Wednesday, October 30, 2019

Aviation Essay Example | Topics and Well Written Essays - 750 words

Aviation - Essay Example These constraints constitute environmental, technological, political and legal concerns. Airlines in different countries of the world are owned by both private and public owners and the pricing policy takes into consideration all the prominent players of the aviation industry, such as airports, ground transports, the customers, and freight forwarders. Apart from that, they consistently endeavour to maximise their profits and minimise costs paid to airport authorities (Adler et, el., n.d.,). Obviously this objective is achieved through the means of proper pricing policy. The current practices of airline pricing include the cost-based pricing method that takes into account all the costs encountered during the operation such as landing charges, passenger diverging charges, air tariffs, cargo charges, loading and unloading charges, security expenditures, engine charges and other charges applicable to specific situations. For instance, some airlines charge higher for night air travels while some charge noise charges in order to fund the suspension schemes concerning noise created by aircraft on the airport (Adler et, el., n.d.,). Some airlines also go for peak-period pricing, which refers to pricing at a higher rate for some specific business seasons while lower for the others. Although these methods are widely in practice within most of the airlines, yet few airlines charge different prices at different levels of services, seasons, markets etc. -2- Relation of Pricing Practices with Costs, Investment Decision and Aircraft Capacity Pricing practices prevailing among the airlines are closely knitted with the various costs, investment decision and aircraft capacity. In fact, pricing decisions are taken while considering all of these factors, as price can seriously affect them. An efficient pricing practice can lead an airline to alleviate costs, maximize revenues and operate efficiently with maximum utilization of aircraft capacity. Airlines base their pricing policy most prominently on costs, which are mainly the charges imposed on the airlines by the airport authorities plus other technological, aircraft maintenance and security expenditures. Airline pricing evidently reflects the exacerbation and alleviation of various costs encountered during the flight operations. As the costs rise, prices too go up and vice versa. Therefore, the major concern of airlines while devising an efficacious pricing policy remains to minimise the charges, fees and tariffs paid to airport for the purpose of maximising its revenues. Airline pricing practices can further be related to the investment decisions. Airlines do base their investment decisions on pricing through cost estimation in a way as discussed by Banker and Johnston (1993). They say that airlines base their investment decisions after estimating their costs drivers. Pricing is determined with the objective to minimise costs and enhance revenues. The revenues are in turn considered to further enhance their investment into innovative technology to get competitive edge over the other airlines in the industry. These investment decisions can only be made once all the costs likely to be encountered in the year is estimated well by airline. Therefore pricing leads to the estimation of various costs, which in turn takes an airline to devise its investment decisio

Monday, October 28, 2019

Amoled Technology Essay Example for Free

Amoled Technology Essay Since 2001, funded by national and european programs, the Institute is developing new research lines focused on molecular magnets, molecular opto-electronic devices, molecular machines and supraand supermolecular structures with long lived electron transfer processes. The IcMol has employed more than 100 scientific researchers and is based at the Valencia University Campus. The Institute presents the most advanced systems for the preparation and characterization of organic light emitting diodes, organic solar cells and other molecule based opto-electronic devices. Main tasks in the project are the following: †¢ Preparation of p and n type solution processable charge injection layers †¢ Wet processing of optically or electronically active small molecules †¢ Hybrid and standard device preparation and characterization www. uv. es www. icmol. es Appendix 5:CombOLED Project, Partners Leti Leti is a CEA laboratory located in Grenoble which is one of the main European applied research centres in electronics. More than 85% of its activity is devoted to research that is conducted with outside partners. We are a partner to the industrial world, with 200 collaborators and 350 contracts a year. Leti has led to the creation of almost 30 start-ups in high-technology, including Soitec, the world leader in Silicon-On-Insulator (SOI). We files some 180 patents a year and manage a portfolio of 1,000 inventions protected by patents. Our main areas of activity are as follows: †¢Micro-and nano-technologies for microelectronics, †¢ Technologies, design and integration of microsystems, †¢ Imaging technologies, †¢ Micro- and nano-technologies for biology and health, †¢ Communication technologies and nomad objects. Leti is endowed with an annual budget of 174 Mâ‚ ¬ and employs 1,000 people with, in addition, more than 500 external collaborators (postgraduates, research partners and industrialists). We have 11,000m? of clean rooms, an equipment portfolio worth 200 Mâ‚ ¬ and we invest more than 40 Mâ‚ ¬ a year on new equipment. Leti is one of the main forces behind Minatec ®, Europe’s premier Centre of Excellence in Microand Nano-technologies. In the future Minatec ® is destined to bring together more than 4,000 researchers, industrialists and teaching staff in Grenoble. www-leti. cea. fr Appendix 5:CombOLED Project, Partners PPML PPML is one of the first European companies that are investing in OLED applications. PPML was born in 2005 with the aim to become the excellence in manufacturing OLED based solutions. Having collected a wide database of feasible applications, PPML is currently working in the deployment of some prototypes and general demonstrator in partnership with OSRAM-OS and with the aim to launch the first solutions in parallel with OLED introduction into the lighting market. PPML will contribute to CombOLED project leading the dissemination activities in order to accelerate OLED penetration to the final users. For this reason, PPML will lead a wide dissemination campaign through known channels like the organization of a specific Design Contest and special Workshops with the major European Design School. www. ppml. it Appendix 5:CombOLED Project, Partners Schreiner Group Innovation, Quality, Performance and Enthusiasm are the values of Schreiner Group based in Oberschleissheim near Munich. The family-owned business develops, designs and produces high-tech products. As certified system suppliers and development partners, seven specialized divisions offer a comprehensive range of innovative products and customized solutions. Schreiner ProTech delivers individual solutions for self-adhesive markings and functional components for engineering industries. Schreiner MediPharm focuses on self-adhesive products for medical technology and pharmaceuticals. Schreiner ProSecure offers a wide range of counterfeit-proof solutions for authenticity and value protection. Schreiner LogiData specializes in data carriers, transponders and complete systems based on RFID technology. Schreiner VarioLight develops and produces printed electronics, in particular high-grade electroluminescent lamps with electronic power supply and control components. Schreiner Systems offers complete solutions from consulting support and development of specifications, to delivery and installation of hard- and software, all the way to after-sales service. Schreiner Labels designs and produces labels for product marking and advertising. Schreiner Groups experience in printing electronic devices stems from various products including antennas, capacitive sensors and electroluminescent lamps.

Saturday, October 26, 2019

1787: The Grand Convension by Clinton Rossiter :: essays research papers

The book I reviewed was 1787: The Grand Convention by Clinton Rossiter. In it he Breaks down before during and after the convention into four parts: The Setting, The Men, The Event, and The Consequences. In the Beginning Mr. Rossiter sets up for us a country that was going trough sever growing pains was without some serious help would not become the world power that it is today. The congressional form of common government that was formed during the Articles of Confederation, though not a failure, where not a success either. In order to finish what had begun with the revolution the great minds and characters of that time must band together and set aside the many differences they had in order to become one powerful government instead of a band of bickering siblings. Although Mr. Rossiter states that they did not come to Philadelphia because they all agreed they wanted to form a new structure for they government, they did feel that something had to be done or else the country that they fought so hard for to become free, would fail. Set up for the readers also were the wonderful and easy to understand breakup of all the men who were going to the convention. All of which were well-to-do men with businesses, prior political experience, and degrees from various University’s from all over the New World. As going over the names and descriptions of the Framers of the Constitution we are forced to agree with the author and others as well who say this group is the crà ¨me de la crà ¨me of the political business and military world like Washington, Hamilton, Madison, and Franklin. I must also admit though that those names were the only ones I had heard and recognized. What this book is good for it to fill in many of the spots that were missing in High School and Elementary school classes. The people who are only given 1 paragraph or a few sentences in to describe their personalities come to life in this book. For which we all must applaud Mr. Rossiter for being able to piece this pivotal moment in our history so well from notes and letters taken from the great men of this era. By far the most important part of this book was the description of the event itself that went on for many months from May 14th to September 17th.

