The Spectrum Of Autism Spectrum Disorders Essay - 1963 Words

The spectrum for autism disorders can be depicted as a scale, with end points ranging from mild to severe. Picturing an umbrella shaped scale that portrays the severity of symptoms, whether their deficits are cognitive, social, or of language; individuals diagnosed with autism or similar disorders fall into a comprehensive term of autism spectrum disorders (Hallahan et. al, 2015, p. 211). The term autism spectrum disorders derive various definitions depending on the type of professional is questioned. A medical definition of autism spectrum disorders provided by the Mayo Clinic in 2014 states, â€Å"an autism spectrum disorder is a serious neurodevelopmental disorder that impairs a child s ability to communicate and interact with others. It also includes restricted repetitive behaviors, interests and activities. These issues cause significant impairment in social, occupational and other areas of functioning.† This is not the definition that will be referenced in this paper. Th e definition that is applicable to this paper is the educational definition, mandated by federal law to be used in public schools. The educational definition of autism spectrum disorders according to the book Exceptional Learners: An Introduction to Special Education by Hallahan, Kauffman, and Pullen is â€Å"a disability wherein symptom fall on a continuum from relatively mild to severe; DSM-5 divides them into two general domains: ‘social communication impairment’ and ‘repetitive restricted behaviors.’† AShow MoreRelatedAutism Spectrum Disorder1493 Words   |  6 PagesAutistic spectrum disorder is caused not only by environmental factors but also by genetic inheritability. This disorder can range from mild to severe and is shown in many different forms. Symptoms include speech impairment, disorganized language; sensory processing disorder which causes absent responses, sleep disorders, depression and anxiety, obsessive compulsive disorder and man y more. Diagnosing autism does not include medical test but instead a team of physiologists and physicians observe theRead MoreIs Autism Spectrum Disorder? Essay1335 Words   |  6 PagesWhat is autism spectrum disorder? Autism spectrum disorder is a diagnosis which describes a group of individuals with a common cluster of symptoms, though it is important to note that the degree of severity of these symptoms vary greatly amongst individuals (Speaks, 2011). Autism is a lifelong developmental disorder affecting our communication, our interactions, and processing abilities which co-occur with motor coordination, attention, and physical health conditions which include but are not limitedRead MoreAutism Spectrum Disorders784 Words   |  3 PagesIntroduction Autism is the main form of autism spectrum disorders (ASD). Autism is a developmental disorder that is manifested in problems with communication, impairment of social functioning, and repetitive behaviours. According to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), ASD diagnoses must meet four different areas of criteria. There are three symptoms of deficits in social communication and interaction across contexts, four symptoms of restrictedRead MoreAutism Spectrum Disorder And Autism Essay1393 Words   |  6 PagesAutism is a neurological disorder with many forms and severities, better known as autism spectrum disorder, that begins early in childhood and lasts throughout the individual’s life. Autism spectrum disorder is defined as developmental disabilities that can cause significant social, communication, and behavioral challenges (CDC). Previously, autism was recognized in distinct groups and types. Now, autism is referred to as a spectrum because there is an overlap among all the different forms of autismRead MoreAutism Spectrum Disorder ( Autism )900 Words   |  4 Pages Autism Disorder Mohamed Ayoub Community College of Aurora Autism Spectrum Disorder We are living in a time where a remarkable and advanced medical treatments exist. However, scientists and medical professionals are constantly faced with diseases and disorders that contemporary humanity needs a cure and treatment. Amongst the disorders that affecting our young people today is the autism spectrum disorder. It is a â€Å"complex and life long behavioral disorder marked by impairment in socialRead MoreAutism Spectrum Disorder1446 Words   |  6 PagesPublic Health Problem Autism or autism spectrum disorder ( ASD) is a developmental disorder that has been found world wide. However unlike many other disorders, autism is fairly new in the sense that there is no cure nor a set factor causing it. Today, the public is more aware of the disorder, yet there is still concern about how to treat autism in children as well as what risk factors are more likely to lead to autism. Autism has been around for the past hundred years, however previous to theRead MoreAutism Spectrum Disorder ( Autism ) Essay1396 Words   |  6 PagesThe disorders listed under the umbrella of Autism Spectrum Disorder, were once listed as autism and subtypes of autism. This was changed in 2013 when The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) was published, and they were listed under the umbrella of Autism Spectrum Disorder. There are five disorders listed under the umbrella of Autism Spectrum Disorder: Autistic Disorder, Asperger’s Syndrome, Childhood Disintegrative Disorder, Rett Syndrome and Pervasive DevelopmentalRead MoreAutism Spectrum Disorder1409 Words   |  6 Pagesboys and 1 in 189 girls are diagnosed with autism in the United States (Autism Speaks, n.d.). Can be diagnosed in all racial and ethnic groups, as well as every age group. In the 2013 publication of DSM-5 diagnostic manual, Asperger syndrome, Autistic disorder, chil dhood disintegrative disorder, and Pervasive Developmental Disorder- not otherwise specified (PDD-NOS) were merged into one category of ASD. This paper will explain what Autism Spectrum Disorder is, causes, signs and symptoms, diagnosisRead MoreAutism Spectrum Disorder And Autism2594 Words   |  11 PagesAutism Spectrum Disorder is defined as a neurodevelopmental condition that is classified by a triad of impairments. These impairments are in communication, socialization, and repetitive patterns of behavior (Wolf, 2004). Autism affects about 1% of the current population (Shishido, Branko, Norio, 2013). This disorder seems like a common diagnosis in the current day in age but the disorder was only discovered around sixty years ago. The two founding researchers that discovered the disorder are KannerRead MoreAutism Spectrum Disorder2834 Words   |  11 PagesAutism spectrum disorder (ASD) is a growing disorder that affects 1 in 300 children in the U.S. Autism can be defined as a disorder in brain developments that can cause a lack in motor skills. Motor skills progress throughout the life span creating growth in the human brain, thus allowing the child to grow developmentally and physically. Simple motor skills including brushing your teeth, snapping buttons on a shirt, brushing your hair, and writing your name are learned easily by most children. However

