Monday, October 28, 2019

Graphical Analysis Essay Example for Free

Graphical Analysis Essay This part of the experiment looked at a pendulum to see the relationship between the length of string and the time it took to do ten full oscillations. Unlike the rubber band experiment the results produced a curve. The best-fit curve was produced from a power regression using the Graphical Analysis software and the Ti-83 plus calculator to cut down on systematic error. This fit was much better than the linear regression because more points lie on the curve and it also supports what the textbook says. In both experiments the possibility of errors are a concern; a concern that must not be forgotten. Systematic error is caused by the mis-collection of data or an improper model. One type of error that is always found is random error. It is the combination of errors that are important and calculated differently depending on the circumstances. Relative error gives more meaning to the importance of a random error. It is much easier to see the influence of a particular error when it is compared to the whole to make a percentage of error. The general function to determine error is a derivative of the function multiplied by the error. For example the error formula of y = x5 then the error formula is 54 ? x. The error formula for y = VX is (1 / (2VX)) ? X. Shortcuts can be used when determining the relative error of z when z = xy by adding the relative errors of x and y (? z = ? x/x + ? y/y). This can be done because of the following proof: ? z = x? y + y? x and z = xy then ? z/z = (x? y + y? x) / xy. The shortcut ? z/z = ? x/x + ? y/y is the same equation when a common denominator is calculated as xy. The same holds true for division z = x/y with the same result being ? z/z = ? x/x + ? y/y. Traditionally the equation would initially look like ? z/z = ((x? y + y? x)/y2) / (x/y), which is also the same as saying ((x? y + y? x) / y2) X (y/x). After the y/x is multiplied through then the same equation as the former is produced which is ? z/z = (x? y + y? x) / xy therefore proving the results. Method Part D Part D of the experiment looked at the quadratic function and its unique properties. The quadratic function of y = 10 + 30t 4. 9t2 was graphed using Graphical Analysis. This function represents a ball thrown upwards at 30 m/s with gravity working against it causing a downward motion. Figure 3 shows the resulting graph. This is just a theoretical situation and does not represent data collected. Analysis Part D The graphed quadratic function helps to understand the quadratic relationship more closely. It is a very useful function in physics because it is often seen when using motion. The roots are a very important part of the function. These are the points at which the curve crosses through the horizontal axis when y = 0. To figure this out the quadratic function can be rewritten as: x = -b/2a i Vb2 4ac / 2a. The graph is helpful to quickly see where the roots are. The Graphical Analysis software allowed me to zoom into the roots closer than what figure 3 allows to be seen. Visually the roots looked to be -0. 32 and 6. 44 but with a calculator the equation was a little more accurate for the first root at -0. 317. Using the proper number of significant figures then the answers would be the same whether calculated or visually enhanced. Looking at the equation more closely shows an interesting equation within the bigger one. Before the i symbol is -b / 2a, which is the same for both roots. This is important because the quadratic equation is symmetrical and the -b / 2a equation points to the apex of the curve, like a mid-point. Another note on this point is that the point is also where the slope = 0, which is when the ball would begin falling back to the earth. Conclusion This lab looked at some of the different physical relationships that are current theories or laws. The experiments verified these relationships.

Saturday, October 26, 2019

Why the Nazis and not the Communists? :: European Europe History

Why the Nazis and not the Communists? Why, by 1934, had the Nazis benefited more than the Communists from the shortcomings of the Weimar Republic? Adolf Hitler, head of the NSDAP, became Chancellor of Germany on the 30th January 1933. Following the 'legal revolution' of the following months and President Hindenburg's death on the 2nd August 1934, Hitler made himself FÃ ¼hrer and Reichskanzler. The Nazi revolution was complete and Germany was subject to a dictatorship of the extreme political right. As Ian Kershaw explains, the Weimar Republic was failing: "the survival chances of Weimar democracy might be regarded as fairly poor by the end of 1929, very low by the end of 1930, remote by the middle of 1931 and as good as zero by Spring 1932." In a period of Depression and when unity and firm government was essential, MÃ ¼ller's Grand Coalition broke up in March 1930. Logically, there were several political alternatives other than Hitler and the Nazis. There could have been a return to parliamentary Party politics. There were some signs to show that democracy may have been revived. During the continuous utilisation of Article 48 to govern, the Reichstag gave their vote of no confidence in challenging the executive use of it. Also, a section of the public appeared to still support the Republic; the Centre Party and SPD continued to have steady support until 1932. However, it seems that any chances of democracy were ruled out. The political Parties were still inclined to pursue their own political interests when a united, broad and moderate front was needed. Two moderate Parties even defected to Hitler after the offensive from the right and Hindenburg made little effort to restore the influence of the Reichstag. Alternatively, Germany could have become a presidential dictatorship backed by the army as von Schleicher or von Papen would have preferred. In order to do this, the authoritarian regime would have had to adapt slightly from what it was in 1932. The long-term use of Article 48, the emergency decree, would have been impractical and impossible. Perhaps the conservative elites were looking to Hitler for a new identity as they couldn't return to the days of the Second Reich as well as thinking they could control his power. A military regime would have meant that there was no dominance from the extreme right or left of politics. Judging by the situation of Germany at that time, it was quite possible that this may have resulted in civil war.

Thursday, October 24, 2019

The Autobiography of Benjamin Franklin-Response Paper

Running head: PATH TO AUTO-IMPROVEMENT 1 The Autobiography of Benjamin Franklin: The Path to the Auto-improvement Luis A. Cruz Prof. Jerry Wallace HIST 1301 University of Texas at El Paso PATH TO AUTO-IMPROVEMENT 2 The Autobiography of Benjamin Franklin: The Path to the Auto-improvement The main reason that Franklin had to write his autobiography was to show how to live the life in a better way, at least in Franklin? experience. Franklin added two letters that eventually convinced him to finish his project of writing his autobiography. The letters (one from Mr. Able James and the other from Mr. Benjamin Vaughan) said to Franklin about the importance that had others would know about his life. Actually this book was not destined to talk about his role during the American Revolution. In fact, this book is about a way to get a life of excellence. During his autobiography Franklin remarked the facts that he thought more relevant for the auto-betterment.The main factors that I like were: the importance of reading, the education that Franklin? s father gave him and the accepting mistakes. During four parts of the autobiography, Franklin talked about how the books make him better. Franklin? s love for the books during his childhood was very important for his success. It is easier to acquire knowledge from books if you like reading than if it is just done as a task. His abilities for reading grew enough to develop his writing. At the time Franklin had developed reading (to gain knowledge) and writing (to transmit it) he is converted in a respectable man.In the most part of his life, due his knowledge, Franklin was very helpful in the development of the town where he lived. Also, with reading, Franklin reshaped his life style. For example, just consuming vegetables (sometimes ate fish), or just drinking water and nothing of beer although others laughed of it. Maybe getting a healthy life helped to the long life of Franklin. PATH TO AUTO-IMPROVEMENT 3 Next, Franklin? s father was too important in his development as person.I think the most important fact was when Franklin stole some quarry stones for a wharf. But when his father took notice of this, he taught to Franklin that when something bad is done to accomplish anything, then this does not worth it. Also, Franklin during his childhood and youth notice the importance of knowledge. Franklin saw his father as a respected man due his impartiality and capacity to solve problems. This example became a model to live in society for Franklin. Finally, Franklin showed the significance of accepting mistakes.Franklin said that he committed a very big mistake when he loses contact with Miss Read. At the time he returned from England, he married with Miss Read. Franklin believed that left her in the past was a big mistake because when they are married, they became happier. Also, accepting mistakes meant for Franklin the happiness. When he took notice that he could not be perfect, then just does not live mo re under pressure to reach perfection. This did not mean leave his life style. In conclusion, I think this is a very helpful book.Actually I believed that it would be more engaged with American history, but eventually, the lessons were very interesting like the importance of reading, the thirteen virtues, or working for the community. On the other hand, I think that the book is very hard to read due the differences and useless of some words, it is necessary a dictionary. Also, the way to write an autobiography is not the better. I remembered had read The Autobiography of Malcolm X, and this had a better sequence. Although this book was not made as a history resource, it helps to know the way of life in this era.

