Monday, December 23, 2019

Short Story - 1016 Words

Im sure this will jog your memory. You know who it was, right? Just tell me and you get to keep the money. Boss, were running low on... Where are your manners? Cant you see were in the middle of something? Whats going on? I want to get the truth... out of this stubborn ox. - The truth about what? - Thief. The thief. Will you tell me who it was or not? Boss, Id love to help you... but as I said, I know nothing. I dont know anything, Bra Cosmo. Im sorry, boss. Sorry. Im not in the mood. I just came to pick up some clothes. Get yourself in the mood because we are having this conversation! - Tell me, why are you staying at Jacks? - Hes my father, and its my home. Then get your attitude right while youre there...†¦show more content†¦He has information that could be useful to me. - What kind of information? - I cant tell you that. - I can only speak to Abe about it. - Why now? Why are you looking for Abe after all this time? Is he still in the country? Does he owe you money? Is that why youre looking for him? Is he in trouble? - Calm down. - Dont tell me to calm down! I just want to know if my brother is okay! When last did you speak to him? I cant remember. And you? What do you know? Tell me! Bafana, get the lady something strong to drink. Lets go to the study, then you can start at the beginning. - Buddy, hes online! - Chat to him! - Did I miss something the other night? - You shouldve come. The movie was great. Wasnt it awkward being the only girl? They treated me like a queen. They made sure I wasnt awkward. - What did you talk about? - Different stuff. Our families, school... You know, Mpho didnt say much. Hes so secretive. He never talks about his life. Hes been gone a while. He doesnt know us that well yet. Hell come around. - But never mind that. Tell me about Brian! - Hes so cool. - I cant believe we have so much in common. - You like him. - I said hes cool, thats it. - Denial! Youre totally into him! Okay. The other day you said he liked me and now its the other way around? Whatever youre smoking doesnt work with you. The lady protests too much! Why would I date someone who basically stole from me? Buddy, I knowShow MoreRelatedshort story1018 Words   |  5 Pagesï » ¿Short Stories:  Ã‚  Characteristics †¢Short  - Can usually be read in one sitting. †¢Concise:  Ã‚  Information offered in the story is relevant to the tale being told.  Ã‚  This is unlike a novel, where the story can diverge from the main plot †¢Usually tries to leave behind a  single impression  or effect.  Ã‚  Usually, though not always built around one character, place, idea, or act. †¢Because they are concise, writers depend on the reader bringing  personal experiences  and  prior knowledge  to the story. Four MajorRead MoreThe Short Stories Ideas For Writing A Short Story Essay1097 Words   |  5 Pageswriting a short story. Many a time, writers run out of these short story ideas upon exhausting their sources of short story ideas. If you are one of these writers, who have run out of short story ideas, and the deadline you have for coming up with a short story is running out, the short story writing prompts below will surely help you. Additionally, if you are being tormented by the blank Microsoft Word document staring at you because you are not able to come up with the best short story idea, youRead MoreShort Story1804 Words   |  8 PagesShort story: Definition and History. A  short story  like any other term does not have only one definition, it has many definitions, but all of them are similar in a general idea. According to The World Book Encyclopedia (1994, Vol. 12, L-354), â€Å"the short story is a short work of fiction that usually centers around a single incident. Because of its shorter length, the characters and situations are fewer and less complicated than those of a novel.† In the Cambridge Advanced Learner’s DictionaryRead MoreShort Stories648 Words   |  3 Pageswhat the title to the short story is. The short story theme I am going conduct on is â€Å"The Secret Life of Walter Mitty’ by James Thurber (1973). In this short story the literary elements being used is plot and symbols and the theme being full of distractions and disruption. The narrator is giving a third person point of view in sharing the thoughts of the characters. Walter Mitty the daydreamer is very humorous in the different plots of his dr ifting off. In the start of the story the plot, symbols,Read MoreShort Stories1125 Words   |  5 PagesThe themes of short stories are often relevant to real life? To what extent do you agree with this view? In the short stories â€Å"Miss Brill† and â€Å"Frau Brechenmacher attends a wedding† written by Katherine Mansfield, the themes which are relevant to real life in Miss Brill are isolation and appearance versus reality. Likewise Frau Brechenmacher suffers through isolation throughout the story and also male dominance is one of the major themes that are highlighted in the story. These themes areRead MoreShort Story and People1473 Words   |  6 Pagesï » ¿Title: Story Of An Hour Author: Kate Chopin I. On The Elements / Literary Concepts The short story Story Of An Hour is all about the series of emotions that the protagonist, Mrs. Mallard showed to the readers. With the kind of plot of this short story, it actually refers to the moments that Mrs. Mallard knew that all this time, her husband was alive. For the symbol, I like the title of this short story because it actually symbolizes the time where Mrs. Mallard died with joy. And with thatRead MoreShort Story Essay1294 Words   |  6 PagesA short story concentrates on creating a single dynamic effect and is limited in character and situation. It is a language of maximum yet economical effect. Every word must do a job, sometimes several jobs. Short stories are filled with numerous language and sound devices. These language and sound devices create a stronger image of the scenario or the characters within the text, which contribute to the overall pre-designed effect.As it is shown in the metaphor lipstick bleeding gently in CinnamonRead MoreRacism in the Short Stor ies1837 Words   |  7 PagesOften we read stories that tell stories of mixing the grouping may not always be what is legal or what people consider moral at the time. The things that you can learn from someone who is not like you is amazing if people took the time to consider this before judging someone the world as we know it would be a completely different place. The notion to overlook someone because they are not the same race, gender, creed, religion seems to be the way of the world for a long time. Racism is so prevalentRead MoreThe Idol Short Story1728 Words   |  7 PagesThe short stories â€Å"The Idol† by Adolfo Bioy Casares and â€Å"Axolotl† by Julio Cortà ¡zar address the notion of obsession, and the resulting harm that can come from it. Like all addictions, obsession makes one feel overwhelmed, as a single thought comes to continuously intruding our mind, causing the individual to not be able to ignore these thoughts. In â€Å"Axolotl†, the narr ator is drawn upon the axolotls at the Jardin des Plantes aquarium and his fascination towards the axolotls becomes an obsession. InRead MoreGothic Short Story1447 Words   |  6 Pages The End. In the short story, â€Å"Emma Barrett,† the reader follows a search party group searching for a missing girl named Emma deep in a forest in Oregon. The story follows through first person narration by a group member named Holden. This story would be considered a gothic short story because of its use of setting, theme, symbolism, and literary devices used to portray the horror of a missing six-year-old girl. Plot is the literal chronological development of the story, the sequence of events

Sunday, December 15, 2019

Television and Radio Is Important to Social Media Today Free Essays

Television and radio is important to social media today Anthony D. Alexander, Jr COM155 Nov 24, 2012 Instructor Iaccino Television and radio has been the engines for all social media invention today. Some argue that television and radio is no longer important to social media, people believe they don’t have a need for television and radio since the Internet, cell phones and many more. We will write a custom essay sample on Television and Radio Is Important to Social Media Today or any similar topic only for you Order Now Television and radio play’s a sufficient role in everyday life, rather if you use it or not. Without, television and radio there would be more people not employed. Television and radio have many of the same capabilities, but they are also different in many ways, both are very important for today social media. Television and radio has been the source to allow the many social inventions to happen today. There couldn’t be any Internet, cell phones, and smart phones, smart TV, broadcasting news, and many more. Television and radio has paved the ways for many other media today. There are people who get up every morning preparing to go to work, which they would get dress and brew their coffee and hope in the car and turn on the radio: rather if it for news, weather, and nationwide morning shows: or while getting dress they turn on the television to catch some of the local or nationwide news, entertainment, and the reality show they recorded last night. Although, many don’t do this, but some do and that’s why television and radio still have the same value today as the past years. Some argue that television and radio is no longer important to social media, people believe they don’t have a need for television and radio since the Internet, cell phones and many more. Some believe the value of television and radio has extinct and no one needs it for social media today. I have asked many people if they feel this way and the majority responses where â€Å"I don’t watch TV that often and some said they â€Å"don’t have a care to listen to radio†. Many people don’t think of how much they really use television and radio while completing my resource and asking people question about television and radio and them to compare and contrast was very interesting. By asking them these question it brought up how important both are, and how they compare and contrast. Television and radio play’s a sufficient role in everyday life, rather if you use it or not. Television and has many comparisons: they both open the door for many other social media, they both have electrical cords that plugs into a outlet, both can be use portable, both give you news, entertainment, live broadcasting, both can be used by a remote, both have speakers, both plays music, and many more. Television and radio both are also very different like: television shows a picture with voice which radio only have the voice, radio has sound waves that could be pick up anywhere and television can’t. This is what makes radio so important, many of us has family and friends that’s fighting for our county and who is not able to watch the television to see what going on in the news, politics, sports or weather reports. Television allows a person to watch and listen, once a pond a time this was far fetch. Years ago you couldn’t tell people that we would be able to watch a picture on a little box (now big boxes). Television shows you different events, entertainment, also news and live broadcasting from all over the world. Radio works in underwater ships, and in the rain forest where there is no television. Television is one of the most expensive ways of social media, and radios are giving away free if you are able to find the right place. We would be nowhere without television and radio. If it wasn’t for television and radio, we would not know who the president is and doing for our country, if not for radio how would we known when Martin Luther King, Malcolm X, President Kennedy where killed, if it wasn’t for television how would we known and seen the OJ Simpson, D. C. murder trails, the massacre that took place at Columbine high school or the killing of Osama Bin Laden. Without, television and radio there would be more people not employed. Television and radio formed the word â€Å"celebrity† there would not be one if not for television and radio. Today there are many of actors and actress, sports players, musicians, advertisement companies, Wall Street or inventions such as computers, smart phones, Internet, cable, satellite television and radio, game systems. These items came from the root of television and radio, without these we would have no social media today. From the root of television and radio we have one of the largest social media sites there is Facebook. Facebook still incorporates television and radio every day, with advertisement on the radio and television, plus Facebook also filmed a movie about how Facebook started. Facebook would not have been what it is today if it had not utilized the pioneers which are television and radio. Now, you can connect with all social media through your smart phone. Smart phone has a radio, television, and the Internet. Smart phone allows you to select application where you can do much more than a television and radio, but all are stems to the root of television. Television and radio have many of the same capabilities, but they are also different in many ways, both are very important for today social media. Television and radio has shown why they are the pioneers of social media, no social media could have ever been possible without television and radio. Television and radio should be important to your social media, The lack of television and radio means no information for use. I was one who never cared about television or radio, until I went a week without the booth and I thought I was clueless to the world. How to cite Television and Radio Is Important to Social Media Today, Papers

