river island

stream island History Stream Island was presented by Bernard Lewis in 1948, a privately-run company and it began as a little shop in Londonwith the exchanging name of Lewis Separates. There have been numerous progressions to the brand name, for example, Chelsea young lady and Concept Man and not until 1989 its formally got known as RiverIsland today. Between the time of twenty years, from the 1960s to 1980s, Chelsea Girl was a notable high road store and was popular for its long haired young lady logo. A gathering of roughly 45 understudies from Uxbridge and Middlesex has joined along with the store to recover its notoriety for the sake of Chelsea Girl. Waterway Island could viewed as one of the UKs greatest and best exclusive high road organizations with more than 250 stores working everywhere throughout the world is as yet developing. In addition, to guarantee theirs client an extraordinary, one of a kind and elegant look, dissimilar to New Look and others high road stores which purchase others brand structure at that point adjusted it, River Island has their own in-house planner. Waterway Island consistently center around giving their client the most smoking look, henceforth, they additionally focus on furnishing their representatives with a decent workplace so they can work proficiently and at their best. Stream Island stores the nation over are consistently comparable in both enrichment and format. As of late, River Island has changed the entirety of their stores to have a one of a kind and comparative design. The general shading plans are normally white dividers with some accentuation of splendid green to make a crisp inclinat ion; the ground surface is laid with smooth espresso hued tiles with dark framing. Brilliant spot lights have additionally been utilized to make a luxurious look. So as to assist the client with feeling good and loosened up the stores have been intended to have an outdoors space which is basic however go about as a viable foundation helping the garments stick out and furthermore empowering the client to discover their garments. The format of River Island is known to resemble a stroll in boutique where you have patterns that are separated into areas in the shop, which encourages clients to comprehend what theyre searching for, for example easygoing, brilliant or going out. Style Stream Island is a UKs driving high road brand, giving a major scope of snazzy garments, however above all, their costs are reasonable and the quality is extraordinary. Stream Island configuration garments for the two people at the age run from 16-30. With 250 stores and selling a wide range of kinds of apparel like pants, skirts, weave wear, coat etc†¦ or even frill, for example, gems or shoes. To â€Å"Get the most out of it† the organization additionally gives internet shopping with the goal that it is increasingly advantageous for their clients. The plan group speaks to the way of life that is around them and that is the way of life our clients comprehend, says Richard Bradbury, River Islands overseeing chief. This year, the brand have announced uber benefits, as referencing this, River Island should thank their young group of fashioners, purchasers and in-house beauticians. The company‘s general subject for garments line is typically brilliant looking, regularly the client will see that there is a mix between shrewd easygoing. Extra sparkle, sequins, precious stones and gems show up on a wide range of garments to include a touch of bling and to meet with the youthful design pattern. In addition, these enhancements likewise show up on satchels or purses with the goal that they are all are coordinating. One of the organization methods of reasoning is concentrating on finding new ability and bringing them up to add to the new high road pattern, a great many assortments is required to fulfill with need of clients who scanning for the new look ordinary. So as to do that, at regular intervals, Style Challenge is propelled by one of our insiders. The topics will be distinctive each an ideal opportunity to ensure theres something for everybody. Young could consider being the motivation for each structure, yet at the same time could suit any age go as long as they are the individual who is looking for a superstar or catwalk style at a less expensive cost. Waterway Island consistently focused on the style and the quality. The organization garments are so in vogue, chic, youthful, moderate and of a high caliber. The garments, yet in addition the stores give an energizing and fun condition to shop inside. The normal cost of each piece of clothing is moderate: Moral issue RiverIslandis focused on giving a reasonable arrangement between the organization and their representatives. The organization has comprehended that to make a brilliant business, it needs to manufacture solid relationship with its providers, shoppers and representatives. Corporate Social Responsibility has consistently been the companys methodology. Moral Supply Chain At River Island, it works eagerly with its providers and authority offices around the globe to give a standard wellbeing and security guideline to its representatives. The organization consistently guarantees that their providers sign an agreement which focus on World Wide Ethical norms and the individuals who disregard them will be arraigned. To help this strategy, the organization have requested the purchasing and specialized groups to visit their production lines consistently and effectively take part in paying special mind to botches, consequently, improve it. Today, River Island items are made over the world, for example, in the European Union, Turkey or India. In spite of the fact that there are numerous moral and exchanging issues occurring inside style industry, River Island accepts that through steady changes, it will figure out how to take care of the issue. As per source, â€Å"In June 2008 RiverIsland turned into an individual from the Ethical Trading Initiative (ETI). Built up in 1998 the ETI is a worker's guild association and non-legislative associations focused on cooperating to recognize and advance great practice in the execution of codes of work practice.† Stream Island focused on the reception and coordination of the ETI Base Code into our World Wide Ethical Policy through its flexibly chain. Waterway Island accepts that to be one an ETI part, the organization will have the option to acquire understanding to handle the related issues inside the business. Condition: These days, being green is one of the fundamental focuss of every individual organization. So as to secure the earth, River Island is carefully dedicated to various primary key focuses focused on, for example, : diminishing issues the earth is having, this incorporates dropping degrees of vitality utilization (counting the utilization of sustainable power sources) diminishing the degree of item bundling, expanding the degrees of reusing and expanding the utilization of biodegradable materials. The retail condition of River Island is tense, energetic and clear. The staff are resolved to give the client a great assistance. Waterway Island additionally accepts that causing the client to feel glad is its main goal, as client support is changed over into deals in retail. Advancement As of late, River Island has increased numerous significant titles from its rival. Top shop has been at the top for quite a long time however gradually losing its â€Å"style crown† losing its best shop on the high road title of three years to equal River Island. Stream Island additionally won in the best packs and best spot to burn through GBP50 classes in the Company Magazine. The victors were picked by in excess of 6000 individuals trough the democratic framework on the â€Å"company.co.uk† site. Waterway Island promotes itself in magazines for having pieces of clothing, embellishments or items that are duplicated from big names or the catwalk. So as to publicize and battle, River Island has united with Look in harvest time 2007 the UKs first reflexive high road design week by week magazine-to celebrate and present its fall assortment .The assortment has been styled and captured by the Look style group. All the more curiously, River Islands store windows across the country have likewise been uncommonly structured by Look to make an association between the organization and the magazine to advance various parts of the assortment. Look distributing executive Julie Lavington remarks: We are amazingly eager to be working with River Island on such a significant undertaking. The coordinated effort represents our image qualifications, and its extraordinary that River Island are outfitting the intensity of Looks notoriety as the expert on high road style. All things considered, were d riving countless ladies in-store each week!† .In request to extend its market deal, River Island has likewise propelled a web based promoting with NME.com (a music brand ). Moreover, River Island have VIPs, for example, Pixie Lot and JLS to display its pieces of clothing which acquires fans to shop River Island. Along with the publicizing efforts, River Island likewise supports Graduate Fashion Week which brings promoting everywhere throughout the world, for architects and understudies who couldn't want anything more than to begin a profession in the design business. Style Weeks with new plans and hues, serve also to advance new ideas. These Fashion Weeks show a variety of new items, yet additionally serve to speak with the crowd outwardly. Dresses and extras worn by models doing catwalks, are more exuberant and enchanting than the insignificant presentation on mannequins. Typically with a scope of Fall, Spring, Summer and Winter assortment, Fashion Weeks support showcase request and advance its related organizations too. Also, nearness in graduate design week is the open door for their organization to have a survey from others who have visited the show . It gives individuals a plan to what River Island brings to the table as a style retail location and how they are joining structures from understudies into their attire run. Stream Island was one of the retailers which has participated in High road style week to show its line up. The occasion was occurring on Londons Oxford Street from September 7 to September 11. This is an incredible chance to advance the organization picture. Stream Island fulfills its clients with pattern, quality, structure and durabil

