Essay on The Injustices of the Crown - 719 Words

The English army. In the eighteenth century, It was probably the most powerful force in the world. Picture columns and columns of red-coated men marching in unison, with rifles on their soldiers, ready to destroy any opposition. This army and the government that controlled it had an extreme amount of influence over the relatively young nation of America and it is easy to see why. It indeed had power over the colonies and could do as it wished. It could tax the people under its rule, occupy the cities that it wished, and take charge over the citizens of those cities. The Americans had many complaints against the British because of their power over them, some which they expressed in open battle, others which they grumbled to each other†¦show more content†¦This is one of the most famous impositions made by the British and was described in the Declaration of Independence with the short item â€Å"For imposing taxes on us without our consent†. This is a small state ment for describing something that caused so much trouble among great nations. The second of the major actions which caused the colonies grief was actually a series of events that led to no end of anger on the part of the citizens of Boston and the whole of Massachusetts. This was the shift of power to the King’s own General Gage and the infestation of Boston with the King’s army of Lobster Backs. Gage’s governorship became somewhat of a dictatorship in that he possessed an unusual amount of power and had support from the king. Under this dictatorship, the houses of townsfolk were occupied by soldiers and the soldiers were allowed to make their beds in the peoples’ homes and eat from their stores. It truly was one of the most abominable discourtesies committed by the British before the war began, because it required the occupants of the homes to serve the demanding officers who would insist upon having their needs met. This act of the King was one of the major offences which would create a resentful grudge towards Britain that the colonists would eventually release in fury on theShow MoreRelated Argument Analysis - Declaration of Independence Essay778 Words   |  4 PagesAnalysis - Declaration of Independence In May of 1776 a resolution was passed at the Virginia Convention in Williamsburg that asked the thirteen American colonies to declare the United Colonies free and independent from the British crown. At the second continental congress the resolution passed and on June 11, 1776 a five-man committee led by Thomas Jefferson was established to write the Declaration of Independence. 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Character Analysis Of Walter Younger From The Classic Play...

In the majority of households, the man is always looked at as the head of the house. However, not every man can handle this position. Walter Younger from the classic play, A Raisin in the Sun by Lorraine Hansberry, finds it very difficult to rise up as the man he’s supposed to be. The story shares the life of a family living in Chicago in a small apartment. It highlights mainly the financial issues the family faces which puts Walter in a bind. He faces obstacles and his actions determines his manhood but he tends to always fall short. The story highlights Walter transitioning into manhood through all the obstacles he faces. Many readers overlook the mother and ignore how she is the true leader and the foundation of the family. Some†¦show more content†¦Mama Younger receives an insurance check from their father who passed away. The money represents freedom to each family member but especially for Walter who sees an opportunity in business with the money. Walter beli eves they should invest in the liquor store. Mama on the other hand believes the money should go towards a down payment for a house. She expresses to her son the best way the money should be invested, and wants him to feel the same way, but his immaturity causes him to be risky with money. Walter is immediately upset, because he is not the one providing for the family and does not have the final say in what to do with the money. His reaction is far from responsible, and he often turns to drinking to forget his problems. Walter continually tries to break free from facing responsibility which is something a man should not do. Mama warns him about leaving the house telling him â€Å"It’s dangerous son. When a man goes outside his home to look for peace† (1567). She warns him of the dangers of his actions. When Walter breaks down and pleads to his mom for understanding she recognizes Walter’s struggles but knows that he can’t get through 0without her help. 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Wide Dynamic Range Compression Benefits Health And Social Care Essay Free Essays

