Tuesday, August 25, 2020

Our Essays - Our Town, English-language Films, Thornton Wilder

Our Town By Thornton Wilder 1. Thornton Wilder was one of the most cosmopolitan and modern of American authors. Conceived in the Midwest on April 17, 1897, he was instructed in China, in Germany language schools, in America, and in Rome. He was altogether recognizable with traditional writing. In 1938 he composed Our Town. In this play Wilder picked up profound respect for his genuine philosophical concerns and utilization of showy methods. When perusing Our Town it is hard to track down one significant clash. The thoughts imbedded in the background manage the significance of adoration, the congruity of human life, the excellence of life, and the importance of life. The theme of affection is seen ordinarily all through the play. All the characters are brought together by affection nonetheless, every relationship and each adoration is unique. All through the play it is exceptionally simple to see the various loves. In act one love is focused on the family, the fundamental characters appear to show unqualified love for each other. In the second demonstration the expression of affection changes to sentiment, as Emily and George begin to look all starry eyed at. In act three love is appeared in the most unlimited way. Unselfish love that anticipates no arrival. As the play moved forward we work continually reminded that like this one constant cycle. The play itself starts with birth and finishes in death. The stage supervisor moreover suggests this thought by looking at ages. The most grounded topic in Our Town is the excellence of life. This topic helps show us the awesome happenings of regular presence that the vast majority will disregard and is just here and there got a handle on by writers and holy people. 2. After a short investigation of Our Town the plot uncovers itself without any problem. It has been said that Our Town has no plot by any means, in that the stage director recounts to a couple of anecdotes about existence in Grover's Corners and sends the crowd on their way. The straightforwardness behind the plot is what brought greatness to the play. More out of control attempts all through the play to show the significance of thoughts not characters, and let every individual crowd part gain something other than what's expected from the play. The play starts while individuals are still entering the theater and being situated. A character referred to just as the stage director enters an exposed, incompletely lit stage. He starts scavenging around in front of an audience going about as a worker setting up for the primary demonstration. The stage chief starts by disclosing to you that you are in Grover's Corners, New Hampshire, in 1901. The first activity seen in front of an audience is regular movement between the Webbs and the Gibbses. Dr. Gibbs returns home from the clinic and the spouses get up to speed with tattle while they work. The stage administrator hinders with some more data and the youngsters return home from school. Time passes rapidly. The stage director lets you know that demonstration two will be love and marriage. George and Emily before the finish of the demonstration will be marry. In this demonstration they return you to a scene from George also, Emily's romance. Act three opens in the memorial park; the stage chief tells you that nine years have passed. Emily has passed on and her grave is being readied. Night goes to Grover's corners, and the stage supervisor wishes the crowd a goodbye. 3. In Our Town, the on-screen characters have a lot of space for their own impacts to fit in, on the grounds that Wilder delineates types as opposed to people. All the individuals in Grover's Corners are individualistic. By doing this Wilder left space for every crowd part to associate with each character in their own particular manner. Emily Webb is the girl of the manager of the town paper. She weds George Gibbs and kicks the bucket bringing forth their subsequent kid. She is the young lady who grows up during the play. Her addresses toward the finish of the play are significant George Gibbs, the child of Dr. Gibbs, is the kid nearby who weds Emily. Both George what's more, Emily speak to commonplace American kids. He is overall quite well mannered, however not bright. All through his entire life he was continually falling behind in development. Specialist Frank Gibbs is the caring dad and spouse each man needs to be. He is at complete harmony with his day to day environments and life. Mr. Charles Webb is the proofreader of the nearby paper and appreciates considering Napoleon. As introduced previously the guardians of George and Emily are additionally run of the mill and the same. Julia Hersey Gibbs is Doc Gibbs' significant other and the mother of George and Rebecca.

Saturday, August 22, 2020

Americas War for Independence in the 1770s :: essays research papers

The Americans figured out how to accomplish autonomy from one of the most grounded military powers on earth, England, after 1777 in view of their home field advantage, fruitful military activities, and should be allowed to senator themselves. The main indication of America having the option to pick up freedom was its triumph at Saratoga, which at that point drove them to pick up union with the French. The British idea they should move their soldiers south in light of the fact that that’s where their followers were. At that point a couple of wins for the U.S. driven Cornwallis to go to Yorktown to sit tight for provisions from Clinton in New York. With assistance from the French, Washington had the option to overcome the British at Yorktown, which prompted America’s freedom and the marking of the arrangement of Paris 1783. The American Revolutionary War was a war between Great Britain and progressives inside thirteen British provinces, who announced their autonomy as the United States of America in 1776. The war was the climax of the American Revolution, a pioneer battle against political and financial approaches of the British Empire. The war in the long run extended a long ways past British North America, numerous Native Americans additionally battled on the two sides of the contention. The Declaration of Independence is the archive wherein the 13 states, in the past the Thirteen Colonies, in North America proclaimed themselves free of the Kingdom of Great Britain and clarified their defenses for doing as such. The Second Continental Congress confirmed it on July 4, 1776. The British needed to assume responsibility for the Hudson River Valley to cut off New England from different provinces. So General Burgoyne with 7,700 soldiers moved toward Albany, New York, from Canada. On his way, Burgoyne vanquished American powers at Fort Ticonderoga. More soldiers, drove by Lieutenant Colonel St. Leger and General Howe were to go along with him to assault the American soldiers. Lamentably for Burgoyne, St. Leger's soldiers had to withdraw back to into Canada by Benedict Arnold and his American state army. General Howe's powers were battling with Washington at the Battle of Brandywine and afterward the Battle of Germantown, which shielded him from joining Burgoyne. General Burgoyne's powers assaulted General Gates’ American powers at the Battle of Oriskany and at the Battle of Bennington however were driven back the multiple times. General Burgoyne assaulted American for his third time at the Battle of Saratoga. This time Burgoyne and his powers were vanq uished and General Burgoyne had to give up. The Battle of Saratoga in July and October 1777 was an American triumph that was to bring about France entering the contention for the benefit of the Americans during the American Revolutionary War.

Wednesday, July 29, 2020

Your Next Steps as an Illinois Applicant

Your Next Steps as an Illinois Applicant Congratulations, you did it! Your college application is complete. Youve spent months, maybe even years, preparing for this moment. But what do you do now? Following are some steps to take as you await your admission decision. 1. Check myIllini. Once you submit your online application, youll be able to access your myIllini application status page. Double check this page to ensure you have completed all necessary steps related to your application. Once your application is complete, its a waiting game. If you applied during our early action filing period, youll be notified of your decision on Friday, December 13. Otherwise, youll be notified in early March. 2. Check your emails and stay in touch. If we need additional information from you, well notify you via email, so check your email regularly. Additionally, keep us updated of any changes to your self-reported academic record and test scores. If you realize you made a mistake in reporting your coursework or grades, dont worryâ€"you can update this information through the Course Change Form in myIllini. We understand that your senior year schedule may also change after you submit your application to Illinois. If this is the case, you can (and should!) let us know using the same form. If you take the ACT, SAT, IELTS, or TOEFL again after your application is submitted, you may update your test scores through the Test Score Change Form, also found in myIllini. In order for these scores to be considered in review, they must be reported before decisions are released. 3. Apply for financial aid and scholarships. If you havent done so already, I encourage you to complete your FAFSA as soon as possible. To ensure full consideration for financial aid awards, apply online by our recommended date of January 5, 2020 and no later than our preferential date of March 15, 2020. Dont forget to check out private scholarship opportunities as well. Our Office of Student Financial Aid has a list of places to look for additional scholarships. I also recommend checking with your high school counseling office to learn about scholarship opportunities in your community. 4. Come visit campus. Wed love to see you on campus soon for a visit! We offer visits Mondays through Fridays as well as some Saturdays. You can set up a visit online or you can call our Campus Visits line at 217-333-0824. 5. Stay focused and dont let senioritis kick in. Although senior year grades are not reviewed in our application for admission, that doesnt mean we dont care about them. If youre admitted and choose to enroll at Illinois, well ask you to have your high school transcripts sent to usâ€"we want to make sure that you finish senior year strong! As always, if you have any questions please let us know. Were here to help walk you through this process. You can send us an email at admissions@illinois.edu or give us a call at 217-333-0302. Brian Senior Associate Director of Recruitment Outreach, Undergraduate Admissions I'm here to help high school students and their families navigate the college search process. An Illinois alumnus (LAS ’02), I had the honor to play football for the Orange and Blue.

