Online learning Essay

Online learning tools are of great utility; they are widely used in learning practice. Market offers a variety of solutions that differ in their level of sophistication and functions offered. The purpose of this paper is to discuss three available solutions and model their utilization in learning process, namely FlexTaining, Rollbook, and Moodle. The FlexTraining Total e-Learning Solution by National Training Systems is effective software for e-learning management. Since online education is becoming increasingly more common and popular, e-learning management solutions have gradually started to gain greater relevance. The software is utile and user-friendly, therefore it can be effectively used during the online learning phase. It provides for a possibility to incorporate various file formats, including Video, PowerPoint, Flash, and PDF; it can be used to crate a truly multimedia environment. The solution has won recognition from leading educational institutions, major multinational companies, and governmental agencies alike. The software is powering e-learning for Duke University, Stanford University, Microsoft, Phillips, U. S. Department of Labor, U. S. Department of Air Force, and a host of other institutions and organizations. The tools offered by the FlexTraining Total e-Learning Solution include Visual Course Builder (allows creating classes), Assessment Tool (allows creating online tests), FlexAuthoring (allows developing course content), and Reporting and Analysis (allows tracking students’ performance). While most of the functions offered by the FlexTraining are available in other software solutions, its unique feature and most useful tool is, in my opinion, FlexAuthoring. It offers template-based authoring for creating lesson plans and course content. It is an invaluable tool for inexperienced teachers who need guidance in structuring their material. Another powerful feature of the FlexTraining is pre- and post-assessment. It is useful as a monitoring tool that enables teachers to determine whether training needs have been fulfilled. It can further become the basis for teachers’ self-assessment and continuous improvement. Availability of interactive exercises is also a useful feature of the FlexTraining. It compensates for lack of face-to-face contact with a teacher; lack of such contact is often cited as one of the biggest disadvantages of distance education. In addition, the software offers opportunities for self-paced training, thus being accommodating students’ preferences for instructor-led or individual learning. Searchable document libraries make navigation easier both for teachers and students. All these functions can be of enormous use during the online learning phase and are enabling for students in their work in online environment. Rollbook by Intellum is usually used for corporate training, yet it has a number of unique features that can be of great utility in classroom settings. This software solution is rather simple as compared with other programs available on the market. Its unique features include a calendar (a personal schedule of events and authorized sessions), a branching group structure (a structure that allows forming smaller subgroups within large groups and customizing functions such as reports or mailing lists for these smaller groups), learning paths (a function that groups relevant courses into learning tracks) and design of course certificates. An alterative to the proprietary FlexTraining and Rollbook is the open source solution called Moodle. It offers most of the functions FlexTraining and Rollbook have (such as chat, forum, polls, assignments, quizzes, etc. ), yet it has several advantages. The strength of all open source technologies, apart from the apparent cost cutting, is the ability of different software developers to continuously improve and update solutions. Moodle’s focus is on interaction between teacher and students and especially among students. For instance, similar courses can be grouped together as a meta course, allowing students fro different yet related course to interact with each other. Moddle is also better suited to accommodate multimedia: students can upload multiple files in any format as one assignment (for instance, if a research project consists of a text file, several images, and a video, this function is very handy). All the aforementioned resources enable students to use the Internet in an ethical, legal, and educational way. All these software packages, by virtue of their functional orientation, are empowering tools, since e-learning makes education more available and affordable for all. Their focus on continuous education is another significant advantage of online learning method. The FlexTraining software also allows teachers to check for plagiarism. All the documents uploaded to the system by students can be compared with Internet sources, sources from the Document Library, and previous works submitted by the same student or other students. This function gives teacher an opportunity to detect plagiarism immediately and take appropriate administrative action. Plagiarism is one of the most widespread and harmful examples of dishonest academic practices. Although this phenomenon is condemned by all educational institutions, plagiarism still pervades many spheres of education. Therefore, it is of paramount importance to ensure that student’s academic essays and papers are original. A student who engages in plagiarism deprives him/herself of the opportunity to benefit fully from the education s/he is undertaking. Since every assignment is designed in order to help students to gain deeper knowledge of a certain subject, evading independent research and analysis hinders the continuity and integrity of the education process. Copying the ideas of other people without proper acknowledgement is a practice that all teachers should try to eliminate completely. This is possible to do only with special software. Helping students to understand and avoid plagiarism is the key to introducing them to Internet use following the principles of ethical, legal, and educational approaches. As concerns Moodle, its open source philosophy is the software’s added value: together with better quality, it makes students reflect on the differences between proprietary and open source programs. Such a critical reflection on the role of the Internet in challenging the fundamentals of capitalism and empowering creative commons might make students more aware of the problems of Internet governance and ethical use of this powerful tool for the benefits of all and not only privileged few. Rollbook and Moodle have a closer focus on individual and peer-to-peer learning, as opposed to the FlexTraining’s focus on instruction-led teaching and strict progress monitoring. Thus, Rollbook and Moodle are better suited to educate students about Internet’s ability to offer innumerable opportunities for individual and collective learning. References Intellum, Inc. (2008). ‘Hosted Learning Management System. ’ Retrieved July 4, 2008, ffrom http://www. intellum. com/web2006/hosted_lms National Training Systems. (2008). ‘FlexTraining Total E-Learning Software Solution. ’ Retrieved July 3, 2008, from http://www. flextraining. com N/a. (N/d). ‘Moodle. ’ Retrieved July 3, 2008, from http://moodle. org

Mix Racial and Cultural Groups Are Growing in the United States Essay

Mixed Racial and Cultural Groups is increased by a marginal number in the United States. The growth of these multiracial groups started to surface through migration of different ethnics and raised most of their families in the United States even through marriage. These are some of the issues that have been raised by individual people of having an entity separation of mixed race and cultural or to considered them as Americans without a hyphen. Thinking about this issue myself, and thinking of my two children who married to a different ethnic rather than Samoans. These questions come to mind about this issue: How, Why, and what the three words that needs a big explanation about this matter. According to multiracial Americans, Americans whose identity as two or more races identifies with just one group culturally and socially. From statistics that I got from online, stated that about 2. 9% of the population in the year 2010 are self-identified as multiracial. The identity or the classification of the people’s identification is generally according to the culture they were raised in. Social segregation in many areas of the country is forming interracial unions or cultural group. The diversity of social conditions through migrations brought new groups of people to the United States. Through these migrations, mixed races started to rise when interracial marriage were born and started to increase in the United States. The movement of multiracial identity by more than one ethnicity has taken place and strong. Statistics from the year 2010 census in the United States shows that the largest multiracial groups were white and black which is 1. 8 million. The other 1. 7 millions are white and some other race, white and Asian is 1. 6, white and American Indian and Alaskan Native is 1. 4 million. I have learned that the largest growing group in multiracial is white and black which is about 134%. That is more than 1 million people. MIX RACIAL AND CULTURAL GROUP According to Susan Saulny of the New York Times, title Race Remixed, said that â€Å"sea of change is how we think about race, ethnicity and its place in society†. I believe that a challenge to trend towards multiracial from a sociological perspective is a leap that we should take. The understanding of racial and ethnic categories of their boundaries can be a problem to other multiracial groups. I think that ancestry is the biggest influence in identities through a number of generations through migrations. I also believe that each multi mix or racial group should be treated the same regardless of their identity. If they are legally citizens of the United States, they have the right to be treated equally. I believe that they have contributed to the wellbeing and welfare of the United States through their services in employment within the government, military or private companies. Regardless of the race and ethnicity, they should be treated and considered Americans. President Obama is good example of what I mean about treating them the same no matter what color of their skin or where they are from. I know that some of these mix race entities are trying to separate themselves with-in the United States but when they travel to other countries of the world, they considered be call Americans. As a citizen of New Zealand, I am proud to call myself to be an American and I respect the land that my children were born. What can the United States or these multiracial groups gain from wanting to be separated from their identity. Through my search online, I came across Mrs. Karissa Sulliva’s draft and she said that ancestry influences identities. She said that socialization is the crucible of racial and ethnic identity formation. Farley in 2002, construct racial and ethnic classifications which was adopted by the government for each race or reconsidered themselves to either refuse to identify their own race and ethnic category. MIX RACIAL AND CULTURAL GROUP. I believe that mix racial and cultural groups are increasing daily by the number throughout the United States. However, research shows that children with an original multiracial identity grow up to be happier than those of single-race identity. Some of the statistics shows that another addition to the growth of mix race is through adoption of children from countries outside of the United States. According to Fact’s for Families 2010, parents are coping with these pressures in having open communications with the families about their culture and race. Encouragement and support in every multicultural group for families to be familiar with their language, traditions and customs within their families. They have to support and try to establish a good relationship by creating a network for their children, parents, family member, relatives and the community. In conclusion, the separation and classifications between mix racial and multicultural groups is not an easy task or thing to do. Two of my children are married to different ethnic. My oldest daughter is married to an African American and my son is married to a girl who is beautiful and white but has about four or five mix blood in her. I believe in democracy and the United States is nowhere in having a separation of any mix race and cultural group who are living in the United States. God Bless America, God bless the people of the United States. References: Perez, Anthony Daniel, Hirschman, Charles. The Changing Racial and Ethnic. http://www. ncbi. nlm. nih. gov/pmc/articles/PMC2882688/ The American Academy of Child and Adolescent Psychiatry (March-2011). Facts for Families, no. 71 Multiracial Children. http://www. aacap. org/galleries/FactsForFamilies/71_multiracial_children. pdf Dr. Nicole Martinez and Mrs. Karissa Sullivan. May 6, 2013 .docx.

