empowered and as thus feels that it is important part of the company. Through this, they feel appreciated and would also want to own the company; which as a result makes them offer excellent service to the customers. The corporation has also been involved in product innovation; making an expansion in its beverage menu as well as includ ing food items. This has seen tremendous changes in the companys customer demographics (Evans and Hansen 16). Markedly, however, the value preposition for Starbucks still remains the compelling factor. This is simply because the company places the customer and the service offered to the customer at the fore front. This value preposition- as earlier mentioned is not about coffee, but pertains to the experience of drinking coffee in Starbucks stores and at the same time integrating the product with the related emotional benefits. On the contrary, there havve been indications that the level of customer satisfaction has been of late declining. Nevertheless, this does not suggest that the quality of the services offered has declined. This might have been as a result of changes in the customers expectation, issues in marketing or even other forces from the external environment (Evans and Hansen 20). The corporations customer base in the recent past has been growing and statistics has shown that most of those less satisfied customers are the new ones or who it is their very first time to visit the stores. Owing to this fact therefore, it can be concluded that service delivery has not at its least been compromised; but that these new customers might be having relatively higher expectations since the established customers have a better opinion of the corporation (Roby 24). However, a possible reason of the declining customer service delivery could be the companys product innovation and retail expansion strategy. Initially, this business giant had set standards for its customers at a high level via its value preposition; of which it used to meet. However, following the companys strategy of product innovation and retail expansion - which ran hand in hand with the customization of drinks - negative effects were experienced in the atmosphere, service delivery and coffee quality. All these led to the decline in customer satisfaction, besides changing the image of the brand (Roby 30). With reference to the above discussion and more especially the reason behind declining customer service delivery and customer satisfaction, Starbucks ought to make a redefinition of its marketing strategies in which it will research and keenly evaluate the needs, wants and perceptions of its changing customer base. Moreover, the company is obliged to evaluate innovative sales in order for it to determine the impact of labor costs that will help tell whether or not sales prop the costs. Managing the increased customer base requires only fine-tuning of operations. Buy custom Customer Service Delivery in Starbucks Corporation essay
Friday, November 22, 2019
Pediatric Asthma Management Assignment Example | Topics and Well Written Essays - 1000 words
Pediatric Asthma Management - Assignment Example Physical examination will be carried out to check on the general appearance, hydration, respiratory and mental status. Physical examination of the 12 y/o patient will comprise of percussion, inspection, and auscultation. Under inspection, the nurse or health professional will observe the patientââ¬â¢s general color and appearance. There is a possibility of cyanosis during mild exacerbations where the patientââ¬â¢s color may remain pink. In the presence of asthma, an audible wheeze will be felt. For a severe case, the patient may have a barrel chest and manifestation of mildly enlarging work of breathing (Ricci & Kyle, 2009). In auscultation and percussion, an exhaustive examination of the lung fields is performed. The presence of wheezing signify airway obstruction, which can be different in the lung fields. Also, the patient will be checked for the existence of coarseness. Additionally, the adequacy of aeration will be assessed. In the event the airways are severely obstructed, the movement of air becomes poor that the wheezes may not be felt during auscultation. It is worth to note that percussion may produce hyper resonance (Ricci & Kyle, 2009). It is critical to perform some diagnostic tests to determine the severity of asthma. According to ATS Clinical Practice Guidelines, FENO is employed to underpin the diagnosis of asthma. Likewise, FENO utilized to determine eosinophilic airway swelling, direct dose titration of anti-inflammatory drugs, and forecast asthma relapse. Moreover, FENO can be used to assess adherence to anti-inflammatory drugs, predict asthma exacerbation and evaluate the possible reaction to anti-inflammatory medications (Davis, Eber & Koumbourlis, 2015). Another vital test is pulmonary function test that is a peak expiratory flow rate that uses a hand-held peak flow meter. The test will be done to examine initial and post-treatment airway obstruction in the 12 y/o