The Influence of Farming on the IS Economy

The Influence of Farming on the IS Economy From the countries most punctual days, cultivating has held a pivotal spot in the American economy and culture. Ranchers assume a significant job in any general public, obviously, since they feed individuals. In any case, cultivating has been especially esteemed in the United States. Right off the bat in the countries life, ranchers were viewed as embodying monetary ethics, for example, difficult work, activity, and independence. Additionally, numerous Americans - especially outsiders who may have never held any land and didn't have responsibility for own work or items - found that claiming a ranch was a ticket into the American monetary framework. Indeed, even individuals who moved out of cultivating regularly utilized land as a product that could undoubtedly be purchased and sold, opening another road for benefit. The American Farmers Role in the US Economy The American rancher has commonly been very fruitful at creating food. To be sure, at times his prosperity has made his most concerning issue: the farming division has endured intermittent episodes of overproduction that have discouraged costs. For extensive stretches, theâ government helped smooth out the most exceedingly terrible of these scenes. Yet, lately, such help has declined, reflecting governments want to cut its own spending, just as the homestead divisions diminished political impact. American ranchers owe their capacity to deliver enormous respects various components. For a certain something, they work under amazingly ideal common conditions. The American Midwest has probably the most extravagant soil on the planet. Precipitation is unobtrusive to bounteous over most territories of the nation; waterways and underground water license broad water system where it isn't. Huge capital ventures and expanding utilization of exceptionally prepared work likewise have added to the accomplishment of American farming. It isn't strange to see todays ranchers driving tractors with cooled taxis hitched to pricey, quick moving furrows, tillers, and gatherers. Biotechnology has prompted the advancement of seeds that are infection and dry spell safe. Manures and pesticides are ordinarily utilized (too usually, as indicated by certain earthy people). PCs track ranch tasks, and even space innovation is used to locate the best places to plant and prepare crops. Whats more, scientists occasionally present new food items and new strategies for raising them, for example, counterfeit lakes to raise fish. Ranchers have not canceled a portion of the central laws of nature, be that as it may. They despite everything must fight with powers outside their ability to control - most strikingly the climate. In spite of its for the most part amiable climate, North America additionally encounters visit floods and dry seasons. Changes in the climate give horticulture its own financial cycles, frequently inconsequential to the general economy. Government Assistance to Farmers Calls for government help come when variables neutralize the ranchers achievement; now and again, when various elements merge to drive homesteads to the brink into disappointment, supplications for help are especially extraordinary. During the 1930s, for example, overproduction, terrible climate, and the Great Depression consolidated to introduce what appeared unrealistic chances to numerous American ranchers. The administration reacted with clearing agrarian changes - most strikingly, an arrangement of value underpins. This huge scope intercession, which was phenomenal, proceeded until the late 1990s, when Congress destroyed huge numbers of the help programs. By the late 1990s, the U.S. ranch economy proceeded with its own pattern of good and bad times, blasting in 1996 and 1997, at that point entering another droop in the resulting two years. Be that as it may, it was an alternate homestead economy than had existed at the centurys start. - This article is adjusted from the book Outline of the U.S. Economy by Conte and Carr and has been adjusted with authorization from the U.S. Division of State.

Early Action Deadline Approaching - UGA Undergraduate Admissions

Early Action Deadline Approaching - UGA Undergraduate Admissions Early Action Deadline Approaching The Early Action deadline is approaching, so here are a few suggestions as we approach the deadline: Dont wait until the last minute. Even though the deadline is October 15, you should not wait until the last minute to submit your application. We do not hold it against you if you wait until 11:59PM on October 15 to apply, however if you do this you are not giving yourself any time to account for issues that could occur to prevent you from submitting. For example internetconnectivityissues, computer problems, etc. The deadline is the deadline, so you should always plan to apply earlier than the last minute. Also be sure to take time to review your application before you submit it. Please note while the application is available 24/7, the credit card payment option is only available from 7AM to 11:00 PM EST. You can still select the check/fee waiver option after 11:00 PM. Be patient. After you submit your application, please be aware that things will not happeninstantaneously. We are likely to have around 11,000 Early Action applicants and the majority of the supplemental material will be sent within the next three weeks. We will be vigorously matching material, but please give things time to get here (both mailed and electronically submitted documents) before contacting us. If an item is mailed, allow time for the postal service to deliver it. If a test score is sent, allow time for it to be both uploaded by the testing agency and downloaded by UGA. Our deadlines are postmarked/submitted deadlines. The next few weeks will be a little hectic in our office as we pull together all of the materials for each application, so we may be a little slower in responding to voice mails, emails, etc. As well, we have a new student system we are bringing up, so this adds an additional challenge to our process. Do not send a fax. If you or your counselor faxes something in, it will be shredded. We place the shredder next to the fax machine for a reason. Check your myStatus. It is the applicants responsibility to get in all required documents. The myStatus page is updated once a day Monday through Friday, generally in the morning, so you do not need to check it multiple times a day. We have also extended the deadline for admissions documents to 10/22, so documents do not need to show up on the myStatus by 10/15. If it has been over 10 business days since you both applied and any missing documents have been sent in, you should begin to inquire about the missing document. If it is a GACollege411 transcript, we occasionally have one that does not come through. However, it is easy to go back into the system and access it again. Missing SAT/ACT scores. If you sent your SAT/ACT scores a while ago and they have not matched up yet, verify that they were sent to UGA through College Board/ACT. Then verify that the name, social and birth date on the test scores are the same as the admissions application as these are important matching fields. If you have given us enough time to receive them and they are not showing up on myStatus, email admproc@uga.edu with your situation and we will work on manually matching your scores. Please be patient as it takes longer than a day for scores we receive to get into our system.We will accept test scores that were taken and requested to be sent to UGA by the 10/15 application deadline, as these will have time to get to us by our decision date. In addition, there is an odd glitch with our new system displaying the highest subscore at times, but we hope to have this corrected in a few days. School Evaluation. Your counselor will have additional time to submit the school evaluation as their EA deadline for materials is 10/22. We will leave the online school evaluation open for at least a week beyond the deadline so your counselors should not have to stress about any last minute applicants. Go Dawgs!

