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Wednesday, May 27, 2020

Physician Assistant Salary by State 2013

Directions:Hover over each State to reveal the base median PA salary for that region below the map. When you click on the state you will be taken to thePayScale websitefor that region/state. It seems spammy but it is not. Just follow the onscreen instructions and I would recommend registering with yourFacebookaccount in one click. The graphs and data it provides are priceless and once you register, when you return to the site it will remember your info and update your salary profile. I have no affiliation, I just think it is extremely awesome! Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Sunday, May 17, 2020

The Role of Gene Mutation in Human Evolution - 1302 Words

The Role of Gene Mutation in Human Evolution Have you ever looked at a gorilla or a monkey and considered it to be your ancestor? Probably not, but, if you have had that thought then it was probably just because that is what has been taught in our school systems for decades, and probably will be for a long time to come unless proven otherwise. Sure, humans and primates have similar features: facial expressions and structures; fingers; toes; breasts; hair; etc., but there has been no evidence that proves that we are, undoubtedly, a product of natural selection evolving from ape-like species. Ever since the first mentioning of our evolution from such species was introduced, it has been primarily theory, and nothing more.†¦show more content†¦This gene-inactivating mutation was not found in merely a few specimens of humans, it was found in all humans – natives of Africa, South American, Europe, Iceland, Japan, Russia, etc. However, the mutation was not found in the DNA sequences of seven species of non-human pr imates, including Chimpanzees (University of Penn. Medical Center). The particular gene in question is of the Myosin Heavy Chain, MYH16, and is specifically related to muscles in the head, namely chewing and biting muscles. Macaque monkeys, a non-human primate, were studied and were found to have the particular MYH16 gene present, and as predicted, only in its muscles of mastication (chewing muscles). In humans, though, due to the mutation, the protein was not being made, and this explains why humans have smaller and weaker jaw muscles when compared to the Macaque monkey’s, whose jaw muscles are ten times stronger than humans (University of Penn. Medical Center). This decrease in muscle tone is due to the inactivation of MYH16 gene which causes a large reduction in the sizes of the muscles that they’re present in (Currie, 373). This gene-inactivating mutation has been traced back to a hominid ancestor about 2.4 million years ago, and, coincidentally, about 2 milli on years ago, the less muscled, larger brained skulls of the earliest members of the genus Homo began to appear in the fossil record (UniversityShow MoreRelatedEvolution Is The Gradual Change Of Genotype And Phenotype Of Organisms1415 Words   |  6 PagesEvolution is the gradual change of genotype and phenotype of organisms over time in response to selection pressures. This enables organisms to become better equipped to exploit their environment. Random processes are governed by the laws of probability and cannot be forecast except for a certain degree of directionality. Deterministic processes however, are predictable and tend towards a repeated outcome. It is necessary to consider the true role of stochasticity in evolution, first in the frameRead More Role of Mutated Gene in the Evolution of Large Brained, Small-Jawed Humans1288 Words   |  6 PagesRole of Mutated Gene in the Evolution of Large Brained, Small-Jawed Humans The debate with-in the anthropology field has been heated over the evolution of the human and the events that have lead us to where we are now. One of the major questions that is debated is how did we, humans-large brained and small jawed, evolve from primates-large jawed and small brained. Interestingly enough, this debate is now being directed from outside the field; by biologists and plastic surgeons. On march 25Read MoreThe Human Brain: Size and Development Essay1551 Words   |  7 Pagestime, the human brain has evolved into an amazing organ of the human body. It can store a lot of