Static Electricity

Everything is made up of tiny particles called atoms. The atoms are made up of even smaller parts called protons, electrons and neutrons. Protons have a positive charge (+), electrons have a negative charge (-) and neutrons have no charge at all, they are neutral. Atoms normally have the same amount of electrons and protons, making them neutral and having no charge. When rubbing things together, electrons can move from one atom to another, resulting in some atoms having extra electrons and a negative charge.The other atoms now have more protons than electrons and a positive charge. When the charges are separated, it is static electricity. â€Å"Electricity is present in all matter in the form of electrons and protons. Any device that develops and maintains a voltage can be considered a voltage source. To accomplish this, the voltage source must remove electrons from one point and transfer electrons to a second point. † (Petruzella, 2001. ) One type of electricity is static ele ctricity. The term static means standing still which makes static electricity an electric charge that is at rest.Static electricity is defined as â€Å"an accumulation of electric charge on an insulated body. † (Free Dictionary) In other words, it is a charge that is created when two objects that are not good electrical conductors are rubbed together, and electrons from one of the object rub off onto the other object. Some of the results of static electricity may be sparks, shocks, or even materials clinging together. The simplest way to form static electricity is by friction. Friction is simply the rubbing of one object against another.By rubbing two different materials together, â€Å"electrons may be forced out of their valence shells in one material and picked up in the shell of the other material. The material that gives up electrons more freely becomes positively charged and the one that gains electrons becomes negatively charged. † (Petruzella, 2001. ) When the electrons are relocated from one material to another, it is called triboelectric charging. Static electricity is formed much better in areas with low humidity and dry air. With humid air, tiny water molecules can collect on the surface of different materials and prevent the buildup of an electrical charge.Although small amounts of water, such as those developed from humidity, can affect a charge, â€Å"extreme turbulence among water drops†, such as in a thunderstorm cloud, can cause static electricity to build up on the water droplets themselves. Benjamin Franklin showed that static electricity is created in a thunderstorm cloud by flying a kite during a storm. He noticed the static electricity by seeing the hairs on the kite stand on end and created an electric spark with a metal key. There are other ways to produce a static charge other than friction or contact.An object can also be charged by induction. Induction is used to produce a charge of opposite polarity. Inductance is defined in the text as an â€Å"electrical property which opposes change in current. † (Petruzella, 2001. ) An inductor is â€Å"a device that generates a counter emf that tends to oppose any change in current through the use of ac current flowing through a coil wire. † (Petruzella, 2001. ) Charging by induction makes use of the electrostatic field surrounding a charged body in order to charge an object without touching it.If a negatively charged rod is brought close to the sphere on the inductor, the negative charges in the sphere move as far away from the rod as possible. By touching the sphere, it is grounded and allows the electrons to completely leave the sphere. Once you remove your finger, the electrons no longer have a way of returning to the sphere and the rod is then positively charged. Static electrical charge can be produced by a high-voltage direct current source. Many air purifiers use both positively and negatively charged plates to remove tiny dirt particles from the air.This system uses an electrostatic precipitator and oppositely charged grids. The dirty air moves through the precipitator which gives the dirt particles a positive charge. All of those particles are then attracted to the negatively charged grid and then the air passes through a carbon filter to remove any odors. Static electricity is also used with photography to work a photocopier. An â€Å"electrostatically charged drum† attracts toner particles to the image in the original document. The metal drum inside the machine is charged at the eginning of each copy. The system inside the photocopier then puts an image of the document onto the drum. The electric charge goes away wherever light shines on the drum and so only the dark parts of the image are still charged on the metal surface. The particles of black toner are oppositely charged and then applied to the drum. The charged parts, which contain the image, are attracted to the toner and transferred to t he paper and finally attached to the paper with heat. Static electricity can cause materials to attract or repel each other.If you use a hair dryer on your hair and then comb through it or just comb it on a very dry day, the plastic comb will collect negative charges from the hair and leave the hair with an excess amount of positive charges. Since like charges repel, the hair strands will push away from each other causing your hair to stand up or â€Å"flyaway. † Static electricity can also cause a spark to jump from one material to another, like when you touch someone and â€Å"shock† them. As you walk across something like a carpet, electrons cling to you.When you have extra electrons, you then have a negative charge and are attracted to positive charges so once you touch someone else, assuming they have a positive charge, you will feel a tiny shock which is a quick movement of electrons. If there are enough positive electrical charges on one object or material and e nough negative charges on another, the attraction may be so great that the electrons will jump to the other object with out the two touching. After a few electrons make the jump, the air begins to heat up and causes more and more electrons to move and the air to get even hotter.This all happens so fast and causes the air to get so hot that it glows for a split second and is known as a spark. The same process occurs with lightning only on a much larger scale. Removing or preventing a static charge can be very simple such as opening a window or using an air humidifier to â€Å"increase the moisture content of the air and make the atmosphere more conductive. † (Wikipedia) Items that are very sensitive to static discharge can be treated with an antistatic agent. Wikipedia defines an antistatic agent as something that â€Å"adds a conducting urface layer which ensures that any excess charge is evenly distributed. † An example of an antistatic agent is fabric softener or dry er sheets which are used in your laundry to prevent and remove static cling. â€Å"Semiconductor devices† which are used in electronics are very sensitive to static charge. These devices are protected using antistatic bags and those who work with these devices ground themselves by wearing conductive antistatic straps to protect their bodies. To test for a charge on an object, you must see how that object affects another object with a known charge.If the two objects repel, that means their charges are alike and if they attract, the charges are opposite. To see if an object is neutral, test it with another neutral object. Neutral objects do not attract with each other, only with another positive or negative object. â€Å"An aluminum-leaf electroscope is a device for detecting the presence of an electric charge and also for determining whether the charge is positive or negative. † (Petruzella, 2001. ) This device is made up of a flask with an insulating stopper. A metal r od goes through the center of the stopper and a metal knob is fastened to the outside end of the rod.Two very thin pieces of aluminum are attached to the other end of the rod inside the flask. â€Å"Normally the positive and negative charges within the electroscope balance each other, leaving it neutral. When a negatively charged body touches the knob of the electroscope, electrons flow from the charged body into the knob and down to the aluminum leaves. Each leaf then becomes negatively charged. Since like charges repel and both leaves are negative, they will diverge, indicating that the object contained a static charge. † (Petruzella, 2001. )In conclusion, static electricity is all around us. It may clean our air or be the cause of a terrible hair day but has both positive and negative effects on many daily routines.Work Cited Page Petruzella, Frank. Essentials of Electronics. Second Ed. Columbus, OH: Glencoe/McGraw-Hill, 2001. 39-43. Print. Kurtus, Ron. â€Å"Basics of St atic Electricity. † School for Champions. N. p. , 23 Jan 2009. Web. 17 Oct 2010. . â€Å"Definition of Static Electricity. † The Free Dictionary. Houghton Mifflin, 2000. Web. 20 Oct 2010. . â€Å"Static Electricity. † Wikipedia. N. p. , 16 Oct 2010. Web. 17 Oct 2010. .

Transformations of Thailand Research Paper Example | Topics and Well Written Essays - 3250 words

Transformations of Thailand - Research Paper Example However, this has undergone change. The civil society gas grown and this has developed a participatory political structure in Thailand. This environment has triggered greater abiding of the rule of law and has implemented a system which is more balanced and effective (Thailand Country Report, p.14). The urban elite society has evolved which remains well connected with the senior bureaucrats, international donors and politicians. The loosely cohering and fragmented party system in Thailand has been restructured. The Democratic Party has become highly institutionalized. The number of parties has increased from 1.65 in 2005 to 6 in 2007 and party fragmentation has also increased. The party system was characterized by multi-member system of district election. The civil society has been evolving and is getting more connected to the business associations, bureaucrats and political parties. The workers’ union has been given greater say and responsibility. The NGOs have grown in impor tance. They have also formed alliance with the top bureaucrats and political leaders. The conditions of female workers and children have improved over the years. In the rural areas, the responsibility of self-organisations has increased. The village community has become more cohesive and their actions have become more collective in nature (Thailand Country Report, p.13). ... The Government has implemented policies to allow more cultural space for the Thai-Malays. These efforts were primarily made in favor of preserving the cultural identity of both nations and reducing the impact of the armed insurgency. Thailand has witnessed an increase in the number of programs for creating equal right and opportunities among people (The Asia Foundation, â€Å"Resolving Conflict in the South†). The makers of policy have increased their focus on the development of system capabilities to bring about changes in the educational system in Thailand. This has primary aroused out of the response of the global response to the increasing gap between traditional educational capabilities and the demands of the information system (Hallinger & Kantamara, â€Å"Introduction†). The Thai schools have introduced lessons on cross cultural studies. The country has become more competent in its ability to adapt to changes. Efforts are being made to build the nation’s a bilities to adapt such capabilities. Political Thailand has been undergoing dramatic political transformation. The changes have been incorporated to strengthen the democratic institutions and also as a conflict resolving measure that has been occurring in the Muslim dominated provinces in the southern provinces. The provinces of Yala, Pattani and Narathiwat happen to be predominantly occupied by Muslims. The states lying between Buddhist Thailand and Muslim Malaysia are diverse in terms of culture, linguistics identity from the two countries. The development of government policies in Thailand is ethno-centric which has alienated the Muslim community and aroused armed militancy. Transformation programs have evolved for creating and maintaining equal rights and opportunities in favor of the Muslims (The Asia

Explain THE STORY Essay Example | Topics and Well Written Essays - 250 words - 1

Explain THE STORY - Essay Example Therefore, this approach would mean that the act of torture be undertaken for the happiness of the millions. I as well believe that if terrorist is left un-tortured, the victims to the explosion of the bomb would be so many. Therefore, it is right to torture the terrorist for him to reveal the information needed to help the people at stake. In scenario B and from Kant’s point of view it would not be ethical to frame the old man for the crimes he did not commit. It would be quite hard for the will of a maxim and its subjective principle becoming universal law to be proved. On Mill’s perspective based on utilitarian theory, it wouldbe the only thing to do given the vast crisis that is currently witnesses in the multiracial community. Convicting the old man for the crimes would have much positive impact on the socio-economic existence of the inhabitants here. On my own, I would suggest the NYPD intensify the search to bring the right culprit to book in a timely manner as it would be unfair to convict an innocent person both in the eyes of God and the law. The old man would as well be seriously affected in the event he clears his jail term and has to come back into the same society that he

Impact of Obesity on Students Grades Research Paper

Impact of Obesity on Students Grades - Research Paper Example The large potential of obesity is upsetting. The parents and teachers both must observe obese and overweight students closely. The regular method of avoiding obesity, for instance, promoting healthy food and physical activities must be continued. Extra body mass creates one of the most grave public fitness challenges of this century around the globe. At the present time obesity is not just a crisis of developed nations, but as well of developing nations. Verification is currently rising to propose that the occurrence of overweight and obesity is growing internationally on an alarming rate. Both developed as well as developing nations are affected. In addition, as the crisis seems to be growing quickly in kids and in adults, the accurate fitness results may just turn out to be completely evident in the upcoming times. Obesity has reached contagion percentages internationally and is a key contributor in the international trouble of persistent illness as well as disability. Frequently contemporaneous with developing nations with under nourishment, obesity is a difficult situation, with grave public as well as psychosomatic aspects, having an effect on almost all ages and socioeconomic factions. Increased utilization of additionally energy dense, nutrient poor foodstuffs with high amounts of sugar as well as saturated fats, together with lessened physical movement, have caused fatness rates that have increased three-fold or additional from 1990 in a number of regions of China, North America, Pacific Islands, Eastern Europe, Middle East, Australia and Asia. The obesity outbreak is not limited to developed societies; this raise is generally quicker within developing nations in comparison with the industrial world. ... e increased three-fold or additional from 1990 in a number of regions of China, North America, Pacific Islands, Eastern Europe, Middle East, Australia and Asia. The obesity outbreak is not limited to developed societies; this raise is generally quicker within developing nations in comparison with the industrial world. Obesity as well as overweight causes a main threat for severe diet connected persistent ailments, together with â€Å"type 2 diabetes, cardiovascular disease, hypertension and stroke, and certain forms of cancer† (American Alliance for Health, Physical Education, Recreation and Dance, 2005). The health outcomes range from bigger threat of early demise, to severe chronic situations that lessen the general quality of living. Of special worry is the rising occurrence of young person obesity. Previously taken as a crisis merely within high earning nations, overweight along with obesity are nowadays radically increasing within low- as well as middle income nations, ma inly within urban backgrounds. Despite the fact that the physical condition and health of every age group is significant, the developmental nature of teenage years causes particular contemplations and requirements for this group of people. Quick development and progress during teenage years creates fresh wants, for instance those linked with alterations within â€Å"body proportions, size, weight and image; emotional changes; new sleep patterns and needs; and social / peer pressures† (Wright et al, 2004). ‘Teenage years’ is a phase during which a lot of permanent patterns of conduct are made, together with physical condition help / ailment prevention behaviours as well as care seeking attitudes. The level, to which physical conditions as well as other services are obtainable, reachable and