Adults with a moderate sensorineural hearing loss have a demand for soft sounds to be amplified to assist with lucidity of address without traveling over a degree which the individual finds excessively loud. Moderate sensorineural hearing loss is caused by harm to outer hair cells, which can take to a reduced dynamic scope and finally, enlisting. The dynamic scope is the scope between the threshold of hearing and the uncomfortable volume degrees ( ULL ) . We will write a custom essay sample on Wide Dynamic Range Compression Benefits Health And Social Care Essay or any similar topic only for you Order Now Venema ( 1998 ) refers to this as the floor ( threshold ) being raised and the ceiling ( ULL ) staying the same. When the ULL ‘s are unchanged, as thresholds worsen, an irregular addition in volume is perceived typically referred to as enlisting. In order to separate between different types of hearing AIDSs and happen the most suited for this type of hearing loss we have to look to see if the hearing AIDSs can embrace the individual ‘s dynamic scope without traveling over their uncomfortable volume degrees. It has been suggested that end product restricting compaction ( CL ) and broad dynamic scope compaction ( WDRC ) hearing AIDSs are more good for this type of hearing loss compared to linear hearing AIDSs with extremum niping. Ultimately, for a moderate sensorineural hearing loss it is believed that WDRC is the most good type of elaboration at this clip. The outer hair cells in the organ of Corti have been referred to as the amplifiers of the cochlea ( Brownell, et al. , 1985 ) . In the absence of outer hair cell map, a moderate sensorineural hearing loss of around 40-50 dubnium is present ( Ryan and Dallos, 1975 ) . The most prevailing type of hearing loss in grownups is presbyacusis or age-related hearing loss ( Valente, et. Al. 2008 ) . Presbyacusis begins as a bilateral, symmetrical, high frequence sensorineural hearing loss impacting the outer hair cells in the radical terminal of the cochlea. Peoples with this type of hearing loss tend to kick about background noises such as address babbling in a noisy saloon. This can account for, what is normally referred to as the upward spread of cover, which is caused by lower frequences dissembling higher frequences ( Valente et. al. , 2008 ) . This consequences in softer, higher frequence sounds from address such as consonants being masked by lower frequence address sounds such as vowels . Presbyacusis causes a elusive lessening in hearing over clip ( Valente et. al. , 2008 ) and as a consequence, patients do non normally attend clinics until their households notice that the telecasting is excessively loud or the patient themselves realize that they can non hear every bit good in noisy state of affairss as they used to. Hearing AIDSs can include different types of compaction circuits, which can profit different types of hearing loss. Let ‘s first expression at input and end product compaction circuits. They differ to each other depending on where the volume control is located in the circuit. Output compaction circuits have the volume control before the compaction takes topographic point. This type of compaction affects the compaction kneepoint and the addition but non the maximal power end product. It is besides the type of circuit used with CL elaboration scheme and is associated with high compaction ratios and kneepoints. Input compaction has the volume control located after the compaction circuit ; therefore the sound is compressed before the volume control affects the sound. This means that the kneepoint is unaffected while the addition and maximal power end product are. This type of compaction circuit is what tends to be used with broad dynamic scope compaction ( WDRC ) scheme and is asso ciated with low compaction ratios and kneepoints ( Venema, 1998 ; Dillon, 2001 ) . The first type of compaction is end product restricting compaction elaboration. The input is additive until it reaches a high kneepoint and so it compresses the sound with a high compaction ratio ( Venema, 1998 ; Valente, et. al. , 2008 ) . This type of compaction is really similar to top out cutting ( Personal computer ) , which is found in additive hearing AIDSs, nevertheless it is more pleasant for the hearer than Personal computer because there is less deformation. Peoples with normal hearing or mild to chair hearing loss will detect that the quality of address is more deformed with restricting when compared to people with terrible to profound hearing loss who will non detect this consequence as much ( Dillon, 2000 ) . In a survey of 12 grownups with mild to chair sensorineural hearing loss, sound quality and lucidity were improved with end product restricting compaction when compared to top out cutting ( Hawkins and Naidoo, 1993 ) . It is by and large accepted that additive hear ing AIDSs with extremum niping no longer hold a topographic point in audiometry clinics and hearing assistance companies have stopped fabricating them. Wide dynamic scope compaction ( WDRC ) is a compaction scheme that aims to magnify soft sounds by a batch, medium sounds by a moderate sum and loud sounds by a little sum ( Souza and Turner, 1998 ) . WDRC tends to give more addition to soft sounds and has reasonably short onslaught and release times ( Marriage, et al. , 2005 ) . WDRC is a nonlinear compaction scheme, which tries to mime the non-linearity of the cochlea and efforts to account for loudness enlisting with sensorineural hearing loss ( Moore, et al. , 1992 ) . The threshold kneepoint is normally low at around 50 dubnium in order to magnify quiet sounds, compactions ratios are normally lower than 4:1 and onslaught and release times are short so that harmonic sounds are non masked by vowel sounds ( Valente, et. al. , 2008 ) . WDRC is a comparatively new compaction scheme that is used normally in modern digital engineering hearing AIDSs. There are assorted positions as to whether WDRC is of more benefit than additive elaboration. It has been noted in some literature that mensurable benefits of WDRC include improved hearing for soft address sounds ( Souza and Turner, 1998 ) , address in quiet, address in noise, more comfy hearing state of affairss for loud address ( Moore, et. al. , 1992 ; Davies-Venn, 2009 ) and improved acclimatization ( Yund et. al. , 2006 ) . In contrast it has besides been reviewed that WDRC may better audibleness but non needfully intelligibility when compared to linear elaboration ( Marriage, et. al. , 2005 ; Souza and Turner, 1998 ) . WDRC may be of more benefit for people with mild to chair sensorineural hearing loss compared to people with terrible to profound sensorineural hearing loss. This may be due to the suggestion that as hearing gets worse i.e. in terrible to profound sensorineural hearing loss that temporal cues are relied on more to a great extent to understand address. Since fast WDRC can alter temporal cues it may be that this population of hearing assistance wearers benefits more from compaction modification ( Jenstad and Souza, 2005 ; Davies-Venn et. Al. 2009 ) . In 1992, Brian