Wednesday, October 23, 2019

Who doesn t know Louis Vuitton

Globalization is the process of development in politics, economy and culture all around the world. National economies becomes increasingly integrated through globalization. Although globalization brings positive effect on economy, it also affects the world in a negative way. To start with, globalization has improved interdependence of national economies. Globalization involved free trade, greater competition, and increased investment. Globalization allows companies to enter wider markets and consumers have more options of goods and services.Free trade is a trade between countries without governmental intervention. Globalization lows greater trade and competition in the market that leads to lower prices, higher economic growth and it also increases level of investment. Since companies open wider markets, they need more people to work for them. Globalization enables a larger job opportunity that leads to decreasing of unemployment. Globalization allows us to move from one to another co untry. Free movement of labor gives advantages to both sender and recipient countries.If a nation experiences high unemployment, there are large opportunities to look for jobs somewhere else. Globalization increases Gross Domestic Product (GAP) of a country. GAP is the market value of all final goods and services produced within a country in a given period of time. Production of foreign companies in a country is counted as a part of country's GAP. A massive increase in education is also result of the globalization process. However, globalization brings negative impacts on a nation. Developing countries have difficulties to compete with developed countries.Globalization drives migration. So many people with different background move in and out Of a Country. They tend to follow the foreign culture and forget their own culture, this can lead to cultural conflicts. Opening doors to international trade has increased intense competition. Local products often struggle to compete with impor ted products because imported products are usually cheaper and better. Globalization has increased standard of living. People in recent times tend to buy branded products more than local products. Thereby the local companies suffer huge losses.Globalization allows workers to move freely. Hence, it is difficult for some countries to hold onto their best skilled workers who are attracted by higher salaries in other countries. Economic bloc or trade bloc is an agreement between countries, to acclimate trade between participants. For example, The European Union (SEC)). The E has 28 members (Austria, Germany, Norway, Belgium, Greece, Poland, Bulgaria, Ireland, Portugal, Cyprus, Italy, Romania, Croatia, Latvia, Spain, Czech Republic, Lithuania, Slovenia, Denmark, Luxembourg, Slovakia, Estonia, Malta, Sweden, Finland, Netherlands, UK and France).The aim is to promote free trade between countries. Multinational Corporation also knows as transnational corporation, is a corporation that has i ts assets in several countries but managed from one country such as Coca Cola. Multinational Corporation is beneficial because it creates jobs and improves technology. Business cycle refers to the change of economic activity. Economy experiences ups and downs caused by the changes of supply and demand. The changes of economic growth in the global economy over time are known as international business cycle.In labor markets, employers compete to hire the best skilled workers, while workers compete to get the best satisfying job. In recent time, more people are moving to different countries to get a better quality of life and standard of living. High skilled workers are attracted to rich Mounties such as the United States because of the higher wages and better opportunities. Small countries often struggle to hold onto their most talented and skilled workers, who are attracted to other countries by greater rewards (Australia in the Global Economy, 2004).The globalization of labor market has been increasing, however there are still significant difficulties on working in other countries such as language, immigration restrictions, cultural factors, and incompatible educational and professional qualifications. For example, people from Mexico who move to America. 10,000 people cross the Mexican order every week. People usually move to find a job, to avoid war, to find a better quality of life or to be closer to their friends or family.Those migrants often struggle to live in rural Mexico because they have to survive with very little money; most of the population is living in poverty. The lack of resources makes they live harder to gain money. They believe by moving to America they can get a better life. Rural Mexico doesn't have minimum wage like in America; what they make in a whole day at Mexico would be few hour work in the USA. Migrants are usually fathers Of big families that have to cross the border, then end home bunches of money or return to their homes.Some of them move to America in a legal way and some with an illegal way. Those who don't have valid passport and visa are willing to cross the desert that separates Mexico and America. Many people suffer dehydration when they are crossing and the border patrol may catch them. These migrants bring impacts on both Mexico and America. The impacts on America are local businesses have benefited as they have a source of cheap labor, Mexicans are willing to do anything, and Mexicans have brought their culture and food with them that makes Mexican DOD very popular in the LISA.However, The LISA government has to spend millions of dollars for border patrols and prisons due to illegal migrants (recently it has been a concern that there may be terrorists crossing the border. ) Mexicans also cause social problems due cultural and racial issues and also many Americans feel that Mexicans are taking their jobs. On the other side, Mexico has less of economically active people; young people tend to migrate and leave the old and the very young. In the final analysis, globalization can benefit people but it can cost people too.Indonesia been terrorized recently, more jobs are provided so people become wealthier. Quality of life in Indonesia is increasing; the government now has more money to spend because people can afford to buy more expensive things. Globalization is at its peak and it is clear that globalization cannot be stopped.

Tuesday, October 22, 2019

Moon Palace essays

Moon Palace essays The central character in Moon Palace Marco Stanley Fogg lost his mother, when he was only a boy and he never had a father so he was raised by his uncle Victor, who also had a very positive influence on him. Marco lost his uncle, while he still were attending college and Marco changed into a careless person after his vital loss, actually the situation of his loneliness had caused a mental transformation which ended with Marco loosing his apartment. After his eviction he lived on the streets for several months and he became totally isolated from society. Marco was selling books, which he inherited from his uncle to finance his living and he was rescued from the streets by his old friend Zimmer from his university days and a young Chinese woman named Kitty Wu. After living with Zimmer, Marco gradually recovered and when he became lovers with Kitty Wu he started to see a purpose with life. Marco eventually managed to find a job as the person in charge for the blind and paralysed Thomas Effing and his main job was to write the story of Mr Effings life. Effing wanted Marco to write his obituary for him, so he began telling Marco all about his life and with these stories he relived that he was a famous painter named Julian Barker. Shortly after the completion of his obituary, Mr Effing died May 12th as he had predicted himself and Marco found Mr Effing son Solomon Barber to hand the notes over to him. Marco also found out after meeting Solomon that he was his father and Effing was his grandfather. When they went to visit Marcoss mother Emilys and his Uncle Victors graves in Chicago, Solomon accidentally fell into an open grave and broke his back. Two month after he died and Marco started walking west after getting his inherited money stolen. The moon has an important role in the book, because it is following the characters in the story. The symbol of the moon is the factor that leads the ...

Monday, October 21, 2019

Closer look at teens essays

Closer look at teens essays It is important not to overreact to isolated incidents. Young people will have problems and will learn, at their own rate, to struggle and deal with them. But it is critical for parents and helping adults to be aware of the factors that put a youth at particular risk, especially when stressful events begin to accumulate for these vulnerable individuals. A good starting point for identifying and intervening with highly troubled and depressed young people is the careful study of suicidal adolescents. Family history and biology can create a predisposition for dealing poorly with stress. These factors make a person susceptible to depression and self-destructive behavior. History of depression and/or suicide in the family Alcoholism or drug use in the family Sexual or physical abuse patterns in the family Chronic illness in oneself or family Family or individual history of psychiatric disorders such as eating disorders, schizophrenia, manic-depressive disorder, conduct disorders, delinquency Death or serious loss in the family Learning disabilities or mental/physical disabilities Absent or divorced parents; inadequate bonding in adoptive families Family conflict; poor parent/child relationships Personality traits, especially when they change dramatically, can signal serious trouble. These traits include: Impulsive behaviors, obsessions and unreal fears Aggressive and antisocial behavior Withdrawal and isolation; detachment Poor social skills resulting in feelings of humiliation, poor self-worth, blame and feeling ugly Over-achieving and extreme pressure to perform Problems with sleeping and/or eating Psychological and social events contribute to the accumulation of problems and stressors. Loss experience such as a death or sui ...

Sunday, October 20, 2019

How to Write a Learning Contract and Realize Your Goals

How to Write a Learning Contract and Realize Your Goals We often know what we want, but not how to get it. Writing a learning contract with ourselves can help us create a roadmap that compares our current abilities with desired abilities and determine the best strategy for bridging the gap. In a learning contract, youll identify learning objectives, available resources, obstacles and solutions, deadlines, and measurements. How to Write a Learning Contract Determine the abilities required in your desired position. Consider conducting information interviews with someone in the job you seek  and ask questions about exactly what you need to know. Your local librarian can also help you with this.What are you going back to school to learn?What job do you want?What knowledge, skills, and abilities do you need to have in order to get the job you desire?Determine your current abilities based on prior learning and experience. Make a list of the knowledge, skills, and abilities you already have from prior school and work experience. It can be helpful to ask people who know you or have worked with you. We often overlook talents in ourselves that are easily noticed by others.Compare your two lists and make a third list of the skills you need and dont yet have. This is called gap analysis. What knowledge, skills, and abilities will you need for your dream job that you havent yet developed? This list will help you determine the appropriate school for you and the classes youll need to take. Write objectives for learning the skills you listed in Step 3. Learning objectives are very similar to SMART goals. SMART goals are:Specific (Give a detailed description.)Measurable (How will you know youve achieved it?)Achievable (Is your objective reasonable?)Results-oriented (Phrase with the end result in mind.)Time-phased (Include a deadline.) Example:Learning objective: To speak conversational Italian fluently enough before traveling to Italy on (date) that I can travel without speaking English. Identify available resources for reaching your objectives. How will you go about learning the skills on your list?Is there a local school that teaches your subjects?Are there online courses you can take?What books are available to you?Are there study groups you can join?Who will help you if you get stuck?Is there a library accessible to you?Do you have the computer technology you need?Do you have the finances you need?Create a strategy for using those resources to meet your objectives. Once you know the resources available to you, choose the ones that match the way you learn best. Know your learning style. Some people learn better in a classroom setting, and others prefer the solitary study of learning online. Choose the strategy that will be most likely to help you succeed.Identify potential obstacles. What problems might you encounter as you begin your study? Anticipating problems will help you be ready to overcome them, and you wont be thrown off course by a nasty surprise. Think of everything that might become an obstacle and write it down. Your computer could break. Your daycare arrangements could fall through. You might get sick. What if you dont get along with your teacher? What will you do if you dont understand the lessons? Your spouse or partner complains youre never available. Identify solutions to each obstacle. Decide what you will do if any of the obstacles on your list actually happen. Having a plan for potential problems frees your mind of worry and allows you to focus on your studies.Specify a deadline for meeting your objectives. Each objective may have a different deadline, depending on whats involved. Choose a date that is realistic, write it down, and work your strategy. Objectives that dont have a deadline have a tendency to go on and on forever. Work toward a specific goal with a desired end in mind.Determine how you will measure your success. How will you know if youve succeeded or not?Will you pass a test?Will you be able to perform a specific task in a certain manner?Will a particular person evaluate you and judge your competency?Review your first draft with several friends or teachers. Go back to the people you consulted in Step 2 and ask them to review your contract. You alone are responsible for whether or not you succeed, but there are l ots of people available to help you. Part of being a student is accepting what you dont know and seeking help in learning it. You might ask them if:Your objectives are realistic given your personality and study habitsThey know of other resources available to youThey can think of any other obstacles or solutionsThey have any comments or suggestions regarding your strategy Make the suggested changes and begin. Edit your learning contract based on the feedback you receive, and then begin your journey. Youve got a map drawn specifically for you and designed with your success in mind. You can do this. Tips When youre thinking of the people in your life you might be able to ask for input, consider the ones who will tell you the truth, not the ones who will tell you what you want to hear or say only nice things. Your success is at stake. You need to know the good things  and the bad. Ask the people who will be honest with you.Online forums are great places to talk with other people who share your goals. Participate by posting your questions, responding to other peoples questions, and getting to know people who are interested in the same things you are.