An Controversial Topic Of Police Brutality - 1285 Words

The most controversial topic of the ending year of 2014, and the beginning year of 2015, the Ferguson, Missouri police brutality case. Not only has the topic of police brutality been strongly talked about in the recent years, it has also been acknowledged in the late 1900’s and early 2000’s. I understand that in some cases police brutality may be very true, but I don’t believe it should be something blown out of proportion just because a white cop wounded or shot an African American individual. Police brutality is very much over exaggerated in our generation, I believe a police officer should use whatever force they have to for their protection. In the Ferguson, Missouri case involving a white police officer (Darren Wilson) shooting an unarmed African American teenager (Michael Brown), the worldwide media immediately claimed that the officer shot Michael Brown for no reason besides the color of his skin. Many rumors and assumptions spread like wildfire after white police officer Darren Wilson was found innocent by a judge of having purpose to shoot Brown. Media spiked many thoughts that police brutality is a big deal in today’s times, which then lead to the huge riots throughout the city of Ferguson where Darren Wilson and his family had to be protected from thousands of protestors who threatened his life as well as the entire city. The real story as well as the autopsy reports later came out to show that officer Wilson did not shoot him numerous times as he was runningShow MoreRelatedEssay On Police Brutality729 Words   |  3 Pages Imagine If you were a victim of police brutality and you had done nothing wrong or you didn’t oppose a threat to the officer take a step into the victims shoes. This Is a controversial issue because people around the world are killed or injured because of unnecessary police brutality. There are many reasons why police brutality is bad and how some people might think it’s ok to use police brutality. Police Brutality is a big controversial topic the first reason is, because there have been incidentsRead MorePolice Brutality And The United States Essay1408 Words   |  6 PagesPolice brutality in the United States has escalated in recent times. To develop a peaceful environment amongst human beings, one of the main topics to look at is human rights. While more often than not, police brutality violates the concept of human rights it is still a very important task to discuss the topic and create possible solutions to such a concerning and threatening issues in the United States. In this case, statistics is a very important factor that is required to display how serious ofRead MoreThe Importance Of Kneeling During The National Anthem1323 Words   |  6 Pagesis disrespectful and have begun to question Kaepernick’s patriotism. Kneeling during the National Anthem creates a lot of tension between citizens, especially when it is used to protest a highly controversial topic to be gin with. Kneeling during the National Anthem began as a protest about police brutality and racial injustice but exploded into many other subcategories and arguments. Many people have begun to question the integrity and beliefs of many players who have used kneeling or sitting duringRead MorePersuasive Essay On Police Brutality1663 Words   |  7 PagesPolice officers primary responsibility is to protect and serve citizens and communities, not to abuse the power that they were given to hurt innocent people. For personal enjoyment or a personal vendetta. Some states have the â€Å"Stand-Your-Ground† laws, which allows innocent citizens the right to use deadly force to defend and protect themselves. But what if they were protecting themselves from police brutality. Police brutality can be has been going on for many years. But recently has become a biggerRead MoreThe Crime Of Police Brutality983 Words   |  4 Pages Last year, there were 1,207 criminals killed by police officers alone, as in 2013, there were only 461 criminals killed by officers, this is a 261% increase in only two years. Many of these cases has been very controversial to if the criminal was rightly killed or if this is a case of police brutality. Some of the more well known cases include what happened at Ferguson or in Baltimore with Freddie Gray. These cases have not been videotaped and therefore was hard to collect evidence for a case whenRead MoreOpinion Essay On Hockey Game1221 Words   |  5 Pagesdeep understanding of the issue of racism. They touched on the controversial topic of police brutality by interviewing four of the NBA’s most prominent players, one of them being LeBron James, an arguable candidate for the best player of all time. The latter delivered a stirring, eloquent speech, about police brutality in America, and the specific manner in which, to quote directly â€Å"black and brown bodies† are targeted by the police. James’ public speech is one that unde rstands the manner in whichRead MoreThe Issue Of Racial Discrimination1232 Words   |  5 Pageswitnessed countless cases of police brutality. It has developed into a controversial topic between communities that have realized police cruelty have taken place in front of our homes. Deindustrialization is removal or reduction of industrial capacity or activity can lead to more crimes when people are laid off. Officers are faced with many threatening situations daily compelling them to make split second decisions and either to expect the worst or hope for the best. Police officers are given the authorityRead MoreStreet Art : Street Artist1044 Words   |  5 PagesStreet art is a topic that falls under one of those situations. Many people associate street art with gangs, vandalism, violence, and other controversial topics. Being realistic, it is understandable why society may have this opinion of street art, but it also serves many other significant purposes. Street art can be used as a medium to voice political and social opinions of a community, and also spread awareness. Banksy, an anonymous street artist, is one of the most controversial street artist inRead MoreThe Movie Straight Outta Compton Directed By F. Gary Gray1706 Words   |  7 Pagesthat quote was from an article published in 1981; showing that America has not changed for the better for minorities. In the film Straight Outta Compton, directed by F. Gary Gray is a biopic film about the rise to fame and demise of the highly controversial hip-hop group N.W.A (Niggaz Wit Attitudes). Depicting the lives of its members, Straight Outta Compton address the issues that were facing America during that period of time; most of them racial issues. The film addresses issues such as CapitalismRead MorePolice Brutality And The Police1281 Words   |  6 Pages Police brutality is a very controversial topic in America. Some people think that the police are protecting their community and are doing whatever it tak es to keep them safe. On the other hand, a lot of Americans feel that the police are choosy, prejudice, and overall just unfair. Personally, I think it depends on the situation at hand. I have read up on some cases that I felt that the police took advantage of their powers. I have also read a couple of situations where I felt that their actions

The One Thing to Do for Personal Essay Samples for Graduate School

The One Thing to Do for Personal Essay Samples for Graduate School Personal Essay Samples for Graduate School Can Be Fun for Everyone A self introduction essay can be helpful for different reasons like employment graduate school or professional pursuits. Essay requirements will change from school to school, but you are going to probably be requested to write 250750 words. For such an accountable kind of paper, we'll select simply the ideal writer with a Ph.D. degree. If you've already graduated from college or university and are looking for a fantastic job, you want to get a persuasive resume to impress your future employer. We'll help you with any sort of essay you've got and compose a fantastic paper which will bring you a high grade. When you get a rough draft of your admissions essay, bear in mind it is a rough draft. Then the ideal approach is set a request I will need to acquire essay papers written. The ideal thing about us is that each and every time you can buy or iginal essay papers for sale. Whatever They Told You About Personal Essay Samples for Graduate School Is Dead Wrong...And Here's Why 50 descriptive essay topics if you are searching for descriptive essay examples here's a great one below. Since you may see, the format of the graduate school application essay is quite similar to other sorts of essays. Many young folks are too busy or only reluctant to compose the essay by themselves. Writing a remarkable graduate school essay is most likely much more straightforward than you could think. Your essay should stand out. In addition to that point, it needs to be aboutyou. You will probably be advised regarding how you should submit your admissions essay. Your admissions essay is like any other essay you've written. Finding the Best Personal Essay Samples for Graduate School The cost of an essay is dependent upon the total amount of effort the writer has to exert. Hover over different parts to view how the author built a convincing story. Before you write your admissions essay you have to have a comprehension of your targets and the way in which your experiences to date prepare you for pursuing your aims. Show you have the personal and professional qualifications to reach your goals (which usually means you will need to have goals!) It's important to recognize certain things about the program that interest you, and the way you are going to make the most of those opportunities. Students lead busy lives and frequently forget about an approaching deadline. Who Els e Wants to Learn About Personal Essay Samples for Graduate School? While everyone needs to be different, personal statement examples can help you brainstorm ideas and provide you with somewhere to get started. It's helpful to find other folks to read your statement and offer feedback. The personal statement isn't a confessional booth. Nevertheless, your personal statement ought to be about you as an individual. Choosing Good Personal Essay Samples for Graduate School Sometimes you do your best and even then you're not able to score well in your home tasks. As you pay for homework, we provide those options at no cost. This checklist can help you to remember to re-check your work and find weak spots if you've got them. Every student demands help with homework from time to time. The very first step in writing an effective application essay is identifying just what you're intended to be writing. You might also get in touch with your writer to supply some additional recommenda tions or request information regarding the order's progress. Carefully review the directions and be sure you follow them exactly. The revisions are completely free! What You Need to Know About Personal Essay Samples for Graduate School You ought to be able to construct a historical breakdown of etiology of your career choice. Tell our experts what sort of homework help on the internet you want to get. Stating why the particular program and department is an excellent fit for the research she would like to do for instance, access to local archival resources or the chance to work with specialists within this area. It is possible to easily depend on us to find essay help as we have a tendency to assist and guide the students with the assistance of our professional experts. As it is by far the most unique part of your application, it is crucial to set aside dedicated time to compose your individual statement. Although there aren't any formulas for success, your probability of a cceptance improve greatly if you're prepared to spend the time and effort required to make a masterful essay. If you aren't certain about the correct usage of a specific word, don't utilize it. Employing complex words in an effort to impress will likely only do more damage than good. The Battle Over Personal Essay Samples for Graduate School and How to Win It In addition, there are helpful comments about what works in each one of these essays. Writing about something specific to you in your private essay that has not yet been touched upon elsewhere in your application will demonstrate the exceptional means by which you can contribute as a person. You must find the proper resources for your essay along with patience when finding the proper inspiration to write. Instead, concentrate on creating stellar essays for the ones that really interest you.

