Wednesday, August 26, 2020

Svrwvrev

Stunning PROFESSIONAL UNIVERSITY CAPSTONE PROJECT REPORT TOPIC-ANTIMICROBIAL ACTIVITY OF DIFFERENT TYPES OF HONEY. Task GUIDE-SUBMITTED BY-DR. AKSHAY GARG MOHIT KUMAR DEPT. OF BIOTECHNOLOGY REG. NO. †10800037 ROLL NO-RB1R07B02 B. TECH BIOTECH. (eighth sem. ) DATED-. 17-05-2012 CERTIFICATECertified that this undertaking entitled â€Å"anti microbial movement of various sorts of nectar † put together by MOHIT KUMAR , understudies of biotechnology Department, Lovely Professioal University, Phagwara Punjab in the fractional satisfaction of the necessity for the honor of Bachelors of Technology (biotechnology) Degree of LPU, is a record of student’s own examination conveyed under my watch and direction. This report has not been submitted to some other college or foundation for the honor of any degree.Date: 17/5/2012 Name of Project Guide Dr. Akshay Garg DECLARATION I, MOHIT KUMAR, understudy of B. Tech Biotechnology under Department of Biotechnology of Lovely Profession al Univerersity, Punjab, thus announce that all the data outfitted in this thesis/capstone venture report depends on my own escalated research and is real. This thesis/report doesn't, as far as I could possibly know, contain some portion of my work which has been submitted for the honor of my degree both of this niversity or some other college without legitimate reference. Date †17/5/2012 Investigator-MOHIT KUMAR Regd. No. 10800037 Acknowledgment Any endeavor at any level can't be agreeably finished without the help and direction of scholarly individuals in my capstone projectâ€Å"Antimicrobial action of various kinds of honey†.I might want to offer my tremendous thanks to my guide Dr. Akshay Garg for his steady help and inspiration that has urged me to think of this venture. I likewise might want to thanks my gathering part who helped me in my task. MOHIT KUMAR ABSTRACT Honey is a customary topical treatment for tainted injuries. It tends to be successful on anti-infec tion safe strains of microbes. A few neighborhood brands of honey(Dabur) gathered from various sources is utilized in this investigation. Likewise the nectar is gathered from different apiaries from Pathankot(Punjab) and Saharanpur (Up).The bacterial culture were taken from the research center of the Lovely expert University and was restored in supplement stock media and afterward sub-refined in supplement agar media. The technique used to test this anti-infection affectability of nectar was finished with the assistance of Kirby Bauer strategy . Stamped varieties were seen in the antibacterial action of these nectar tests. Bacterial species utilized were Bacillus subtilis ,E. coli. , S. aureus and Burkholderia spp. The zone of hindrance created against various microbes utilizing nectar of various fixation are as per the following: E. oli (pathankot test): 100% = 2. 6cm, 75%= 1. 9cm, 50%= 1. 7cm,and 25%= 1. 2cm; E. coli (dabur test): 100% = 2. 2cm, 75%= 1. 6cm, 50%= 1. 3cm, and 25%= 1. 1cm; E. coli (saharanpur test): 100% = 2. 8cm, 75%= 2. 4cm, 50%= 2. 2cm, and 25%= 1. 7cm; B. subtilis (pathankot): 100% = 3. 0cm, 75%= 2. 7cm, 50%= 2. 7cm, and 25%= 2. 5cm; B. subtilis (dabur): 100% = 2. 7cm, 75%= 2. 5cm, 50%= 2. 4cm, and 25%= 2. 2cm; B. subtilis (saharanpur):100% = 3. 2cm, 75%= 2. 7cm, 50%= 2. 3cm, and 25%= 1. 5cm; Burkholderia spp. (pathankot): 100% = 2. 1cm, 75%= 1. 9cm, 50%= 1. 6cm, and 25%= 1. 4cm; Burkholderia spp. dabur): 100% = 2. 4cm, 75%= 1. 7cm, 50%= 1. 5cm, and 25%=1. 2cm; Burkholderia spp. (saharanpur):100% = 2. 5cm, 75%= 1. 9cm, 50%= 1. 7cm, and 25%=1. 4cm; S. aureus (pathankot):100%=2. 1cm, 75%= 1. 7cm, 50%= 1. 4cm, and 25%=1. 2cm; S. aureus (dabur):100% =3. 0cm, 75%= 2. 7cm, 50%= 2. 2cm, and 25%=1. 8cm; S. aureus (saharanpur): 100% = 2. 9cm, 75%= 2. 5cm, 50%= 2. 0cm, and 25%=1. 6cm; Zones of hindrance of various treatment bunches were estimated by agar-well-dissemination examine and contrasted and control. The examination of nectar test with refin ed water control had demonstrated it significant.CONTENTS PAGE 1. Presentation 7 1. 1) Honey as antibacterial operator 7 1. Target 9 2. Writing REVIEWS 10 3. 1 TYPES OF HONEY 10 3. 2 COMPONENTS OF HONEY 11 3. MATERIALS AND METHODS 15 4. MATERIAL 15 4. 2 METHOD 16 4. RESULTS AND DISCUSSION 19 5. REFERENCES 32 1. ) INTRODUCTION Honey is a sweet food made by honey bees utilizing nectar from blossoms. The Honey is a sweet, thick liquid delivered by honey bees from the assortment of nectar, essentially from blossoms. It is viewed as a characteristic syrup. The Nectar is assembled by the honey bees and is gradually changed into nectar, through a long rocess including the expansion of proteins and the steady decrease of dampness. Nectar is a rich wellspring of starches for the most part Fructose and Glucose. The synthetic structure of nectar changes relying upon the plant source, season and creation strategies. In this manner the Color, Concentration and Compounds shift contingent upon the flower sources. Different mixes which can be found in Honey incorporate Proteins and acids, for example, Gluconic Acid (C6H11O7, otherwise called 2,3,4,5,6-pentahydroxyhexanoic Acid), Minerals and Anti-Oxidants, for example, Hydrogen Peroxide (H202) and Vitamins (B6 and B12), (BD.Yates et. al. 1996). Nectar has a low pH and a low dampness content, which is for the most part on normal around 17 percent. The Gluconic Acid in nectar is created when honey bees emit Glucose Oxidase, while preparing the nectar, this give nectar a low pH. There are numerous assortments of nectar from around the globe which come in three principle types which are fluid, whipped and brush. A few nearby brands of honey(Dabur) gathered from various sources is utilized in this investigation. Additionally the nectar is gathered from different apiaries from Pathankot(Punjab) and Saharanpur (Up) .Each of these honey’s were picked in light of the fact that they are natural and promptly accessible in wellbei ng food stores 1. 1) The Antibacterial Effects of Honey The nectars are appeared to have antibacterial properties, specifically Manuka nectar. Manuka Honey has had broad examination done on it. It has been appeared in numerous investigations that Manuka Honey has antimicrobial impacts (Barret J. , et. al, 2005; Coumbes A. L. , et. al. 2004; Mundo, M A. 2004). The Mechanism of Antibacterial Properties Honey has numerous common properties which empower it to hinder bacteria.These properties incorporate, a low pH which is in the scope of pH 3. 2 to 4. 5, around 3. 9 which is because of its substance of acidic mixes basically Gluconic corrosive as expressed previously. A low pH is inhibitory to most microorganisms. Since most microscopic organisms live in conditions around pH 7, the pH of nectar could hinder the microbes (Barrett, J et. al. al 2005). This is on the grounds that pH influences the way enormous proteins, for example, chemicals work. Which makes the state of compounds chang e, which at that point modifies the general charge, this makes the protein denature.Honey contains modest quantities of Hydrogen peroxide (H202) this differs relying upon the nectar, it is delivered because of the catalyst glucose oxidase movement in creating Gluconic corrosive (Mundo, MA. et. al. 2004). C6H12O6 + H2O + O2 > C6H12O7 + H2O2 (glucose oxidase response) When nectar is utilized topically (as, an injury dressing), hydrogen peroxide is created by weakening of the nectar with body liquids. Therefore, hydrogen peroxide is discharged gradually and goes about as a sterile. Hydrogen peroxide is an incredible oxidizing operator (Free Radical) which can harm cells.In a fluid arrangement hydrogen peroxide acts like a corrosive and can oxidize an assortment of mixes, by tolerating free unpaired electrons. This permits the arrangement of other free radicals, which at that point causes a course impact. Thusly changing organic structures and along these lines harming cells. Nectar is essentially a soaked blend of two monosaccharide, with a low water movement; the vast majority of the water atoms are related with the sugars and few stay accessible for microorganisms, so it is a poor situation for their growth.If water is blended in with nectar, it loses its low water action, and subsequently no longer has this antimicrobial property. Nectar comprises of different constituents, for example, water, sugars, proteins, nutrients, amino corrosive, vitality and minerals. Other than the significant ones, there must likewise be a few minor constituents in nectar, which might be assuming a key job in deciding the antimicrobial conduct of nectar. Previously, antimicrobial movement of nectar had been accounted for just by utilizing fluid arrangement of honey.It is said that nectar has antibacterial property yet it isn't certain whether it is the mass nectar or some part of it. The antibacterial properties of nectar accelerate the development of new tissue to mend the inju ry. The bactericidal impact of nectar is accounted for to be reliant on centralization of nectar utilized and the idea of the microscopic organisms Considering the way that their strength be some particular constituents which might be adding to the antimicrobial conduct, it was chosen to carryout the investigations utilizing diverse solvents.The present examination subsequently manages the constituents in the various solvents followed by assessment of concentrate for their antimicrobial conduct against specific types of microorganisms. 2) OBJECTIVE Based on the above realities, the current investigation was characterized with following goal: 1) To check the antibacterial impact of various nectars on. a. Gram-positive Staphylococcus aureus, b. Gram-negative Escherichia coli, c. Gram-positive Bacillus subtilis, and d. Gram-negative Burkholderia capicium 2) To check the impact of nectar on bacterial strains utilizing diverse various weakenings. . 100% nectar test b. 75% nectar test c. half nectar test d. 25% nectar test 3) To think about the impact of nectar and control (Distilled water) on a. Gram-positive Staphylococcus aureus, b. Gram-negative Escherichia coli, c. Gram-positive Bacillus subtilis, and d. Gram-negative Burkholderia capicium 3) LITERATURE REVIEWS Honey has been utilized with therapeutic purposes since antiquated occasions and there are reports of I