information that is essential to the survival of the human race, and being successful in life. The brain has evolved and grown, it has always been hard to figure out what caused the growth and development. Microcephalin and the abnormal spindle-like microcephaly-associated, or ASPM, proteins are the genes that are responsible for brain size and development, and are responsible for the mutations ob servedRead MoreAre Humans Still Evolving?1556 Words   |  7 PagesAbstract evolution has occurred in humans for millions of years; however, in a modern society many scientists and evolutionists are now debating whether or not it is still occurring, and if it follows the same rules. With all of the new technology humans have created, some experts believe that humans have essentially conquered nature, and no further evolutionary changes will occur. Still, others hold opposing views; some experts believe that evolution is still occurring, but modern societal advancementsRead MoreEvolution Is Result Of Natural Selection1300 Words   |  6 PagesEvolution is the change in the different types of living organisms which is slow process. Natural Selection is a battle between individuals within species, which results in the survival of those organisms that are better suited to their environment than others. Natural Selection is a mechanism of evolution. There are three conditions of Natura l Selection which should meet to be able to survive and reproduce, so they can pass the traits to the next generation. In all species, there are huge numbersRead MoreAp Bio Chapter 231661 Words   |  7 Pages\ Chapter 23 Reading guide 1. what is the smallest unit of evolution and why is this important to understand? The population is the smallest unit of evolution . This is important to understand because it keeps clear what is evolving. 2. Define the following terms: a. Microevolution: evolutionary change below the species level; change in the genetic makeup of a population from generation to generation. It is evolutionary change on its smallest scale b. Population: a localized groupRead MoreEssay about Evolution1502 Words   |  7 Pagesset of variants in a given environment. In reference to humans, there are many traits that have been selected and adapted for throughout their evolutionary history giving them the characteristics that they have today. In this paper I will discuss some parts of the human body, which have been found to be selected for by the evolutionary mechanisms of natural selection, adaptation and mutation. Natural selection, adaptation, and mutations are three components of the evolutionary process, eachRead MoreThe Proces of Evolution653 Words   |  3 PagesWithout evolution, and the constant ever changing environment, the complexity of living organisms would not be as it is. Evolution is defined as a process that results in heritable changes in a population spread over many generations (8).Scientists believe in the theory of evolution. This belief is based on scientific evidence that corroborates the theory of evolution. In Figure 1 the pictures of the skulls depict the sequence of the evolution of Homo-sapiens. As the figure shows, man has evolvedRead MoreThe Evolution Of Eukaryotic Cells1102 Words   |  5 Pagesinto its inheritance and mutation. There is enough evidence to bolster the fact that fusion between a-proteobacteria and archaebacteria is an integral event in evolution of eukaryotic cells. However, it has also been conjectured that eukaryotic cell may have originated f rom prokaryotes. As a part of this evolution, many mitochondrial ancestral genes were lost. These are the genes that were no longer required in their new host cell environment. All eukaryotes contain genes of mitochondrial origin inRead MoreEssay on The Validity of the Theory of Evolution1539 Words   |  7 PagesSince the publication of Charles Darwin’s Origin of Species, in which the theory of evolution has risen, people have debated the merits of the theories of creationism and evolution. The theory of is reinforced through scientific studies using DNA, genetics and its mutation, the fossil record and the change in earlier species that has been encountered, and the distribution of related species of animals over a broad geographical range. To fully understand exactly what a fossil is, look at how they