Thursday, October 24, 2019

Physical Development Essay

Primary school children, aged six to twelve years old, will undergo a variety of developmental changes, both physical and mental, and as teachers it is imperative that we both understand and accommodate the physical needs of students in the learning environment. To fully comprehend these changes, one must consider the actual physical changes that occur, in particular the development of motor skills, as well as how to accommodate the physical needs and development of students during their primary school years. Supplementary to these broader topics are the benefits of physical activity as well as the consequences of prolonged inactivity, and how a student’s physical development can either facilitate or restrict development in other areas. Children between the ages of 6 and 10 (referred to as ‘middle childhood’) will experience a plethora of physical developments. Firstly, they will steadily gain weight and height, though their basic body structure will remain unchanged. Children will also lose their 20 primary or ‘baby’ teeth, which will be replaced by permanent teeth. Some of the most significant skills children of this age will develop are motor skills. Motor skills refer to a learned sequence of movements that combine to create an efficient action in order to become proficient at a certain activity. These can be divided into two subcategories: ‘gross motor skills’ and ‘fine motor skills’. Gross motor skills are â€Å"large movements of the body that permit locomotion through and within the environment† (McDevitt & Ormrod, 2010) and includes such skills as walking and swimming, while fine motor skills are â€Å"Small, precise movements of particular parts of the body, especially the hands† (McDevitt & Ormrod, 2010), and include such skills as writing and drawing. In early childhood, humans rely largely on reflexive (that is, unlearned and involuntary) movement patterns, and thus are lacking fine motor skills. As they reach middle childhood, children develop voluntary movement patterns, and begin refining both their gross and fine motor skills, gaining proficiency in a variety of actions. Children increase the speed and coordination of their running, kicking and throwing, and become able to integrate these movements into sports and other structured play activities. They also make advances in their handwriting, becoming smaller and more consistent, and their drawings, supported by further cognitive development, become more detailed. Finally, the functions of the brain are enhanced in a number of ways. The two hemispheres of the brain develop into more unique sectors, and groups of regularly used neurons are cultivated. The process of myelination, ‘the growth of a fatty sheath around neurons that allows them to transmit messages more quickly’ (McDevitt & Ormrod, 2010), continues, permitting swift and sustained learning. In order to accommodate and encourage student’s physical needs and developments, teachers should first and foremost always ensure that the learning area is safe. The classroom should constantly be checked for hazards, such as sharp edges on desks, loose flooring, or potentially dangerous substances, and teachers should ensure that â€Å"Rooms, bathrooms, and hallways are cleaned daily† (Wilford, 2006). Children should also be educated on how to recognise situations or objects that could harm them, and how to deal with them effectively. As young children are especially vulnerable to illness, it is particularly important to do everything possible to prevent it, by keeping the area clean and sanitizing surfaces, and teaching children sanitary practices, such as washing their hands after toileting. This is a vital area of education; should a child suffer from a serious illness for a long period of time, their physical development may be permanently mired, having serious consequences on their entire lives. It is also important that students have access to healthy and nutritious food at school, and learn about sound eating habits. Certain foods or lack thereof, have varying effects on students’ physical development, and should children be malnourished for an extended period of time, their development may be permanently stunted. A child who is malnourished is â€Å"more prone to infections† (Brewster and White, 2002) which â€Å"further impair (their) nutritional state by depressing (their) appetite and increasing the demand on his reserves of protein and energy† (Brewster and White, 2002), leading to further diminished rates of physical development. For these reasons, it is imperative that primary school students’ learning environment be kept as safe and healthy as possible, through the teacher’s ensuring that the classroom is hazard free and sanitized, and that the children have access to nutritious and healthy food, as well as educating the children so that they may implement such skills themselves. By doing this, educators can accommodate the physical needs and developments of their children, and maximise the effectiveness of their schooling, both physical and academic. During primary school, students are â€Å"at an optimal age in terms of motor skill learning† (Anshel, 1990), and thus motor skills develop rapidly, allowing them to perform skilled tasks. In order to help students develop these motor skills, it is important for teachers to incorporate physical activity into their curriculum. This assists in the development of both fine and gross motor skills. Firstly, they should provide frequent opportunities for students to participate in physical activity throughout the day; these activities would ideally allow the participation of children, regardless of their respective skill levels. For example, when guiding children through skipping rope, the teacher could at first have them use a long rope and simply step over the rope; children who find this easy could then try actual skipping. Should this prove relatively easy, they could skip at a faster pace, and children who showed proficiency at this higher level could try crossing the rope over while skipping. Educators can also integrate physical activity into academic lessons, which will not only shorten the length of time between physical activities, but also keep the students more engaged in the lesson. Conversely, it is also important to give students adequate time to rest. If they spend too much time exercising and overexert themselves, this will only lead to decreased concentration during the rest of their lessons, causing their performance to suffer. Additionally, children progressing through middle childhood still have relatively soft bones, so additional caution should be taken if they perform any high impact exercises, such as lifting heavy weights. To reiterate, young students’ physical development can be accommodated through the utilisation of physical activity at school, however this must be done in moderation, otherwise it may be detrimental to the child’s education and general wellbeing. Finally, educators should be aware of how a child’s physical development can assist with or hinder their development in other areas. For example, a child who has developed at a faster rate than their peers will likely be more proficient at sports, and the strengthened neuron pathways will increase the rate at which they learn and become proficient at academic subjects. The self-confidence this gives them may then be expressed through the child’s interest and application in school, which in turn will make their entire learning experience both easier and more pleasurable. Increased participation in both sport and academic activities will in turn make meeting and befriending other students easier, allowing the student to expand socially, again giving them a more positive outlook on school and further increasing their focus and determination to succeed physically and academically. On the other hand, students who have not physically developed as quickly as others in their year group may not perform as well in either academic or physical activities, and subsequently suffer from ‘learned helplessness’, a situation in which a child’s experience leads them to believe they will always fail, and thus they do not try, acting â€Å"as though they (are) helpless to do better† (U. S. Dep Education, 1992). This lack of confidence and learned helplessness can cause students to become â€Å"listless and inattentive and sometimes disruptive† (U. S. Dep Education, 1992), and â€Å"may be prevent (students) from fulfilling (their) potential† (Seligman, 1990). This is why it is essential to implement scaffolding into the learning environment, to support less physically developed students and assist them in succeeding, building their confidence. Therefore, it is important that teachers carefully monitor the progress of students individually, and provide support and encouragement appropriate to their developmental stage to facilitate the learning experience for them. Children completing their primary education will experience many new things; socially, mentally and physically. It is the role of teachers to make this experience as beneficial as possible, and a key element of doing so is the understanding of the physical developments they undergo during this time. To fully appreciate these developments, educators should consider the benefit of physical activity, as well as the consequences of prolonged inactivity, how a student’s physical development can assist with or hinder their development in other areas, motor development in children and how this is influenced, and finally how to accommodate and support the developments and needs of their students.