Friday, May 22, 2020

2. Understand the factors that influence children and...

Understand Child and Young Person Development 2. Understand the factors that influence children and young people’s development and how these affect practice. 2.1 Explain how children and young people’s development is influenced by a range of personal factors. Personal factors are those which are part of the genetic make-up of a child (nature, not nurture). As such, they cannot be changed, although their influence upon development can be addressed to give children the best possible chance to achieve their potential. Personal factors influencing development include: †¢ Health status: From common colds to serious illness, a child’s health status will impact upon their development in some way. Frequent colds or other mild illness, for†¦show more content†¦These children will need additional support in order to maximise their potential in class. A dyslexic child will struggle more than her peers to acquire confidence in reading and writing, which can affect other areas of cognitive development. Her confidence may also suffer, and she may suffer frustration and anger at not being able to do what her peers can do with ease (read a sentence; differentiate between b and d). Whilst considering the effects of personal factors on child development it is worth mentioning that some factors may influence development in an advantageous way. For example, a dyslexic child may be able to think more creatively about certain types of problem solving, or they may be very artistic. This can have a positive influence on social and emotional devel opment. Every child is an individual and the better that personal and external influences on development are understood, the better that child can be supported as she grows, learns and develops. †¢ Genetic inheritance: A child not only inherits physical attributes from his parents, but also character traits such as sensitivity or gregariousness. Both will influence his development, along with other personal and external factors. For example, a child who inherits long limbs from his parents may develop physically at a different rate than his peers. He may be more prone to growing pains, which may affect him emotionally and he may look older than his real age which can causeShow MoreRelatedSSD2 Module 4 Notes Essay28478 Words   |  114 Pagesï » ¿MODULE 04 Cross-Cultural Competency Culture Culture is the pattern of action and the ways of perceiving, feeling, and thinking acquired growing up in a particular group of people Ethnocentrism Ethnocentrism is the attitude held by the members of a culture that theirs is the only true, right, and best way to view and act in the world. Cultural relativism Cultural relativism is the idea that human behavior, ideas, and emotions must be understood in the context of the whole culture in which they occur

Saturday, May 9, 2020

What Is So Fascinating About Essay Topics on Issues about Computer Science?

What Is So Fascinating About Essay Topics on Issues about Computer Science? Development of the science and technology is dependent upon the analysis and suitable comprehension of facts. Both of the inventions are regarded as the mother of all of the technological innovations of the modern moment. So, new researchers are advised to keep away from this kind of established challenge. Science and technology has altered the lives of people to a large extent. The Ultimate Essay Topics on Issues about Computer Science Trick If you are fighting to think of content for your assignment, speak to us. With all these choices to explore, it can be very overwhelming to choose 1 topic for your paper particularly if your instructor has given you an open-ended sort of assignment. Anyway, if you would like to be successful, perfect understanding of the English academic style is also imperative. Without writing the results there's no sense to work on the full research paper. The social issues research papers may appear easy to write in comparison with different topics, but still it demands an extremely creative strategy, an enormous quantity of curiosity and capability to think beyond the box and search info in unconventional sources. A cause and effect essay is comparable in structure to the majority of other essays, as it requires an introduction, a body, and a conclusion. Frequently, the toughest portion of writing an essay is just to begin. Most computer users are unable to fix such errors since they do not exactly know the precise reason for the computer problem they are facing. Also based on the operating system you're running you may be capable of using a feature named System Restore. It isn't best to go poking around a computer's registry settings unless you truly understand what it is you're doing. All their computers ought to be running the latest version o f an anti-virus program. Essay Topics on Issues about Computer Science Features Young writers may try simple on-line citation generators which are generally at no cost. You may also see that investigators will use computer forensics to acquire information they need when it has to do with solving a crime. Many computer malfunctions might also be the end result of power surges such as lightning. If corrective steps have never been made to block the error, it may have further damages to your PC. Such increasing complexities must be fixed to remain in step with changing computer technology. The majority of the computer related issues can be carried out easily at home. You're probably wondering why you ought to choose our company including all the options out there. Increasingly, there's a rise of independent computer support companies which provide technical support services to clients on the grounds of per hour restoration. It is possible to also benefit from working on topics linked to your present job as you'll have a good chance to collect the main data. It is preferable to search online since it will conserve a plenty of time. The Ultimate Essay Topics on Issues about Computer Science Trick A proposal essay is extremely easy to comprehend. An argumentative essay requires you to choose a topic and have a position on it. You might be wondering how to select and handle decent science essay topics. Recent argumentative essay topics that are related to society is going to do. Whether you're writing a quick essay on an easy topic or you're requested to undertake an elongated research project, you need to understand that the writers drafting a sample for you are in a position to manage the assignment professionally and reliably. Instead, start the moment the assignment is given so that you are able to have ample time to decide on a topic, do your research and produce the last draft. At exactly the same time, it's an excellent persuasive essay idea. Apparently, you're likely to want to be aware of the status of your essay, and you are going to want to have the ability to get in touch with the writer in the event you have any questions or concerns. Most Noticeable Essay Topics on Issues about Computer Science In case it works then the security software is the issue and you'll want to get in touch with your ISP for assistance. Information observed during system maintenance should be dealt with a great deal of confidentiality. Another issues is there is no support given by the production of the computer software. The systems also require validation in order to be certain they meet the essential standards. Computer and data ethics investigates ethical and societal effects of ICT. Science and technologies are playing great function in meeting the requirements and essentials of the contemporary folks. Students frequently have very little money to spare. The ways they should be taught about their health.