Saturday, October 19, 2019

The Choice by Russell Roberts Assignment Example | Topics and Well Written Essays - 1000 words

The Choice by Russell Roberts - Assignment Example He claims that as a nation, America can specialize in producing televisions but it is much better for them to concentrate their resources on producing goods or services which they are really good at and leave the production of goods, like television, to other countries (Japan). This way they (Americans) better utilize their time and resources for making more money than as compared to Japan (Roberts 10). The reverse is also true for Japan, which may or may not be good at making drugs, which Americans are good at. Roberts provides a convincing argument on the theory of comparative advantage. I agree with Roberts that instead of protecting one's own industries and businesses, the trade should be shared to even the weaknesses and strengths of the world's economies. If America is good at making drugs and can fetch a higher price for them then it would be better to concentrate resources to market drugs to other countries. It should create a niche by developing drugs, (or any other products) to maximize its resources. Since time and labor are scarce resources in economic terms, it is logical that a country's authority makes the right choice to free trade regulations to help its industries to "swap" products. The real deal is the ability of the country to find the products that should be sold to other countries and chooses products which are cheaper in comparison. This is necessary for the theory of comparative advantage to work for an economy to earn profit from the "swap". Roberts makes this claim based on Ricardo's theory, assuming that other countries of the world are willing to trade as well and that all economies of the world are stable in their production and resources. However, what happens when an economy, A, is not stable? What will happen if the other country, B, is not willing to trade due to lack of "money" or lack of product to sell to A? In such a scenario, I believe the theory of comparative advantage will not wor of well.  

The impact of advertisements on customers Research Paper

The impact of advertisements on customers - Research Paper Example Therefore, the advertising done by any company should be planned and executed in an excellent way so as to affect the customers. Successful advertising can impact on customers psychologically, emotionally and rationally. Advertisers have to pay a lot of attention to the way customers think and behave. They have to carefully study the impacts their advertising can have on customer`s minds. Their main focus is on the design of their advertising as that is the component affecting the decision making behavior of the customers. The main goal of advertising should be to attract as many customers as possible and also to analyze the affects that advertising can have on the minds of the customers (The positive effects of advertising, Web). The psychological effects of advertising are such that it arouses the customer`s wish to purchase the products. In the process of advertising, firstly, the customer`s attention is focused on the design of the advertising and the information being told through it. After that, the process of reasoning takes place during which the customer`s emotions are transferred into desires of actually acquiring the product. This desire of customers is then turned into an action when they actually purchase the product. An example of this psychological impact on customers is when a particular customer watches an advertisement of a product like a burger on television. This is the first stage during which the customer`s attention is focused on this burger and the different features or ingredients of this particular burger. In the second stage, the customer starts desiring the burger and wants to actually go out and buy this burger. During the last stage, the customer will go out and purchase this burger in order to fulfill his desire and wish. After consuming it, if it satisfies the customer then he will become a regular buyer and will keep buying it and if not then he will regret his decision, will not buy it again and will even tell others not to buy this burger in the future. Therefore, a company should make sure that its advertising successfully promotes the true features of its products and should not misguide the customers (The psychological impact of advertising , Web). Apart from the psychological impacts of advertising, there are a number of emotional impacts of advertising as well. Advertising can emotionally affect the attitudes and purchase decisions of customers. Researchers have proved that the emotional impacts of advertising can indirectly affect the memory of customers. Many advertisers today are trying to create emotional impacts on customers through their advertising strategies and lure them into buying the products in order to increase their sales. According to a theory, advertising can have three kinds of impacts on customers. Out of these three impacts, two are positive while one relates to a negative emotion. One of these emotional responses relates to the arousal stage of the psychological impact process and involves emotions such as joy, surprise, excitement etc. the other set of positive emotions include feelings of warmth, hope as well as care and gentleness. These emotions can together have an impact on the customer att itudes and intentions of purchase of all the customers. The impact that advertisers plan to have on customers is actually different from what customers feel and this is portrayed in their attitudes.

Friday, October 18, 2019

Thorstein Veblen Paper Essay Example | Topics and Well Written Essays - 1500 words

Thorstein Veblen Paper - Essay Example In his first, famous book, the theory of Leisure Class, he coined the system of spending as being â€Å"conspicuous consumption†. He was intensely critical of businessperson concerning their greedy and the tendency of spending money for things, which are not even productive. Thorstein Veblen described the wealthy class using hyperbole and some humours in order to show hierocracies of people who are wealthy. This paper will try to analyze the impacts of economics that Thorstein Veblen has contributed to, in the field of the economics (Peil, 2009, p.121). Impact of Thorstein Veblen in the field of economics Veblen in the field of economics makes his readers aware of American small-scale, which was intensely competitive was giving its ways for the large-scale monopoly trusts. He further explained by emphasizing that the monopolistic practices administered prices, which meant that, there was a charge in what the traffic will bear; as well as, the limitations of producing high qual ity for the sake of raising the prices and maximizing the profits. However, the case of the emergence of the leisure class which led to wasteful as well as, conspicuous consumption for status. ... While technological knowledge to be the common stock that is held as well as, carried forward by the community collectively, but it is not a creative achievement of the individuals who are working in isolation of self-sufficiently (Veblen, 2004, p. 103). Veblen continued to argue that every new invention in addition to innovation comes in, to a given degree, which is made by individuals. However, he is a social individual because every change made must always be made by individuals who are immersed in a community plus exposing to disciplines of the group life because it runs in the community and all life are group life. Subsequently, welfares that are generated by the social wealth are substitutes to the material output; however, it is a necessary condition, which is suggested to be for the long-term developments of the material output (Krugman, 2009, p.124) The bonds of interaction may be fragile, while the human society may be at a lower level of development if there fails to be st ructures of the community as well as, trust. Technology knowledge has become a common theme that is used in economics today. However, the study shows that, in some states for example Kerala, which is in India, the social wealth provided a foundation for high standards of living but less Gross Domestic Product (GDP) per capita. A similar notion that seemed to have the same meaning to that of Veblen was developed. The notion was all about the social structures of schools accumulations. The institution is that to be suitable for providing a reproductive foundation for the growth and accumulation, since social wealth is able to promote growth at the same time to be essential to dimensions of the quality life. He explains further by analyzing that when

Regression Analysis Research Paper Example | Topics and Well Written Essays - 750 words

Regression Analysis - Research Paper Example Introduction In order to check the relationship between benefits and the intrinsic, extrinsic and total job satisfaction, 3 bivariate regressions are run. Using the regression equations the linear relationship between the independent variable (benefit) and the 3 sets of dependent variables (total job satisfaction, intrinsic job satisfaction and extrinsic job satisfaction) is established. Bivariate regression analysis shows how the explanatory power of the independent variable in determining the values of the dependent variable (Malhotra, 543). The results from the regression analysis are explained in details. ... from Excel Regression Statistics Multiple R 0.172306 R Square 0.029689 Adjusted R Square 0.001151 Standard Error 0.352328 Observations 36 ANOVA Â   df SS MS F Significance F Regression 1 0.129141 0.129141 1.040326 0.314948704 Residual 34 4.220582 0.124135 Total 35 4.349722 Â   Â   Â   Â   Coefficients Standard Error t Stat P-value Lower 95% Upper 95% Lower 95.0% Upper 95.0% Intercept 5.1302975 0.179009596 28.6593 2.1E-25 4.766506281 5.4940888 4.76650628 5.49408881 X Variable 1 0.0376321 0.036895473 1.01996 0.31495 -0.03734857 0.1126127 -0.0373486 0.11261267 Graph Key components of the regression analysis Dependent Variable Slope Y-intercept Equation Intrinsic 0.169682348 4.427844793 Benefits= 4.427844793 + 0.16982348*(Intrinsic) 0.16493309 Extrinsic -0.16220711 6.157338158 Benefits= 6.157338158 -0.16220711*(Extrinsic) 0.287582114 Overall 0.0376321 5.1302975 Benefits= 5.1302975 + 0.0376321*(Overall) 0.0296894 Similarities and Differences Similarity: the intercepts of all the thre e regressions are positive and significant at 5% level of significance (as the p-value for all the 3 regressions are less than 0.05) Dissimilarity: The correlation between benefits-total job satisfaction and benefits-intrinsic job satisfaction is positive (as the slope between them is positive) but the correlation between benefits-extrinsic job satisfaction is negative (as the slope between them is negative) The regression results between benefits-intrinsic job satisfaction and benefits-extrinsic job satisfaction is significant at 5% level of confidence (as the p-value for these two is less than 0.05) but the result of benefit-total job satisfaction came to be insignificant at 5% level of confidence. Correlation coefficients The strongest correlation coefficient is between benefits and intrinsic job

Thursday, October 17, 2019

How the construction of the Keystone XL Pipeline would affect the Term Paper

How the construction of the Keystone XL Pipeline would affect the United States - Term Paper Example The current US energy policy allows Canada to ship oil to main refineries in the US; the congress should reject any attempts to authorize the construction of the Keystone XL pipeline (Alperrovitz and Speth 164). Geothermal power, coal and hydroelectric energy are friendlier to the ecosystem. Coal has some negative impacts like air pollution but it can be exploited cheaply. Hydroelectric energy is more reliable and sustainable to produce since the US has many rivers and dams. The US energy policy should aim at enhancing biodiesels energy since it does not damage the environment and encourages recycling of waste. The government should invest heavily in geothermal power exploitation in order to meet the current energy needs and ensure sustainability of the energy supply (Fickling and Schott 67). Statement of the purpose Keystone XL pipeline will cover about 1661 miles from Alberta through Oklahoma and finally terminate in Texas. The pipeline is intended to ship Canada oil sands to US refineries in the Gulf coast. TransCanada, which is the company behind the pipeline proposal, has made plans of constructing the pipeline using thinner steel in order to avoid instances of oil spillage. If plans of the pipeline proceed, the pipeline will increase the level of toxic tar to the US ecosystem and jeopardize national goals of achieving renewable and clean energy sources. The pipeline will transport approximately 1 million barrels of crude oil daily to the US refineries. Keystone XL pipeline construction has both positive and negative consequences to the US economy (Rapier 237). The debate of the pipeline project has become a major political weapon especially in the current election year, where several politicians have taken opposing views on whether the US congress should permit Keystone XL pipeline constru ction. The pipeline will boast the staggering economy through additional jobs in construction sites and refineries. The pipeline will adversely affect the climate policy since heavy and poisonous gas emissions are expected from the refineries (Alperrovitz and Speth 173). The pipeline will destroy water resources since it will cut through several rivers that supply safe drinking and agricultural water to the communities living near the pipeline (Fickling and Schott 69). There have been numerous public concerns and heated debate on dirty oil emissions and oil spillage that may damage the US ecosystem. Introduction On November 4th 2011, TransCanada announced its support for the Keystone XL pipeline. The State of Nebraska supports the development of the pipeline. If the proposed pipeline is approved, the pipeline will avoid sand hills since Nebraskans will give their decisions on the pipeline root (Rapier 270). The proposed pipeline will expand the current TransCanada Keystone pipeline network. It will have the capacity to deliver the Canadian oil sands up to 100,000 barrels per day from the production in North Dakota and Bakken formation (Rapier 237). The production of oil from North Dakota has shot up in the past few years from the initial 100,000 barrels per day to the current 450,000 barrels per day (Rapier 277). According to the US law, cross border pipeline projects should receive Presidential permit and the authority is delegated to the State Department. Under the current North American Free Trade Agreement

