Saturday, May 23, 2020

Use Of Social Networking Sites ( Snss ) From The Academic...

The lack of recommendations on the use of Social Networking Sites (SNSs) from the academic literature (148 words) The lack of recommendations on the use of Social Networking Sites (SNSs) from the academic literature is a huge problem of the study on SNSs. First, it does not prove the readers with any straightforward recommendations on the use of SNSs. Secondly, the researchers rely on previous ideas proposed by academics and, in many cases, do not attempt to confirm or dispel a suspension with their own samples Thirdly, whereas the authors find it necessary not to limit the research to a specific social networking site, it could have been more beneficial to include the differences between the most common SNSs, such as Facebook and Twitter, and see how the recent findings correlate with each other on these grounds (Rodrà ­guez-Hoyos et al., 2015). Therefore, the problem must be investigated further in order to obtain results that may lead to the complete understanding of the perspectives in SNSs-based learning. The expectations on SNSs’ applicability in Russian higher education (721 words) While speaking of the perspectives, I should consider the context of my investigation – my home country, Russia. The effective use of Social Networking Sites (SNSs) will benefit Russian higher education in certain ways. First, Russian universities should utilise popular social media to promote themselves with the fundamental positive aspects I mentioned at the beginning of my essay. TheShow MoreRelatedSocial Networks And Its Effect On Our Lives1661 Words   |  7 Pagesten years, social network sites (SNSs), like, Facebook, Twitter, WeChat, QQ, get tremendous popularity over the world and gradually play an important role in our life. People can easily make new friends, communicate with friends and strengthen their relationship on the social sites. Users can share their routine and interesting experiences to their families and friends. They also can view pictures from friends’ timelines, read current news, and even play games. There is no doubt that social networksRead MoreThe Effects of Social Networking Sites to the Academic Performance of the Students6500 Words   |  26 PagesEffects of Social Networking Sites to Academic Performance of the Students ABSTRACT Title : The Effects of Social Networking to the Academic Performance of the Students The purpose of the study was to determine the effects of social networking to the academic performance of the students of Universidad de Manila. Specifically, it attempted to answer the following questions: 1. What is the demographic profile of the respondents in terms of age, gender? 2. What is the academic performanceRead MoreA Look Out for Academic Impacts of Social Networking Sites (Snss): a Student Based Perspective6793 Words   |  28 Pages595 ISSN 1993-8233  ©2011 Academic Journals Full Length Research Paper A look out for academic impacts of Social networking sites (SNSs): A student based perspective Ishfaq Ahmed* and Tehmina Fiaz Qazi Hailey College of Commerce, University of the Punjab, Lahore, Pakistan. Accepted 20 April, 2011 This study implies the exploration of relationship between SNSs usage and educational performance of the student users. A sample of one thousand students was selected from different universitiesRead MoreNegative And Positive Aspects Of Social Media2556 Words   |  11 Pagesincreasing number of social media sites, it is a premise that technological advancement is an important part of the today’s teenager s lives. This research was obtained random sample of the participants were drawn from college students. The study interview results showed that 57% of the sampled confessed that they spent at least 7-8 hours daily on social media platforms, while 21 would spend more than 8 hours; 12% spend 2-5hours and only 10% uses less than 3hours to check the sites. Indeed, resultsRead Moresocial networking sites4491 Words   |  18 Pagesï » ¿CHAPTER 2 LITERATURE REVIEW Introduction The Internet is more than just a means of seeking information. People discovered that the Internet could be used to connect with other people, whether for business or commercial purpose, make new friends, reawaken old friends and long lost relatives. The emergence of social networking sites (SNSs) simplify the whole process as majority of them are free to use, they are easier to use and navigate, because it does not require advanced knowledge and experienceRead MoreAddiction to Social Networking Sites2884 Words   |  12 Pagespeople addicted to social networking sites. According to (Griffiths: 2005, 191-197), A behavioral addiction such as social networking sites addiction may thus be seen from a biopsychosocial perspective. Just like substance-related addictions, social networking sites addiction incorporates the experience of the ‘classic’ addiction symptoms, namely mood modification (i.e., behavioral, cognitive, and emotional preoccupation with the SNS usage), toler ance (i.e., every increasing use of SNSs overtime), withdrawalRead MoreA Case Study of Online Social Networking at Workplaces in Ghana9658 Words   |  39 PagesA CASE STUDY OF ONLINE SOCIAL NETWORKING AT WORKPLACES IN GHANA Kwabena Adom Asiedu ID: 2760206 Submitted To the Regent University College Of Science And Technology In Partial Fulfillment of the Requirements For The Degree Of Bachelor Of Science In Management With Computing 2010 1 ABSTRACT This is descriptive study which adopts a case study strategy to identify the perceptions of employers and employees in Ghana about productivity and online social networking at the workplace. A numberRead MoreThe Negative Effects Of Social Media1212 Words   |  5 PagesNegative Effects of Social Media Introduction 1. Attention Getter: a. What is the first thing most people do in the morning? i. Brush teeth? ii. Go to the bathroom? iii. Feed your dog? iv. The correct answer is actually checking your phone. 1. According to a recent study by IDC Research, 80% of smartphone users check their phones within 15 minutes of waking up each morning. b. What on your phone is so important? i. Social media c. Social Media i. According to Dictionary.com, social media is consideredRead MoreEffects of Social Networking to Students6164 Words   |  25 PagesCHAPTER 1 THE PROBLEM AND ITS BACKGROUND INTRODUCTION Social Networking is one of the trendiest topics being talked about by the students in Sta. Teresa College. Examples of social networking sites are Friendster, Facebook, Twitter and MySpace. Social Networking Sites help us to communicate with our friends, classmates, and relatives but they also allow us to communicate with other people who contribute to common interests with us. For instance a person added another person as a friend on FacebookRead MoreSocial Networking Site14603 Words   |  59 PagessCHAPTER 1: INTRODUCTION 1.1 Introduction- Social Networking Sites Few years back, usage of social networking sites became popular around the world. Social networking sites are also known as social networking website. Social networking sites (SNSs) are increasingly attracting the attention of academic and industry researchers’ fascinated by their affordances and reach. Social networking sites are web-base service that building an online community of people that share same interest, or activities