Saturday, August 22, 2020

Jurrasic Park essays

Jurrasic Park papers Jurassic Park happens on an Island off the Coast of Costa Rica which is possessed by a multimillionaire, John Hammond. On this island he has set up a genetical building office which grants him and his researcher to make dinosaur from blood removed from ancient mosquitos, that have been safeguarded in golden. Before he opens this living fascination in the open he needs expert to favor the recreation center. He carries them to the island and starts to give them what he has achieved. While they are visiting the island one of the software engineers, Dennis Nedry, is covertly intending to take dinosaur incipient organisms from the recreation center and offer them to an organization that is attempting to contend with Hammond. The main way Nedry can get these undeveloped organisms is to immobilize the recreation center by intruding on the parks typical capacity, with the goal that he could sneak in and take the incipient organisms. This all happens while the guests are out in the recreation center visiting, and in the fog of a horrible tempest. After Nedry has executed an infection so as to take the undeveloped organisms the tempest hits, and the recreation center force goes out. As the force goes out the guests to the island are stuck in no place, with a got away from T-Rex. Everybody escapes and is dissipated through the recreation center. The creatures start assaulting the control building, while they are look for food. Since all the force is out it is highly unlikely to stop them, or containing them. In the delirium a researcher , Wu, finds that the dinosaurs have been mating, which they thought was preposterous, in light of the fact that they were just cloning females, however the dinosaurs have adjusted and have figured out how to recreate. They think they recovered the force on so they attempt to put all the creatures back in their holding regions. Much to their dismay that the entire time the recreation center was running on helper power, and once this force ran out they couldn't reestablish the principle power. At the point when all the force at last ran out the ... <! jurrasic park papers Jurassic Park happens on an Island off the Coast of Costa Rica which is claimed by a multimillionaire, John Hammond. On this island he has set up a genetical designing office which grants him and his researcher to make dinosaur from blood extricated from ancient mosquitos, that have been safeguarded in golden. Before he opens this living appreciation for the open he needs authority to endorse the recreation center. He carries them to the island and starts to give them what he has achieved. While they are visiting the island one of the software engineers, Dennis Nedry, is subtly wanting to take dinosaur incipient organisms from the recreation center and offer them to an organization that is attempting to contend with Hammond. The main way Nedry can get these incipient organisms is to immobilize the recreation center by intruding on the parks ordinary capacity, with the goal that he could sneak in and take the undeveloped organisms. This all happens while the guests are out in the recreation center visiting, and in the fog of a horrible tempest. After Nedry has executed an infection so as to take the incipient organisms the tempest hits, and the recreation center force goes out. As the force goes out the guests to the island are stuck in no place, with a got away from T-Rex. Everybody escapes and is dissipated through the recreation center. The creatures start assaulting the control building, while they are scan for food. Since all the force is out it is highly unlikely to stop them, or containing them. In the panic a researcher, Wu, finds that the dinosaurs have been mating, which they thought was absurd, since they were just cloning females, however the dinosaurs have adjusted and have figured out how to recreate. They think they recovered the force on so they attempt to put all the creatures back in their holding zones. Much to their dismay that the entire time the recreation center was running on assistant force, and once this force ran out they couldn't reestablish the principle power. At the point when all the force at last ran out the creatures ask ... <! Jurrasic Park papers In 1993, a huge number of individuals around the globe read Michael Crichton's book Jurassic Park or saw the Steven Spielberg film of a similar name. Curiously, the greater part of them contemplated dinosaurs. Be that as it may, Jurassic Park was actually about global political economy. The narrative of Jurassic Park, for perusers who by one way or another missed the film or the media rush, is about a biotechnology firm that finds how to recoup dinosaur DNA from golden buried ancient parasitic bugs. The organization assumes control over an island off the shoreline of Costa Rica and makes an amusement park loaded up with genuine live dinosaurs that have been cloned from the dinosaur DNA. Before long, be that as it may, the dinosaurs gain out of power and execute almost everybody (with the exception of the children, obviously) and the Costa Rican flying corps comes to bomb the island over into the Jurassic Age, slaughtering all the dinosaurs, aside from possibly Barney and a couple of different escapees, just on the off chance that Jurassic Park II is ever delivered. You can perceive any reason why individuals would get confounded about this story and slip-up it for a story of dinosaurs. It truly is about IPE, in any case (this is more clear in the book than the film, in fact). It truly is about the basic strain and dynamic communication of states and markets on the universal level. For what reason did the biotechnology organization decide to make dinosaurs rather than progressively helpful things, similar to life-sparing medications? The appropriate response, clarified in the book, is that the costs of cutting edge drugs are managed by the administration trying to control clinical expenses and make the medications accessible to a wide gathering of clients. This constrained the benefit potential for bio-tech inquire about in socially helpful fields-the contention between social qualities and private benefit was clear. So the firm burned through millions making dinosaurs since dinosaurs (and amusement by and large) were unregulated. The contention between private benefit and social qualities just showed up as the ancient critters compromised peo... <!