Wednesday, November 20, 2019
Internationa project finance law Essay Example | Topics and Well Written Essays - 5000 words
Internationa project finance law - Essay Example In 2010, the gross domestic product per capita of Malaysia was about US$14,700. In the year 2009, the nominal gross domestic product (GDP) was around $383.6 billion, and the nominal GDP per capita was about us$8,100. ââ¬Å"The IMF, in its September 2011 World Economic Outlook Report, lowered its forecast for 2012 global growth to 4 per cent, down from 5.1 per cent it had forecasted earlier. By early January 2012, its chief economist had announced that the IMF would on 24 or 25 January 2012 makes a "fairly substantial" cut to its forecast for global economic growth this yearâ⬠2 Power Purchase Agreementsà in Malaysia: Power Purchase Agreementsà are agreements between two parties, the one who creates electricity for the cause of sale and the one who is seeks to purchase electricity. There are different kinds of power purchase agreements. They include the source of energy harnessed from solar power, wind, etc. Financing the project is defined in the agreement, which also identi fies applicable dates of the project coming into consequence, when the project starts marketable operations, and an execution date for which the agreement can be abandoned or renewed. Every sale of electrical energy is metered, to provide the buyer and the seller with the exact data regarding the amount of electricity created and bought. The electricity charges are decided upon the agreement between the aforementioned two parties, to give an economic enticement of being aà Power Purchase Agreement. ââ¬Å"In Malaysia, the power generation sector is principally dominated by three integrated power producer companies: Tenaga Nasional Berhad (TNB), Sabah Electricity Sdn Bhd (SESB) and Syarikat SESCO Berhad (SESCO). TNB and SESB fall under the jurisdiction of the Energy Commission (EC), whilst SESCO is under the jurisdiction of the Sarawak State Government. TNB is the main electricity supplier for Peninsular Malaysia while East Malaysia is covered by SESB (Sabah) and SESCO (Sarawak)â⠬ 3 In the year1992, Independent Power Producers (IPPs) were permitted to enter the national power generation division, to move the problem of power plant financing from government owned electricity principles to the private sector. The motivations for the IPP programme too came from the prevailing then set back in power generation capability. The openings of five IPP licences were awarded to huge business units. The tariffs for first generation IPPs were as well especially more than those for subsequent IPPs, which helped capital market financing for the initial waive of IPP savings, with the auspicious risk distribution of IPP connected risks. The enduring power purchase agreement (PPA) in which generation facility is sold to TNB insulates the IPP from fuel cost and demand cost risks. Subsequent PPAs have featured lesser tariffs, and an additional balanced distribution of risks with necessary availability targets, and various quantify of demand risk sharing. The strong credit pr ofiles of most of the issuers from this division carry on to be supported by their stable and predictable cash flow generation. ââ¬Å"
Monday, November 18, 2019
Advertising Essay Example | Topics and Well Written Essays - 250 words - 5
Advertising - Essay Example The poster would say ââ¬Å"man, thatââ¬â¢s so ââ¬Ëa part of a city, especially a slum, occupied by a minority group or groups, sequestered them based on socio-economic statusâ⬠followed by something that says ââ¬Å"think of your words.â⬠Another example would be ââ¬Å"thatââ¬â¢s so ââ¬Ëhappyââ¬â¢Ã¢â¬ or ââ¬Å"thatââ¬â¢s so ââ¬Ëperson who is attracted to someone of the same genderâ⬠with the same slogan. Visually, I imagine these print campaigns being visually simple, with a black and white background portrait of a person with a serious expression. This would create the inherent connection that language affects people, and is powerful. The text is solid and bright, with a color difference between the main text and the definition text. These would encourage people to actually think of the meaning behind their words and the idea that they have power in and of themselves. Furthermore, it will make people be more critical of the language they use and how it could affect