Ernst Von Mansfeld Thirty Years Free Essays

Thirty Years’ War: Ernst von Mansfeld Ernst von Mansfeld was a German military commander in the Thirty Years War. Although he fought for the Protestant cause, Mansfeld was a Roman Catholic. He was considered one of the most dangerous opponent of the Catholic League. We will write a custom essay sample on Ernst Von Mansfeld Thirty Years or any similar topic only for you Order Now He was born in 1580 as the illegitimate son of Peter Ernst I von Mansfeld-Vorderort and Dorothea von Solms- Lich. In 1594 he served under Archduke Leopold. Then, in 1610 he Joined Frederick V and the Protestant Union. At the age 36 he led his first regiment of 2000 men. He fought for the Protestant Union until he died from illness in November, 1626. In the Bohemian Phase of the Thirty Years’ War Mansfeld led an army of 2000 men, raised by the Duke of Savoy, to aid the Bohemian rebels. He successfully siege the Bohemian city of Pilsen in 1618. Mansfeld was defeated in the Battle of Sablat after being inactive for a while. At the Battle of White Mountain Masfeld and his forces were defeated, and in shortly after forced to surrender Pilsen to the Catholics. Toward the end of the Bohemian Phase King Frederick V selected Mansfeld to lead is Bohemian troops. Following this he undertook Frederick’s position in Upper Palatinate. He then moved into Rhenish Palatinate. This allowed Mansfeld to successfully defend against Johann Tserclaes, the Count of Tillys attempt at overtaking Bohemian rebel regiments. He also was defeated by Tilly twice. Mansfeld’s troops were very destructive, not only to the lands of his enemy, but to the lands he was supposed to defend. During the Palatine Phase of the Thirty Years’ War Mansfeld raised another of Frederick Vs armies in an effort to recover Palastine. The effort was a failure, because he was once again defeated by Tilly. Then Mansfeld was given an army of 12,000 men by James I of England. These troops were sent into the Dutch city of Breda as an attempt of relief for the Siege of Breda, but the troops were not permitted set foot on land, and Breda fell in 1625. Mansfeld led the remainder of his army to Dutch lands, where they were once again defeated by Habsburg forces. Mansfeld continued to fght. He led his forces to Bergen-op-Zoom, a Dutch city seiged by the Spainish in 1622. This led to the relief of the city. Mansfeld spent 1624 and 1625 raising an anti-Habsburg army. He led this coalition in a march on Bohemia in 1626, but in a turn of events Mansfeld was forced to turn to Hungary. He intended on returning to his base after being defeated by Tilly once again. On his return home Mansfeld fell ill, and on November 29, 1626 he died in Bosnia. Mansfeld was a great force to be reckoned with during Thirty year’s War. The Protestant Union can contribute much ot their success during the early phases ot the war. He was remarkable because he fought for the Protestant cause while remaining a faithful Catholic. How to cite Ernst Von Mansfeld Thirty Years, Papers

Yuletide Season free essay sample

Dear Jenny, How are you Jenny? I cant believe it has already been a year since you moved to Canada and I miss you so much especially the hours weve wasted on the phone gossiping. I was hoping to visit you last time, but my ever-so-hectic schedule left me with insufficient time to go abroad. Ill be free in December so that I can fly over to Canada and we can spend some time together. I cant wait to fill you in on everything thats going on in my life which cant be condensed in this piece of paper. Christmas is drawing closer day by day and I hope that during this Yuletide season ou will share your happiness and blessings to all the wonderful people around us. I hope that you will never lose faith in God and never stop chasing your dreams. I hope that you still remember the true meaning of Christmas which is commemorating the birth of our dearest Lord Jesus Christ. We will write a custom essay sample on Yuletide Season or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Christmas is not about the number of Christmas gifts displayed below our Christmas Trees nor is it about saying the generic Merry Christmas to a random stranger. Its about the little things we do to make our fellow brothers and sisters happy and I hope you still remember this even hough Im not there to constantly remind you. Above all, I am really looking forward to see you again! I want to spread the real message of Christmas with you. Truthfully, spending Christmas without you would make me feel empty inside I hope to see you soon Jade! I hope you are looking forward to that as well. Good luck in your studies and dont forget to believe in yourself. It will help you a lot in fulfilling your dreams. Drop me a line when youre free. Im eager to hear all your adventures (or misadventures) of your first year in Canada! Take care and God bless!

The Effects of Ph and Concentration Levels on Catecholase free essay sample

Abstract This lab was performed in order to discover the activity of the enzyme catecholase in different pH levels as well as its absorbance in differently concentrated solutions. A spetrophotometer was used to measure the absorbance of the enzyme catecholase in different pH solutions as well as to measure the absorbance of catecholase in solutions with different concentrations of potato juice and phosphate buffers. Absorbance of the enzyme catecholase was at an optimum level when pH was close to neutral. When pH was acidic or basic, the catecholase was less effective. Also, when there was a higher concentration of potato juice and a lower concentration of phosphate buffer, absorbance of the enzyme increased. Introduction According to Edmund J. Stellwag, in his article  Enzyme an enzyme is â€Å"a catalytic protein produced by living cells. † Enzymes function as catalysts by lowering the amount of energy required for a reaction to occur. â€Å"Enzymes already have a wide range of applications, including chemical synthesis, biodegradation of harmful chemicals, environmental and medical diagnostics, medical therapeutics, food manufacturing, detergents, and agriculture† (Kuchner). We will write a custom essay sample on The Effects of Ph and Concentration Levels on Catecholase or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Because enzymes are biological molecules, changes in pH can greatly change their effectivity in chemical reactions. A change in the concentration of enzymes in a given area can also greatly affect the rate of reaction. The purpose of this lab was to observe and to record the activity of the enzyme catecholase in different pH levels as well as its effectivity in different concentration levels. Hypothesis A: If pH level increases (becomes more basic), then absorbance of the enzyme catecholase will increase. Null Hypothesis A: If pH levels increase, then absorbance of the enzyme catecholase will decrease. Hypothesis B: If the concentration of potato juice in an area increases and phosphate buffer decreases, then absorbance will increase. Null Hypothesis B: If the concentration of phosphate buffer in an area increases and potato juice decreases, then absorbance will increase. Materials and Methods Exercise A:Laboratory number two was used as a reference for using the spectrophotometer. The wavelength of the spectrophotometer was set to 420 nm. Five test tube blanks were prepared, each containing 9mL of a different pH buffer, 1mL of potato juice, and 1mL of water. http://www.accessscience.com