Saturday, May 16, 2020

Evolution of Management - 1893 Words

Evolution of Management By Jason Kolff American Public University January 27, 2008 In this paper I will be explaining the evolution of management from the beginning of the industrial revolution to present which includes Classical School of Management, the Human Relations/ Behavioral School of Management, Theory X and Y, the Scientific Approach, Contingency Approach, and Theory Z. I will also be comparing the classical style and the present style to each†¦show more content†¦He argued that management was a universal process that consisting of functions, which he termed planning, organizing, commanding, coordinating, and controlling. Fayol believed that all managers performed these functions and that the functions distinguished management as a separate discipline of study apart from accounting, finance, and production. [2] Fayol also presented fourteen principles of management, which included; the division of work, authority and responsibility, unity of command and direction, centralization, subordinate initiative, team spirit/espirit de corps, initiative , stability of personnel, order, equity, discipline, unity of direction, remuneration/ fair compensation, scalar chain/chain of command. Behavioral or Human Relations management emerged in the 1920s and dealt with the human aspects of organizations. It has been referred to as the neoclassical school because it was initially a reaction to the shortcomings of the classical approaches to management. The human relations movement began with the Hawthorne Studies which were conducted from 1924 to 1933 at the Hawthorne Plant of the Western Electric Company in Cicero, Illinois. One of the major conclusions of the Hawthorne studies was that workers attitudes are associated with productivity. Another was that the workplace is a social system and informal group influence, could have a powerful effect on individual behavior. A third was that the style of supervision is anShow MoreRelatedEvolution of Management1083 Words   |  5 PagesEvolution of Management The evolution of management can be divided into three distinct era’s. The Pre-Classical Era, Classical era and Neo-classical era. Pre-Classical Era From the Biblical times we find monarchies of the time use some form of management to lord over the great kingdoms such as the Egyptians who used hierarchy management to build the pyramids, Moses leading the Israelites through the desert to the promised land and King David when he was in charge of the kingdom of Israel. InRead MoreThe Evolution Of Sport Management1486 Words   |  6 PagesThe evolution of sport management Comparatively, the field of sport management is a rather new academic discipline (Chalip, 2006), which has faced some challenges in terms of justifying its importance in the academic world. Nonetheless, Chalip (2006) believes it was an unavoidable course for the evolution of sport management. Mullin (1980) defined the sport manager as follows: ‘A person whose job entails planning, organising, staffing, directing and controlling to be performed within the contextRead MoreEssay on Evolution of Management649 Words   |  3 Pagespast hundred years management has continuously been evolving. There have been a wide range of approaches in how to deal with management or better yet how to improve management functions in our ever changing environment. From as early as 1100 B.C managers have been struggling with the same issues and problems that managers face today. Modern managers use many of the practices, principles, and techniques developed from earlier concepts and experiences. The evolution of management though the decadesRead MoreThe Evolution Of Management Practice929 Words   |  4 PagesThe Evolution of Management The Origins of Management Practice and How They Play a Role Today The origins of classical management practices plays a role in today’s management beliefs due to the fact that they overlap each other. As a classical management skill was invented and exercised, the faults in a particular management skill were studied. As business evolved so did the managerial skills needed to perform the tasks needed. A new management field would be invented, using the best of the olderRead MoreThe Evolution Of Management Theory1153 Words   |  5 Pages Detailed Summary Management theory constantly evolves when there are new ideas or when there is and intention of attempts of transforming the theory. Hence this theory can also be called as the â€Å"condensed theory† To know the history of the management theory is the fundamental task (Sarshar, 2002). The evolution of management began after the industrial revolution had occurred in Europe and America, which was in the end of the 19th century. During the evolution of the management theory, there wereRead MoreThe Evolution Of Management Studies1116 Words   |  5 Pages The evolution in management studies has grown significantly due to the appearance of the information technologies. In contrast, the classic management practices became less effective in many organisations. Historically, the industrial revolution generated most of the managerial principles. For instance, the financial department concern about the return on investment, while the marketing department focuses in the marginal profit and market shares. The strategic division pursue a competitive positioningRead MoreThe Evolution Of Quality Management1564 Words   |  7 PagesI always enjoy reading about the history of something because it tends to show you the evolution of it. In this case, the evolution of ‘Qualit y’ is there. In the definition of quality in Chapter 2, Feigenbaum and Crosby both state what they think is the contributing part of quality. Feigenbaum believes that meeting the customers’ expectations is the key, while Crosby feels that if you put an impeccable product out, then that’s quality. However, Goetsch and Davis define a hybrid version of FeigenbaumRead MoreThe Evolution of Management Thought2221 Words   |  9 PagesThe Evolution of Management Thought Khalil Said University of Phoenix The Evolution of Management Thought The evolution of management thoughts and theories in modern management thinking began in the nineteenth century and continued during the twentieth. The need to define management and the role of managers led to the foundation of management theories through experience of the pioneer thinkers. Classical management theory focused on dividing the labors and tasks execution. Classical eraRead MoreThe Evolution Of Management Theory1026 Words   |  5 PagesIntroduction The evolution of management has been changed many times since the early 1900’s. Many different management theories have been developed, the external factor also changing at the same time, such as the technology and the nature of career. The main theories include classical theory, neoclassical theory, modern systems theory, contingency (or decision) theory, and chaos theory. In the earliest management theories, efficiency was thought to be the most important. However, in today’s workplace;Read MoreThe Evolution Of Personnel Management Essay1013 Words   |  5 PagesIntroduction: HRM is a modern term for which traditionally been referred to as personnel management. Four key developments in the evolution of personnel management: 1. Industrial revolution era: prior to this revolution individuals use to manufacture from their home and Child labour was common. This revolution began with the invention of new manufacturing machinery which altered the nature of the society. There was ready availability of labours. Workers get higher wages than earned before. Working