Saturday, November 16, 2019
Transdermal fentanyl patch in the use of chronic and non chronic pain
Transdermal fentanyl patch in the use of chronic and non chronic pain What is Fentanyl? Transdermal Fentanyl is a synthetic narcotic analgesic that is widely used in clinical anaesthesia which was originally synthesised by Dr Paul Janssen in the early sixties. It is approximately one hundred times more potent that morphine; which is thought of a the golden standard for opiods; this is where other opiods are compared and tested against morphine. Due to its potency, Fentanyl is mainly used for chronic long term illnesses such as cancer; however it is also used in short term acute pain for example child birth (a Fentanyl epidural would be used in this situation). Fentanyl can be administrated in many ways, which include: patch, ionysys, lollipop, injection and epidural. Biochemistry Janssens synthesis of fentanyl was to reactN-phenethylpiperidone with aniline to create 4-anilino-N-phenethylpiperidine. This compound is then reacted with propionyl chloride to give pure fentanyl, which is toxic and must be diluted in order to administrate to patients. American Chemical society 2005. Transdermal Fentanyl works by binding itself to the à µ-opioid receptors found in the Central Nervous System and the Gastro-Intestinal tract. It has high lipid solubility therefore it binds strongly to plasma proteins and can quickly cross the blood-brain barrier. This in turn causes the patient to have a sense of euphoria by increasing the patients pain threshold (the amount of discomfort a person feels enough to consider pain) and reducing the sensitivity of pain. Side effects and Benefits Transdermal Fentanyl is a more popular choice among patients as it provides a better quality of life and produces fewer side effects compared to that of other opiods. The side effects of Fentanyl are generic for all opiods, these include; respiratory depression (where the patients breathing becomes depressed and slow) muscle spasms, abnormal blood pressure (could be both high or low), nausea, vomiting, blurred vision, itching (caused by the substance making direct contact with the skin), euphoria, dizziness, weight loss and constipation. On the other hand there are many benefits that come from using the drug, example; A longer period of release i.e. Fentanyl patch can be released throughout the body for a seventy two hour period using the patch; and according to clinical studies provides an improved pain relief compared to that of morphine. A smaller volume is needed due to its potency and less constipation and less sedation occurs (the patient recovers motor function quicker). Converting a patient onto Transdermal Fentanyl Patch from Morphine The direct adaptation from Morphine to Fentanyl was first determined and tried by cancer patients. These patients are seen to have a steady and unvarying level of pain, and are receiving a constant dosage of Morphine to relieve it. On unstable pain Fentanyl does not work at its best. Below is an example of a patient receiving 100mg IV Morphine Sulphate and is going home on Fentanyl patch. 1) Convert to 24h oral MS dose 100mg/ IV MS = x 10mg/d IV MS 30mg/d oral MS 2) Adjust for cross-Tolerance 300mg/d oral MS x 0.65â⬠= 200mg/d oral MS â⬠Deriving a 35% reduction is equivalent to multiplying by 0.65 3) Convert adjusting to dose to Fentanyl Transdermal Patch dose 200mg/d oral MS = 55à µ/hr Fentanyl Patch 3.6 4) Round to closest Fentanyl Patch dosage from (25, 50, 75, 100) 55à µ/hr ââ â 50à µ/hr Fentanyl patchâ⬠â⬠â⬠â⬠Replace patch every 3 days 5) Provide oral morphine q2-4h for a break-through -pain at 10% of 24hr period total 200mg/d oral MS x 0.10 = 20mg oral MS q2-4h prn breakthrough pain Ali Olyaei PharmD, 2005 Fentanyl patch The Fentanyl patch is generally deliberated if there is no access oral for the patient and is unable to take Fentanyl orally in a tablet/lozenge form or If the patient is reluctant to continue on morphine to due unpleasant side effects such as