The bishop of mopsuestia Essay Example

The bishop of mopsuestia Essay Example The bishop of mopsuestia Essay The bishop of mopsuestia Essay The Bishop of Mopsuestia Introduction From the twelvemonth 392 boulder clay 428 AD, Theodore the Interpreter was the bishop of Mopsuestia. He was popularly known as the Theodore of Antioch, which was his native birth topographic point. He had a good known and established repute, for stand foring the school of Antioch of hermeneutics. This paper seeks to analyse Theodore of Mopsuestia in the visible radiations of wide and diverse academic resources. Theodore of Mopsuestia, is considered to be the greatest and most influential interpretator of his clip. Life and Work Theodore place of birth is Antioch, where his male parent occupied an of import place and he belonged to a baronial and affluent household. His cousin, Paeanius, was considered to be one of the most of import civil authorities officers. His brother Polychronius became the bishop in Apamea. Theodore initial outgrowth was as comrade and friend of Chrysostom. He was from Theodore s native town but he was approximately two to three old ages elder than him. Their common friend was Maximum, who became the bishop of Isaurian Seleucia. The three friends took and attended categories and talks of Grecian speech production instructor called Libanius. Chrysostom gives recognition that the diligent survey and epicurean, polite life of Antioch, had influenced Theodore s life ( Hinson, 245 ) . In his ulterior yearss, Chrysostom resided in Caesarea and adopted a simple life. He is responsible for act uponing both of his friends, Maximus and Theodore. After go forthing Libanius, the three friends wen t to the cloistered school of Carterius and Diodorus. However, it should be noted that it is ill-defined whether Theodore had underwent baptism before he adopted the ascetic life. Chrysostom Hagiographas and resources indicate that he enjoyed austere and ascetic life and he had adopted the celibate life when he fell in love with a miss called Hermione. Theodore autumn was responsible for scattering concern and dismay in the full society and the concern and concern which originated, can be seen clearly in Chrysostom early literary books-two letters which were intended for Theodore. These literary resources enabled Theodore to stabilise his vows, although there was letdown and hurt in his ulterior old ages. In AD 374, Chrysostom s and Diodore relationship had come to an terminal and he adopted complete cloistered privacy. However, Theodore s association with Diodore was seen in the see of Tarsus in the 378 AD. It was during this period when his cognition and penetration of the New Testament and church canon or tenet became solid and he wished to research and detect a life which contained the rules and criterions of biblical apprehension and account which Diodore had earned from Antiochenes first coevals. In the latter old ages, Theodore emerged as a author. He started by composing a commentary on Psalms. In Antioch, the orthodox re sented the fact there was loss of conventional and traditional reading. Theodore s attack was obliged and bound to finish his understanding that he would manus over his full work and would fire them. However, he escaped from the promise ( Hinson, 256 ) . Gennadius of Marseilles considers Theodore to go the member of the church at Antioch. Informations from John s talk suggests that there is a spread of 40 five old ages between his sanctification as Christian priest and decease. This fact demonstrates that he was ordained priest at Antioch in the twelvemonth 383, when he was 30 three old ages old and the proclaiming bishop was Flavian. Theodore became his loving adherent ( Hinson, 296 ) . This nickname suggests that Theodore obeyed and adhered to the Meletian party. However, no grounds is present that he was active in the feud during Flavian s office, among the Catholics of Antioch. Harmonizing to the Gennadius, Theodore s important and major thesis and discourse on Incarnation is from this period and it is found on his commentaries on the Old Testament. In the field of Polemicss, he had attained popularity. Harmonizing to Hesychius, he had left Antioch when he was a priest and he resided in Tarsus boulder clay 392 ( Fox, 103 ) . He s anctified to see Mopsuestia after the decease of Olympius. Here he had given more than half of his life. Mopsuestia was considered to be a liberated town, which was between Tarsus and Issus. Cilicia Secunda, was the proprietor of Mopsuestia. Theodore s long place as a bishop was noticeable by series of incidents. The missive of Assyrians, the Book of Pearls, his sermonizers and followings have given and described few personal inside informations. In the twelvemonth 394, he has attended a church council to oppugn the concern of Bostra. Over at that place, Theodore had the opportunity to run into Emperor Theodosius. He preached the emperor when he was be aftering to see the West ( Fox, 152 ) . His prophesying made a strong feeling and Theodosius asserted that he had neer met a instructor or sermonizer like Theodore. Theodosius II besides respected Theodore and often wrote to him. From the letters of Chrysostom, the glance of Theodore s epsicopal life can be witnessed. Theodore s Influences As compared to other figures of the early Church, Theodore is considered to be Universalist, who had the perceptual experience that all people would be saved. Throughout his life, Theodore was believed to an Orthodox Christian. After he has been cursed and denounced for Nestorianism, he did nt abandon his Universalism. In the Confession of Faith, he wrote down that Jesus Christ had the power to reconstruct all. Theodore worked fanatically for the benefit of diocese ( Quasten,286 ) . The popular missive of Ibas to Maris proves that he struggled and strived and made attempts to complete Arianism and other profanations in Mopseuestia. His plants are considered to be doubtless testimonies and testimonials to these strivings. He was considered to be the courier of truth and he was the physician of the church. Harmonizing to John of Antioch, Theodore had explained and expanded the Scripture in bulk of churches found in the East. His ulterior life became complicated because of two major con tentions. Theodore s Doctrine: Hermeneuticss and Canon In context to the Old Testament, Theodore had adopted and accepted the Flavius Josephus rules and criterions. In other words, he was his inspiration and encouragement. This demonstrates that he had adopted his canon. He rebuffed the un-canonical Book of Job, the Canticle of Canticles, the Book of Esdras, and the deutero-canonical book. From the New Testament, he removed and deleted the Catholic Epistles except for I Peter and I John and the Acpcalypse. When explicating the Holy Writ, he makes usage of bing historical and grammatical method of Antiochene school. In the Psalms, he merely recognized two, two, seven, and xiv, which were straight related to the Messiah ( Wylen, 258 ) . Anthropology and Doctrine of Justification Theodore s philosophy was related to the justification which gave rise to several scruples. Theodore asserts that the Adam committed a wickedness himself and the full world had suffered because he was so changeable. However, the result of the wickedness in the instance of Adam was mutableness prevailed in his posterities. Harmonizing to Theodore, the chief aim of the salvation was to confront the status of mutableness and morality. He asserts and cites the illustration of Christ, who united with the Logos and His Resurrection as an illustration of mutableness and morality ( McGrath, 89 ) . When adult male is born, this influence and alteration is influenced by the brotherhood with the Christ. This brotherhood starts with baptism in which all wickednesss are remitted and the grace of Christ is bestowed which gives rise to immutableness and immortality. Bibliography E. Glenn Hinson, The church triumphant: a history of Christianity up to 1300, Mercer University Press, 1995. Chadwick, Henry. The Early Church. Baskerville: Penguin History, 1993. Robin Lane Fox, Pagans and Christians: In the Mediterranean World from the Second Century AD to the Conversion of Constantine, London: Viking, 1986 Norris Jr, Richard A. The Christological Controversy. Baskerville: Penguin History, 1980. J.Quasten, Patrology, vol. 3 ; article on Theodore of Mopsuestia Wylen, Stephen M. , The Jews in the Time of Jesus: An Introduction, Paulist Press ( 1995 ) , McGrath, Alister E. , Christianity: An Introduction, Blackwell Publishing, ( 2006 ) ,