Wednesday, May 6, 2020

Character Analysis The Catcher In The Rye - 2036 Words

The harsh reality of life can permanently change one’s view of life. When people experience difficulties in life, like loss and grief and isolation, they sometimes struggle to come to terms with the sadness and truths of those experiences. They may lie to other people and themselves in order to hide their pain, and sometimes they can become stuck. In the classic fiction novel The Catcher in the Rye written by J.D. Salinger, Holden is a troubled adolescent, who is unable to move forward in life after witnessing the death of his younger brother, Allie at age 13. The death of Allie ended Holden’s childhood, but Holden’s reluctance to move forward in life cause him to become completely isolated from the world. Holden’s†¦show more content†¦Spencer’s disappointment in his academic failure. The author crafts the narrator in this way to show that he wants the reader to view the world from Holden’s point of view because the reader can furth er understand why the main character has been acting strangely ever since Allie’s death. The narrator rejects people who care for him, and he behaves childishly by picking on his professor’s sickness. Throughout the first few chapters, the narrator Holden starts to develop as a character and often times uses stream of consciousness multiple times over the past four chapter; which later on leads to him becoming an unreliable narrator. In the previous chapters, the author reveals that Holden has loads of insecurity as a result throughout chapter eight to eleven, the reader starts to understand that during certain situations Holden can be a very emotional person because he has experienced a dramatic moment in his life. For instance, in chapter 8, Holden just got in the taxi and heading to his hotel; he says in a desperate way, â€Å"Would you care for a cocktail† (61). From the diction choices, the reader can infer that in some ways, Holden’s maturity level is higher than others in his age group because kids his age like to play games and have fun in a different way, while he is desperate to spend time with adults; he has gone through loss and grief, which has lead to hisShow MoreRelatedAnalysis Of Characters And Themes Of The Catcher Rye 1537 Words   |  7 Pages Analysis of Characters and Themes in The Catcher in the Rye J.D. Salinger was born in 1919 to a wealthy Manhattan family. He grew up in the same social conditions as Holden Caulfield does in The Catcher in the Rye. The last thing Salinger cared about was being a successful student because he was very lazy, without care for his responsibilities and tasks. Salinger flunked out of many prep schools, and his parents sent him to a military academy named Valley Forge in Pennsylvania, where he graduatedRead MoreCatcher In The Rye Character Analysis1308 Words   |  6 PagesThe Catcher In The Rye by J.D. Salinger is about a boy named Holden Caulfield who got kicked out of Pencey Prep, a private school for boys. Throughout the story Holden shows his dislike for society because he believes that it corrupts the innocent. Some people might say that Holden doesn ´t understand that as an adult, most innocent people stay innocent and he is just judgemental of all the people around him. Salinger suggests that in order to transition to the adult world prop erly, an individualRead MoreCharacter Analysis Of Catcher In The Rye1101 Words   |  5 PagesHolden Caulfield is a character who has been through rejection and wishes to protect others innocence. He is a teen boy who is the main character in Catcher in The Rye by J.D.Salinger. He has an older brother named DB, a younger sister named Phoebe, and a younger, deceased, brother named Allie. Holden retells his story on him, trying to be the catcher in the rye. Holden has been kicked out of different colleges. He has been rejected by different girls. Holden goes through his life story. He talksRead MoreCatcher In The Rye Character Analysis788 Words   |  4 Pagesbrutally experiences both at the same time. Recognizing and understanding these representations can help you the most when trying to comprehend this character and real life people who struggle with these problems. In JD Salinger’s coming-of-age novel, The Catcher in the Rye, themes and objects that directly represent sym bolism in the main character, Holden’s, depression and loneliness. In the novel, many scenes have phones in them, which represents Holden’s loneliness. When he first arrives backRead MoreCharacter Analysis : The Catcher In The Rye1297 Words   |  6 PagesWhen a family member passes away it causes hardship, not only immediate, but also in the long term. In the novel, The Catcher in the Rye by J.D. Salinger, The main character, Holden Caulfield, experiences the loss of his brother. He is distanced from his family and friends emotionally, and at boarding school, is separated physically. Out of fear, he begins to shield himself from the world around him. Because of the death of Allie, Holden pushes away any new relationships that could lead to him gettingRead MoreThe Catcher In The Rye Character Analysis1472 Words   |  6 Pagesthat fulfill their ideals or agree with the things they say, but these relationships can also help one discover their personal philosophies by reinforcing opposing views. Indeed, in J.D. Salinger’s novel, The Ca tcher in the Rye, the way Holden reacts to and interacts with secondary characters reveal his established philosophies and the values he holds most dear to him. Although Holden never directly interacts with Jane Gallagher during the course of the novel, the way he thinks and talks about herRead MoreCatcher In The Rye Character Analysis940 Words   |  4 PagesIn chapter ten of J.D. Salinger’s, Catcher in the Rye, there are three important concepts: loneliness, depression, and idealism. Holden evinces these concepts when he talks about his younger sister, goes to the Lavender room, and mentions Radio City Music Hall. Each of these concepts builds upon each other, especially the idea that Holden is lonely. Holden is alone once he arrives in New York after leaving Pencey Prep. Holden’s loneliness makes him think of his younger sister, Phoebe, who has a lotRead MoreThe Catcher In The Rye Character Analysis715 Words   |  3 PagesThe Catcher in the Rye by J.D. Salinger is narrated by the main character, a sixteen year-old boy named Holden Caulfield. The story starts out with Holden attending a prep school near New York City called Pencey Academy. Soon we discover that Holden has been â€Å"given the axe† because of his apparent apathy about school and his grades. Unfortunately, Pencey is only one in a series of schools that Holden has flunked out of. The plot is all about Holden going out on an adventure by himself and tryingRead More The Catcher in the Rye - Character Analysis of Holden Caufield741 Words   |  3 PagesThe Catcher in the Rye - Character Analysis of Holden Caufield In J.D. Salingers novel The Catcher in the Rye, the main character, Holden Caufield, describes in detail the parts of his life and his environment that bother him the most. He faces these problems with a kind of naivety that prevents him from fully understanding why it is that he is so depressed. His life revolves around his problems, and he seems helpless in evading them. Among others, Holden finds himself facing the issues ofRead MoreCharacter Analysis Of Holden Caulfield s The Catcher Of The Rye 1733 Words   |  7 PagesBroderick-King English 101 5/24/16 Essay A.M.D.G. In the novel The Catcher in the Rye by J.D. Salinger, Holden Caulfield is faced with multiple â€Å"phonies† that divert him from those he really holds affection for. Throughout the novel Holden shows disgust for certain characters but his ability to build relationships of intimacy are most eminent. Through Allie Caulfield, Holden is able to make a more personal connection. Seeing

