Education and Guest Speaker Essay

â€Å"No matter how hard life is, one has to hope for happiness. Sorrows and failures are to be accepted as milestones towards success.†Ã‚  To our guest speaker __________________, school administrators and officials, teachers, parents, classmates, fellow students, guests, ladies and gentlemen a pleasant (morning or afternoon).  Today is a happy day for all of us. It is a day of celebration as we students of this school finish our elementary education. It is not a simple accomplishment. All of us know how we graduates struggled, burned our midnight candles just to pass our examinations and submit our school requirements. Further, at some point in time, our parents experienced financial difficulties but by God’s grace, we were able to accomplish the tasks laid before us successfully. Definitely, God is good. Leaving the portals of this school which I loved since prep school is not easy. It is from this academic institution that I learned to value the importance of education in one’s life. With that in mind, I gave my best efforts in my studies. Excellence has become my battle cry. The basic education the school has taught me laid down a strong foundation that will help and guide me as I continue my studies and pursue my ambition in life. I know I would be successful for I have anchored my faith in God, molded by the Christian values the school has imparted and with the unconditional love of my parents who patiently provided me with advises, love and support me for all my needs. Life at school has become meaningful and was shaded with different beautiful colors as days pass. It can be compared to movies or â€Å"teleseryes† on television. There is drama. There is comedy, action and adventure. The different activities we have joined and actively participated completed our academic training. We were not only confined to the four walls of the classroom but at the same time encouraged to bring out our hidden talents, skills and potentials. Sharing one’s self to a classmate or to a friend is such a great joy.

Knee Arthroscopy

KNEE ARTHROSCOPY Procedure Steps: 1. The surgeon marks the anteromedial and anterolateral joint lines and portal positions with a skin marker. 2. The skin areas for portal placement are infiltrated with local epinephrine. If the knee has an effusion, the surgeon aspirates it with a 16-gauge needle on a 60ml syringe, followed by injection of a small amount of distending fluid. 3. After a small stab incision with a #11 or #15 knife blade, the surgeon inserts the irrigation cannula and trocar into the lateral suprapatellar pouch near the superior pole of the patella.Lactated Ringer’s or normal saline solution is connected to the cannula and the joint is distended using gravity or a pressure-sensitive arthroscopy pump. 4. A stab incision is then made laterally or medially 2-3 mm above the tibial plateau or patellar tendon at the joint line. A sharp trocar and sheath are inserted through the stab wound and just through the capsule. 5. A blunt trocar is used to pass the sheath into the knee joint. The surgeon removes the trocar and inserts a 30 or 70 degree scope into the sheath. The light source and video camera are connected to the scope. 6.The inflow may remain in the suprapatellar area, and the tubing is connected to the arthroscope, or the position may be reversed. 7. A spinal needle can be introduced under direct vision to determine the best angle for an opposite portal for insertion of probes and operative instruments. The cruciates and menisci are probed to determine integrity and tears. 8. The scope is moved to the opposite portal to facilitate complete examination. 9. The joint is irrigated periodically and at the end of the procedure to maintain good visualization and clear the joint of blood and tissue fragments. 10.Necessary repairs are made using special arthroscopic instruments, drills, shavers, or implants. 11. The surgeon closes the portals with nylon or undyed polyglactin suture and ? inch wound closure strips. 12. Local of surgeon’s c hoice (usually with epinephrine 1:200,000) may be injected intraarticularly to minimize bleeding and postoperative pain. Vaginal Hysterectomy Procedural Steps: 1. A patient is placed in lithotomy position, prepped and draped. 2. A weighted speculum is placed in the vagina for exposure. 3. A uterine tenaculum is passed to grasp the cervix and two hand held retractors are placed for additional exposure. . The anterior vaginal wall is opened with a transverse incision in the vesicovaginal layer of fascia. Space between vaginal wall and cervix is opened. 5. Bladder is dissected off the cervix and lower uterine segment anteriorly. Bladder is advanced on the cervix to vesicouterine fold. 6. Posterior vaginal wall is mobilized off the cervix by extending transverse vaginal skin incision posteriorly to encircle cervix. Cul-de-sac is entered and the incision extended to the ligaments, clamped, ligated, and incised at their attachment to the cervix. 7.Uterosacral ligaments are exposed, clampe d and doubly ligated bilaterally at their attachment to the cervix. Uterine vessels are clamped, incised, and ligated. 8. Bladder is retracted upward and cervix pulled downward. Peritoneal cavity is opened and uterine body is grasped, marking suture is placed on peritoneum. 9. Peritoneal incision is extended laterally until the anterior surface of uterine body can be delivered. Ovaries and tubes are inspected to determine if they need to be removed. 10. Round, ovarian, broad ligaments and fallopian tubes are clamped and ligated.This is done bilaterally. Mobilization of the uterus continues until it is completely free. The uterus then is removed as the specimen. 11. Next the bladder flap is closed with a 2-0 absorbable suture then the peritoneum also with a running absorbable suture. 12. Excess peritoneum is dissected to a point in front of the rectum. Edges are approximated in the midline and sutured. 13. Additional sutures are placed anterior to the rectum to provide additional str ength and support of the vaginal vault. 14. Peritoneal cavity is closed with a purse string suture.