Battle of Berlin in World War II

Battle of Berlin in World War II The Battle of Berlin was a sustained and ultimately successful attack on the German city by the Allied forces in the Soviet Union from April 16–May 2, 1945, during World War II (1939–1945). Armies Commanders Allies: Soviet Union Marshal Georgy ZhukovMarshal Konstantin RokossovskyMarshal Ivan KonevGeneral Vasily Chuikovapprox. 2,500,000 men Axis: Germany General Gotthard HeinriciGeneral Kurt von TippelskirchField Marshal Ferdinand Schà ¶rnerLieutenant General Hellmuth ReymannGeneral Helmuth WeidlingMajor General Erich Brenfngerapprox. 766,750 men Background Having driven across Poland and into Germany, Soviet forces began planning for an offensive against Berlin. Though supported by American and British aircraft, the campaign would be entirely conducted by the Red Army on the ground. General Dwight D. Eisenhower saw no reason to sustain losses for an objective that would ultimately fall into the Soviet occupation zone after the war. For the offensive, the Red Army massed Marshal Georgy Zhukovs 1st Belorussian Front to the east of Berlin with Marshal Konstantin Rokossovkys 2nd Belorussian Front to the north and Marshal Ivan Konevs 1st Ukrainian Front to the south. Opposing the Soviets was General Gotthard Heinricis Army Group Vistula supported by Army Group Centre to the south. One of Germanys premier defensive generals, Heinrici elected not to defend along the Oder River and instead heavily fortified the Seelow Heights east of Berlin. This position was supported by successive lines of defenses extending back to the city as well as by inundating the Oders floodplain by opening reservoirs. Defense of the capital proper was tasked to Lieutenant General Helmuth Reymann. Though their forces looked strong on paper, Heinrici and Reymanns divisions were badly depleted. The Attack Begins Moving forward on April 16, Zhukovs men assaulted the Seelow Heights. In one of the last major pitched battles of World War II in Europe, the Soviets captured the position after four days of fighting but sustained over 30,000 killed. To the south, Konevs command captured Forst and broke into open country south of Berlin. While part of Konevs forces swung north towards Berlin, another pressed west to unite with advancing American troops. These breakthroughs saw Soviet troops nearly envelop the German 9th Army. Pushing westward, 1st Belorussian Front approached Berlin from the east and northeast. On April 21, its artillery began shelling the city. Encircling the City As Zhukov drove on the city, the 1st Ukrainian Front continued to make gains to the south. Driving back the northern part of Army Group Center, Konev compelled that command to retreat towards Czechoslovakia. Pushing forward north of Juterbog on April 21, his troops passed south of Berlin. Both of these advances were supported by Rokossovsky to the north who was advancing against the northern part of Army Group Vistula. In Berlin, Adolf Hitler began to despair and concluded that the war was lost. In an effort to rescue the situation, the 12th Army was ordered east on April 22 in the hope it could unite with 9th Army. The Germans then intended for the combined force to aid in defending the city. The next day, Konevs front completed the encirclement of the 9th Army while also engaging the lead elements of the 12th. Unhappy with Reymanns performance, Hitler replaced him with General Helmuth Weidling. On April 24, elements of Zhukov and Konevs fronts met west of Berlin completing the encirclement of the city. Consolidating this position, they began probing the citys defenses. While Rokossovsky continued to advance in the north, part of Konevs front met the American 1st Army at Torgau on April 25. Outside of the City With Army Group Centre disengaging, Konev faced two separate German forces in the form of the 9th Army which was trapped around Halbe and the 12th Army which was attempting to break into Berlin. As the battle progressed, 9th Army attempted to break out and was partially successful with around 25,000 men reaching 12th Armys lines. On April 28/29, Heinrici was to be replaced by General Kurt Student.  Until Student could arrive (he never did), command was given to General Kurt von Tippelskirch. Attacking northeast, General Walther Wencks 12th Army had some success before being halted 20 miles from the city at Lake Schwielow. Unable to advance and coming under attack, Wenck retreated towards the Elbe and U.S. forces. The Final Battle Within Berlin, Weidling possessed around 45,000 men composed of Wehrmacht, SS, Hitler Youth, and Volkssturm militia. Initial Soviet assaults on Berlin began on April 23, a day before the city was encircled. Striking from the southeast, they met heavy resistance but reached the Berlin S-Bahn railway near Teltow Canal by the following evening. On April 26, Lieutenant General Vasily Chuikovs 8th Guards Army advanced from the south and attacked Tempelhof Airport. By the next day, Soviet forces were pushing into the city along multiple lines from the south, southeast, and north. Early on April 29, Soviet troops crossed Moltke Bridge and began attacks on the Interior Ministry. These were slowed by a lack of artillery support. After capturing Gestapo headquarters later that day, the Soviets pressed on to the Reichstag. Assaulting the iconic building the next day, they succeeded in famously hoisting a flag over it after hours of brutal fighting. A further two days were needed to completely clear the Germans from the building. Meeting with Hitler early on April 30, Weidling informed him that the defenders would soon run out of ammunition. Seeing no other option, Hitler authorized Weidling to attempt a breakout. Unwilling to leave the city and with the Soviets nearing, Hitler and Eva Braun, who were married on April 29, remained in the Fà ¼hrerbunker and then committed suicide later in the day. With Hitlers death, Grand Admiral Karl Doenitz became president while Joseph Goebbels, who was in Berlin, became chancellor. On May 1, the citys remaining 10,000 defenders were forced into a shrinking area in the city center. Though General Hans Krebs, Chief of the General Staff, opened surrender talks with Chuikov, he was prevented from coming to terms by Goebbels who wished to continue the fight. This ceased to be an issue later in the day when Goebbels committed suicide.? Though the way was clear to surrender, Krebs elected to wait until the following morning so that a breakout could be attempted that night. Moving forward, the Germans sought to escape along three different routes. Only those who passed through the Tiergarten had success penetrating the Soviet lines, though few successfully reached American lines. Early on May 2, Soviet forces captured the Reich Chancellery. At 6:00 am, Weidling surrendered with his staff. Taken to Chuikov, he promptly ordered all remaining German forces in Berlin to surrender. Battle of Berlin Aftermath The Battle of Berlin effectively ended fighting on the Eastern Front and in Europe as a whole. With Hitlers death and complete military defeat, Germany unconditionally surrendered on May 7. Taking possession of Berlin, the Soviets worked to restore services and distribute food to the citys inhabitants. These efforts at humanitarian aid were somewhat marred by some Soviet units which plundered the city and assaulted the populace. In the fighting for Berlin, the Soviets lost 81,116 killed/missing and 280,251 wounded. German casualties are a matter of debate with early Soviet estimates being as high as 458,080 killed and 479,298 captured. Civilian losses may have been as high as 125,000.