constipation, tolerance; or if the patient is know to overdose or not taking the medication this is where the patient will become supervised. The Transdermal Fentanyl patch is often seen as the most common and easy way to treat chronic and non-chronic pain. It allows the patient to self administer the drug at home and has the longest effect on the body. (Margaret Gibbs 2009) The Patch can also be assisted by the lollipop, by using it as a top up mechanism to pain relief. Many health care professionals suggest that the patch should only be used for patients who are opioid-tolerant and cannot successfully manage there pain with other dugs such as morphine. The Patch can come in two forms which include; a Reservoir patch, where the patch is suspended in a matrix and placed onto the skin; and a Matrix patch where the drug is distributed evenly throughout a matrix. Reservoir Patch The principle of this patch is to understand and evaluate the stability and skin penetration profiles of Fentanyl. For this patch the Fentanyl is limited within a reservoir within the patch in a gel form. Dangerous drugs, Justinian Lane 2010 Matrix Patch Unlike the Reservoir patch there is no Fentanyl gel contained within the patch. This style of patch places the Fentanyl within the adhesive so it makes direct contact with the skin. (Causing the side effect of itching). This design of patch is seen as safer as is it unable to leak gel. Dangerous drugs, Justinian Lane 2010 How to apply the Patch There are many guidelines according to Drug and Therapeutics Committee August 2009; that a patient is required to follow in order to use the patch successfully. * Apply to clean, hairless skin such as the upper arm (which has not exposed to radiotherapy) and seize in place for 1 minute. * The patch works by creating a deposit of drug under the skin through the pores of the skin. * The patch should be replaced every 72 hours. Rotate position so not to irritate the skin. * Avoid direct heat and if the patient has a fever observe for opioid toxicity. * Fentanyl is causes less constipation than morphine. Therefore use half the dose of laxative if needed and repeat. * Prescribe strong opioid for breakthrough with either immediate release morphine sulphate /oxycodone or subcutaneous strong opioid The Patch works by releasing Fentanyl (either from the matrix gel or the Fentanyl Adhesive) into the body fats through the pores of the skin, which in turn releases the drug slowly and constantly around the bloodstream eventually passing the blood brain barrier allowing it to bind to à µ-opiod receptors, giving a constant pain relief of between forty-eight and seventy-two hours which is usually constant. However, it takes approximately four- twelve hours for the patch to begin releasing Fentanyl into the body. At this point the Fentanyl lollipop would be used to keep the patients pain relief up. Dosage is based on the size of the patch and absorption rate is usually regular, depending on many factors which include body temperature, size of the patient, skin type, quantity of body fat, and placement of the patch; can all have major effects on pain relief and dosage. Fentanyl patches are manufactured in five sizes: 12.5 à µg/h,25à µg/h, 50à µg/h, 75à µg/h and 100à µg/h. Fentanyl Lollipop The Transdermal Fentanyl Lollipop is a fast end effective method of administrating the drug, as the drug enters the body via mucous membranes in the mouth. It is primarily used as a top up method of pain relief in conjunction to the Fentanyl Patch, when the patient requires it. It is an beneficial form of administration as the lollipop doesnt require trained medical staff regarding administration Richard Payneb et al. It is preferred among patient as it is portable and fast-acting. The dosages for the lollipop are the following: 200 à µg in gray 400 à µg in blue 600 à µg in orange 800 à µg in purple 1200 à µg in green 1600 à µg in burgundy Fentanyl is prescribed after an assessment of the patients condition, medical history and known tolerance to pain medication, such as Morphine. In addition, the dosage is decided based on the severity of the pain over a twenty-four hour period. Conclusion To summarise Transdermal Fentanyl is a potent synthetic analgesic which was manufactured for the treatment of both chronic and non chronic pain management which include situations such as cancer or childbirth. It is widely used for the treatment of cancer as is it approximately one hundred times more potent