Antigone By Sophocles Antigone - 912 Words

In Sophocles, â€Å"Antigone† begins with the stages of grief as Antigone mourns the loss of her two brothers, Polyneikes and Eteokles, who die simultaneously in face-to-face combat in Thebes. Eteokles dies with honor fighting for the Thebesians and is honored with rituals and a proper burial. The body of Polyneikes, who attempted to burn the city of Thebes, is left for the dogs and birds to savage. Thesbesian’s law forbids anyone giving a traitor, like Polyneikes, a proper burial, for that itself is a crime punishable by death. Antigone is angered that Polyneikes is not going to receive a proper burial and is determined that she must honor him even if it means the end of her life. Antigone alone attempts to bury her brother, but is captured and imprisoned, at which point she decides to form a noose around her neck and end her life. Sophocles leaves the reader to question whether Antigone’s suicide is an act of heroism, a stand for the citizens of Thebes, or a selfish way of coping with personal trauma. Antigone sought assistance in burying her brother from her only family member alive, her sister, Ismene, who tries to reason with her. Ismene proclaims, â€Å"Remember, we’re women. How can we fight men? They’re stronger† (Sophocles 749). The physical statures of neither Polyneikes nor Antigone were not ever mentioned, but in general men typically weigh more and have a larger build than women. We have to assume that she doesn’t want to elicit help from others because the risk ofShow MoreRelatedAntigone By Sophocles Antigone1478 Words   |  6 PagesThroughout Antigone, Antigone is a presented as a strong woman who is both dedicated to her family and her community. That said, there is much conflict between these two dedications. In this paper, I will give examples of Antigone’s different individual responsibilities and her philosophies and explain how those conflict with the commitment that she is to have to her community and indirectly, her king. Ultimately, I will argue that Sophocles demonstrated his values of family, the way of the godsRead MoreAntigone By Sophocles Antigone1525 Words   |  7 Pagesneglect nothing that the gods demand† (1349-1350). Sophocles’ Antigone takes place in a trying time for the city of Thebes, when Oedipus, their king, and most of the royal family have died, and Creon has just been appointed the new king. Throughout the play, Creon tries on his power as the new ruler, and seems to believe that the gods will not be angry with some of his choices as king, even though they directly violate the divine law. However, in Antigone, when there is a conflict between the divine lawRead MoreAntigone, by Sophocles1997 Words   |  8 PagesThe death of Antigone is truly a tragic episode in the Theban Plays, where she hung herself with a woven linen of her dress. By convention, her death would be characterized with feminine quality. However, Ant igone, one of the few female characters in the book, possessed distinguishable female characteristics that are as remarkable as a male hero. Antigone was determined when she made up her mind to bury her brother. She was an agent of her words and took up the risks that accompanied to her deedsRead MoreAntigone by Sophocles1059 Words   |  5 Pages In the book Antigone, Creon and Antigone can be considered as the tragic heroes of the play. Antigone is considered the tragic hero because of the characteristics she shows such as her ambition to defeat Creon, Creon shows more of the characteristics clearly. Creon is the king of Thebes. He is also Antigones uncle. Creon became king after a fight between Eteocles and Polyneices. One may see Creon as a harsh and controlling ruler, but he is not good nor bad because he shows signs of both like whenRead MoreSophocles Antigone By Sophocles Essay1869 Words   |  8 PagesIn Sophocles’ play Antigone, two brothers, Eteocles and Polynices fight for the thrown of Thebes. The war comes to an end when both brothers die fighting for the honor, and their uncle Creon becomes the king of Thebes. Upon his coronation, Creon issues a decree that Eteocles, the former king of Thebes, will be honored with a traditional military burial, while his brother Polynices will be â€Å"left unwept, unb uried, a lovely treasure for birds that scan the field and feast to their heart’s content† (SophoclesRead MoreSophocles Antigone By Sophocles1892 Words   |  8 PagesAntigone †¢ Title: Antigone by Sophocles †¢ Genre: Play; Tragic drama †¢ Historical context: Written circa, 442 B.C.E. in Athens Greece. Performed circa, 441 B.C.A. Its literary period was classical. While Antigone was the first written of Sophocles’ three Theban plays, it was the last of the trilogy. It was performed during a time of national unrest. Sophocles was appointed to serve as a general in a military crusade against Samos. The significance of the historical events during that timeRead MoreThe Choices Of Antigone And Sophocles Antigone1560 Words   |  7 Pagesthat Antigone and Creon face in Sophocles’ Antigone differ, their decisions often end up pitted against each other’s, inviting comparison. Since I am juxtaposing the characters’ degrees of rightness, I believe that the rightness of the reasoning, not just their ultimate stances, should be examined. The entirety of his or her argument, not just the conclusion, must be taken into account. I’ll also note that my perspective of rightness could an d does conflict with that of the gods in Antigone and SophoclesRead MoreAntigone by Sophocles622 Words   |  3 PagesIn the playwright Antigone by Sophocles, the characters reveal their values while exposing a life lessons through their actions, dialogue, thoughts ,and effects on others. Antigone starts with two brothers, Eteocles and Polyneices, being killed at battle. Creon, the king of Thebes, declares that Eteocles’ death will be honored and Polyneices’ dishonored. He instead will lay unburied to become the food of animals. When the play opens, Antigone takes Ismene, Antigone and Ismene are sisters of the deadRead MoreSophocles Antigone By Sophocles1495 Words   |  6 PagesAs one of the most famous tragedies ever written, Antigone, by the Greek playwright Sophocles, has received much notoriety as well as much speculation. Set in the city of Thebes after a devastating civil war between the brothers Polyneices and Eteocles, the play begins after the brothersâ₠¬â„¢ deadly struggle for the throne. Polyneices and Eteocles have already caused the undue deaths of one another, and without another man in their immediate family available, their uncle Creon travels to Thebes to seizeRead MoreCharacterization of Antigone in Sophocles Antigone2448 Words   |  10 Pages     Ã‚  Ã‚   Sophocles’ tragic drama, Antigone, presents to the reader a full range of characters: static and dynamic, flat and round; they are portrayed mostly through the showing technique. In â€Å"Sophocles’ Praise of Man and the Conflicts of the Antigone,† Charles Paul Segal takes the stand that there are two protagonists in the drama (which conflicts with this reader’s interpretation): This is not to say that there are not conceptual issues involved in the characters of Creon and Antigone. But the