Wednesday, May 6, 2020

Pecha Kucha Free Essays

Alison Angell Sullivan English 1105B 2 December 2009 Odd Occurrences in Nature How we got started When presented with the task of making a pecha kucha, my partner and I brainstormed topics that interested us and then looked to see if we found any that were related. Giovanni and I both agreed that nature was a fascinating topic and at first thought we would take pictures of different parts of nature around campus and describe them in a photo essay. After realizing the topic was too vague, we narrowed our focus to interesting facts about animals and plants found in nature. We will write a custom essay sample on Pecha Kucha or any similar topic only for you Order Now I was unsure of how interesting our topic would be until Giovanni sent his list of strange facts he found on the Internet. I was astounded at the many things I was unaware of, one of my favorites being a praying mantis can turn its head 360 degrees, the only animal to be able to do so. The research portion of the project was by far one of the most interesting I have done for a project. I found myself wanting to look for more. Giovanni and I mutually decided that the most logical way to present our topic would be in the form of a photo essay. We did most of our communication through Facebook messages and an occasional email. Giovanni and I worked independently to find the facts for our pecha kucha but messaged back and fourth daily to give each other feedback. Content The content for the pecha kucha my partner and I designed included interesting facts about a variety of animals and a few plants that we thought would be new information for the audience. The animals and plants we researched ranged all the way from birds in caves to the plants in the ocean. The content includes attention-grabbing facts such as penguins are able to jump six feet in the air, praying mantis’ are the only animal that are able to turn their heads 360 degrees, flamingos are pink because their diet is composed of mainly shrimp, mosquitoes are attracted to the color blue more than any other color, a snail can sleep up to three years at a time, a sea squirt eats its own brain and snakes can see through their eyelids. The facts I found most interesting were the praying mantis’ can turn their heads 360 degrees, some species of birds can dive 15 feet underwater to capture a fish, a headless cockroach can survive for a couple of weeks, and sea cucumbers eviscerate themselves when in danger so the predator will eat their insides while the cucumber scurries. The information we provided on our pecha kucha was found online from various websites except for the information about the swiftlet birds that compose their nests of saliva, which we learned from Mrs. Sullivan. Form Based on the content my partner and I chose for the project, we decided that something like a photo essay would be most appropriate to present the information. An actual photo essay would not work because we did not tell a story but instead, made a presentation about different plants and animals that all relate through nature. Also, we ruled out using a memoir format or a public service announcement seeing as our topic did not correspond with those two forms. The pecha kucha covers fifteen different organisms, some having more than one slide because of the amount of substance there is on those topics. The pecha kucha was made using Powerpoint and Windows Movie Maker. Both Giovanni and I were familiar with Powerpoint so I was able to make my slides through that processor and Giovanni, who is knowledgeable with Windows Movie Maker, was able to transfer my slides. Lastly, there was writing on each slide that Giovanni added using Paint on his computer to help give an overview of each slide. Why we chose the slide material My partner and I wanted to pick a topic that interested both of us. After deciding on elements of nature, we met with Mrs. Sullivan who sparked an idea to focus on interesting, unknown things about different organisms in nature. We were both intrigued by the subject, which made us want to choose it for our topic. After knowing that we were content with our topic, we knew that we had to present a pecha kucha that was going to be interesting to the audience. Giovanni and I agreed that since we were so amazed by the research we found, the class would most likely be as well. Both Giovanni and I split up to do research and messaged our findings to one another. After we had more than enough information, we chose what we thought were the most interesting facts that would surprise the audience the most. How we chose the design elements present in the slides The pecha kucha was made using Powerpoint because both Giovanni and I were familiar with how to use it and also Windows Movie Maker. We added writing to each of our slides to highlight what the slide was on to help the audience summarize what we were covering. There are two movies included in our presentation and a few topics that required more than one slide. For the design, we made sure to space the topics that required two slides and the movies evenly throughout the pecha kucha so that we would not have two similar groups of two slides next to each other or a movie next to another movie, to provide variety for the audience. Audio Component For the sound component of our pecha kucha, we chose to use pre-recorded audio. My partner has a fear of public speaking, which led us to using pre-recorder audio. Luckily, Giovanni has a headset and microphone, which we used to get the narration on the computer. After we recorded our audio, Giovanni used sound-editing computer software to format the audio and create an eloquent narrative. Giovanni and I did not use audio during the two slides that had videos, in order for the audience to be able to focus on the video. Due to the fact that our audio is pre-recorded and may not get as much attention as a live narration would, we used wording on each slide to give people a summary of what our audio was about. Compromises due to working with a partner I have never been a huge fan of partner projects because of my obsessive-compulsive personality. I am very controlling and feel that if things are not done by me, they will not be correct. I realize I am stubborn about these things and that working with a partner has upsides too. However, I usually like to take control and when working with a partner I am not always able to do that. Also, there had to be a compromise in scheduling. Giovanni and I had to compensate for each other’s schedules and find times to work together. Though I may have not had better ideas than my partner, I had to rid of some ideas because he did not agree and my partner had to rid of some of his ideas because I did not agree with them. Also, I compromised in the way our pecha kucha was presented. I found it much easier to present our project orally in front of the class, however, since my partner was shy about public speaking, we went with pre-recorded audio. Lastly, though not a compromise, I am not a fan of partner projects because I am not a fan of confrontation. When I work on partner projects, I will rarely disagree with another person’s ideas because I try to avoid conflict, a flaw I need to work on. Benefits of having a partner Though I am not interested in partner work, it does have benefits that can sometimes outweigh the compromises. Based off the saying â€Å"two heads are better than one,† working with a partner on this project helped lead to working on a very interesting topic that I would most likely not have thought of on my own. Also, since there were two people working on research, we were able to have an overflow of ideas and pick from those the most interesting, to create an intriguing pecha kucha. Whenever working solo on a project, it is hard to tell if your ideas make sense or have substance. By working with a partner, I was able to consult him on whether or not my ideas were going to benefit the project. Working with a partner benefitted me greatly when it came to the technical work of doing pre-recorded audio and inserting movies. My partner was able to put together the audio to fit with each slide and integrate movies into two of the slides, two things I would not have been able to do on my own. Why I enjoyed the project The pecha kucha assignment was one of the more enjoyable group projects I have had to do throughout school. What I liked most about the project was that we, the students, had the opportunity to basically create our own project. We were able to work with information we found interesting and had the opportunity to put it into several different forms. I sometimes find it challenging to start an assignment with as little reservations as this one, but with the help of a partner, the project came together smoothly. Overall, the ability to work with information that we found interesting made the pecha kucha assignment enjoyable. How to cite Pecha Kucha, Essay examples

Wednesday, April 29, 2020

The Heart Essays - RTT, Aging-associated Diseases, Acute Pain

The Heart INTRODUCTION In today's society, people are gaining medical knowledge at quite a fast pace. Treatments, cures, and vaccines for various diseases and disorders are being developed constantly, and yet, coronary heart disease remains the number one killer in the world. The media today concentrates intensely on drug and alcohol abuse, homicides, AIDS and so on. What a lot of people are not realizing is that coronary heart disease actually accounts for about 80% of all sudden deaths. In fact, the number of deaths from heart disease approximately equals to the number of deaths from cancer, accidents, chronic lung disease, pneumonia and influenza, and others, COMBINED. One of the symptoms of coronary heart disease is angina pectoris. Unfortunately, a lot of people do not take it seriously, and thus not realizing that it may lead to other complications, and even death.THE HUMAN HEART In order to understand angina, one must know about our own heart. The human heart is a powerful muscle in the body which is worked the hardest. A double pump system, the heart consists of two pumps side by side, which pump blood to all parts of the body. Its steady beating maintains the flow of blood through the body day and night, year after year, non-stop from birth until death. The heart is a hollow, muscular organ slightly bigger than a person's clenched fist. It is located in the centre of the chest, under the breastbone above the sternum, but it is slanted slightly to the left, giving people the impression that their heart is on the left side of their chest. The heart is divided into two halves, which are further divided into four chambers: the left atrium and ventricle, and the right atrium and ventricle. Each chamber on one side is separated from the other by a valve, and it is the closure of these valves that produce the "lubb-dubb" sound so familiar to us. (see Fig. 1 - The Structure of the Heart) Like any other organs in our body, the heart needs a supply of blood and o xygen, and coronary arteries supply them. There are two main coronary arteries, the left coronary artery, and the right coronary artery. They branch off the main artery of the body, the aorta. The right coronary artery circles the right side and goes to the back of the heart. The left coronary artery further divides into the left circumflex and the left anterior descending artery. These two left arteries feed the front and the left side of the heart. The division of the left coronary artery is the reason why doctors usually refer to three main coronary arteries. (Fig. 2 - Coronary Arteries)SYMPTOMS OF CORONARY HEART DISEASE There are three main symptoms of coronary heart disease: Heart Attack, Sudden Death, and Angina. Heart Attack Heart attack occurs when a blood clot suddenly and completely blocks a diseased coronary artery, resulting in the death of the heart muscle cells supplied by that artery. Coronary and Coronary Thrombosis2 are terms that can refer to a heart attack. Another term, Acute myocardial infarction2, means death of heart muscle due to an inadequate blood supply. Sudden Death Sudden death occurs due to cardiac arrest. Cardiac arrest may be the first symptom of coronary artery disease and may occur without any symptoms or warning signs. Other causes of sudden deaths include drowning, suffocation, electrocution, drug overdose, trauma (such as automobile accidents), and stroke. Drowning, suffocation, and drug overdose usually cause respiratory arrest which in turn cause cardiac arrest. Trauma may cause sudden death by severe injury to the heart or brain, or by severe blood loss. Stroke causes damage to the brain which can cause respiratory arrest and/or cardiac arrest. Angina People with coronary artery disease, whether or not they have had a heart attack, may experience intermittent chest pain, pressure, or discomforts. This situation is known as angina pectoris. It occurs when the narrowing of the coronary arteries temporarily pre vents an adequate supply of blood and oxygen to meet the demands of working heart muscles.ANGINA PECTORIS Angina Pectoris (from angina meaning strangling, and pectoris meaning breast) is commonly known simply as angina and means pain in the chest. The term "angina"