than morphine which is described as the golden standard for opiods. The Fentanyl patch is manufactured in two different styles; Matrix and Reservoir; they work by diffusing the drug through the pores of the skin and allowing it to be transported around the bodys blood system furthermore crossing the blood barrier binding to the à µ-opiod receptors. The lollipop as a top up mechanism in conjunction according to the patients pain level. The patch is effective and preferred by patients as it has fewer side effects than the majority of opiods i.e. morphine, and provides the patient with a better quality of life as it can be administrated at home and last for approximately seventy-two hours. References ~ Margaret Gibbs, The role of transdermal fentanyl patches in the effective management of cancer painhttp, (June 2009) ://www.internurse.com Last accessed 1ts December 2009 ~ Last accessed 1st march 2010 (Online) http://www.medicinenet.com/fentanyl_transdermal_system/article.htm ~ Figure 1 (online) http://pubs.acs.org/cen/img/83/i25/8325fentanyl.gif ~ American Chemical society 2005 (online) Last accessed 10th March 2010 http://pubs.acs.org/cen/coverstory/83/8325/8325fentanyl.html ~ Drug and Therapeutics Committee August 2009 (online) Last accessed 12th March 2010 http://www.typepad.com/services/trackback/6a00d8341c716c53ef011571115245970c ~ Figure 2 (online) http://corpreform.typepad.com/.a/6a00d8341c716c53ef01157205fb1a970b-pi ~ Figure 3 (online) http://corpreform.typepad.com/.a/6a00d8341c716c53ef01157205fb2a970b-pi ~ Figure 4 (online) http://pi.watson.com/product_shot_images/00591_3213_72.jpg ~ Last accessed 12th march 2010 (online) http://www.fifeadtc.scot.nhs.uk/support/Fentanyl%20palliative%20care.pdf ~ Last accessed 12th march 2010 (online) http://www.typepad.com/services/trackback/6a00d8341c716c53ef011571115245970c ~ Richard Payneb et al (online) Oral transmucosal fentanyl citrate (OTFC) for the treatment of breakthrough pain in cancer patients: a controlled dose titration study, (1999) Pain 79 303-312, Last accessed www.sciencedirect.com 21/01/2010
Wednesday, November 13, 2019
Fire-Starter :: Essays Papers
Fire-Starter Character Review: Protagonist- Charlie McGee is a girl with pyrokinesis (a power in which someone can light fires with a glance). She is 8 years old. She is short, has blond hair, and brown eyes. She doesnââ¬â¢t like her power very much because she canââ¬â¢t control it. When she was about 5 years old, she was in the kitchen with her parents when they were trying to help her control her power. They gave her a test on a piece of toast, she burnt it to a crisp, and then she accidentally burnt her motherââ¬â¢s hands. The next day, when her dad came home from work, Charlie and her mother were nowhere to be found. Her father, Andy McGee, found his wife, dead in a closet. Charlie was still missing; ââ¬Å"the shopâ⬠had killed her mother and kidnapped her. Both Andy and Charlieââ¬â¢s mother had telekinesis, (a power in which, someone can make a person think that something is what its not, or make them think what that person is thinking). Andy drove to a neighborââ¬â¢s house, and used his power on the two agents that had kidnapped Charlie. He and Charlie drove of and were in search of for a few years. Charlie canââ¬â¢t stand people that are after her, or mean, or especially lie to her. Charlieââ¬â¢s whole life is included in this book. The book revolves around Charlieââ¬â¢s power. Itââ¬â¢s so powerful, that her parents canââ¬â¢t even try to control it. Charlieââ¬â¢s main weakness is trusting too many people. She trusts to many strangers, which could lead to danger. Her basic problem is trying not to get caught by ââ¬Å"the shopâ⬠(a secret government agency that wants to investigate her power). They have been after her since she was born. Since both of her parents had telekinesis, she was born with a different set of DNA, which gave her the power of pyrokinesis. I really like Charlie. I like the way she wants to control her power, and I like how she has a lot of confidence, its like she knows whatââ¬â¢s going to happen, and that everything is going to be fine. The thing that I specifically admire is the way she copes with the way she was brought up. She was brought up, to learn to use her power when she could to get money or food, or whatever she needed, but she knows that it isnââ¬â¢t right to steal, and it isnââ¬â¢t right to use a power that nobody else has to get something that you actually donââ¬â¢t deserve.