Monday, May 18, 2020

Being A Forensic Scientist And Help Solve Crimes Essay

Ever since I was about 8 years old, I knew I wanted to have a career in science. Throughout the years, it changed. At first, I was going to be a forensic scientist and help solve crimes. Then it changed to forensic anthropologist. When I got to my first year of high school, in my honors biology class, we did a section on genetics and genetic diseases. This class made me realize my true calling. I fell in love with genetics, doing my own research and pouring my heart and soul into projects on the subject. Although I’ve considered other pathways, including changing my major to a degree in nursing, I am adamant on my career choice as a medical geneticist, and that is what I am conducting my research on. I chose this career because ever since I was a kid I wanted to help people. My grandma was a Lieutenant Colonel in the Army Nurse Corps, and later a Registered Nurse when she retired from the Army. My mom got her Licensed Practical Nursing license and worked in a nursing home. I h ate seeing people in pain, and I will always attempt to help someone even if I am busy or not able to fully help them. My professional aspirations in the field are to have a medical breakthrough that will help millions and win a Nobel Prize. However, just helping one person, or a small group, will bring me the joy in knowing I made at least one family’s lives easier and happier with my work and research. Rosalind Franklin is a personal hero of mine. While the discovery of the DNA double helix model isShow MoreRelatedForensic Science : A Forensic Scientist1546 Words   |  7 Pagesto be researched was Forensic Science. Topic POV: The point of writing this essay is to discuss how a forensic scientist help assist the police in solving a crime. Guiding questions: What is forensic science? What is a forensic scientist and what do they do? What are some equipment’s that are used? Kinds of forensic scientist. Skills/ Qualifications What is forensic science? Forensics is the basis of the crime-fighting unit. It is devised to assist in the solving of a crime by providing explicitRead MoreCrime Scene Investigation Essays1192 Words   |  5 PagesResearch Paper: Crime Scene Investigation (first draft) If a murder, a homicide and or a suicide occur, the crime scene investigator(s) collects the clues and evidence that will be analyzed by the forensic scientist(s) which can lead them to their suspect(s). The purpose of a Crime Scene Investigation is to help victims find justice. When a crime has been reported, the responding officer and/or detective have to note the dispatch information such as address/location, time, date, typeRead MoreEssay on Serial Killers and Criminal Justice943 Words   |  4 Pageswhy people that work in the forensic department are sometimes overwrought with anxiety when they have a serial killer case brought into their lab. These forensic scientists have these feelings due to knowing that this could potentially help advance technology. Over the years, serial killers have unpremeditatedly helped further advance the criminal investigation process by unintentionally leaving things behind for a forensics team to analyze. When the team finally solves these cases, it continuallyRead MoreForensics 1.06 Critical Thinking Essay612 Words   |  3 PagesReview Questions 1) What is forensic science? Forensic science is the application of science to the criminal justice system. 2) What three tasks or responsibilities does a forensic scientist have? A forensic scientist can collect and analyze data from crime scenes, and train other law enforcement individuals. Forensic scientists can work in the lab, go out and collect data, or teach at colleges and universities. 3) What criteria might be used to establish someone as an expertRead MoreForensic Science Investigators 1153 Words   |  5 Pagesput something forensic behind it, it makes things more exciting. â€Å"Forensic scientists assist various law enforcement agencies throughout the United States and internationally†(Corey). Most police investigations begin at the scene of a crime. The scene is simply defined as the actual site or location in which the crime took place. The entire investigation hangs on that one person being able to use techniques to support and investigate the evidence. When it comes to investigating crime, no matter theRead MoreSolving Cases with Forensic DNA Analysis975 Words   |  4 PagesForensic DNA analysis is still a relatively new method that has been used to solve cases such as crimes and paternity tests. This method of forensic evaluation is examined by using genetic material, DNA, an acronym for deoxyribonucleic acid. Although each individual’s D NA differs from someone else’s, with the exception of identical twins, around 99.9% of DNA is the same in each person (The FBI DNA Laboratory). Therefore, in order to identify the genetic profile of the individual being analyzedRead MoreIn The Forensic Science Field, Laboratory Tests Are Becoming1177 Words   |  5 PagesIn the forensic science field, laboratory tests are becoming more criticized in today s world of technology. Human hair is one of the most common types of evidence found at a crime scene. Following hair analysis, there is also DNA fingerprinting analysis. Many victims of this flaw have been wrongfully sent to serve time for these flaws in testing. There have recently been more strategies to help improve these tests and provide for a better outcome in trial. Labs now have certain guidelines to followRead MoreUnderstanding the Greatness of the Microscope649 Words   |  3 Pagesof lives over the course of human history. Many of the illnesses that plagued the human race could be found at the microscopic level. The microscope, one of the greatest human inventions, has helped find treatments for many of these illnesses, solve crimes, and see into the cells that make humans what they are. To understand the greatness of the microscope, the history of the microscope should be made known. The origins of the microscope can be traced back to the Roman invention of glass inRead MoreThe Year We Disappeared By John Busby And Cylin Busby1119 Words   |  5 Pagesthe United Nations Office of Drugs and Crime. Additionally, 80 percent of those victims were men (Bannerjee). Criminal investigations are hard to solve, but forensic science is the best way to determine a suspect. In the book, The Year we Disappeared by John Busby and Cylin Busby, John is nearly killed when an unknown person shoots him in the head. The police force uses forensic science, but progress is slow. Forensic science is the best way to reduce crime in society and the criminal investigationRead MoreForensic Soil Science Solving Murder Cases945 Words   |  4 PagesForensic Soil Science Solving Murder Cases Summary: In the article, â€Å"How Pedology and Mineralogy Helped Solve a Double Murder Case: Using Forensics to Inspire Future Generations of Soil Scientists† by Robert W. Fitzpatrick and Mark D. Raven, ask how can Forensic Soil Science be used to solve investigating cases, within law enforcement, such as a double murder case presented in the article. As described in the article, Forensic Soil Science is the study of soil (surfaces) that use a variety of soil