Friday, December 6, 2019

8220Explain the importance of preserving the healt Essay Example For Students

8220Explain the importance of preserving the healt Essay h and diversity of the worlds oceans8221Explain the importance of preserving the health and diversity of the worlds oceans. Our oceans are the most productive and more than likely the most helpful environment on the planet today. Oceans not only supply our ozone with life supporting oxygen, control the earths weather patterns, it also is home to over a million different species ranging from mammals, invertebrates, to microscopic plankton. The ocean is a very diverse environment and it is very important to keep the ocean and all off its creatures alive and healthy. There are many reasons for this, but the main reason is that what we do in our waters will directly effect the way we live. So lets start by taking a look at where we a get a major percentage of our food today. The oceans are being over fished and fish populations are dwindling more rapidly than ever. Many people dont understand the various consequences of this horrible dilemma which we face daily. The reasoning is that killing off the fish doesnt only effect fish but everything dependent on fish, such as humans, sharks, mammals and other types of fish. You can further understand this if you took a look at a food chain. Every creature is a link you remove one the chain is weak, and susceptible not to function properly. Oil spills and pollution can be the cause of death too much of the local marine life. An oil slick can cover up to 50 square miles polluting, and damaging all the ecosystems in which the marine life thrives killing thousands. All over the ocean surface and all over the land near the spill will be contaminated with crude oil ruin the lives of many of the animals near or who feed of the animals who were less fortunate not to make it out of the spill un effected. Even though oil spills are not an every day ordeal, the seepage of toxic chemicals and waste filtrates into our ocean with devastating results. When fish swim through chemicals their bodies dont repel them but rather absorb them contaminating them, making them a lethal weapon to humankind. If these fish were to get caught and sold at the market, anyone who bought and ate the fish could be in terrible danger of consuming toxic chemicals. But not all contaminated fish are caught. Some die shortly after contamination, and other drudge out the rest of their short lives in agony and possibility of infecting others of its kinds. Which in fact could cause a wide spread problem. As you can see from the few examples I have gave, and believe me this is just a few, that what we do in our oceans will more than likely come back and get us 2 fold of what we did to the marine life. The only difference is the marine creatures dont deserve it and never will deserve it for as long as mankind is here. Bibliography:

Friday, November 29, 2019

Mozarts Don Giovanni Essays - Operas, Drammi Giocosi, Don Giovanni

Mozart's Don Giovanni Giving Character's Character One of the most interesting challenges in operatic composition , is composing for all the specific characters. A composer has to distinguish between characters through his music. Jan can't sound like Fran , and Dan can't sound like Stan. Each character must have his or her own traits. Mozart's opera , Don Giovanni , provides us with many different characters to compare and contrast. One scene in particular lends itself to the comparison of Don Giovanni , Leporello , and The Commendator. Scene fifteen of Act two, places all three characters in close interaction with each other , making it easy to compare and find out how Mozart and his Librettist Lorenzo da Ponte brought them all to life. Lorenzo de Ponte's libretto provides the main character traits of Don Giovanni , Leporello , and The Commendatore. It gives an easy way of distinguishing between the characters. Don Giovanni is portrayed as being smart , charming , and brave , yet selfish , arrogant , womanizing , and pompous. We see all of these traits in the final dinner scene. These opposing traits set up a love hate relationship of Don Giovanni. Leporello on the other hand , is wimpy , subservient , nervous , and a bit dumb. He is often the butt of Don Giovanni's jokes , and is always being bossed around. He can be thought of as the comic relief of the opera. In the dinner scene we get a definite feeling of Leporello being a wimpy idiot. The Commendatore returns , after being slain by Giovanni , as a ghost. He is portrayed as being a mighty , powerful , and ominous. He tries to make Don Giovanni repent for all the terrible things he did. In the dinner scene he is truly a powerful being from beyond. His power is demonstrated when he sends Don Giovanni down to hell. The above character descriptions are what Lorenzo da Ponte set up for Mozart to compose his music to. We now can observer how Mozart used musical devices to give each character his own flavor. One area to compare is the rhythmic traits of each character's musical lines. Leporello's nervousness and fear in the dinner scene is exemplified through a very jumpy unsteady rhythmic vocal line. (ex 1) Mozart really makes his nervousness obvious by giving him notes no longer in value then a quarter note from m.425 to m.629. Mozart uses dotted eights to sixteenth notes to make his part especially disjointed. This creates the effect of someone shaking from fear as they are trying to speak. Mozart also uses a continuous triple pattern , which begins at measure 470 , to create a rambling effect. (ex 2) Leporello seems to have lost his sanity from fright of the ghost and is now babbling incoherently. Don Giovanni and the Commendatore have very different rhythmic vocal parts then Leporello. They are much more bold and brave then Leporello , so Mozart gives them a more solid rhythm. The Commendatore has the most stable part out of all of them. He has many whole and half notes. The stability of the rhythm adds to the confidence and power of his character. (ex 3) The only time his rhythm becomes quicker is when he is yelling at Don Giovanni to repent. Don Giovanni shares many similar rhythmic traits as the Commedatore , although it has a little more diversity. Don Giovanni shifts from being comfortable to uncomfortable throughout the dinner scene. Mozart appropriatly varies the speed of Don Giovanni's rhythm. An example of this occurs at measure 522. (ex 4) Previous to this measure, Don Giovanni has a stable rhythm with most words occurring on the strong beats. (ex 5) It abruptly changes to a short offbeat eight note figure. Rhythm is not the only musical area that Mozart crafts specifically for each character. He also uses certain melodic lines for each character. The Commendatore's melodic lines are the most striking. He often has huge leaps in his part , giving the listener a full dose of the impeding force he is. The space creates a feeling of something bigger and more powerful then a