Impact of Social Web on Society Research Paper Example | Topics and Well Written Essays - 1250 words

Impact of Social Web on Society - Research Paper Example Te people using social websites are able to distribute/share private information, such as blog entries, photographs, and videos. There is an example of a social website that is MySpace. This social website is very famous equally with music groups and individuals, who want to share information about their tour dates, and distribute their songs on their profile pages (Bowles, 2010; Turban, Leidner, McLean, & Wetherbe, 2005; Kulshreshtha, Kumar, & Sehgal, 2011). In addition, one of the most important advantages of social websites is that they are very supportive and useful method to stay in touch with many people (friends, relatives, colleagues etc.). In this scenario, if an individual has interesting news which he/she desires to share with other people (friends, relatives or community), with social web it turns out to be very simple since he/she can add/enter it on his/her personal bulletin board and it will be distributed or transferred to the people to whom he desires to share. In this way, the social networking sites play a major role in meeting with new people, whatever the purpose of it (a business deal or friendship) (Parrack, 2012; Dubai School of Government, 2011; Schultz, Schwepker, & Jr, 2012).

Women and Philantrophy Article Example | Topics and Well Written Essays - 1250 words

Women and Philantrophy - Article Example Consensus III. Conclusion IV. References I. Executive Summary Coffman cites evidence from various reputable academic and media sources to support her assertions that women give more, give differently, and are reshaping the practice of philanthropy as we know it, in ways that make their giving markedly different from the way men give, and the way philanthropy has been practiced in the past. Studies from recent more recent studies corroborate Coffman's year 2000 assertions1. II. Women and Philanthropy- Report Overview The article posits that women are different from men in the way they approach and deal with philanthropy and the philanthropic activities that they support and get involved in. The differences are in the amount that they give relative to their income, the degree of participation in terms of time and on-going emotional and actual physical involvement in the charities that they support and want to support, and in the way they actually staff many of the nonprofit organizatio ns and charity groups in the country. There are gender line differences in these aspects of philanthropy and charity, in America and elsewhere, and the article posits further that as women become more significant players in American industry and the American economy in general, and as more women occupy positions of importance in many of the nonprofits and charities in the country, the role of women in philanthropy will further increase, and that in turn will change the shape and practice of philanthropy and charity in the United States and elsewhere2. The author divides the article into three parts, and supports the above assertions with citations to studies and articles from reputable institutions and sources, such as the National Foundation for Women Business Owners, consultants with knowhow about women philanthropy from results of studies from institutions such as UCLA, the Council for the Advancement and Support of Education, the University of Tennessee Alliance of Women Philant hropists, media outfits such as The Richmond Times Dispatch, Knight Ridder/Tribune News Service, Time Magazine and PBS Television, the University of Virginia3. Women's Approach to Philanthropy The first section details women approaches to charity and how those approaches differ from men's approaches to the same. The overall results show that not only do women give a larger share of their income to charity compared to men, but also that women demand to be involved in the charities that they support, as opposed to men, who in general like to be involved, but do not demand it in the way that women do. Some representative numbers from a survey of American women in business, with a population of 400 respondents, are revealing. More than 50 percent give upwards of 25 thousand dollars to charity annually, and about a fifth give upwards of a hundred thousand dollars annually. More than half give with no consultations from others, and 86 percent make decisions relating to charity based on wh at a charity's mission is and how efficient a charity is operationally and in terms of achieving its mission. Majority want to be kept abreast with developments in the charities they support, and wish to connect with their chosen charities on an emotional level. Emotion and involvement, and a desire for changes in basic issues that matter to them. Meanwhile, statistics from studies confirm that a greater percentage of women than men give to charity,and give a greater share of their income compared to men4: In 1996, the Alliance states, 71 percent of women gave to nonprofit organizations, compared to 65 percent of men. Women also gave a larger portion of their income to philanthropy; although as a group women earned 75 percent of men's total income, women's overall contribution to charity was 93

Natural resources in Thailand (RICE) Assignment

Natural resources in Thailand (RICE) - Assignment Example This has forced the government though its agencies to introduce policies like Bangkok Declaration on Mitigation of climate change to deal with pollution within the city of Bangkok. The private and public companies are encouraged to adopt green methods of transportation and production. As the result of the research I have done, the paper provides a reflection part that highlights the skills I have gained. Another section that the paper has included is the recommendations that I would provide for a company that I work as a leader. These touches on corporate social responsibility, employee training, improved wages and improved health care for farmers. Within the conclusion part, the paper indicates some of the most important issues that have been covered. With the increased global population, most countries have resulted to diversification of food products in order to have ability to feed their population thus enhancing their productivity. One of the food products that are common in developing as well as developed countries is rice. In Thailand, rice production represents a significant size of the country’s economy and labor force. Thailand has more than 9.2 million hectares of rice growing areas and the government is contemplating on increasing the hectares. One of the major reason as to why more farmers are now engaging on rice production is the support by the government after elimination of rice premium policy that discriminated the peasant farmers (Evenson, Robert, Mahabub, 1996). The government has adopted strong incentives for rice production an aspect that has made other stakeholders such as World Bank to provide similar support. In Thailand society, rice is central. Apart from being the source of nutrition for most of the households, it is the major export that has resulted to economic growth and increased job opportunities. Thailand is among the top five nations in rice cultivation and the second largest rice exporter in the world.

American Eels Habitat and Extinction Research Paper - 1

American Eels Habitat and Extinction - Research Paper Example One of the peculiarities of these eels is the regular basis of migration. In other words, they may not stay in a particular location for longer periods. They like to travel from rivers to river since it like fresh water very much. It stays major portions of tis life in rivers or fresh water sources and visit ocean mainly for spawning or laying eggs. A female eel can lay eggs as much as four million every year. However, after the egging period is over, it will suffer immediate death. Lafontaine et al. (2008) have pointed out that â€Å"Since the 1980s, the American eel (Anguilla rostrata Lesueur) fisheries have declined dramatically in the Lake Ontario–St. Lawrence River watershed providing evidence of a large decline in population of this species (Lafontaine et al., p.185). American eels are decreasing in number over the last few decades because of various reasons such as climate changes, global warming, water pollution etc. Even though, the decline of eels have been noticed as early in the 1960’s, the problem became intensified in the 80’s and 90’s. Eel landing started to decline considerably during the latter parts of the twentieth century, especially 1980 onwards. The decrease in the number of eel landing was calculated based on the catch per unit effort (CPUE) effort.

Economic Cycle From 1984 To 1986 Essay Example for Free

Economic Cycle From 1984 To 1986 Essay We can first define economic cycles as the reoccurrence of the expansion or contraction of a countries economy. We still have to look at the view of Wesley Mitchell who is the most famous in the research on economic cycles. He defined business cycle as; Business cycles are a type of fluctuation found in the aggregate economic activity of nations that organize their work mainly in business enterprises; a cycle consists of expansions occurring at about the same time in many economic activities, followed by similarly general recessions, contractions, and revivals which merge into the expansion phase of the next cycle; this sequence of changes is recurrent but not periodic; in duration business cycles vary from more than one year to ten or twelve years; they are not divisible into shorter cycles of similar character with amplitudes approximately their own. (Burns and Mitchell, 1946, p. 3) In this paper, we would be looking at the economic cycle of the U. S economy between 1984 to 986. Nevertheless, before going into the economic cycle that existed from 1984 to 1986, it is clear that in our present time the economy of now pulls the same trends with that of the 1980s. The present fiscal states bears the same tends too, with the borrowing made by government to come down following the substantial years of borrowing. The PSBR declined and surpluses were reached as the 1980s progressed. Surpluses were projected to continue on the grounds of unchanged policies. __________________ 1. Bruce T. Grimm, Alternative Measures of U. S. Economic Activity in Business Cycles and Business Cycle Dating, BEA Working Papers 0024, Bureau of Economic Analysis. 2005. Nevertheless, this was not the same in the early 1990s, as public finances had deteriorated markedly with the deficit reaching 7 per cent of GDP in 1993-94. Not withstanding we have to look at the topic on board and discuss on the cycles of 1984-1986. ECONOMIC CYCLE IN 1984 The economy of the United State rocketed at a fast pace for nearly two decades as the wallets of consumers went fat and it was all about shopping spree . This was all about the recession of the 1980s with specification to the year 1984. The increased pace of growth did not only reflect on the mode of shopping but on the spending done on business. From 1984 to 1986, there was a rapid increase in employment. The increase was so rapid that many analysts to term the United States economy as the American job machine. However, as the rate of employment increased, many still did not benefit from the expansion. Among the less educated young men, unemployment rose and the rate of labor force participating decreased. Though there were enough jobs, many still argued the quality and measurement of the American job in terms of wage, benefits, and job security was decreasing. There was a decrease in high paying jobs in the manufacturing sector and there were more of low paying jobs. There was a growth in part-time and temporary jobs and the less skilled workers were like an erosion of job quality. By the early part of 1984, America experienced the new period of sustained growth since World War II. The tax cut made by government increased the rate of spending done by consumers. ______________________ 2. Burns, Arthur, and Mitchell, Wesley. Measuring Business Cycles. New York: National Bureau of Economic Research. (1946). GNP increased at an annual rate of 4. 2 percent except for the decline in 1986 to fewer than 2 percent. This was the lowest in the decade. The rate of inflation was between three to five percent and the economy produced 13 million jobs. ECONOMIC CYCLE 1985 The economy of the United States continued in an upward trend from 1984 to 1986. This continued in 1985 though in a slow trend in the early year. Nevertheless, as the economic growth continued due to healthy growth and the demand for goods and services, the domestic production suffered because most goods available where imports. The second half of the year was also accompanied with steady growth that lead to the expectation of a continued growth into 1986. Now, looking into the economy in 1985, it was noticed that the first half of the year had a sluggish growth. The GNP of the last half of 1984 rose by 3 percent but that of the first half of 1985 was rose only by 1%. The worsening of the export sector and the decline in inventory investment in first half largely offset a moderately strong increase in the purchase of domestic product goods and services. These included government purchases, business fixed investment, consumption expenditures and residential constructions. Most of the strength in purchases where provided by U. S households. This is due to the strong growth in consumption and the increase in spending done on residential projects. By the second half of the year in 1985, the economic growth has quickened with a 4. 3 percent rise in the GNP at third quarter. The domestic final purchase increased more than that of the first half and the was a decline the rate of export. Because of the sharp _____________________ 3. Balke, Nathan S Gordon, Robert J. The Estimation of Prewar Gross National Product: Methodology and New Evidence. February 1989. Journal of Political Economy, University of Chicago Press, vol. 97(1), pages 38-92. rundown in the domestic stocks for automobile, inventory investment, decline more than that of the first half. The government’s purchases of goods and services in the third quarter were also a sharp contributor to the purchase of domestic final products. The rise in government purchase was because of the increased use of Commodity Credit Corporation Loans by farmers and large increase in defense purchases. Residential fixed investment also increased and while nonresidential fixed investments declined. Expenditures done on personal consumption products increased strongly in third quarter of 1985. The economic growth pace in 1985 was a steady one and it was about 2. 5 percent. This was lower than that of 1984. The growth in domestic purchase increase because of the demand for personal consumption was high. Resource use and Inflation In 1985, the growth in output was not strong enough to reduce the underuse of resources. The rate of unemployment for the civilians fell from 7. 2 percent to 7 percent in November. Manufacturing employment declined and the payroll for nonfarm jobs increased moderately. The rate of capacity utilization in industries, which was another measure of resources use declined at about one percent point. This reflected the greater slack present in the industrial sector than in the social economy. The inflation rate was checked by the slack in the economy this was combined with the strong dollar prices on import and imports competing goods. There was a moderate in increase in the rate of labor cost and the favorable performance for food and energy prices contributed to the level of inflation in 1985. The broadest general price index _____________________ 4. Cacy, J. A. , Glenn, H. M. , and Dan, H. H. â€Å"Economic Review: The U. S. Economy in 1985 and 1986†. December 1985. increased by 3. 75 percent annual rate over the first three quarters of 1985. the price of finished goods sold at wholesale rose by 1. 5 percent in November. This was higher in than that of 1984. The prices of food product declined significantly and there was a slight drop in energy prices. In summary, the year 1985 saw moderate U. S. demand growth being changed to a sluggish out put growth. This was because of the worsening rate of export and inventory investment. The sluggish output growth kept a large amount of resource idle. The total slack experienced in the economy, the direct influence of strong dollar, the weak food prices, and the weak energy prices restrained the rate of price inflation.