Friday, March 20, 2020

Life In past essays

Life In past essays Sojourner Truth was born under the name Isabella Van Wagener. This was not even her last name but her masters last name because slaves went by their master's last name. She had at least five children with another slave that her master married her to named Thomas. For a while she lived in slavery until a day in 1826 when Isaac Van Wagener set her free. In irony less then a year later slavery was banned in New York. Right after slavery had been made illegal she went to court and recovered her smallest son who had been sold away. In 1829 she went to New York City and supported herself with domestic employment. While in New York City she met Elijah Pierson, a religious missionary. She joined his retrenchment society and eventually his household. In 1843 she left New York City and changed her name to Sojourner Truth, which she used from then on. Obeying a voice she said she heard from god travel up and down the land she went to churches all over the place and got people to accept the Bible and God. In 1850 she wrote a book which she named "The Narrative of Sojourner Truth". One other thing that Sojourner Truth was famous for was her "Ain't I A Women" speech in 1851 at the Women's Rights Convention. No formal record of it exists, but Frances Gage who was the president of the convention, recounted Truth's words. She said that the words Ain't I A Women were very strong and uplifting. Also they have become common words women use today to show their rights. In the 1850s she settled in Battle Creek, Michigan. While here she gathered supplies for black volunteer regiments and in 1864 went to Washington D.C., where she helped integrate street cars and was received at the White House by Abraham Lincoln. For the rest of her life she helped fight for freedom of slaves all around the U.S. then in 1875 she returned to Battle Creek, where she stayed until her death. ...

Wednesday, March 4, 2020

21 Part Time Jobs That Pay More than $20 Per Hour

21 Part Time Jobs That Pay More than $20 Per Hour Need a side gig? Or maybe just a flexible schedule to accommodate your family or other projects, so you can bring in some bacon? You don’t have to settle for a sub-par hourly wage, we promise.   Here are 21- that’s right, 21- part time jobs that pay more than the usual $20 per hour. You can also skip the list, sign up with TheJobNetwork right here to receive the newly posted part time job openings in your location. 1. Freelance Writing: Average ~$26/hrYou can easily make freelance writing a full-time job, or you can take advantage of the good compensation and flexibility and use it as a part-time gig. Start with sites that pay per post if you need a little primary inspiration.2. Landscaping: Average $20+/hrIf you like getting your hands dirty and spending a day doing physical work outside, this can be for you. Start with local one-off gigs on Craigslist, then try to build a word-of-mouth reputation. If you can work specialized machinery, you can make much more- just b e careful to get the necessary licenses and insurance if you start building this into a business.3. Graphic Design: Average $22/hrYou need great computer skills and a keen eye for design, but it’s a great gig if you’ve got what it takes. Make yourself a portfolio of sample work and then make sure you have a website showcasing it, plus any recommendations and rave reviews you’ve won.4. Massage Therapy: Average: $60/hrStrong hands? A desire to help people? Get yourself your Certified Massage Therapist license and start raking in the dough. Work on your own or through health clubs, massage studios, and spas.5. Interpreting/Translating: Average: $23.71/hrIf you’re bi- or multi-lingual, this can be a great way of making some relatively easy money. Work on an on-call basis or by contracting steadier gigs.6. Sign Language Interpreting: Average: $36.50/hrIf you know ASL or another sign language, you can work interpreting in event venues, courtrooms, or classrooms - or even smaller environments like mediations and meetings.7. Tutoring: Average: up to $75/hrBone up on your science and math, specialize in the trickiest of subjects, and you’ll make tons of money. But even vocab and test prep will get you well over $20/hr.8. Test Prep Instruction: Average: $21-$32/hrDepending on the test you’re qualified to teach, this can be a great way to make some extra cash. Work with the SAT, ACT, MCAT, LSAT, GRE or GMAT, and more.9. Personal Shopping: Average: up to $33/hrYou’ll need a decent background in fashion, and a great eye for style, but you’ll make good money and probably have a great time making it.10. Etsy: Depends on what you sell.Are you crafty? Selling your wares on Etsy can be enough to earn a full-time living. Your compensation will depend on what you make, how long it takes you to make what you make, and how much you charge. But the sky’s the limit.11. App Design: Average: $6k/monthAs long as you have the skills and knowledge to develop this kind of software, it can be incredibly lucrative and very flexible work.12. Nannying: Average: $20-$25/hrLove kids? Work daily, weekends, evenings, on-call, you name it- parents have the need and you pocket the cash.13. Personal Chef: Average: $20-$45+/hrStart with pals and friends of friends, and build a reputation by word-of-mouth. Have steady weekly gigs, or cook batches of freezer meals in bulk. If you’re good on the pots and pans, the cold, hard cash is out there for you.14. Catering: Average: $20+/hrIf you don’t mind working evenings and/or weekends, this is a great way to pick up loads of extra money. And good gigs usually open doors for more.15. Bartending: Average: $26/hr (plus tips)You may need certification in your state, and you’ll definitely need skills making cocktails or pouring shots and beer, but no matter what you do, you can make a ton of money if you find the right place and hit on the right schedule. Star t small, rake in the tips.16. Personal Assisting: Average: $25/hrAre you super organized? Don’t mind doing the adult-ing, logistics, and errands for someone else and then getting paid? As long as you’re responsible, discrete, and reliable, this is a great and lucrative gig.17. Serving: TIPSDepending on the volume and the prices of the place, you can make a huge amount of money in tips in relatively few hours. Get your foot in the door and always have this as a fall back side-gig when you need cash fast.18. Yoga Instruction: Average: $24.37-$49+/hrYou’ll need to invest in a Teacher Training series, which takes at least 200 hours and a final assessment, but then you’ll get paid to exercise! You’ll be fitter and richer.19. Fashion Consulting: Average: $50-$500/hrThis is one of those fabled super-high-paying gigs, but if you have a superb eye for fashion and can court the high end clients, it might be for you.20. Dog Walking: Average: $20+/hrFreelance or work with a dog walking company. Get outside, get some exercise, spend time with cute dogs, and†¦ get paid? Start advertising at local pet places- groomers, boarders, vets, pet stores, etc.21. Make-up: Average: $23.50/hrGet brides and celebs and party-goers gussied up for the big event. Have fun while you work. As long as you’re good enough at what you do to keep getting the gigs!