Nashville urban plan Essay Example | Topics and Well Written Essays - 1500 words

Nashville urban plan - Essay Example For this to happen, Nashville must be planned in a manner that ensures that there are enough infrastructural facilities such as roads, enough housing, electricity, stadium, water and sewerage facilities. In addition, there must be enough social facilities in the city such as hospitals, schools, and religious places, as well as recreational facilities. It is only in so doing that Nashville will be able to restore its former glory and be competitive with the rest of the cities in the world. After having conducted a feasibility study in Nashville, it became apparent that Nashville lugs behind because of poor planning. For instance, Prestige Worldwide found out that the road network is a big problem in Nashville. This is because there are few roads that link the city to the rest of the country. This inconveniences communities as they take long on the roads as noted by Parfect, Power, and Ldr International (62). Furthermore, the few roads available are very narrow thereby causing traffic jams to build up very fast. As a result, people spent too long on roads either to or from Nashville. Therefore, as city planners, we have proposed the construction of bypasses to help ease congestions and reduce the traffic jams. At the same time, we have also come up with a strategy to expand the size of the roads leading into the city from its current single lane to eight dual carriages. At the same time, we shall ensure that all roundabouts causing a buildup of traffic jams to and from the city during rush hours are replaced with flyovers, which will see some cars pass from above. Certainly, this will help reduce the traffic menace currently being witnessed in Nashville. A feasibility study conducted by Prestige Worldwide also found out that public transport is a big problem in Nashville. This is because the city has a high number of people commuting from the city outskirts to the town center while there are few available means of public transport (Parfect, Power, and Ldr Interna tional 68). As a result, we intend to solve this problem by establishing both a subway and railway system. As such, we strongly believe that trains will help sort the problem of public transport in the city. The trains will be electric powered and will have a terminus at different locations where commuters will be picked at dropped. Smith and Zepp (16) reveal that Nashville is among the fastest growing cities in the U.S. with its population having doubled over the last century. In spite of the population growth, Nashville has not had enough housing structures to accommodate the growing population. This has resulted in the development of ghettos in the city. However, as the planners of the city, we have proposed the demolition of shanties build in the city, which will then be replaced with modern housing structures. We intend to oversee the construction of as many houses as possible so as to reduce the housing problem being experienced in Nashville. A feasibility study conducted with in the cities central business district also showed a lack of proper planning cause’s congestion in the city. This is because there is no pedestrian system connecting important destinations as noted by Faragher (13). As a result, we propose the construction of pedestrian lanes between houses within the central business

Philippine History Essay Example | Topics and Well Written Essays - 750 words

Philippine History - Essay Example On December 10, 1898, the final version of the Treaty of Paris was signed in Paris (hence the namesake). The treaty formally ceded territories, particularly the Philippines from Spain to the United States for $20 million (Zaide, 1984). As any colony would react, the short-term consequence of the acquisition of the Philippines by America can be considered rough. Barely three months after the acquisition of the Philippines, the conflict between the United States and the Philippines began on February 04, 1899 which quickly escalated into a full war with the Battle of Manila in 1899 (Philippine History.org, 2012). Shortly, Philippines declared war against the United States on July 04, 1902 which was known as the Philippine War of Independence with former Katipunan fighters extending their fight against the Americans from their former colonizers, the Spaniards (Lee, 2012). World War II broke out and following the war, the United States relinquished control of the Philippine territory by signing the Treaty of General Relations albeit with conditions which are the signing of the Bell Trade Act which in effect still enforces some sort of control on the Philippine territory. The US established a military in Subic, Philippines and prohibited the country from manufacturing any product that might be of competition against US products. The United States also forced the Philippines to have unlimited access to its natural resources and to have an equal stature with the local with the signing of the Parity Rights Agreement. The American occupation of the Philippines can be said to have changed its cultural perspective.  

Community Health Needs Assessment (CHNA) Essay Example for Free

Community Health Needs Assessment (CHNA) Essay In the recent Community Health Needs Assessment (CHNA), orthopedic cases are projected to increase in the Trinity Hospital over the next five years. The assessment displayed that orthopedic cases are likely to flow from 11,800 to 17,338 (+46%); joint and spine procedures by 30%; and outpatient joint and spine procedures are expected to rise by 350%. The assessment highlighted the orthopedic services and the needs of the Trinity community. Some of the needs were shortage on physicians and specialist, gear, physical therapy services, and surgical suites. When looking at the business side of things you must understand supply demand. When demand rises and supply goes unchanged, a shortage will follow leading to greater costs equilibrium and if demand does not change and supply drops a short happens. This means there will be an increase in the overall revenue because of the rise in the demand for the orthopedic services. The community has a high demand for orthopedic services so it is and the population size for the aging community is growing so it is likely these services will be at an all-time high in five years. A recent needs assessment displayed that the current orthopedic cases are expected to rise 46%, with a 30% growth in inpatient joint and spine procedures. As expected outpatient joint and spine procedures are projected to grow by 350%. The orthopedic center is in a high demand area and the numbers show a defined market area within. There are also two private local hospitals in competition with very good orthopedics programs, which makes the need for Trinity’s to have a strong orthopedic program. Research shows that the main location is within the community with a projected population growth of 4%, this sets the demand for a quality orthopedic program to cover the growing community. The needs assessment shows that with an established orthopedic center, it is possible that we are able to provide everyone in the Trinity community with quality service for. It would be very feasible to develop the new center right away in order to meet the demands of the community and provide adequ ate treatment and services with adequate equipment. The orthopedic center development should allow us to incorporate an international trend of providing quality healthcare for all citizens in the community and spending less money. Regardless of the ability to pay we must also look into ways to reduce spending and still providing quality healthcare. The development of a plan that will allow patients to be treated despite financial ability  and health insurance could also help us meet the demand in the community. While our country does not offer a national healthcare system, our facility can incorporate the international trend. In addition to developing an integrated health system developing a selective groups of physicians and healthcare workers to provide adequate services. Currently there are two groups that are moving in the area. Fortunately one group has recently secured office space to open a branch of orthopedic practice on campus with the Trinity community, which helps us move to the integrated healthcare system. This benefit s the Trinity community by providing more services and quality programs to assist more patients. The ultimate goa at Trinity is to provide quality healthcare to all citizens of the Trinity community Robotic surgery and current digital equipment would be complementary to the new orthopedic center in surgical units. In addition to this we are able to accommodate the demands of orthopedic cases we deal with in the facility within our surgical units adequately. The development of the surgery facilities provide the advantage to recruit orthopedic groups that desire to be closer to Trinity and apply for privileges for the facility. There are currently twenty operating rooms that are equipped with the basic setup necessary to accommodate the orthopedic program. The rooms are equipped with two CT scanners, MRI scanner, X-ray, nuclear medicine, mobile PET scanner, and ultrasound services. The nursing staffs at Trinity are devoted and skilled which helps increase orthopedic nursing certification rate to 75% showing that this is a strong area in the facility. Although we may not be highly recommended the drive towards patient quality care it is a major part of the increase in demand of services. Even though all our service lines compliment the orthopedic program, it is clear that we can work hand- in- hand to develop a valued healthcare system and meet the demands, not only for patients but all hospital staff as well. The recent research shows that we could cut cost by building a new 5000 square foot physical therapy/rehab center adjacent to the Trinity campus. The new building costs estimates to about 600,000 verses 700,000 to purchase the space adjacent to the Trinity campus. In order to expand the services by adding a radiology department and have two MRI machines could cost approximately $3,000,000. Currently in the capital reserves we have 25,000,000 so this would be feasible for this service line expansion. Adding an orthopedic center could potential gain approximately 2100 new surgical cases and also gaining about 6500 visits in physical therapy. This can bring the profit margin to about $2,171,500. According to the five year projection plan, it is projected that there will be about $25,000 in gross charges per orthopedic surgical case. It is also clear that there is a $275 in gross charges per physical therapy treatment. 31% is the ratio of cost in charges when calculated. The Medicaid, Medicare and self- pay patients are at an all-time high right now so it is projected that the orthopedic program will increase in revenue and gain more pay-in patients. Developing a bundle payment program can allow the patient insured and uninsured an opportunity to get quality care and treatment in an affordable manor. A community hospital with the orthopedic center in it will be great in the future to help increase utilization, and also make-up for the decreased volume seen with the damage of the OB program and decay of general surgery volumes. An increase in the utilization could help our key financial indicators and also develop an effective profit plan for years to come. In order to increase the amount of specialists that are in the center we will need to target the patients who need total joint care. Developing a patient navigation system for these pacific patients can be a huge way to market the new service line to the community also coordinating care and appointments for the patients. This will also be a chance to provide physicians with the ability to sustain private practices and still work in the facility and have hospital privileges. It is suggested that we continue to work closely with those practices that are moving in the same direction as Trinity help outline the exact plan that has been developed for the marketing. A key marketing strategy that can be used in the marketing area is advertising. Highlighting the high quality services and giving the physicians satisfaction rate which is 90% could convince new patients to come to Trinity. Adding the orthopedic group adjacent to the Trinity campus, a referral service could be developed. The system should be set up as Trinity refers the orthopedic cases to the physicians group who will then in return refer all of their patients to the new orthopedic center for surgery, physical therapy, etc. Working directly with the physicians can give a more unified unit where everyone is able to benefit and also help increase their revenue equally among the practices and the hospital. Marketing can weigh in  on the expanding growth of the orthopedic specialists that are on staff and the new orthopedic center. Patients will be provided with referral information if the patient is in need for physician’s services on Trinity campus. We can also give referral for physicians who are not directly connected to the Trinity facility but have privileges at the facility. These physicians are able to use the referral services and in return refer patients to our facility and the new orthopedic center. Resources Kohn, L. T., Corrigan, J., Richardson, W. C., Donaldson, M. S. (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press. McLaughlin, C. P., Kaluzny, A. D. (1999). Continuous quality improvement in health care: Theory, implementation, and applications. Gaithersburg, MD: Aspen Publishers