Wireless radio signals Essay Example for Free

Wireless radio signals Essay Coverage area: The space in which the wireless radio signals in one wireless LAN can effectively reach and be used to send and receive data between the WLAN’s APs and its clients. Shared bandwidth: A term referring to how some networks must share the right to send data by taking turns, which limits the total number of bits sent by all devices (the network’s total capacity). Wi-Fi: A term created by the Wi-Fi Alliance as part of its overall wireless LAN branding and marketing strategy; this term has become somewhat synonymous with wireless LAN over time. LAN edge: A reference to the part of the campus LAN with the end-user devices and the switches to which they connect, through an Ethernet switch or a wireless LAN access point, that contains the largest number of physical links. WLAN hotspot: A location, typically in a business like a retailer or restaurant, where customers can come and go and where the company offers a wireless LAN plus Internet access to its customers, often for free. Basic Service Set: In wireless LANs, a single wireless access point (AP) and the client devices that send data to/from that AP. Extended Service Set: A wireless LAN in which all devices communicate through one wireless access point at a time, but the wireless LAN has at least two access points that cooperate to create the single wireless LAN. Unlicensed frequency band: A set of consecutive frequencies reserved by national regulators (like the FCC in the United States), with the regulations allowing anyone’s devices to use the frequencies, although all must follow certain rules (like limiting power) so that all can get along when using the same frequencies. Nonoverlapping channels: In wireless LANs, channels (frequency ranges) used for sending data for which the frequencies do not overlap, which allows multiple devices to send data at the same time in the same space. Management and control frames: 802.11 frames defined for some overhead function in 802.11, instead of being a data frame, which carries upper-layer information. Service Set ID (SSID): The formal term for the name of a wireless LAN, as advertised in Beacon frames.

Up from Slavery Booker T. Washington, Summary

Up from Slavery Booker T. Washington, Summary The book Up from Slavery, is about a nine-year-old slave named Booker T. Washington who lived on a plantation in Virginia.  Booker T. Washington describes his childhood as a slave as well as the hard work it took to get an education. Booker T. Washington shares details of the changes he went through from a student to teacher.  He also outlines his experience as an educator and how helped with the development and opening of the Tuskegee Institute in Alabama. Booker T. describes the progress of when Tuskegee started having classes small shacks to now having classes in new buildings. The last chapter, describes Booker T. career as a public speaker and civil rights activist. Booker T. mention the Atlanta Cotton States and International Exposition in 1895 which made him well known nationwide. He ends his story with several acknowledgments he had received for his work which includes an honorary degree from Harvard.  In addition to, there were two significant people who made a visit t o Tuskegee, President McKinley and General Samuel C. Armstrong. Booker T. was a nationwide leader for the development of African Americans in the post-Reconstruction South. He pushed for the economic and industrial improvement of Blacks while helping Whites with voting rights and social equality. His mother was the plantation cook where they lived. It did not have glass windows and the doors barely hung on uneven hinges. There were large cracks in the walls that let in cold air in the winter and humidity in the summer. The floor was the stripped to the ground. Booker T. had no reminiscence of playing games or sports. He regretted it because he believed he would have been a more useful man if he had. However, because he was a slave he dedicated his life to work. He cleaned yards, carried water, and took corn to the mill. Moving corn to the mills was the hardest jobs he had ever done. While at work, Booker T. heard two men chatting about a school for African Americans people which would be opening in Virginia. Booker T. learned that not only was the institute famous, but openings were offered to help cover the cost of room and board and the students would be taught a trade. Booker T. felt like this could be a great chance. He was fixed on going to the Hampton Normal and Agricultural Institute in Virginia. Booker T. left the salt mines to get a job at the General Lewis Ruffner, the owner of the mines. He wanted to continue to make money. General Lewis wife was a very strict boss. A lot of young men had quit or had got fired because they didnt meet her values.  Booker T. would walk around all night and beg for a ride until he had reached 82 miles to Hampton. He did not have any money to pay for a place to sleep so he walked around the city of Richmond until he found a place to sleep. Booker T. had saved enough money to reach Hampton. He believed he had a surplus of 50 cents. When he reached Hampton, he was impressed by the beauty of the school building. He believed that his life would have new meaning. He stood before the head teacher hoping to enroll but he didnt make a satisfactory impression on her. His clothes were dirty and his appearance was rough. The teachers at Hampton helped to provided Booker T. with fresh clothing because the institute had strict rules. All students attending had to have clean clothes and shiny shoes. Booker T. was also given an extra set of clothing that was sent in barrels from up North.  Booker T. slept in a bed for the first time that had sheets on them.  He was unaccustomed to sleeping on sheets for the first several nights. After watching the other boys for a while, he picked up on how to make his bed. Booker T. was one of the youngest adolescent boys in the school but that didnt stop his determination. Even as Booker T. att ended school at Hampton Institute, he learned a significant lesson about education that would be with him for a long time. One of the lessons was being clean was a vital part of a persons self-confidence. He also learned that even though if a person had an education, it did not put them directly above blue-collar labor. Booker T. believed education should be well rounded and that a people should learn to enjoy labor. He also learned to be more independent and valuable to others in his surroundings.  In addition to, Booker T. thought that people should not be selfless but lead by example. Booker T. Washington later take all his left lessons to the Tuskegee Institute where he became a principal. In the month of May, 1881, General Armstrong accepted a proposal from a group of philanthropists who recommended that the principal for the new school be an African American in the little town of Alabama which would be called Tuskegee. At the time of the request, people assumed that there would not be an African American man that would qualify for the position. Nevertheless, to the shock of the founders of the Tuskegee Institute, Booker T. Washington was recommended for the position where he would be accepted at the school. Shortly after Booker T. Washington made it to Tuskegee, the founders and Booker T. agreed that the school would open on July 4, 1881, Independence Day. Booker T. thought the goal of the Tuskegee Institute would be the source for people who could work hard, learn a skill, and make a living. He also thought people should learn the meaning of hygiene and religion. Booker T. wanted the graduates to go all over the country and be a model to all they met.  Reading, wr iting and arithmetic was taught. But a greater value was placed on the skills and everyday living. Booker T. hope students would know that working as a laborer was not an embarrassment. As a part of all the students training, they were expected to do all the work at the institute. In 1893, Booker T. Washington married his third wife, Miss Margaret James Murray, who had graduate of Fisk University in Nashville, Tennessee.  Portia his daughter was a dressmaker. She had a passion for music. Portia later was hired as an instructor at Tuskegee. His son Booker T., Jr. learned the brick masons trade. He wanted to become an architect one day.  Ernest, the youngest son wanted to be a doctor. He decided to gain experience in a doctors office. His biggest guilt was he couldnt spend more time with his family. Twenty years later, the Tuskegee Institute has incorporated a lot of land built by the student. All the manufacturing departments demonstrated skills that permitted students to get careers once they graduated at the institute. Washington died in 1915 as one of the most popular black men in the world. Booker T. had dinners with the President of the United States, as well as dining with royal families in Europe. Washington was an intellectual man who tried to do the best for African Americans. He wanted to have an education that would allow them to live ideal lives. A number of black leaders in America today, such as Alan Keys, hope to go back to Washingtons structure of educating the head, hand, and the heart. The Tuskegee Institute has improved since Washingtons time. While the school was built to help African Americans to learn a skill, it now supports students to earn a college degree. Washingtons assessment on integration consisted of living by example. Washington felt if black pe ople could demonstrate white people they could act sophisticated and be an asset to the community, all the races would finally get along. Washington felt like the government could make people like one another by making it legal. Washington believed African Americans had to prove themselves as equals.