Moore, et. Al. tested 20 topics with moderate sensorineural hearing loss, mensurating speech favoritism ability in quiet and speech response thresholds ( SRTs ) in noise. The topics were fitted with two types of hearing AIDSs: Linear amplifiers and two-band WDRC compressors. They were tested with their new hearing AIDSs and besides in an unaided status and with their ain original hearing AIDSs. With the compaction hearing aids the topics had good address favoritism tonss at all strength degrees in the quiet and the other three conditions showed diminishing address intelligibility as the strength degree got quieter. The WDRC AIDSs proved to assist topics accomplish lower SRTs in noise compared to the other conditions. Patients with decreased dynamic scopes besides benefited from the compaction hearing AIDSs more than the additive AIDSs in that they found the loud sounds more comfy. When surveyed the topics besides preferred the sound of the WDRC hearing AIDSs ( Moore, e t al. , 1992 ) . Another benefit of WDRC over liner elaboration is improved acclimatization. Acclimatization is the clip it takes for the encephalon to acquire accustomed to sound from a peculiar type of elaboration and to hold increased speech acknowledgment. Yund et. Al. ( 2006 ) did an acclimatization survey with 39 topics with mild to chair inclining sensorineural hearing loss, who had ne’er worn hearing AIDSs. They showed that topics who wore the WDRC hearing AIDSs experienced acclimatization, whereas the patients who wore additive hearing AIDSs did non demo any increased address favoritism tonss. They believed this was because the WDRC hearing assistance was able to treat the normal hearing dynamic scope into the dynamic scope of topics with mild to chair sensorineural hearing loss. After a period of have oning additive elaboration, topics were so fitted with WDRC hearing AIDSs. These topics still struggled with acclimatization after a period with their WDRC hearing AIDSs and needed exce ss aid in the signifier of audile preparation to acquire rid of the effects of the additive elaboration on the encephalon. Overall, it was concluded that hearing AIDSs with more sophisticated engineering may be the best AIDSs for acclimatization ( Yund, et. al. , 2006 ) . One survey compared the benefits of additive and nonlinear hearing AIDSs with address trials and Glasgow Hearing Aid Benefit Profile ( GHABP ) questionnaires. The bulk of topics preferred the WDRC nonlinear hearing AIDSs compared to the additive hearing AIDSs. They showed better tonss on address trials, had better address acknowledgment, and preferred the overall hearing experience with the WDRC hearing AIDSs. WDRC hearing AIDSs can be programmed with fast or decelerate onslaught and release times or a combination as this can be adjusted for different channels. In this survey the research workers found that there was more of a penchant for slow onslaught and release times for the most comfort and satisfaction compared to fast WDRC ( Gatehouse, et. al. , 2006 ) . In comparing, Shi and Doherty ( 2008 ) found better address acknowledgment tonss for both slow and fast, onslaught and release times compared to linear hearing AIDSs, nevertheless found no difference between tonss for slow an d fast times in WDRC. When onslaught and release times are shorter the soft address sounds are amplified more than the louder 1s. If the release clip is long so the soft and loud address sounds are amplified at the same degree, which may ensue in the softer phonemes being masked by the louder 1s ( Valente, et. al. , 2008 ) . Where to put onslaught and release times may be different for each patient depending on their penchant ; nevertheless in these surveies it has been shown that holding onslaught and release times utilizing WDRC improves speech acknowledgment tonss compared to linear hearing AIDSs. WDRC multi-channel hearing AIDSs have a distinguishable advantage over individual channel hearing AIDSs because they have the ability to utilize BILL and TILL ( characteristics of WDRC ) at the same clip ( Sandlin, 2000 ) . BILL is the â€Å" bass addition at low degrees † and TILL is â€Å" the soprano addition at low degrees † ( Dillon, 2001, pp 169 ) . BILL will be given to travel into compaction a batch more with low frequence sounds and non every bit much with high frequence sounds. The scheme of BILL is to let the hearing assistance wearer to hear better in background noise. TILL will travel into compaction more frequently with high frequence sounds and non every bit much with low frequence sounds. The scheme of TILL is to increase audibleness of high frequence sounds. Both BILL and TILL used in concurrence can make a good adjustment scheme for a level moderate high frequence sensorineural hearing loss ( Venema, 1998 ) . Dillon ( 2000 ) described two jobs that can originate with WDRC hearing AIDSs. The first job is that while WDRC hearing AIDSs magnify really soft address good, they besides amplify really soft background noises such as the clock ticking or the sound of apparels traveling ( Dillon, 2000 ) . Fortunately with newer digital engineering, hearing AIDSs are able to divide address from background noise more intuitively than with linear engineering. A manner to cover with these really low degree background noises is to utilize enlargement. Expansion is the antonym of compaction and aims to do the weakest sounds in the quietest environments unobtrusive as it is below the hearer ‘s aided threshold ( Valente, et. al. , 2008 ) . The 2nd disadvantage is the job of feedback being introduced when the hearing assistance wearer is in a quiet environment and the addition is increased ( Dillon, 2000 ; Valente, et. al. , 2008 ) . In the past few old ages digital feedback suppression/cancellation ha s become more sophisticated and this does non look to be a job with WDRC in hearing assistance wearers every bit long as a suited earmould is fitted. Wide dynamic scope compaction has been shown to hold advantages over additive elaboration utilizing compaction modification and extremum niping circuits. In some research workers sentiments it has still non been unambiguously proven that WDRC is the best adjustment scheme for all types of hearing loss. As degrees gets worse than moderate sensorineural hearing loss, the loss of outer and interior hair cell map causes temporal cues to decline. It is ill-defined whether fast WDRC may be doing deformation in address signals due to this. What is clear is that for mild to chair sensorineural hearing loss, most normally observed with presbyacusis, WDRC seems to better address acknowledgment in quiet, in noise, overall comfort and it is easier to acclimatize to have oning hearing AIDSs. There is non a great sum of recent literature on the topic of the benefits of WDRC in the moderate sensorineural hearing loss class. It would be interesting to see new research conducted to find whether there are more benefits in multichannel WDRC with newer, more intuitive, digital engineering hearing AIDSs. How to cite Wide Dynamic Range Compression Benefits Health And Social Care Essay, Essay examples