Monday, November 25, 2019

Post Sigmoid Coletomy Care Essays

Post Sigmoid Coletomy Care Essays Post Sigmoid Coletomy Care Essay Post Sigmoid Coletomy Care Essay This paper will critically examine the care needs and management of Mr Braun. An appropriate framework will be used, namely the ABCDE. Alternative treatment will be analysed using the 5 WHs critical decision making too (Jasper, 2006)l. His care will be based upon the nursing process ensuring that patient outcomes are agreed, implemented and evaluated. The assessment framework to be used is this assessment is the ABCDE assessment framework. The ABCDE framework looks at Airway, Breathing, Circulation, Disability, and Exposure/Elimination. The reason for choosing this framework is that it uses a systematic method of assessing, it aids with elimination of post op complications. In addition, it is a commonly accepted framework which is widely used and can be used in critical care situations, pre post-operative care and emergency situations. Furthermore, it allows the nurse to use her skills in accessing the patient’s needs. The disadvantages of the framework are that it is a medical model in the sense that it looks specifically at the biological aspects of care and lumps emotional/psychological/cultural/social care under the exposure/elimination catergory. Therefore it does not promote exploring these issues in great detail (Younker, 2008 Hargan 2012) Cancer Physiology Bowel cancer normally starts in the rectum or sigmoid colon. It starts as adematous polyps and then progresses to adematous carcinomas. It spreads by direct extension via the bowel circumference, submucousa and outer bowel wall layers. It can also spread to other areas by direct extension, for example, to the liver, pancreas and spleen. Metastasis is normally by way of the surround lymphnodes. Primary cancerous cells can also travel into the lymphatic and circulatory system causing secondary cancer in other organs such as liver and pancreas (LeMone Burke, 2003). Mr Braun is undergoing an operation for his sigmoid colon cancer. One route to take would be the traditional method. This consists of open bowel surgery. This entails making a large opening. A bowel prep is given prior to surgery, there is a longer starvation process, which can cause dehydration and electrolyte imbalance. Furthermore, it causes stress on the body, insulin resistance in the body is longer and the recovery period is longer. In addition it causes longer paralytic ileus (Siddiqui et al. , 2012). The alternative treatment to the traditional method would be the laparoscopic method. Mr Braun would have a smaller incision, therefore making a quicker recovery. He would be in less pain and would be able to mobilise quicker. He would have a quicker return of GI function and a lesser period of paralytic ileus. He would be able to deep breath better as he would not be experiencing a lot of pain, therefore he would be at less risk of contracting a chest infection. This would all work towards him having an earlier discharge, for example, 3-5 days post op compared to anywhere between 8-12 days on the traditional method. Research has also shown that community rehabilitation is much quicker, 2-3 weeks rather than 6-8 weeks on the traditional method (Jenson 2011). Further research shows that patients undergoing laparoscopic surgery have fewer complications post discharge (Hargan 2012). It appears then the laparoscopic route has better outcomes for the patient and in addition, the NHS. Being able to discharge a patient between 3-5 days who experience fewer complications post operatively not only frees up beds but costs less to treat the patient. Therefore, after weighing up the pros and the cons of both the traditional and the laparscopic it would seem that Mr Braun would be better off having the laparoscopic route. It appears from research that the lapascopic route is the route which is used in almost 90% of colorectal surgery. However, the route that is taken ultimately depends on the surgeon’s choice. Prior to collecting the patient from the recovery room Before collecting Mr Braun from the recovery room I will need to check the bed area. This includes checking that the oxygen is working. I will need to ensure that there is a nasal tube and a venturi mask. I will also need to check the suction is working and ensure that a new tube is present by the bedside. I will also need to make there is a yonker. I will put a dynamap beside the bed which will allow me to take Mr Braun’s clinical observations on return to the ward. I will also ensure that a drip stand is next to the bed as he may be on fluids or have a PCA on his return to the ward (Nicol et al. 2012). Collecting the patient from the recovery room On collecting the patient from recovery, I will take with me a kidney bowel in case the patient needs to be sick on his return journey, a pair of gloves, a oropharyngeal (geudel) airway in case his airway becomes compromised in anyway and a pocket mask for mouth to mouth. My first priority is to ensure that Mr Braun is safe to return to the ward. I will check his level of consciousness using the AVPU tool. This tool looks at whether he is Alert, whether he responds to Voice or whether he only responds to Pain and whether he is Unconscious. I will then take a handover from the recovery nurse. This should include informing me of the procedure Mr Braun has had, how well he has responded to the surgery and his current responsiveness/consciousness level. I would need to check with the recovery nurse whether his vital signs are within the normal range. This is for patient safety which is paramount and is at the centre of nursing care. This would need to be checked against the Early Warning Score (EWS) system which includes level of consciousness, the physiological parameters, for example, temperature, blood pressure, Oxygen saturation (SATS), respiratory rate, pulse and urine output. The EWS gives an overall score which informs me whether or not it is safe to take Mr Braun back to the ward. The recovery nurse would also inform me which medications he has had, information regarding IV fluids, how long they should run for and whether more are needed when it finishes and check they are written up on the drug chart. In addition, I would need to see the wound bed. This would help with later assessment on the ward where I would be able to compare whether there has been any further bleeding or leakage. I would need to see the stoma site. The recovery nurse would inform me whether Mr Braun had a urinary catheter and whether there had been any urine output. After handover I would say hello to the patient and manually take his pulse so that I can get an indication of his heart rate (Nicol et al. 2012). On the ward On returning to the ward I will orientate the patient. I will inform him of every procedure that I do so that I can gain informed consent (NMC 2012). I will immediately carry out a set of clinical observations. This is so I can make a comparison with his perioperative baseline. Although doing the clinical observations with the dynamap, I will manually take his pulse as it is vital that I know whether it is regular/irregular, strong or weak. ABCDE Assessment Airway The best way to check the airway is to speak to ask the patient and get him to respond to you. If he is able to talk in normally, this will be indicative of his airway being patent. I would need to listen to whether there are any sounds, like barking or gurgling as this could indicate that there is partial obstruction. I would also need to check whether Mr Braun is experiencing any nausea or vomiting. If Mr Braun is experiencing this I would need to immediately administer an anti-emetic as per drug chart instruction. This would help prevent the risk of pulmonary aspiration. I would also need to check whether Mr Braun has any allergies. I would ensure that he is wearing two red wrist bands with the allergies clearly written on them so that other staff members are aware. His allergies would be documented in his nursing notes and on his drug chart with information on what sort of reaction he experiences. Assessing whether Mr Braun has any allergies is extremely important as allergic reactions can cause swelling of the tongue and in the throat which would compromise his airway and leave him with difficulties breathing (Resuscitation Council UK, 2012). Breathing I would now assess breathing by checking Mr Braun’s respiratory rate (RR). The normal range is between 12-20 breaths per minute. In PAC, his RR was slightly raised. This could have been due to anxiety but was more than likely due to his anaemia (this will be looked at further under circulation). I will be able to gain a comparison and start looking for a trend. It is important that the RR is counted for a full minute. His breathing may be irregular and therefore not counting the full minute would give an inaccurate measurement. I would also check Mr Braun’s SATS. The normal range should be 95%. Checking his SATS will inform me whether he is getting enough oxygen and whether his tissues are being perfused adequately. Lack of oxygen can cause hypoxia which if not managed will lead to multiple organ dysfunction and ultimately death. I will also therefor check for cyanosis as this will also inform me whether he is lacking oxygen. It is important to look at how Mr Braun is breathing. For example, is he struggling to breath, is he breathing deeply or is it shallow. Does he have to use his accessory muscles to help him breath. I would check whether his chest is rising equally on both sides. I would also speak as him a question to ascertain whether he is able to speak in full sentences because someone who is struggling to breathe is unable to speak in full sentences. I would look at whether he is breathing fast or slow. Furthermore, I would look at how he is sitting, for example, is he leaning to one side. Also when you are assessing breathing it is important to listen for any wheeze or stridor. RR is one of the first things to alter when a patient is deteriorating. It is vital that if Mr Braun is experiencing any of the above, the nurse responds quickly. The first thing would be to check whether he is written up for any more oxygen and if so to increase it. The nurse would then have to check in RR and SATS again after 15 minutes to ascertain whether there was any improvement or further deterioration even. If the patient was deteriorating further the nurse would need to involve the doctor who would be able to review Mr Braun immediately and give further instructions on his care (Queen Mary University City University, 2006). Circulation An assessment of Mr Braun’s pulse needs to be undertaken. This will allow the nurse to ascertain his heart rate. In addition, it would allow me to feel whether his pulse is strong or weak and whether it is regular or irregular. The normal resting pulse should be between 60-80 beats per minute (bpm). In the PAC, Mr Braun was slightly tachycardic, which could be due to anxiety of his diagnosis, hearing about the treatment he would receive or his prognosis. By taking his pulse it will allow for a baseline, pre-operative and peri-operative comparison. His blood pressure (BP) would also be assessed. The normal ranges are 90/60-140/90. Mr Braun’s BP in PAC was 135/80. Although this is still within the normal range, it is slightly high. However, this would be an appropriate BP given his age. It is vital that clinical observations are carried out every 15 minutes for the first two hours post-op as there is a higher risk of complications occurring and clinical signs are the physiological parameters which tell you whether a patient is deteriorating or improving. For example, if a patient is tachycardic and hypotensive this could be indicative of hypovolaemic shock which would need to be managed immediately as this can lead to potential death. It is vital when taking clinical observations that the nurse is aware that she should not only rely on the measurements. This is because a patient can be in hypovolaemic shock and still have a normal BP. This is because in hypovolaemic shock, the compensatory mechanisms take over and the body will do everything it can to keep the BP at normal level. Therefore, it is vital that the nurse also observes what the patient looks like, for example, does he look palor, he is sweaty or clammy. These are all important factors when carry out clinical observations. When a patient undergoes surgery he has enforced reduced mobility. Mr Braun will be in bed for a while and due to these factors is therefore at risk of Deep Vein Thrombosis (DVT), which is one of the highest cause of PE leading to hospital deaths. The nurse should check whether he still has his TED stockings on and check that they are not rolled down or creased as this may prevent them from achieving good prophylaxis. Furthermore it could compromise his skin integrity. Mr Braun will probably also be prescribed oral or subcutaneous anticoagulants as a further prevention of DVT. Mr Braun’s Hb levels should be checked to ensure that his anaemia is improving. If Mr Braun was assessed in PAC as having met the criteria, which is expected to make a good recovery, for the ERP, his anaemia would have been dealt with prior to him being admitted. He would have been assessed for any co-morbidities and his GP would have been involved to treat his anaemia. If his anaemia had not been treated, prior to his admission, it is likely that Mr Braun would have undergone a blood transfusion during surgery. This would mean that he would have a cannula in situ which would need to be assessed to check for phlebitis. This would need to be documented on the VIP chart (Hargan 2012). The cannula needs to be checked to ascertain whether it is patent. The date of insertion should also be noted on the VIP chart as it is not allowed to stay in for longer than 72 hours. Mr Braun will also have a catheter in situ. Therefore it is important to check for urine output. Mr Braun should have a urine output of 0. 5ml/kg/hr, in other words half his body weight per hour. Therefore if Mr Braun weighs 80kg, he should have a urine output of 40mls per hour. If going through the traditional method, Mr Braun would have to have a low residue diet approx. 2 days prior to the operation. He would only be allowed clear fluids approximately 12-18 hours before surgery and would then be starved from the midnight before the day of surgery to prevent aspiration. Research has shown that prolonged starvation causes dehydration and electrolyte imbalance. It causes the body to experience insulin resistance for longer and cause the body more stress (Burch Slater 2012). In contrast, he would have been given carbohydrate loading prior to surgery in the form of iso-osmolarity which 90% passes through the stomach within 90 minutes therefore he would have been able to have it one and a half hours prior to surgery. This would cause less insulin resistance and put his body through less stress. He would be able to come off any IV fluids as he would be encourage to eat and drink at will post operatively.

Thursday, November 21, 2019

Leonardo da Vinci and Filippino Lippi Assignment

Leonardo da Vinci and Filippino Lippi - Assignment Example Da Vinci’s works are very distinctive. His lines are soft and clean, very detailed and life-like. He also uses cross hatching for shading. In his work, â€Å"Self Portrait c.1512 red chalk on paper†, his expert technique is also shown. The subject is supposed to be Leonardo da Vinci himself. It is a portrait of an old man, with the face tilted towards the third-quarter view. The subject is not facing the audience but one can see the expression in his eyes: solemn. Like most Renaissance artists then, his hair was long and he was bearded.The materials for this artwork are paper and red chalk. Like other da Vinci artworks, this illustration of a face of an old man (supposed to be himself), is anatomically perfect. The lines and wrinkles, up to the point that he looks to have lost his front teeth, is portrayed extremely well in the illustration. The lines are quite fine and light, and the shadowing was done by cross-hatching, which is very typical of da Vinci. Most scholars believe that this was also done by a left hand. Lippi was the illegitimate son of another painter, Fra Filippo Lippi. Under his father’s tutelage, he knew how to paint and illustrate. As with da Vinci, Lippi was also a master of anatomy. However, unlike da Vinci who was more scientific in nature (as in he invents, he engineers stuff, among other things), Lippi was more contracted and commission to work for churches as he made frescoes. His style echoed much of Boticelli’s style. In fact, some of his previous paintings have been signed, â€Å"A friend of Boticelli†.

Wednesday, November 20, 2019

Professional Profile of the Program Analyst and System Engineer Essay

Professional Profile of the Program Analyst and System Engineer - Essay Example Professional Profile of the Program Analyst and System Engineer ïÆ' ¼ Highly skilled in creating supportive technical solutions, overseeing contract administration, and facilitating effective program coordination strategies to increase workflow efficiency ïÆ' ¼ Proven ability to effectively handle multi-task levels of management responsibility with minimal direction from superiors while supervising personnel, providing team leadership, motivation, and development ïÆ' ¼ Solid communication, interpersonal, time management, analytical, organizational, and technical skills ïÆ' ¼ Experienced in Forecasting, Performance Improvement, Program Analysis, Project Management and System Engineering ïÆ' ¼ Extremely intelligent, dependable, and self-motivated with a high degree of collaborative work integrity ï‚ § I am currently working as a Senior Aviation Cost Analysis for a Business Case Study (BCS) for the Army Aviation Ground Support Equipment (AGSE) for Tool Replacement Warranty Program. ï‚ § I have worked in the position of Contract Specialist for CAS. The role involved Corporation working the AMCOM Contract at the Sparkman Center in the Acquisitions Logistic Directorate. ï‚ § Held accountable for maintaining the quality of the design, conformance, and condition of building the Boeing Delta Plant while reviewing in-plant testing for quality and recommending approval or disapproval to the Senior Quality Engineer.