Its Time for West Virginia to Eliminate Food Tax Essay -- Argumentati

It's Time for West Virginia to Eliminate Food Tax Can you recall an incident in American history involving disgruntled citizens dumping tea into the Boston Harbor? I can. This tea dumping was one of the foremost events of the revolution. Do you remember why these angry citizens dressed as Indians, stormed one of their own boats, and dumped all of the crates of tea into the harbor? The English monarchy’s taxing of the settlers’ tea caused this uprising. Right now, West Virginia’s government is levying an almost identical tax; the government is taxing the very food that West Virginians eat for survival. Doesn’t the government tax enough each year without taxing something that is required for our very sustenance? According to USA Today, "The government takes more money in other taxes each year than the average American spends on food, shelter, and clothing combined." (Armey, internet) At least the first Americans could choose whether or not they would drink tea. Currently, West Virginians do not have the cho ice whether or not to eat food. Why should we have to pay any more than the store charges us for the food? It is time for the legislature in West Virginia to reform West Virginia’s tax system and do away with the ridiculous tax on food. Initially, a West Virginia food tax doesn’t seem like such a bad idea, but after contemplating the principles, it becomes more and more unethical. Ethically, why should West Virginians pay tax on food when many other American citizens do not? Consequently, a West Virginia food tax is unethical in that it punishes the poor. Every year in West Virginia, poor children go hungry because their families can’t afford to put food on the table. I conducted an independent survey involving fifty anon... ... On Food Would Aid The Poor" St Louis Post Dispatch. 3-28-97 page 1 and 2 Bill Rankin. "Like most tax cuts, state’s elimination of food sales tax hinders real: reform". Atlanta Journal and Constitution. 6 October 1996. http://www.elibrary.com/ Sam Attlesey. "Democrats support sales tax amendment: Proposal would ban levy on food, medicine". The Dallas Morning News. 19 March 1998. www.elibrary.com Andrew Cain. "Help take a bite out of food tax". The Washington Times". 29 September 1998. Gene Callahan. "Bandersnatch Tax cut Proposal". http://www.bandersnatch.com/ Warren McGraw. "Elect Warren McGraw to the supreme court". Radio Commercial. 27 October 1998. Staton, Rick. Personal interview. 7 Nov. 1998. Cecil Underwood. "Governor’s Commission on Fair Taxation". www.state.wv.us/fairtax/agenda.htm Cadle, Pat. Personal interview. 8 Nov. 1998

The KKK versus the Anti-Klan Movement Essay -- Essays Papers

The KKK versus the Anti-Klan Movement The Knights of the Ku Klux Klan is the oldest and largest gathering of White Christian men and women. As the oldest White's Right group in the world, members of the Ku Klux Klan face much criticism from the rest of society and are constantly trying to break down the negative stereotypes and connotations that are associated with the KKK. In fact, the Confederate flag is now in question as a device to distinguish the organization as it has been deemed a symbol of bigotry and injustice toward African Americans in the south. In this paper, we will first look at the KKK as an organization and the principles upon which they were founded. Later, we will look at the claims that the KKK is not a "hate" group and the reasons why others feel differently. We will also examine other groups and their feelings for and against racism. There are literally hundreds of organizations world-wide for and against racism. We will look at some of these groups, and how some share the similar beliefs as the Ku Klux Klan and others as they combat the evil the KKK spreads. The Knights of the Ku Klux Klan was founded on Christmas Eve in 1865 in Pulaski, Tennessee. Following the Civil war, the Klan was formed by the former Confederate General Nathan Bedford Forrest in order to protect the wives and children of the Confederate dead. The rise of this organization after the Civil War was also due largely to the fact that Jews were profiting from negro's work on cotton plantations. This is why the Confederate men and women had so much hostility toward Jews and negros. Forrest originally named the group "Kuklos Klan," a mixture of Greek and Scottish meaning "family circle." Many branches of the group sprang up all over th... ...97. "Stormfront White Nationalist Resource Page." http://www.stormfront.org/ March 24, 1997. "Aryan Nations/KKK Rally." http://www.coil.com/~ara/rally.html April 1, 1997. "Ku Klux Klan." http://xroads.virginia.ed April 1, 1997. "FAQ of the KKK." http://www.danger.com/kkk March 24, 1997 "Town Continues to Fight Against Klan." http://www.tcac.com/~steveb/pulaski.html April 9, 1997. "On the Scene." http://louisville.com/loumag/june/scene6.htm April 9, 1997. "Klan Launches Ugly Attack on Indiana's Amish." http://www.communinet.org/News_Journal/klan.html April 9, 1997. "KU KLUX KLAN." http://www/media.utah.edu/medsol/UCME/k/kkk.html March 24, 1997. "Anti-Racist Action~Columbus." http://www.infinet.com/~keep/ara.html April 1, 1997. "Other Sites: Anti-Racist Resources." http://www.almanac.bc.ca./othersites/related-anti.html April 1, 1997.

The Odyssey, by Homer, is an Epic Essay -- Epic Narrative

An epic is a long, episodic narrative poem that recounts the adventures of a historical or mystical hero. Episodic narratives have a larger story broken down into closely connected, but individual and separate sections. Some important qualities that distinguish an epic are unrealistic antagonists, the Gods and Goddesses playing important roles, and a story involving the re-establishment of a proper leader. â€Å"The Odyssey†, by Homer, is an epic because Odysseus (the hero) faces supernatural antagonists, the gods and goddesses play an important role, and Odysseus is being restored as a rightful leader. Throughout the story, Odysseus faces several supernatural antagonists. One of these antagonists is a creature named Scylla. In a daring and dangerous section of the epic, the story mentions, â€Å"He and his crew must pass between Scylla and Charybdis. Scylla is a terrifying monster with six heads. She dwells in a high rocky cave, devouring sailors in ships that pass close by.†(Homer 617) Scylla is a supernatural monster because no large creatures have been identified in the world to have six heads. She is Odysseus’ antagonist because in this particular section, Odysseus must challenge the monster by sailing close by, without losing sailors. However, Scylla devours six of his men, one for each head. Therefore, by losing his men to Scylla, the monster is noticeably an antagonist. Prior to the encounter with Scylla, Odysseus faces a one-eyed monster named Polyphemus. Polyphemus lives in the land of the Cyclops, and Odysseus is eager to meet this â€Å"mountai n king†. An excerpt from the story of the Cyclops Odysseus reports, â€Å"†¦but in one stride he clutched at my companions and caught two in his hands like squirming puppies t... ...raits. By learning from his mistakes, Odysseus will be more knowledgeable of how a king would act. The development of leadership traits is the final point that makes â€Å"The Odyssey† an epic. â€Å"The Odyssey†, by Homer, is an epic because Odysseus (the hero) faces supernatural antagonists, the Gods and Goddesses play an important role, and Odysseus is mortal and possesses flaws and imperfections. Odysseus encounters monsters such as the Cyclopes, and Scylla and Charybdis. He interacts with the Gods Zeus and Poseidon. Odysseus is also in the process of gaining leader-like traits such as judgment and cautiousness. â€Å"The Odyssey† is an epic journey full of Odysseus’ quests and adventures. Works Cited Homer. "The Odyssey." Adventures in Reading. Ed. Dorothy Diemer Hendry. Trans. Robert Fitzgerald. Orlando: Harcourt Brace Jovanovich, 1989. 599-653. Print.