Monday, November 11, 2019
Family and Son Essay
Success can be a rather abstract term and it can mean very different things to different people. Trying to define what success is is not easy. To most people, success means achieving a goal. In order to achieve a goal, a person usually has to work hard and believe in himself. Being successful at what you do can also be very motivating. People who are successful in one project, tend to be more successful in other projects. This is because they get the feeling that their hard work pays off and that a goal is worth their time and effort. Success usually goes hand in hand with appreciation. If someone we know succeeds at what he or she does, we will most certainly congratulate them. This will make them feel good and motivate them even further. To some people, success means being the best at what they do. Another truth about success is that it can create envy. If you are good at what you do, others will want to be good at the same thing, and if they are not as good as you, they will envy you. This means that success can create a bitter taste in your mouth, because instead of being happy about your achievements, people are mean to you. In this case it is important not to forget that you have done well and that there are many other people who appreciate what you have done. Just think about it this way: if people envy you, you have done something right. And if you are lucky, the envious people will see your success as a means of motivation for achieving their own goals. Success means more to some people than to others. Some want to be successful by all means, others are satisfied by simply trying and giving their best, whether they succeed or not. The secret of success! A young man asked Socrates, an ancient Greek philosopher, the secret of Success. Socrates told the young man to meet him near the river the next morning. They met. Socrates asked the young man to walk with him toward the river. When the water got up to their necks, Socrates took the young man by surprise and ducked him into the water. The man struggled to get out but Socrates was strong and kept him under water until he started turning blue. The young man struggled hard and finally managed to get up. The first thing he did was to gasp and take a deep breath. Socrates asked, ââ¬Å"What did you want the most when you were under the water?â⬠The man replied ââ¬Å"Airâ⬠. Socrates said: ââ¬Å"Thatââ¬â¢s the most secret to success. When you want success as badly as you want air, you will get it. There is no other secretâ⬠. Reflection: A burning desire is the starting point of all accomplishments. Just like a small fire cannot give much heat, a weak desire cannot produce great resultsâ⬠¦ Hard Work Bringââ¬â¢s Success. There once lived a rich businessman who had a lazy and fun loving son. The businessman wanted his son to be hard-working and responsible. He wanted him to realize the value of labour. One day he summoned his son and said: ââ¬Å"Today, I want you to go out and earn something, failing which you wonââ¬â¢t have your meals tonight.â⬠The boy was callous and not used to any kind of work. This demand by his father scared him and he went crying straight to his mother. Her heart melted at the sight of tears in her sonââ¬â¢s eyes. She grew restless. In a bid to help him she gave him a gold coin. In the evening when the father asked his son what he had earned, the son promptly presented him the gold coin. The father then asked him to throw it into a well. The son did as he was told. The father was a man of wisdom and experience and guessed that the source of the gold coin was the boyââ¬â¢s mother. The next day he sent his wife to her parentââ¬â¢s town and asked his son to go and earn something with the threat of being denied the night meals if he failed. This time he went crying to his sister who sympathized with him and gave him a rupee coin out of her own savings. When his father asked him what he had earned the boy tossed the rupee coin at him. The father again asked him to throw it in a well. The son did it quite readily. Again the fatherââ¬â¢s wisdom told him that the rupee coin was not earned by his son. He then sent his daughter to her in-lawsââ¬â¢ house. He again asked his son to go out and earn with the threat that he shall not have anything for dinner that night. This time since there was no one to help him out; the son was forced to go to the market in search of work. One of the shopkeepers there told him that he would pay him two rupees if he carried his trunk to his house. The rich manââ¬â¢s son could not refuse and was drenched in sweat by the time he finished the job. His feet were trembling and his neck and back were aching. There were rashes on his back. As he returned home and produced the two rupee note before his father and was asked to throw it into the well, the horrified son almost cried out. He could not imagine throwing his hard-earned money like this. He said amid sobbing: ââ¬Å"Father! My entire body is aching. My back has rashes and you are asking me to throw the money into the well.â⬠At this the businessman smiled. He told him that one feels the pain only when the fruits of hard labour are wasted. On earlier two occasions he was helped by his mother and sister and therefore had no pain in throwing the coins into the well. The son had now realized the value of hard work. He vowed never to be lazy and safe keep the fatherââ¬â¢s wealth. The father handed over the keys of his shop to the son and promised to guide him through the rest of the life.