Monday, November 18, 2019

Global finacial crisis Research Paper Example | Topics and Well Written Essays - 2500 words

Global finacial crisis - Research Paper Example Liquidity rate is the process of transforming solid assets into actual money. It is an indication of insufficient flow of finances. This work focuses on the global financial crisis with regards to its causes, effects and remedies among other aspects. This crisis was caused by several factors more so in the developed world. One of the major causes was the collapse of the real estate sector in 2006. This occurred when the sector lost its securities (pricing). The majority of major financial institutions had to close some operations since majority of them depend on the real estate. This happened when the U.S among other developed nations like United Kingdom established some policies that enabled citizens to own homes by creating a general platform for easy access of housing loans and mortgages. This was a predicament that the move would provide adequate capital to the banks through safe interests. This caused housing prices to reduce from 2006 to 2012. Several real estate agencies or co mpanies reported the greatest losses in the entire history of the sector. This could be indicated in the regional and international stock markets. The policy enables the majority to own their own homes, hence very few people were left to rent or purchase housing facilities from the real estate sector or agencies. ... Most of these companies are funded by institutional investors as well as foreign banks. This compelled President George W. Bush to declare insufficient bailout to the majority of the homeowners who could not repay their mortgage debts or loans. In short, the crisis was a result of policies that enabled citizens acquires loans to build their private residential structures, only for the majority of them to fail to pay their mortgage debts. The government had to offer some bail out, even though at some point, the president declared that were limited resources to offer such bailouts. Depreciation of house prices increased to an extent that such values were far much below the mortgages. This created a kind of foreclosure in the financial sector. From 2006, there was a kind of financial drain from the consumers; as a result, this weakened financial stability among the banking institutions. There was a huge pool of loan defaulters, which compromised the housing market and the national econo my as a whole. The loss was estimated to be trillions of U.S Dollars on a global scale. Much blame for the crisis is placed on the U.S government to establish some policies that encouraged direct deals between the citizens and the global or major financial institutions. History indicates that before 1970, United States ventured on a certain business or economy strategy where vital economic issues were enclosed to the government and not the public. During that period, there were limited deals between the governmental or global financial institutions and private developers, instead the government recognized corporations, companies or partners. Any party wishing to get some loans was to

Saturday, November 16, 2019

Pros and cons of Marijuana legalization

Pros and cons of Marijuana legalization Who would have thought that one green plant, Cannabis sativa, could create so much controversy throughout the centuries? The debate on medical marijuana has been around since the 17th and 18th century. The debate if marijuana is a dangerous and addictive drug, or a helpful medication for pain reliever, preventing vomiting, and treatment of glaucoma (Schwartz, 1994).Science has proven the medical benefits marijuana brings to the field of medicine. Although the American justice system is still undecided about the facts and safety of marijuana, and if marijuana should be legalized, some states have accepted the legalization of marijuana such as California. Many other states are still debating the pros and cons of marijuanas legalization. If marijuana was legalized and regulated it could save lives, help our economy grow in this economic downturn, and let our national security system attend to more alarming issues. Allegar, I. (2000). A factual guide to medical uses of marijuana. Townsend Letter for Doctors Patients Dec2000, (209), 121. This is the only book that presents many of the scientific facts about medical marijuana. Facts such as the origin of where marijuana plants came from, to facts about President Regans term, where the war on drugs began which gave marijuana a bad reputation. My favorite line from this article sums up why marijuana should be legalized. A primary fact is the proven safety of this plant- no one has ever died, overdosed, or even become ill from using marijuana. So how did this green leaf plant get such a bad reputation?(Allegar, 2000, p.209) This quote presents a great argument for the legalization of marijuana. Other drugs cause people to overdose and die, yet those drugs are legalized. So what is the problem with legalization of marijuana? Arias, d. (2007). Health findings. Nations Health, 37(3), 16. This article talks about many public health findings of medical marijuana. The discovery that marijuana relieves pain for patients that suffer from peripheral neuropathy, a nerve condition that is present in those affected with HIV (Arias, 2007). The marijuana relieved pain by 34%.Another amazing statistic is that the patients suffering from peripheral neuropathy reduced their chronic pain by 72% when smoking their first marijuana cigarette (Arias, 2007, 16). The placebo cigarette was not even comparable. This article presents good documentation of public health findings on marijuana. The procedure is organized well and easy to understand the benefits that marijuana presents in the experiment. In the research collected, this article makes the strongest point of how effective marijuana is as a pain reliever. With such high statics how can our government not legalize marijuana? Boire, R, Feeney, K. (2006). Medical marijuana law. Oakland, CA: Ronin Publishing Inc The book covers every question to what marijuana is, to why it is legal in some states. Also the book explains how the state law and federal law are two different things, and the federal law always wins. This book also brings a more in-depth explanation on marijuana history and the medical benefits. The book talked about two different alternatives to smoking marijuana such as Marinol and sativex. The pros and cons are listed for each drug. The book also explained the procedure of seeing a doctor and getting registration for the marijuana, where a safe place is to get the marijuana, and what the regulations are for growing your own marijuana plants. The book explains how to deal with the federal system and possession of marijuana. The book lists the amount of marijuana that is legal for each state. Boire and Fenney gave more information on the marijuana tax act of 1937. This book also makes the clear distinction on the federal law vs. state law. The most useful information I found in the book was the description on the qualifying conditions for medical marijuana, which are: AIDS, cancer, cachexia, epilepsy, glaucoma, HIV, multiple sclerosis, seizures, and severe nausea (Boire, Fenny, 2006, p.5).Another great part of the book is about the doctors role in prescribing the marijuana. Some states require a copy of the doctors license and signed physician statement (Boire, Feeney, 2006).The different forms of medical marijuana makes a great argument on why it should be legalize. Marinol, which contains synthetic THC, is a better option than smoking marijuana because, smoking is harmful. The down fall with the synthetic THC, is it does not produce the same pain relieving effect (Boire, Feeney, 2006). The book also talks about the patients rights and restrictions about medical mariju ana. This information helped me better understand both sides of the debate. Durand, M. (2007). Considering cannabis. Inside MS Jun/Jul2007, 25(3), 56-57. The article deals with the medical affects that Cannabis (marijuana) has on patients with multiple sclerosis. The marijuana helps prevent vomiting and muscle spasm. Experiments were done on rats to prove the medical benefit of marijuana. Some of the reverse side effects of marijuana are also listed. This article helps back up my thesis with the proof of medical facts to legalize marijuana. The drug is helpful with patients who suffer from multiple sclerosis. With dosage controlled and overseen by a physician I feel there is no reason to have these patients suffer and not be able to have marijuana. Garner-Wizard, M. (2006). FDA denies medicinal value of smoked marijuana. . HerbalGram Sep-Dec2006, 25(72), 22. This article is very interesting; because attention is brought to what party the U.S. government or medical system is lying. The FDA (Food and Drug Administration) says that there is no medical proof of medical marijuana. The FDA also argues that no science experiment on animals has been conducted and documented. The medical system talks about the lack of faith they have with the FDA. Medical experts do not believe that it is a communication error between the science departments and government officials, rather than the government does not want to accept the medical facts and legalize marijuana. The government wants to keep a strong stand on drugs. This article is perfect for playing devils advocate on the debate of medical marijuana. Medical experts have the facts and experiments in books and other science journal researched in this paper. So if the public can receive these written documents why is the government unable to? This article also presents the question of what is the true motivatation of not legalizing marijuana. What else is the government keeping from us? Krisberg, k. (2009). Fight for reform of U.S. drug policies slowly Making headway. [cover story]. Nations Health, 39(8), 1-10. Krisberg has presented facts and many view points from different medical experts. The reading is hard to understand what party believes what. The main concept retained from this reading is the president Barack Obama says he has the willingness to put science before policies (Krisberg, 2009, p.7) Meaning he would put opinions and policies aside and make a decision based on facts. While this article was difficlulent to understand and follow, the article is somewhat humorous. The president suggests he will move the legalization of medical marijuana if facts are presented. This entire annotated bibliography is filled of sources with many facts on the benefits of marijuana. So what is the hold up? Why has marijuana only been legalized in some states, and even then the federal law has many regulation and restrictions. What kind of facts are the government looking for. How can the American society observe the medical benefits of medical marijuana, but our public officials cannot? This creates a great viewpoint to think about while researching. Marandino, c. (1998). Fired up. Vegetarian Times, (247), 18. This article is a little old but still presents a great point. The National Institutes of Health (NIH) recommend that marijuana does present some medical benefits for serious illnesses. The American Medical Association also agreed that marijuana had some medical benefits. The public views are also document about the legalization of marijuana. This article prevents proof that medical research has been conducted and presented to the public. This article was written in 1998, and even though medical facts have been presented for medical marijuana many still opposed the idea of legalization. Marijuana has been viewed as a dangerous drug for centuries. No matter how many statics and facts are presented on why marijuana should be legalized for medical purposes, can change the mind of the American justice system. Marijuana. (2007). Marijuana fast facts, 1-2. This article presented some common background information. Because this was the first article researched, on the quest to understand the legalization of medical marijuana it was very helpful. To understanding the scientific name of the drug, to understanding the positive and negative aspects of marijuana, this article was very helpful. After reading this article and gaining some background knowledge, the more in-depth and complicated articles were easier to follow. Some of the information about the problem facing federal and state laws conflicting the legalization of medical marijuana. Also the information about marijuana being a risk and side effects that come with the drug will be helpful in presenting both sides of the debate. Marijuana and future psychosis. (2007). Nutrition Health Review: The Consumers Medical Journal , (98), 17. This article argues against the legalization of medical marijuana. All of the information in the article is about the life long lasting side effects of marijuana. How the use of marijuana can lead to psychosis and severe mood changes. There are two view points to very argument. While there is not sufficient medical evidence shown in this document to oppose the legalization of marijuana, this side still must be presented. The main reason for this view point is because of the side effects of marijuana. Like any other drug, marijuana has side effects. Some side effects are more harmful than those of marijuana, yet they are still legal. Minamide, E. (2007). Medical marijuana. Framington Hills, MI: Greenhaven Press. Minamide organized his text to show both sides of the legalization of marijuana debate. Some of the key topics are if medical marijuana is effective medical treatment or not. If the legalization of medical marijuana would negatively impact society or not, and finally if the federal government should ban medical marijuana or not. Debra J. Saunders argues that marijuana should be legalized because it can help many serious illnesses. Saunders believes that congress should move marijuana out of the classification of Schedule I drug, a caterogory that includes more serious drugs like heroine, to a Schedule II drug , like cocaine and morphine, which are available for medical use(Minamide,2007,p.12). Medical experts have facts that prove marijuana as a helpful medicine. Experts in medicane also believe the drug should be moved into the Schedule II drug. On the opposing viewpoints the book highlights a key point that harm of medical marijuana may outweigh the medical benefits (Minamide, 2007, p.34). Smoking in itself is harmful to the respiratory system regardless if it relieves pain and prevents nausea. Another great point highlighted in the book is if the legalization would negatively impact society. Mark R.Trouville says that the legalization of marijuana would interfere with the undermine law enforcement efforts to combat drug trafficking and would send a dangerous message that marijuana is a harmless substance (Minamide, 2007, p.38). The book also plays devil advocate and presents arguments for the legalization of marijuana that help my thesis out. Schwartz, H. (1994). Psychiatric practice under fire the influence of government, the media, and special interest on somatic therapies. Washington, DC: American Psychiatric press, Inc. The book gave facts on medical marijuana and the battle it has been facing for years. The book was written in the 1994 so the legal status was not up to date. Although, the history of marijuana and the medical benefits it had was very informational. The book also broke down the main ingredient in marijuana, and describes how they had medical benefits. A lot of case experiments proved medical marijuana helped the patient. The book also talked about the historic time line of marijuana. From the beginning of time when marijuana came from India in the 17th and 18th century, to Marijuana Tax Act of 1937 all the way to 1942 when American framers started to grow hemp for rope in World War II. The helpful information presented in this book had some general background information of marijuana. The author talked about THC (delta-9-tetrahydrocannabinol) is the main ingredient of marijuana. In 1895 THC was approved by the Food and Drug administration (FDA). The FDA noted that THC was combating nausea and vomiting associated with cancer chemotherapy.(Schwartz, 1994, p.106) The book also noted three main reasons why medical marijuana should be legalized. The first of the three reasons is to treat glaucoma. The next main reason was to relieve nausea, and last but not least is to stimulate appetite. I think that congress should look at all of the medical facts about medical marijuana and how it relieves pain for cancer patients and also prevents vomiting. In todays medical world there are a lot of addictive drugs used as pain relievers. Yet these drugs are legalized. The legalization of medical marijuana could help our economy grow. The last piece of information presented in this book was a great example of why marijuana should be legalized. In August 1992, for example, Valarie Corral, a 40-year-old woman from Santa Cruz, California, who smoked marijuana for 18 years to control epileptic seizures, was arrested for growing five plants in a vegetable garden near her porch (Rogers 1993).Under California Law, she faced up to 3 years for her offense. Valarie did not get sentenced 3 years for her plants; the judge understood her medical purpose for them. Valaries doctor reported her prescription for medical marijuana to help with her spastic muscles when she had seizures. Before her muscles were out of control and she complained of pain. Once she started smoking marijuana when she felt a seizure coming along, her seizures were not as intense or long. This is just one example of how medical marijuana has positively impacted a life. Now Valarie can drive a car and perform day to day tasks thanks to help of marijuana she can live her life.