The Mummy at the Dining Room Table Free Essays

The Mummy at the Dining Room Table provides many examples of unusual and difficult cases, and assures the reader that there is hope for every situation. One of the most helpful aspects of the book is that it can be used to prepare for a patient and condition, for which the therapist in not familiar. . We will write a custom essay sample on The Mummy at the Dining Room Table or any similar topic only for you Order Now While every patient is different, the book provides the consistent message, which therapy is helpful and people can grow and change and succeed. The book gives a large number of examples and treatment strategies that can be helpful to any clinician. Reading about the experiences of experts such as Albert Ellis, William Glasser and Jay Haley is like seeing the theories and techniques in action. The book has use for the clinician as well as the patients. It points out what clinicians learn from their clients, and how they grow as clinicians, becoming more expert and insightful. The clinician learns more about human emotion from every client in which they come in contact. One of the aspects of this book that can be intimidating to the new therapist is the creativity and expertise of the clinicians in the book. Each therapist has a unique and dynamic personality. They are interesting people. Someone new to the field, without the experience and confidence may find the case example and techniques intimidating to some degree. Reminding oneself that everyone started out as new and tentative in the field can help overcome that intimidation. These are well-known and highly successful therapists talking about their most memorable clients and situation. The book tells the stories in a dramatic, interesting and at times funny way. It is so helpful to read the behind the scenes accounts of the therapists preparation for these unusual case scenario. Even the most expert of therapists are always learning and researching. We learn that power of the therapeutic relationship cannot be underestimated and that even the most unusual patients and problems can be treated. Hope is an important part of treatment. With insight, an open mind and hard work, success often comes. The cases situations, therapists, clients and therapeutic techniques are fascinating. The books make it clear that fieldwork, videotaping and supervision are so important. It is a reminder that our patients are real people and not subjects of an experiment. The therapist has a responsibility to be prepared and well trained. Many of the therapists in this book have done extensive research on their techniques. These therapists take a journey with their clients and are able to help them develop solutions to their problems.   Ã‚  In Chapter One, â€Å"The Man Who Wanted His Nose Cut Off†, the new therapist, Jeffrey Kottler was inwardly shocked by his client’s confession that he had been having a sexual and somewhat romantic relationship with a cow. Kottler only saw this client twice but learned an extremely valuable lesson for a therapist. He learned that the simple act of listening, in a non-judgmental way is actually therapeutic. He listened and reflected back to his client and did not judge or attempt to change or analyze anything in these two sessions. He simply listened and by the second session, it seemed that the client Manny had come to his own solution.   While Manny’s solution was not what Kottler would have though was ideal, for Manny it was apparently a fine solution for Manny and he never returned to therapy. Clients will not always complete the journey or the goal that we as therapists have in mind. My personal preference and belief system is most congruent with humanistic an existentialism. This approach to therapy is open minded, flexible, client centered and believes in the goodness of the client and of humanities ability to change and grow. Existential psychology grew from the writings of such well-known philosophers as Kierkegaard, Sartre and Camus. Much of their writings talked about the ability of human beings to come through adversity. They focus on self-reliance and responsibility and come out on the other side with a philosophy that focused on self-reliance, authenticity, responsibility, and mortality. Rollo May, is one humanistic psychologist that translates the philosophy to psychology. His therapy focuses on the here and now and a clients freedom to choose. Existential psychology focuses less on the person’s genetics, experiences as a child or family or origin and more on the person’s perceptions, responses and conscious choices in the immediate. The existential believers see the motive for behavioral as the rift between existential anxiety and freedom. In the case of Manny, a therapist could easily be entrapped in the reasons for his sexual behavior with a cow and his apparent attraction to the cow. The therapist could look at his family history and try to determine if something led him to this behavior. Another therapist may be inclined to believe that he simply never had proper sex education and so was finding it difficult to relate to human women. Perhaps all Manny knows is how cows have sex. No matter what the reason, the treatment is to relieve Manny of his unhappiness. He came in complaining about his nose and then quickly began to talk about the cow. The key to treating many was in the relationship between the therapist and the client. As Kottler learned I believe, easing the anxiety may have been the real key to treating Manny. Relieving some of the anxiety through acceptance began the treatment process for Manny. The end result, which seemed to give Manny the freedom to pursue this bovine relationship and simply cover up the smell. This may not have been the best outcome at all and I believe there is a lesson there as well. With several more sessions, Kottler may have been able to address the anxiety Manny feels regarding relationships with humans. This certainly may have required some sex education as well as some exploration into family dynamics, but it would also have required a discussion on what he wanted in terms of a romantic relationship.   He may have moved to discuss the issue of existential angst and the desire for meaningful relationships with humans Kottler talks at the end of his chapter, about another patient who was distressed by his desire to dress in women’s clothing. Kottlers reaction and apparent acceptance relieved the anxiety for this man. The man was disturbed by his thought but had difficulty managing them, that was is reason for coming to treatment. Ultimately, with therapy, the man’s disturbing thoughts subsided to a level he was able to accept. I believe Kottler’s examples speak about the importance of the therapeutic relationship as the major tool in therapy. With both of these patients, therapy could have, and may have   helped the person examine their relationships and make conscious choices that would relived the anxiety and fear that exists without a meaning to ones life. Manny’s future therapy might have moved him towards self-discovery and reflection that he has the ability and freedom to develop meaningful, fulfilling human relationships that result in happiness. He may have been able to discover why he was at the time, using cows for sexual gratification and how he might ultimately, and move to fulfilling intimate relationship with a human. Carl Rogers, with his humanistic focus, believes that humans are good, and desire to be the best and do the best person possible. People do not always accomplish this desire easily, which is where therapy becomes important. Manny, given the freedom to talk and lead the conversation to some extent, could have worked towards self-actualization. If Manny is disturbed by his current relationship and want to move towards relationships that he will find more fulfilling, therapy can be the key. The therapeutic environment can allow him to explore anything in a safe environment and then he can make choices for his life. Manny may have been able to understand the concepts of   â€Å"real self†Ã‚   versus â€Å"ideal self†, meaning what he is and what he wants to become or move towards. The many case examples in this work all speak to the hop and powerfulness of therapy and relationships. My belief in the humanistic approach is even stronger as I read these examples. People with such disturbing problems including the woman who hanged herself to test her husband and the family with the mummy at the table, all can have a positive ending. Though not perfect, and perhaps not what the therapist would want, but progress can be made. In the chapter by Carlson, with the same title as the book, a family had mummified a female member of the family. We actually learn about this because the main character of the chapter, Trina is seeking to understand herself better. She feels it is important to establish contact with her family, which we are aware is somewhat dysfunctional. As it turns out, Trina’s aunt has been mummified because the family felt that it would ease their grief. The woman died at home and so with the help of a friend in the medical field, the woman was embalmed and mummified. The family would actually sit her at the dining room table .It seems that the entire family, including her husband and children are involved with the caretaking of the mummified woman.   This example, and this family is probably the most bizarre of the books many odd cases. As a humanistic therapist, this family, if they were in treatment, would need ample time to o talk a process the decisions they had made and the reasoning behind the decisions. Addressing grief, the loss of a close personal relationship and perhaps acknowledging that many people may feel the same way about the loss of a loved one. Most people however, do not have the resources to embalm and mummify.   As with the case of Manny, the behavior is odd and troublesome and probably illegal. However, it is possible trough understanding, flexibility, a non-judgmental attitude and hope, that the family can have a successful outcome. Each example case in the book is real and each saw some measure of success. Each therapist, no matter what he level of experience at the time of the particular case, learned something from the treatment process. While these cases are shocking and interesting to read about, their treatment process and the relationship with the therapist is not really that different from treatment with other patients. It is important for therapists to understand and look for the uniqueness in each individual and not to just seek out the unusual or overlook the more typical.   Even the most seemingly straightforward problems, can be complicated and unusual once unraveled. This was so with the case of Trina, who began in treatment to address a standard marital issue.   The key to treatment is the training and understanding of the therapist, the belief that treatment is possible and then the therapeutic relationship. . How to cite The Mummy at the Dining Room Table, Essay examples