Humanities II week one Essay Example | Topics and Well Written Essays - 1000 words

Humanities II week one - Essay Example His explanation is "If all men were good this precept would not be a good one but as they are bad and would not observe their faith with you, so you are not bound to keep faith with them† (Cunningham, & Reich, 2010, p.290). At present, I believe that there are Machiavellian politicians today and they are Adolf Hitler and Napoleon Bonaparte. Adolf Hitler is a Machiavellian politician, because he criticized the role of the Church in society. It is unclear what Hitler’s religion is, though in principle, he admired Christian heritage, German Christian culture, and an Aryan Jesus Christ. Nevertheless, as shown in the Holocaust and some resources, he was bent to destroy the influences of Christianity and Judaism on his subordinates. This indicates his desire to control the Church and subjugate it under his political leadership. Furthermore, Hitler is Machiavellian, because he led with his mind and ruthlessness. He was a brilliant military leader who won several wars across Eur ope and developed widespread control in a small duration of time. He is also renowned as a seasoned politician, who knows what to say to inspire his people to support him. The German rearmament program gave full employment and an unreserved expansion of production, which strengthened by his foreign policy successes, through the Rome-Berlin pact of 1936, the Anschluss with Austria and the "liberation" of the Sudeten Germans in 1938, made Hitler popular and powerful. Hitler also used the Holocaust to advance racial cleansing. He believed that no matter how inhumane it was, it was part of the means to political greatness. Hence, Hitler justified the need for power to rationalize his means to his ends. Napoleon Bonaparte is Machiavellian, because he influenced the Church to reduce its hold on the people. Like Machiavelli, Napoleon believed that religion is like cement which can bond society together. According to Napoleon, religion advanced national unity and stopped class war; it made people weak and obedient. Unlike Machiavelli, however, he wanted to unite the State and the Church. He negotiated an agreement with the Pope. The Concordat of 1801 distinguished Catholicism as the favored religion of France, but not the state religion. The clergy would be chosen and paid by the State, but consecrated by the Church. Despite these laws, Napoleon was able to a have tighter leash on religion. In addition, Napoleon also addressed opposition with grand promises of success of his ruling. He is also a fox like Hitler, when dealing with his enemies. Lastly, Napoleon is also Machiavellian, because of his views of power. Even after being an Emperor of France in 1804, for the next eight years Napoleon dominated Europe through battling with a wide range of alliances, such as the combinations of Austria, Britain, Russia and Prussia. Many of his military victories were shrewdly planned. He believed in his power to stay in power and to keep his ruling intact. Adolf Hitler and Napol eon Bonaparte are Machiavellian politicians, because they were the fox and the lion. They ruled and expanded their dominions through power and persuasion. They were influential speakers and affected their people emotionally. Furthermore,

Wednesday, October 16, 2019

How the construction of the Keystone XL Pipeline would affect the Term Paper

How the construction of the Keystone XL Pipeline would affect the United States - Term Paper Example The current US energy policy allows Canada to ship oil to main refineries in the US; the congress should reject any attempts to authorize the construction of the Keystone XL pipeline (Alperrovitz and Speth 164). Geothermal power, coal and hydroelectric energy are friendlier to the ecosystem. Coal has some negative impacts like air pollution but it can be exploited cheaply. Hydroelectric energy is more reliable and sustainable to produce since the US has many rivers and dams. The US energy policy should aim at enhancing biodiesels energy since it does not damage the environment and encourages recycling of waste. The government should invest heavily in geothermal power exploitation in order to meet the current energy needs and ensure sustainability of the energy supply (Fickling and Schott 67). Statement of the purpose Keystone XL pipeline will cover about 1661 miles from Alberta through Oklahoma and finally terminate in Texas. The pipeline is intended to ship Canada oil sands to US refineries in the Gulf coast. TransCanada, which is the company behind the pipeline proposal, has made plans of constructing the pipeline using thinner steel in order to avoid instances of oil spillage. If plans of the pipeline proceed, the pipeline will increase the level of toxic tar to the US ecosystem and jeopardize national goals of achieving renewable and clean energy sources. The pipeline will transport approximately 1 million barrels of crude oil daily to the US refineries. Keystone XL pipeline construction has both positive and negative consequences to the US economy (Rapier 237). The debate of the pipeline project has become a major political weapon especially in the current election year, where several politicians have taken opposing views on whether the US congress should permit Keystone XL pipeline constru ction. The pipeline will boast the staggering economy through additional jobs in construction sites and refineries. The pipeline will adversely affect the climate policy since heavy and poisonous gas emissions are expected from the refineries (Alperrovitz and Speth 173). The pipeline will destroy water resources since it will cut through several rivers that supply safe drinking and agricultural water to the communities living near the pipeline (Fickling and Schott 69). There have been numerous public concerns and heated debate on dirty oil emissions and oil spillage that may damage the US ecosystem. Introduction On November 4th 2011, TransCanada announced its support for the Keystone XL pipeline. The State of Nebraska supports the development of the pipeline. If the proposed pipeline is approved, the pipeline will avoid sand hills since Nebraskans will give their decisions on the pipeline root (Rapier 270). The proposed pipeline will expand the current TransCanada Keystone pipeline network. It will have the capacity to deliver the Canadian oil sands up to 100,000 barrels per day from the production in North Dakota and Bakken formation (Rapier 237). The production of oil from North Dakota has shot up in the past few years from the initial 100,000 barrels per day to the current 450,000 barrels per day (Rapier 277). According to the US law, cross border pipeline projects should receive Presidential permit and the authority is delegated to the State Department. Under the current North American Free Trade Agreement

Tuesday, October 15, 2019

Regression Analysis Models for Marketing Decision Making Essay

Regression Analysis Models for Marketing Decision Making - Essay Example Regression analysis is a statistical technique that determines linear relationships between two or more variables. Businesses mainly use regression as a causal inference and for predictions. The major regression models available are linear regression model, non-linear regression model, logistic regression and multinomial logistic regression. Simple regression models use only two variables to achieve a particular statistical result. Multiple linear regression is a regression that applies more than two variables. Logistic regression procedures in quantitative statistics will produce all predictions, residuals and influence statistics. Logistic regression also produces goodness-of-fit tests using sales and marketing data in the case where it has to make predictions for the marketing department. The goodness-of-fit tests are created at the individual case level, and this is regardless of methods of data insertion and whether or not the number of covariate patterns is lesser than the total number of instances in question. On the other hand, multinomial logistic regression procedure aggregates all cases internally to form subpopulations with identical covariate patterns for the predictors, residuals, and goodness-of-tests. Non-linear regression is a quantitative statistical method of finding a nonlinear model of the relationship between the dependent variable and a set of several independent variables. Current non-linear models can be used to estimate models with arbitrary relationships between dependent and independent variables. Iterative estimation is mostly used to achieve non-linear regression. Predicting future marketing trends is business is an essential requirement for the management if they have to beat the competition. This is because a lot of the data is available for use by business nowadays due to advancements in technology like the web that collects a lot of statistical data for analysis. The primary problem facing businesses is identifying the  optimal data analysis model to use in the analysis the quantitative data and getting valid information for predicting the future marketing trends.