Historical Fiction Narrative

Historical Fiction Narrative My name is Elizabeth, I’m 15 and I’m moving to the West with my family. We are going there for something called the Homestead Act. The Homestead Act is when you get 160 acres of land for free for 5 years. During the 5 years, you must grow crops. But my father is going to the West for mining gold. It’s May 8th, 1861. Tomorrow my family and I leave for the West. We are going by railroad. It will be my first time going on the railroad.I’m so excited yet nervous. I heard that it’s a Transcontinental Railroad. That means that it’s a railroad that spans the continent. May 9th, 1861 Man: â€Å"So what are you on this train for? † Me: â€Å"Moving to the West. My family is getting a big house with 160 acres of land for free and my dads going to be a miner. † Man: â€Å"Oh, the Homestead Act! † Me: â€Å"Yeah. What are you here for? † Man: â€Å"Gold mining of course! I wanna strike gold and be come rich! Me: â€Å"Well, I have to go now so good luck and safe traveling. † Man: â€Å"Good luck and safe trip to you too! † 24 hours later My family and I are now in the West. The train ride was actually not that bad. But now we’re going to our house. Momma and poppa say it’s a big house. My older brother, Frank whose 19, might either stay with momma and I or go mining with poppa and my little sister, Sally whose 5, is staying with momma and I. I’m so excited that we’re here.It’s beautiful here. The fields, the land, everything! Now we’re at the house. It’s beautiful. And it’s really big and the land is beautiful. It’s like living a dream: fields of blue grass, beautiful blue skies, white puffy clouds. At night, I plan on laying outside in the fields and just watching the starts twinkle like little diamonds. I’m so happy to be here and I’m really excited to be spending the next 5 years and to start a new life in the West with my family.

Parental Communication Initiative as An Answer to Most of the Social Essay - 1

Parental Communication Initiative as An Answer to Most of the Social Issues - Essay Example Talking about such topics should not be made hard especially when parents open up the communication lines with teenage offspring. If parents can talk to these teens, maybe the 2008 statistics where18% of who commits abortion is teenagers would have been lower (Jones, et al, 5). Presently, efforts are being made and 82% of parents are already taking time talking to their children about sex and sexuality according to the Planned Parenthood website. This may be the factor which can decrease the number of teenage pregnancies over the years. Numbers will not go down instantly though there will be changes. Same goes for those teens with different forms of vices and abusive habits which can affect not just the physical aspect but also the mental and social aspects of life. Parents should be the guide to the children especially those on the teenage years where a lot of changes do happen not just physically but almost the totality of a teenager’s personality. This is not to blame parents for the mistakes of the youth, yet this may awaken parents of what can be done for the improvement of humanity. Parents should also set an example to these teens on how to properly lead their lives. Sometimes children see parents having vices. When they reach their teenage years and more independence is experienced and practiced, these teenagers may have the perception that these vices are allowed and can be done which should not be the case. Something needs to be done to break the chain and improve the lives of those teenagers who will be future leaders. Things can still be changed and parents can still make it a point to talk to teenage kids every now and then. Teenagers have the tendencies though of being hard headed.