Wednesday, October 23, 2019

English Conjunctions

Conjunctions A conjunction is a word which joins two sentences to complete their meaning. There are two kinds of conjunctions: 1. Co-ordinating Conjunctions: When the conjunction is used to join two statements of equal importance, the conjunction is said to be a co-ordinating conjunction. Examples : and, but, or, not, for, either, neither 2. Subordinating Conjunctions: When the conjunction joins two statements, one of which depends on the other for its full meaning, the conjunction is said to be a subordinating conjunction.Examples : before, after, since, because, if, though, which, who A conjunction is a joiner, a word that connects (conjoins) parts of a sentence. There seem to be three basic types of conjunctions. They are:  coordinating conjunctions  used to connect two independent clauses,  subordinating conjunctions  used to establish the relationship between the dependent clause and the rest of the sentence, and  correlative conjunctions  which always travel in pair s, joining various sentence elements that should be treated as grammatically equal. COORDINATING CONJUNCTIONSCoordinating conjunctions may join single words, or they may join groups of words, but they must always join similar elements: e. g. subject+subject, verb phrase+verb phrase, sentence+sentence. The seven coordinating conjunctions in English are: FOR – is to introduce the reason for the preceding clause AND – joins two similar ideas together NOR – The conjunction nor is not extinct, but it is not used nearly as often as the other conjunctions. Its most common use is as the little brother in the correlative pair, neither-nor BUT – joins two contrasting ideas togetherOR – joins two alternative ideas YET – is very similar to ‘but' as it also joins two contrasting ideas together SO – shows that the second idea is the result of the first An easy way to remember these six conjunctions is to think of the word FANBOYS. Each of the letters in this somewhat unlikely word is the first letter of one of the coordinating conjunctions. Among the coordinating conjunctions, the most common, of course, are AND, BUT and OR. SUBORDINATING CONJUNCTIONS A subordinating conjunction is a word which joins together a dependent clause and an independent clause.There are numerous subordinating conjunctions. The more commonly used ones are listed below. For a more comprehensive list see  http://webster. commnet. edu/grammar/conjunctions. htm#nor BECAUSE, AS, SINCE – are used to introduce the cause in a cause effect relationship between two ideas SO – introduces an effect in a cause effect relationship between two ideas ALTHOUGH, (even) THOUGH, WHEREAS, WHILE – are used to express contrast between ideas AFTER – is used to show timeAlthough documentation of the developmental order of the remaining subordinate conjunctions is missing, the best guess scenario would be: BECAUSE and SINCE, as they also in troduce the cause in a cause-effect relationship SO would likely seem to follow as it introduces the effect in a cause-effect relationship ALTHOUGH, (even) THOUGH, WHEREAS, WHILE may follow next as they express the contrast between ideas AFTER which expresses time concepts COrrelative CONJUNCTIONS Some conjunctions combine with other words to form what are called correlative conjunctions.They always travel in pairs, joining various sentence elements that should be treated as grammatically equal. Here is a brief list of common correlative conjunctions. both . . . andnot only . . . but alsonot . . . buteither . . . orneither . . . norwhether . . . oras . . . as| Types of Conjunctions A conjunction is a word that links words, phrases, or clauses. There are three types of conjunctions:  coordinating conjunctions, correlative conjunctions, and  subordinating conjunctions.Coordinating Conjunctions  may join single words, or they may join groups of words, but they must always join si milar elements such as subject+subject, verb phrase+verb phrase, or sentence+sentence. When a coordinating conjunction is used to join elements, the element becomes a compound element. Examples:  and, but, or, yet, for, nor, so Correlative Conjunctions  also connect sentence elements of the same kind, however, unlike coordinating conjunctions, correlative conjunctions are always used in pairs. Examples: both – and not only – but also not – but ither – or neither – nor whether – or as – as Subordinating Conjunctions: These are the largest class of conjunctions. They connect subordinate clauses to a main clause. They are adverbs used as conjunctions. Examples: Time: after, before, since, when, while, until Reason: because, since, so that, why Place: where, wherever Condition: if, unless, until, in case Manner: as if, as though, how When we write, we use conjunctions to â€Å"connect words, phrases, and clauses, showing the relation ship between and among them,†Ã‚   as Scharton   and Neuleib describe (2001, p. 96). There are four types of conjunctions that writers can use. Let's review each type as a way to reflect on the different kinds of relationships that conjunctions can be used to reveal. Coordinating Conjunctions Coordinating conjunctions should used  when the elements have an equal relationship. Examples of coordinating conjunctions include  for, and, nor, but, or, yet,  and  so. Ex. Hall does not deny that the early colonists were overwhelmingly Christian,  but  he does recognize that not everyone practiced his or her eligion with the same zeal and fervor that is generally assumed in Puritan communities. Note that with this type of conjunction, you are connecting two sentences (making a compound sentence). In order to prevent this compound sentence from being a run-on sentence, a comma must precede the coordinating conjunction. Correlative Conjunctions Correlative conjunctions are u sed in pairs and also connect equal elements. Examples of correlative conjunctions include  either†¦or, whether†¦or, not only†¦but also, both†¦and,  andneither†¦nor. Ex.It is another interesting phenomenon of history that any conflict within post-World War II Germany,  whether  between the two Germanys  or  between two sets of Germans, often resulted in one side’s claiming that the other used had fascist tactics. Subordinating Conjunctions Subordinating conjunctions  are used to show the relationship of the subordinate clause (a group of related words that contains a subject and predicate but cannot stand alone) to the rest of the sentence. Examples of subordinating conjunctions include  while, after, until, when, where, before, if, that, unless, because, although, though,  and  whether.Ex. Sherry walked to school this morning because her car battery was dead. Conjunctive Adverbs While they are not true conjunctions, conjunctive ad verbs often function as conjunctions. They don't show relationships  within  a sentence, but rather show the relationship between two independent clauses (a complete sentence, or a group of related words that contain a subject, a predicate, and can stand alone). Examples of conjunctive adverbs include  also, consequently, furthermore, however, indeed, instead, meanwhile, moreover, nonetheless, similarly, therefore, thus, besides, next, specifically,  and  subsequently.Ex. A first glance at his bibliography gives the appearance that the work may rely somewhat heavily on secondary source material;  however, a number of primary sources are also used, and it should be noted that the publication dates of the secondary source material range throughout the span of the study. Note that two complete sentences are connected. Therefore, a semicolon is needed. The semicolon shows that the two sentences are closely related and that the writer wants the two sentences to stay linked in the writer’s mind, while showing where one sentence ends and the next one begins.Notice also that a comma follows the conjunctive adverb. Test Your Knowledge| | Check your understanding by correcting the following sentences. Hint: Use the structure of the sentence as a guide to the relationship. Choose a conjunction or conjunctive adverb accordingly. 1. ___________ most of the work is a quantitative study proving the educational lag of Mexican American children, Carter’s work also pays significant attention to educational history. 2.Changes in party emphasis allowed for increasing segments of workers to join; however, dissent with Stalin’s policies was less tolerated; ___________ , many of these policies, particularly those of Stalin, were ambiguous due to the secretiveness and suspicion within the inner ranks. 3. At this time the existence of the relationship between science and religion produced a group of thinkers called Deists who believed that no knowledge could be held of a creator except his existence as necessary for natural law, _________ as in any group of theological thinkers, there were differences in perspectives on what this meant. . One provision allowed for the sale of public lands belonging to the perpetual school fund, the proceeds of which would _________ go directly to the public school fund ________ be distributed among the counties. Answers: 1. While  most of the work is a quantitative study proving the educational lag of Mexican American children, Carter’s work also pays significant attention to educational history. The first part of this sentence is subordinate to the second part. Therefore, a subordinating conjunction would be used.Others that could work in this context would be  though  and  although. 2. Changes in party emphasis allowed for increasing segments of workers to join; however, dissent with Stalin’s policies was less tolerated;  furthermore, many of these policies, particularly those of Stalin, were ambiguous due to the secretiveness and suspicion within the inner ranks. Here the second sentence serves as an addition to another sentence, so a conjunctive adverb is needed. Because it is an addition,  further  and  furthermore  are the best options. . At this time the existence of the relationship between science and religion produced a group of thinkers called Deists who believed that no knowledge could be held of a creator except his existence as necessary for natural law,  but  like any group of theological thinkers, there were differences in perspectives on what this meant. This sentence calls for a coordinating conjunction. Either of these sentences could work independent of each other. The word  but  works best here because it shows contrast. 4.One provision allowed for the sale of public lands belonging to the perpetual school fund, the proceeds of which would  either  go directly to the public school fund  or  be distributed among the counties. Here the two blanks should have been the clue that a correlative conjunctions was required. They are the only ones used in pairs. | | What are conjunctions? Sure, they're joining words, but they're much more than that. Conjunctions are the words that decide the importance of the various other words in the sentence. Coordinating conjunctions, subordinating conjunctions, and correlative conjunctions each have their own purpose. * DefinitionConjunctions are words that link other words, phrases, or clauses. There are three types of conjunctions: coordinating conjunctions, subordinating conjunctions, and correlative conjunctions. * Coordinating Conjunctions Coordinating conjunctions connect two words or groups of words with similar values. In other words, coordinating conjunctions may connect two words, two phrases, two independent clauses, or two dependent clauses. For example, in each of the following sentences, the coordinating conjunction â€Å"and† connect s equal words or groups of words: Connects two words:  John and Reggie stayed up all night practicing their guitars.Connects two phrases:  The squirrel scurried up the tree trunk and onto a low branch. Connects two clauses:  Several managers sat with their backs to us, and I could almost hear them snickering at us lowly workers. Connect with Classrooms www. ePals. com/Join Easily Connect with classrooms all over the world, Join ePals today! Ads by Google There are only seven coordinating conjunctions in the English language, and they are often remembered by using the acronym â€Å"FANBOYS†: for, and, nor, but, or, yet, and so. * Subordinating Conjunctions Subordinating conjunctions connect two groups of words by making one into a subordinating clause.The subordinating clause acts as one huge adverb, answering the questions â€Å"when† or â€Å"why† about the main clause, or imposing conditions or opposition on it. Here are some examples of subordinating co njunctions changing a clause into adverbial subordinating clauses in different ways: * I can go