Sunday, February 16, 2020

Industry - Strategic Analysis Research Paper Example | Topics and Well Written Essays - 1750 words

Industry - Strategic Analysis - Research Paper Example Industry-Strategic Analysis This industry comprises of a number of establishments known as ‘Home Centers’ that are primarily engaged in retailing of products relevant to the repair and maintenance of homes. Such goods include lumbers, plumbing, electrical goods, hardware, tools, and lawn and garden supplies. Home centers also provide building materials and other consumer goods relevant with the repair and maintenance (census.gov). These goods are either purchased from domestic or international manufacturers of suppliers. Operators then retail these goods to the ultimate consumers through their stores (IBISWorld, 2006). Industry’s Dominant Economic Features This industry has a vast market size which is the dominant economic factor of the industry. Other economic factors are significantly affected by the market size in the industry. The annual sales of the industry are estimated at $135.4 billion. As the products offered by home centers are utilized by consumers in all the segments of the market, therefore the market size is extended to all the levels of the market. The business conducted in the industry is comparatively easy to operate therefore the industry is growing at a very fast pace. This scenario has initiated a stiff competition within the industry and major home centers are increasing at an unprecedented rate at the expense of smaller entities in the industry (Sinderman, 1997). The number of rivals within the industry is high. Since the goods produced by the industry are not dependent upon technology therefore the abrupt technological changes do not affect the operations of the industry to a significant extent. This allows the industry sufficient time to acclimatize with the changing trends. The products in the industry are mostly of a generic nature therefore there is not much differentiation between the products. The segments within the industry include specialized home stores that retail specialized goods only such as stores speci alized for plumbing, electronic goods etc. Such stores do not retail any other goods other than the specialized goods. Porter’s Five Forces Porter’s Five Forces analysis is conducted to determine whether an industry is attractive for entrepreneurs (Hitt, 2009). In order to analyze the home centers industry, the analysis is being conducted on Home Depot. Home Depot is an American retailer of home improvement products. Home Depot is the largest retailer of home repair and maintenance products in the US therefore it is one of the most important constituents of the industry (Form 10-K, 2010). Following is the Porter’s Five Forces analysis of Home Depot. Threat of Substitute Products Threat of substitute products outside the industry is low because there are no or less substitutes for the home repair and maintenance products. It was determined by the following facts. In case of plumbing, there is not other industry that produces such goods. Similarly, in case of good s like carpets, home decor goods, and other electronic goods for home maintenance, there are no substitute goods produced by any other industry. Therefore home depot has a low threat of substitute products. The main products produced by the company are tools, shelves, indoor and outdoor

Sunday, February 2, 2020

Theoretical Perspective Dissertation Example | Topics and Well Written Essays - 750 words

Theoretical Perspective - Dissertation Example Christensen, a Harvard Business School professor. He perceived technologies as falling into two categories, namely sustaining and disruptive. Sustaining technology was viewed as small additional improvements to technology that already exists. Disruptive technology is generally lacking in refinement but given time to develop, they in time replace the technology that is currently prevailing. The implications for business are significant if their products fall within the scope of the existing technology, since the disruptive technology is not immediately manifest and there is a risk that they may be rendered obsolete and lose their competitiveness (Kuzma & Priest, 2010). Technology Acceptance Model The Technology Acceptance Model (TAM) is a theory that tries to describe the internal process undertaken by users in deciding to accept and use a new technology. Developed by Fred Davis in 1989, the TAM is currently gaining popularity among researchers particularly in the field of information systems (IS) development. Presently, not many lay people are aware of nanotechnology, and those who are regard it as too unfamiliar and are therefore suspicious of it. The diagram following shows how TAM perceives the technology acceptance process. In this model, ‘perceived usefulness’ is the extent to which a potential user believes that a particular technology would be advantageous to him or her, while ‘perceived ease of use’ is the extent to which a potential user believes that use of a particular system would be effortless or easy (Davis, 1989). Technology Acceptance Model http://en.wikipedia.org/wiki/File:Technology_Acceptance_Model.png Sociopolitical modernization and postmodernization Modernization and postmodernization refer to the process of social change. The concept of modernization views economic, social and political development to be linked in a coherent manner, and that all societies that undergo modernization tend to follow a consistent pat h. Researchers note that almost all societies that reach an advances state of development experience a shift from ‘modern’ goals of economic and physical security, to post-modern values that emphasize quality of life and self-expression. The development of nanotechnology, because of the enhancement of human lifestyle of which it is capable, will be viewed in terms of post-modernization (Ghazinoory & Ghazinouri, 2009). Diffusion of Innovation The diffusion of innovation theory is the model by which innovation is thought to be communicated through channels over time among the members of a social system. In this model, an innovation may be an idea, practice, or object which the social system views as new, and diffusion is the particular type of communication through which the message associated with the innovation is passed through the system. Diffusion of innovation is comprised of four elements, namely the innovation, communication channels, time, and the social system. The Diffusion of Innovation model is shown below (Rogers, 1997): Biomedical Ethics One of the most contentious theories that nanotechnology may expect to be entangled in is that of biomedical ethics or bioethics. The reason is that much of nanotechnology applications are in the sphere of medicine, where one of the more exciting prospects is the use of nanotechnology for the cure of cancer. Biomedical ethics concerns itself with the