Analyzing Global Products through the example of the H & M and Zara Essay

Analyzing Global Products through the example of the H & M and Zara industry - Essay Example This is done to avoid delays and over dependence on a particular country and less production within the system. The firm works with middlemen to offer the best to its consumers. The organization also considers the consumers using the product, and then it considers the middlemen who are the retailers and wholesalers that sell the products to consumers, and get feedback from the consumers. H&M level of product adaptation- packaging, pricing, promotion and ways of distribution Using the middlemen, the firm buys the right items from the suppliers and the right market. H & M has a creative experience in design and markets that considers fashion and textile. The company aims at working with the economical minds of its consumers. Distribution is the process of getting the organizations products to the consumers, and a channel of marketing that distributes the products around the market. The firm has a well distribution channel, and that it depends on the IT system to enable it work efficien tly in that it makes use internet strategies to improve on its production and development of garments. Lastly, the firm has a cooperate culture that works in harmony to make sure efficient sales of its products (Saminather, 2007). The firm distributes its products through direct sales that include those made to the beauty therapists, beauty pallor, supermarkets, and shops in town. Direct selling to the consumers allows the organization to be in charge of its prices, get responses from the clients, and take charge in the presentation of the products to the consumers. These direct sales make them sell their products to different consumers from different background. When the organization sells to retailers, they sell product directly to the retailers and the... The H & M industry is a Swedish industry that outsources the non core operations. The firm, a clothing industry, does not own any factory. The industry buys its products from a chain of suppliers that supply them with cloths. The Zara Company is the contradictory of H & M Company that also deals with cloths, and it is the first growing industry in Spain. The firm is owned by Spanish Inditex group. Zara has developed a unique business model and it has vertically merged the retailers; controls every step of the value chain, and it mainly outsources garments with a longer shelf/ fashion life. H&M business model focuses on outsourcing and Zara Company uses in-house model to increase its production. The business level entails the management directors, panel of directors, and business staff. The management function is to classify the delegation and goals of the business, establish what roles the company must be in charge of apportion of assets to the different enterprise areas of the company, and devise and execute strategies that extend over the businesses. The business level entails the leaders of the particularized business. Company leaders’ responsibility is to explain broad statements of intention at the business level into tangible strategies for particularized businesses. The two companies used the business level to implement their strategies that led to their success. The practical level consists of the business leaders of exact production operations. They build up practical strategies that aid the execution of the company and company -level strategic aims. They offer nearly all the new ideas that make it likely for the company and business -level wide-ranging managers to prepare strategies.

Manage the Product Essay Example | Topics and Well Written Essays - 500 words

Manage the Product - Essay Example By focusing on software and service, the company shall have differentiated her products from the aggressive competitors especially from China. Generally, Samsung accelerates product innovation, maximize her profitability, and is determined to improve design, launch, and support her products. Samsung has position as the heart, mind, and voice of their worldwide consumers by closely monitoring their behaviors. Samsung works closely with her partners and consumers to understand how the customer behavior and marketplaces evolve. The company believes that the Software will enable their consumers to utilize both their services and devices and even understand consumers’ preference, satisfaction and improve on other areas of weakness (Cheng Web). Samsung believes that by investing in software that will enable the company receive feedback from their customers; they will definitely be smarter and quicken the evolution of the products. Investing in software will improve sales of Samsung’s hardware. The company plans to develop software that will support their main hardware business thus adding value to the hardware and boosting sales (Cheng Web). Samsung already sells a good number of screens compared to any other company globally and developing support for the hardware will make the company have a very huge platform of distributing their content and services. The company believes that careful and wonderful integration of both the software and hardware will be significant in enabling them sell the best products in the market. Samsung believes that working with startups will highly create the innovation that the company normally is normally committed to achieving. The company believes in initiating startups by having open discussions with top software and Services Company that will ensure a few people working a breakthrough