Kawasaki Disease

Acknowledgement This case study would not be possible without the guidance and the help of several individuals who are in one way or another contributed and extended their valuable assistance in the preparation and completion of this study. My outmost gratitude to Ms. Maria Donna Duron, the school directress of St. Augustine School of Nursing Espana for her genuine sincerity and encouragement. To my adviser Ms. Cecilia J. Sarte for her patiently supervising and assisting us with their knowledge, as we gradually go through the process of doing the case study itself, sincerest thanks. To my clinical instructor Mr.Joey M. Cadano for all the help and valuable insight he had shared To my instructor Mr. Paolo M. Zabat and all the faculty staff for their moral support and untiring effort in encouraging us to finish our study. To my classmates and friends who gave their moral support and help all the way despite the busy schedules in preparing their own case study. To my family for supportin g me all the way, providing me with everything I need financially and emotionally. Last but not the least, to our Almighty Father for his unceasing guidance and blessings, for constantly giving me hope, courage and patience.Truly none of this is possible without you. ii Table of Contents TitlePage Number I. Acknowledgementii II. Objectiveiv III. Introduction a. Definition1 b. Incidence1 c. Etiology2 d. Manifestations and Complications2 IV. Anatomy and Physiology3 V. Pathophysiology6 VI. Patient’s Profile a. Biographical Data7 b. Chief Complaint7 c. History of Present Illness7 d. Medical History8 e. Family History8 VII. Laboratory Findings9 VIII. Physical Assessment11 IX. Nursing Care Plan15 X. Drug Study20 XI. Discharge Plan23 iii II. Objectives General:The objective of my case study is to develop and acquire understanding, skills, and knowledge about the disease, and health promotion to prevent further complication on the condition of the patient. Specific: Nurse Centered ? Assess the patient’s overall health status ? Impart necessary health teachings to the patient ? Perform appropriate nursing care in conjunction with the condition of the patient ? Widen and enhance the student nurses’ knowledge and skills through additional research about the nature of the disease, its signs and symptoms, its pathophysiology, its diagnosis and treatment.Patient Centered ? Know when to seek help from the health care providers whenever the signs and symptoms may appear ? Understand the occurrence of Kawasaki Disease ? Know what other complications may arise, if left untreated ? Gather information about the therapeutic regimen iv III. Introduction Definition Kawasaki Disease (mucocutaneous lymph node syndrome) is a form of vasculitis identified by an acute febrile illness with multiple systems affected. The cause is unknown, but autoimmunity, infection, and genetic predisposition are believed to be involved.It affects mostly children between ages 3 months and 8 years; 80% are younger than age 5. It occurs more commonly in Japanese children or those of Japanese decent. It has seasonal epidemics, usually in late winter and early spring. It was first described in 1967 by Dr. Tomisaku Kawasaki in Japan. Kawasaki Disease mainly affects the blood vessels, including coronary arteries. Blood vessels throughout the body get inflamed, and the most serious that could happen is on the heart. If left untreated after 10 days, children may have a higher risk to develop heart problems.Kawasaki Disease manifests in three phases: acute, subacute, and convalescent. The acute phase begins with the abrupt onset of high fever that is unresponsive to antibiotics and antipyretics. The child then develops the remaining diagnostic symptoms. During this stage the child is typically very irritable. The subacute phase begins with the resolution of the fever and lasts until all clinical signs of KD have disappeared. During this phase the child is at greatest ris k for the development of coronary artery aneurysms. Echocardiograms are used to monitor myocardial and coronary artery status.In the convalescent phase, all the clinical signs of KD have resolved, but the laboratory values have not returned to normal (6 to 8 weeks after onset). At the end of this stage the child has regained his or her usual temperament, energy and appetite. The cause of Kawasaki Disease is unknown, but it is thought to be immunologic abnormalities that include increased activation of helper T-cells and increased level of immune mediators and anti-bodies that destroy endothelial cells have been detected during the acute phase of the disease.It has been hypothesized that some unknown antigen, possibly a common infectious agent, triggers the immune response in a genetically predisposed child. Incidence Epidemics of Kawasaki disease primarily occur in the late winter and spring, at 2- to 3-year intervals. Approximately 3000 children with Kawasaki disease are hospitaliz ed annually in the United States. The approximate annual race-specific incidence per 100,000 children younger than 5 years is 32. 5 cases for Americans of Asian and Pacific Island descent, 16. 9 cases for non-Hispanic African Americans, 11. cases for Hispanics, and 9. 1 cases for whites. Although Kawasaki disease has been reported in children of all ethnic origins, it occurs most commonly in Asian children, especially those of Japanese descent. Rates are intermediate among blacks, Polynesians, and Filipinos and are lowest among whites. Manifestations and Complications Manifestations: ? Fever for at least 5 days ? Polymorphous rash ? Strawberry tongue ? Cervical lymphadenopathy Complications: ? Changes in the extremities ? Conjunctival infection ? Vasculitis IV. Anatomy and Physiology [pic]Cardiovascular System Knowing the functions of the cardiovascular system and the parts of the body that are part of it is critical in understanding the physiology of the human body. With its comple x pathways of veins, arteries, and capillaries, the cardiovascular system keeps life pumping through you. The heart, blood vessels, and blood help to transport vital nutrients throughout the body as well as remove metabolic waste. They also help to protect the body and regulate body temperature. The cardiovascular system consists of the heart, blood vessels, and blood.This system has three main functions: ? Transport  of nutrients, oxygen, and hormones to cells throughout the body and removal of metabolic wastes (carbon dioxide, nitrogenous wastes). ? Protection  of the body by white blood cells, antibodies, and complement proteins that circulate in the blood and defend the body against foreign microbes and toxins. Clotting mechanisms are also present that protect the body from blood loss after injuries. ? Regulation  of body temperature, fluid pH, and water content of cells. [pic] Lymphatic SystemAn important supplement to the cardiovascular system in helping to remove toxins from the body, the lymphatic system is also a crucial support of the immune system. Unlike blood, lymph only moves one way through your body, propelled by the action of nearby skeletal muscles. The lymph is pushed into the bloodstream for elimination. Appreciating the importance of the lymphatic system in filtering, recycling, and producing blood as well as filtering lymph, collecting excess fluids, and absorbing fat-soluble materials is necessary to the understanding of human physiology.The lymphatic system consists of lymphatic vessels, a fluid called  lymph,  lymph nodes, the thymus, and the spleen. This system supplements and extends the cardiovascular system in the following ways: ? The lymphatic system collects excess fluids and plasma proteins from surrounding tissues (interstitial fluids) and returns them to the blood circulation. Because lymphatic capillaries are more porous than blood capillaries, they are able to collect fluids, plasma proteins, and blood cells that have escaped from the blood.Within lymphatic vessels, this collected material forms a usually colorless fluid called lymph, which is transported to the right and left subclavian veins of the circulatory system. ? The lymphatic system absorbs lipids and fat-soluble materials from the digestive tract. ? The lymphatic system filters the lymph by destroying pathogens, inactivating toxins, and removing particulate matter. Lymph nodes, small bodies interspersed along lymphatic vessels, act as cleaning filters and as immune response centers that defend against infection. V.Pathophysiology VI. Patient’s Profile Biographical Data Name: S. T. Age: 3 years old Gender:Male Address:Quezon City Birth date: January 14, 2010 Religion: Catholic Nationality:Filipino Informant: â€Å"Mother† Date of Admission:February 17, 2013 Admission Data Chief Complaint: â€Å"High Fever† Initial Diagnosis: Urinary Tract Infection Final Diagnosis: Kawasaki Disease Attending Physician: Dr. K. D . History of Present illness Patient’s present condition started 5 days prior to admission when patient have fever at 38. 5 °C associated with rash from face to neck.The patient was brought to Capitol Medical Center and diagnosed with UTI due to bacteria present in his urine. He was given paracetamol and antibiotics for the treatment. They allowed to go home. 4 days PTA, still with fever documented at 39. 5 °C and rash. Swelling of face and lips are cracked. The mother noticed short, quick breathing. The patient was brought again to the hospital, strawberry tongue is noted upon physical examination. The patient was referred to Infectious Disease (ID) Specialist and confirmed having Kawasaki Disease upon conformatory and other laboratory finding.Past Health History Patient’s mother verbalized that all needed immunizations since birth has been done to the patient. The patient has only experience stomach pain and minor health problems such as occasional cough, cold, a nd mild fever. Family History | |Mother |Father | |Hypertension |- |+ | |PTB – |- | |Cancer |- |- | |Allergies |- |- | VII. Laboratory Findings Urinalysis Report |Normal |Actual |Interpretations |Implication | |Color |Light or Pale yellow |Light Yellow |Normal |indicates good hydration and | | | | | |urine concen | | | | | |tration | |Character |Clear |Slightly Turbid |Abnormal |increase fluid intake | |Glucose |(-) |(-) |Normal |well hydrated | |Reaction |4. 6-8ph |6. ph |Normal |there is normal hydrogen ion | | | | | |concentration and extracellular| | | | | |fluid | | | | | | | | | | | | | | | | | | | |Specific Gravity |1. 010-1. 025 |1. 010 |Normal |the concentrating ability of | | | | |the kidney is normal | | | | | | | | | | | | | | | | | | | |PUS cell |0 |5-8 |Abnormal |indicates possible urinary | | | | | |tract infection | | | | | |Administer antibiotic as | | | | | |ordered | | | | | | | | | | | | | | | | | | | |Squamous |(-) |Few |Abnormal |increase fluid intake | | | | | | | |Bacteria |(-) |Few |Abnormal |increase fluid intake | | | | | |increase intake of Vitamin C | | | | | | | | | | | | | | | | | | | Hematology Report Laboratory/ Diagnostic |Results |Normal Values |Interpretation |Implication | |Procedures | | | | | |Hemoglobin |106 g/L |130-180 |decrease |Decresed hemoglobin leads | | | | | |to symptoms of anemia | |Hematocrit |0. 32 % |0. 40-0. 54 |decrease |Decreased hematocrit leads| | | | | |to symptoms of anemia | |WBC Count |20. 07 |5. 0-10. |increase |Increased WBC was due to | | | | | |presence of infection | |Coagulation Profile | | | | | |Platelet Count |605 |150-450 |increase |Increased PLT points to | | | | | |abnormal conditions of | | | | | |excess clotting | |Differential Count | | | | | |Neutrophil |65 % |50-70 % |normal |Within normal condition | |Lymphocytes |45 % |25-35 % |increase |Will lead to signs of | | | | | |viral infection | |Eosinophil |1 % |1-5 % |normal |Within normal condition | VIII. Physical Assessment |A REA/ REGION |METHOD USED |NORMAL FINDINGS |ACTUAL |INTERPRETATION/ ANALYSIS | | | | |FINDINGS | | | | | | | | |General Appearance | |>Temp: 36. 5-37. 2 °C |> Temp: 39. 5 °C |Not normal.All this symptoms are | | | | | |present due to hyperthermia with | | | |>Resp. Rate: 20-30 cpm | |manifestations of increased respiratory| | |Inspection | |> Resp. Rate: 35cpm |rate and cardiac rate. Fundamentals of | | | |>Pulse Rate: 80-130 cpm | |Nursing, Kozier & Erbs 8th Edition, | | | | |> Pulse Rate: |pp. 529. | |Auscultation |> No Pallor |140bpm | | | | | | | | | | |> Without signs of fatigue |> Pallor | | | |Inspection | | | | | | |> No edema |> Fatigue | | | | | | |Accumulation of fluid in the | | | | | |extremities because of prolong staying | | | | |> Bipedal non- pitting edema |in bed, and excessive accumulation of | | |Palpation | | |fluid in the third spaces, edema | | | | | |developed. Fundamentals of Nursing, | | | | | |Kozier & Erbs 8th Edition, pp. 579. | | | | | | | | | | | | | | | | |Not normal due to excessive | | | | | |accumulation of fluid in the third | | | | | |spaces, edema developed.Fundamentals | | | |> No edema | |of Nursing, Kozier & Erbs 8th Edition, | | | | | |pp. 579. | | | | |> With non- pitting edema | | |Skin | | | | | | |Palpation | | | | | | | | |Not normal.Temperature exceeds the | | | | | |normal temperature because of the | | | | | |presence of infection that causes the | | | | | |skin to be warm. | | | | | | | | | | | |Not normal.A skin lesion is an | | | |> Skin is mildly warm to | |alteration in a client’s normal skin | | | |touch |> Warm to touch |appearance. Fundamentals of Nursing, | | | | | |Kozier & Erbs 8th Edition, pp. 576. | | | | | | | | | | | |Not normal. Poor capillary refill | | | | | |results in poor oxygenation. | | | | | | | | |> Without peeling, must be | | | | | |soft and smooth |> Peeling (desquamation) palms |Not normal because there is increase | | | | |and soles |inflammation of the blood vessels | | | | | |causing it to be red in color. | |Inspection | | | | | | | | | | | | | | | | | | |> Capillary refill is less | | | | | |than 3 seconds |> With a capillary refill of 5 | | | | | seconds | | | | | | |Normal | | | |> No infection, swelling and| | | | |Palpation |moist lips | | | | | | |> Red mucous membranes in the | | | | | |mouth |Normal | | | | | | | |Mouth | | |> Dry lips | | | |Inspection | | | | | | | |> Cracked lips |Not normal due to infection. | | | | | |Fundamentals of Nursing, Kozier & Erbs | | | | |> Strawberry tongue noted |8th Edition, pp. 607 | | | |> Reactive/ responsive to | | | | | |noises |> Reacts to loud noises |Not normal.Use of accessory muscle | | | | | |(abdominal muscle, trapezius muscle, | | | |> Symmetrical and patent | |and sternocleidomastoid muscle) and | | | | |> Symmetrical and patent |increased RR signifies fatigue and | | | | | |hyperthermia. | |Ears | |> Not palpable | |Fundamentals of Nursing, Kozier & Erbs | | | | |> Enlarged, palpable |8th Edition, pp. 548. | | | | | | | | | | | | |Nose | | | | | | |Inspection |> Breath sounds are resonant|>Breath sounds are resonant | | | | | | | | | | | |> Thorax is rounded | | |Lymph Nodes | |> thorax is rounded | | | | |Inspection | | | | | |Palpation |>normal RR 20-30cpm, |> RR 35cpm |> Not normal due to inflammation of the| | | | | |skin lesions | | | |> normal PR 80-130bpm | | | |Chest, Thorax and Lungs | | |>HR 140bpm | | | |Percussion |> no use of accessory | | | | | |muscles in breathing. | | | | | | |> Use of accessory muscle | | | |Inspection | |(abdominal muscle, trapezius | | | | | |muscle, and sternocleidomastoid |> Not normal due to process of the | | | |> Unblemished skin |muscle) |disease and infection.Weakness is due | | |Palpation | | |to lack of energy needed to do normal | | | |> No tenderness; relaxed |> Presence of rash |activities. | | | |abdomen with smooth, | | | | | |consistent tension | |Not normal. Pain was caused by the | | | | |> Tenderness and |presenc e of bacteria in the urine. | | |> No restriction in |hypersensitivity | | | |Inspection |activities, no weakness and | | | | |Auscultation |alert | | | | | | | | | | | | | | | | | | |> Inability to tolerate | | |Abdomen | |> There should no pain felt |activities, weak in appearance, | | | | |when voiding |irritable and lethargic | | | |Inspection | | | | | |> Protein is not evident in | | | | | |the urine | | | | |Palpation | |> With difficulty in urination. | | | | | |Color of the urine is yellow | | | | |> Normal urine output is | |Not normal.This is also caused by | | | |500-1000cc/day or equivalent| |accumulation of excessive fluid in the | |Musculoskeletal and | |to 20-25cc hr | |body | |neurolo- | | | | | |gical status |Inspection | | | | | | |> There should no edema, | | | | | |tenderness, or swelling | | | | | |present | | | | | | | |. |Genitourinary | | | | | | | | | | | | |Inspection | | | | | | | | | | | | | > Non-pitting edema on both feet| | | | | |noted | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |Lower Extremities | | | | | | | | | | | | |Inspection Palpation | | | | IX. Nursing Care Plan X. Drug Study XI. Discharge Plan Medication Patient is given discharge maintenance drug for 2 weeks of 120 mg of aspirin every day or 30 mg QID. Exercise/ Activity The patient can resume his usual activities as soon his condition become normal. There is no restriction with regard to physical activities as long as it is tolerable to the patient’s health status. Treatment Allow the child to rest for faster recovery. Since the patient is taking anti-platelet medications, precautionary measures are discussed to avoid bleeding tendency.The patient is instructed to return to his attending physician within one week after date discharge for a follow up consultation. He is also required to have CBC, platelet count and ESR during that visit. Health Teaching Good hygiene is encouraged. Soft toothbrush are recommended. Petroleum jelly can be applied to dry cracked lips. Use mild soap in cleaning the skin and a mild lotion can be applied to protect skin from drying and peeling. Instill artificial tears to sooth conjunctiva as instructed. Outpatient Orders Remind the family on their follow-up check-up with their physician. Maintain good and safe environment to evaluate the progress of the treatment.Diet Soft or pureed diet is advised when the child’s oral mucosa is still inflamed. Cool liquids like ice chips and ice pops can also be offered. Diet will return to usual when the child is able to tolerate it. Provide high protein diet to promote faster recover. Increase fluid intake to prevent dehydration. A Case Presentation of Kawasaki Disease In Partial Fulfilment of the requirement in Maternal and Child Nursing II A Compilation Presented to: St. Augustine School of Nursing Espana, Manila Presented By: Julie Anne G. Lumbera PN-4A Ms. Cecilia J. Sarte MCN II In structor and Adviser Mr. Joey M. Cadano Clinical Instructor KAWASAKI DISEASE [pic]