Saturday, January 25, 2020

Glucose Tolerance Tests Accuracy In Diagnosing Diabetes

Glucose Tolerance Tests Accuracy In Diagnosing Diabetes According to the World Health Organization (WHO), more than 220 million people worldwide have diabetes. An estimated 1.1 million people died from diabetes in 2005, and almost half of diabetic deaths occurred in people under the age of 70 years of age. WHO projects that the number of diabetic deaths will increase to 366 million by the year 2030 (8). Diabetes Mellitus Type 2 is a prevalent disorder that causes one to have high blood sugar, or hyperglycemia. This hyperglycemia can be the result from one or a combination of 1) decrease production of insulin from beta cells of the pancreas; 2) increase sugar production from the liver; 3) decrease sugar uptake by cells secondary to insulin receptors. Symptoms of DMII are excess urination, excess thirst, dizziness, blurred vision, sweating, and fatigue. Patients presenting with these symptoms should be screened by a finger stick, where a blood sample is taken from a quick prick of the finger, to be tested for hyperglycemia. Normal blood sugar should range from 70-100mg. If one has a fasting sugar of >126mg or an after eating sugar level > 200mg, then an oral glucose tolerance test (OGTT) should be performed. During an OGTT, a patient consumes a 150-200g carbohydrate diet for three days and fasts from midnight prior to test date. The morning of test, the patient consumes 75g sugar mixe d with 300ml of water within a 5 minute period. The patients blood sugar level is be measured at baseline, and then again at 120 minutes. A diagnosis of DMII is made if the baseline level is >126 mg and the 120 minute level is >200mg. These guidelines are set by the American Diabetic Association (ADA) and the World Health Organization (WHO) (1,8). Another option for obtaining a blood sugar level is measuring the percent of glycosylated red blood cells, or the percent of sugar attached to a RBC. RBCs live for approximately 90 days in the human body. By measuring this percentile one can observe the patients blood sugar level over the previous 3 months and not just at the moment an OGTT is performed. Today, HbA1c is a main tool for following metabolic control in persons with diabetes(5). A HbA1c > 6.0 percent should permit a diagnosis of DMII, but is not at this time a definite diagnostic tool. Diabetes can cause complications of multiple organ systems. WHO defines consequences of diabetes as follows: Diabetes increases the risk of heart disease and stroke. 50% of people with diabetes die of cardiovascular disease (primarily heart disease and stroke). Combined with reduced blood flow, neuropathy in the feet increases the chance of foot ulcers and eventual limb amputation. Diabetic retinopathy is an important cause of blindness, and occurs as a result of long-term accumulated damage to the small blood vessels in the retina. After 15 years of diabetes, approximately 2% of people become blind, and about 10% develop severe visual impairment. Diabetes is among the leading causes of kidney failure. 10-20% of people with diabetes die of kidney failure. Diabetic neuropathy is damage to the nerves as a result of diabetes, and affects up to 50% of people with diabetes. Although many different problems can occur as a result of diabetic neuropathy, common symptoms are tingling, pain, numbness, or weakness in the feet and hands. The overall risk of dying among people with diabetes is at least double the risk of their peers without diabetes (8). Previous studies have showed that better control of plasma glucose levels reduced the risk of developing long-term complications pertaining to diabetes (4). A higher HbA1c correlates well with the likelihood of developing chronic complications such as the ones listed above. This study is designed to explore if a HbA1c be used to diagnose diabetes. Observations suggest that a reliable measure of chronic glycemic levels such as HbA1c, which captures the degree of glucose exposure over time and which is related more intimately to the risk of complications than single or episodic measures of glucose levels, may serve as a better biochemical marker of diabetes and should be considered a diagnostic tool (2). As for the current gold standard for diagnosing diabetes, the oral glucose tolerance test (OGTT) has its limitations (2). These include high interindividual variability, low reproducibility compared to FPG, poor compliance with the conditions needed to perform the test correctly, and is cumbersome and time-consuming for medical staff and patients (4). Due to these factors one may ask, Is a HbA1c or an OGTT more accurate at diagnosing new onset diabetes mellitus type 2 in a patient presenting with hyperglycemia? By exploring this question and answering it from an evidence-based approach, the answer may help clinicians advance to an easier and less time consuming way to diagnose diabetes mellitus type II. CLINICAL CASE A 57 year old African American male presented to the outpatient office with symptoms of dizziness, blurred vision, polydipsia, and polyuria. He has a significant history of hypertension and hyperlipidemia. The patient was unclear when his symptoms started. Upon evaluation in the office, the patient was noted to have a marked glucose elevation of 420. An in-house HbA1c was also noted at 13.0. Upon further questioning, the patient has not been taking any medications for diabetes, and is currently taking Lisinopril and Zocor for his other medical conditions. Due to the presenting symptoms and lab results, the patient was admitted to the hospital for hyperosmolar nonketotic hyperglycemic state. METHODS A PubMed search was performed by using the Clinical queries and Diagnosis filters. The terms A1c AND diagnosis AND diabetes and glycosylated hemoglobin AND diagnosis AND diabetes were used to search the site for relating articles. With these search terms, a total of 176 hits revealed articles pertaining to the requested information. Articles that met all inclusion criteria for the research were evaluated and assigned a type/level of evidence. In order to be included in this evidence-based study, articles had to meet the following inclusion criteria: Articles must be cohort studies. Studies must not be > 6 years old. Articles must have participants with impaired glucose levels or symptoms of impaired glucose. Studies must include evidence of OGTT or FPG and HbA1c. Studies must have a significant number of participants to produce a significant result (n > 375). Any articles that did not specifically relate to diagnosing DMII with a HbA1c were excluded. Articles that were not cohort studies, were older than six years, did not have participants with impaired glucose, or did not have a significant amount of participants were excluded. Certain articles that appeared in the PubMed search were strictly review articles. These papers were reviewed, and if applicable, may be used to provided supporting factors about pathophysiology/ epidemiology of diabetes type II and its diagnostic criteria. Articles that met all inclusion criteria were evaluated and assigned a level of evidence using the Oxford Centre for Evidence-based Medicine Levels of Evidence worksheet. RESULTS Study #1: Diagnosing Type 2 Diabetes Mellitus: in Primary Care, Fasting Plasma Glucose and Glycosylated Hemoglobin Do the Job Study Design: This study was performed at the Raval Sud Primary Care Center in Barcelona, Spain and was begun in 1992. The purpose of this study was to determine the validity of glycosylated hemoglobin values as a method to diagnose type 2 diabetes mellitus in a population at risk seen in primary care. Four hundred fifty four subjects were selected to participate in the study. The population served by the Raval Sud Center is characterized by it low evonomic level, high rate of immigration, and high rate of morbidity and mortality for certain diseases and disorders. Inclusion criteria for eligible participants had at least on e of the risk factors for developing DMII described in the ADA guidelines. These included family history of DMII, personal history of carbohydrate intolerance or gestational diabletes, prolonged use of a drug able to raise glucose levels, obesity with a body mass index > 30, hypertension, HDL-cholesterol levels 250 mg/dL. Persons who did not wish to take part in the study were excluded. For the purpose of this particular study, data was recorded from the time the patient was included in the Raval Sud Care Center. The study then used a cross-sectional analytical design to validate a diagnostic test. (4) Study Conduct: Subjects were interviewed and variables were recorded for each participant. These included sociodemographic characteristics such as age and sex, clinical characteristics such as BMI and blood pressure, and laboratory values including fasting plasma glucose in a venous blood sample, oral glucose tolerance test after a 75g glucose overload, and a HbA1c measured by high pressure liquid chromatography. To standardize the results for the HbA1c, the absolute values were recalculated in terms of the number of standard deviations above the mean. FPG and OGTT values were based on the WHO criteria as having normal, impaired, or DMII glucose levels. (4) Study Results: The distribution of demographic characteristics and laboratory findings are shown in Table 1. The study found that plasma glucose levels were significantly lower in normal subjects than in subjects with abnormal glucose levels (IFG or OGTT) and even lower in subjects with abnormal glucose levels than in patients with diabetes (P 5.94% (mean, +3SD), the diagnosis of DMII is reliable and accurate in 93% of the cases. Table 4 shows the diagnostic validity of a combined strategy of FPG and HbA1c values: patients were considered to have DMII when FPG > 125 mg/dL, or when FPG >110 mg/dL and HbA1c was greater than the cutoff value. Maximal efficacy (93% GV) was found for HbA1c > 5.94% (x +3SD), with a sensitivity of 92.2% and a specificity of 95.1%. (4) Study Critique: It has been confirmed that the relationship between circulating glucose values and the onset of chronic complications exists. Thus, it is logical for the diagnosis of DMII to be based on glucose values. One of the main problems in this particular study was to define and establish a cutoff point for this continuous quantitative variable. This study analyzed different cutoff points for the whole sample of patients at risk for DMII. When