tempcolon The Theme of Colonization in The Tempest Essay example -- T

The Theme of Colonization in The Tempest      Ã‚  Ã‚  Ã‚  Ã‚   Colony-A member or inhabitant of a colony.   A body of emigrants who settle in a remote region but remain under the control of a parent country.   --Webster's Dictionary    Can Prospero be defined as a type of colonist?   He does, after all, impose his presence onto an island already inhabited by somebody else, take over control and enslave his predecessor, while at the same time still remaining under the control of his native land.   If Prospero represents the colonist, or the white man, then Caliban serves as his counterpart in this discussion.   Critics have argued in the past that The Tempest's representation of Caliban relates Caliban to the black man, because Caliban, like African Americans of early times, is conquered and forced into slavery against his will.   Caliban thus becomes a representative of the colonized man.   Critics have pointed out that this device seems to fit the bill because of the Caribbean like location of the play; it is foreign and strange and not the native home of the white man who comes to discover it and claim it as his own.   At the same time, if the audience takes this interpretation to light, Prospero thus emerges as the white man, or the colonist.   Caliban thus serves to represent native cultures, while Prospero serves to represent colonizing cultures, like the British of Shakespeare's time.   The parallel of Prospero's domination of Caliban as compared to the Europeans colonization of the Africans, which was a topic of Shakespeare's time, becomes relevant upon closer examination.    This interpretation can be found within the consistent arguments between Prospero and Caliban.   Prospero feels the island is his; he rightfully won it fro... ... they were the original owners of the island, without the power to regain the island or their native land, they will never have the ability to be able to call the land solely their own again.    Works Cited Brown, Paul.   "This thing of darkness I acknowledge mine: The Tempest and the discourse of colonialism."   New York: Collimore and Sinfield, 1985.   pp. 48-71. Davis, Angela.   Women, Race and Class.   London: Women's Press, 1982. Fanon, Frantz.   Black Skins, White Masks.   London: Pluto Press, 1986. Griffiths, Trevor.   "This island's mine: Caliban and Colonialism."   Yearbook of English Studies 13.   New York: Harcourt Brace.   Pp. 159-80. Mannoni, O., Prospero and Caliban: The Psycholgoy of Colonization.   New York: Praeger, 1964. Nixon, Rob.   "Caribbean and African appropriations of The Tempest."   Critical Inquiry 13 Spring 1987 pp. 557-77.