Friday, August 21, 2020

Research Paper Writing Service

Research Paper Writing Service Buy Research Paper Home›Buy Research PaperThe Research Paper Writing ServiceA research paper is a common academic task that is based on the analysis of scientific literature, as well as the in-depth analysis of a particular topic. Doing such a task, the student needs to demonstrate his/her writing, research, analytical, and creative thinking skills since only a professional approach to work can bring the desired grade. If you do not have time to do this assignment, you can buy research paper from the writing company that specializes in providing such services to its customers.Research paper writing can be so inspiring if you know how to do it right.  But if you dont? We recommend you not to wait for motivation or inspiration.  We can write an excellent custom research paper right now. (Only Reliable Payment Systems)Research paper writing is a common assignment given to students in high schools, colleges, and universities. Undoubtedly, the complexity of the task depends on the leve l of the educational institution, though, there is a common feature that unites all these tasks. As such, all of them require responsible attitude. If you take care of your academic reputation and do not want to get a failing grade, start working on the paper once you get the topic.

Sunday, May 24, 2020

The Is A Selfless Act For Serving Ones Country - 903 Words

Serving in the U.S. Military is a selfless act to serve ones country. Any able bodied American that can meet the physical, emotional, and mental requirements should have the ability to serve in some capacity to include Transgender Americans. In 2011 â€Å"don’t ask, don’t tell† act was repealed (Don’t Ask Don’t Tell), thus allowing LGB service members to serve, but what about the T? The repeal left Transgender service members to continue to serve in secrecy or lose their career (Transgender Military Post DADT). Being transgender does not limit ones capacity to perform a job. Despite potential controversies in the workplace, Transgender Americans should be permitted to serve their country as they are equally as capable, and willing to give their lives for their country. Being Transgender is actually part of an umbrella term that encompasses anyone whom doesn’t identify as their birth gender. Transgender, has until recent years been something not often discussed, many people not personally knowing or having met a transgender person that they know of. It is estimated 700,000 American adults, representing 0.3 percent of the nation’s adult population are transgender (Medical Aspects of Transgender Military Service). Percentage wise this may not seem significant thus explaining why so little is known, however, 700,000 is a significant number of people. Very few American’s are even capable of serving their country in a military capacity, many barriers whether they are physical orShow MoreRelatedDuty : Fulfill Your Obligations974 Words   |  4 Pagesmissions, tasks and responsibilities — all in constant motion. Our work entails building one assignment onto another. You fulfill your obligations as a part of your unit every time you resist the temptation to take â€Å"shortcuts† that might undermine the integrity of the final product.† Here is my definition of duty. An act in which a person takes upon his self to serve his country or his God and to perform this act without question or hesitation. â€Å"Respect: Treat people as they should be treated. In theRead MoreWhy Following Orders in the Army Is Important1568 Words   |  7 PagesThere are many reasons why a soldier should follow all of the orders they are given because every one of them is important in any circumstance. An order is a task given to a soldier that has to be done in a certain period of time in an efficient manner. There are three main reasons of why it’s important for a soldier to follow the orders they are given: To be disciplined, an effective combat, and be a good soldier and love your job. When a soldier doesn’t follow the orders they were given it doesn’tRead MoreThe Army Standards1104 Words   |  5 Pagesthe Army. Loyalty is to bear true faith and allegiance to the U.S. Constitution, the Army, your unit and other Soldiers. 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The SOP has allowed Army personnel to their job with no reluctance, no matter the situation, quickly being able to adapting to change. Personal units must always act in the approvedRead MoreThe Rights Of The Lgbt Community1404 Words   |  6 Pageswillingly want to fight for the safety and security of your country is courageous, selfless, and deserving of the utmost respect. One would think that more people would not want to risk their lives at war, than those who do. But countless brave souls go off to war because they want to and they love the idea of defending their ho me and loved ones. So the idea that such institutions would ever deny someone of risking their lives for the country seems absolutely ridiculous. But this was the very harsh