Tuesday, May 12, 2020

Gonzalez Surname Meaning and Origin

Gonzalez is a patronymic surname meaning son of Gonzalo. The given name Gonzalo comes from the medieval name Gundisalvus, which was the Latin form of a Germanic name composed of the elements gund, meaning war or battle and salv which is of unknown meaning. Gonzalez is the 21st most popular surname in America, according to the 2000 census. The Gonzalez surname is also common in Mexico—the 5th most common, according to 2006 electoral rolls. Origin:Â  Spanish Alternate Spellings:Â  Gonzales, Conzalaz, Gonzalas, Gonsalas, Goncalez, Gonsales, Goncales Origins WorldNames PublicProfiler places the majority of the individuals named Gonzalez in Spain, especially the regions of Asturias, Islas Canarias, Castilla Y Leon, Cantabria, and Galicia. Gonzalez is the most popular surname in a number of countries according to data from Forebears, including Argentina, Chile, Paraguay, and Panama. It also ranks second in the nations of Spain, Venezuela, and Uraguay, and third in Cuba. Famous People Tony Gonzalez: professional American football playerJaslene Gonzalez: winner of Americas Next Top ModelEmiliano Gonzalez Navero (1861-1934): former president of ParaguayFelipe Gonzalez: former prime minister of Spain