Bata Shoe in Bangladesh

Term Paper â€Å"Marketing Strategies of Retail Organizations of Bangladesh† A Study on Bata Shoe Company (Bangladesh) Limited Marketing Strategies of Retail Organization of Bangladesh A Study on Bata Shoe Company (Bangladesh) Ltd. In Bangladesh, Bata started its operation in 1962. The company is one of the largest tax–paying corporate bodies contributing Tk. 1. 2 billion (year 2009) which represents approximately 70% of tax paid by the entire footwear sector of Bangladesh. Bata is the largest retail organization in terms of their number of outlets around the country.Currently Bata Shoe Company (Bangladesh) Limited operates two manufacturing facilities – one in Tongi and the other in Dhamrai. With a production capacity of 110,000 pairs of shoes daily, the company also has a modern tannery facility with an output of 5 million square feet of leather annually. Annual shoe sales currently stand at slightly more than 30 million pairs with a turnover for the year 2009 of Tk 5 billion. Acknowledgement At the inception of preparing this term paper, I would like to express gratitude to the Almighty Allah for special blessing in completing it.There is an English proverb â€Å"Two head are better than one. † So, no one can obtain a noble objective alone. This term paper is an accumulation of many people’s endeavor. For this, I am indebted to a number of people who helped me to prepare this and for their kind advice, suggestions, directions, and cooperation and proper guidelines for this. Our heartfelt thanks go to Dr. Md. Morshed Hasan Khan, Associate Professor, for providing us the opportunity and for his appropriate suggestions, moral support and invaluable co-operation from time to time in completing the term paper especially in the last one week.Executive summary Bata started its journey in Bangladesh in 1962. So Bata Shoe Company (Bangladesh) Ltd. is operating in our country from last 50 years. Bata is the largest shoe manufacturing and marketing company in Bangladesh. In 2011, it sells 8. 5 billion pairs of shoes with annual turnover of Tk. 5 billion. Bata Shoe Company (Bangladesh) Ltd. has strived towards one goal – customer satisfaction. With the vision of building a worldwide family of satisfied customers and dedicated workers the legacy of Tomas Bata continues strong and unabated to this day – the tradition is safe.As the largest shoe manufacturing and marketing company in Bangladesh, Bata follows several individual and coordinated strategies in marketing, pricing, in distribution, inventory that helps them to be the leader in the market and to increase sales and growth. Most important strategies are discussed in this term paper. Here their both the positive and negative sides are discussed thoroughly. Bata is performing CSR activities in many ways to be a good citizen of the country. Some recommendations are given after evaluating the overall activities of Bata Shoe Company (Bangladesh) Ltd .Table of Contents No. | Name of the contents| Page Number| 01. | Background of the Problem| 01| 02. | Objectives| 01| 03. | Methodology| 02| 04. | Limitations| 02| 05. | introduction| 03| 06. | Bata Bangladesh| 03| 07. | Company Profile| 04| 08. | Management Overview| 05| 09. | Financial Information| 06| 10. | Product Line| 07| 11. | Distribution Process of Bata Bangladesh| 09| 12. | Marketing Strategies used by Bata Bangladesh| 10| 13. | Corporate Social Responsibility| 21| 14. | Lessons learn from Bata Bangladesh| 23| 15. | Recommendations| 24| 16. | Conclusion| 24| 17. | References| 24|

“King Charles is totally to blame for the civil war.” Do I Agree? Essay

The English Civil War took place in 1642 when Charles I raised his royal standard in Nottingham. The split between Charles and Parliament was such that neither side was willing to back down over the principles that they held and war was inevitable as a way in which all problems could be solved. The country split into those who supported the king and those who supported Parliament. Some historians say that Charles is totally to blame for this war, while some say that parliament is totally to blame for it. I am going to tell you about it. There were many reasons for why the king was to blame one of the reasons for why the king was to blame was because of his money problems. Charles was not good with money and always had very little. He had closed down parliament and had to think of ways of getting money without asking the parliament’s help. He had used old laws like ‘Ship Money’, which was a special tax to help the navy he used this idea to get money off the people of England. This made him very unpopular. Another reason for why the king was to blame was the way he had handled with religion. As he was the king, he had thought that he had the power to make the Scots use English prayer books. The scots were so furious that they decided to fight Charles I instead. This also made him unpopular to the scots as well as the people of England. When the scots had defeated him Charles had to pay lots of tax money which he couldn’t afford. So, Charles had to recall parliament, as only tax voted by parliament got rid of the scots. Charles believed in divine rights that God had chosen him to be king so he and Archbishop Laud started to decorate the church which he said that if the church is decorated, you will be closer to God. He also married a catholic princess from France which was very unpopular. Oliver Cromwell and Parliament still wanted more power and no return to the Catholic religion. To make things worse for Charles the Catholics in Ireland killed 100,000 Protestants. Also another reason why parliament is to blame is because the king and parliament always used to argue about who controls the army and parliament made the king angry by taking over them without his permission.

The Present Participle and Continuous Tenses

The Present Participle and Continuous Tenses The Present Participle and Continuous Tenses The Present Participle and Continuous Tenses By Maeve Maddox The present participle, together with a the verb to be, is used to create continuous tenses. Although a form of the verb, the present participle cannot be used as the main verb of a sentence. Trying to use it that way results in a sentence fragment: Playing in the lake. To function as a verb, the present participle must be used with a helping verb: The children are playing in the lake. Continuous tenses, also called progressive tenses, are used to describe a continuing action. The present, past, and future continuous tenses are formed with the present, past, or future of the verb to be and the present participle, i.e., the form of the verb that ends in -ing: I am running for my life. We were sitting in the hotel lobby. This time next week, we will be celebrating your birthday. In the comments to a post I wrote on the uses of sit and set, a reader brought my attention to an odd usage current in Britain. He provided this example: â€Å"The boy was sat on a rock by the harbour when the ship docked.† The meaning of the sentence calls for a continuous tense: â€Å"The boy was sitting on a rock by the harbour when the ship docked.† The action of sitting was going on at the time the ship docked. A post at the Oxford Dictionaries blog indicates that, while the usage may be popular among many speakers of British English, it’s not considered standard usage: I’ve noticed several instances of [] ‘She’s sat at the table eating breakfast’ or ‘we were stood at the bar waiting to be served’.   Aarrgghh!!!   This construction is still regarded as non-standard.OxfordWords blog â€Å"Was sat† for â€Å"was sitting† seems to be a dialect form that has crept into the British mainstream. It is to be hoped (OK, I hope) that it won’t catch on with U.S. speakers. According to the OED blogger, the aberration is limited to the verbs sit and stand: It is 2pm and  I am sat  in my parents’ living room, talking to one of the cats. We were stood at the bar waiting to be served. If the action is continuous and uncompleted, you need an -ing verb: It is 2pm and  I am sitting  in my parents’ living room, talking to one of the cats. We were standing at the bar waiting to be served. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Grammar category, check our popular posts, or choose a related post below:Inquire vs Enquire45 Synonyms for â€Å"Old† and â€Å"Old-Fashioned†How to Treat Names of Groups and Organizations