Wednesday, May 13, 2020

Current U.S. Supreme Court Justices History

The United States Supreme Court—often referred to as SCOTUS—was established in 1789 by Article Three of the United States Constitution. As the highest U.S. federal court, the Supreme Court has discretionary appellate jurisdiction to hear and rule on cases decided by all lower federal courts and state court cases that involve federal law, as well as original jurisdiction over a smaller range of cases. In the U.S. legal system, the Supreme Court is the highest and final interpreter of federal laws, including the Constitution itself. Under federal law, the full Court consists of the Chief Justice of the United States and eight associate justices who are all nominated by the President of the United States and confirmed by the Senate. Once seated, Supreme Court justices serve for life unless they retire, resign, or are removed after being impeached by Congress. Why Nine Justices? The Constitution did not and still does not specify the number of Supreme Court justices. The Judiciary Act of 1789 set the number at six. As the nation expanded westward, Congress added justices as needed to deal with cases from the growing number of judicial circuits; from seven in 1807 to nine in 1837 and to  ten in 1863. In 1866, Congress—at the request of Chief Justice Salmon P. Chase—passed an act stipulating that the next three justices to retire would not be replaced, thus reducing the number of justices back to seven. By 1867, two of the three justices had retired, but in 1869, Congress passed the Circuit Judges Act setting the number of justices to nine, where it remains today. The same 1869 law created the provision under which all federal judges continue to receive their full salaries after retiring. In 1937, President Franklin D. Roosevelt proposed a substantial and controversial enlargement of the Supreme Court. His plan would have added one new justice for every existing justice who reached the age of 70 years and 6 months and refused to retire, up to a maximum of 15 justices. Roosevelt claimed he wanted to ease the stress of the Court’s growing docket on elderly justices, but critics saw it as a way for him to load the Court with justices sympathetic to his Great Depression-busting New Deal program. Calling it Roosevelt’s â€Å"court-packing plan,† Congress rejected the proposal. Nevertheless, having been elected years before the adoption of the presidential term-limiting 22nd Amendment, Roosevelt would go on to appoint seven justices during his 12 years in office. Current Supreme Court Justices The table below shows the current Justices of the Supreme Court. Justice Appointed In Appointed By At Age John G; Roberts(Chief Justice) 2005 G. W. Bush 50 Elena Kagan 2010 Obama 50 Samuel A. Alito, Jr. 2006 G. W. Bush 55 Neil M. Gorsuch 2017 Trump 49 Brett M. Kavanaugh 2018 Trump 53 Sonia Sotomayor 2009 Obama 55 Clarence Thomas 1991 Bush 43 Ruth Bader Ginsburg 1993 Clinton 60 Stephen Breyer 1994 Clinton 56 * On June 20, 2018, Justice Anthony Kennedy, a crucial swing vote on the Supreme Court, announced his retirement effective July 31, 2018. Kennedy’s departure gave  President Trump the opportunity to appoint his second Supreme Court justice during just his first two years in office.   On July 9, 2018, President Trump nominated 53-year-old Brett M. Kavanaugh to replace Justice Kennedy on the Supreme Court. Appointed to the United States Court of Appeals for the District of Columbia Circuit by President George W. Bush in 2003, Judge Kavanaugh is considered a conservative, thus setting up a probable Senate confirmation battle and possibly solidifying the court’s conservative majority for a generation. Though she recently announced her intention to serve through 2020, the now 85-year-old liberal-leaning Justice Ruth Bader Ginsburg is expected to be the next justice to retire. In announcing Judge Kavanaugh’s nomination, President Trump described him as â€Å"one of the finest and sharpest legal minds in our time,† and declared him a jurist who would apply the Constitution â€Å"as written.† In accepting the nomination, Judge Kavanaugh, who once clerked for Justice Kennedy, promised that as a Supreme Court justice, he would â€Å"keep an open mind in every case.† But he also declared that judges â€Å"must interpret the law, not make the law.† On Saturday, October 6, 2018, the Senate voted along party lines 50-48 in favor of confirming the nomination. Later the same day, Brett M. Kavanaugh was sworn in as the 114th Associate Justice of the U.S. Supreme Court by Chief Justice John Roberts in a private ceremony. A Brief History of the US Supreme Court or SCOTUS As the final and ultimate legal interpreter of the U.S. Constitution, the Supreme Court of the United States, or SCOTUS, is one of the most visible and often controversial organizations in the federal government. Through many of its landmark decisions, like banning prayer in public schools and legalizing abortion, the Supreme Court fueled many of the most passionately heated and ongoing debates in America’s history. The U.S. Supreme Court is established by Article III of the U.S. Constitution, which states, â€Å"[t]he judicial Power of the United States, shall be vested in one Supreme Court, and in such inferior Courts as the Congress may from time to time ordain and establish.† Other than establishing it, the Constitution spells out no specific duties or powers of the Supreme Court or how it is to be organized. Instead, the Constitution empowers Congress and the Justices of the Court itself to develop the authorities and operations of the entire Judicial Branch of government. As the very first bill considered by the very first United States Senate, the Judiciary Act of 1789 called for the Supreme Court to consist of a Chief Justice and only five Associate Justices, and for the Court to hold its deliberations in the nation’s capital. The Judiciary Act of 1789 also provided a detailed plan for the lower federal court system merely alluded to in the Constitution as â€Å"such inferior† courts. For the first 101 years of the Supreme Court’s existence, the justices were required to â€Å"ride circuit,† holding court twice a year in each of the 13 judicial districts. Each of the then five justices was assigned to one of three geographical circuits and traveled to the designated meeting places within the districts of that circuit. The Act also created the position of U.S. Attorney General and assigned the power to nominate Supreme Court justices to the President of the United States with the approval of the Senate. The First Supreme Court Convenes The Supreme Court was first called to assemble on Feb. 1, 1790, in the Merchants Exchange Building in New York City, then the Nations Capital. The first Supreme Court was made up of: Chief Justice John Jay, from New York Associate Justices John Rutledge, from South CarolinaWilliam Cushing, from Massachusetts|James Wilson, from PennsylvaniaJohn Blair, from Virginia|James Iredell, from North Carolina Due to transportation problems, Chief Justice Jay had to postpone the first actual meeting of the Supreme Court until the next day, Feb. 2, 1790. The Supreme Court spent its first session organizing itself and determining its own powers and duties. The new Justices heard and decided their first actual case in 1792. Lacking any specific direction from the Constitution, the new U.S. Judiciary spent its first decade as the weakest of the three branches of government. Early federal courts failed to issue strong opinions or even take on controversial cases. The Supreme Court was not even sure if it had the power to consider the constitutionality of laws passed by Congress. This situation changed drastically in 1801 when President John Adams appointed John Marshall of Virginia to be the fourth Chief Justice. Confident that nobody would tell him not to, Marshall took clear and firm steps to define the role and powers of both the Supreme Court and the judiciary system. The Supreme Court, under John Marshall, defined itself with its historic 1803 decision in the case of Marbury v. Madison. In this single landmark case, the Supreme Court established its power to interpret the U.S. Constitution as the â€Å"law of the land† of the United States and to determine the constitutionality of laws passed by Congress and the state legislatures. John Marshall went on to serve as Chief Justice for a record 34 years, along with several Associate Justices who served for over 20 years. During his time on the bench, Marshall succeeded in molding the federal judicial system into what many consider to be todays most powerful branch of government. Before settling at nine in 1869, the number of Supreme Court Justices changed six times. In its entire history, the Supreme Court has had only 16 Chief Justices, and over 100 Associate Justices. Chief Justices of the Supreme Court Chief Justice Year Appointed** Appointed By John Jay 1789 Washington John Rutledge 1795 Washington Oliver Ellsworth 1796 Washington John Marshall 1801 John Adams Roger B. Taney 1836 Jackson Salmon P. Chase 1864 Lincoln Morrison R. Waite 1874 Grant Melville W. Fuller 1888 Cleveland Edward D. White 1910 Taft William H. Taft 1921 Harding Charles E. Hughes 1930 Hoover Harlan F. Stone 1941 F. Roosevelt Fred M. Vinson 1946 Truman Earl Warren 1953 Eisenhower Warren E. Burger 1969 Nixon William Rehnquist(Deceased) 1986 Reagan John G. Roberts 2005 G. W. Bush Supreme Court Justices are nominated by the President of the United States. The nomination must be approved by a majority vote of the Senate. The Justices serve until they retire, die or are impeached.  The average tenure for Justices is about 15 years, with a new Justice being appointed to the Court about every 22 months. Presidents appointing the most Supreme Court Justices include George Washington, with ten appointments and Franklin D. Roosevelt, who appointed eight Justices. The Constitution also provides that â€Å"[t]he Judges, both of the supreme and inferior Courts, shall hold their Offices during good Behaviour, and shall, at stated Times, receive for their Services, a Compensation, which shall not be diminished during their Continuance in Office.† While they have died and retired, no Supreme Court justice has ever been removed through impeachment. Contact the Supreme Court The individual justices of the Supreme Court do not have public email addresses or phone numbers. However, the court can be contacted by regular mail, telephone, and email as follows: U.S. Mail: Supreme Court of the United States1  First Street, NEWashington, DC 20543 Telephone: 202-479-3000TTY:202-479-3472(Available M-F 9 a.m. to 5 p.m. Eastern) Other Helpful Telephone Numbers: Clerks Office: 202-479-3011Visitor Information Line: 202-479-3030Opinion Announcements: 202-479-3360 Court’s Public Information Office For time-sensitive or urgent questions please contact the Public Information Office at the following number: 202-479-3211, Reporters press 1 For general questions that are not time-sensitive, email: Public Information Office. Contact the Public Information Office by US Mail: Public Information OfficerSupreme Court of the United States1 First Street, NEWashington, DC 20543