The Problem with Exotic Pets in America

Abstract Many Americans love to have exotic pets, not thinking of the consequences of ownership. Right now there is a widespread problem in America: In places such as Florida, numerous types of exotic pets are becoming an invasive species as a result of being released back into the wild. The Problem with Exotic Pets in America.Exotic pets have always been a concern to a variety of people: health care officials who treat bites from these animals, insurance companies who have to cover businesses that employ performers who have live exotic animals In their acts (such s ‘Siegfried and Ron and customs agents who Inspect cargo ships for Illegal animals Just to name a few. The problem however, has taken a turn for the worse recently as a result of several things which have occurred not Just in the past year, but also In the past decade. Exotic animals are becoming a problem In the US and a hazard to people, pets, and livestock.Some background Information will now be provided. Almost e veryone above the age of 20 remembers what happened to Roy Horn of Siegfried and Roy when Monterey, the tiger Roy was working with, bit him on the neck and dragged him away. This brought Into focus the warning about -you can take the animal out of the wild, but you can't take the wild out of the animal. † As reported by Miguel Marquee (2003) to CNN, Roy horn was critically injured as a result of the attack and audience members Initially thought It was part of the act until they heard Rosy scream behind the curtain.Some say this act alone brought an end to performers using live animals, not just exotic animals, in their acts. According to the National Invasive Species Center's website (n. D. ). , one form of exotic pet that became an invasive species is the Northern Snaked. This species of fish, originally from mainland China, was brought to the US as an Import and was sold mostly in Asian fish markets as food but also in some pet shops as an exotic pet. When it was discovered in a lake in Maryland in 2002 and in other places such as the Potomac River, it was outlawed and labeled an invasive species.This was mostly due to Its rapid reproduction rate and high level of aggressiveness. Because It had no known natural predators, It soon became the apex predator In the waters where It lived and devoured the local indigenous fish. Like the Asian Carp, Northern Skinheads continue to be a problem on the east coast, but unlike the Asian Carp, their numbers are decreasing through the efforts of the Department of Agriculture and the Department of Fish and Wildlife.For purposes to this essay, the impact the Burmese Python NAS and on southern Florida will be used to demonstrate the problem with exotic pets. On October 27, 2011, a 16 foot Burmese Python was captured by South Florida Water Management workers in the Everglades National Park. This snake was credited with being â€Å"one of the largest ever found in southern Florida† and after killing the Python wit h a hooting, a 76 pound adult deer was discovered inside (Douglas, B. 2011). Considering the size of the deer this particular snake was able to eat, one needs to ask the question of what could have happened if this snake had been captured in an inhabited rural area. Considering the size of the snake and its diet, it would no doubt seek out easy prey such as pets or even small children. Sadly, this is not the first time a large snake such as a Python was captured in the wilds of Florida and the problem is not exclusive to Just snakes.Although snakes form the predominant indigenous return being caught, Florida is also plagued with the Nile Monitor Lizard and several aggressive species of iguanas such as the spiny-tailed iguana and the green iguana (National Biological Information Infrastructure, n. D. ). In an article written by Seal and Carmela (2009), Florida instituted a program called the ‘Python Patrol,' in which members of the Park Ranger Service and several other agencies actively look for creatures such as Pythons and other invasive species.The article describes some of the duties and responsibilities of the ‘Python Patrol' and also discusses some of the problems they face and their concerns. An example of one of the things the ‘Python Patrol' looks for in the Everglades are nests and states that the everglades are a perfect habitat for the Burmese Python. They also cite in one instance how the largest cache of eggs found was 83 eggs. Another problem they cite in the article is that in the everglades, the snakes are able to grow at an accelerated rate due to the abundance of food.One thing to note about the Burmese Python is that it can reach up to 20 feet in length and weigh as much as 200 pounds when fully grown. This fact makes it an extremely dangerous predator. The one key thing that links all of the previously discussed information together is that these animals all started off as exotic pets. The problem is more prevalent in Flor ida then in other areas as most of these animals were released by their owners back into the wild rather than being given to a zoo or other appropriate agency for safekeeping and care.In 1992, according to an article written by B. Coronet (2009), Hurricane Andrew destroyed several pet shops containing numerous snakes and other exotic pets. In the aftermath of the storm, many of these snakes escaped into the countryside and have been breeding for 19 ears (an interesting side note to this article is the picture on the website where the article is located showing a Burmese Python in a struggle with an American Alligator). However, for every snake caught how many more remain unaccounted for in the wild and how large have they grown?When one considers that a Python is a stealthy ambush predator, trying to take a census of the Burmese Python population is practically impossible and rather silly: In the wild, the Python's skin coloration and pattern make it virtually invisible to the naked eye. In closing, the capture and eradication of the Burmese Python may never truly be accomplished. As man expands and encroaches upon what little wilderness remains, there are bound to be encounters and clashes with wildlife. The Burmese Python is no exception: it NAS been captured on roads in Florida towns near marshes, under brush piles in backyards, and in several homes.When one does appear in a Florida neighborhood, local authorities are notified and a specially trained crew is sent to retrieve the animal. This would appear as only a stop-gap measure at best: Currently, attempts to control the spread of the Python have met with somewhat positive results, but as previously stated, the more man encroaches on nature the more request these encounters will occur. The best we can hope for is that these encounters do not result in violence or the death off child.