Monday, October 14, 2019

Alcohol abuse Essay Example for Free

Alcohol abuse Essay Alcohol is absorbed from all parts of the gastrointestinal tract largely by simple diffusion into the blood. However the small intestine is by far the most efficient region of the gastrointestinal tract for alcohol absorption because of its very large surface area. In a fasting individual, it is generally agreed that 10% to 20% of a dose of alcohol is absorbed from the stomach (the volume of alcohol affects the absorption) and 75% to 80% is absorbed from the small intestine. Because of this peak blood alcohol concentrations are achieved in fasting people within 0. 5 to 2. 0 hours, (average 0. 75 1. 35 hours depending upon dose and time of last meal) while non-fasting people exhibit peak alcohol concentrations within 1. 0, and in extreme cases up to as much as 4. 0 hours (average 1. 06 2. 12 hours). Because it is distributed so quickly and thoroughly the alcohol can affect the central nervous system even in small concentrations. In low concentrations, alcohol reduces inhibitions. As blood alcohol concentration increases, a persons response to stimuli decreases markedly, speech becomes slurred, and he or she becomes unsteady and has trouble walking. With very high concentrations greater than 0. 35 grams/100 milliliters of blood (equivalent to 0. 35 grams/210 liters of breath ) a person can become comatose and die. The American Medical Association has defined the blood alcohol concentration level of impairment for all people to be 0. 04 grams/100 milliliters of blood (equivalent to . 04 grams/210 liters of breath). The following is a generally accepted guide to the effects of alcohol. Distribution Alcohol has a high affinity for water and is therefore found in body tissues and fluids inasmuch as they contain water. Absorbed alcohol is rapidly carried throughout the body in the blood and once absorption of alcohol is complete an equilibrium occurs such that blood at all points in the system contains approximately the same concentration of alcohol. Elimination The liver is responsible for the elimination through metabolism of 95% of ingested alcohol from the body. The remainder of the alcohol is eliminated through excretion of alcohol in breath, urine, sweat, feces, milk and saliva. The body uses several different metabolic pathways in its oxidation of alcohol to acetaldehyde to acetic acid to carbon dioxide and water. Healthy people metabolize alcohol at a fairly consistent rate. As a rule of thumb, a person will eliminate one average drink or . 5 oz (15 ml) of alcohol per hour. Several factors influence this rate. The rate of elimination tends to be higher when the blood alcohol concentration in the body is very high. Also chronic alcoholics may (depending on liver health) metabolize alcohol at a significantly higher rate than the average. Finally, the bodys ability to metabolize alcohol quickly tend to diminish with age. Body Weight and Body Type In general, the less you weigh the more you will be affected by a given amount of alcohol. As detailed above, alcohol has a high affinity for water. Basically ones blood alcohol concentration is a function of the total amount of alcohol in ones system divided by total body water. So for two individuals with similar body compositions and different weights, the larger individual will achieve lower alcohol concentrations than the smaller one if ingesting the same amount of alcohol. However, for people of the same weight, a well muscled individual will be less affected than someone with a higher percentage of fat since fatty tissue does not contain very much water and will not absorb very much alcohol. Rate Of Consumption Blood alcohol concentration depends on the amount of alcohol consumed and the rate at which the users body metabolizes alcohol. Because the body metabolizes alcohol at a fairly constant rate (somewhat more quickly at higher and lower alcohol concentrations), ingesting alcohol at a rate higher than the rate of elimination results in a cumulative effect and an increasing blood alcohol concentration. Alcohol Content Its not how many drinks that you have, but how much alcohol that you consume. The concentration of the drinks that one ingest can have a slight effect on the peak alcohol concentration due to the differences in absorption rate of different concentrations of alcohol. Alcohol is most rapidly absorbed when the concentration of the drink is between 10% and 30%. Below 10% the concentration gradient in the gastrointestinal tract is low and slows absorption and the added volumes of liquid involved slow gastric emptying. On the other hand concentrations higher than 30% tend to irritate the mucous membranes of the gastrointestinal tract and the pyloric sphincter, causing increased secretion of mucous and delayed gastric emptying. Food Food taken along with alcohol results in a lower, delayed blood alcohol concentration peak (the point of greatest intoxication). There are two major factors involved in this phenomenon. First, because alcohol is absorbed most efficiently in the small intestine, the ingestion of food can slow down the absorption of alcohol into ones system. The pyloric valve at the bottom of the stomach will close in order to hold food in the stomach for digestion and thus keep the alcohol from reaching the small intestine. While alcohol will be absorbed from the stomach it is a slower and less efficient transition. Second and equally important is the fact that alcohol elimination rates are inversely proportional to alcohol concentration in the blood. Therefore the suppressed levels of alcohol due to food ingestion cause the body to eliminate the alcohol that is absorbed at a faster rate. The type of food ingested (carbohydrate, fat, protein) has not been shown to have a measurable influence on this affect but the larger the meal and closer in time between eating and drinking, the greater the diminution of peak alcohol concentration. Studies have shown reductions in peak alcohol concentration (as opposed to those of a fasting individual under otherwise similar circumstances) of 9% to 23%. Medication If you are taking any medication, it could increase the effects of alcohol. You should always consult your physician or the medical information that accompanies the medication when drinking alcohol in conjunction with any medication. Fatigue Fatigue causes many of the same symptoms that are caused by alcohol intoxication. These and other symptoms will be amplified if alcohol intoxication is concurrent with fatigue. Tolerance Tolerance is the diminution of the effectiveness of a drug after a period of prolonged or heavy use of that drug or a related drug (cross-tolerance). There are at least two types of tolerance at work with alcohol. The first is metabolic tolerance in which the alcohol is metabolized at a higher rate (up to two times as quickly) in chronic users. Because of the higher metabolic rate for alcohol lower peak blood alcohol concentrations are achieved by chronic alcohol users than the average drinker when the same amount of alcohol is ingested. The second is functional tolerance in which there is an actual change in the organ or systems sensitivity to the drug. Studies have shown that chronic alcohol users can have twice the tolerance for alcohol as an average person. It is important to note however that even in light of these tolerance factors, it has been shown conclusively that even in heavy alcohol users functional impairment is clearly measurable at the blood alcohol concentration levels that are currently used for traffic law enforcement and safety sensitive job performance. Gender Differences As outlined above in the section on Body Weight and Body Type different body types coincide with different body water percentages. In general, but by no means in all cases, women tend to have a higher percentage of body fat and thus a lower percentage of body water. Therefore, in general, if a man and a woman of the same weight ingest the same amount of alcohol the woman will tend to achieve a higher alcohol concentration. This, of course, would not be true if the woman was very fit and the man was somewhat obese, but on average, this is the case. Furthermore, total body water tends to decrease with age, so an older person will also be more affected by the same amount of alcohol. According to the table below the differences in alcohol concentration due to average body composition differences based on gender would be between 16% and 10% depending on age. ________________________________________ Average Total Body Water as a function of Sex and Age AgeMaleFemale 18 to 4061%52% over 6051%46% ________________________________________ Another gender based difference is in the elimination of alcohol. Although not explained, studies appear to show that women eliminate alcohol from their bodies at a rate 10% greater than that of men. Alcoholism and alcohol abuse Alcoholism (alcohol dependence) and alcohol abuse are two different forms of problem drinking. †¢Alcoholism is when you have signs of physical addiction to alcohol and continues to drink, despite problems with physical health, mental health, and social, family, or job responsibilities. Alcohol may control your life and relationships. †¢Alcohol abuse is when your drinking leads to problems, but not physical addiction. Causes, incidence, and risk factors There is no known cause of alcohol abuse or alcoholism. Research suggests that certain genes may increase the risk of alcoholism, but which genes and how they work are not known. How much you drink can influence your chances of becoming dependent. Those at risk for developing alcoholism include: †¢Men who have 15 or more drinks a week †¢Women who have 12 or more drinks a week †¢Anyone who has five or more drinks per occasion at least once a week One drink