Angina Pectoris Care Plan

Care Plan For Angina Pectoris Angina Pectoris Chief Complaint: Patient complains of having tightness and pain in his chest that seems to move down the left arm. Patient describes the pain as being sharp and can be sometimes a mild pain or an immobilizing pain. Medical Diagnosis: Coronary Artery Disease Pathophysiology of: Angina Pectoris Angina Pectoris develops when coronary blood flow becomes inadequate to meet myocardial oxygen demand. This causes myocardial cells to switch from aerobic to anaerobic metabolism, with a progressive impairment of metabolic, mechanical, and electrical functions. Angina pectoris is the most common clinical manifestation of myocardial ischemia. It is caused by chemical and mechanical stimulation of sensory afferent nerve endings in the coronary vessels and myocardium. These nerve fibers extend from the first to fourth thoracic spinal nerves, ascending via the spinal cord to the thalamus, and from there to the cerebral cortex. (http:// emedicine. medscape. com/article/15021 5-overview, 6/1 5/10 12:30 pm) Medical Interventions: Diagnostic Tests: 1. Coronary intravascular ultrasonography A coronary intravascular ultasonography is an invasive ultrasound performed rom a transducer within the lumen of the coronary arteries. (Laboratory test and diagnostic procedures, By: Cynthia Chernicky, 5th Edition 2008). Electrocardiography is a noninvasive acoustic imaging procedure that determines the size, shape, position, thickness and movements of the heart valves, walls, and chambers during each cardiac cycle. (Laboratory test and diagnostic procedures, By: Cynthia Chernicky, 5th Edition 2008). Lipid Profile; Blood 3. Lipid profile; blood is a test to check the units of each of the following: Total lipids, A. Triglycerides B. HDL Cholesterol C. LDL Cholesterol D. E. Total HDL Cholesterol ratio. 4. Stress Exercise Test Stress exercise test measures the efficiency of the heart during a period of physical stress on a treadmill or on a stationary bicycle. Medications: 1. Nitroglycerin Tablets: Classification: Vasodilator, antihypertensive. Action: Reduces preload and afterload, decreasing myocardial workload and oxygen demand. Uses: To prevent or treat angina pectoris, hypertension, and heart failure. Contraindications: Acute Myocardial Infarction, angle- closure glaucoma, cerebral hemorrhage, concurrent use of phosphodiesterase inhibitors, constrictive ericarditis. Route and Dosage: Adults: PO 1 mg. tablet every 5 hours while awake. (Buccal) 0. 1 To 0. 8 mg. hr. worn 12 to 14 hours at a time. (Transdermal Patch) Adverse Reactions: Some side effects of this drug that should be reported to a healthcare provider if they become severe are as follows: headaches dizziness flushing lightheadedness reported to a healthcare provider immediately. The adverse effects of nitroglycerin are: Nausea vomiting Weakness blurred vision fainting spell abdominal pain sweating chest pain pale skin rashes Ђ peeling of the skin blisters on the skin hives itching difficulty breathing Surgery: 1 Transluminal coronary angioplasty Your hearts arteries can become clogged from a buildup of cholesterol, cells or other substances. This can reduce blood flow to your heart and cause chest discomfort. Sometimes a blood clot can suddenly form or get worse and completely block blood flow, leading to a heart attack. Angioplasty opens blocked arteries and restores normal blood flow to your heart muscle. Angioplasty, a type of percutaneous coronary intervention (PCI), is not major surgery. It is done through a small puncture in a leg or arm artery and opens a clogged heart artery by inflating a tiny balloon in it. Assessment: Subjective: Patient is a 68 year old male with a history of coronary artery disease, and hypertension. Vital Signs as follows: -r: 986 R: 25 p: 102 Objective: Patient seemed to be crying and in severe pain. Skin was flushed, and clammy. Right hand was over left shoulder as if he were trying to relieve the pressure of the pain. Nursing Diagnosis: 1 Physical: 1. Acute pain related to decreased oxygen supply to the myocardium. Nursing Intervention: . Patient will remain on oxygen as ordered for the next 12 hours. 2. Give Nitroglycerin Tablets sublingually every 5 minutes for the next 1 5 minutes. . Patient will sleep for at least 30 minutes every 2 hours for the next 8 hour shift. Nursing Evaluation/Outcome: 1. Patient was able to be taken off of oxygen after the first 12 hours. 2. Patients pain had stopped after 1 5 minutes of administration of the nitroglycerin tablets. 3. Patient was able to sleep for 30 minutes every 2 hours with no interruptions in the last 8 hour shift. Nursing Diagnosis: 2 Psychosocial: 1. Anxiety related to change in lifestyle. Nursing Interventions: 1. Patient will be informed of the importance of taking the nitroglycerin at first sign of pain within an 8 hour shift. 2. Patient will learn how to decrease personal activities within 30 days. 3. Patient will Join a stress management course within the next month. 1. Patient was able to better understand the use of the nitroglycerin tablets after an 8 hour shift. 2. Patient was able to decrease physical activities in the last 30 days. 3. Patient was able to Join a stress management course in last month. Potential/ Risk: 1. Deflecient Knowledge related to coronary artery disease. . Patient will learn the causes of angina pectoris within an 8 hour shift. 2. Patient will learn the importance of side effects to medications within 8 hours. 3. Patient will make sure to get all information of medications before leaving the hospital. 1. Patient was better able to understand what caused the angina pectori by the time he left the hospital. References 1. Laboratory test and diagnostic procedures, By: Cynthia Chernicky, 5th Edition 2008. 2. http://emedicine. medscape. com/article/1 5021 5-overview, 6/1 5/10 12:30 pm

Managing Change - L.J Essay Example | Topics and Well Written Essays - 1000 words

Managing Change - L.J - Essay Example Hayes explains that the major objective of change is to bring about a sustained efficiency in resource usage in achieving company objectives. Much of Hayes views of managing change are little more than an application of common sense and good management practice. He further states that if managers take a systematic approach to implement change, they can be more successful in taking colleagues with them and achieving their objectives. He identifies four factors for success when implementing change within one organization, which are: The senior management in an organization must demonstrate the need for change so as the line managers and junior employees can emulate. Commitment to change is very essential and must also be demonstrated by the top managers. Hayes feels that for this change to succeed and achieve the desired goals management should be consistent with what they aspire to achieve that is "they should walk and talk" but if the top leadership is not consistent with ideas, those who are supposed to implement the change will not be motivated. Since leadership is getting others to do what you want them to do because they want to do it. Pressure for change should be a driving force, the leadership must identify the need for change, make the decisions to proceed with change and... Hayes believes that for success in managing change regardless of where the original pressure for change came from, senior management commitment and drive for change is essential if momentum is to be maintained for effective implementation. The rest of the organization will need to be convinced of the need and the case for change. Everyone in an organization including the chairman, chief executive officer and other employees must be collectively behind the sought changes in the organization. The senior management must be seen to be fully supportive by what they do and say both privately and publicly. If, However, senior management "talk-the-talk" by failing to back up their statements with action and continuous commitment. Hayes believes that the progress towards the sought change will soon stall. In addition if the senior management fails to remain fully supportive of the project other conflicting or new priorities will emerge and the momentums can be lost. The senior management should be signed up to the change and communicate it to the other staff. The other staff should be given an opportunity to feed in their contribution and feel that they have joint ownership of the change being implemented. A Clear Shared Vision For change to be effective, it needs to be implemented at all levels and should be in the culture of the organization. The management must understand what motivates other employees in order to keep them together and motivated. Since change is a major cause of stress amongst the workforce and staff usually responds differently they need to be motivated to support the changes that are to be implemented. Staff, their managers and senior mangers are all