Using a case example analyse a decision made by a nurse in the Essay

Using a case example analyse a decision made by a nurse in the practice setting - Essay Example Decision making in a nursing profession evaluates the ability of a nurse to identify and collect critical information in an emergency situation, analyze on them, identify appropriate decisions and more importantly, implement those decisions in such precarious situations.According to the case presented, the decision of the nurse is to respect the choice of the patient and go with the method of treatment, as chosen by the patient. (Adair 1999) This decision-making process plays an integral part in establishing the most complex of all relationships in health care – between a patient and the nurse.The health care services have improved so much that patients have become more cautious about the approach taken for their treatment. (Benner 2004) Many of the services are customized in such a way that the patient’s approval of the process taken for their treatment has become a must. So, with the growing trend, people have started to understand about the different options availabl e for a particular treatment and know about the consequences of each of the methods. (Benner 2001) These steps of improvement towards health care clearly show that decision-making has gained high priority among the patients. The changing trends have made sure that nurses are given full freedom to excise their duties and make appropriate decision. Such autonomy has also provided them with prime responsibility. Any decision that could have severe impact directly affects the growth of their career. (Department of Health Nursing and Midwifery Council 2002) It also acts as one of the means of measuring a nurse’s contribution towards improvement of health care. The clinical importance of decision-making process is directly attributed towards the improvement of patient care. Their critical thinking skills in a clinical field allow them to be actively responsive to grasping even semblance of opportunities that could help in improving care. (Chapman 1994) In this case study, the patie nt is a 26 year old female working as an assistant in a shop. The patient as got a cut in the proximal phalange on the dorsal aspect of the middle finger. The patient is extremely tentative towards the concept of needles and sutures and in every possibility is in favor of avoiding such methods to treat her. The nurse handling the case, being an experienced practitioner in nursing gave the opportunity for the patient to decide between suture and gluing. The nurse practitioner did not fail to mention about the advantages and consequences of choosing each method. Given the stress that the patient incurs about suture and needles, the patient’s choice for gluing method to treat her was respected and followed. The first priority of the nurse practitioner while deciding on the method of treatment was to respect the choice of the patient. Since the patient was given the details of both the procedures and after having decided that the nature of the wound to be a minor one, the patient was given the responsibility of self-management. Secondly, the guidelines of the gluing procedure were easily satisfied by the wound’s state and hence, the nurse had an easy approach while deciding on the treatment. (Tschudin 1994) Several systems like the Clinical Decision Support Systems are used to support practitioners while making decisions. (DOH 2007) Such systems are categorized as knowledge based and non-knowledge based. These systems work on the basis of the information collected and also on the past history of the patient to guide the practitioners to take a final decision. Ultimately, these systems only help in guiding the practitioners to make a decision and they do not finalize any decision. (DOH 2009) The theories of rational approach towards clinical decision-making suggest that, decisions should be made on a long term basis, taking in details of the numerical data, the probabilities of different decisions and others facts. These systems help in collecting tho se empirical data and allow for making a decision that is well thought

RESEARCH Methods - Spain Essay Example | Topics and Well Written Essays - 1500 words - 1