Wednesday, May 6, 2020

The Massachusetts Health Care System - 1563 Words

This paper focuses on analyzing the Massachusetts health care system. Specifically it addresses how the 2006 health care reform law sought to increase health insurance coverage for the uninsured, underinsured, children, young adults, and low income residents. Its desire was for universal coverage for all its residents, and that it would be both reasonably priced and of value. The Law addressed need to decrease the barriers to health care, such as racial disparities, and overall health care costs while increasing access to provider, utilization of services, with a focus on quality care. This paper will exam how the Massachusetts health reform addressed these health care issues. Massachusetts has been attributed as being the model for†¦show more content†¦Concern for the care of the patient was one of the mitigating factor for our nation’s development of Emergency medical treatment and labor act (EMTALA) . Enacted by congress in 1986, Emtala was government’s way of ensuring basic screening, stabilization and care for all patients. Non participation with emtala was not an option, since the law tied in government payments to the institutions. Simply put if you want Medicare/ Medicaid payments you will abide by this law. There shouldn’t have been need for emtala since there were already safeguards for indigent patients, but they were not followed, rather seen as guidelines. With the backing of Emtala, patients had better care assurances, and guarantee of not being dismissed. The Joint Commission on Accreditation of Hospitals stated that â€Å"individuals shall be accorded impartial access to treatment or accommodations tha t are available or medically indicated, regardless of race, creed, sex, nationality, or sources of payment for care† It has been strongly inferred that based on the implementation of emtala, increased numbers of uninsured were using the emergency rooms as their primary source of care. The thought was those without insurance, did not seek preventative care through a primary care doctor, as they did not have way to pay for services, but still received treatment through emergency rooms.

Renewable energy sources Free Essays

Traditionally, wood is the main form in which biomass is used as an energy source. The biomass is used to boil water to provide steam to turn turbines. In Great Britain most commercially produced wood is used for timber, but when a conifer plantation is felled, there are branches and low-grade timber that can be used for fuel. We will write a custom essay sample on Renewable energy sources or any similar topic only for you Order Now Straw left over from harvesting cereal crops can also be used to produce energy. When used for energy the cost of collecting, storage and transporting bulky problems is a problem. Most examples rely on a community-based collection used locally in a close plant or used on the farm that produced the straw and is widely used in Denmark and the USA. Stubble used to be burnt, but this was made illegal in the UK. Most stubble is used for bedding. When burnt straw leaves ash, which contains nutrients, which can quickly be extracted from the soil by the new crop. This method is still used in many developing countries. It is very rarely ploughed in as it takes along time to biodegrade and as it does so it creates anaerobic pockets in the soil. Wood can be exploited as a renewable resource if fast growing species are used. In the UK willow is used (popular was also used once). The plants are grown close together then once a sufficient root system is established they are coppiced. Then all new growths when of the correct length are harvested and chipped. Once the willow is dried and then used. This is often used on low quality land (marginal) or set aside, or areas where biological control is being encouraged. Biomass to Gasohol Fermentation of sugar by yeasts converts the energy in sugar biomass to ethanol, which can then be used as a fuel. Gasohol is made of 80-90% unleaded petrol and 10-20% ethanol and is used in cars (It can be used in pure form, but petrol is added to stop people drinking it). The sugar is obtained from sugar cane and sugar beet. This form has been relatively unsuccessful. Sugar cane is grown in tropical areas, where as sugar beat is grown in temperate countries. The sugary sap is extracted and then treated to make molasses, which is then stored until it is needed for fermenting. Ethanol is a much cleaner fuel and produces much less pollution, but it is much more expensive to produce. Especially as the farmers can also sell the crop to be made into refined sugar. This production is unlikely ever to work due to politics and the oil industry. In the end it can not be considered as a real alternative ,as 80-90% of it is made from a fossil fuel. Once the sugar is extracted the fibrous residue (bagasse) is dried and then burnt as a fuel to ferment the malasses. 1) Growing and cropping of sugar. 2) Extraction of sugars by crushing and washing cane. 3) Crystallization out of sucrose (for sale) leaving the syrup of glucose and fructose (molases) 4) Fermentation of molasses to yield dilute alcohol. 5) Distillation of dilute alcohol to give pure ethanol, using bagasse as a power source. A more promising is oilseed rape which has been used to power buses in certain areas of the UK as part of a trial and in Italy, it is added to diesel and can be added to make up 30% of the mixture (rpae methyl ester, RME). It produces fewer sooty particles and no sulphur dioxide. Also coconut oil in Philippines, palm and castor oil, Brazil and sunflower oil in South Africa. Domestic waste Disposal of domestic and industrial waste has become a large problem around the world. In the UK about 300kg of waste is produced per person per year. Dumping the waste causes many problems e.g. leakage of pollution and using up land. It might be possible to burn the fuel for energy (cellchip in the UK in London does this but people have to separate some of the waste first. However, all the houses that take part close to the plant reciev free hot water.) Some landfill sites have been constructed to collect the gas (methane) produced from the anaerobic conditions for use. Agricultural waste (Biogas) Biogas can convert the energy in biomass into biogas, a gaseous fuel that consists mainly of methane, by fermentation. Typically biogas is made of: 65% methane, 35% CO2, with tracea of ammonia, hydrogen sulphide and water vapour. usually dung (slurry) from farm animals is used in the fermentation process so that waste products are turned into something useful, as the leftover sludge can be used as a fertiliser. The digestion process occurs in 3 stages: 1) Aerobic bacteria convert lipids and carbohydrates in the biomass into sugars, fatty acids, amino acids and glycerol by hydrolysis (0-10 days, acids cause pH to fall). 2) Acetogenic bacteria convert sugars and other products of stage 1 into short-chain fatty acids e.g. acetic acid = acetogenesis (stages 2+3, 10-45 days acids used up, pH increases, methane produced.). 3) Anaerobic bacteria convert the fatty acids into methane = methogenesis. Conditions must be anaerobic as the bacteria are only active when there is no oxygen present. They are called obligate anaerobes. Temperatures must be kept between 30-40o because the bacteria are sensitive to temperature changes. The reactions take place in a digester. It must be i) Strong and large enough to hold large volumes of liquid and withstand pressure build up. ii) Gas-tight and allow aerobic conditions to be maintained. iii) Have an inlet for loading material, an outlet for the gas and a way of unloading the residue. iv) be buried in the ground to help withstand pressure and act as an insulator. Often several digesters are used together to maintain a continuous supply of gas. It provides a useful way of getting rid of animal waste. (eutrophication) How to cite Renewable energy sources, Papers