Social Justice In Education Essays - Gender, Raewyn Connell

Social Justice In Education ?Social Justice in Education? by R. W. Connell discusses the role of education in society and the implications that social justice issues have on education. Connell begins by establishing that education and social justice can be examined separately yet they are inescapably linked through the social medium of their implementation. ?Education concerns schools, colleges and universities, whose business is to pass knowledge on to the next generation. Social justice is about income, employment, pensions or physical assets like housing.?(Connell, 1993) Three points validating the equal importance of social justice and the education system to people of all delineations are: 1.) in Western society public schools are key forums of social interaction and comprise some of the largest social institutions 2.) educational institutions are highly economic bodies and have become ?major public assets? (Connell, 1993) 3.) teaching becomes a vehicle by which society is ultimately determined and has a great influence over society's morality. Connell describes the meaning of justice in education as being ?a question of fairness in distribution? equality.?(Connell, 1993) ?Justice cannot be achieved by distributing the same? standard good to? all social classes.?(Connell, 1993) By stating this, Connell summarizes that in the attempt to achieve equality, unequal means must be employed. The implications for teaching presented by Connell's article are immense. The concept of equality in education and the equality of access to education are matters that are determined by the social constructs of the society in which we live. The notion of equality in education means that educators must approach all material and subject matter with a premise of unbiased predetermination. Music, math, science, fine arts, English, Japanese, history, etc? must all be considered on a par. Our current educational system does not treat all subjects as equal in our public education system. The stereotypical reading, writing and arithmetic (primary subjects) take precedence over the fine arts and like subjects (secondary subjects). Social justice criteria as presented in this article, establish that economic variables are a means of determination for favouritism within the educational institution. Where the primary subjects receive ensured funding, the secondary subjects receive funding when d eemed viable. This creates inequality at the very base of the institution itself. The result is degradation to all facets of the educational system. ?The moral quality of education is inevitably affected by the moral character of educational institutions. If the school system is dealing unjustly? The quality of education for all? is degraded.? (Connell, 1993) I sometimes wonder why administrators and educators, the facilitators of education, cannot realize the reasons behind the success and failures of our education system. I have often heard educators and scholars refer to the greatness of the Renaissance and Romantic eras in world history and their frustrations due to the loss of the benefits of those times. The secondary subjects during those times of grandeur were not secondary, but they were primary and equal subjects to all others; therefore, the benefits of equalization of subjects importance is essential in achieving those past benefits as well as a highly developed society. Connell presents an intriguing argument and concludes with several ideas. ?Individual equality is the condition, not the goal, of a just social order.?(Connell, 1993) Education which favours is a ?corrupt education? (Connell, 1993) and ?social justice is? fundamental to what good education is about.? (Connell, 1993) Finally Connell states that good means different things to different people and ?justice cannot be achieved by distributing the same? standard good to? all social classes.? (Connell, 1993) Bibliography: Connell, R. W. ?Social Justice in Education?. In Schools and Social Justice. (Toronto: Our Schools/Our Selves Education Foundation, 1993) pp. 11-19.

ITC 561 Essay

ITC 561 Essay ITC 561 Essay Report on Virtualization and cloud computing Table of Content : Desktop Virtualization†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 3 Virtualization Types†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 4-6 Detail of Client Hypervisors†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 7 Advantages & Disadvantages†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 7-8 References†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 9 Desktop Virtualization: Desktop virtualization is basically concern with the remote access of data. This technique involves encapsulation and delivering access to either the entire system or the remote client device. In this technique we can use different software and hardware environment, and may use entirely different operating system. This allows the use of virtual systems to let multiple network subscribers maintain desktops on a single, centrally located server or computer. The main machine or central machine may operate at residence, business or any data centre. User can have any geographic location but all must connected to the central machine to share the data use any of the connection type like LAN, WAN, Public internet etc. For start using such environment, we need the following: 1. In this technique end user access the central computer. 2. Network works as a tool for accessing central computer. 3. We also have tools to virtualizes operating system so that they can be encoded and transported via the network. Difference between traditional & virtualized model: Types of Desktop Virtualization: We have the following types of desktop virtualization- 1. Remote Hosted Desktop:- In this technique server runs a image of an operating system and clients log into server using a software called connection broker, this is the only part of the software hosted on the client machine. In this virtualization is done in the data center. On the client the requirement is minimal. Example: Software: Citrix XenDesktop; Wyse ThinOS; Microsoft Remote Desktop Services; Microsoft Enterprise Desktop Virtualization (MED-V); VMware View Manager. Hardware: Pano Logic Device, Remote; nComputing thin clients; Wyse thin clients; Sun Ray Ultra-Thin client; Symbiont Network Terminal; Rangee Thin Client 2. Client Hypervisors :- In this the application is run on client side it means that no need to be online every time. Because of the client side computing there is more resource utilization. This is ideal if the end user need better graphics or computing power. Example: Citrix XenApps; Microsoft Remote Desktop Services; VMware View; VMware ThinApps . 3. Application Virtualization:- Because of the virtualized application runs independently on user’s operating system. You can run files on operating system without installing it on operating system. Example: AppZero, BoxedApp, Cameyo, Ceedo, AppliDis, Evalaze,InstallFree, Citrix XenApp, Novell ZENworks Application Virtualization, Endeavors Technologies Application Jukebox, Microsoft Application Virtualization, Software Virtualization Solution, Spoon (formerly Xenocode), VMware ThinApp and P-apps. . 4. Terminal server:- As it is the oldest, most established form of desktop virtualization out there, you can be sure that practically all of the quirks and bugs associated with terminal server have already been identified and perhaps even ironed out. Thus, with terminal server, you’ll be dealing with a relatively stable and predictable DV platform. For the given problem we will prefer Client hypervisors virtualization technique. In this technique there is a isolation between operating system and hardware. Because of this feature we can run different versions of operating system on the same machine, otherwise this is not possible with any of the virtualization technique. Unlike the other virtualization technique this can be used without network connection, means virtual desktop can run on the client device even when the user has no network access. For

Violet Smoke Chemistry Demonstration

Violet Smoke Chemistry Demonstration There are many chemistry demonstrations that produce smoke, but violet smoke is quite a lot more interesting! Here are two ways to produce violet smoke. Violet Smoke Safety Info iodine Violet Smoke Method #1 1 part powdered zinc 4 parts powdered iodine wash bottle or dropper bottle filled with water Separately powder the zinc and iodine, using a mortar and pestle.Mix the ingredients in a shallow dish.Perform the demonstration by spraying a stream of water onto the powdered mix. Violet vapor will immediately form. You may wish to place a white board behind the dish to make the violet smoke more visible. Violet Smoke Method #2 4 grams powdered ammonium nitrate4 grams powdered zinc1/2 gram iodine crystalswash bottle or dropper bottle of water Powder the materials separately, then mix them together in a shallow dish. Initiate the reaction between the zinc and ammonium nitrate by spraying water onto the powdered ingredients. Iodine will sublimate in the heat of the reaction. White Smoke Chem Demo | Easy Violet Fire

History of English Essay Example | Topics and Well Written Essays - 250 words

History of English - Essay Example French is essential in meeting the current and future needs of such individuals in the society (Nikolov, 2009). An individual that has prowess in French could utilize the opportunity of offering language classes. This enables the particular individual that teaches French have a means of improving their financial status (Adamson, 2007). This creates the need to learn French for easy interpretation when compelled to have a conversation in the French language. Surveys provide evidence of a great increase in the French speaking demographic. This population is increasing at a higher rate as compared to English and other languages. For instance, by the year 2050 the percentage of French speakers in African states could increase by five percent. The number of French immigrants in the western countries has significantly increased. This has led to the development of interest in the language to determine their exact economic and social assimilation (Garcia, 2010). For instance, there is an increase in the number of intermarriages between the French immigrants and the westerners. This plays a major role in economic