RESEARCH Methods - Spain - Essay Example The supply channels acts on the basis that the crude oil serves as basic input required for production; consequently, increase in the prices will trigger increase in production costs thereby causing companies to have decreased output. The impact can also be viewed from demand-side whereby it affects both investment and consumption. The longer the shock is viewed to last, the stronger the magnitude of its impact on the nations. Apart from the effect on supply and demand, oil price shock also impact foreign exchange and inflation. This is experienced on the in terms of indirect effect on real economic activity. Considering the above case, this paper makes use of both empirics and theory to determine the impact of the oil-price shock on an open-economy, while considering that the price can be perceived via multiple channels. The paper makes use of three cases for the study, United States, United Kingdom and Spain. The three matches the key features of the expected data most suitably. Spain is considered for this case because it is a net importing country hence can help determining the resultant effect of oil price shock. From this, the resultant model is used to explore the significance of oil price changes on GDP, Inflation and Trend Growth. However, our findings significantly differ from the already established literature. Most importantly, the research finding indicates that observed increase in oil prices affects the macro-economy through the supply side. This is in contrast to Hamiltons’ study of 1988, which pinpointed the demand side (Hamilton & Muns, 1988, 67). In which case, our study purports that increase in oil prices affect similarly on the negative given that higher oil prices will result to decrease in output of a firm on the basis of value-added evident in capital or labor. Additionally, the study indicates that higher

CSR and corporate ethics Essay Example | Topics and Well Written Essays - 1500 words

CSR and corporate ethics - Essay Example Considering from a general standpoint, it can be affirmed that an organisation cannot flourish until and unless the environments in which it is operating are healthy. Similarly, maintaining ethics in workplace is equally important. Ethics guides an organisation to maintain moral, ecological and social consciousness within a specific organisation (Gangone & et. al., 2010). Definition of Main Terms Corporate Social Responsibility (CSR) In this competitive market, the main responsibility of the businesses has been to make money and boost shareholders’ value. In precise, corporate finance responsibility has been noted to be one of the prime objectives of businesses. However, in the previous few decades, wider corporate responsibility for the environment, local communities, working conditions and ethical practises has gained momentum. This particular notion can be related with the notion of Corporate Social Responsibility (CSR) (Rionda, 2002). ... al., 2002). Corporate Ethics In this present day context, the market economy is driven by consumer preference and consumer capacity. However, during the preceding four decades, there has been an escalating requirement for acquiring information on social along with environmental impact of corporate policy and appraisal effects. Ethics is not a new term for the corporates. As a matter of fact, corporate possesses certain rules, standards and norms for conducting business. However, these practices can be changed from one country to other having social along with cultural basis. Thus, when corporate apply these standards or norms as a part of practice or responsibility, then it is often termed as ‘ethical code of conducting business’ or corporate ethics. In general, corporate ethics is regarded as the proper study of business policies along with practices relating to certain significant aspects that include unfairness, trading, CSR and corporate governance among others (Crow ther & et. al., 2008; Berenbeim, 1987). It has been apparently observed that corporate ethics and CSR are interrelated with each other and thus require to be understood in detail. However, it is often viewed that both these terms have different meanings. The former concerns the impact of the entire business activities on the environment and the latter is related to an individual or work group consideration that society judges as right or wrong. Critical Arguments Role of CSR in Travel and Tourism Industry In today’s frequent changing business environment, the industry of travel and tourism is facing quite competitive situation in the global market. In order to determine the role of CSR in this particular industry, it can

Comtemporary Humanity Essay Example | Topics and Well Written Essays - 250 words

Comtemporary Humanity - Essay Example What is the connection he is making here? What commodity is he talking about? The connection that the author is making here is that the theatrical existence and experiences are the basis of market economies in the current society. These acting in the theater not only provide political and social direction for human beings, but also determine the economy of the society, as well as interaction of humans with goods and services. The commodity that the author is talking about is art. How does the sense that life entails performing as an actor in a market of commodities result in what Agnew calls â€Å"the crisis of representation? The crisis of representation comes about due to acting that attempts to bring out the cultural, political, and social dimensions of modernity. For instance, during the times of recession, creativity, performance, and acting are of great importance in representing marketization. Being a human being in the 20th/21st century means that the identity is shaped by the theatrical representations as brought out by acting. This is because acting provides the basis for social, cultural, and political directions in the society. This is important in understanding the connection between theater with its imagery of human beings, and its influence on the market