shopping after I finish studying for my exam. (when) * Because the night was young, Gertrude decided to take a walk. (why) * I’ll give you a dime if you give me a dollar. (condition) * Although he never figured out why, Hanna winked on her way out the door. (opposition) Note: The subordinating conjunction does not lways come between the two clauses it connects. Often, it comes at the beginning of the first clause. * Correlative Conjunctions Correlative conjunctions are always used in pairs. They are similar to coordinating conjunctions because they join sentence elements that are similar in importance. The following are some examples of coordinating conjunctions: Both, and:  Both Rodney and Xing made the varsity team this year. Neither, nor:  Neither Rodney nor Xing made the varsity team this year. Not only, but also:  Not only did Rodney make the varsity team, but he also be come one of the strongest players.Remember these three types of conjunctions – coordinate conjunctions, subordinate conjunctions, and correlative conjunctions – and you've got one part of speech down pat. A  conjunction  connects two or more  sentences,  clauses, or parts of clauses. Some of the most common conjunctions in English are  and,because,  but,  for,  nor,  so,  until,  when, and  yet. The two main types of conjunctions are coordinating conjunctions and subordinating conjunctions. There are also correlative conjunctions, copulative conjunctions, adversative conjunctions, disjunctive conjunctions, and final conjunctions. ————————————————-Coordinating conjunctions A  coordinating conjunction  is a  conjunction  that links two words,  phrases,  clauses, or  sentences  that are grammatically equivalent. The six wo rds most commonly used as coordinating conjunctions can be remembered with the mnemonic device FANBOYS—for,  and,  nor,  but,  or,  yet,  so. Let’s look at a few examples: We have a porcupine  and  a kangaroo. [And  links two listed elements that are grammatically equivalent. ] You see  yet  do not hear. [Yet  links two grammatically equivalent actions (see  anddo not hear) performed by  you. ] We bathed the dog,  but  we couldn’t get him clean. But  links two independent clauses. ] Coordinating correlative conjunctions Some correlative conjunctions (see below for full definition) can function as joint coordinating conjunctions. For example,  neither  and  nor  in this sentence introduce grammatically equal elements, so they work together as coordinating conjunctions: Neither Joe nor John has any idea what he’s talking about. Coordinating conjunctions and commas For coordinating conjunctions,  comma  use depen ds on the nature of the linked elements. If a coordinating conjunction joins two  independent clauses, it usually should be preceded by a comma (e. g. We bathed the dog, but we couldn’t get him clean). If a coordinating conjunction links two listed elements, it doesn’t need a comma (e. g. ,  We have a porcupine  and  a kangaroo). ————————————————- Subordinating conjunctions A  subordinating conjunction  is a  conjunction  that links a  dependent clause  (also known as a subordinate clause) to an  independent clause—for example: The city recommends everyone stay inside because the winds could be dangerous. In this  sentence,  because  links a dependent clause (because the winds could be dangerous) to the main clause (The city recommends everyone stay inside).We know this  is subordinating because  because the winds could be dangerous  could not normally stand alone as a sentence. Here are some of the most common subordinating conjunctions: after albeit although as because before except if once since| that though unless until when whenever where whether while| Some phrases also function as subordinating conjunctions. Here are some of the most common ones: as if as far as as long as as well as even if even though| that inasmuch as in order to in order that so that such that| ————————————————- Other types Adversative conjunctionsAdversative conjunctions  (sometimes known as contrasting conjunctions) are  coordinating conjunctions  used to express comparisons or contrasts. The element introduced by the adversative conjunction usually qualifies or expresses a caveat with regard to the main  clause  of the  sentence. The most common adversative clauses are  but  and  yet, but   still,  however,  albeit,  although, and others are also sometimes adversative. Let’s look at a few examples of adversative conjunctions: He’s a shy  but  loving little boy. [Naples News] Here, the  phrase  but loving  creates a contrast to what is expected from the  adjective  shy.It is a living part of my spiritual life,  yet  I don’t know if one would call me a religious artist. [Houston Chronicle] In this sentence, the  independent clause  introduced by  yet  adds information to qualify what was expressed in the main clause. This technology,  although  not a foolproof way to monitor abusers, might give victims advance warning that danger is approaching. [Hartford Courant] And in this sentence, the  conjunction  although  introduces information in contrast to the main clause. Correlative conjunctions Correlative conjunctions  are two or more  conjunctions  used to link structurally identical parts of a  se ntence.Here are the most common pairs of correlative conjunctions: either–or| both–and| neither–nor| not only–but also| if–then| whether–or| Elements linked by correlative conjunctions must have parallel grammatical construction. For example, this is technically incorrect (the conjunctions are underlined): You’re  either  going to love his work  or  hate it. [Thousand Oaks Acorn] For such a construction to be correct, what follows  either  and what follows  or  must be syntactically equivalent. A diagram of this example sentence would look like, [Subject]  either  [auxiliary verb phrase] [verb] [object]  or  [verb] [object]. †?The segment following  either  has an element (the auxiliary verb phrase  going to) that the segment following  or  doesn’t have, so the two segments are not parallel. There are two possibilities for correcting this sentence: You’re going to  either  love his work  or  hate it. Either  you’re going to love his work,  or  you’re going to hate it. With sentences this short, correlative conjunctions are usually easy to use correctly. But using more complicated constructions involving correlatives such as  not only–but also  and  if  Ã¢â‚¬â€œthencan be tricker. Here’s another technically flawed use of correlative conjunctions: TTL Inc. s a socially responsible company that is  not only  known for innovations in engineering  but also  for its widespread support of education. [UA News] Here, the verb  known  should precede  not only, as the phrase following  but also  has no parallel verb. From the same article, here’s an example of correct correlative conjunction use: TTL’s passion for advanced education is seen  not only  in the hours dedicated to volunteering and guest lecturing,  but also  through endowed scholarships for prospective engineers at The University of Alabama. Commas and correlative conjunctions . Use no  comma  when the parallel segments are in the same  clause—for example: It was either really stupid or really brave. Our diversity is not only a challenge but also a gift. b. Use a comma when the two parallel phrases are in separate clauses—for example: If there’s a truly monumental disaster, then appoint the two last presidents to lend a hand. [WSJ] c. But even when two correlative conjunctions are in the same clause, it’s often acceptable to insert a comma before the second conjunction either to create a natural-sounding pause, or to prevent confusion.Copulative conjunctions Copulative conjunctions  (also known as additive conjunctions) are  coordinating conjunctions  used to denote addition. The  conjunction  indicates that the second word,  phrase,  clause, or  sentence  contains an additional fact that is related to the earlier word, phrase, clause, or senten ce. Some of the most common copulative conjunctions are  and,  also,  as well as,  moreover,  no less,  and  plus. Some copulative conjunctions may be used to start sentences—for example: My kangaroo can sing. And  she’s not too bad. Moreover, she won a Grammy last year.Plus, she’s a pretty good dancer. In the last two sentences,  moreover  and  plus  come close to becoming  adverbs  modifying the main  verbs  of their sentences (won  and the contracted  is). Such adverbial copulative conjunctions should be set off by  commas. And  does not need to be set apart. And  is the only copulative conjunction that can be used to introduce a second  independent clause  within a sentence—for example: We ate lunch, and we took a nap. Using any other copulative conjunction in place of  and  would turn this into a  run-on sentence. Disjunctive conjunctionsDisjunctive conjunctions  are  conjunctions  used to sep arate two or more mutually exclusive options presented in a  sentence. When a disjunctive conjunction is used, it usually indicates either that only one of the elements joined by the conjunctions is true, or that none of the elements are true. The conjunctions most commonly used disjunctively are  but,  either,  else,  neither, nor,  or, other, and  otherwise. Some disjunctive conjunctions are  coordinating conjunctions—for example, the  either  and the  or  in this  sentence: Poetry is usually either cheap or free.Here,  either  and  or  indicate that poetry is usually one or the other (cheap or free) but not both. Disjunctive pronouns separate these options. Other disjunctive conjunctions don’t need to be coordinated. For example, the  or  in this sentence functions on its own: I might use papier-ma? che, or I might use some kind of wood. The  or  separates two options, only one of which can be true. And in this sentence, the   neither  and the  nor  are used to indicate that neither option is true: Neither he nor his lawyer could be reached for comment. Final conjunctionsFinal conjunctions  (also known as illative conjunctions) are  coordinating conjunctions  used to introduce  clauses  or  phrases  that draw inferences or conclusions from earlier ones. Some of the most common final conjunctions (some of which are phrases) are  as a consequence,  consequently,  for,  hence,  so,  so that,  so then,  thus, and  therefore. Some final conjunctions introduce phrases within  sentences. For example, this sentence has two: In turn, this causes other asset prices to fall in those nations,  thus  worsening their banking systems, and  hence  leading to credit contraction and capital flight. NY Times] The phrase introduced by  hence  draws an inference from the phrase introduced by  thus, which in turn draws an inference from the main clause. Some final conju nctions introduce clauses within sentences—for example: Equalize the tax laws  so that  employer-provided health insurance and individually owned health insurance have the same tax benefits. [Wall Street Journal] Here, the clause introduced by  so that  infers what will occur should the action proposed in the  imperative-mood  main clause come to pass.A final conjunction may also be used to start a sentence that draws a conclusion from the preceding sentence—for example: Good writing is always about clarity and insight, precision and accuracy. Therefore, this confusing name calls into question the very quality of the writing instruction that will be given in the new department. [Inside Higher Ed] The second sentence, introduced by the final conjunction  therefore, draws a conclusion from the first sentence. And here’s one more example: Our current system provides individuals with little market power in the urchase of health insurance. As a result,à ‚  they typically pay exorbitant premiums. [The New Republic] Here, the sentence beginning with  as a result  shows what the conditions described in the first sentence lead to. OUTLINE 1. Introduction (neu d? nh nghia, vai tro c? a conjunction trong cau, trong l? i noi hang ngay. Cho vi d? ) 2. Types of conjunction 3. 1. Coordinating conjunction a. Definition b. List of coordinating conjunction c. Exercise 3. 2. Subordinating conjunction a. Definition b. List of subordinating conjunction . Exercise 3. 3. Correlative conjunction a. Definition b. List of correlative conjunction c. Exercise Note: * ph? n Definiton neu d? nh nghia, function c? a cac lo? i conjunction nay trong cau * Ph? n List of†¦ neu cac lo? i conjunction, cho vi d? , phan tich vi d? , trinh bay v? luu y khi s? d? ng d? u ph? y trong cau khi dung lo? i conjunction nay) * Ph? n exercise neu it nh? t la 10 cau, phan tich vi sao lai dung conjunction do, phan tich function c? a conjunction trong cau) 3. Conclusio n (