The Rebel, The Nihlist, and the Revolutionary in Batman the Dark Essay

The Rebel, The Nihlist, and the Revolutionary in Batman the Dark Knight - Essay Example The following study text expounds on the three figures as portrayed by Camus and further examines their possible application in the movie Batman the Dark Knight by examining three characters and how they fit in Camus’ figures. The nihilist believes that all values are meaningless and baseless, and that nothing can be understood or communicated. Concisely, the nihilist is an extreme pessimist who has no beliefs, no purpose, no loyalty, and all they think of is destroying. â€Å"A nihilist is not one who believes in nothing, but one who does not believe in what exists† (Camus 38). Camus argues that nihilism is a disorder that the modern age overly suffers from and it fights against morality. Morality demands of people to be honest and truthful when looking at their faults, and be truthful to their natures. However, a nihilist does not care about morality, and does not see any purpose of anything in the universe. According to Camus, most of us are nihilists, lacking the necessary values and seeing life as not worth living. The rebel as portrayed by Camus is an individual rejecting both absurdity and political, metaphysical which can be better put as rebellion against unjustified sufferings inflicted b y a state on citizens. The rebel in this condition tries to resist the unjust system of rules and at the same time rejecting the silent (unspoken) universe. A rebel protects what is theirs and denies anyone from touching it, and is perceived of as aiming at imposing but not conquering. This imposition is to make them meaningful towards people who deny his feelings of humanity in a world which has no meaning. As such, rebellion is an act of defence, but not offended, because a rebel will not charge at an oppressor. In the master-slave situation, a rebel will not rebel against their masters but will act against their â€Å"master† status. This is where the action against the superiority is evident and it can be concluded that

Case Study On A Patient With Heart Failure

Case Study On A Patient With Heart Failure Mr. SB, 60-year-old male is a retiree and was admitted to the hospital accompanied by his daughter. He is 100kg at a height of 180cm so his calculated body mass index (BMI) was 30.9 indicating that he was overweight. When admitted, patient was complained of shortness of breath for 2 weeks and was worsening on the day of admission. Besides, he also experienced orthopnea, fatigue, paroxysmal nocturnal dyspnea and leg swelling up to his thigh. Mr. SB was admitted to the hospital for to the same problem last year. Mr. SB had known case of heart failure since 3 years ago and he had also diagnosed with hypertension for 5 years. Before admitted to the hospital, patient was taking frusemide 40mg, aspirin 150mg, metoprolol 50mg, amlodipine 10mg, and simvastatin 40mg for his hypertension and heart failure. Patient does not allergic to any medication and he does not take any traditional medicines at home. His family history revealed that his father had died of ischemic heart disease 4 years ago while his brother has hypertension. As for his social history, he smokes 2-3 cigarettes a day for 35 years and the calculated smoking pack years was 5 pack years. Besides, Mr. SB also drinks occasionally. On examination, Mr. SB was found to be alert and conscious but he was having pedal oedema up to his knee. Besides, the patient was noted with bibasal crepitations with no rhonchi. His body temperature was normal. However, his blood pressure was found to be elevated upon admission with a record of 159/100 mmHg with an irregular pulse rate at 85beats/min. His echocardiogram showed that he had left ventricle hypertrophy while chest X-ray was conducted and revealed that the patient had cardiomegaly. Lab investigations such as full blood count, liver function test, urea and electrolyte test and cardiac enzyme were done upon admission. His creatinine concentration was found to be 143 µmol/L. Therefore, the calculated creatinine clearance was 68.8ml/min. Besides, there was also blood found in the urine and the echocardiography showed that the patient has sinus tachycardia. In addition, ECG test was performed on day 1 and the result indicated that there was a T-wave inversion. The patients INR was 1.04 which was lower than normal while APTT was found to be slightly higher (59.4 seconds). Mr. SBs random blood glucose was found to be normal during his hospitalization. Mr. SB was diagnosed with congestive cardiac failure (CCF) with fluid overload. The patient also suffered from hypertension. The management plan included intraveneous frusemide 40mg twice daily, aspirin 150mg once daily, simvastatin 40mg once at night and ramipril 2.5mg once a day. Besides, patient was asked to restrict his fluid intake to 500ml per day and oxygen therapy was given to patient at high flow using a face mask when patient experiencing shortness of breath. As for his clinical progression, on day 1, the patient was complained of shortness of breath, leg swelling and orthopnea. Enchocardiogram showed that he had cardiomegaly. Treatment of CCF was given. Throughout the stay in the hospital, Mr. SB had responded well to the heart failure therapy as there was no more complaint of chest pain or shortness of breath on day 13 and his pedal oedema had gradually improved. However, patients blood pressure throughout day 1 to 9 was fluctuating between the range of 102/67-160/100 mmHg and therefore, hypertension treatment was given and blood pressure on day 10 onwards had been seen fell within the normal range. Furthermore, Mr. SBs renal function became progressively worse from 143 µmol/L on admission to 175 µmol/L on day 11 and the calculated creatinine clearance on day 11 was 56.2ml/min. 2. Pharmacological Basis of Drug Therapy 2.1 Disease Summary Congestive cardiac failure (CCF) is a complex syndrome that is usually caused by the inability of heart to pump sufficient blood to meet metabolic needs of body during exercise. It is more commonly known as heart failure38 and it can affect either left or right ventricle or both39. The risk factors predisposing one to heart failure are obesity, high blood pressure, diabetes, and smoking. Heart failure is commonly characterized by typical signs of fluid retention with symptoms of breathlessness, fatigue, paroxysmal nocturnal dyspnoea, and reduced exercise tolerance39. CCF is a common disease which affects approximately 1-2% of the general population in developed countries1. Prevalence increases with age especially those aged above 75 years where the prevalence of CCF could be as high as 10%2. In addition, men are prone to getting heart failure as compared to women1. Each year, there are about 1-5 new cases of CCF per 1,000 population and it also increased with age40. In United Kingdom, the incidence of CCF is about 0.02 cases per 1000 per annum between the ages of 25-34. However, the incidence increased to 11.6 cases in those above 86 years old1. The prognosis for CHF is relatively poor. Approximately 40% of individuals with CCF die within a year after diagnosis3. There are many causes of CHF but the most common underlying causes are heart attack, coronary heart disease, and high blood pressure. Others such as cardiomyopathy, valvular heart disease and diabetes may also precipitate heart failure4. An early diagnosis of CHF is often based on the signs and symptoms which the patient is experiencing5. Other tests are needed to confirm or rule out the diagnosis. These include chest X-ray examination, physical examination, electrocardiograph (ECG), echocardiography and exercise testing. The severity of heart failure can be classified according to the New York Heart Association (NYHA) classification system. This system consists of four classes which relate patients symptoms to physical activities and quality of life. Table 1: New York Heart Association (NYHA) Classification5. Class Patient Symptoms I (Mild) No symptoms with ordinary physical activity (walking and climbing stairs) II (Mild) Slight limitation of activity with dyspnoea to severe exertions (climbing stairs or walking uphill) III (Moderate) Marked limitation of activity. Less than ordinary activity causes dypsnoea. (restricting walking distance and limiting climbing to one flight of stairs) IV (Severe) Severe disability, dyspnoea at rest. (unable to carry on physical activity without discomfort) 2.2 Drug pharmacology in treatment of congestive cardiac failure Chronic cardiac failure should be treated immediately once it is diagnosed. The goal of treatment is to improve patients quality of life by alleviating the symptoms, improving exercise tolerance, preventing the progression of myocardial damage as well as reducing hospital admission and mortality. Angiotensin-converting enzyme inhibitors (ACEis) ACE inhibitors are considered as first line therapy in patients with CCF5. They bind to and inhibit angiotensin converting enzyme which subsequently inhibit the action of angiotensin I. As a consequence, the production of angiotensin II is prevented. Angiotensin II is a potent vasoconstrictor which has a direct action on kidney to stimulate the secretion of aldosterone and antidiuretic hormone (ADH). This will cause sodium and water retention. Hence, ACE inhibitors improve cardiac function and relieve symptoms of oedema by promoting sodium and water excretion41. Besides, they also increase the concentration of a potent vasodilator, bradykinin. This results in a fall in blood pressure as bradykinin is associated with the release of nitric oxide and prostacyclin. However, high levels of bradykinin also responsible for the main adverse effect of ACE inhibitors, dry cough42. Other common side effects include hyperkalaemia, profound hypotension and gastrointestinal disturbances15. ACE inh ibitors are contraindicated in patients with renal impairment even though some studies have shown that they have renal protective properties43. Example of ACE inhibitors are captopril, enalapril, and ramipril. The starting dose for ACEis should be low and the dose should be increased gradually to target doses5. Beta blockers Beta blockers used to be contraindicated in patients with CCF as it may worsen the condition of the heart due to its negative inotropic effect. Nowadays, beta blockers should be considered in all patients with heart failure unless contraindicated5 as they have been shown to reduce the mortality, hospitalization and the progression of heart failure7. Beta blockers should be introduced following treatment with ACE inhibitor once the patients condition is stable7. Only bisoprolol, carvedilol, and nebivolol are currently licensed to be used in the treatment of heart failure in UK8. Both nebivolol and bisoprolol are cardioselective where they act on beta ­1 receptors. On the other hand, carvedilol is a non-selective beta blocker9, 10. The mode of action of beta blockers in heart failure is poorly understood but the proposed mechanisms include antiarrhythmic action, anti-ischaemic action, and attenuation of cathecholamine toxicity as well as reduced cardiac modelling through blockade of sympathetic influences on the heart9. Besides, carvedilol has an additional antioxidant property which may be thought to slow down the process of atherogenesis by inhibiting the oxygen-free radicals11, 12. The starting dose should be low as high doses may worsen the condition of heart failure7. Over time, the dose of beta blocker should be gradually titrated upward if the patient is well tolerated until target dose is reached5. Diuretics Diuretics are often used to relief the congestive symptoms and fluid retention7. Hence, they should be used in heart failure patients with the symptom of oedema7. Frusemide, a loop diuretic is the most commonly used agent in heart failure. It is considered as the first choice of drug for the long-term treatment of CCF with the advantages of improves cardiac function, exercise tolerance, as well as symptoms of breathlessness and oedema13. The main site of action is at the thick ascending limb of the loop of Henle. Furosemide acts at the Cl- binding site of Na+/K+/2Cl- co-transport and as a result, sodium reabsorption is inhibited. This promotes the excretion of sodium up to 20-25% as well as enhances water clearance13. Consequently, it reduces the blood volume thus reducing the preload on the heart. As a result, ventricular ejection is improved and the heart is able to pump more efficiently14. The most common side effect is hypokalaemia. Hence, it is important that patients potassium level and the renal function are closely monitored. Aldosterone Antagonists Patients with moderate to severe heart failure should be considered for the treatment of aldosterone antagonists such as spironolactone15. It is a potassium sparing diuretic where its action is mainly on the renin-angiotensin-aldosterone (RAA) system18. Spironolactone prevents the synthesis of basolateral Na+/K+-ATPase pump protein by acting as a competitive inhibitor at the aldosterone receptor site in the distal convoluted tubules. As mentioned earlier, aldosterone promotes sodium and water retention and the use of spironolactone therefore inhibits sodium and water reabsorption while retains potassium. As a result, spironolactone reduces the workload of the heart and the heart is therefore able to work more efficiently18. It is often use in conjunction with other agents such as diuretic in the management of CCF44. Nevertheless, spironolactone may cause hyperkalaemia, particularly in patients with renal impairment due to the inhibition of potassium excretion. Hence, the patients pot assium level and the renal function should be closely monitored. 3. Evidence for treatment of the condition(s) Angiotensin-Converting Enzyme Inhibitors (ACEis) ACE inhibitor, ramipril prescribed for my patient Mr. SB was proven to be the mainstay therapy in the management of CCF. NICE and SIGN guidelines recommended that ACE inhibitor therapy should be started once the patient is diagnosed with CCF before beta blocker is initiated5, 32. It should be prescribed to the patients with heart failure due to left ventricular dysfunction as studies have demonstrated that ACE inhibitors alleviate symptoms and reduce rehospitalisation as well as slow down the progression of the disease in all NYHA classes5, 33. The benefits of ACE inhibitor in CCF can be seen based on the systemic review of 5 randomised, controlled trials which involve a total of 12763 patients. Results shown that in comparison to placebo group, long term treatment with ACE inhibitors were shown to have statistically significant reduction in mortality rate (23.0% vs 26.8%; p