Wednesday, November 13, 2019

Analysis of The Birth Mark Essay examples -- The Birth Mark Essays

In â€Å"The Birthmark† the relationships and behaviors of the character reveal much more than the story itself does. The characters of Aylmer, Georgian, Amenidab and Nature itself, through their words, actions, and behaviors give insight into a much more meaningful story. A deeper analysis of the characters reveals that they are archetypes, and as archetypes they provide a deeper hidden meaning to the story. By looking at Aylmer, Georgiana, Amenidab and Natures relationships and actions throughout the story we can see how they are used to give deeper significance. The character of Aylmer can be seen as a sinister, mad scientist who constantly fights with nature in order to attain human perfection. From the beginning of the story Aylmer’s fight with nature can be seen. â€Å"We know not whether Aylmer possessed this degree of faith in man’s ultimate control over nature. He had devoted himself, however, too unreservedly to scientific studies ever to be weakened from them by any second passion† (Hawthorne 218). This shows Aylmer’s passion in trying to discover the secrets of nature and being able to master it. Aylmer’s obsession with perfection and defying nature can be seen again when he is discussing the mark on Georgiana’s cheek. â€Å"’No, dearest Georgiana, you came so nearly perfect from the hand of Nature, that this slightest possible defect, which we hesitate whether to term a defect or a beauty, shocks me, as being the visible mark of earthly imperfection’† (Hawthorne 219). This shows Aylmer is not trying to remove the mark as an act of love, but instead trying to remove the mark because it symbolizes a stain of imperfection by nature. Aylmer is obsessed in his efforts to remove the mark and his motivations are not to make Ge... ...eard again! Thus ever does the gross fatality of earth exult in its invariable triumph over the immortal essence which, in this dim sphere of half-development, demands the completeness of a higher state† (Hawthorne 231). This laughter appears to come from no one in the room but rather Nature itself. Nature is laughing at Aylmer in his attempt to try and overpower it and create his own form of perfection. Since the hand on Georgiana’s face is viewed as Natures touch on her, it is not difficult to view Nature as an actual character in the story. After a deeper analysis of the characters in the story â€Å"The Birthmark† it is easy to see there are multiple hidden meanings throughout. The characteristics and actions of Aylmer, Georgiana, Amenidab and Nature help us to see deeper into the characters and see their true motivations and meanings in the story.

Monday, November 11, 2019

Ap Euro Winter Homework

Irene Kim AP Euro Winter Assignment 1/2 Unit I 1. There are several relationships that can be pointed out between the Middle Ages and modern times. One such example is the overpopulation that Europe faced before the Black Death and the overpopulation that the world is facing at this moment. Although not everywhere, there is poor sanitation and malnutrition in many areas of the world as there were back then. Another example is the economy and how there were a lack of jobs and pay for people as there are today which lead to new social changes. 2. The Black Death opened up new economic opportunities for peasants and formed a new middle class made up of artisans. The farmers that broke away were able to enjoy a new job that they enjoyed such as art and literature. The Hundred Years War began the modernization of state building and it made more room for social mobility. Power also became more centralized. The crisis in the Catholic Church paved the way for scholasticism and more secularizing of art. 3. The Black Death changed the social structure after the many deaths and the surplus of farmers who moved to the cities to become artisans. The Hundred Years War put tension politically between England and France that would affect wars later on. The church moving from Italy to France and refocusing the center of religion changed the demographic structure. Unit II 1. The Renaissance differed from the Late Middle Ages because it focused a lot on art and learning. Humanism, which led to many going away from the church and become secular, spread across Europe with the help of many intellectuals. Also the fact that the Renaissance was a period without as much feudalism because of the Black Death is significant because the individual could focus on himself or herself. . The idea of Humanism affected Renaissance art because it broke away from the traditional Christian settings and characters and relied more on basic people and their emotions. Humanism changed how society viewed itself and made it more individual-centered. Leonardo da Vinci is one artist who painted the Mona Lisa, by developing the technique of sfumato. Another artist is Michelangelo Buonarroti who sculpted David, which glorified the human body by making it into a contrapposto stance and made the facial expressions individualistic and emotional. Albrecht Durer is a Northern Renaissance artist who painted many self-portraits which shows how he values himself as well. 3. Women now had increased access to education but they also lost status and became ornaments to their husbands. There were sexual double standards; women had to stay chaste while men could do whatever they wanted to. Although there were women like Christine de Pisan or Isabella d’Este, their roles were to marry and have children. 4. Machiavelli’s ideas, found in The Prince, outline what a prince should do to rule his country. He states that the ends must justify the means and that for rulers, it is better to be feared than to be loved. They have greatly influenced future rulers to be stricter on their people. Unit III 1. The causes of the Protestant Reformation were the corruption of the church, revivals of ancient text, and humanism. The corruptions of the church such as the sale of indulgences, simony, pluralism and other deeds caused the people to become wary of the church. Humanism caused many people to criticize the church and question the validity of the bible. Though tensions about the church had been growing over the past few centuries, they escalated during this time, causing the Protestant Reformation. 2. The Reformation changed the world religiously, politically, economically, and socially. It changed it religiously by separating countries and the people by different religions, when before the reformation they were united under one. New religions sprouted out and grew away from Catholicism. It changed it politically because the rulers now had a stand on which religion to practice. It changed it socially because many of the lower classes converted into Protestantism because it was more favorable to them while many of the nobility stayed Catholic. 3. The status of women and children in European society was changed by the Reformation, somewhat. A woman’s main job was to stay at home and take care of the family, but marriage became more compassionate. Emphasis on education and literary rates rose during this time, thanks to intellectuals. As for Protestant women, their opportunities to help in the church, such as becoming a nun, lessened. 4. The extent the Catholic Church succeeded in achieving its goals during the Counter Reformation was pretty good. They basically re-affirmed past beliefs and reformed the institutions so that no corruption could be done and that the clergy would be properly educated. Although the unity of western Christianity was shattered, religious enthusiasm was rekindled within the people. A new religious order called the Jesuits also helped many people get back into Catholicism. 5. The voyages of exploration were motivated the idea of riches, such as gold or silver, but many wanted to find a new route to the silk and spice trades. The Ottoman Empire blocked two very major routes and so Europe had to find new routes to Asia. They changed the world by coming home with knowledge of newfound land and also spread diseases and food from one place to another. 6. Politics and economics were related in the commercial revolution. The Commercial Revolution was a period of European expansion, colonialism, and mercantilism. It was related to politics because many countries fought over trade routes. Whoever controlled one route, would form alliances with other countries making it a strong, defended nation. It is related to economics as well, because with the vast trade markets and monopolies, it helped many countries gain wealth and eventually power. Unit V 1. Divine right is the belief that God placed the king on the throne. Many used this as the basis of power for an absolutist rule. Although its legitimacy can’t be proven, people such as Bossuet helped monarchs achieve that power, such as Louis XIV. 2. The Treaty of Westphalia ended the Catholic Reformation in Germany as a renewal of the Peace of Augsburg except it added Calvinism. It failed to help Europe experience peace in the years following because Germany was now devastated and further divided. Also France began to gain power, which led to many wars such as the French Revolution and etc. 3. Mercantilism is the economic doctrine in which government control of foreign trade is of paramount importance for ensuring the prosperity and the security of the state. It was a cause of frequent European wars and motivated colonial expansion. It started the slave trade. They spread diseases, killed many natives, plundered riches, and introduced ifferent foods and animals. 4. Austria, Prussia, France, Russia, and England emerged as the strongest powers during the age of absolutism because of the fall of the three aging empires, Holy Roman Empire, Ottoman Empire, and Polish Kingdom. Absolute rulers, such as Frederick William I of Prussia, ruled as a response to the crises of the 16th and 17th centuries because the people needed order. Their armies and military were very developed and strong as well. 5. The methods that absolute monarchs used to maintain their control were to strengthen their military and change the bureaucracy. They also demanded absolute obedience and discipline from civil servants, because promotions were based on merit. They also educated their people more, even the lower classes. Monarchs also extended their rule over local law and revenues and replaced local nobles with ones faithful to the king. 6. Absolutism is based on sovereignty. An absolute ruler, like a king or queen, governs by decree. They were placed on the throne by god, and the people have no say in those decrees and no right of appeal. Constitutionalism, however, is based on agreed laws, not decree. It relies on a balance of government power and the rights of the people as well.