Tuesday, October 22, 2019

Creating a Quality Application Essay

Creating a Quality Application Essay There is no question that the application essay process can be a bit intimidating. As someone who has written several admissions essays, I know exactly how exasperating a process it can be! And that is why I have created this website. After years of school and dozens of compositions, I believe that I have come up with an effective formula for writing application essays from which anyone can benefit. If you wish to write a quality application essay, the first thing to which you must commit is the simple fact that it is going to take a while. So, do yourself a favor and get any ideas you might have of completing your admissions essay in a few hours out of your head. In fact, I would recommend that you give yourself at least a month to work on your admissions essay so that you dont feel rushed or anxious (as this could have a negative effect on your writing). The more time you allow for your work, the more fully you will be able to experience the creative process. This is why I believe that every student should start working on his or her application composition several weeks and/or months in advance. If you are planning to apply to college next year, I recommend that you get a calendar and map out a specific schedule for your work. Although this might seem unnecessary, I promise you that making this schedule will aid tremendously in the overall process. Designing a personalized schedule for your work is the first step toward an excellent application essay. Once you have created this schedule, feel free to read on to the next page. In the meanwhile, if you have any questions about admissions essays and/or graduate school essays, please dont hesitate to contact me.

Monday, October 21, 2019

Documentation And Informatics Essay Example

Documentation And Informatics Essay Example Documentation And Informatics Essay Documentation And Informatics Essay A factual record contains descriptive, objective Information about what a nurse sees, hears, feels, and smells. . An accurate record uses exact measurements, notations concise data, contains only approved abbreviations, uses correct spelling, and Identifies the date and caregiver. C. A complete record contains all appropriate and essential information. D. Current records contain timely entries with immediate documentation of information as it is collected from the patient. E. Organized records communicate information in a logical order. 3. Describe methods for multidisciplinary communication within the health care system Case management model of delivering care incorporates an interdisciplinary approach to documenting patient care and critical pathways are interdisciplinary are plans that include patient problems, key Interventions, and expected outcomes within an established time frame unexpected outcomes, unmet goals, and interventions not specified within the critical pathways time frame are called variances Ex: when a patient develops pulmonary complications after surgery, requiring oxygen therapy and monitoring with pulse geometry. A positive variance occurs when a patient progresses more rapidly than expected (use of Foley catheter is discontinued a day early) 4. Identify common record-keeping forms. (See Section Below: Page 8) Most charts will Include (Extra Notes): Patient Identification and demographic data Informed consent for treatment and procedure Admission data Nursing diagnosis or problems and nursing or interdisciplinary care plan Record of Medical history Medical diagnosis Therapeutic orders Medical and health discipline progress notes Physical assessment findings Diagnostic study results Patient education Summary of operative procedures Discharge plan and summary CHI. 6 Lecture Notes Documentation is anything written or printed on which you rely as record or proof of patient actions and activities Information in the patient record provides a detailed account of the level of quality of care delivered to patients. The quality of care, the standards of regulatory agencies and nursing practice, the reimbursement structure in the healthcare system, and legal guidelines make documentation and reporting extremely important responsibilities of a nurse. Whether the transfer of a patient info occurs through verbal reports, written documents, or electronically, you need to follow basic principles to maintain confidentiality of information Confidentiality Nurses are legally and ethically obligated to keep information about patients influential Only staffs that are directly involved in a patients care have legitimate access to records. In most cases, patients are required to give written permission for release of medical information. HIPPO Governs all areas of patient info and management of that information. To eliminate barriers that can delay access to care: providers must notify patients of their privacy policy and make a reasonable effort to obtain written acknowledgement of this notification. Disclosure must be limited to the min necessary EX. If you need a patients home number to reschedule an appointment, access to the deiced record is limited solely to the telephone number. As a nursing student you must abide to the HIPPO standards of confidentiality and compliance and NEVER share information about patients with classmates or look into medical information about other patients. Standards Standards of documentations differ within a healthcare organization. Institutional standards or policies dictate the frequency of documentation. Ex. How often you record a nursing assessment or a patients level of pain. Patients records can be used as evidence in a court of law if standards of care are not met The National Committee of Quality Assurance and The Joint Commission maintain institutional accreditation and minimize liability. Current documentation standard require that all patients admitted to a health care facility have an assessment of physical, psychosocial, environmental, self-care, patient education, knowledge level, and discharge planning. Also, evidence of patient and family teaching and discharge planning. Interdisciplinary Communication within the Healthcare Team Patient care requires effective communication among members of the healthcare information relevant to his or her health care. Reports are given oral, written, or audiotape exchanges of information among caregivers. Common reports given by nurses: change-of-shift reports, telephone reports, hand off reports, and incident reports. Ex. Healthcare provider calls nurses to get a verbal report to receive patients conditions. Laboratory submits a written report for results of diagnostic test and verbally notifies nurse if results are critical. Forms of communication Discharge planning conference: involves all members of all disciplines who meet and discuss patient progress towards discharge goals. Consultations: one reflections caregiver gives formal advice about the care of a patient to another caregiver Ex: a nurse caring for a patent with a chronic wound consults with a wound care specialist Referrals: arrangement for services by another care provider. Purposes of Records Communication Patients records are useful for healthcare team members to communicate patients needs and progress, individual therapies, content of consultations, patient education, and discharge planning. They also allow healthcare team member to know a patient thoroughly, facilitating safe, effective and timely patient-centered decisions. Legal accumulation To limit nursing liability documentation must indicate clearly that a patient received individualized, goal-directed nursing care based on the nursing assessment. Common charting mistakes: writing illegibly or incomplete, failure to record pertinent health or drug information, failure to record nursing actions, failure to record that medications have been given, failure to document discontinued medications. Dress are classifications based on patients medical diagnosis Your documentation clarifies the type of treatment a patient receives and supports reimbursement to the health care agency Education Patients records includes many information such as diagnosis, signs and symptoms of a disease, successful and unsuccessful therapies, diagnostic finding, and patient behavior which is why all nurses should read their patients record. With this information and past experience you can learn to anticipate the type of care required for a patient. Research Nurse researchers often use patients records for research studies Also use to investigate nursing interventions or health problems. Ex. A nurse wants to compare a new method of pain control with a standard pain protocol using two groups of patients. Auditing and Monitoring ETC require quality improvement programs and set standards for the information located in a patients record. Guidelines for Quality Documentation and Reporting Factual Descriptive, objective information about what the nurse sees, hears, feels and smells. Ex: B/P 80/50, patient diaphragmatic, heart rate 102 and regular and the patients pulse rate is elevated 110 beats/min, and the patient reports increased restlessness. Accurate Use of exact measurements establishes accuracy to determine if a patients condition drainage, or edema All entries in medical records must be dated and end with the receivers name or initials and status (ex: J. Woods, RAN). Complete The information within recorded entry or report must be complete, containing appropriate and essential information Use flow sheets or graphic records when documenting routine activities such as daily hygiene care, vital signs, and patient assessment. Describe in greater detail when they are relevant such as when a change in functional ability or status occurs. Current Timely entries are essential ongoing care. Delays in documentation lead to unsafe patient care. Document the following activities or finding at the time of occurrence: ITIL signs, pain assessment, administration of medications and treatments, preps for diagnostic testing, admission, transfer, discharge or death of patient etc. USE MILITARY TIME Organized Communication information in a logical order. It is also effective when notes are concise, clear, and to the point. Ex: an organized entry describes the patients pain, your assessment and interventions, and the patients response. Methods of Documentation Paper and Electronic Health Records Paper records are episode oriented, with a separate record for each patient visit to a health care agency. EMMER (ELECTRONIC MEDICAL RECORD): contains patients data gathered in a healthcare setting at a specific time and place ERR (ELECTRONIC HEALTH RECORD): an electronic record of patient health information generated whenever a patient accesses medical care in any healthcare delivery setting It integrates all pertinent patient information into one record; regardless of the number of times a patient enters a healthcare system. In hospital setting it gathers data and performs checks to support regulatory and accreditation requirements and includes tools to guide and critique medication administration Key advantage for urging: provides a means to compare ongoing clinical data about a patient with original baseline information and maintaining ongoing record of a patients health education. Narrative Documentation (the traditional method) Use of a story like format to document information specific to patient conditions and nursing care. Disadvantages: tend to be repetitious and time consuming Problem Oriented Medical Records Method of documentation that emphasized patients problems. Data are organized by problem or diagnosis. SECTIONS INCLUDE: database, problem list, care plan and progress notes Database: notations all available assessment information pertaining to a patient The foundation for identifying patient problems and planning care Problem list After analysis of data, HECK identify problems and make a single problem list (physiological, psychological, social, cultural, spiritual, developmental, and environmental needs) List the problems in chronological order and when a problem is resolved, record the data and highlight it or draw line through the problem or its number. Care plan Disciplines involved in the patients care develop a care plan or plan of care for each Progress Notes: monitor and record the progress of patients problems. SOAP: Subjective Data (fertilization of the patient) Objective data (that which is measured and observed) Assessment (diagnosis based on the data) Plan (what the caregivers plan to do) or COPIES where Intervention and Evaluation. The nurse numbers each SOAP note and titles it according to the problem on the list Originated from medical records PIE: Problem Intervention Evaluation Nursing origin The narrative does not include assessment information (appears on the flow sheet) Notes are numbered of labeled according to the patients problems. Focus Charting: DARK: Data (problem) Action (intervention) Response (evaluation) Addresses patients concern: signs/symptoms, condition, nursing diagnosis, behavior, significant event or change in patients condition. Incorporates all aspects of the nursing process, highlights a patients concerns, and can be integrated into any clinical setting. Source Records or charts A place in a patients chart that has separate sections for each discipline (I. E. Nursing, medicine, social work, or respiratory data) to record data The method by which source records are organized does not show how information from the disciplines re related or how care is coordinated to meet all of the patients needs Charting by Exception Focuses on documenting deviations from established norms. Reduces documentation time and highlights trends or changes in a patients conditions. Nurses only document significant finding or exceptions to the predefined norms and writes a progress note only when the standardized statement on the form is not met Assumption: all standards are met unless otherwise documented. Case management plan and critical pathways (described above) Common Record Keeping Forms Admission Nursing History Forms: nurses complete a history form when a patient is admitted too nursing unit. Guides the Nurse through a complete assessment to identify relevant nursing diagnoses or problems Flow Sheets and Graphic Records: allow you to quickly and easily enter assessment data about a patient (including vitals signs, routine repetitive care such as hygiene measures, ambulation, meals, weights and safety and restraint checks. Provide current patient information that is accessible to all HECK Helps team members quickly see patient trends over time and decrease time spent on writing narrative notes. Patient Care Summary or Carded: computerized systems that provide information in the form of a patient care marry that is often printed for each patient during each shift. Carded: a portable flip over file or notebook that is kept at the nurses station Includes an activity and treatment section and a nursing care plan section that organizes information for quick references. Eliminates the need for repeated referral to the chart for routine information A Carded is a written form that contains basic client information. A Carded contains an activity and treatment section and a nursing care plan section that organizes information for quick reference as nurses give change-of-shift report. It does not include a description of teaching that was provided to the client. Based on the institutional standards of nursing standards of nursing practice, are preprinted, established guidelines used to care for patients who have similar health problems. Useful when conducting quality improvement audits. Discharge Summary Form Interdisciplinary discharge planning ensures that a patient leaves the hospital in a timely manner with the necessary resources. Discharge documentation includes medications, diets, community resources, follow-up care, and who to contact in case of an emergency or for questions. Acuity records Not part of a patients medical record. They are used for determining the hours of care and the staff required for a given group of patients. Home care documentation Documentation in the home care system is different from other areas I nursing Home care documentation systems provide the entire HOC with information needed to enhance teamwork. Documentation is both the quality of control and the Justification for reimbursement from Medicare, Medicaid, or private insurance companies. Nurses must document all of their services for payment (ex. Direct skilled care, patient instructions, skilled observations, and evaluation visits) Long Term Health Care The Centers for Medicare and Medicaid Services guidelines requires careful documentation for appropriate reimbursement in long term care agencies. The Resident Assessment Instrument/Minimal Data Set provides standardized protocols for assessment and care planning and a min data set to promote quality improvement within facilities. Reporting Hand off Reporting Happens anytime one healthcare provider transfers care of a patient to another healthcare provider. Purpose is to provide better continuity and individualized care for patients. Ex. Change-of-shift and transfer reports Information during apt. Anodal can be given face to face, in writing, or verbally such as over the telephone or via audio-recording Report elements do not include: normal findings or routine information retrievable from other sources or derogatory or inappropriate comments about a apt. Or family. Telephone Reports and Order Telephone Reports: make a telephone report when significant events or changes in a apt. Condition have occurred. Needs to be clear, accurate, and concise information. Use SABA: Standardizes telephone communication of significant events or changes in patients and is a communication strategy designed to improve apt. Safety Document EVERY phone call you make to a health care provider and use the read back method when receiving information or critical test results. Telephone and Verbal Order Telephone Orders: occurs when a healthcare provider gives an order over the phone to a RAN Verbal Order: involves the healthcare provider giving orders to a nurse while they are standing near each other. Usually occur at night during emergencies (cause medical errors) Nurse: writes down the complete order or enters it into the computer as it is being given. Then reads back and waits for confirmation from the person who gave the order that it is correct Healthcare Provider: later verifies the TO or VOW by legally signing it within a set time. Incident or Occurrence Reports Any event that is not consistent with the routine operation of a health care unit or systems and unit operations that provide Justification for changes in policies and procedures or for in-services seminars. DO NOT mention the incidence report in patients medical record Instead you document an objective description of what happened, what you observed, and the follow-up actions taken in the patients deiced record. Health Informatics Application of computer and information science for managing health-related data Focused on the patient and the process of care and the goal is to enhance the quality and efficiency of care provided. Becoming a priority as health care facilities adopt EMMER/HER Nursing Informatics (See Slides 20-24 in Power point) Facilitates the integration of data, information, and knowledge to support patients, nurses, and other providers in decision-making in all roles and settings. Clinical Information Systems CICS: Include monitoring systems (devices that automatically monitor and record metric measurements (vital signs, oxygen saturation, cardiac index, and stroke volume)) order entry systems, and laboratory, radiology, and pharmacy systems in critical care and specialty areas. Electronically sends measurements directly to the nursing documentation system Computerized provider order entry A process by which a health care provider directly enters orders for patient care into the hospital information system Reduces transcription errors. Potentially speeds up the implementation of ordered diagnostic tests and treatments which improves staff productivity and saves money