is defined as a 12-ounce bottle of beer, a 5-ounce glass of wine, or a 1 1/2-ounce shot of liquor. You have an increased risk for alcohol abuse and dependence if you have a parent with alcoholism. You may also be more likely to abuse alcohol or become dependent if you: †¢Are a young adult under peer pressure †¢Have depression, bipolar disorder, anxiety disorders, or schizophrenia †¢Have easy access to alcohol †¢Have low self-esteem †¢Have problems with relationships †¢Live a stressful lifestyle †¢Live in a culture alcohol use is more common and accepted Alcohol abuse is rising. Around 1 out of 6 people in the world have a drinking problem. Symptoms People who have alcoholism or alcohol abuse often: †¢Continue to drink, even when health, work, or family are being harmed †¢Drink alone. †¢Become violent when drinking †¢Become hostile when asked about drinking †¢Are not able to control drinking being unable to stop or reduce alcohol intake †¢Make excuses to drink †¢Miss work or school, or have a decrease in performance because of drinking †¢Stop taking part in activities because of alcohol †¢Need to use alcohol on most days to get through the day †¢Neglect to eat or eat poorly †¢Do not care about or ignore how they dress or whether they are clean †¢Try to hide alcohol use †¢Shake in the morning or after periods when they have not a drink Symptoms of alcohol dependence include: †¢Memory lapses after heavy drinking †¢Needing more and more alcohol to feel drunk †¢Alcohol withdrawal symptoms when you havent had a drink for a while †¢Alcohol-related illnesses such as alcoholic liver disease Signs and tests The health care provider will perform a physical exam and ask questions about your medical and family history, including use of alcohol. The following questions are used by the National Institute on Alcohol Abuse and Alcoholism to screen for alcohol abuse or dependence: †¢Do you ever drive when you have been drinking? †¢Do you have to drink more than before to get drunk or feel the desired effect? †¢Have you felt that you should cut down on your drinking? †¢Have you ever had any blackouts after drinking? †¢Have you ever missed work or lost a job because of drinking? †¢Is someone in your family worried about your drinking? Tests that may be done include: †¢Blood alcohol level (this can tell whether someone has recently been drinking alcohol, but it does not necessarily confirm alcoholism) †¢Complete blood count (CBC) †¢Liver function tests. †¢Magnesium blood test Medical Illness Associated With Chronic Alcohol Abuse DisorderIllness MetabolicAlcoholic ketoacidosis, alcoholic hypoglycemia, water and salt disorders NeurologicChronic problems with thinking such as Wernickes encephalopathy and Korsakoffs psychosis, alcoholic cerebellar degeneration, and central pontine myelinolysis leading to problems walking and other motor activities, acute and chronic dementia, alcoholic peripheral neuropathy MuscularAcute and chronic alcoholic muscle weakness. GastrointestinalFatty liver, alcoholic hepatitis, alcoholic cirrhosis, alcoholic pancreatitis, poor pancreatic function, gastroesophageal reflux, esophageal carcinoma, erosive gastritis, chronic diarrhea, malabsorption, esophageal varices leading to bleeding into the GI tract Metabolic-endocrineHigh cholesterol, high levels of uric acid, low testosterone levels, impotence, testicular atrophy, gynecomastia, irregular menstrual periods, reversible Cushings syndrome BloodAnemia due to poor production of blood cells or slow intestinal bleeding, poor white cell production, destruction of platelets, blood too thin to clot properly. CardiacDecreased cardiac function, arrhythmias, dilated cardiomyopathy, high blood pressure PulmonaryIncreased incidence of pneumonia, increased incidence of tuberculosis OtherIncreased incidence of severe intestinal infections, fetal alcohol syndrome, vitamin deficiency syndromes, trauma, sexual dysfunction, insomnia Social Problems Associated With Alcohol Abuse Accidental death and injury50% of fatal car crashes 25-fold increased risk of falls or drowning 50% of fire-related burns or deaths 20% to 30% of trauma seen in emergency rooms. CrimeFrequently involved in violent crime SuicideInvolved in up to 35% of suicides Economic cost$148 billion annually (estimated); 15% for health care and treatment OtherAssociated with increased rates of spouse or child abuse and increased spread of sexually transmitted diseases Treatment Completely stopping the use of alcohol is the ideal goal of treatment. This is called abstinence. A strong social network and family support are important in achieving this. Completely stopping and avoiding alcohol is difficult for many people with alcoholism. There will be times when it is difficult. You should aim to avoid drinking for as long as possible. Some people who abuse alcohol may be able to simply reduce the amount they drink. This is called drinking in moderation. If this method does not work, you should try to quit drinking completely. DECIDING TO QUIT Many people with alcohol problems do not recognize when their drinking gets out of hand. The ideal approach to treatment is to help the person realize how much their alcohol use is harming their life and those around them. Studies find that more people with alcohol problems opt for treatment when their family members or employers are honest with them about their concerns, and try to help them see that drinking is preventing them from reaching their goals. Withdrawal from alcohol is best done in a controlled, supervised setting. Complications from withdrawal can be life threatening. For more information, see: Alcohol withdrawal Your health care provider should order blood and urine tests to check for health problems that are common in people who abuse alcohol. LONG-TERM SUPPORT Alcohol recovery or support programs can help you stop drinking completely. These programs usually offer: †¢Counseling and therapy to discuss alcoholism and its effects and how to control your thoughts and behaviors †¢Mental health support †¢Medical care You may be treated in a special recovery center (inpatient), or you may attend a program while you live at home (outpatient). Medications are sometimes prescribed to prevent you from drinking again. †¢Acamprosate is a drug that has been shown to lower relapse rates in those who are alcohol dependent. †¢Disulfiram (Antabuse) produces very unpleasant side effects if you drink even a small amount of alcohol within 2 weeks after taking the drug. †¢Naltrexone (Vivitrol) decreases alcohol cravings. It is available in an injectable form. You cannot take these medications if you are pregnant or have certain medical conditions. The medications are often used with long-term treatment with counseling or support groups. Depression or other mood or anxiety disorders may be noticed after you stop drinking. These should be promptly treated. It is important that the patient has a living situation that supports their need to avoid alcohol. Some programs offer housing options for people with alcoholism or alcohol abuse. Support Groups Support groups are available to help people who are dealing with alcoholism. ALCOHOLICS ANONYMOUS (AA) Alcoholics Anonymous (AA) is a self-help group of recovering alcoholics that offers emotional support and specific steps for people recovering from alcohol dependence. The program is commonly called a 12-step approach. There are local chapters throughout the United States. AA offers help 24 hours a day and teaches that it is possible to participate in social functions without drinking. AL-ANON Family members of a person with an alcohol abuse problem often need counseling. Al-Anon is a support group for partners and others who are affected by someone elses alcoholism. Alateen provides support for teenage children of people with alcoholism. OTHER SUPPORT GROUPS Several other support groups are available. †¢SMART recovery teaches you have to change your thoughts and behaviors to help people with alcoholism recover. †¢LifeRing recovery and SOS are two nonreligious programs that offer support for people with alcohol abuse. †¢Women for Sobriety is a self-help group just for women. Moderation Management is a program for those who want to reduce how much they drink. It recommends abstinence for people who cannot do this. Expectations (prognosis) How well a person with alcoholism or alcohol abuse does depends on whether or not they can stop drinking. Alcoholism is a major social, economic, and public health problem. Problem drinking can affect every part of a persons life. If you have an alcohol problem, abstinence can help improve your mental and physical health and possibly, your relationships. Treatment programs can help you quit. However, drinking again after treatment is common. It is important to have a good support system. Complications Alcoholism and alcohol abuse can increase your risk of many health problems, including: †¢Bleeding in the digestive tract †¢Brain cell damage †¢Brain disorder called Wernicke-Korsakoff syndrome †¢Cancer of the esophagus, liver, colon, and other areas †¢Changes in the menstrual cycle (period) †¢Delirium tremens (DTs) †¢Dementia and memory loss †¢Depression and suicide †¢Erectile dysfunction †¢Heart damage †¢High blood pressure. †¢Inflammation of the pancreas (pancreatitis) †¢Liver disease, including cirrhosis †¢Nerve damage †¢Poor nutrition †¢Sleeping problems (insomnia) Alcohol use also increases your risk for sexually transmitted infections (STIs) and violence. Drinking alcohol while you are pregnant can lead to severe birth defects in the baby. Prevention The National Institute on Alcohol Abuse and Alcoholism recommends: †¢Women should not drink more than 1 drink per day †¢Men should not drink more than 2 drinks per day One drink is defined as 12 ounces of beer, 5 ounces of wine, or 1? ounces of liquor.