Saturday, November 9, 2019

O Captian! My Captian essays

O Captian! My Captian essays The ability to move a great people is a virtue lacked by many leaders. Mourning the death of such a leader is an even great task. Abraham Lincoln was an exception. In O Captain! My Captain, Walt Whitman metaphorically uses the image of a Captain to depict the respect, loyalty and love he and his countrymen felt for Abraham Lincoln. For a Captain to lead his crew, he must have the respect of his crew. Abraham Lincoln had people behind him, people who would follow him boldly into any situation. The Captain in the poem had that respect. O Captain! My captain, our fearful trip is done. Whitman tells of a fearful trip, a trip only taken with someone respected and trusted. That trip was the Civil War. Lincoln was victorious in his struggle or as Whitman puts it, the price we sought was won. Rather than mourn for a death, people were prepared for celebrating Lincolns victory. Whitman uses metaphors of bells and ribbond wreaths to show his loyalty towards Lincoln. Lincolns death was so sudden that it left the country in misbelief. There was an eagerness, a longing for his return, for you the shores a-crowding. A man calling another man father is a sign of great love. A father is loved, respected, and should be shown loyalty from his children. When a parent dies, or anyone that is loved for that matter, it is not odd to really look at them after they die. A dead loved one will be buried and gone forever. Years of looking at smiles and expressions from that person will be all but a memory. Whitman looks at his Captain, his father. He examines his pale lips and his stillness in a kind of awkward silence. In the last verse, Whitman begins to feel some true joy, joy in the remembrance of ...

Wednesday, November 6, 2019

Free sample - The Vulnerability of Innocence. translation missing

The Vulnerability of Innocence. The Vulnerability of InnocenceOne of the major themes depicted by Herman Melville is the vulnerability of innocence as well as how evil and innocence are contrasted and both of which are considered to be elemental human qualities. Naturally, Billy is presented as childlike; purely innocent who has no knowledge whatsoever concerning evil. On the other hand Claggart is a true replica of pure evil, which cannot be explained except only as blemished constituent of human nature. According to Melville, Claggart had â€Å"no power to annul the elemental evil in him, though readily enough he could hide it; apprehending the good, but powerless to be it; a nature . . . like the scorpion for which the Creator alone is responsible.† (Melville 16) Among the many queries raised in the narrative as to whether   true innocence can coexist among humanity or will it always be trampled by evil or driven to iniquity in the shape of aggravated response, such as Billy striking Claggart. By tolera ting innocence to be dreadfully overwhelmed in Billy Budd, Melville makes it apparent that evil still is still evident in the world and that innocence will forever have to fight against it (Parker 12). Captain Vere's is in a dilemma on whether to condemn Billy and have him hanged despite the fact that his logic that the young sailor is not guilty is caused by Vere's very nature. Captain Vere is exemplified throughout Billy Budd as a man who pays attention to his duty. Long before the appearance of Captain Vere, the complete depiction of the captain by Rights-of-Man minor character Captain Graveling predicts the more fundamental captain's problem. In his duty, the captain has always been faithful, to a point that the same duty had turned into an obligation. It is the "dryness" of duty that leads him to have a sense of detachment from feeling or perception. In the novel, duty is portrayed as a being intellectual rather than emotional. In addition, according to Wood Captain Vere is described as having "a marked leaning toward everything intellectual, and never tolerating an infraction of discipline." (Melville 11) He abides by the law and in return he expects his men to follow suit. Billy Budd does not characterize goodness as much as he does innocence, and the argument linking innocence and evil in this novel is diverse from the difference evident between good and evil. Through the narrator, we realize that Billy is not an idol in the conventional sense. Despite the fact that he has the appealing looks and casual outlook of the model Handsome Sailor, his significant characteristic is excessive gullibility, with no moral potency or audacity. Billy lacks a sufficient consciousness of good and evil to an aid him in choosing goodness willfully, leave alone champion it. For the reason that he is not able to identify evil when tackled by it, he eventually allows Claggart to drag him from being virtuous and into violence. Early in his life – as a handsome youthful popular sailor, Billy has the only wish of adjusting to the social life around him as well as being well liked. He assumes that no one has grounds to detest him. On the contrary, Claggart is full of deception, distrust, as well as wickedness, and he even infers Billy’s placidity as a treacherous pretense. Claggart seems to obliterate Billy on no particular grounds other than the latter’s innocence. Evil subsists to corrupt innocence, and even despite the fact that Billy kills Claggart; in a sense Claggart achieves a twofold victory over Billy in his own demise. It is Claggart’s actions that cause Billy to fall from both public and ethical grace by committing murder and Billy endure death as a consequence. Even though numerous characters in Billy Budd possess strong personal consciences; essentially, the individuals on the ship are not capable of trusting trust one another. Subsequently, life aboard the ship is administered by a stringent set of rules, and basically everybody trusts the rules and not the conscience honour of individual in order to ensure that law is maintained order. The distrust that the characters experience stems from the sagacity that evil is persistent and that Evil men such as Claggart seem to be lurking all over the place. Since it is not possible to know for sure whether people’s intents are good or evil, the evil men not only masquerade their own subtle designs, but they also ascribe evil intentions to others. Most conspicuously, Claggart misinterprets Billy’s intent in the soup-spilling occurrence and later plots his downfall (Wood 23). The Dansker realizes this sort of fraudulence all too well, and as a consequence, he acquires scepticism in his transactions with other people. The Dansker’s discretion may be construed in different ways, but one such conceivable interpretation is that he fails to take direct action against evil men because he fears the cost of facing up to evil directly, thus leaving other fine men like Billy to take care and protect themselves. He may signify people who occupy themselves with roles in order to fit into the social order, by no means totally standing-in on their own impulses and as well as creating a barrier between themselves and the outside world. In this particular reading, Dansker confront an impasse comparable to Vere’s. Initially the Dansker grows fond of Billy and even tries to help him, but he eventually gives up Billy to the paranoid, claustrophobic world of the ship, where men are detached from their own principles. In Billy Budd, men who deal with the law and men who face up to evil experience comparable consequences, signifying the dark vision that evil and the law are strongly connected (Levine 32). Melville is extremely fascinated in the ways in which culture forces citizens to restrain or limit their personality. When the warship Bellipotent hauls out the humble Billy from his previous ship, the Rights-of-Man, the metaphor is realistically explicit: society is supreme, it induces men into chipping in war, and in so doing it can readily allot with the rights of the personality. Captain Vere’s dilemma when dealing with Billy illustrated how culture requires the partition of one’s inner belief from one’s social commitment. In indicting Billy, Vere make a decision to follow the correspondence of the law, in spite of his own logic that Billy personifies decency and virtue. Feeling the strain of his position as a person in charge as well as with a responsibility to witness as the men obey the Mutiny Act, Vere forces himself to pay no attention to his own feelings about Billy’s condition and even goes a step ahead to urge the other jurors in the case to follow suit (34). The narrator’s aim seems to be that the desires of individuals are in general good and advantageous the whole society. Nevertheless, the result of the narrator’s story is more portentous. Even though the British war machine significantly benefits from the person eagerness and partisanship of its sailors, the more dominant the navy becomes, the further it is capable to smother individualism. Indeed, the harsh legislation of the Mutiny Act is passed to contain any additional murmurings of rebels. Melville seems to advocate that eventually, the individual’s effort to declare himself in the face of society will bear out futile.

Monday, November 4, 2019

Why There Would Be No People Without Plants Essay

Why There Would Be No People Without Plants - Essay Example Both the plants and human beings are said to be living in a balanced state together. The plants use the carbon dioxide released by the human beings to their advantage and release oxygen. The plants have leaves which have a structure known as stomata. This stomata is a microscopic structure which helps in taking carbon dioxide and releasing oxygen in the environment. Stomata ensure that the needs of the plants are fulfilled by taking in the necessary amount of gases and elements. These stomata are also referred to as the mouth of the plants because it helps in the intake of water, carbon dioxide and oxygen as necessary. It also helps in serving food to the plants by converting carbon dioxide into sugar via the process of photosynthesis. This essay would revolve around the significance of plants in the lives of the human beings (Smith 2010; Corner 1966). Plants undergo different processes to produce oxygen and these processes also help to make food for the plants themselves. While carbon dioxide is converted into sugar by the plants the process of transpiration also takes place simultaneously to release water vapors. Transpiration helps the plant to breathe in carbon dioxide because of the water that it releases. Light is also necessary for plants to produce food and oxygen. In the world today different gases exist together in the atmosphere including oxygen and carbon dioxide. It is necessary that these gases are balanced together so that human beings can exist. Plants balance these gases in the environment by the process of photosynthesis and respiration. In night when the plants do not have enough light they start producing carbon dioxide and take in oxygen. This helps to balance the gases in the environment and thus help the human beings to exist (Corner 1966). At many instances people tend to ask as to why do human beings really need oxygen for life. The answer for it can be found in the basic physiology of the human body. As human beings inhale

Saturday, November 2, 2019

Bring Your Own Device Research Paper Example | Topics and Well Written Essays - 3500 words

Bring Your Own Device - Research Paper Example The first section of this paper briefly introduces the BYOD/BYOT trend and implications for all the stakeholders in the educational sector and highlights the public discourse surrounding the trend. The second section discusses the theory underlying the BYOD/BEYOT trend by synthesizing arguments of peer-reviewed journal articles and creating connections with educational practice in an actual educational setting. This section also highlights specific gains of the BYOD trend in terms of positive changes in educational practice among other things. The third section of the paper provides my own stance on the manner in which the BYOD trend can be addressed in school, besides reviewing the overall findings of the discussion and reflecting on what it means for my own thinking about teaching and learning. Eventually, this section draws upon authoritative evidence in support of a claim that the BYOD trend has certain ramifications for teaching and learning in schools, which must be considered by decision makers. In recognition of the rapidly changing times, the need to enable students to adjust effectively to the contemporary information society and to take advantage of the modern digital technology in education, schools have sought to provide computers and other digital technologies for use by learners (Hill, 2011). However, due to financial constraints and the high cost of digital technologies, not many schools have been able to provide sufficient computers and digital technologies for their students.