Wednesday, May 6, 2020

Why People Arent Talking About Topics for Essay Writing Competition and What You Should Do Right Now About It

Why People Aren't Talking About Topics for Essay Writing Competition and What You Should Do Right Now About It Writing a research paper is stressful enough, and finding a fantastic topic idea can be exceedingly stressful. After all, a fantastic topic idea nearly always causes a good research paper. If you believe you don't know a lot about this issue, think again. If you're interested in your topic, learning about it's going to be more pleasurable and you'll write with increased passion, so select your topic thoughtfully. The price of our customized paper writing services is also dependent on the duration of the assignments and finally the urgency students would want their customized paper writing services to be accomplished. As an example, researching a wide topic like business management'' is difficult since there might be hundreds of sources on all parts of business administration. If you haven't ever written any research paper or you need to understand where you are able to get superior research papers for sale, speak to our essay writing services. A dependable research paper writing services provider should enable clients to acquire plagiarism free customized research papers online each of the times. Writing a great persuasive research paper is a difficult endeavor. Needless to say, deciding upon the proper topic for your research paper is the very first and most vital step on the best way to writing the paper itself. Writing research papers is not only writing in case you have no ideas of what you're likely to write. Writing research paper writing idea is a really tricky job. Whatever They Told You About Topics for Essay Writing Competition Is Dead Wrong...And Here's Why Business students looking for academic paper topics have an amazing number of subjects to pick from. As term papers are written each year by numerous students, selecting a distinctive topic is acute. When research papers are assigned, it's vital to choose a topic which fits with the requirements from the program. These research papers are extremely old theme which is currently become more innovative and changing. Some of students don't know where to receive their research paper writing service help. World History Research Papers involve an astounding amount of information. If You Read Nothing Else Today, Read This Report on Topics for Essay Writing Competition Contrary to other customer care research works from online writing companies, we give timely reaction to all the requirements of our clients. Most students fail since they don't get the customer care research works early and have zero opportunity to submit their work. The organization should hire profession al staff in order to offer superior customer care research works. First, it should ensure learners are able to get customer care research works on time. It needs to be plagiarism-free, present an original notion, and be written in a superior language. If you have difficulty d eveloping a topic, then you ought to take some opportunity to visit with your professor. After you choose a specific topic, the initial step is to develop into an authority in the area. If you're puzzling who will be able to help you with the assignment at the lowest price as you're a student and may be pressed for money, you're at the proper place as we offer cheap custom made writings. If you should make sure the last work is going to be of exceptional quality, you're welcome to bring a PRO Writer bundle to your purchase, so that one of our top writers will finish the assignment for you. Unfinished artwork is going to be disqualified and won't be included in the judging. Because your term paper is all about what you've learned and what more you need to learn, you have to clearly show your knowledge in addition to evidence of one-of-a-kind thought. The method or a procedure for writing is always provided the total reliability factor of the analysis. Before final assortment of the research topic, there are quite a few things that need to be taken into account. Thus, to prevent the dangers of failing the undertaking, ask for skilled help at Pro-Papers! Topics for Essay Writing Competition Features Research paper writing is one of the most often encountered assignments that students of different degrees of study tackle. Quite frequently, students do not understand how and where to begin writing. First, they find it hard to write research papers because they do not have enough time to do so. For appropriate writing they need to choose a suitable topic which is approved by the supervisor and also helps them score the highest grades. Alcohol addiction is a problem that may be studies in various disciplines and from various facets. Research claims to get confirmed the efficacy of homeopathic medication. Topics for Essay Writing Competition Ideas You're able to discover a list of research paper topics examples on the internet to assist you in getti ng started. Furthermore, the students don't have enough books, articles and journals to use while completing their assignments. In these types of papers they get to know more information about their favorite topics. Many students realize that they just must talk through a couple of topic ideas until they make their final selections. Hence, ultimately, the essay is not only going to be honed to perfection in conditions of language but also customized to each applicant. You've got to check each and every word carefully before submitting to make sure that you have not made any mistakes. Our high school papers contains no plagiarism issues simply because we've got essay writing software that's utilised to check issues which may lead to plagiarism. What students should understand is it will become shameful to file your assignment that's full of errors.