Sunday, October 13, 2019

How can music be an influence?

How can music be an influence? Entertainment can be categorised into few different ways such as dancing, vacation, and watching movie. Nowadays, most of the people have been focus more on listening to musics. Music is one of the entertainments that commonly focus by young people such as teenagers. Besides that, music has bring a lot of advantages for the teenagers to try to communicate with one and other and to be more update in the world of teenagers. In the other hand, music also is the one of the tools that can try to express people from their stress. Under music, it has combined different types of culture into one society. It has been combined together in one of the most popular and advances towards creating a better society. The creation, performance, significance, and even the definition of music vary according to culture and social context. Music ranges from strictly organised compositions, through improvisational music to be forms be divided into genres and subgenres. Although the dividing lines and relationships between music genres are often subtle but sometimes it was open to individual interpretation, and occasionally controversial. Music also brings a lot of fun, joy and other benefits towards human mankind. It has been created a wonderful memory for each of every one to enjoy it and it also is one of the tools to produce a future star and artist to let people notice. Besides that, music is the one of the tools to get more networks for social activities. This will helps people to build their popularity in the society. Through all kinds of music, it could bring all kind of people in a one big family. One of the ways to develop a person characteristic is through all kinds of music; it can help people to develop what kind of the person they are. Hence, it could help to make a great person through listen to the music. There are several types of musics that make people feels peaceful such as pop, hip-hop, jazz, country, classical, rock and also RB music. 2.0 Types of music that influence people 2.1 Jazz Jazz is a type of music that begins in 20th century. Jazz music is started with some African American community in the southern of United State and most of it was confluence of European and African music tradition. Jazz music origin from Ragtime and it culture is origin in early 1910s New Orleans. Jazz is kinds of music that can be define as a combination between European tradition music with African tradition music. The words jazz began as a west coast slang was first used to refer as music in Chicago around 1915. From the beginning Jazz is Jass but slowly it transfer to Jazz. In Jazz they have few ways to perform, some of them are used to be performing individual, never playing composition and never play exactly the same way twice. 2.1.1 Peaceful Nowadays, jazz music brings a lot of benefits to us. One of the most effective ways that jazz music had brought to us is that, when we listen to jazz music we will feels more peaceful in our mind. According to scientist say that when a person is listening to Jazz music it has brought up some brain emotion and make it feel relax and will go by the rhythm on it. It will keep a certain amount of peaceful moment and it could help a person to remain a better conscious on what he is doing on. By putting jazz music on in daily life could help a person to improve in their behaviour, jazz music can avoid bad behaviour that leads to bad destruction. This could help a person to develop creativity, artistry, humanity, individually, intelligence, and also will have a better chance to deal with an issue at hand more easily and more positive ways. Jazz music also can lead a person to go towards a positive ways in a peaceful manner on dealing with a person. 2.1.2 Release painful emotion Through Jazz music it could help a person to release painful emotion. By listening to jazz music, it has a great impact of mind, body and spirit to bring a healthful charge on our painful emotion. According to doctors, using jazz music for music treatment could treat a patient to stay and healthy and even faster to recovery from their painful emotion. Listen to jazz music can also help a person to release their anger and also boost their happy feeling to the maximum. The mind will start to stimulate and through jazz music could also obtain the high mental alertness on the part that will help people think of the goods and forget the bad part. In the middle of time, it could help people mind to active the brain on, and enhances the best is to make a person to feel more relaxing. Through jazz music can help a person to reduce pain sensation and also distress of both chronic pain and postoperative pain. Jazz music also promotes relaxation of tense muscle, and enabling a person can easily release some of the tension that carries on the day. Jazz Music, especially upbeat tunes, can take people mind off all stresses, and help people feels more optimistic and positive. This helps release stress and can even help people keep from getting as stressed over lifes little frustrations in the future. Researchers discovered that music can decrease the amount of the cortical, a stress-related hormone produced by the body in response to stress. Hence, jazz music can brings peaceful when a person hear it and it will also help to maintain the comfort of the day that made a person to be alert on what he or she is doing. Besides that, through jazz music also helps people to release painful emotion and it could help a heart hurting person to feel more relax on the pain. 2.2 Country Country music is one of the most popular music genres that all American had notice. It is a blend traditional and popular musical that origin from Canada and southern United State. Country music has produced two of the top selling solo artists of all time. The term country music gained popularity in the 1940s when the earlier term hillbilly music came to be seen as denigrating. Country music was widely embraced in the 1970s, while country and Western has declined in use since that time, except in the United Kingdom and Ireland, where it is still commonly used. 2.2.1 Fairly wholesome Listen to country music could more fairly wholesome then other, why is that so? According to the specialist that through country music, it could help a person to bring back a wonderful story. Through country music, it could help to explain a very interesting story. In other words, they are not songs that would not want to bring children to hear or would feel embarrassed playing in front of their parents. So, through country music could help some of the children to presented out by singing some country music on the song that have play to display out what are the fairly wholesome story they have believe in. In the other hands, it could help to keep some of the interesting history in the past and passed it to the next generation. Thus, they will understand what the histories are on the past and keep it on the good wants and be reminding that their do not make the same mistake again and again. 2.2.2 Connection to culture Country music historians typically stress of the musics close connection to the culture of the rural and working class white south while acknowledging the importance of New York record companies and other commercial structures, they are happiest. Besides that, country music helps people to bring out the culture of American. It help others to understand how the style of living and also to present the ethnic of that culture. Modelling behaviours and understandings that have helped in the refashioning of southern white culture and identities, and there is another parallel. A Diasporas story lurks deep in the heart of country music. It could help to strengthen the culture and also to help to promote the culture to others through country music. Therefore, country music can help a culture to build their image on fairly wholesome things and it also can connect to the other culture in this world through this country music. 2.3 Hip-Hop As the world move on to a modern time, hip hop music has become the most important music that has been focus on by the teenagers nowadays. Hip hop music is origin from hip hop culture and it has been missed up with four key element which is rapping, scratching, sampling, and beat boxing. The root of hip hop culture is also from African American music and ultimately African music. Some hip hop music influence by the disco, others hip-hop music influence by many other different such as new school hip-hop and also some rapping material are included. 2.3.1 Innovation In the lately 2000s, hip hop music has secure in the mainstream of music line. People have given a name for hip-hop music as Golden Age Hip-Hop. This innovation motive the hip-hop music lover to be more advance in the. That time is a time when it seemed that every new single reinvented the genre. Referring to the golden age of hip-hop music, there were so many important, ground breaking album has been brought up right about that time. Many artist has been found out on that period of time where hip-hop music has bring a great success towards bringing more talented artist on during the hip-hop music. While innovation in hip-hop music is been a great motivation for every hip-hop singer that it could made a great improvement on their song and also teenagers recently has using the hip-hop music to do their dance on the hip-hop culture. 2.3.2 Express teenagers in a proper manner Nowadays, hip-hop music brings different culture, beliefs, races, ethnicities all together such as young and medium age stay together to express teenagers in self-determinant manners and also collectively. Besides that, through hip-hop music and culture has not just influenced the Americans but also influenced the whole world to come together as a one big hip-hop music. By listening to hip-hop music, it will help people to develop a good personality and also help people to deal with one and other. Thus, this will help a person to build a good perspective and get along with others and eventually will build up more networks so that it will help people to build their popularity. Furthermore, listen to hip-hop music will easily to express teenagers in a proper manner and will not be shy to present in front of public and also can building up confident. Thus, hip-hop music has been brings benefits to people also such as the innovation motive and express teenagers in a proper manner when in front of people. 2.4 Classical Classical music in European was begun in between year 1750 and 1820. It is the art produced in, or rooted in the traditions of Western liturgical and secular music. It was encompassing a broad period from roughly the 9th century to present times. Besides that, classical music contains that few or not genres of music contain because it is difficult to list the characteristics that can be attributed to the all work of that type. Classical music also meant to be experienced for its own sake. It is not likely with other forms of the music that can serve merely as a vehicle for poetry or other lyrical content. 2.4.1 Reduce Crime Classical music has a penchant for deterring crime. This is because classical music can make people reduce stress and anxiety. When people are facing a lot of problem, they will easily make crime. The reason is they cannot express their feelings when they are in stress or anxiety. Through listening to classical music, the problems that their faces will reduce and the crime within them will also reduce. Furthermore, listen to classical music such as Mozarts and Beethovens songs also can make people relax, not only body relax but also spiritual. When listen to classical music, people will intoxicated in that with peaceful. Their will enjoying on listen to the music and strengthen their heart when they feelings down. So, listen to the classical music can have positive effects toward society and peoples. 2.4.2 Strong bonds with family members Moreover, all kids are like to listen to certain kinds of music such as classical music. As parents should not be afraid of helping them to experience something different by take them to a few concerts to watch and listening to live music together. Through this actions, it can helps a family to get a better understanding of what is around them and it also will help them to appreciate the kind of music that they listen too much more. Besides that, during the free time, parents also can drive their children around once in a while. Tour them around the community while listening to the classical music that all the family members love more by radio. In addition, family members also can stay at home, strum the guitar and sing with other family members. All this actions can strong the bond with the family members when listening to the classical music. Thus, listening to the classical music has been brings a lot of benefits to people, not only can reduce crime but also can strong bond with family members. 2.5 Rock Rock is a form of popular music and it is usually featuring vocals but often with vocal harmony, electric guitars and a strong back beat. It is also known as Rock and Roll. Rock music is a genre of popular music that originating in the 1950s in America. It also is a popular music style that developed in the United States and Great Britain in the late of 1960s. Besides that, it is a blend of black rhythm-and-blues with white country-and-western and also is a generic term for the range of styles that evolved out of rock and roll. Not surprisingly, rock music was extremely difficult to apply a straightforward definition to such a restless musical format. 2.5.1 Drugs In the early year, the rock lifestyle was popularly associated with the drugs. This is because some musicians are using hallucinogenic drugs as enhancements to the listening experience. Teenagers who listened to the rock music were more inclined to use drug, though they were not more likely to use them excessively or become addicted. This is because some rock music has interrelated with drug-related values. Besides that, using drugs by parents has the greatest influence on adolescent drug use. The popularity and promotion of recreational drug that used by musicians may have influenced to the people. Thus, the use of drugs and the perception of acceptability of drug use among the youth of the period will also have negative effects toward people. 2.5.2 Violent Listen to the rock music will make people have violent behavior. This is because some rock music video will have aggressive lyrical content and this is often discernible only to the most attentive of listeners. Besides that, video based media which including music videos that make their violent content abundantly and graphically clear. In addition, some rock music songs have such garbled lyrics that they have given rise to debates about what the lyrics are. The angry-sounding of rock music will also increase aggressive thoughts and feelings regardless of the specific content of the music lyrics. Through this, people have been influenced by that, so they will act and do the violent behaviour after their listened and watched the music videos. Therefore, using drugs and violent behaviour were very common in this modern world and it is also has the bad influences after listened to the rock music. 2.6 Pop Pop music also is considered as popular music that has been knows by world. Through pop music, it helps a community to build a popular music on the starting career that everyone will be familiar with. For examples, Michael Joseph Jackson is the pop music artist and he was known as the King of Pop. Besides that, we also have the latest pop singer which is Justin Timberlake. As you can see the pop music singers are the most attracting singers throughout the world and all of their songs have almost been recognized. In addition, pop music also give an understood recorded music often oriented towards teenagers but usually pop music consist only short and simple love story. Pop music also has absorb others form of popular music, but as genre is particularly rock and roll on the later stage is rock style. 2.6.1 Gain Confidence Pop music is another way to gain more confidence. As a lot of experience pop artists, one way to gain more confidence is through sing pop music in front of the audience. Singing pop music song will helps a person to release their tension or stress. On the other hand, it will also give a person to have confidence and go after those long sought after goals. Listen to pop music will also help people out to release the fear that they have been attempt and help a person to gain more confidence on what they are doing. Besides that, pop music also is the one of the best way to gain more confidence and eventually will build a person talent or skills that will prove that they are capable of something and can contribute more to the society. For example like King of Pop Michael Jackson, he built up his confidence by singing all his pop music songs when he was at the stage. 2.6.2 Motivated to seek people dream Apart from that, pop music will help a person to seek their dream out. How is that so? According to some specialist through pop music, they can find person ability on what he or she can do. Pop music will easily let a person to show what hidden talent or skill they have inside more than other. Besides that, it is easier to let a person to focusing on that power to seek on the dreams they want to seek in he or she wanted. It is a very high possible that a person can be success through listening to pop music. It will bring out more and more people to motivate their dream. Therefore pop music not just only to help to gain more confidence when facing all kind of things such as in front of others but also will help a person to motivate themselves to seek their own dream easier to make a success in their life time. 2.7 RB The full name of RB was rhythm and blues. It is a genre of popular African-American Music that originated used by record companies to describe recordings marketed predominantly to urban African-Americans. It was at a time when urbane, rocking, jazz based music with a heavy and insistent beat was becoming more popular. Besides that, it also had a number of shifts in meaning. In the early year 1950s and beyond, the term rhythm and blues was often applied to blues records. After rhythm and blues, this style of music contributed to the development of rock and roll. The term of RB became used to refer the music styles that developed from and incorporated electric blues, as well as gospel and soul music. Today, RB was defined as the modern version of the soul and funk that influenced African-American pop music that originated with the demise of disco in year 1980. 2.7.1 Expose teenagers to crimes In the other hand, listening to the RB music has been brings some negative effects among the people such as expose teenagers to crimes. This is because of some dancehall artistes promote violence and it lead teenagers doing the criminal activities after listening and watching the RB music videos. It also has been alleged that some artists have been involved in some of these criminal activities. Teenagers were easily influenced by the lyrics and content of music and videos. If the music and videos were promoted violence or immoral behavior, it may affect teenagers to act and follow to crimes. It also will influence the teenagers risk for picking up the habit of that. It was the worst problems of listening to the RB music that have contained and promoted violence and immoral behavior. 2.7.2 Sex In addition, RB tells the stories of struggle, love, sadness, and happiness. It does not have necessarily rally people behind a cause, but it does help them related to the cause. In year 1995 study, Ernest Hakanen shows that the RB or soul music is the most related to the feelings of grief and pride. RB music has increasingly become about sex from its lyrics to its music videos, as much as it is about love. Not only that, it also has changed the self-perceptions and self-esteem of young people, especially for the women. Moreover, the young people began to loosen attitudes on issues that relating to morality and promoted immoral behavior caused the cases of sex happened. This is because of the RB music is included freely expressed sexual desires and other features that were not as prevalent in other forms of popular music. Hence, listening to the RB music actually will also have negative effects like expose teenagers to crimes and sex toward peoples in this modern world. 3.0 Conclusion As you can see the different types of music can be influence to different personalities and characteristics out. By listening to jazz music, it could bring a person peaceful and also to release their painful emotion. Country music can made a fairly wholesome imagination and also help to connect with culture easier. Besides that, hip-hop music can made a person to be innovative and also help to express teenagers in a proper manner. According to specialist, listen to classical music could help people to reduce crime and also strengthen their bond with the family members. The negative influences, it can be bad by listening to the rock music because it is much easier to bring in drugs and violent to the society. On the other hand, for the pop music, it could help people to gain confidence and also motivated a person to seek their dream out. Last but not least was RB music; it could lead the crime toward teenagers and also encouraged teenagers to have sex. In conclusion types of music are proven to bring more positive on people than its drawbacks. As we can see on the types of music that have discussed on the different influence that has been brought out when listen to music. Types of music are absolutely more than just enjoyment. Music is the most beautiful things in this world. It always calms down people mind of thinking and gives a person a rest when their need it. Since music has been became one of the parts of the human life, why not everyone just well utilised it to make their life more wonderful. Music speaks that what people cannot be expressed, soothes the mind and gives it rest. It heals the heart and makes it whole and it was flows from heaven to soul. Therefore, do enjoy in music because it will changes people life become more interesting.