Saturday, November 9, 2019
Assessment Task-Cypop 14
Assessment task-CYPOP 14 Support children and young people to have possitive relationships. Part 1- The importance of positive relationships. Part2- How to support children and young people when they are in relationship difficulties. 1. identify the different relationships children and young people may have ? Parents, siblings and extended family ? Friends, enemies ? Doctors, dentist ? Social workers ? Teachers/tutors ? Carerââ¬â¢s Explain the importance of positive relationships for development and well-being (Learning outcome 1. 2) ? Childrenââ¬â¢s welfare can be properly monitored. Children are given consistent care. ? Childrenââ¬â¢s needs and interests are identified. ? Skills and ideas can be shared. ? Plans for childrenââ¬â¢s care and education are more effective |A sense of connection and belonging. Good relationships are really important for our wellbeing. Humans have evolved as social animals, so ability to develop good relationships is an extremely important ste p on the path to getting the best out of his or her life. we have a deep, natural need to connect with other people and to belong to a social group.This sense of connection and belonging comes from good relationships with the people around us ââ¬â in our families, at work or school and with our friends. There is strong evidence that when we feel we belong, we will flourish. This section explains what makes a good relationship. It gives information on how you can build better relationships with children and how you can help children form good relationships with others. A childââ¬â¢s ability to develop good relationships is an extremely important step on the path to getting the best out of his or her life
Wednesday, November 6, 2019
Stratification Media Analysis Essays - Race And Society, Free Essays
Stratification Media Analysis Essays - Race And Society, Free Essays Stratification Media Analysis Paula Young SOC/100 April 03, 2017 Sharon Chappelle Stratification Media Analysis The role race plays in our culture is so deeply rooted that we often can't see the kinds of racism and racial power dynamics we encounter on a daily basis. In a television series called "Tales" tries to reveal this kind of consistent racism, showing what certain, everyday power dynamics would look like if the current racial roles were reversed. Example of Racism A young white boy, from a predominantly white poor urban neighborhood, was approached by two black police officers while walking to school. While approaching the young boy, one officer asked if the boy was on probation or parole. The young boy replied "is that the first thing that comes to mind"; the offers advise the boy to watch his mouth when speaking to an officer and proceeded to ask for the boy's identification. The young male hadn't broken any laws and was not told why he was stopped. Once he presented his identification, the officer then throws it back to the young male; which then fell to the ground. Once the young boy tried to retrieve his identification by picking it up, he was told not to move. The young male proceeded to do so anyway; which was when the police officer drew his weapon and advised the young male not to move, while the other officer threw him to the ground. As he tried to get back up, he begged for help and one of the officers stated that he couldn't help him, and that he was a no good punk. The boy asked one of the officers, what if he was his son; and the officer replied, that he couldn't be his son because he's white trash. The boy stumbled to his feet and they officers shot, and killed him, for no reason. Body Language and Symbols The young boy was wearing a hoodie sweater with a pair of loose fitting jeans, and gym shoes. While the police officers were dressed in their uniform along with their badges. They had disgruntled face expressions and carried guns. One of the officers had a cocky build, while the other one was short, but he still looked as if he wasn't a nice person. They also stood in front of the young boy holding their guns. Understanding Body Language and Symbols February 26, 2012, a young black boy was wearing a hoodie sweater with a pair of loose fitting jeans, and gym shoes. He was killed by a white Hispanic neighborhood watch volunteer that stated that he looked "suspicious". His attire was the exact match as the young white boy in the television series called "Tales". A lot of people believe that the way we dress can make you a target to be racially profiled. The police officers that stopped the young white boy had on police uniforms along with a badge. They used their badges as a symbol of power, which they abused by harassing the young male, because they had they authority to stop anyone whenever