Music Opera Terminology Essay Example For Students

Music: Opera Terminology Essay Camera means fellowship or society in Italian. The men met regularly at the house of Giovanni De Bard to discuss rends in the arts, music and drama. -Their goal was to create a new vocal style on the music of the ancient Greek tragedy. -They bases their ideas on literary accounts that were still existent. The Camera experiments led to the development of stile recitative. This put together the existence of dramatic music and opera. -The first Opera house opened up in Venice, Italy. It was called Theatre San Casino -The fastest growing opera houses were located in Italy -Opera was mainly formed in Italy, but is now preformed in mostly every language. Back in this time, Opera was written for ceremonies and special events. The audience was mostly aristocracy, second social class usually did not attend. -This is the reason people have the impression that opera is for the wealthy. -Nowadays opera is Just as casual as going to the movies. Types of Opera Opera formed many new musical styles such as recitative speech and virtuoso singers began to arise. Opera Semiarid: Contains a serious story, with a happy ending. Opera Critique: A French opera where the lines are spoken rather than sung. Comic Opera: A light opera containing a happy ending. Serious Opera: The story usually revolves around heroes and myths. Grand Opera: Everything was on a larger scale, for example: flamboyant costumes. Grand Opera included ballet. Opera Version: Based on everyday people, hence version meaning realism in Italian. Different Singing Styles Recitative: Imitating the pattern and thyme of speech Aria: A solo voice, expressing feelings through a flowing melody Bell-Canto: A lyric style of opera singing using a rich broad tone and smooth phrasing. Also meaning beautiful singing. Casts: Male singers were castrated at puberty to inhibit the deepening of their voice. Castro combines the power of a mans voice with the vocal range of a women. Cosec recitatives: Recitative was only accompanied by a basso continuo De capo: To start from the beginning or repeat the opening of a section.