Cartoon Analysis

A Show For decades people have migrated to America from all over the world in hopes of having that beautiful home with a white picket fence and a yard big enough for two children and a dog. Today, people are still chasing that dream. They haven't realized that the American Dream is merely Just that, a dream. These immigrants believe that by coming to America their life will suddenly be better and easier. What's worse is that President Obama and the government led the immigrants on by portraying theAmerican nation to be a place where dreams come true and everyone is welcome. That is exactly what is being illustrated in The New York Times political cartoon, Undocumented Fun For Undocumented Children. Brian McFadden uses eye-catching colors, the southern United States borderline, and U. S. Representatives to show how the U. S. Government continues to act as if they are willing and prepared to receive more undocumented immigrants. The most flamboyant technique that the creator uses in th is strip is the eye-catching colors.Red and yellow are the two brightest colors used in the strip. Red is also a color known to cause a physical reaction within the human body. I believe the creator uses these two colors to highlight the most important points throughout the cartoon. For example, there is a large red stop sign with written on it. This seems to be the main goal and message that the creator wants to get across. Then, the creator's main concern stands out four times in yellow and reads, â€Å"U. S. BORDER. By using these bright and old colors Brian McFadden is able to complete the first step in sharing his message by catching his readers' attention. The image that is most vivid in this cartoon strip is the map of the United States with its southern border left open to connect the dots. This type of imagery is brilliant in conveying the cartoon's message. If this picture were to be presented alone anybody would easily be able to grasp the underlying message. It is in th is section of the cartoon strip where the creator's point is most Leary stated.The issue presented is obviously the U. S. Border, which is represented by the eight dots to be connected. The creator also uses humor in this piece to lighten the mood of the readers but still gets the point across. The last well- presented elements in this cartoon strip were the characters. The characters featured were President Obama, the border patrol, three other U. S. Representatives, and a young undocumented child. We learn a lot about the U. S. Government through these characters. These U. S. Preventatives reveal to us how the government publicly portrays that they want to help immigrants. Though, McFadden makes it clear that the government is doing this solely to please the American people who are for immigration. For example, the Senate passed the immigration bill. In the strip, a U. S. Representative expresses how he can't seem to find the bill. This shows us how the government is actually brus hing off the immigration concerns of the people. There is a lot being said in Undocumented Fun for Undocumented Children.