The Need to Balance the Qualitative and Quantitative assessments

Question: Discuss about the Need to Balance the Qualitative and Quantitative assessments in Risk Management. Answer: Introduction IT Risk Management is important for the different aspects as it focus on the contemporary functionality of the organisation. The focus is on how the risk is connected with the wide application of the information technologies with increase of the correlation of the organisation with its customers, business partners and the outsourced operations. It includes the concentration on searching the optimal proportions between the threats and the costs of the IT systems. With this, the best stage for this is risk optimisation with the minimised loss that is connected with the risks. The evolution is based on concentrating over the security of the IT systems. Critical Analysis The analysis is based on the production enterprise with specific system assets through the indirect or the direct loss for the organisation. IT risks is considered to be a threat if the business does not fill the activity of the requirements, ensure the integrity or the security properly. The risks are also comprehended for the identified management with the focus towards handling and evaluating the risks analysis. (Schermann, 2016). The aim of the risks analysis is based on the quantitative and the qualitative methods where: Quantitative methods: They are considered to be the major consequence of the incidents that have been occurring with the fact it includes the realisation of the costs as well as the benefits. It also includes the accuracy image of the risks as well where the measures depend on the scope with defined measurement scale. (Fairbrother et al., 2016). The results of the analysis are under the normal methods which are enriched in the qualitative hand with the analysis that could be conducted for the more expensive, demanding greater experience and the advanced tools. (Aven, 2016). Qualitative Methods This works on putting the risks according to the priority which also works on the areas to determine about how the short time risks and less expenditure risks could be handled. The analysis is also relatively found to be easy where it does not allow the determination of the probabilities. (Behzadi et al., 2017). The costs and the benefit analysis is found to be difficult in this with the achieved results that have a general character. The qualitative method is not accurate enough for the assessment of the IT risks. Critical issues in Risk Management The risks are related to the occupational and the public safety which results mainly from the work schedules which sets under the regulatory agency. It works on the different high profile incidents where the lack of the external or the internal motivators will lead to the major issues of work. Hence, the development of the products like the fatigue training and the countermeasure tools are important for the distribution of the material with addressing all the important responsibilities and concerns. (Hansson et al., 2014). The quantitative methods are for the proper estimation of the risks values which is connected with the applications based on the numerical measures. It also includes the qualitative perspectives which do not operate on the numerical data. The risks analysis is comprehensive identification of the threats and the susceptibility with properly determining the levels for making decisions with the applications set for the specific methods. (Agcaet al., 2017). This also i ncludes the evaluation of resources and working over the information, software, hardware and the physical resources. The assessment of the consequences will then help identifying the threats that will be able to determine the possibility of destruction. Reflection According to ISO 31000, there is a need to focus on the internal and the external criteria of the project. This refer to the compliance with safety, environment and the statutory requirements. The evaluation is also mainly acceptable which depends on the organisation tolerance for the risks which contributes to the stemming from the risks. For the balance in between the risks, there is a need that the parties are able to work on different aspects of the project delivery which is important for the identification and informed cross section. (Giannakis et al., 2016). Conclusion The IT risks includes the direction of deliberation and the activities where the methods of the risks assessment are set in the advanced form. (Wiengarter et al., 2016). The benefits are multidimensional but there is a need to keep a balance in between the losses and the costs which is for implementing the protection. This will help in planning the expenditures properly and work on the lack of fundamental to any additional investments in Information Security. References Agca, R., Heslinga, S.C., Rollefstad, S., Heslinga, M., McInnes, I.B., Peters, M.J.L., Kvien, T.K., Dougados, M., Radner, H., Atzeni, F. and Primdahl, J., 2017. EULAR recommendations for cardiovascular diseaserisk management in patients with rheumatoid arthritis and other forms of inflammatory joint disorders: 2015/2016 update.Annals of the rheumatic diseases,76(1), pp.17-28. Aven, T., 2016. Risk assessment and risk management: Review of recent advances on their foundation.European Journal of Operational Research,253(1), pp.1-13. Behzadi, G., OSullivan, M.J., Olsen, T.L. and Zhang, A., 2017. Agribusiness supply chain risk management: A review of quantitative decision models.Omega. Fairbrother, A., Hartl, B., Hope, B.K., Jenkins, J.J., Li, Y.W. and Moore, D.R., 2016. Risk management decisions for pesticides and threatened and endangered species: The role of uncertainty analysis.Human and Ecological Risk Assessment: An International Journal,22(2), pp.502-518. Giannakis, M. and Papadopoulos, T., 2016. Supply chain sustainability: A risk management approach.International Journal of Production Economics,171, pp.455-470. Hansson, S.O. and Aven, T., 2014. Is risk analysis scientific?.Risk Analysis,34(7), pp.1173-1183. Schuermann, T., 2016. Stress testing in wartime and in peacetime.Browser Download This Paper. Wiengarten, F., Humphreys, P., Gimenez, C. and McIvor, R., 2016. Risk, risk management practices, and the success of supply chain integration.International Journal of Production Economics,171, pp.361-370.