Saturday, October 12, 2019

Essay on Freedom and Satan in John Milton’s Paradise Lost

Freedom and Satan in Paradise Lost  Ã‚  Ã‚  Ã‚     Ã‚   Satan's primary operational problem in Paradise Lost is his lack of obedience. The fundamental misunderstanding which leads to Satan's disobedience is his separation of free will from God's hierarchical power. In the angel Raphael's account, Satan tells his dominions, "Orders and Degrees/Jarr not with liberty" (5.792-93). Tempting as this differentiation seems, Satan is mistaken. Free will and hierarchical power are not mutually exclusive, as Satan suggests, but overlapping concepts. Even though Satan has been created with sufficient freedom to choose to disobey, he tacitly acknowledges God's sovereignty when he exercises his choice. Satan is constrained existentially, from the outset, by having a specific choice to make about whether or not to obey God. Satan, just as all angels, demons, and humans, may exercise his freedom as assent or dissent, for God had created him "Sufficient to have stood, though free to fall./Such I [God] created all th' ethereal powers/And spirits . . . /Freely they stood who stood, and fell who fell" (3.99-102; cf. 5.549). If Satan would choose neither to assent nor to dissent, thereby refusing to exercise his free will, he would be discarding his free will. But this is impossible, as the demons determine in counsel in Book II; so long as he exists, Satan must make choices with respect to his possible obedience to God. If Satan's first mistake was to completely divorce his free will from God's power in giving him that freedom, his second mistake occurs in his conception of what it means to exercise that freedom. God says that "Not free, what proof could they [Satan et al.] have given sincere/Of true allegiance"? (3.103-04). But Satan has exactly the... ...lthough one can choose, as Satan does, to dissent and disobey, such purportedly self-creative acts are in fact merely an acknowledgment of God's hierarchical power. When pride and ambition to be like God prevent humans from hearing the "umpire Conscience" God has placed within us (3.195; Satan likewise has been given conscience enough to remember the call to obedience, 4.23), we become like Satan, for the same reasons constrained to listen only to the Satanic voice dissenting in our ears. Works Cited Scott Elledge, ed., Paradise Lost, second edn. (NY: Norton, 1993). Millicent Bell, "The Fallacy of the Fall in Paradise Lost," PMLA 68 (1953), 863-83; here p. 878. Northrop Frye, The Return of Eden (Buffalo: Univ. of Toronto, 1965), 39-40, 43 Barbara Lewalski, Paradise Lost and the Rhetoric of Literary Forms (Princeton: Princeton U. , 1985), 174.   

Friday, October 11, 2019

Cholecystits/Cholelithiasis

PATHOPHYSIOLOGY Medical Diagnosis: Cholecystitis/Cholelithiasis Nursing Diagnosis: Activity intolerance r/t laparoscopic abdominal incisions AEB SOB during ambulation, increased respirations at 38, O2 sat 80% room air after walking 50 ft. Normal Physiology: The gallbladder is situated inferior to the liver. The gallbladder is a structure that functions as a storage space for bile that is produced in the liver. The liver produces and secretes bile into the gallbladder from the right and left hepatic duct join together to become the common hepatic duct then into the gallbladder via the cystic duct. During the digestion of fatty food, the gallbladder releases bile that passes through the common bile duct and into the duodenum through the Sphincter of Oddi to break down fat into fatty acids to be absorbed by the small intestine to be used as energy and storage of energy for metabolic needs of the body. Pathophysiology: Cholecystitis, and inflammation of the gallbladder, is a condition which can be caused by cholelithiasis, the formation of gallstones. Most stones are formed of cholesterol. Excess cholesterol in bile is associated with obesity, high cholesterol diet and drugs that are prescribed to lower cholesterol levels. The excess saturation of cholesterol can lead to the formation of stones. This client had an elevated LDL and low HDL levels that do state the client had excess cholesterol. Biliary stasis, which is slow emptying of the gallbladder, can also cause the formation of stones. An inflammation of the gallbladder allows for excess water and bile salt reabsorption which call also lead to the formation of stones. This client did have wall thickening and distention of the gallbladder that indicates a inflammation of the gallbladder over a period of time. This is the second time the client came to the ER with pain in a 6 week period. Potential Complications: If a gallstone migrates out of the gallbladder into the ducts, it can lead to cholangitis which is an inflammation of the duct. Obstruction of the common bile duct may cause bile reflux into the liver causing pain, jaundice, and liver damage. The clients ALT, liver function test was elevated indicating liver disease process and in this clients case it is due to the back-up of bile into the liver from obstruction in the common bile duct. The client can also have pancreatitis due to the inability of the pancreas to secrete digestive enzymes through the pancreatic duct. The client had mild pancreatitis confirmed by CT scan. Complications of the cholecystitis/cholelithiasis can lead to a collection of infected fluid within the gallbladder, gangrene, and perforation resulting in peritonitis or abscess formation. A fistula into adjacent organs can for such as in the duodenum the colon or stomach. During the laparoscopic cholecystectomy, the client’s gallbladder was noted with gangrene but no perforation, peritonitis, fistula or abscess formation was noted. If this condition goes untreated, death can result from hemorrhage, peritonitis, hypovolemic shock, septicemia and septic shock. The client did not die because treatment and surgery was performed. Nursing Interventions & Rationales: Independent: 1. Ambulate with client 1:1 assist. The client should not ambulate alone. The client is at risk for falls for injury to do her activity intolerance for SOB and decreased O2 sats. This will ensure the client does not fall and if she does become weak or unstable it will reduce the injury. . Place the client in semi-fowler during resting time in bed. This will decrease orthopnea and help the client breath better by decreasing pressure on the diaphragm allowing for better expansion of the lungs. 3. Monitor respiratory status and auscultate lung sound every 4 hours. This will help assess interventions and any changes needed for their respiratory status. Dependent: 4. Monitor and assess clients client’s O2 sat level and administer O2 at 2L N C per physician’s orders. The clients O2 Sat had been at 80% room air nd after activity with O2. This will help monitor client needs and evaluate the need for any changes this client may need for a decrease or increase in O2 delivery. 5. Administer morphine sulfate 1-5 mg IV push prn q2h over 2 minutes. Administering pain meds can help decrease pain associated with the client needing to cough and deep breath and will help the client ambulate. Although the client has not indicated much pain, giving prior to activity will help the client tolerate ambulation, cough and deep breath and spirometer. 6. Administer Cefoxitin 1 gm in 100mg/NaCl 0. 9% over 1 hr q8h per physician’s orders. The administration of antibiotics will reduce the client risk for peritonitis from gangrene of the gallbladder and risk of infection form the surgery. This will also help with healing of the clients mild pancreatitis noted on CT scan Interdependent: 7. Collaborate with dietician to meet with the client regarding diet. In a client with the removal of the gallbladder, the client needs to be educated on the types of food to avoid after surgery. This will help identify what types of foods the client can continue to enjoy and those that will facilitate abdominal problems post cholecystectomy. Ensuring the family is also involved when the dietician is present will help increase the likelihood of adhering to a new diet holding the client accountable for food choices. 8. Collaborate with respiratory therapy to assess the need for respiratory assistance such as the need for nebulizer treatment or the need for portable O2 for ambulatory purposes. The client’s O2 quickly drops after taking D/C of O2. 9. Collaborate with occupational therapy to assess the ability for the client to go home. The client is an elderly lady and may need to be evaluated prior to discharge to assess ADL’s since she lives on her own. This will ensure the client can safely return home or may need to be transferred to rehab prior to going home and educate the client on throw rugs, shower use and other in home dangers that elderly clients are at risk for. Client Teaching: Instruct the client on the need to cough and deep breath and spirometry. The client has had SOB post op and decreased O2 saturation. The client has atelectasis in her right upper lobe with diminished lung sounds throughout with decreased expiratory effort. I educated the client on coughing and deep breathing every hour x10 and how to use the pillow for splinting her abdomen due to abdominal pain post operatively. Client understood and demonstrated this very well and prior to end of shift I assessed the client and had her demonstrate what I had taught her prior to leaving and she performed properly and also stated she had been doing it every hour as instructed. Textbook Signs & Symptoms . Pain, abrupt onset, severe and steady 2. Pain radiate to the back, right scapula and shoulder lasting from 12-18 hours 3. Nausea, vomiting and anorexia 4. Chills and fever 5. Abdominal guarding Risk Factors 1. Female over age of 65 2. Family history 3. Native American; northern European heritage 4. Obesity 5. Hyperlipidemia 6. Use of oral contraceptives 7. Biliary stasis: pregnancy, fasting or prolonged parenteral nutrition 8. Dis eases or condition: DM; cirrhosis; ileal disease or resection; sickle cell anemiaReferences: Domino, F. n. d. ). 5-minute clinical consult Powered by Skyscape (Ipod). Lippincott, WIlliams & Wilkins. LeMone, P. , Burke, K. , & Bauldoff, G. (2011). Medical-surgical nursing care critical thinking in patient care (5th ed. ed. ). Upper Sadle River, NJ: Pearson Education. Martini, F. H. , & Neth, J. L. (2009). Fundamentals of anatomy and physiology (Eight ed. ). San Fransisco: Pearson Benjamin Cummings. Pagana, K. , & Pagana, T. (2009). Mosby's diagnostic and laboratory test reference (Ninth ed. ). St. Louis, Missouri, United States: Mosby Elsevier.