Policy Politics in Nursing and Healthcare

Implementation of Electronic Medical Records

Implementation of Electronic Medical Records Introduction Information technology has recently become one of the most reliable technologies in efficient service delivery. Implementation of the system within health sector is viewed as a move in reducing medical errors, hence promoting patient safety as well as reducing costs. However, implementation of the new models requires variety of measurable elements capable of creating an impact on patient safety initiatives (Borkowski, 2009). Proposal on Implementation of EMR Electronic Medical Records are associated with many functions within the health care system. Patient health records contain important information, such as patient health care, financial breakdown, legal information as well as detailed research and quality improvement cases. Such information is always necessary within the medical field, hence it needs to be shared amongst many professional medics within the health care field. Such demand makes it a little cumbersome to use paper health records calling for the development of an automated health recording system. Electronic Medical Record will provide chances for improving quality of care and patient safety within health organizations. The system will help in providing solution to the challenge of dealing with integrated healthcare delivery by providing detailed, reliable and accessible timely information on patient health status across the medical field whether in primary or secondary health care. The EMR will reduce the costs on keeping paper records as well as decreasing inefficiencies within health care sector. The EMR has got increased storage capabilities enabling data to be stored from any region and for longer periods of time, enabling instant retrieval of information to many people even in remote sites (Young, 200, p 99). The idea on fragmentation of clinical records posed by paper records will be minimized hence reducing costs, which could have been otherwise incurred on current and future patient care (Schloeffel, 2001, p 1). The built-in intelligence capabilities of the EMR system will assist in recognizing abnormal laboratory results. The system provides efficient access to protocols, care plans, critical paths and other databases on healthcare knowledge such as pharmaceutical information (Borkowski, 2009). Start-up costs might be of disadvantage to many since it can be excessive at times. Allocation of capital to information system provides added costs on health care expenditure. Another disadvantage is that it requires substantial technical knowledge for the system to be used efficiently. This calls for all the physicians and clinicians to have prior knowledge on the system operation for purposes of realizing benefits of interactive on-line decision support (Borkowski, 2009). Proposal on Implementation of CPOE Computerized Physician Order Entry (CPOE) presents one of the point-of-care products which will help in playing the key role in dealing with the cases concerning patient safety objectives. The system involves electronic communication of orders as well as detailed protocol for checking against drug references and other medical information. CPOE is physician-focused and will help in the issues of developing fewer medication transcription as well as order errors. The tool will help most physicians in selecting correct medication and therapies for each patient. The equipment’s ability to customize ordering processes will assist in easy identification of physician needs and most importantly allow for prevention of problem occurrence by counter checking errors before completion of any order. The tracking system involved in this technology will help clinicians and physicians to evaluate their actions and compare to those of their peers in addition to comparing treatment recommendations within the given standards and guidelines (Borkowski, 2009). However, the CPOE may not be effective on its own until it is integrated together with other crucial clinical information systems. Another disadvantage is that there is still possibility of incurring errors within the system owing to the natural assumption that computers are always right. There are also multiple steps involved in operating multiple screens required for completion of order signing. This proves to be time-consuming when used by many people is at the same time. Frequent computer access might not be possible, especially in cases where only few computer stations are available in spite of many users (Borkowski, 2009). Changes within organizations normally occur either as planned or unplanned. Planned changes are known to arise from either single or series of changes linked to organization goals and objectives. While unplanned changes normally arise as a result of the unexpected uncertainties within the organization. Various changes are required for the purposes of incorporating the modern computerized equipment with the work environment. The change undergoes three environmental stages including; societal environment, task environment then finally internal environment. Within the societal environment, EMR technology will have to be approved by the legal authorities within the government by looking at its technological and economical impacts within the health sector (Borkowski, 2009). Technologically the equipment has the capability of speeding up the recording on individual health matters as well as ability to store large amount of data and sharing it over wide area within the shortest time possible. It saves on costs since it makes health records available within reach of medical practitioners and patients. The socio-cultural forces which tend to oppose the nature of the records in exposing patients medical records to the public would be dealt with by promising confidentiality to the patients’ medical information through the use of specified passwords. Only the patients and trusted medics would be allowed to use the specified password whenever they want to access the patient’s medical information for the purposes of further treatment. Legal acts like the HIPAA would be enforced to ensure that tough measures, including fines are imposed on those trying to misuse individual’s medical records discriminatorily. In some places, employers use medical records to discriminate individuals on employment opportunities (Borkowski, 2009). The task environment includes several players such as employees, special interest groups, competitors, customers amongst others. Dealing with competitors will call for marketing the superior abilities and qualities of the technology. Employees would be placed on thorough training on how to use the equipment confidentially without loosing on the confidence of the patients concerning their medical records. Suppliers would be endowed with the task of working with computer specialists for the purposes of EMR installations. Internal forces related to the structures, processes as well as resources within the organizations which at times lead to low profit margins could be addressed by ensuring the efficiency of the equipment through delivery. This could save on costs required for the storage of large amount of documents; the technology would as well confine all medical data to one source making it easier for services to be delivered without fragmented processes (Borkowski, 2009). Some of the challenges involved include such cases as lack of autonomy, especially in the process when patient’s data is shared amongst health care providers without informing the patient. The exposure of patient’s data does not guarantee fidelity in any way since it can be stolen by unknown parties. This could easily lead to compromised treatment within the society since patients may be overwhelmed by fear of exposure. Conflicts arise within the medical ethical principles concerning safety of patient health records. There is a breach on confidentiality and right to privacy on the side of the patients. Hence patients can easily be discriminated within the market place as mentioned earlier in the article (U.S. Department of Health and Human Services, 1998). Computer-based Electronic Health Records presents one of the technological advances within health care system. Such technology is of great benefit in health sector since it has helped in improving the level of access and quality at affordable costs. On the same note, computerized system will help in providing accurate information on billing hence allowing medics to forward any payment claims electronically. This would ensure timely and efficient payment to health care providers. It would save the patient hectic time, which might arise in providing information over and over whenever they seek medical attention (Lohr, 2007). The use of computerized medical systems enables improvement on the quality of care provided and also guarantees reduction in medical errors. There is improvement in the level of efficiency and reduction in medical costs since the methods enable easy coordination between health care providers on patient’s care. The system would enable smooth transfer of information, eliminating the possibilities which had earlier been experienced in duplication of health information by the third parties (Hartzband and Groopman, 2008). References Borkowski, Nancy. (2009). Organizational Behavior, Theory, and Design in Health Care. NY: Jones Bartlett Ppublishers. Hartzband, P. Groopman, J. (2008). Avoiding the Pitfalls of Going Electronic? New England Journal of Medicine, (358), 1656-1658. Lohr, S. (2007, June 11). Risks and Rewards; Who Pays for Efficiency. New York Times. Web. Schloeffel, P. (2001). Background and Overview of the Good Electronic Health Record. Retrieved from gehr.org/ U.S. Department of Health and Human Services. (1998). Security and Electronic Signature Standards; Proposed Rule. The Federal Register, 45 (142). Young, K. M. (2000). Informatics for Healthcare Professionals. Philadelphia: F.A. Davis.