Tuesday, May 5, 2020

Clinical Assessment and Diagnosis †Free Samples for Students

Question: What Is The Clinical Assessment And Diagnosis? Answer: Introduction Mr. Giovanni DeBella aged seventy-two years old, who experiences the Chronic Heart Failure condition, got presented to the Emergency Department very early in the morning with complaints about the difficulties in breathing and a burning sensation feeling to suffocate. At the ward, Mr. Giovanni gets about three pillows to use on the bed to raise his head for easy breathing, but this did not help on his dyspnea condition. Furthermore, Mr. Giovanni narrates to the nurse on duty that in a couple of days now he found it challenging to move around his house minus the feeling of getting puffed(Yancy, et al., 2013). He further tells the nurse that upon showering the breathlessness increases, got problems with putting on his shoes due to the swelling of his feet and he smokes. The essay paper shall focus on the assessment of the patients important clinical manifestations and the two prioritized problems which are the impaired gas exchange and the excessive fluid volume. Clinical Assessment and Diagnosis. On assessing Mr. Giovanni, the following were the vital signs and symptoms that got noted. His body temperature was at normal range 36.9 degree Celsius, the heart beat rate of 115 per minute, the electrocardiogram was normal, the blood pressure was 118/60. Moreover, the respiratory rate was at 26 per minute, and the room air had ninety-one percent oxygen saturation. During the process of auscultation, it got noted that the patient had a widespread for the course crackles and a wheezing sound(Ponikowski, et al., 2013). The chest x-ray results show that Mr. Giovanni has got an enlarged ratio for the cardiothoracic, in his lower lobes there are white patches with the lines of Kerly B. The patient get diagnosed to have an acute manifestation of the heart failure. Impaired Gas Exchange The problem of the impaired gas exchange relates to Mr. Giovannis signs and the assessment data recorded by the nurse on duty. On admission, Mr. Giovanni narrates to the nurse that he usually experiences shortness of breath and his condition for dyspnea is unrelieved even if he uses more than two pillows to sit up while on the bed(Mentz, et al., 2014). Further, during the auscultation process, wheezing sounds are heard, and the widespread crackles got noted by the nurse. The assessment data also shows that the patient gave that he ages above 65 years old, he most likely experienced falls. Mr. Giovanni though confirms that he does find it difficult to locomote around his house freely(Yancy, et al., 2013). The assessment data believed to correctly and accurately recorded as per the professional nursing standards of practice, they clearly show that the patient does require support and prevention from falls. Based on the pathophysiology, the problem of impaired gas exchange does relate closely to the breathing difficulties and the struggle for head raised through the help of pillows to get access to fresh air. The room itself gets saturated by about 91 percent of oxygen to assist the patient in easy access to fresh air. In such circumstances of a patient experiencing the difficulties of breathing, physiologically the lungs processes of inhalation and exhalation are not in the balance(Russell, et al., 2015). It gets realized that Mr. Giovanni would easily struggle to breathe in but would fail to breathe out much quickly. Such a situation confirms the problem of the impaired gas exchange in the patient. Pathophysiologically, the nurse, should realize that Mr. Giovanni experiences difficulty in walking around his house due to the fatigue arising from the accumulation of lactic acid in his muscles(Asgar, Mack, Stone, 2015). The lactic acid also leads to the muscle cramping. The accumulation of the acid results from the process of partial anaerobic respiration which takes place in the patient due to the low amount of oxygen that get inhaled to support aerobic respiration solely. Anaerobic respiration occurs to provide the little energy and vigor for Mr. Giovanni. Due to the problem of impaired gas exchange, Mr. Giovanni would unequally breathe in and breath out, hence, the unbalanced ratio between oxygen and the carbon dioxide gases. Nursing Interventions for Impaired Gas Exchange So as to assist Mr. Giovanni, the following nursing interventions are necessary and relevant in relieving his dyspnea condition. The patients respiratory system should get closely examined and evaluated. The efficiency for the perfusion should get established(Verbrugge, et al., 2013). This gets to be necessary for the process of determining whether Mr. Giovannis respiratory ventilation system functions properly or not. As a nurse, one should examine a patients respiratory rate so as to find out what would cause shortness of breath. In the case scenario, the nurse on duty measured Mr. Giovannis respiratory rate as a way of documenting and using the assessment data in making informed decisions regarding the nursing care of the patient(Tanai Frantz, 2015). Moreover, another nursing to put in place involves the maintenance of the patients bed at an elevated angle of 90 degrees. This nursing intervention ensures that the patients head gets raised at a higher level in order to access fresh air easily to fight difficulties in breathing. When Mr. Giovanni gets admitted, the nurse provides three pillows for the patient to use. The shortness of breath has a closer relationship with the cardiovascular complications. Usually, the dyspnea condition clinically manifests the heart failure(Kupper, Bonhof, Westerhuis, Widdershoven, Denollet, 2016). Focusing on Mr. Giovanni, the identification of the dyspnea symptoms such as the respiratory complications gets associated with the pulmonary venocapillary congestion which regularly presents difficulties in breathing at night when he lies horizontally on the bed. Such happens to Mr. Giovanni because of the fluid displacement into the far interior section of the patients lungs. Such a condition prompts M r. Giovanni to sleep almost in a sitting position with the help of the three pillows provided to prevent the heart failure as a result of the pulmonary venocapillary congestion(Park, et al., 2015). Usually, the dyspnea condition increases when the patient lies horizontally on a level platform but do decrease when he sits. The sitting position to control dyspnea symptom is known as orthopnea. Mr. Giovannis physical activities such as doing exercises and walking around the house may receive nursing intervention through implementing the method of elevating his bed to reduce the functional dyspnea. Also, the dyspnea condition leads to the problem of respiratory ventilation-perfusion and the impaired gas exchange with the respiratory acidosis which impacts on the patients quality of life and