Thursday, October 31, 2019

Business Finance Ratios Essay Example | Topics and Well Written Essays - 500 words

Business Finance Ratios - Essay Example Debt ratios signify the use of debt in acquiring the assets of the company. It signifies how the company has financed its assets and through what combination of debt and equity. Riordan Manufacturing has a higher debt ratio as compared to Kuddler foods however it must also be noted that the use of higher debt may also be favorable for the firm as it allow them to magnify their P/E ratio due to the impact of debt on taxable income of the firm. Apart from that the higher debt will allow firms to get the tax benefits also. However it also must be noted that the higher debt may be risky as taking more debt means putting on more burden on the existing resources to pay back the debt rather than being channeled into the more productive resources. Profit Margin is a ratio of great importance as it actually indicates what company is earning after paying off all its costs. This is in its essence is one of the key ratios of the success of the firm. In this regard, the profit margin of Riordan Manufacturing is less than that of the Kuddler Fine Foods. This can be because of the differences in their industry. Riordon being in manufacturing sectors has to incur costs which Kuddler, being in grocery business, may not incur. Further, the low profit margin for Riordon may also be attributed to its higher fixed costs ratio in its overall cost structure. Return on Assets is another very critical indicator of the how efficient firm is in running and managing its resources. High asset turnover and return on assets clearly indicate the level of professionalism and management approach. The ratio is significant in the sense that it provides management the vital indicator of how the firm is managing its assets to derive the sales. A low ratio would mean that it is taking more assets of the firm to generate the desired level of the return thus inefficient approach to managing the firm

Tuesday, October 29, 2019

Random error Essay Example for Free

Random error Essay The fixed resistance that gives me the greatest range of results is 1000 ?. Interestingly this happens to be the same resistance as the resistance of the thermistor at 25 i C Response time The response time of my sensor depends upon how quickly the thermistor reacts to a change in the temperature of the surrounding environment. The response time of my sensor does not need to be particularly fast under or around ten seconds would be sufficient. This is mainly because the plants in the greenhouse will not be affected be a short period of time at a slightly cooler temperature than the optimum growing temperature of 25 i C. The thermistor that I am using will be able to detect the temperature in one second or less, a period of time that will not affect the plants. Random error There is a chance that a random error could occur in my sensor. This however is a small chance, mainly due to the fact that the sensor will be working permanently, rather than taking results every hour for example. Systematic errors There is a possibility that a systematic error could occur in my sensor, these are mainly down to instances such as zero errors, and usually all of the results are affected. In my sensor, temperature could change the resistance of the fixed resistor in the potential divider. I do not think this should be a problem in my sensor though because the sensor will not become hot enough for this to be a factor. Now that I have taken these things into consideration I am going to perform an experiment to find out what the output potential difference will give at certain temperatures. I will place the thermistor inside a small coin bag, so that I can put the thermistor into a beaker of water. Due to water having a high specific heat capacity, it cools down quite slowly. As a result of this, I will put my thermistor in the bag into a beaker of water. I will read the potential difference across the thermistor at different temperatures of water, starting at 50i C letting the water cool and taking readings every 5i C. When the water temperature reaches about room temperature, I will put some ice cubes into the beaker of water to lower the temperature of the water further. The potential difference output from the lab pack transformer will be 10v.