Case study - assignment question answer Example | Topics and Well Written Essays - 500 words

Case study - question answer - Assignment Example As such, they decided to offer higher than the original prices to benefit the workers and to enable them maintain their jobs. The following statement from the text, â€Å"...harangued the Japanese team about their hypocrisy...† referring to the British boss, clearly reveals the anger and disappointment that the boss had towards the Japanese negotiators. Additionally, the aspect of emotion also appears from this statement, â€Å"...offer you an additional fifty cents a tonne above the price that you originally asked for...†. This statement by the chief Japanese negotiator is a reflection of the Japanese feelings towards the proposal forwarded by the British negotiators. Indeed, they had mixed feelings. The decision made by the Japanese negotiators triggered excitement though it was accompanied by a lot of surprise. According to Hofstede’s cultural dimension theory, effective intercultural communication plays a very significant role in creating understanding among different cultures and therefore preventing any cultural difference. Miscommunication is caused by lack of cultural understanding and poor communication skills, which can only trigger cultural conflicts. Hofstede suggested some cultural dimensions like uncertainty avoidance, collectiveness and individualism among others. Accordingly, Hofstede claims that these cultural dimensions, when put into use, assist in overcoming cultural differences. Arguably, the Japanese negotiators, listening to their counterparts and weighing the consequences of what they were about to do, enabled them solve their cultural differences and stabilized the situation. Accordingly, the British negotiators were very much interested on the interest of the South African workers. As such, they focused on their main reason of setting the prices and maintaining their position concerning the price. The British boss, having been disappointed by the Japanese negotiators, decided to be

Report Essay Example | Topics and Well Written Essays - 2500 words - 9

Report - Essay Example This report is about the development and analysis of a database system for a recruitment agency that is operating worldwide and specializing in short contracts for programming and website development work. This report will offer a deep analysis of the main database design and development aspects for the business of recruitment agency. According to Oz Effy (2008), the processes of decision making and problem solving both are based on information. In addition, the decision making is vital process of everyone’ life, people work, play, communicate or do anything they need and use information. In the same way, in a corporation gathering the correct information efficiently, keeping it properly consequently thus it could be utilized and manipulated when needed, as well as making use of it to facilitate the corporation or individuals to attain personal or business objectives. Consequently, the main intention of database and information systems development and implementation is to have facility and support in the above discussed areas. We can use and apply these understanding and database information for getting success in every department of a business. However, in a corporation information system consists of databases, hardware, data, telecommunications, software, procedures and people. In addition, the use of in formation systems and databases can be seen in every walk of life. Their capacity to facilitate and resolve problems as well as making decisions makes them fundamental in our lives, society, business and management (Oz, 2008; Whitten, Bentley, & Dittman, 2000; Turban, Leidner, McLean, & Wetherbe, 2005). The recruitment agency has carried out a survey among 30,000 people and taken response against different personnel, job and web development related aspects. This data is available in form of flat file database. In other words, the