they wanted to. Their face expressions were stern and very intimidating, not the type of friendly demeanor that someone would pose who is there to protect and serve their community. The officer's body type was big in stature and intimating to a young innocent child. They also kept their hands on their guns as if he was a threat to them when he was the one that was in fear. They looked at the young boy as if he was a disgrace to the human race; as if they were judging him, even though, they didn't even know him. Understanding the Importance of Racism The attitudes of racism include a bundle of emotions and beliefs, a belief in the inherent superiority or inferiority of one race relative to another; feeling of hostility, suspicions, or hatred towards members of a different racial group. And a readiness to discriminate against members of other groups when one is in a position to assign benefits, opportunities, or hardships. I believe in order for us to reverse these patterns of injustice, we need to learn to understand how it affects those who are truly innocent. And when one should find himself making an assumption about someone, ask challenge yourselves whether you know the assumption to be true, or if it is something you have simply been taught to believe by a racist society. Conclusion Racism has existed throughout human history. It is often defined as hatred, or belief that
Monday, November 4, 2019
A Wide Array of Conflicts in the Film 300 Essay Example | Topics and Well Written Essays - 750 words
A Wide Array of Conflicts in the Film 300 - Essay Example 300 is one of the biggest budget movies in recent memory and yet another comic book movie that uses new technology to make an incredible visual display. 300 is a fundamentally a tragedy, with nearly every major character dying through the course of the movie, and a very serious, dramatic (if overblown) treatment of the topic. The basic plot is that a Persian king, Xerxes I of Persia, who is on the path of world conquest, decides to invade Greece and take over the entire area. Because it is a time of celebration, the King of Sparta must ask sages whether he is allowed to take the army of Sparta, a Greek city-state focused on martial prowess, to go head off Xerxes. The sages, who are under the pay of the Persian Empire, decline his offer, paving the way for invasion by Persia. The King of Sparta decides to side-step this issue, by going for ââ¬Å"a walkâ⬠with a ââ¬Å"personal bodyguardâ⬠of only three hundred soldiers, to go defend a narrow mountain pass that the Persians must use to enter Greece. They then go on to beat back wave after wave of Persian troops, inflicting huge casualties. Eventually, all three hundred of the Greek soldiers are killed, but the psychological damage they inflicted ended up being decisive, with the Persian army, who had lost so many thousands fighting only three hundred Spartan warriors baulk at facing the full force of Sparta when they invade the city. The style of this is incredibly overblown and artistic. Everything from the gore to the monsters to the regular characters is heavily re-done through computer generated graphics, and the entire style is fantastical, trying to match the comic book style of its predecessor.
Saturday, November 2, 2019
Summary Assignment Example | Topics and Well Written Essays - 250 words - 1
Summary - Assignment Example His belief had borne fruit. Grameen Banks grew at astounding rate with 2400 branches across 78000 villages across the country. Grameen Bank, is a micro credit institution that is a self financing body. It gives out loan to the self help groups through membersââ¬â¢ deposits. It helps to provide the poor with the necessary credit to start income generating activity and thereby raise their living standard. The members have to comply with the sixteen components of ââ¬Ëdecisionsââ¬â¢ which contributes to improved socio-economic status of the community. The charter includes hygiene, restructuring of dilapidated house, no dowry, education for children etc. The genuine defaulters are given fresh lease through re-structured loan repayment schedule and if required, more finance to improve business prospects. The timely payment serves as incentive for higher loan amount. The example of Bangladesh micro credit institutions have now been taken up in other under developed countries for po verty alleviation. The concept of phone lady is highly innovative and connects the village with external linkages, while providing the person with cell phone, a profitable means of income generation. The proactive participation of non government agencies is also encouraged for improving the living standard of the poorest of the poor. Reference
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