Sunday, October 27, 2019

Information Seeking Behavior Of Nursing Students Clinical Nurses Nursing Essay

Information Seeking Behavior Of Nursing Students Clinical Nurses Nursing Essay Objectives: this article focus on behavior of clinical nurses and nursing students when they seeking information and use information resources to get medical information and how that effect there information behavior and health sciences librarians Methods: we used questionnaire e, interview and observation o f twenty clinical nurses and twenty-three nursing students. Results: we found 14 -70 % of clinical nurses and 17-74% of nursing students browsing internet and 17 85 % of clinical nurses are daily ,and 20-78% nursing students are daily but 80% of clinical nurses do not use Database and 78% nursing students do not use Database, in other side more than 50% of both groups said library satisfy our need and 76% of clinical nurses prefer to use printed and digital resources in parallel and 81% of nursing students prefer to use printed and digital resources in parallel . Many of clinical nurses and nursing students like to communicate doctors and professors because they trust them. but in fact browsing internet is the most one used between them. Conclusions and Recommendations: 14 -70 % of clinical nurses and 20-87% nursing students are browsing internet but 80% of clinical nurses do not use Database because 45% of them do not have skills to deal with Database. for that 95% of them supported to undergo training courses to Acquire the skills for dealing with Database. an other reason that Prevents them from using is 40% of them do not have access to Medical Database. 56% of them do not have information professional help them Help them get their needs Informatics and they want them to be in their working place. Nursing students do not use Database because 43% of them do not have skills to deal with Database. for that 96% of them supported to undergo training courses to Acquire the skills for dealing with Database. an other reason that Prevents them from using is 35% of them do not have access to Medical Database. INTRODUCTION clinical nurses and nursing students are need for medical, health, specialized and accurate information to solve uncertainty or uneducated situation of their knowledge to be able to provide services for institution. clinical nurses trust their doctors and head nurse which make 8 40% of clinical nurses like to communicate with them, Nursing students trust their professors which make 9 43% of nursing students like to communicate with them. 10 50% of clinical nurses are communicated daily and 12 60% of their information need are satisfied through communication. 11 48% of nursing students are communicated daily and 14 61% of their information need are satisfied through communication. But Cheryl Dee, PhD found in his study on University of South Florida that human resources is the most one clinical nurses and nursing students use it not like our study. Due to the fact that some nursing students see their Scholastic Books Somewhat old and their field always need for new and updated information, 17 -74 % of them browsing internet and 20 87% are daily, 4 17 % of them like to bay new electronic and printed Magazines that include medical articles rated by 8 35 % monthly, 4- 20% of them attend Medical conferences and seminars rated by 10 43 % monthly. In the other hand 14 -70 % of clinical nurses browsing internet and 17 85% are daily, 4 20 % of them like to bay new electronic and printed Magazines that include medical articles rated by 7 35 % monthly, 4- 20% of them attend Medical conferences and seminars rated by 8 40 % monthly. Scientific researchers Noticed the increasing of use electronic resources, especially the Internet and electronic Database . But within that situation 80 % of clinical nurses and78% nursing students do not able to use Database because 40 % of clinical nurses and 35% of nursing students do not have access , 45 % of clinical nurses and 43% of nursing students have lack skills, 10 % of clinical nurses and 9% of nursing students said some D.B. have bad design and other reasons that appear in chart below. Table 1 Barriers of using databases Clinical nurses (n=20) Nursing students(n=23) 96% of nursing students are supported to undergo training courses to Acquire the skills for dealing with Database. With that training courses they Acquired the skills necessary to deal with D.B. in order to satisfy their information need and provide services. 44 % of clinical nurses and 40% of nursing students do not have specialized information professional to help them in satisfying their information needs. And they want information professional to be there to helping , studying and improving their information behavior. Related studies: 1-There articles Reviews of how doctors and nurses is search for on the internet are relatively rare, especially where research examines how decide whether to use Internet-based resources. Original research in the online searching behavior is also rare, particularly in real world clinical settings. as is original research into their online searching behavior. This review collates some of the existing evidence, from 1995 to 2009. There are appear to be no statistically significant differences between the reasons why doctor and nurse seek the internet .Reasons to search for information on the Internet on a large scale is the same: patient care in the first place and CPD (continuing professional development). 2- Also, There are studies observe nurse of the patterns of their on-duty information behavior. The result is Nurses Patient-Chart Cycle which describe the activities during their shifts on regular rotation between the interaction with patient and planning with patient . The behavior of nurses has changed significantly between the interactions with the planning and interaction with the patient. And focused attention on specific information of the patient. They had almost no time or opportunity to consult published sources of information while on duty. Libraries often provide nurses with information services that are based on academic models of information behavior . Is designed more clinical information systems for recording medical and legal aspects of conservation of nursing care. Understand the reality of nurses information about behavior and the on-duty may guide designers of system and libraries in the provision of more appropriate system and services. METHODS This study resulting from cooperation of a group from imam university information professionals under graduate and National Guard Hospital and Specialist Hospital and Habib health center and student in Nursing Administration, Oncology Nursing, Psychiatric Mental Care Nursing and First Aids. In all that centers and hospitals that we allayed our study on time is most major they care with, then Electronic tools and internet connection, then skills and authorization for access is importance and it was Available to them at different levels and qualities and limitations. Fact funding techniques that we use are: First: Questionnaire was for the clinical nurses and nursing students. we ask them about usage and likeability of each available resource, using Database and skills needed for that and their barriers. Second: interview with clinical nurses and nursing students to explain some cases in Questionnaire. Third: Observe clinical nurses and nursing students information behavior to help, study, improve their information behavior. RESULTS Use of specific information resources Browsing internet is the most resource used by clinical nurses and nursing students are among 8 other resources because they always want updated information. But Cheryl Dee, PhD found in his study on University of South Florida that internet is not the most used one because they believe in not every think in internet is true except format blogs. Then human resources is the second because clinical nurses and nursing students trust their doctors, professors and head nurse but usually there is no time to discussion. So that information resources is the second not the first. But in Cheryl Dee, PhD study on University of South Florida human resources is the most used one because their doctors and head nurses like to discuss and discover new fields together. Books is the third not because all clinical nurses and nursing students are like it , because some of their official Prerequisite them to read it. Where in Cheryl Dee, PhD study on University of South Florida clinical nurses and nursing students there are like to read it and extend there knowledge and they are believe in books have basics that clinical nurses and nursing students should have. Journals and conferences is fourth because some of them do not have time, others can not go and some of them do not like to bay health journals. But in Cheryl Dee, PhD study on University of South Florida clinical nurses and nursing students work on fined time to attend health conferences and they like Scientific debates and perspectives Database and personal resources is the last one because of lack skills, knowledge and accessibly. Bu in t Cheryl Dee, PhD study on University of South Florida clinical nurses and nursing students really care with Obtaining skills and raise their personal scientific ammunition. The flowing chart show rate of using each resources. Table 2 Rate of using different resources Clinical nurses (n=20) Nursing students(n=23) Electronic resource clinical nurses and nursing students have IT tools, internet connection, but major two cases control their usage of resources in time and skills. The flowing chart show rate of frequency using time of resources. Table 3 Clinical nurses and nursing students frequency of use of health information sources Related studies 1-There articles Reviews of how doctors and nurses is search for on the internet are relatively rare, especially where research examines how decide whether to use Internet-based resources. Original research in the online searching behavior is also rare, particularly in real world clinical settings. as is original research into their online searching behavior. This review collates some of the existing evidence, from 1995 to 2009. There are appear to be no statistically significant differences between the reasons why doctor and nurse seek the internet .Reasons to search for information on the Internet on a large scale is the same: patient care in the first place and CPD (continuing professional development). 2- Also, There are studies observe nurse of the patterns of their on-duty information behavior. The result is Nurses Patient-Chart Cycle which describe the activities during their shifts on regular rotation between the interaction with patient and planning with patient . The behaviour of nurses has changed significantly between the interactions with the planning and interaction with the patient. And focused attention on specific information of the patient. They had almost no time or opportunity to consult published sources of information while on duty. Libraries often provide nurses with information services that are based on academic models of information behaviour . Is designed more clinical information systems for recording medical and legal aspects of conservation of nursing care. Understand the reality of nurses information about behaviour and the on-duty may guide designers of system and libraries in the provision of more appropriate system and services. DISCUSSION Human resources: This study result that clinical nurses and nursing students use human recourses. In questionnaire , It was 60% of both groups use human resources . While 30% of nursing students use human resources at least once a week, but 35% of clinical nurses did the same. In interview, they explained why they used them?. They said consulting them ,because it is the fast way to get reliable and accurate information. But Cheryl Dee, PhD found in his study on University of South Florida that the human resources is the most resource use of both group ,because their doctors and head nurses like to discuss and discover new fields together. Also ,they believe that human resource is way to get reliable and accurate information is not like our study. Print resources: Also , this study result that clinical nurses and nursing students use print resources . In questionnaire , It was 70% of both groups based on print resources. We found 15% of clinical nurses using books daily. Only 13% of nursing students did the same. Also we found 20% of clinical nurses read the scientific journal daily. only 17% of nursing students did the same . In interview, they explained why they used print resources like human recourse. They said that because the print resource easy and convenient to access and most reliable. But Cheryl Dee, PhD found in his study on University of South Florida that the print resources is most and preferred recourse used because its provided easy and convenient access to information. Also they notice they preferred this resources because they available more than other recourses. Table 4 Barriers of using databases: Clinical nurses (n=20) Nursing students(n=23) Electronic resources: Electronic resources gives nurses update and quality information. In questionnaire, It was 70 % of clinical nurses and nursing students using electronic resources. We found 85% of clinical nurses browsing internet daily ,but 87% of nursing students did the same. Also we found 15% of clinical nurses use Database ,but 17% of nursing students did the same .In interview, they explained why they dont use database .First of all ,because some of them didnt have skills for dealing with Database. An other reason that prevents them from using it that they do not have access to medical database. The less skill nursing tend to familiar Internet resources such as search engines, rather than health information databases that is harder for them. But Cheryl Dee, PhD found in his study on University of South Florida that the use of electronic resource is less resource used because a lot of reasons. First of all, lack of computer , lack of connection to the internet, or may be they have both but do not believe that every thing in internet is true .Also, the use of databases is fairly low because lack of skilled , training, no time, or do not have subscriptions to access. Computer access: We found  that more  than  14-70%  of the  Clinical nurses  and  17-74%  of  Nursing students  prefer  to use  electronic resources  to obtain  the information  they need  in the medical  field,  and providing  ease of  connection  to the Internet. In  contrast,  10%  do not  use  electronic sources  and  databases  in particular,  due to  lack of  training in the  use  of databases  and the  lack of  the necessary skills  to interact  with reduced access  to  databases  or  scarcity  in  use. We have also noted  that many  of the  nurses  and  nursing students  clinical  use of electronic sources  to  retrieve  and research  in the  medical information  they need. Computer and database skills: perception versus reality We found that 70% of clinical nurses are using internet and 10% of them use databases, of whom 20% use e-books and magazines   And also that 47% of nursing students are using internet and 13% of them use databases, of whom 22% use e-books and magazines As we have found from the results of the questionnaire that the use of the Internet on a daily basis, as well as the use of search engines such as Google because its easy to find what youre looking for and put it is the word semantic search and extraction of topics, also found that during the interview stated that the use of the Internet is easy for them  to get the information they need and save them time .. But we find that the databases used them for a few and that because of obstacles is a lack of skills and training to the implementation of the use of databases and deal with it properly addresses the need to get the information they have.  And also through the corresponding one nurses said that has not been trained on how to use databases in the search for easily extracted to the information they need, And also 30% of the nursing students do not have enough time to search databases in fact there is disparity in the use of nursing students to the database and it depends on the previous experience of the individual if found to have previous experience in how to use the database makes it easy to use for the individual. Training needed We have stated that the participants initially reluctant to move away from simple techniques in the search on the Internet to use the features developed .. after the order initial participants worked in narrowing the search through the exercises and focused on topics of their own using limits such as language rights and magazines subsidiary, while adding addresses the Sub- . However, when participants had the research on the topics of personal noticed trainees that about 33% do not work to narrow and limit their search. has revealed the corresponding reasons for reluctance of the initial search and narrow,. The first was the strong influence of search engines on the Internet, because of inflation, the number of information The participants wish to retrieve no two groups have acknowledged in the interview that the practice of searching the database is a way to narrow the scope of the search and in addition has proved many of the stakeholders exercise training to use the database. indicated the interview that it also has a variety of reasons among nursing students and (clinical nurses) to (clinical nurses) benefit from training in order to be able to gain access to the database .. In terms of nursing students was searching the fields to get the information is not clear to them, and they do not have access to the databases after the completion of the study nursing and stated that after training on the use used in useful and beneficial. Both of these groups are keen to access the databases and access to information of high quality with increasing articles. Time factor Through the questionnaires, we found that most clinical nurses and nursing students use the internet as a major source of information on a daily basis and through interviews we found that it is because of using their advanced devices that provide Internet browsing, such as Tablet PCs (iPad) , iPhone, blackberry, etcà ¢Ã¢â€š ¬Ã‚ ¦ which are easy to carry and Move in each place so it save a lot of time when using it. This reinforced the earlier findings of Cheryl Dee(2005)Nurses are often busy and do not have enough time to search for information from several sources. Need for information Through interviews we found that the most of clinical nurses are usually found their information need is simple, brief answers to questions patients, and with regard to care for health and in these cases they are need only to surf the Internet medical sites to coverage a need of this type and they are in a few cases tends to use of specialized medical databases such as pubmed. This reinforced the earlier findings of Cheryl Dee (2005)nurses Information needs are few and limited to answering the questions of the patients, and health care for them. Nursing students information needs are limited to the field of their study such as the completion of the research or the specific assignment given to them Nursing students reported that they used medical research articles from quality databases for school assignments, but that they needed more concise, factual information resources that were immediately available to them for clinical patient care questions( Cheryl Dee,2005) .They are using Internet medical sites and books to coverage a need of that type. Library use Through questionnaires and interviews, we found that most clinical nurses rarely use libraries to meet their health information needs. This reinforced the earlier findings of clinical nurses with no access to healthrelated libraries at work did not seek out other health sciences libraries for research( Cheryl Dee,2005) . Nursing students tends to use of health libraries frequently as necessary to complete the medical research they are required to complete it in the field of their studies. In contrast nursing students made minimal use of the health sciences library( Cheryl Dee,2005) CONCLUSIONS In conclusion, we found the results from this study that small-scale human and print resources (print resources) are still preferable to electronic sources of health information for patient care. Has made it clear both nursing students and nurses during my meeting with them the reason for the preference is for ease of use, and that input on the spot to gain access to sources of documented health information, and nursing students arrive to the many sources of health information of high quality, but they tend to use two documents to easily access and awareness of the sources and content. and also nurses have had limited opportunities to obtain health information and rely on their own experiences and to colleagues and story books in the patients they have. This continued popularity of books being sources for patient care to all participants, because the books provide immediate access to summary information. However quickly become outdated The e-books are to meet this need. Both of nursi ng students and nurses needed to improve their information management skills, particularly their database to search for skills. In this study, advanced search skills, was derived mainly from the Internet and as a result, they need more training in the use of unique data base such as research, the determinants and subject headings. RECOMMENDATIONS They recommend the training of health sciences librarians to provide information about libraries and library services to meet the Many medical and educational needs of nursing students and nurses. Can be submitted through their lessons documented in libraries during the most recent sources of information, especially health care (NLMs Pub Med, Medline Plus, TOXNET, and NCIs cancer.gov database) As well as lessons in basic skills to use the computer for the preparation of nurses have the ability to search the database. Consequently, the means of health care to make these resources available appropriately to stories of patients and supervisors must Nursing to encourage nurses to take the advice to go and look at the sources of health care of patients both from the Academy for health sciences librarians and hospitals provide, with time, these libraries in aid of nurses, as well as making a database of Health Sciences New or provide a database for the renewal of information and answer questions in the search features in the database, that belongs to them benefit would therefore be training on the increased visibility of the library and evidence on the ability of Library to meet the needs of the nurses health information. Also recommend the provision of reference books on the floors of patients to nursing supervisors personally, because the supervisors have little time left pati ents floors then your order in time and little to offer them information in the pamphlets. Our interviews revealed in this study, nurses look on the supervisors were not encouraging them to search themselves and their superiors did not participate in the search by using the available literature. Getting information to patients and floors can talk with supervisors be the first step in raising the awareness of supervisors and interest in the library. It seemed to the participants in this study are eager for more access to information of patient care, more training database, and improve computer skills. Health Sciences Libraries opportunity to help meet the information needs of nurses and to help improve their knowledge.