physical activities such as walking and the sleeping manner(Kasai, Bradley, Friedman, Logan, 2014). The implementation of the two priority interventions mentioned herein would help to reduce both the dyspnea condition and the dysfunctional dyspnea for Mr. Giovanni. Excess Fluid Volume The problem is commonly known as the hypervolemia condition, refer to the increase in the isotonic fluid retaining which result in the ECF expansion due to the sodium content and water increase proportionately in the total body. The problem does arise from the compromising of the regulatory actions on the sodium and water which occurs in the patients with heart failure or the kidney failure and the liver failure conditions(Kitzman, et al., 2014). It got also, believed that the problem of The Excess Fluid Volume would result from the excessive consumption of the sodium containing foods, medical drugs, IV solutions or from the diagnostic dyes. Similarly, the following medical conditions might lead to the Fluid Volume Excess; the hemodialysis, the peritoneal dialysis, and the myocardial infarction(Sousa, et al., 2015). For the condition to get treated or rather controlled, the sodium content and fluid intake should get regulated. The restriction of the sodium and water consumption would offer effective treatment for the hypervolemia and ensure that the extracellular compartment gets back to normal. In the case scenario involving Mr. Giovanni, the nursing diagnosis shows that the patient has the condition of acute failure(Ambrosy, et al., 2014). Studies do substantiate that the excess fluid volume usually gets diagnosed in the patients with heart failure. The problem relates closely to Mr. Giovannis signs and the assessment data accurately recorded by the nurse who attended to the patient. The problem has got characteristics for the pulmonary crackles which are evident in Mr. Giovanni. Moreover, the problem displays the clinical manifestations for the elevated capillary pressure of the pulmonary, the dyspnea symptom and the dysfunctional dyspnea(Haykowsky, Brubaker, Morgan, Kritchevsky, Kitzman, 2013). Most of these symptoms are similar to those Mr. Giovanni tells the nurse and those that have got documented in the patient's data book. The clinical research that got conducted by different clinical experts does validate that the cardinal symptoms of the dyspnea, the orthopnea, and the pulmonary congestion, shows that characteristics for such conditions are the primary clinical indicators for the problem of the Excessive Fluid Volume. The overhead signs and clinical manifestations for Mr. Giovanni clearly depict the problem(Park H. , 2014). The clinical manifestation for dyspnea in Mr. Giovanni forms the most significant condition to validate the Excessive Fluid Volume due to its high-reliability index which got obtained during the clinical research study. Most patients show to have the dyspnea condition, approximately 94%. Nursing Interventions for Excess Fluid Volume The following nursing interventions are critical to the treatment of the hypervolemia condition in Mr. Giovanni. The nurse on duty should direct and monitor the fluid intake for Mr. Giovanni. The nurse should ensure that the patient under her/his care takes controlled amounts of water such that regimen compliance gets enhanced. Further, the fluid control should get done through the prescription of the taking of the diuretics which would assist in the process of excretion of the excessive body fluids. Another effective nursing which should get prioritized for Mr. Giovanni should involve the limiting of the sodium amount intake(Jeronymo Cruz, 2015). The amount consumed by the patient should get restricted by the nurse or the family caregivers. The sodium content needs to get regulated such that little fluid retention happens. The nurse should take charge in educating the patient and the family members or relatives on the essence of liquid restrictions and how it should get done. The n urse on duty should further disperse information and vital knowledge concerning the Excessive Fluid Volume condition to the patients and the family caregivers. For Mr. Giovannis case scenario, the critical with a very close correlation with the hypervolemia condition includes the HR which got recorded by the nurse as 115/minute, and a BP of 118/60 was also noted down in the patients record book. During the nursing interventions, the nurse on duty should monitor the BP and the HR closely since they provide evidence-based leads to the early developmental stages of the condition. For instance, if the BP increases, it would be an evident sign of the Excessive Fluid Volume condition(Butcher, Bulechek, Dochterman, Wagner, 2013). According to the measurements obtained from the assessment data, the BP seems high or rather elevated giving a clue that Mr. Giovanni has the condition and necessary restrictions on the sodium content and the fluid intake should get implemented. The nurse may choose to direct that drinks a specified number of glasses of water he should drink within a stipulated period or administer diuretics prescriptions. In most cases, the high blood pressure hinders the fluid flow from the body, hence, increased fluid retention which results to the increased fluid volume accumulation in the body. Conclusion Mr. Giovanni, aged 72 years would be suffering from heart failure condition. Based on the diagnosis, the assessment data recorded by the nurse and the signs noted are evident that the patient had two major problems. The problems include the impaired gas exchange and the Excessive Fluid Volume. The impaired gas exchange hinders the patient from breathing normally. Mr. Giovanni on admission to the emergency department, he informs the nurse attending to him that he experiences shortness of breath, dyspnea dysfunction on his physical activities such as walking around his house. He further mentions that he does smoke but the condition of breathing with difficulty has hindered his regular exercising activity. Furthermore, Mr. Giovanni gets three pillows to enable to sleep on the hospital bed while on the sitting position to prevent dyspnea. Finally, Mr. Giovanni experiences the condition of excessive fluid accumulation in the body as a result of increased consumption of sodium content and excessive fluid intake. The hypervolemia condition may get treated through the diuretic prescriptions and controlled sodium consumption in the meals or the medications containing it. References Ambrosy, A. P., Fonarow, G. C., Butler, J., Chioncel, O., Greene, S. J., Vaduganathan, M., ... Gheorghiade, M. (2014). The global health and economic burden of hospitalizations for heart failure: lessons learned from hospitalized heart failure registries.Journal of the American College of Cardiology,63(12), 1123-1133. Asgar, A. W., Mack, M. J., Stone, G. W. (2015). 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