April Morning Essay Example For Students

April Morning Essay April Morning was an interesting book concerning a young man, Adam Cooper, andthe trials and tribulations of his taking part in the Battle of Lexington. Thestory takes place mostly in Adams home town of Lexington, Massachusetts, butalso partially on the surrounding roads and countryside. The novel opens with aglimpse into the daily life of the Cooper family. As Adam comments on the harshperfectionist opprobrium of his father, I find myself drawn to his side of theissue. Adam confuses his fathers constant animadversion with the feeling thathis father hates him. These feelings of hate are somewhat annulled by Granny,Adams grandmother and confidant. She tells him that, since she has knownMoses Cooper longer than anyone, she knows that he really loves Adam. This isfurther exerted when Adam overhears a conversation between his parents. All thiswas happening with the rumblings of war nearby. The British taxes and tariffswere intensifying and by then most New England towns had their own loc algovernments called Committees. These Committees were supported by localcommunity leaders who also organized a town militia. When word reached Lexingtonthat a British army landed, the local militia was mustered through much urgingby Moses Cooper and Jonas Parker, the Captain of the Militia. They pushed for amarshaling of the soldiers for completely different reasons, however. Mosesstood firm by the principles of freedom and common human decency. Jonas Parkersimply felt that because he was chosen to be Captain of the Militia, it was hisright, duty, and obligation to be out for the blood of any redcoat crossing intoLexington, Massachusetts. In any case, the British came to Lexington. The townrepresentatives went to parlay with them. Jonas Parker, Moses Cooper, theReverend, and Simon Casper, a confrontational battle advocate, were there infront of three mounted British officers. All they could do was watch helplesslyas the redcoats, a thousand strong, surrounded their seventy-man mili tia insilence. The Reverend, being the peaceful man that he was, tried to speakdiplomatically to the British officers. They unfeelingly gunned down Adamsfather along with most of the defenders in plain sight of everyone. Adam was oneof the lucky few that made it out alive. He ran away from the British soldiers,finally hiding in a smokehouse and dealing with the loss of his father. Eventually Levi, Adams brother, came looking for him. Adam helped to con-soleLevi in their fathers death, and they soon parted. Levi went home to tell hismother and grandmother while Adam went to hide in some woods outside town. Hewas pursued shortly but outran the redcoats. It was in these woods that Adam metSolomon Chandler. Solomon had soldiered with the British in the French War, butnow fought for American independence. Adam and Solomon walked together to ameeting place called Ashleys Pasture. Along the way, they picked up otherswho were also journeying to the meeting. By the time they arrived in AshleysPasture they were twenty-one strong, and there were over thirty waiting. In thenext hour of remaining there, many more showed up until there were at least ahundred of them. Finally, they gathered around Solomon and discussed their planof action. They were to lie in wait next to a stone wall lining the road and asthe British passed, rise up and fire over the wall. When the revoluti onaries hadfired, they were supposed to run away from the road and regroup. At their secondgrouping, they decided to break into groups of twos and threes, notallowing the British to take advantage of firing into one huge clump of men. .uf22d42f7f3f22798d9c05f7390bf7121 , .uf22d42f7f3f22798d9c05f7390bf7121 .postImageUrl , .uf22d42f7f3f22798d9c05f7390bf7121 .centered-text-area { min-height: 80px; position: relative; } .uf22d42f7f3f22798d9c05f7390bf7121 , .uf22d42f7f3f22798d9c05f7390bf7121:hover , .uf22d42f7f3f22798d9c05f7390bf7121:visited , .uf22d42f7f3f22798d9c05f7390bf7121:active { border:0!important; } .uf22d42f7f3f22798d9c05f7390bf7121 .clearfix:after { content: ""; display: table; clear: both; } .uf22d42f7f3f22798d9c05f7390bf7121 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .uf22d42f7f3f22798d9c05f7390bf7121:active , .uf22d42f7f3f22798d9c05f7390bf7121:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uf22d42f7f3f22798d9c05f7390bf7121 .centered-text-area { width: 100%; position: relative ; } .uf22d42f7f3f22798d9c05f7390bf7121 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uf22d42f7f3f22798d9c05f7390bf7121 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uf22d42f7f3f22798d9c05f7390bf7121 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .uf22d42f7f3f22798d9c05f7390bf7121:hover .ctaButton { background-color: #34495E!important; } .uf22d42f7f3f22798d9c05f7390bf7121 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uf22d42f7f3f22798d9c05f7390bf7121 .uf22d42f7f3f22798d9c05f7390bf7121-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uf22d42f7f3f22798d9c05f7390bf7121:after { content: ""; display: block; clear: both; } READ: Autism EssayAdam paired off with his cousin Joseph Simmons, the town blacksmith and a friendof the Cooper family. After that encounter they again regrouped and decided toproceed along the road and get ahead of the redcoats. They picked a spot wherethe road dipped down a hill, and Adam, Cousin Simmons, and four or five otherscrawled into a windfall at the bottom. The shelter was about seventy paces fromthe road, and Adams fowling gun was only lethal at thirty. He found this agood excuse to rest from his sleepless night and soon fell into torpidity. WhenAdam awoke, it was to the voices of the Reverend and Cousin Simmons. They werediscussing having to break the news of anothe r death to Mrs. Cooper. Adam thencalled out to them and they were gladdened to know he was alive, and dumbfoundedto know that he had fallen asleep. Then, the three of them walked home together,and when they reached Lexington, they split up to go to their respective houses. As Adam approached his house, his brother Levi came running out to him and saidthat someone had come by with news of Adams death. They both sat on theground a moment and sobbed, happy to know each other was alive. Adam thenregained control of himself, knowing he would have to face his mother soon. WhenAdam saw his mother, they embraced warmly. Granny then led them all into thekitchen. Many neighbors were there, most of whom had brought food. Mrs. Cartwright, one of the most insensitive and repulsive women Adam knew, took Adamupstairs where his father was laid out. She then coldly told Adam to pay hisrespects, and Adam said to her in no uncertain terms to get out. Having paid hisrespects, Adam went back downstairs. All the neighbors had gone, and only Levi,Granny, and Mother remained. It was agreed upon that Adam needed a bath, andMother sent Levi to get some water. After his bath, more neighbors were therewith more food. Adam, wanting an excuse to get out of the house, was al-mostglad to see Cousin Simmons, among others, struggling to carry a coffindownstairs. Cousin Simmons asked Adams help, and he was glad to give it. Theycarried the coffin across the courtyard to the meetinghouse, which was servingas a temporary morgue. The coffin maker apologized for the make shiftiness ofthe coffin, but with as many deaths as there had been, there was not much hecould do. A reporter from the Boston Advertiser cornered Adam and tried to p inhim down with some questions, but he just pushed past him and out of themeetinghouse. Outside, a man was asking for volunteers to help with the siege onBoston. Adam stood there a moment, listening to him. He began dozing when CousinSimmons grabbed his arm and suggested that they both go home and get a goodnights rest. When Adam got home, Mother forced him to eat for his own good. She then asked him to carry a box of candles to the meetinghouse so Father wouldnot lie in the darkness. On his way out of the house, Ruth Simmons, Adamschildhood sweetheart, was waiting there for him. Having hugged and thoroughlykissed him, Ruth said that she had worried about him very much. Together, theywalked to the meetinghouse and put the candles there. After they left, Adamwalked Ruth home and then turned home himself. At home, Adam was in bed whenGranny came to wish him a good night. He told her that he would not be going toBoston to help with the siege, but she said that she knew him well and that hewould leave before long.