HbA1c values > 5.51% (x +2SD), were used for the cutoff point for diagnosis of DMII, the sensitivity (76%) and specificity (85%) were acceptable. However, when a higher cutoff point was used, specificity increased, but only at the expense of reduced sensitivity. Due to this situation, the study designed a strategy for diagnosis based on the FPG values and the validity of HbA1c. (4) Level of Evidence: 1c Study #2: Comparison of A1c and Fasting Glucose Criteria to Diagnose Diabetes Among U.S. Adults Study Design: This study included participants from the 1999-2006 National Health and Nutrition Examination Survey. Participants included 6,890 adults (>20 years of age), without a self-reported history of diabetes. The subjects attended a morning examination, fasted for > 9 hours at the time of their blood collection, and had valid plasma glucose and HbA1c values taken. Participants were categorized into one of the four groups by presence or absence of fasting plasma glucose > 126 mg/dL and HbA1c > 6.5%. The distribution of the population into these groupings was determined and the K statistic value was calculated. Also, the distribution of U.S. adults by fasting glucose and different HbA1c cutoff points (6.0-6.7%) were calculated. The objective for this study was to compare A1c and fasting glucose for the diagnosis of diabetes among U.S. adults. (6) Study Conduct: Data was collected through questionnaires (demographics, medical history), a physical examination (blood pressure, BMI, and waist circumference), and blood collection (lipids, plasma glucose, HbA1c). The plasma glucose was measured by using a modified hexokinase enzymatic method and the HbA1c using a high-performance liquid chromatography. (6) Study Results: This study concludes that an HbA1c of > 6.5%, along with a FPG >125 mg/dL demonstrates reasonable agreement for diagnosing diabetes. 1.8% of the participants were classified as having diabetes with a HbA1c > 6.5% and a fasting glucose >126 mg/dL. Among participants with a HbA1c 125 mg/dL, 45% had an A1c value > 6.0% but less than 6.5%. According to A1c guidelines, this value poses an elevated risk for diabetes. Table A1 shows a distribution of adults by fasting glucose and different HbA1c cutoff points. From this table, the lower the HbA1c cutoff points results in higher sensitivity and lower specificity. (6) Study Critique: In this study, certain participants had discordant results such as a HbA1c > 6.5% and a fasting glucose of Study #3: A1c and Diabetes Diagnosis: The Rancho Bernardo Study Study Design: The Rancho Bernardo Study included 2, 107 participants without known DMII, who had an OGTT and a HbA1c between 1984 and 1987. This cross-sectional study of community dwelling adults was provided written informed consent and laboratory data was performed. (3) Study Conduct: HbA1c was measured with high performance liquid chromatography using an automated analyzer. Ophthalmologic evaluation was also performed on the subjects. This was done by using nonmydriatic retinal photography. Sensitivity and specificity of HbA1c cutoff points for DMII were calculated, along with K coefficients which were used to test for agreement between A1c values and diabetes status. The objective for this study was to examine the sensitivity and specificity of HbA1c as a diagnostic test for DMII in older adults. (3) Study Results: For this study the HbA1c cutoff value was 6.5%. This value had a sensitivity of 44% and a specificity of 79%. A lower A1c cutoff point of 6.15% yielded the highest sensitivity at 63% but a lower specificity at 60%. If one were to use this cutoff value, it would miss one-third of those with DMII by the American Diabetes Association guidelines. It would also misclassify one-third of those without DMII. Using the HbA1c value of 6.5% as the cutoff point, the agreement with DMII diagnosis was low (K coefficient was 0.119). In order to compare A1c and ADA criteria with DMII complications, the study looked at participants with some degree of retinopathy. Of the participants who had retinopathy, 40% had and A1c > 6.5% and none had DMII by ADA criteria. This study concluded that the limited sensitivity of the A1c value cutoff may result in missed or delayed diagnosis of DMII, whereas the use of current OGTT criteria will fail to identify a high proportion of individuals with hi gh A1c values, which correlate with long term complications of DMII. (3) Study Critique: This study was performed on a much older population than the other studies examined in this paper. It has its benefits and disadvantages for surveying a population in which there mean age was 69.4. The advantage is that the U.S. elderly population has the greatest current burden and is expected to have the greatest increase in the prevalence of DMII. On the other hand, the disadvantage to having such an older subject population is that it limited the HbA1c cutoff values to that particular population. In a previous critique of an article one of the concerns was the fact that there are different aspects of glucose metabolism. It would have been supportive if the article addressed the age of their participants and compared them with the study results. (3) Level of Evidence: 1c Study #4: Diagnostic value of glycated haemoglobin (HbA1c) for the early detection of diabetes in high-risk subjects Study Design: This study was performed by collecting data from the Bundang CHA General Hospital database. A total of 392 subjects who had an abnormal random plasma glucose, a history of gestational diabetes mellitus, a macrosomic baby, or a severe obesity were selected to participate in the study. Exclusion criteria included a previous history of diabetes of other endocrinopathies, pregnancy, abnormal liver or renal function tests, a history of major surgery, severe illness, blood transfusion within the previous 6 months, and weight loss > 3kg during the past three months. After an overnight fasting, blood samples were drawn from all participating subjects to include FPG and HbA1c values. (7) Study Conduct: Glucose concentrations were measured using the glucose oxidase method on a autoanalyzer. The HbA1c values were measured by the high-performance liquid chromatography method. All statistical analysis was performed and the best predictive cutoff values for FPG and A1c for detecting patients with new diabetes were identified using the optimal sensitivity/specificity values determined by the receiver operating characteristic curve. (7) Study Results: Figure 1 shows the ROC plot representing the sensitivity and specificity for the HbA1c and the FPG in detecting undiagnosed DMII. From this study, the optimal cutoff value for HbA1c was 6.1% and for FPG was 6.1 mmol/l. The sensitivity/specificity for the HbA1c cutoff value was 81.8% and 84.9% respectively. Table 1 shows the results from the combination of using FPG and HbA1c. This study demonstrated that HbA1c was very useful to screen for diabetes in high-risk patients and the combined use of HbA1c and FPG made up for the lack of sensitivity in FPG alone. (7) Study Critique: This studys subjects were only Korean, therefore making the population very ethnically limited. It would have been beneficial to have seen the population more diverse and to notice the change in results. Also, the study stated that an OGTT was performed, yet a confirmation status of repeat testing was not recorded. This would have been beneficial to have in order to compare results to the FPG and HbA1c values obtained for cutoff for diagnosing DMII. (7) Level of Evidence: 1c DISCUSSION The purpose if this study was to assess if a HbA1c was sufficient enough to make a unknown diagnosis of diabetes mellitus type 2. From these studies one can gather that a HbA1c is adequate for making a new diagnosis for DMII. The following chart compares the specificity and sensitivity of each HbA1c from each study critiqued in this study. Also, each study uses a different HbA1c cutoff that they gathered from their cohort or cross-sectional study which is also included in the chart below. Study Sensitivity Specificity HbA1c used for Diagnosis Diagnosing Type 2 Diabetes Mellitus: in Primary Care, Fasting Plasma Glucose and Glycosylated Hemoglobin Do the Job 63.3% 93.4% 5.94% Comparison of A1c and Fasting Glucose Criteria to Diagnose Diabetes Among U.S. Adults 72.5% 96.5% > 6.0% A1c and Diabetes Diagnosis: The Rancho Bernardo Study 44% 79% 6.5% Diagnostic value of glycated haemoglobin (HbA1c) for the early detection of diabetes in high-risk subjects 81.8% 84.9% 6.1% Study #1 discussed the option of performing a combination of HbA1c and a FPG test. This exhibited to be most the most poignant result with a specificity/sensitivity of 92.2 and 95.1, respectively. In study #2, it also agreed that a HbA1c and a FPG level provided the most assured diagnosis for DMII. However, this study had the most discordant results and was probably due to the fact of its subject population. It stated that the results may have been due to the fact that assessment of different aspects of glucose metabolism was present (6). Study #3 was performed on a much older population, and focused on the importance of following HbA1c levels to help prevent long term complications of DMII. However, it also stated that a HbA1c would also have a higher sensitivity and specificity if it were performed along with a FPG test. Finally, study #4 agreed on the fact that a HbA1c was very sufficient for screening for DMII, and that it provided much support for diagnosing DMII along with a FP G. CONCLUSION This study provided that a HbA1c of approximately 6.0% is a great support to help making the diagnosis of DMII along with a FPG > 125. Some studies have suggested that a HbA1c of this value is suggestive of a diagnosis, however, the studies above advocate that FPG levels should also be obtained to solidify the actually diagnosis of DMII. However, in a recent publication from the JAAP, it states thatan A1c value of 6.5% higher as diagnostic. This value appears to be the level at which a person is at risk for developing the complications of diabetes. A diagnosis should be confirmed with a repeat A1c test, unless clinical symptoms and a glucose level higher than 200 mg/dL are present (5). From this statement one can confer that the patient described above in the clinical case portion of this paper, does indeed warrant the diagnosis of DMII on the basis of a HbA1c of 13.0%, the presence of clinical symptoms, and the glucose elevation of 420 mg/dL.