Sunday, October 20, 2019

Intermediate Level English for Medical Purposes

Intermediate Level English for Medical Purposes This sample conversation is for a physical examination. Doctor: When did you last come in for a physical exam?Patient: I had my last physical two years ago. Doctor: Have you had any other exams recently? Blood work, an EKG or an ultra-sound?Patient: Well, I had a few X-rays at the dentist. Doctor: How have you been feeling in general?Patient: Pretty well. No complaints, really. Doctor: Could you roll up your left sleeve? Id like to take your blood pressure.Patient: Certainly. Doctor: 120 over 80. Thats fine. You dont seem to be overweight, thats good. Do you exercise regularly?Patient: No, not really. If I run up a flight of stairs, it takes me a while to get my breath back. I need to get out more. Doctor: That would be a good idea. How about your diet?Patient: I think I eat a pretty balanced diet. You know, Ill have a hamburger from time to time, but generally, I have well-balanced meals. Doctor: Thats good. Now, Im going to listen to your heart.Patient: Ooh, thats cold! Doctor: Dont worry its just my stethoscope. Now, breathe in and hold your breath. Please pull up your shirt, and breathe deeply... Everything sounds good. Lets take a look at your throat. Please open wide and say ah.Patient: ah Doctor: OK. Everything looks ship shape. Im going to order some blood work and thats about it. Take this slip to the front desk and theyll arrange an appointment for the tests.Patient: Thank you, doctor. Have a nice day. Key Vocabulary physical examination (exam)blood workEKGultra-soundx-raysto roll up sleevesoverweight - underweightto exercise regularlybalanced dietwell-balanced mealsstethoscopeto breath into hold ones breathto pull on ones shirtto breathe deeplyto open wideto look ship shapeslipfront deskto arrange an appointment

Saturday, October 19, 2019

Features and Consequences of Globalization Essay

Features and Consequences of Globalization - Essay Example Globalization has rapidly changed the lifestyles of many people without their even being unaware. To take an example, most people had not even heard of the Internet in 1990. Also, few people had an e-mail address then. But today the Internet, cell phones and e-mail have become essential tools that many people just cannot live without, in both developed and developing countries. But globalization does have its opponents. This essay examines the fundamental aspects of globalization such as meaning and definition, features, aims and organized and un-organized globalization. Globalization is commonly understood as the process by which physical, political, economic, cultural barriers separating different regions of the world are reduced or removed, thereby paving the way for exchanges of goods and knowledge. Globalization facilitates freedom of movement without political and geographical hazards and this seems to be the attraction of globalization to most people. Globalization also promotes mutual reliance. As the number of exchanges of goods and of information increase, the result is a growing interdependence between countries as they come to rely on various imported products, services, and cultural input. Thus, from economic point of view globalization is the integration of world economies into a single economy. Definitions Globalization means and includes increased closeness among countries most notably in the areas of economics, politics, and culture. The term 'globalization' has been defined by various authors in different ways. In fact, it has as many definitions as there are authors. The most commonly used definitions include the following: 1. Globalization is "a complex set of distinct but related processes-economic, social and also political and military-through which social relations have developed towards a global scale and with global reach, over a long historic period" (Rajaee Farhang, 2000, p.44) 2. The prominent Islamic scholar, Muhmoud Ayoub, defined globalization in the following way: "It is said that we now live in global village. To extent that it is true, it is a negative process. Globalization is a latest manifestation of Western Imperialism" (Rajaee Farhang, 2000, p.30) 3. In its most concise definition, globalization "simply refers to the complex of forces that trend toward a single world society. Among these forces are mass communications, commerce, increased ease of travel, the internet, popular culture, and increasingly widespread use of English as an international language." (Lautier Frannie, 2006, p.34) Features of Globalization Globalization means the integration of an economy with the rest of the world so as to ensure free flow of goods and services without any legal political and geographical boundaries. Globalization is different to different countries. The way in which one country approaches globalization phenomenon is different from that of another country. It depends upon the nature of economy, the political scenario and many other similar factors. However, the common features of globalization remain the same to all countries. They include: (OECD Handbook. 2005. p. 18) 1. Reduction of barriers to trade 2. The high interaction of financial markets is increasingly impacting on the conduct and performance of

Friday, October 18, 2019

Children asthma Research Paper Example | Topics and Well Written Essays - 1500 words

Children asthma - Research Paper Example Children with acute exacerbation of asthma are frequently seen in out-patient settings and emergency rooms. They are administered bronchodilators like albuterol to cause relief of symptoms. Albuterol is administered either through metered dose inhalers-spacer or jet nebulizer. Metered dose-inhaler spacer is an efficient and useful method of delivering albuterol for bronchodilatation. It delivers the drug quickly and can cause effects in few seconds. Delivery of the drug can be optimized using suitable mask. On the other hand nebulization is also an effective tool to deliver the drug. It is however cumbersome and needs atleast 15 minutes for one dose administration. The most commonly used delivery systems for asthma are nebulizers, dry-powder inhalers and metered dose inhalers with or without spacers (Smith and Goldman, 2012). In children less than 5 years of age, it is not possible to generate adequate inspiratory inflow and hence, effective use of dry-powder inhaler devices is not p ossible. Whether to use metered dose inhalers or nebulizers in acute exacerbation of asthma in children is a much debated topic. The main advantage with nebulizer is that the drug can be delivered even without the cooperation of the child. However, during this mechanism, only less than 10 percent of the aerosolized drug reaches the lungs (Smith and Goldman, 2012). The remaining drug gets deposited in the nebulization system or on the face or is lost to the surrounding regions. On the other hand upto 40 percent of the drug can be deposited in the lungs with metered dose inhalers. In infants and young children, the main difficulty in using metered dose inhalers is lack of coordination in triggering and inhaling the drug (Smith and Goldman, 2012). To overcome these aspects, spacers and masks are used. Spacers are able to eliminate the need for coordination in metered dose inhalers. The spacers have a valve "with the particular advantage of allowing aerosol to move out of the chamber at inhalation but holding particles in the chamber during exhalation" (Smith and Goldman, 2012). In this research essay, whether nebulizer or metered dose inhaler with spacer is a suitable method for administering albuterol therapy in children will be discussed through review of suitable literature. The research is made through PICO format and the steps involved in arriving at the evidence will be discussed. PICO Format When clinical decisions are made based on appropriate scientific evidence, it is nown as evidence-based practice. According to McKibbon (1998), "Evidence-based practice (EBP) is an approach to health care wherein health professionals use the best evidence possible, i.e. the most appropriate information available, to make clinical decisions for individual patients. EBP values, enhances and builds on clinical expertise, knowledge of disease mechanisms, and pathophysiology. It involves complex and conscientious decision-making based not only on the available evidence but also on patient characteristics, situations, and preferences." The most critical exercise for evidence-based practice is literature review. This can be done by approapriate search strategy and by creating a

Leadership Ethics and Diversity Case Study Example | Topics and Well Written Essays - 1250 words