Designing The User Interface Essay Example | Topics and Well Written Essays - 1500 words

Designing The User Interface - Essay Example hich were exclusively available to computer users initially, are now easily accessible through mobile devices and cell phones to billions of users, thus assisting individuals with low incomes, low literacy or disabilities to make use of the available technology advancements, for example the Apple’s iTunes interface found on [http://www.apple.com/itunes/ (Shneiderman and Plaisant,7). All this is possible since the User-interface designers and researchers have harnessed advanced technology to serve human needs. Through User-interface design, many business success stories have been produced, notably in international partnerships and mega-mergers through increased decision-support and information sharing arising from the interface designs. Such partnerships and mergers include, for example, the partnership between YouTube found at [http://www.youtube.com/] and PlayStation3 (Shneiderman and Plaisant, 9). Nevertheless, User-interface design produces intense competition among business and individuals, as well as resulting to the infringement of copyrights and intellectual property legal battles, such as the ones between advanced cell phone and computer companies (Shneiderman and Plaisant, 12). Further controversies surrounding User-interface design includes the inadequacies of the user-interfaces, which have in turn resulted in violations of the issues of national defense, personal identification, crime fighting and personal electronic health records (Shneiderman and Plaisant, 5). At a personal level, user-interfaces have changed people lives, through assisting individuals and professionals to effectively accomplish their tasks, such as assisting doctors to undertake successful diagnosis or assisting pilots to fly planes safely (Shneiderman and Plaisant, 6). Nevertheless, there are various shortcomings associated with user-interfaces, such as the frustrations that users often have do encounter, in regards to the complexity of the interface menus, terminologies that

Endodontic Surgery (Apicoectomy)