Friday, May 1, 2020

Health Professional Essential

Questions: Diabetes mellitus is a major world health problem. Treatment and management of diabetics is a very significant issue for governments, society and both pharmacists and pharmaceutical companies. Completing this assignment will help you to gain a deeper understanding of diabetes mellitus. The length of this assignment excluding graphs, figure legends and references should be no more than 1000 words. The % of marks allocated to each section is a guide to the word length for that section. Where appropriate references should be included using the Harvard System cited appropriately in the text with correct formatting in the reference list. As a guide a minimum of 4 but no more than about 12 references should be used. You are advised to use references from both primary and secondary sources. Assignments should be typed and submitted using learnonline via the Course Website. Graphs must be thoughtfully incorporated into the text.Due date/time is 6:00pm 9th June. 1. Why is the disease given the name diabetes mellitus? How does diabetes mellitus differ from diabetes insipidus? 2. Individuals with the diabetes mellitus are classified into two main groups. What are they and what is the basis of the classification system used? 3. How are patients diagnosed as diabetics? What treatment options are most used to manage this condition? 4. What changes in the metabolism of glucose and fat (triglycerides) are observed in this disease? What symptoms might a diabetic show as a result of these metabolic changes and why do these occur? 5. Two overnight fasting patients, A B, were each given a dose of 75g of glucose at time zero. Their blood glucose levels were measured at 0, 30, 60, 90, 120 and 240 minutes after ingestion of the glucose using a glucose specific assay. The brief procedure for this assay is:- a. Add 5.0 ml of assay reagent to sufficient tubes for the assay b. Add 0. 1 ml of each glucose standard to a tube of assay reagent c. Add 0. 1 ml of each test serum to a tube of assay reagent. d. Mix the contents of each tube and read the absorbance at 625 nm. The results obtained are shown in the two tables below. Table 1 - standards Glucose standard (mmol/L) Absorbance @ 625 nm 0 0.02 3 0.21 6 0.43 9 0.65 12 0.83 Table 2 patient results Time (min) Absorbance-Patient A Absorbance-Patient B 0 0.26 0.47 30 0.51 0.63 60 0.25 0.82 90 0.23 0.81 120 0.24 0.71 240 0.30 0.68 Plot a standard graph of absorbance at 625 nm against glucose concentration You must use Excel. Determine the concentration of glucose in each patient serum sample and plot glucose concentration against the time over which the samples were obtained.Comment on the results for the two patients 6. What potential long term problems would a pharmacist need to be aware of when advising a diabetic client? Answers: (1). Diabetes is a common metabolic disorder that is affecting people from the time of 1500 BCE. Diabetes Miletus got its name derived from two Greek words diabetes from siphon means that is to pass through and mellitus from honeyed (Tattersall, 2010). The DM and DI belong to the same category of metabolic disorder but are very different from each other. The difference is shown in table below Diabetes mellitus Diabetes insipidus Urine flow is high and diluted Urine flow is normal but concentrated No glucose in urine High glucose in urine Rise in blood cholesterol No such rise in cholesterol Ketogenesis occurs No ketogenesis Increase in appetite No increase in appetite Imbalance of insulin Imbalance of ADH Table 1: Comparison on diabetes mellitus and diabetes insipidus (2). The diabetes mellitus is classified on the basis of peculiar characteristics classification system and is classfied in two types Diabetes mellitus type -1 and diabetes mellitus type -2. The individual with Type- 1 DM show absence of insulin hormone in the body due to pancreatic failure because beta cells in pancreas stop functioning whereas individual with Type 2 DM have sufficient insulin present in body but there is insulin resistance development in the body leading to improper functioning of glucose metabolism (Patient, 2016). (3). Diagnosis of diabetes mellitus The determination of blood glucose level forms the baseline for diagnosis of the diabetic condition. There are different test employed to detect the presence of diabetes that is described below Oral glucose tolerance examination (OGTT) This diagnosis is generally applied to identify the defect in sugar metabolism process in the body. This test is helpful to determine pre-diabetes condition, insulin resistance and reactive hypoglycaemia. The test is performed in two stages that are fasting glucose value and post two-hour glucose value. The OGTT results showing positive diabetic condition are described below: - OGTT test Normal level Diabetic level Fasting glucose value 6 mmol/L Above 7 mmol/L Post 2-hour glucose value 7.8 mmol/L Above 11.0 mmol/L Table 2: Oral glucose tolerance examination (OGTT) Treatment of diabetes mellitus There are more than eight classes of diabetic drugs that contain more than 50 medications performing function to control diabetes. Some of the most successful drug treatments are Insulatard, Metformin, Sulfonylureas, alpha-glucosidase inhibitors etc. (McPhee and Papadakis, 2010). Further, direct