Evar From Diagnosis To Treatment Health And Social Care Essay

This essay will discourse a instance survey about an fanciful patient with AAA. The essay is divided into three chief subdivisions. It will foremost see the patient ‘s history, the initial trials undertaken, the imagination methods used and the result of each phase. It will so travel to depict the diagnosing and process of EVAR and in decision I will sum up the chief points. A 68 twelvemonth old male patient with a household history of AAA, who was a tobacco user and had a knee replacing 15 old ages ago, was referred by his GP to hold an X ray of the lumbar spinal column and pelvic girdle. . The clinical grounds for the X ray was that the patient had fallen down the stairs 2 hebdomads before and had a hurting in the lower dorsum and right hip. After warranting the request card and look intoing his inside informations, they did an AP and Lateral of his lumbar and an AP scrutiny of his pelvic girdle. And they sent him back to obtain the consequences from his GP after 10 yearss. The radiotherapist reported his diagnosing on the X raies and sent it back to the GP. There was an rating of the categorization in the venters and a suspected abdominal aortal aneurism. So the GP asked him to go to the surgery to discourse the x-ray consequence, and requested an ultrasound of venters to hold a better consequence and a unsmooth indicant of the internal diameter and a n accurate appraisal.The GP asked him to wait until he received an appointment missive from infirmary. After 4 hebdomads he had his assignment. The clinical indicant was categorization on the lumbar X ray, and a question sing an abdominal aneurism. The rating of the ultrasound scan was an abdominal aortic aneurism which was 4.5 centimeter. The bosom was normal in size. There was no grounds of any important mediastinal mass or lymph node expansion. The kidneys were normal in size. The radiotherapist recommended supervising the patient. He besides sent a study to the patient ‘s GP. Six months subsequently in Dec 2007, he attended his 2nd assignment for an ultrasound scan of his venters. There was a little addition in his aneurism. Therefore, a study was sent once more to his GP. The rating was a 4.7cm aortal aneurism. In April 2008 he had another scan which indicated a 5.2cm aneurism. The GP referred him to the vascular sawbones, because the size had reached an index diameter of 5cm.After four hebdomads he met the sawbones. He reviewed his medical history and discussed the x-ray and ultrasound consequence with him. He besides strongly advised him to discontinue smoke, because tobacco users are about 5 times every bit likely as non-smokers to endure from AAA ( Hafez 2008 ) .In November 2008, the aneurism was 5.6cm and fix was recommended by his sawbones.hypertext transfer protocol: //www.e-radiography.net/radrep/Vascular/Vascular_AAA_US_55mm/Vascular_AAA_US_55_long.jpgRadiological Report: US Abdominal Aorta: The maximal A.P. internal diameter of the abdominal aorta is 5.6 centimeter. Mural thrombus reduces the internal diameter to 2.0cms ( x-ray 2000 ) .A The Vascular sawbones discussed with the patient that he needs a surgery every bit shortly as possible, he besides explained the being of two possible methods of fix and outlined the major hazards and benefits of each. He besides explained the possible complications associated with the process, including the hazard of endovascular leaks, the possibility of secondary intercession and the demand for lifelong follow up ( H. George Burkit 2007 ) . He offered him an EVAR surgery, so he was referred to hold a CT scan with clinical indicant of EVAR 5.6cm in ultrasound scan. A Week after he had a CT angiogram aorta. The Radiographer asked him if he has allergy to any contrast media or kidney job. Then he had an IV injection of dye in his arm. The sawbones received the study from Radiologist a few yearss subsequently. Evaluation of CT scan was a 6.2cm infrarenal AAA with a satisfactory cervix of 2cm and good possible common iliac set downing zones suited for EVAR ( Bhattacharya V 2007 ) . He was asked to go to a pre-operative appraisal clinic to run into his sawbones and other members of clinical squad. Two hebdomads subsequently in pre-op they took his medical history and the name of all medicine he used and carried out a physical scrutiny. The surgical squad carried out a figure of trials include blood trial and chest X ray to do certain that he is healthy plenty to hold an anesthetic and surgery. And advised him what he needs to make for admittance twenty-four hours. trials Normal Laboratory Test Values ‘ Patients result Red blood cells 3.8 M/mcL to 5.6 M/mcL 4.6 M/mcL. White blood cells 3.8 K/mm^ to 11.0 K/mm 6 k/mm. Hemoglobin 11 g/dL to 18 g/dL 13 g/dl Hematocrit 34 % to 54 % 38 % Blood urea N mg/dL to 0.4 mg/dL 6 mg/dL to 23 mg/dL Bilirubin, direct 0.0 15mg/dl Bilirubin entire 0.2 mg/dL to 1.4 mg/dL 0.2 milligram /dL Creatinine 0.6 mg/dL to 1.5 mg/dL 0.7 mg/dL On admittance twenty-four hours which was hebdomad subsequently, he was seen by the nurse, sawbones and anesthesiologist. Then vascular sawbones went through the questionnaire which was about his past medical history and process once more, and explained the hazard and benefit of making the operation. He took his consent and asked him to subscribe the consent signifier. He was taken to the theater and the anesthesiologist gave him a general aneaestatic. Aneurysm fix was performed and after the process, he was taken to the intensive attention unit for recovery. He made good recovery and was discharged on the fifth postoperative twenty-four hours. Complete recovery was 3 months. After 2nd postoperative yearss he had CT angiography In order to observe any complication. There was no grounds of endoleak detected during arterial stage scanning or after a 2-min hold. The patient was discharged without complication. Follow-up CT angiography was performed at 1 month and five month. Then every twelvemonth after that, to do certain there are non any jobs. Discussion: An aneurism is a weak country in aorta. If a blood vas weakens, it starts to bloat like a balloon and becomes remarkably large. If an aneurism signifiers on the abdominal aorta and grows excessively large, the aorta might rupture or tear ( Upchurch and Schaub April 1, 2006, Heather 2008 ) . The most common aneurism is abdominal aortal aneurisms, is below the beginning of the arterias to the kidneys.In work forces, the maximal normal aortal diameter at this degree is about 2.5 centimeter. An aorta that is 3 centimeter or more in diameter at this degree qualifies as being aneurysmal. The happening of AAA varies harmonizing to ethnicity, age and gender. Work force are six times more likely to be affected than adult females. At the age of 65 old ages, 3 % of work forces will hold an AAA. The popularity so increases with age to make about 8 % at the age of 80. AAAs represents about 98 % of aneurism of the whole aorta ( Hafez 2008 and Sparks et al 2002 ) . Any aneurism wider than 5.5 centimeter should be operated upon electively ( Raymond 2006 and Dillon et al 2010 ) .Abdominal aortal aneurism is normally symptomless. Smoke and high blood force per unit area are most of import hazard factors ( patient brochure 2009 and Hafez 2008 ) . Approximately 80 % of patients who present with a ruptured abdominal aortal aneurisms have no old diagnosing. When rupture occurs, mortality is really high ( Scot et al 2008 and Philip et al 2009 ) . On physical scrutiny, AAAs with 3 to 3.9 centimeter scope is tangible 29 % of the clip, compared with those with an AAA more than 5 centimeter. which can be palpated 76 % of the clip ( Gilbert et al 2008 ) . Once the size reaches an index diameter of 5 to 5.5cm or is seen to spread out more than 0.5cm in a twelvemonth needs to mention to vascular sawbones ( H. George Burkit 2007 ) .Harmonizing to Robert et Al 2008 if the abdominal aortal aneurism expands by more than 0.6 to 0.8cm per twelvemonth, fix is normally recommended.The trials were included: Arterial Blood Gas ( ABG ) degrees, to supervise oxygenation, airing, and acerb base position. Complete blood count to supervise Red blood cell, White blood cell ( WBC ) , and thrombocyte counts altered hemoglobin degrees and haematocrit reflect any blood loss and the O transporting ability of the blood. An elevated WBC count reflects an inflammatory response. Serum electrolyte panel-monitors fluid, electrolyte, and acerb base position Serum creatinine and blood urea N ( BUN ) degrees, to supervise nephritic map. Blood curdling surveies to supervise curdling. Urinalysis to supervise nephritic position including secernment and concentration Blood cross fiting necessary for blood replacing Electrocardiography ( ECG ) to look into cardiac alterations associated with ischaemia Chest X ray may uncover abnormalcies of the thorax, bosom and lungs ( Holloway 2004 ) . MRSA Scan to fix his tegument and cut down the likeliness of infection ( trust protocol ) . Patients are normally current or anterior tobacco users and frequently have a history of high blood pressure. Most abdominal aortal aneurisms remain asymptomatic until they rupture, but some are detected by the way either on scrutiny or when the patient undergoes imaging for other grounds. On scrutiny a pulsatile, expandable cardinal abdominal mass may be detected supplying the patient is non grossly corpulent. The femoral and popliteal pulsations should be checked for associated aneurisms ( Scott et al 2004 and Rosalyn 2006 and Louise and Anderson 2001 ) . Compared with unfastened surgery, EVAR has lower operative mortality, lower morbidity, and shorter length of infirmary stay and greater likeliness of discharge to place than unfastened surgery ( Schermerhorn 2009 ) Two option of operation are unfastened fix, where an scratch is made in the venters, and endovascular aneurism fix, where the aneurism is repaired by go throughing instruments through one of the venas ( NHS Choice 2010 ) . Patient demands to hold CT angiogram to cognize if he is suited for EVAR. Because of the form of aneurysm some people are non suited for EVAR Otherwise he should hold unfastened surgery ( NICE 2006 ) . CT is the following measure to assist find which intervention should be used.Serial CT scans can be used to conceive of the proximal cervix ( the passage between the normal and aneurysmal aorta ) , the extension to the iliac arterias, and the patency of the splanchnic arterias. They can besides mensurate the thickness of the mural thrombus. With 3-dimensional imagination, coiling CT and CT angiography can supply extra anatomical inside informations, particularly utile if endovascular process is considered ( Macari et al 2001 ) .The ground of holding CT compared with aortography and MRI is, widespread Availability, systematically consistent consequences, and a comparative cost ( Sparks et al 2002 ) . Elective surgery is to mend an aorta. The sawbones will cover a little metal tubing, which is known as a stent-graft and will attach that to a catheter. The catheter is infixing into one of the arterias in the inguen around the femoral arterias, before being moved up to the site of the aneurism. He will attach the stent-graft to the interior of the aorta with pins, which strengthened the walls of the aorta. The catheter so will be removed. The process will be guided utilizing intensifier x-ray machine and radiographer will take images step by measure. An X-ray imagination process is executing to look into whether the stent transplant is decently placed. The cut will be closed with stitches and a dressing will be placed over the stitches. ( Bupa ‘s Health Information Team 2010 and book ) . X raies of the venters shows Ca sedimentations in the aneurism wall, but we can non see the size and extent of aneurism therefore Ultrasound has approximately 98 % truth in mensurating the size of the aneurism, and is safe and non-invasive. Ultrasonography normally gives a clear image of the size of an aneurism. For surgical fix be aftering ultrasound can non accurately place the extent of the aneurism. Computerized imaging of the venters is extremely accurate in finding the size and extent of the aneurism, and its relation to the nephritic arterias. However, computerized imaging uses high doses of radiation and for rating of blood vass, requires endovenous dye. This carries some hazard including allergic reaction to the dye and annoyance of the kidneys. In patients with kidney diseases, the physician may see an MRA, which is a survey of the aorta and the other arterias utilizing MRI scanning. Both computerized imaging and MRI are effectual for diagnosing. In this instance because pa tient had Knee replacing and no allergic to dye CT is best option. Screening may cut down the incidence of aortal rupture, particularly if applied to bad groups. Erstwhile ultrasound showing for AAA is recommended for all work forces aged a†°?65 old ages and household history of AAA ( NHS Screening plan 2010 ) . Decision: Abdominal aorta aneurism ( AAA ) is a dilation of the aorta. This is about 3 centimeters in most people. Strong hazard factors are cigarette smoke, familial or household history, increased age, male sex, inborn and connective tissue upsets. Diagnostic factors include abdominal, back, or inguen hurting, pulsatile abdominal mass and hypotension. Diagnostic trials are including Plain X ray of venters, Ultrasound, CT scan, MRI and aortography.There are two option for Treatments of Abdominal aortal aneurism which includes unfastened fix and Endovascular aneurysm fix, depending on patient status. REFRENCESS: Upchurch, Jr. G.R. ( M.D. ) and Schaub, T.A. ( M.D. ) ( April 1, 2006 ) ‘Abdominal Aortic Aneurysm ‘ American Family Physician online. Available from: hypertext transfer protocol: //www.aafp.org/afp/20060401/1198.html [ Accessed 16/2/2011 ] Heather, B. P. ( 2008 ) ‘Abdominal aortal aneurisms, testing and the jurisprudence ‘ AvMA Medical & A ; Legal Journal. 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