Leadership Ethics and Diversity - Case Study Example Again the Executive Leader could have also worked in helping Michael get leave on medical grounds. This policy would have helped the company in reducing the level of disturbances gained owing to the behavioral conducts of Michael and similarly would have helped Michel in leading a tension and stress free life being way from the workplace. However adequate privacy should be held pertaining to the medical information of Michael gained in the course such that it does not lead to any kind of embarrassment. Thus rather than treating him to be disabled the acts should work in understanding how to ease the situation for Michael and thereby effectively accommodate him in the concern (Harvey and Allard, 2008, p.265). This stance would have helped Harvard from countering any Discrimination Suit such that Michael would have felt to have been cared for by his superiors. Again the above case would have helped in gaining Michael back to work with effective treatment conducted. Case 2 The Executive Leader duly appointed would have worked to make the passengers understand and honor the religious sentiments of the Muslims through rendering of examples in which an activity conducted would have affected the latter’s religious sentiments. Justification of the religious sentiments of the Muslim cab drivers would have helped in abolishing the mental conflicts pertaining to the same between the cab drivers and passengers. The Executive Leader must endeavor to enhance the religious position and sentiments of both the parties to the issue and also must act in enhancing the number of cabs not driven by Muslim drivers in the region (Harvey and Allard, 2008, p. 265). Case 3 In this case the Executive Leader should have worked in creating an intervention program to treat Brown’s problem of Sleep Apnea to effectively increase his efficiency at the workplace rather than working on termination standards. Thus firstly the Executive Leader would work in identifying the level of ps ychiatric ailment pertaining to Brown through the assistance of a psychiatrist appointed by the company. This psychiatrist can work to evaluate the history and the medical help gained till now at the personal level by Brown. Such intervention process coupled by steady documentation would help the company management gain adequate knowledge of the present condition of the Sleep Apnea aliment of Brown. Depending on such knowledge the company can adequately change the work environment for Brown by temporarily putting Brown on leave or relocating him to other departments. The Executive Leader must also work in getting feedback and information from time to time relating to the level of revival gained in by Brown through such medical interventions carried out. Feedbacks can be gained both at the personal and at the medical level by consulting with Brown and the psychiatrists respectively. This intervention process needs to be carried on till the time the psychiatrists consider him fit to r ejoin the duty of ‘Emergency Dispatcher’ (Harvey and Allard, 2008, p.265). The above intervention program carried out by the Executive Leader would help in enhancing the level of commitment and loyalty of Brown towards the

Thursday, October 17, 2019

Using 3D photogrammetry to monitor a simplex tensegrity structure's Assignment

Using 3D photogrammetry to monitor a simplex tensegrity structure's deformation - Assignment Example The example dwells on a mesh reflector. The mesh reflector is extensively used for apertures space aerial systems that are large due to their light weight and are packed easily and compactly. The reflector’s radio frequency exterior comprises of a mesh with reflective faces. It is bound from interlaced thin wires that are electrically conductive. This wires are made from molybdenum that are gold plated having diameters of 0.03mm. The mesh is extended over a net of cable that is made of composite filaments that are stiff and unidirectional, glued to a structure. The reflective exterior comprises of elements that due to their flexibility can be folded with ease. The accuracy mostly lies on the cable net’s shape. There are two major conceptual designs that can be spotted. The first design is based on partition of parabolic exterior in gores that get support from radial cables or radial ribs glued to an external ring. The second design is takes into consideration a separation of surfaces in facets that are flat formed by cable net tensioned using forces that are applied at each junction node. The concept has been borrowed from Miura who developed the concept of tension truss. Many large antennas that use this concept of tension truss have been launched and tested for instance Astromesh reflector and space radio telescope. The same concept has also been studied by a man called Tibert. He used the concept in designing an antenna that was based on tensegrity structure (Tibert 2002). Tension that is fairly uniform and isotropic in a reflective mesh makes sure that there is a good conductivity of electricity and RF reflectivity. The tension of the mesh should be adequate to withhold lateral accelerations that are greater than the ones having experience in orbit with no harsh distortion of the surface of the reflector. Tensions of mesh from 5N/m have been frequently used. Higher tension often

Modern Methods of Construction in Housing Dissertation

Modern Methods of Construction in Housing - Dissertation Example After the World War I and II, the demand of prefabricated housing came to its peak. Moreover, in 1960s this demand also got speedy turn during the time period of the clearance process of slum areas. In 20th century, about one million prefabricated houses were constructed. However, many among these were designed as temporary. There were many drawbacks in these houses and they did not receive positive feedback and attitudes from people. Initially, issues arose over the quality of material used in building process. Beside those, the workmanship was also very poor. However, these houses have continued to be used in UK for hotels, hospitals and schools as well as for residence and housing purposes in many other countries. As far as modern methods of construction MMC is related, it is quite a new term that reflects technical and scientific improvements regarding prefabrication. This method of construction includes a wide range of methods that are used on and off sites time to time. Modern methods of construction in housing focus on the modern and innovative methods, building products and construction systems. This modern and more advanced methodology are incorporated in construction process through various techniques. For example, steel framing, timber framing, insulated concrete forms, structured insulated panel system, decent and affordable housing, sustainable buildings and drainage system in urban areas etc. The basic objectives behind modern method of construction involve the promotion of better quality designs. ... Moreover, in 1960s this demand also got speedy turn during the time period of the clearance process of slum areas. In 20th century, about one million prefabricated houses were constructed. However, many among these were designed as temporary. There were many drawbacks in these houses and they did not receive positive feedback and attitudes from people. Initially, issues arose over the quality of material used in building process. Beside those, the workmanship was also very poor. However, these houses have continued to be used in UK for hotels, hospitals and schools as well as for residence and housing purposes in many other countries. As far as modern methods of construction MMC is related, it is quite a new term that reflects technical and scientific improvements regarding prefabrication. This method of construction includes a wide range of methods that are used on and off sites time to time. Modern methods of construction in housing focus on the modern and innovative methods, build ing products and construction systems. This modern and more advanced methodology is incorporated in construction process through various techniques. For example, steel framing, timber framing, insulated concrete forms, structured insulated panel system, decent and affordable housing, sustainable buildings and drainage system in urban areas etc. The basic objectives behind modern method of construction involve the promotion of better quality designs and innovative products and ideas within construction process. However, it is a long process that involves the relation and coordination of various activities. Various research and testing organizations, all over the world, are working in this regard. Their approvals connect

Wednesday, October 16, 2019

Using 3D photogrammetry to monitor a simplex tensegrity structure's Assignment

Using 3D photogrammetry to monitor a simplex tensegrity structure's deformation - Assignment Example The example dwells on a mesh reflector. The mesh reflector is extensively used for apertures space aerial systems that are large due to their light weight and are packed easily and compactly. The reflector’s radio frequency exterior comprises of a mesh with reflective faces. It is bound from interlaced thin wires that are electrically conductive. This wires are made from molybdenum that are gold plated having diameters of 0.03mm. The mesh is extended over a net of cable that is made of composite filaments that are stiff and unidirectional, glued to a structure. The reflective exterior comprises of elements that due to their flexibility can be folded with ease. The accuracy mostly lies on the cable net’s shape. There are two major conceptual designs that can be spotted. The first design is based on partition of parabolic exterior in gores that get support from radial cables or radial ribs glued to an external ring. The second design is takes into consideration a separation of surfaces in facets that are flat formed by cable net tensioned using forces that are applied at each junction node. The concept has been borrowed from Miura who developed the concept of tension truss. Many large antennas that use this concept of tension truss have been launched and tested for instance Astromesh reflector and space radio telescope. The same concept has also been studied by a man called Tibert. He used the concept in designing an antenna that was based on tensegrity structure (Tibert 2002). Tension that is fairly uniform and isotropic in a reflective mesh makes sure that there is a good conductivity of electricity and RF reflectivity. The tension of the mesh should be adequate to withhold lateral accelerations that are greater than the ones having experience in orbit with no harsh distortion of the surface of the reflector. Tensions of mesh from 5N/m have been frequently used. Higher tension often

Tuesday, October 15, 2019

Slavery's Impact on Capital Punishment Research Paper

Slavery's Impact on Capital Punishment - Research Paper Example A stronger and healthier male slave would fetch a higher price than a weaker and older slave. Female slaves were considered more valuable than male and hence would fetch more value as they could reproduce and help increase the number of slaves. Capital punishment is the lawful enforcement of death as a reprimand for hideous crimes. Britain had put an end to the practice of capital punishment in the year1965. However, we find that USA, Japan, China, and many other Asian, African and Middle Eastern still impose death penalty for certain number of crimes and use it with varying regularity. Propagators of capital punishment argue that it is the only way of removing criminals and this would also bring about safety for the people in the society. This can be a permanent way of removing crime completely. In keeping convicts in prison there is a possibility of them escaping from the bars or they could commit crimes within the prison. There is also a third possibility of prisoners being released after the completion of their sentence giving them free rein to start their horrendous practices all over again. There is also a cost factor involved in keeping the convict behind the bars which could be used in a more resourceful way. After the abolishment of capital punishment in Britain, statistics of 2009 reveal that in the past 12 years, 65 prisoners who had served their life sentence and were subsequently released, were yet again convicted for further crime.Their crimes ranged from murder to rape, statistics also show that the people who were given life imprisonment did not serve more than 10 years and moved freely there after.It also revealed that the crimes rose by 125% over the period of five years immediately after the abolishment of the death penalty. The crimes would have attracted death penalty if it were still into force. This means that the removal of death penalty acted as a catalyst to encourage further crime as the criminals became fearless. However, it can be argued that the abolishment cannot be the sole reason for the rise in crime. It might have increased by the same extent even if the death penalty would have been in force.The propagators of abolishment of capital punishment have a vital argument in their support. According to them innocent people could be incorrectly executed and it would not be possible to compensate them for this great injustice done to them and their families as the loss of a life can never be compensated. Secondly, the grievance suffered by the family of the person convicted cannot be totally ignored. The harassment and the trauma that the families and friends have to bear from the time of arrest until the final judgement is unbearable. The anguish and the pain haunts them for many years after the trial. People find it very difficult to accept the fact that their loved ones are guilty of such heinous crime. It is more difficult for them to contemplate such a painful death for their loved ones. However strongly one may support capital punishment, it cannot undo the harm that has already been done. In case an innocent is convicted, it might augment a feeling of revenge among his close ones and thus increasing the probability of crimes. Beccaria introduces one of the first critics of the use of capital punish