insulin hormone is the workable treatment to control the type-1 as well as type-2 (pills or insulin shots) DM condition. Some of the most successful CAM used to manage diabetes is aromatherapy, Chinese medicine acupuncture, biofeedback, dietary supplements, reflexology etc. (Lorig et al. 2010). (4). DM effect on glucose metabolism Insulin hormone mediates the blood glucose conversion in stored form of fat in the liver. In DM conditions either insulin is absent or body develops insulin resistance, therefore, a condition of hyperglycaemia (high blood glucose) occurs due to low insulin, increased glucose production or decreased glucose utilisation. Further, the uptake of glucose by cells is also affected due to the absence of insulin. The glucose phosphorylation helps in cellular glucose uptake from blood but in the absence of insulin non-hepatic glucose utilisation minimises the glucose uptake showing an imbalance in glucose metabolic process leading to hyperglycaemia. DM effect on fat metabolism The formation of glycogen (triglycerides) from glucose requires insulin as a mediating hormone. But, in DM condition insulin is not in proper state of activity leading to no glycogen storage in the liver and hyper glycerides in the blood indicating fat metabolism defect leading to the formation of hypertriglyceridemia in the body. The adipose as well as skeletal cells stop taking glucose from the blood in the insulin absence due to the disturbance in glucose transport proteins required for glucose uptake by cells. This protein gets disturbed because it requires insulin as a mediator for its formation. Hence, in this manner condition of diabetes disturbs the fat metabolism in the body (Staff.ncl.ac.uk, 2016). Symptoms of diabetes due to metabolic changes The most common symptoms of type-1 diabetes are increasing thirst, Excessive urination, dizziness and tiredness, loss of muscular bulk and weight, itching in the vaginal zone, nausea and vomiting as well as loss of appetite. Further, the symptoms arising due to metabolic changes in Type-2 diabetes are tiredness and dizziness specifically after meals, random hungry feelings (polyphagia), more often urination than normal (polyuria) and sudden weight loss (Diabetes.co.uk, 2016). These symptoms occur due to high glucose concentration in the blood that is not been used as body fuel gets collected in blood. In the process of the body trying to reduce glucose concentration flushes excessive glucose out of the body in the form of urine creating urination imbalance. Further, as body is not getting enough energy because glucose is not getting converted to energy form results in excessive hunger, polyphagia, tiredness etc. symptoms in diabetes. In the absence of insulin, the body glucose is not getting stored in the form of glycogen leads to weight loss, muscle and appetite loss. Further, itching in the vaginal region occurs due to excessive sugar in the urinal secretion as a form of reaction (McPhee and Papadakis, 2010). (5). Standard graphGraph: Standard graph on glucose concentration absorbance at 625 nm Comparing the glucose concentration of Patient A and B Time (min) Glucose concentration Patient - A Glucose concentration Patient- B 0 3.71 6.71 30 7.23 9 60 3.57 11.7 90 3.28 11.5 120 3.42 10.1 240 4.28 9.71 Graph 2: Graph comparing the glucose concentrations of Patient A and B Results As per above provided data on glucose concentrations of patient-A and B it is clear that Patient-B is suffering from diabetes because the glucose concentration is very high when compared with standard whereas patient-A shows normal glucose concentrations hence the absence of diabetes. (6). When providing advice to a diabetic client the long-term problems that require the attention of therapist, as well as the patient, is high risk for cardiovascular diseases, heart attack risk, and blood vessels damages. There is also high risk for eye diseases like retinopathy, oedema, and cataract in diabetes. Further, kidney damages is another long-term risk due to ketogenesis in type-1 DM. alongside there are conditions like skin diseases, gum diseases and mental diseases common long-term risk factor for diabetes. The diabetic patient develops a high risk of cardiovascular diseases that commonly involves stroke, heart attack and heart valve failure as the blood becomes condensed due to high sugar level (Lorig et al. 2010). Along with long-term risk diseases, there are certain long-term conditions that develop as a result of diabetes that is blurred vision, weight loss and weakness that a pharmacist need to keep in mind when advising diabetic patient (Staff.ncl.ac.uk, 2016). References Books Alwan, A., 2011.Global status report on non-communicable diseases 2010. World Health Organization. McPhee, S.J. and Papadakis, M.A. eds., 2010.Current Medical Diagnosis Treatment 2012. New York:: McGraw-Hill Medical. Journals Lorig, K., Ritter, P.L., Laurent, D.D., Plant, K., Green, M., Jernigan, V.B.B. and Case, S., 2010. Online diabetes self-management program A randomized study.Diabetes care,33(6), pp.1275-1281. Tattersall, R.B., 2010. The history of diabetes mellitus.Textbook of Diabetes, Fourth Edition, pp.1-23. Wajchenberg, B.L., 2010. Clinical approaches to preserve -cell function in diabetes. InThe Islets of Langerhans(pp. 515-535). Springer Netherlands.