Friday, January 17, 2020

Faulty economics Essay

Based on Neoclassical economics, this statement is faulty because the employees provide their marginal unit of service by providing the kind of labor that their companies need to their loss of leisure. Almost all CEOs are the most stressed out employees of a company because they carry the burden to run the company. 2. This statement is faulty because the consumers are maximizing their utilities and the producers are maximizing their profits. In this statement, the demand for bottled water is greater than the demand for gasoline. Therefore, the production cost of the bottled water is greater than the production of gasoline. 3. Neoclassical economics focuses on the satisfaction of the consumers. Consumers have the preferences on whether they will stop smoking or continue to smoke. Therefore, their addiction to nicotine has no direct relationship with the increase in taxes. 4. This statement is not true because the firms will only employ people when the cost for hiring them is balanced with their outputs. 5. This statement is not true because the law for supply and demand does not apply to everyday lives. When there is a shortage in parking lots, the university will then put a price in the parking area as the solution to the problem. The students will then â€Å"bid† for their spaces in the parking lots. This is because the university will strive to optimize their market interdependence and to achieve economic equilibrium.

Thursday, January 9, 2020

Definition of the Triangle Trade (Rum and Slave Trade)

In the 1560’s, Sir John Hawkins pioneered the way for the slave triangle that would take place between England, Africa, and North America.  While the origins of the slave trade from Africa can be traced back to days of the Roman Empire, Hawkins voyages were the first for England. The country would see slave trade flourish through more than 10,000 recorded voyages up through March 1807 when the British Parliament abolished it throughout the British Empire and specifically across the Atlantic with the passage of the Slave Trade Act. Hawkins was very cognizant of the profits that could be made from the slave trade and he personally made three voyages. Hawkins was from Plymouth, Devon, England and was cousins with Sir Francis Drake. It is alleged that Hawkins was the first individual to make a profit from each leg of the triangular trade. This triangular trade consisted of English goods such as copper, cloth, fur and beads being traded on the African for slaves who were then trafficked on what has become to be known as the infamous Middle Passage. This brought them across the Atlantic Ocean to then be traded for goods that had been produced in the New World, and these goods were then transported back to England. There was also a variation of this system of trade that was very commonplace during the  colonial era in American History. New Englanders traded extensively, exporting  many commodities  such as fish, whale oil, furs, and rum and followed the following pattern that occurred as follows: New Englanders manufactured and shipped rum to the west coast of Africa in exchange for slaves.The slaves were taken on the Middle Passage to the West Indies where they were sold for molasses and money.The molasses would be sent to New England to make rum and start the entire system of trade all over again. In the colonial era, the various colonies played different roles in what was produced and used for trade purposes in this triangular trade. Massachusetts and Rhode Island were known to produce the highest quality rum from the molasses and sugars that had been imported from the West Indies.  The distilleries from these two colonies would prove to be vital to the continued triangular slave trade that was extremely profitable. Virginia’s tobacco and hemp production also played a major role as well as cotton from the southern colonies.   Any cash crop and raw materials that the colonies could produce were more than welcome in England as well as throughout the rest of Europe for trade. But these types of goods and commodities were labor intensive, so the colonies relied on the use of slave for their production that in turn helped to fuel the necessity of continuing the trade triangle. Since this era is generally considered to be the age of sail, the routes that were used were chosen due to the prevailing wind and current patterns. This meant that is was more efficient for the countries situated in Western Europe to first sail southward until they reached the area known for the â€Å"trade winds† before heading west towards the Caribbean in lieu of sailing a straight course to the American colonies. Then for the return trip to England, the ships would travel the Gulf Stream and head in a Northeast direction utilizing the prevailing winds from the west to power their sails. It is important to note that the triangle trade was not an official or rigid system of trade, but instead a name that has been given to this triangular route of trade that existed between these three places across the Atlantic. Further, other triangle-shaped trade routes existed at this time. However, when individuals speak of the triangle trade, they are typically referring to this system.

Wednesday, January 1, 2020

The Pros And Cons Of High School Students - 1155 Words

One of the problems teachers in America fear with students is whether they should have a job. Most students, in their junior and senior year of high school, have part-time jobs. However, junior year and senior year claims to be the busiest years of a high school student. So particularly, teachers feel as if students shouldn’t work too much or they shouldn’t work at all being that they may overwork themselves or not stay focus on school. Students should have the benefit of working through high school if it’s going to be beneficial later in life or college even if they have to go through some setbacks or lessons learned. Being that most teens want to work during their high school journey, they have to understand that there are pros and†¦show more content†¦Getting a job in high school and having a rà ©sumà ©, it won’t actually be too many jobs on the list so in that case, it’s not going to exactly qualify as genuine work involvement. Most teens would most likely be working at fast-food restaurants, cashiers, babysitters, and etc. There are a few jobs that won’t have a high pay, but it’ll be enough just for a high school student working. Having time management is very import in today’s generation. Being a high school student and having a job at the same time will definitely be beneficial for future references. It teaches them how boost their self-esteem, credit hours, and be responsible like an adult. Time management is basically what takes over being a high school student. It’s the most important idea in high school. Learning how to manage more than one thing at a time will only be helpful for when the student is about to start their college life. It’s like the student is starting ahead of time while they’re in high school so they can know what to expect in college. In high school and having a job could be less more difficult than having a job in college. In college, you’re going to deal with more credit hours, more duties and have more life experiences. Most people get excited when they get a job. Sometimes, the excitement can become into stress. Being a high school student can overall be stressful alone. Wanting a job and dealing with school is only adding more weight onto some that may not can handle alone. WithShow MoreRelatedPros Of Rural, Suburban, And Urban Public Schools1240 Words   |  5 PagesPros and Cons of Pros of Rural, Suburban, and Urban Public Schools. I. Introduction. A. As one looks at different locations of public schools, whether it be rural, suburban, or urban, one can find many pros and cons of each. This research will focus on one specific pro and con of each school. B. Rural schools while receive less funding than other schools are able to give their students more one on one attention. C. Suburban schools experience more educational gaps among racial groups, but makeRead MorePros and Cons of Taking a Year Off Before College Essay example1109 Words   |  5 PagesIt’s your senior year of high school. It is time for you to decide what you want to do after you graduate. You have a few possible things that you could do. You could start applying for colleges, get accepted to one, and then go to college right out of high school; or you could do the same thing, but take a year off. This brings up the argument of whether or not a student should take off a gap year before they begin college. There are both, pros and cons to taking a gap year prior to starting collegeRead MoreSchool Uniforms Have the Potential to Resolve Student Stress760 Words   |  3 PagesCalifornia, high school students are faced with the daily challenge of figuring out what they will wear to school the following day. As simple as this may sound, it does produce a lot of anxiety and stress amo ng teenagers. Some students stress over the fact that they have a limited wardrobe, while others worry about being judged by their peers for their fashion choices. The problem of students having too much stress has the potential of becoming a serious health problem among high school students. It isRead MoreThe Pros and Cons of Standardized Testing Essay674 Words   |  3 Pagesdown fall to many students but also an opportunity for many others. Standardized testing has its pros and its cons. It can be the make it or break it factor into getting into colleges you are hoping to attend or the scholarships you want to earn. Some people may have their opinions about the test, whether they hate it or not but the fact is that it’s here to stay. What exactly is standardized testing you may ask, it is a test which measures the knowledge among different students. 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The studies and the schools that have gone ahead and implemented the program have seen both good things and bad things in their findings. There will be both pros and cons for every issue, and some may see pros and cons differently. Year round schooling isRead MoreEssay on The Debate Over School Uniforms660 Words   |  3 PagesThe Debate Over School Uniforms Context In some countries, e.g. Britain and many Caribbean states, it is common for school pupils to have to wear distinctive uniforms identifying them with a particular institution, especially to the end of compulsory education at 16. In others, e.g. France, the USA, it is rare for uniforms to be worn, although some private schools may retain them. In both situations the desirability of school uniforms remains controversial amongRead MorePros And Cons Of Private Schools Vs. Public Schools1231 Words   |  5 Pageswhere their kids will attend school or even where they should live. 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They are administered individually either by the child’s teacher, or respective staff of their particular school district. This assessmentRead MoreSchool Newspaper, Fanshawe Interrobang ( House, 2013 )1504 Words   |  7 Pagesschool newspaper, Fanshawe Interrobang (House, 2013). However, the population of this segment is about half of the population at Western University. Fanshawe is also located further away and the college does not offer free public transit to its students, which would make it much more difficult for students to get to the cafe (House, 2013). Also, as with Western University, many of Fanshawe’s students would not be around the area from May through August, meaning that business would be slow during