Monday, October 14, 2019

Engineering ewb research Essay Example for Free

Engineering ewb research Essay 1. Introduction The Engineers Without Borders Australia (EWB) Challenge is a program where first year University Students throughout Australia are required to select from a range of problems associated with the living conditions of a disadvantaged community within Nepal, more specifically the village of Sandikhola, a hilltop community in the Gorkha district. The students are then required to develop creative solutions to combat these problems to benefit the community through design, teamwork and proper communication. This particular research report group 9C will be focusing on Water Supply and Sanitation Systems (WASH), in particular Multiple Use Systems (MUS). MUS refers to a system where the water is used for a range of purposes, so as to minimize the amount of fresh water needed to be drawn from the source and increase the applicability of the source. This report will be outlining research conducted into the MUS including; the geography of the Gorkha district, a case study on a WASH initiative already in place in Nepal, also included in the report will be an evaluation of sources of research, and a conclusion of the report. 2. Research 2.1 Geography of the Gorkha District The Gorkha District in Nepal is located on the mid-southern area of the Terai region roughly the center of Nepal. More specifically the village of Sandikhola is located approximately 42 kilometers North East of Bharatpur, which roughly is over an hour drive each way via a dirt road which is only accessible by 44’s and is not accessible in wet conditions. The village of Sandikhola is located on the side of a hill with an elevation of 1256 meters, and is roughly divided into three different sections consisting of crops, housing and livestock. 2.1.1 Natural Resources Land is seen as the most valuable natural resource to most citizens of the Gorkha district. With over 80% of the population, 24 506 759 people, earning a livelihood from farming, which in turn produces 36.1% of GDP on a national scale. Due to water shortages and unreliability in relation to irrigation, this is not a secure resource for the people of the Gorkha district. The only problem with utilizing land to this major of a scale is that it is being overly depleted due to the accelerating growth of population, leading  to widespread destruction of ecological systems. The other resource is water, which are polluted due to lack of sanitization and the lack of the resource, other than location, is due to de-forestation and the devastating effects it has on the environment. 2.1.2 Technological Resources The Gorkha district has very limited technological resources, especially when 90% of the population live in rural areas and average earnings per family per week are below a dollar which make the affordability of technological resources impossible for poor families. Surprisingly the telephone signal throughout the district is surprisingly good although this is a under used resource due to lack of infrastructure and finances. With under 7% of the population having access to the internet communication on a global and even national scale can be highly difficult. Due to the developing nature of Nepal access to any modern technology is unviable, with it sometimes taking up to and over 6 months for any technology to reach many rural communities e.g. water testing kits. 2.1.3 Population and Income Through researching Population and Income it was found that there are over 30 million people in Nepal, with approximately 300 000 people in Gorkha. The Terai region accommodates for 50.27% of the total population, roughly 15 million people, which is the mountainous/ hilly region of Nepal which can make life very difficult for these people in particular. The average household income is less than one dollar a day with more than 40% living under the poverty line. In the Gorkha district 90% of citizens live in rural areas which goes to show the lack of urban connection further reinforcing the fact that development of technology in relation to water use will greatly affect the population in all aspects of life. 2.1.4 Natural Disasters Natural Disasters have a major effect on developing countries, especially where climate change is concerned. This is due to the high dependence on climate sensitive sectors in the Gorkha district including glaciers, agriculture and forestry, and its low financial adaptive capacity. These disasters are becoming increasingly common with the acceleration of global warming. This is due to the increased temperatures experienced compared to 1990 to 2010 where an increase of 1.9 Degrees Celsius to the average  temperature, these particular natural disasters include an increase in dry periods, floods, intense rainfall, landslides, forest fires, glacial retreats, and glacier lake outburst flood threats. The other main natural disasters common to this area are earthquakes due to the positioning of Gorkha on the meeting point of the Eurasian and Indian tectonic plates. These disasters need to be taken into account so the MUS can withstand destruction via natural disaster. 2.1.5 Climatic Conditions Shown in these two graphs (below) is the average rainfall and temperature of the Gorkha District. By studying these two graphs it can be seen that the year is divided into a wet and dry season with the temperature throughout the year remaining relatively constant with a minimum range of 3 degrees Celsius and a maximum range of 9 degrees Celsius. This research is essential to the analysis of water supply 2.1.6 Education Levels In the Gorkha district education is a work in progress with the basic literacy rate at 45% of males and only 28% of women. In the district alone there are close to 500 schools, 400 of which are public. With the help of many Non-Government Organizations, development of these schools has had an excellent effect on the education system, for example at the end of 2013 1000 computers were distributed to these schools readily making available vast amounts of educational resources to these communities. The problems associated with the education levels include the travel distance especially within rural areas, and also the lack of proper WASH resources which affects the health of the students. 2.1.7 Infrastructure In relation to the Infrastructure available to the people of Gorkha it can be noted as ineffective. This is found as roads to many of the rural areas within which the majority lives, are virtually inaccessible without a 44, as less than a quarter of roads in Nepal actually being paved/concreted. This is increasingly made challenging due to less than 1% of the population actually having access to a car. The main form of transport readily  available are the public buses, but on the other hand they are not extremely reliable with the multitude of strikes which occur, making life for the people more difficult when they have to walk for hours to get where they were going. Another major flaw is the inability for citizens to access a range of services with less than 15% of people having access to formal health care services, children having to walk on average 1-3 hours to attend school, there is also a lack of an electricity supply to majority of rural areas, lack of public sewage treatme nt in the majority of the district and in general isolation of rural areas. 2.2 Existing Solutions In the community of Sandikhola, there is a wide range of problems associated with water supply. These include the accessibility to water sources, the cleanliness/quality of water supply, the amount of water supplied, and the ability for the resource to be effectively used across domestic uses and productive uses. Currently in Sandikhola approximately 80% of WASH techniques are currently in place with there being a few sources of water; one small waterway, eight tap stands and two spring intakes but during the dry season these intakes become unavailable due to low pressure. When this occurs the community must draw water from a larger spring located further away from the village down the hill. In the case of Sandikhola at each spring intake is a reservoir tank, there are three water quality testers spread across the village, one rain monitor and two flow monitors. Also introduced to this community is the use of recycling water, such as; capturing overflows at spring intakes, Rainwater Harvesting (RWH), Ground Water Capture (GWC), fog water, and grey water systems. Through the integration of a range of these sources, systems and techniques we develop a MUS system. 2.2.1 Construction Basically the MUS is constructed via the connection of a range of single use technologies e.g. spring intake, storage tanks, tap stands. This is to reduce the amount of water requires for use by reducing waste water (sustainability), and also to make it more accessible for the villagers. For the construction many of the village members are heavily involved in construction so as to ensure the education of the MUS to the community allowing it to be properly maintained even after the EWB/NEWAH team leaves. 2.2.2 Inputs and Outputs For the implementation of the MUS there are a number of inputs required, these include; help from a third party in this case EWB and NEWAH in relation to funding, research and designing, participation from members of the Sandikhola community, materials, current technologies, and tools. For every input there is an output, in this case once construction is completed some of the outputs of the technology become evident, these including; an increase of income and benefits in relation to this including; general health, nutrition, social empowerment, food security, time savings. Diversification of Livelihood, which is the process by which the community develops a range of activities and social support capabilities in order to survive and improve their standards of living i.e. education, inter/intra-societal interaction. Increase in sustainability including, efficient water transfer from the water source for domestic and productive applications. 3. Evaluation of Sources of Information In research for this assignment, I tend to steer clear of any non-reliable or inaccurate resources. To do this books become an extremely valuable and trusted resource, and when using websites as resources I have stuck to .org websites while at the same time checking the about us section as not all .org sites are official sites. Some ways I checked the accuracy and validity of my sources of information include; analysis of the depth of coverage, determining the intended audience so it is relevant for this report, analysis of language used i.e. sophisticated to low level understanding. The dates of the information are essential for proper research, too old might be inaccurate compared to newer information. Does the source have a bibliography and the type of sources of information the author uses and an analysis of the layout and structure of the document. Through all of this analyzing we are able to determine the accurate and reliable sources of information. 4. Conclusion In conclusion, through the research of the Gorkha district and my project area the MUS, it is possible to realize the positive potential that the implementation of the MUS has on all aspects of life. This is due to water  playing a massive part in the lives of every human, and when there is a lack of sufficient resource, daily functionality is affected. 5. References ï‚ §Renwick, et.al, 2007, â€Å"Multiple Use Water Services For The Poor: Assessing the state of Knowledge,† Winrock International: Arlington, VA ï‚ §Mikhail, et.al, 2008, â€Å"Multiple-Use Water Service Implementation in Nepal and India: Experience and Lessons Scale-Up,† International Development Enterprises: Lakewood, CO ï‚ §Engineers without Borders USA 2014, EWB-USA, Denver viewed 10 March 2014, http://my.ewb-usa.org/project-resources/technical-resources. ï‚ §iDE Organization 2014, iDEORG, Colorado viewed 10 March 2014, http://www.ideorg.org/OurTechnologies/MultipleUseWaterSystems.aspx#. ï‚ §Practical Action 2014, Practical Action, Rugby viewed 12 March 2014, http://practicalaction.org/mus-2. ï‚ §Engineers Without Borders Australia 2014, Engineers Without Borders, North Melbourne viewed 12 March 2014, http://www.ewbchallenge.org/nepal-water-healthnewah/sandikhola. ï‚ §Smith, J., 2014, Personal Communication, 25th February 2014 ï‚ §United Nat ions 2014, United Nations, New York viewed 12th March 2014, http://www.un.org.np/maps/nepal-gorkha-district. ï‚ §Rural poverty portal 2012, IFAD, Vancouver viewed 12 March 2014, http://www.ruralpovertyportal.org/en/country/statistics/tags/nepal.