Tuesday, May 5, 2020

Managing Employee Relations Zukauskas & Vveinhardt

Question: Discuss about theManaging Employee Relations for Zukauskas Vveinhardt. Answer: Introduction Workplace conflict is an inevitable fact to any organization life. The organization, which accept this truism they have done so for many reasons. The conflict can reduce the hidden costs that are associated with the conflict by building on the processes and the systems in order to remove underlying causes of those conflicts (Dozier, Grunig Grunig, 2013). If these factors are to remain unaddressed, conflict can lead to destruction. The conflict that are not resolved destruct the employees from doing their important tasks. Individual conflict do not contribute the wellbeing of the mission and the strategy of the organization (Zukauskas Vveinhardt, 2015). Employees may resist from taking actions, which bring the conflict to the surface, thus eroding on the performance and creating unintended consequences. The essay will explain on the roles of the governments, the employers and the trade unions in the management of the conflict in Australia. Role of Government The government of Australia has a role in the management of conflict. An example of how this has been formulated has been the Rudd government in 2007. The election that was held in 2007 was aimed to fight the right at work from all the work choice. Kevin Rudd who turned into the Head administrator of Australia he presented the work administrations for the mechanical relations that was alluded to as forward with decency. The main issue with respect to this administration was that the Rudd government began instantly on destroying on the work decisions by the presentation of two enactment (Zukauskas Vveinhardt, 2015). One of the enactment was the work relations Correction Demonstration of 2008. The bad mark of the enactment was the expulsion of the choice of making AWA. The second depended on the presentation of the no disservice test that was against the understandings that could be judged. In Australia, several elements were characterized on the industrial relations system of the Aus tralia. One of them was fair work bill 2008. After the new government came to power, they promised to pass legislation that were into phases (Shields, Brown, Kaine, Dolle-Samuel, North-Samardzic, McLean Plimmer, 2015). One there should be introduction of AWA that replaces the Benjamin Mehran that was the comparative Human Resource Management. Another role of the government was refer on the national industrial relation system. The state is required to allude to their modern relations energy to the common wealth. The national system should be applied to the employees of the private sector and the employer within the state and local government. In resolving the workplace conflict the government advocate for the use of the national system that are applied in the workplace (Purce, 2014). Role of Employers The effective dispute resolution in an organization can help the employers to be able to maintain a relationship with the employees on dealing to the workplace issues from an early stage. The workers are likely to be cooperative and productive if the employer takes all their grievances seriously. A good resolution for the conflict in the workplace focusses on an effective resolution at the workplace that may help to avoid the cost of resolving the claims externally. There has been introduction of the ten national employment standards (Need, 2006). The full time employment should work only 38 hours where there is presence of personal leave, public holidays and flexible work arrangement. Moreover, in regards to this legislation the employer is required to provide the minimum wages to the employees, should specify on the type of the work that ought to be undertaken and the provision of the annualized salaries (McDonald Thompson, 2016). In the legislation there has been regarded as pro flexibility visions for the awards and the collective agreements. In every agreement, contain flexibility clauses, which provides the flexible agreements on matters in regards to the number of work hours, benefits or the arrangements of family. Trade Unions Trade unions are important organizations, which helps in the management of conflict in the workplace. The industrial action will need to be protected especially when it occurs during the bargaining period. There are actions that are usually taken when supporting the industry agreement example the pattern bargaining (Fossum, 2014). In case the employers have been subjected to the unprotected industrial action they are entitled to go to the court. The unions have the right for maintenance of the workplace conflict. The officials of the unions have the right to investigate on the breaches of agreements, awards, and of both the arrangements and occupational health with the members of the unions or the potential members. The unions also have the right to protect the employees from the unfair dismissal. An example in Australia was in2009 when there was introduction of a new fair dismissal framework that out the means which a business need to experience before the representative has been re leased (Fossum, 2014). It is not reasonable for the business to reject the specialists without notice or even maybe a notice when the business accept on the sensible grounds that the representative lead was exceptionally adequate to legitimize on the release (Purce, 2014). There are not kidding unfortunate behavior that one can be released on burglary, misrepresentation brutality or the breaks of the word related wellbeing methods. There are also collective agreements which that the unions have implemented in order to resolve the management conflict in the workplace. Conclusion The re-introduction of the disadvantages test that was formulated in the division 5A of the workplace relation act of 1996 where there were inadequacies in the previous fairness test. The Fair work has been entitled with the objective of checking on the agreement in order to ensure all the workers are better treated since most of the conflict occurs when the grievances of the employees are not taken into consideration. Moreover, the individuals who are involved in the bargaining power are entitled to bargain the good faith. A good faith agreement must meet the following reasonable time, attending and participating in the meeting, and responding to the proposals that are formulated. The introduction of the new Rudd Administration has help in the changing of the industrial relations in Australia. According to ACTU, they are appreciated on the new procedures that were implemented and they even named them the turning tide towards the industrial relations and the right of the workers. The major success for this new legislation was due to the consultative arrangements by the stakeholders example the employers and the trade unions. Based on Hall (2008) he believed that the new labor industrial relations represented on the excess of the workers choices. Nonetheless, this is not the case in that the new system that are designed is to ensure that fears and the critism are not in the business lobby. References Dozier, D. M., Grunig, L. A., Grunig, J. E. (2013). Manager's guide to excellence in public relations and communication management. Routledge. Fossum, J. A. (2014). Labor relations. Mcgraw Hill Higher Educat. Kersley, B., Alpin, C., Forth, J., Bryson, A., Bewley, H., Dix, G., Oxenbridge, S. (2013). Inside the workplace: findings from the 2004 Workplace Employment Relations Survey. Routledge. McDonald, P., Thompson, P. (2016). Social media (tion) and the reshaping of public/private boundaries in employment relations. International Journal of Management Reviews, 18(1), 69-84. Need, W. C. D. H. P. (2006). Human resource management: Gaining a competitive advantage. Purce, J. (2014). The impact of corporate strategy on human resource management. New Perspectives on Human Resource Management (Routledge Revivals), 67. Shields, J., Brown, M., Kaine, S., Dolle-Samuel, C., North-Samardzic, A., McLean, P., ... Plimmer, G. (2015). Managing Employee Performance Reward: Concepts, Practices, Strategies. Cambridge University Press. Zukauskas, P., Vveinhardt, J. (2015). Diagnosis of mobbing as discrimination in employee relations. Engineering Economics, 64(4).