Endodontic Surgery (Apicoectomy) In this modern times patient increasingly wish to preserve their natural dentition and often reluctant to get there teeth extracted . Endodontic surgery (apicoectomy) is the treatment performed on the root apices of an infected tooth, and its resection and removal of pathological tissues around the apices followed by placement of a filling (retrofilling) to seal the root end. Endodontic surgery offers patient a second chance or the final chance to save there tooth. Success of Root end surgery had a poor prognosis and success rate in the past but due to recent advances Endontics due to the surgical operating microscope and new tecniques the rate is much higher than before success Its indications are as follows 1 RCT treated tooth that has severe periapical inflammation despite of a satisfactory RCT 2 Tooth with persistant periapical inflammation and inadequate RCT and has the following problems a Severely curved root canals where access is an issue to reach the apex b Completely calcified root canals C Presence of post and cores in root d Breakage of small instrument or filling material where it is not retrievable and an infection is still present in the apical region. Teeth with periapical inflammation where completion of endodontic therapy due to 1 Foreign body present in the periapical tissues 2 Perforation of the inferior wall of the pulp chamber 3 Perforation of the root 4 Fracture of the apical third of the root 5 Dental anomalies (Dense in Dente ) 6 Access for periradicular curettage A non healing endodontic lesion is recognized by persistent pain and/or swelling, possibly with radiographic changes indicating increasing periapical bone loss. Non healing endodontically treated teeth that do not appear to be healing are not automatic indications for extraction and replacement with an implant. Persistent nonhealing cases can be saved by endodontic microsurgery with a predictably favorable prognosis Nonsurgical endodontic treatment has a high rate of clinical success despite the anatomic and pathologic challenges of the procedure. Success in case of tooth without periapical extension of pathosis is more than 90%. On the other hand, studies show that infected root canals with an extension of pathosis into the periapical space have a reduced healing capacity . previously the conventional endosurgery has very low success rate . it was recorded as low as 37.4 % but now with recent advancement in endodontic surgery the success rate has improved significantly. According to a study conducted by shimon Friedman and Chaim Mor ( success of endodontic therapy -healing and functionality) in patients were endodontic surgery is performed the chances of healing after retreatment is between 74 to 86 %and their chance of being functional overtime is 91 to 97 % .Another study ( modern endodontic surgery concept and practice by syngcuk Kim and Samuel Kratchman)said that the traditonal apical surge rybased on clinical symptoms and radiographic findings ranges from 44% to 90%.it has even higher success rate with the endodontic microsurgery. . According to another study (outcome of surgical endodontic treatment performed by a modern technique A meta anlysis conducted by Igor Tsesis , Surgical endodontic treatment have a success rate of 91 .4 % when followed up in a year time . According toa study named Outcome of endodontic micro re- surgery by Minju song and team à ¢Ã¢â€š ¬Ã‚ ¦. When an endodontic surgery fails we need to identify the problem and find the reason for failure. To solve the problem further treatment like retreatment with surgery and, extraction are the viable options. Some studies in the past have documented poor success rate if we have to redo a failed surgery again. But this study said that with the new microscope and microsurgical devices the success rate can be as high as 92.9 %. Most of the reason for failure is poor technique,poor seal at the apical region and not using biocompatible materials like MTA and super PBA in the past. In another recent study it was found that, at least in America, endodontic surgery was the least expensive intervention for failed RCT when compared to endodontic re-treatment and crown, extraction and fixed partial denture, or extraction and implant (Kim Solomon, 2011). When primary `endodontic treatment fails retreatment should be done and when retreated and if there is severe inflammation in the periapical tissues then endo surgery can be an option using advance techniqies and good operationg skill can add to the success of endo surgery. 1 Microscope The microscope will provide good visualization, identification and treatment of infected canals, isthmuses and variant anatomy not reachable with traditional instrumentation techniques. Microscope can reach to more different locations and narrow spaces, by providing a clear field of vision. Good visualization also prevents damage to anatomical structures. Microscopic techniques significantly decrease complications and expand the case applicability for performing this procedure on teeth adjacent to these structures. With increased magnification and illumination, differentiating the root surface from the surrounding bone is also enhanced .A main cause of nonsurgical endodontic failure results from the inability to clean and sterilize the apical canal space, which is a complex anatomical entity. 2 ultrasonic tips That allow accurate preparation along the long axis of the root canal with clear visualization of the preparation . This technique will allow us to do root-end fillings in the proper position to seal the root canal to sufficient filling depth and thickness to effectively seal the canal, dentinal tubules and accessory canals. Ideal ultrasonic tip length is 3mm long. A minimum of 3mm preparation depth is needed to prevent leakage. 3 Surgical advances A smaller osteotomy will reduce bone removal (approximately 3-4mm) in diameter reduced bone and permits quicker uneventful postoperative healing postoperative healing. By removing less bone in the coronal direction, buccal bone can be preserved and subsequent periodontal sequelae that may lead to the loss of the tooth are prevented. Root-tip resection of 3mm is needed to eliminate lateral canals and apical ramification- A study shows that the resection of 3mm of apex eliminates 98 percent of apical ramifications and 93 percent of lateral canals. Root section bevel angle is reduced to 0 -10 degrees Clear examination of the resected root surfaces for fracture and anoatomical variations Root-end fillings with MTA (Mineral Trioxide Aggregate- It has excellent biocompatibility, osteo- and cemento-inductive capabilities, effective antibacterial and sealing properties, and faster radiographic healing in comparison to SuperEBA and IRM. MTA will not cause soft tissue discoloration that can otherwise result from root-end filling materials like amalgam Magnification Eyes or Loupes (1-4x) Microscope (4-24x) Illumination Dental light Bright focused light Armamentarium Macro-instruments Micro-instruments Osteotomy Size Large (7-10mm diameter) Small (3-3mm diameter) Bevel Angle Acute (45-60 degree) Shallow (0-10 degree) Root-end Preparation Non-axial Axial to long axis of tooth Depth of Root-end prep 1mm non-axial 3mm axial Inspection resected root surface None Always Root-end filling material Amalgam MTA Success rate over 1 year Less than 50% Over 90% Summary There are many factors to consider when choosing to perform microsurgery  on a tooth versus performing other treatment options such as  nonsurgical retreatment or tooth extraction. Fortunately for the patient,  the ability to perform endodontic microsurgery is an effective and highly  successful procedure that produces minimal discomfort, alleviates periradicular  pathosis, maintains restorations and provides for function and  aesthetics as shown in Figure 6.33,34

The Importance of the Negro Bank in Invisible Man Essay -- Ralph Elli

     Ã‚   The early Americana coin bank which the narrator of Invisible Man discovers one morning in his room at Mary's house is a reflection of the narrator's state throughout much of the novel. The offensively exaggerated Negro figure provokes an instant hatred in the narrator due to the tolerance it suggests. However, the narrator becomes personally offended by the object because of the similarities it holds to himself. While smashing the pipes with the bank, he yells out to his neighbors who are banging on the pipes, "'Get rid of your cottonpatch ways! Act civilized!'" (320). Thus he associates the hatred he feels for the bank figure with his neighbors who are acting no less civilized than he is. He is not aware of his own "cottonpatch ways" it appears.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In describing the bank, the narrator states that it is the kind of bank that flips coins from its hand into a large grinning mouth. In order to put money in the bank, one must feed the smiling, hungry Negro. At a point in the narrator's life where he has no money and has decided to join the Brotherhood out of a debt ...