Ethics Code And New York State Professional Standards

A professional psychologist enters into the field of Psychology to help others improve their mental health circumstances. As a licensed professional psychologist, it will be easy to know who the client will because the client will request a service, pay and consent form signed. Client cannot be easily defined as just a paying customer because a client encompasses so many other things. WHO IS THE CLIENT? Who is the Client? There will be an obvious answer, which will be the paying client. This paper will detail what it entails to be a client in the context of the APA Ethics Code and New York State Professional Standards. Under the Ethics Code and New York State Professional Standards, they both have explicit details on â€Å"who is the client?† Definition of a client. The first step will be to understand why the word â€Å"client† was being used instead â€Å"patient† since the two words represents someone seeking medical/mental help. The word â€Å"patient† suggests that the therapist puts him/herself in the position of making decision for the person whom they viewed as impaired or damaged. Psychotherapist who uses the word has to diagnose a disorder in order to treat the patient. Client on the other hand, was viewed as more humanistic and gives the client autonomy over what is best for them. A client seeking therapy will not be curing an illness but seeking new direction in life (Mclaughlin, 2008). State law and the client. New York State Article 29 professional misconduct states thatShow MoreRelatedThe Ethics Code And New York State Professional Standards1580 Words   |  7 PagesAbstract A professional psychologist enters into the field of Psychology to help others improve their mental health circumstances. As a licensed professional psychologist, it will be easy to know who the client will be because the client will request a service, pay and consent form signed. 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He should be honest with himself and to others, follow his personal beliefs and stick to what he thinksRead MoreThe Code Of Ethics And The Social Work1562 Words   |  7 PagesNational Association of Social Work, as well as its Code of Ethics, were established to set guidelines for the profession. Many people were responsible for the making of social work as a reputable profession today, and it is important that they are credited for their progress. In relation to the Code of Ethics and the values involved with social work, it is crucial that the individuals within social work have values that match up. When values and ethics do not align within the practice, tensions are height enedRead MoreA Code Of Ethics For Teachers1334 Words   |  6 Pages The Need for a Code of Ethics for Teachers and How Positive and Professional Dispositions Must Be Exhibited Prior to and During Student Teaching Aliesha R. Phillips The University of Southern Mississippi Ethics falls under a broad definition that can be defined in many ways: â€Å"The term ethics is defined as the discipline dealing with what is good and bad and with moral duty and obligation; 2a) a set of moral principles; 2b) the principles of conduct governing an individual or a groupRead MoreNursing Is Defined As Moral And Medical1490 Words   |  6 Pages â€Å"It includes the raise of health, the prevention of illness and the care of ill, disabled and dying people† (WHO, 2015). On the other hand, professional competence is the capability to perform and demonstrate technical skills, abilities, knowledge, attitudes, values, judgment, and different tasks and take responsibilities according to employment standards (Bowen, Donkin Sinclair, 2013). 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Essay on Pros And Cons of Genetically Modified Foods

The world has seen many changes and advances over the last century, but possibly none that hold as many possibilities as genetic engineering. Genetic engineering is turning up in more and more places, and it is almost certainly here to stay. Just as computers and plastics changed most aspects of living since they were invented, biological engineering has the potential to do the same in the future. This new technology has a wide range of possible benefits, from helping farmers, to improving foods, to helping the environment, to helping sick people. Genetic engineering may even one day be used to help solve world hunger. However, it also has its dangers and risks, which need to be considered along with its benefits. The fact that not†¦show more content†¦Also discovered were vectors, which are DNA codes that can insert themselves into other separate codes. A virus is an example of a vector. Scientists learned how to build and use special vectors to insert genes of their choice into an organism’s DNA code (What is Genetic Engineering?). Numerous techniques (such as selective breeding) have been used for years to change gene codes, but through genetic engineering, scientists can move genes much easier than before and with greater precision (What are the Dangers?). Scientists believe that by using these techniques, they will be able to improve the quality and characteristics of food that people eat. Genetically modified food (GM food) is food with ingredients that have been genetically altered for traits such as larger size, pest resistance in the field, and faster growth. For example, scientists have used this technology to improve a tomato’s ability to resist freezing. To achieve this, a gene from a flounder was added to the tomato’s DNA code, which enable the plant to resist frosts and extends its growing season (What is Genetic Engineering?). Another gene was found that could help wheat grow in fields that normally would not support it. Cows with altered DNA can even produce milk that contains chemicals such as human insulin, which diabetics need to survive (Frequently Asked Questions). These are all examples of how scientists can use gene-splicing technology toShow MoreRelatedPros And Cons Of Genetically Modified Food1421 Words   |  6 PagesFood, we need it to survive and thrive. Food is our source of nutrition and energy. When we consume food and water, our body breaks food down into tiny particles and sends the nutrients throughout our bodies through blood. This is called digestion. According to science, nutrients are one of the four requirements of life for all human beings. Every day, we are faced with choices about our foods. Do we eat fast food, healthy, organic or non-organic? Should we eat genetically modified foods and howRead MoreThe Pros And Cons Of Genetically Modified Foods1960 Words   |  8 Pages Over seventy-five percent of the foods that are buy in grocery stores contain a genetically mo dified ingredient. Humans have been domesticating plants ever since 11,000 BCE. Scientists have been breeding plants together with traits that are considered beneficial to humans and trying to intensify the traits that help humans survive. By altering the genetic structure directly, scientists can efficiently give it specific traits in a more controlled environment and avoid the hit or miss aspect of naturallyRead MoreGenetically Modified Food - Pros Cons2979 Words   |  12 PagesApril 2012 Genetically Modified Food: World Wide Panacea or â€Å"Frankenfood† to Fear? Never before in history has mankind so masterfully commanded its food chain. Thousands of years ago, much of our species made the leap from a hunter-gatherer level of subsistence to an agricultural society. With agriculture, slowly but surely many modifications were made to plants and animals used and domesticated by us for the purpose of feeding ourselves. New specialized varieties with specific desirable traitsRead MorePros and Cons of Genetically Modified Food Essays589 Words   |  3 PagesPros and Cons of genetically modified food, or GMOs Genetically modified foods are a types of foods that have been genetically changed, to add or get rid of an unwanted trait in a food. For example, seedless oranges. This is a type of orange that is genetically modified (had tits genes changed) specifically so it would grow without seeds. Many foods are genetically modified today. Oranges, corn, tomatoes, potatoes, squash, and many others have had their genes changed. In fact, the average personRead MorePros and Cons of Genetically Modified Foods Essay1289 Words   |  6 Pagesand foods. For example, the first time a person tastes a delicious juicy piece of prime rib or a delightful hamburger with cheese and ham, his world is never the same. However, since the beginning of the twentieth century, the production of food has been supplemented by science. This has triggered an angry dispute between the people who support the advances of biotechnology and people who love nature. In order to understand the controversy, we have to know the meaning of genetically modified foodsRead MorePros And Cons Of Genetically Modified Foods2687 Words   |  11 PagesGenetically modified organisms, GMOs for short, are becoming more popular in food around the world. Scientists take genes from some different organisms to add different qualities to specific crops, like corn. With that, however, comes many unfaced challenges like the cross fertilization of natural and modified organisms, resistence to pesticides, and health complications, to name a few. As GMOs are becoming more widespread, it is also becoming more evident that their presence is hazardous and theyRead MorePros and Cons of Genetically Modified Foods2267 Words   |  10 Pagesdomesticated animals later and then selectively bred both plants and animals to meet various requirements for human food. Humans discovered natural biological processes such as fermentation of fruits and grains to make wine and beer, and yeast for baking bread. Manipulation of foods is not a new s tory, therefore. The latest agricultural discovery uses genetic engineering technology to modify foods. Farmers and plant breeders have been changing crop plants to improve characteristics such as size, resistanceRead MoreThe Pros And Cons Of Genetically Modified Foods1809 Words   |  8 PagesAs the spread of commercialized genetically modified foods (GMF) products rise, the number of people exposed to genetically modified foods incline globally. The term genetically modified foods can be used interchangeably with transgenic foods, genetically engineered crops (GE) and Recombinant DNA technology and therefore defined as the enhancement of foods in which a gene of interest from one organism is extracted and inserted into the target organisms. (1) The genes of interest may be cells fromRead MoreThe Pros And Cons Of The Labeling Of Genetically Modified Foods918 Words   |  4 Pagesthan 70% of packaged foods contain GMO in the US market, there are no regulations to mandate the labeling of GM foods by the US government. Currently, the US federal government does not require any mandator y labeling of GM foods, unless the nutrition of GM foods has been changed or some toxins and allergens have been added to the GM foods (McLure). According to the U.S. Food and Drug Administration (â€Å"FDA†), there are also no mandatory programs to regulate foods from genetically engineered (â€Å"GE†) plantsRead MoreGenetically Modified Foods, Pros and Cons persuasive essay.1883 Words   |  8 Pagesoverpowers the bad. Many experts argue that Genetically Modified foods are actually beneficial to, not only people, but animals, plants, and the world overall. Some experts even state that, not only are they beneficial, but that they also protect the environment and aid food productivity. Most farmers actually recommend GMO’s because they are easier to grow, maintain, and tend to be more profitable; however, countless other experts have come to realize that GMO foods are untested, unsafe, and unhealthy.