Friday, April 3, 2020

STUDENT MEDICAL CONDITION

Introduction In any learning institution, there are various medical issues that face students. Some of these issues include kidney disorders, asthma, cancer, back injuries, fractures, cystic fibrosis, HIV/AIDS and chronic fatigue syndrome among many other conditions.Advertising We will write a custom critical writing sample on Student Medical Condition specifically for you for only $16.05 $11/page Learn More The purpose of this write up is to highlight the importance of teacher to parent communication on student’s health and medical issues. This written letter is addressed to parents as the audience. While at school, students face different medical complications that only teachers may be aware of. It is therefore the duty of teachers to ensure that such information is communicated to parents. As teachers, we have the responsibility to communicate this kind of information to the child’s parents. The information should be confidential and no other third party should get exposed to such information (James Cook University, 2012, para. 2). However, teachers should be concerned with the wellbeing of their students and therefore, take necessary steps in reporting such issues to responsible parents. Teachers have access to the medical files of students and are required to disclose such information to the parents and student (James Cook University, 2012, para. 2). However, they have no responsibility to inform the parents on any suspected medical issues that their student may be exhibiting in class without further medical examination.Advertising Looking for critical writing on education? Let's see if we can help you! Get your first paper with 15% OFF Learn More Furthermore, we as teachers cannot carry out any tests to student without the consent of the parents. Likewise, parents have the right to decline such tests from being carried out on their student without recourse. This kind of communication is gaining muc h acceptance by many teachers. The relationship between parents and teachers over the years has improved and therefore, issues pertaining to the condition of students in school are well conveyed to their parents. In most cases, teachers consult with their students on their medical issues and they make a decision to communicate the issues to the parents. This kind of communication is also frequently used in situations where the parents are far and the only way of reaching them is through written communication. Teachers will use this kind of communication to inform the parents on the medical conditions of their student. Furthermore, this kind of communication is also used in situations where the information of medical condition of a student is required to be kept confidential. Therefore, parents can communicate such information on issues that are private and confidential. Strengths of using written communication by teachers in conveying information about medical issues of students inc lude: it is confidential and authoritative way of communication. A parent will have confidence and will believe the information because it is conveyed through a credible means. Secondly, this method of communication can be used as a source of reference to the medical condition of a student hence help in understanding the history of a medical complication of a student in providing subsequent medical solution.Advertising We will write a custom critical writing sample on Student Medical Condition specifically for you for only $16.05 $11/page Learn More On the other hand, this kind of communication has weaknesses. These include: the method is slow as information may reach the destination slightly late hence affecting the provision of necessary medication to the student. Another weakness is that the method is prone to abuse especially by teachers as they may give false information on the medical condition of their student. Regardless of these weaknesses, thi s kind of written communication is effective in conveying information to parents concerning their student medical conditions. The method provides confidential information precisely and clearly compared to other forms of communication. Teachers can also use this form of communication in a classroom. This can be used effectively by teachers understanding the laws that govern privacy on information on medical privacy of their students. Teachers need to be cautious when writing on the behaviors of their students in class. They should seek the assistance of a medical practitioner who should provide a test or diagnosis on the status of the student. However, in extreme situations, a teacher should put the well-being of the student ahead regardless of the level of confidence required. References American Psychological Association. (2009). Publication Manual of the American  Psychological Association. Washington, DC: American Psychological Association.Advertising Looking for critical writing on education? Let's see if we can help you! Get your first paper with 15% OFF Learn More James Cook University. (2012). Students with Medical Conditions- A Guide for Staff.  Retrieved from: https://www.jcu.edu.au/ This critical writing on Student Medical Condition was written and submitted by user Gibson H. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Sunday, March 8, 2020

Whats a Bad SAT Score Nationally and by College

What's a Bad SAT Score Nationally and by College SAT / ACT Prep Online Guides and Tips Have you taken the SAT recently? Are you wondering whether your score is bad? Or maybe you just want to know the score to beat before you take the SAT for the first time. In this article, we'll explain what a bad SAT score is, both in terms of the national averages and the colleges you might be interested in. What's Considered a "Bad" SAT Score Nationally? Looking at the 2018 SAT Total Group annual report, we see that a composite score below 1068 is below average. In terms of the sections, an Evidence-Based Reading and Writing score below 536 is below average, while a Math score below 531 is below average. This means that if you want to be above average nationally, you'll need to beat a 1068 total score. According to the2018 SAT percentiles, any composite score of 920 or lower is in the bottom 25%. In other words, if you score at or below this benchmark, your score is definitely in the low range. (Learnmore about SAT percentile rankings here.) What Do Colleges Think a Low SAT Score Is? While your national rank is important,it’s far more important to think about what your score means in terms of the colleges you want to attend. After all, you take the SAT to get admitted to colleges, so their opinion is ultimately the most important. If you’re above a college’s average SAT score range- even if your score seems low nationally- then your admissions chances won’t be compromised. Conversely, you could have a score that looks good nationally- say, in the 90th percentile (a 1340)- but is far below the ranges of selective colleges, such asthe Ivy League, Stanford, and MIT. As you can see, it'smuch more important to consider SAT scores within thecontext of your target colleges. Now let's explore some score ranges to determine what constitutes a "bad" SAT score at various colleges. What’s a Bad SAT Score for the Most Selective Schools? If you’re aiming for the most selective schools in the country- think Harvard, Stanford, Princeton, Yale, MIT- pretty much any SAT scores that aren’t considered excellent nationally are seen as low. For example, at Harvard, the SAT middle 50% ranges(i.e., the 25th to 75th percentile scores) are 730-800 for Math and 730-790 for Evidence-Based Reading and Writing. That's pretty high! Additionally, since highly competitive colleges routinely turn away applicants with scores within their average ranges, it’s safest to aim for an SAT score in the top 50% of admitted student scores- not just to be within the middle 50% range. In fact, being in the lower half of a highly selective college’s score ranges can dramatically lower your chances of admission. For example, if the school’s normal admission rate is 10% but your SAT score is in the 25thpercentile for that school, your chances of admission are really just 5% or lower. Your SAT composite score should be 1500 or higher (about 750 or higher per section) if you want to be competitive at highly selective schools. Anything below that will significantly lower your chances. Anything below 1400 (about 700 per section) is decidedly low and makes your admission more unlikely. What’s a Bad SAT Score for Selective Schools? Once you’re out of the top 15 colleges in the country, a "bad" SAT score for a school is anything below its middle 50% range. We say "bad" not because the score is necessarily bad on a national scale, but because it could lower your chances of admission. To take one example, let’s look at Boston University. BU is a selective school, ranked in the top 50 nationwide. ItsSAT middle 50% score ranges are 660-760 on Math and 640-720 onEBRW. A bad score would be anything below these section score ranges, or roughly anything lower than a 1300 SAT composite. So even though a 1300 is a strong SAT score nationally (in the top 13% of test takers!),you'd need to get at least that scoreto be competitive at BU. What constitutes a "bad" SAT score at a selective school will vary by college, so look up the ranges of schools you're interested in using our guide below. What’s a Bad SAT Score for a Local State School? If you’re looking to get into a local university or less competitive school,SAT averages are much more forgiving. For example, let’s look at the University of Massachusetts Boston. Itsmiddle 50% ranges are 510-600 for Math and 490-600 for EBRW. Therefore, for UMass Boston, a composite score around the national average of 1068 on the SAT is definitely within range for admission. In other words, there are many universities that are much more forgiving of an average or just below average SAT score. Look up your local schools below using our guide to figure out what their score ranges are. How to Find a College's SAT Score Ranges We've compiled the SAT score ranges for hundreds of colleges and universities nationwide as well as info on their average GPAs and other admissions data. To find a particular college's SAT score ranges for admission, search for "[School Name] SAT scores site:prepscholar.com": The SAT score ranges page should bethe first or second result: Click the link to get not just that school's SAT score ranges but also its average GPA and admission rate.We even have a tool that allows you to plug in your GPA and SAT/ACT scores to estimate your chance of admission. Here is what our SAT scores page for Stanford looks like: How to Avoid Getting a Bad SAT Score Now that you know what a bad SAT score looks like, what can you do to avoid getting one yourself? First, look up the middle 50% SAT ranges of all colleges you're interested in. By doing that, you can figure out the kind of SAT score you'll need to aim for to be competitive at your target schools. If you want, you can fill out the table below to track the 25th and 75th percentile SAT scores for each school you're thinking of applying to: School EBRW 25th %ile EBRW 75th %ile Math 25th %ile Math 75th %ile Composite 25th %ile Composite 75th %ile If you haven't taken the SAT yet or are planning to retake it, your target SAT score should be the upper bound of the middle 50% range of the most competitive school in your chart.As long as you make that score, you'll be competitive wherever you apply. Even if you miss it by a little bit, you'll likely be well within range for most colleges on your list. What’s Next? We’re covered what a bad SAT score might look like. So what’s a good SAT score? An excellent one? Find out here. How do you improve a low SAT score? Get expert tips for bringing up a low SAT Math score. Read our guide to getting a perfect SAT score, written by our resident full scorer. Even if you’re not aiming for a 1600, following these principles will help you reach your score goal. Not sure you can study alone? Consider using the PrepScholar SAT prep program. We take the hard part out of the studying process by analyzing your weaknesses and giving you targeted practice questions. Learn more about the SAT by reading our complete guide to the exam. Want to improve your SAT score by 160 points? Check out our best-in-class online SAT prep classes. We guarantee your money back if you don't improve your SAT score by 160 points or more. Our classes are entirely online, and they're taught by SAT experts. If you liked this article, you'll love our classes. Along with expert-led classes, you'll get personalized homework with thousands of practice problems organized by individual skills so you learn most effectively. We'll also give you a step-by-step, custom program to follow so you'll never be confused about what to study next. Try it risk-free today:

Thursday, February 20, 2020

Summarize chapter 23 and 24 Essay Example | Topics and Well Written Essays - 500 words

Summarize chapter 23 and 24 - Essay Example Finally, the chapter also delved into a discussion of safety procedures required during aircraft taxiing, parking and towing, among others. The aim of the chapter was to enhance awareness on ground operations to prevent accidents and ensure safety through effective flight line operations. Chapter 24 delved into a discussion of airports and heliports by first indicating three diverse scenarios: being a tenant, owning one, or using diverse airports or heliports, for that matter. The aim is to provide a comprehensive presentation of safety precautions and guidelines for safety managers, regardless of the kind of ownership. Learning begins with the airport certification manual and emergency plan. Differentiating criteria for airports and heliports were likewise presented. A great deal of spaces were accorded to contain relevant information detailing airport and heliport safety inspection subjects which make safety managers equipped in identifying safety programs, contents of manuals, required reporting, emergency plans, equipment, and fuel handling. It indicated that more information could be sourced from the Federal Aviation Administration, as required. The article written by Andrew Smolenski published in Examiner.com indicated the Federal Aviation Administration’ s (FAA) new ruling on improving relevant policies to prevent the increased helicopter accidents. The full press release from the FAA revealed that: â€Å"the U.S. Department of Transportation’s Federal Aviation Administration (FAA) today proposed broad new rules for helicopter operators, including air ambulances, which, if finalized, would require stricter flight rules and procedures, improved communications and training, and additional on-board safety equipment† (Smolenski, 1). It can be deduced that the relevance of insuring compliance to safety requirements as stipulated in manuals and emergency plans must be adhered to, as indicated in the course modules on ground operations

Wednesday, February 5, 2020

Self-fulfilling prophecy cycle (Negative assumptions, negative outcome Essay

Self-fulfilling prophecy cycle (Negative assumptions, negative outcome ) - Essay Example Supervisors create expectation of their employees, which emanate various occurrences. The first impression when an employer meets a prospective employee. A supervisor would form an opinion of the latter. Something in the manner of Negative assumptions is more noticeable than positive assumptions. While not necessarily rear positive assumptions are a regular occurrence in the employment industry. However, through principle-centered leaders who are distinct from their counterparts. Positivity radiates energy beams from within extending enthusiasm and energy to the persons they interact with at the workplace. Positivity, believe and upbeat in their employees potential is evident and ingrained within them. They also come across as servant leaders ready to give assistance when needed. It does not necessarily end with them giving a helping hand, but they also pass to be resourceful to be exploited by their followers so as to perform better and to their best. Such leaders surround themselve s with effective persons who exude positivity that plays a huge role in molding their followers (Tauber, 24). The moment an employee suspects certain behavior or manner in the supervisor’s actions, the first effects of self-fulfilling prophecy are witnessed. When the supervisor things an employee has some tendencies that are not desirable, they are likely to pay close attention to them thus prompt the target to act in the manner. Such could be through micromanagement of stifling ideas. Employees have certain expectations that contribute to them feeling invested in the firm. The expectations include; regard for their opinions, fair treatment, a chance for advancement and progression through work evaluation and believe and trust in them. These elements are very essential for an employee to be successful in their place of work. Thus, and employer, supervisor or leader should understand this fundamental factors and pay

Monday, January 27, 2020

Case Study: Hypertension in Pregnancy

Case Study: Hypertension in Pregnancy Main Complaint My patient Madam Siti a 31 year old Indonesian maid Gravida 3 para 2 at 38 weeks and 1day of Period of Amenorrhoea (POA) was admitted to the ward for blood pressure stabilization and induction of labour (IOL). History of Presenting Illness She was referred from antenatal clinic during follow up in PPUKM on 29/11/2010. During the check up at the follow up, her vital sign showed she was afebrile, pulse rate of 90beats per minute and blood pressure was noted to be 160/100mmHg and no abnormality was found in the urine. During booking her blood pressure was noted to be 100/70mmHg and she was normotensive throughout the pregnancy up until at 38weeks and 1day of POA. She complained to have frontal headache and nausea 2 days prior to admission. She denied symptoms of impending eclampsia such as blurring of vision, epigastric pain and vomiting. There was also no dizziness, shortness of breath, chest pain, reduced urine frequency and leg swelling. She also had per vaginal discharge which was whitish and creamy in nature, no foul smelling and no pruritus vulvae. There was no urinary tract infection symptoms such as urgency and dysuria. Fetal movement was good. She was admitted to the ward for further management. Antenatal History This is an unplanned but wanted pregnancy. Her urine pregnancy test (UPT) was positive at 6weeks of POA. Dating scan done at 15weeks of POA which correspond to date. Booking was done at 15weeks of POA at private clinic at Medviron. Antenatal screening done showed that: Blood Pressure : 110/70mmHg Haemoglobin level : 12.8g/dL Height : 158cm Weight : Pre : 62kg Current : 69kg Blood Group : O Positive VDRL/HIV/HEP B : Non Reactive Urine Albumin/Sugar : Nil No MGTT was done. Despite having a family history of diabetes mellitus. Latest scan done at 38 weeks and 1day POA and all parameters are correspond to date. It was a singleton fetus on longitudinal lie and cephalic presentation. Fetal heart and fetal movement are seen. Amniotic Fluid Index are 11. Estimated fetal weight was 3.3kg and placenta was on anterior upper segment. Otherwise, antenatal visits are uneventful. Past Obstetric History On 1999, she had a full term normal pregnancy and delivered a baby girl by Spontaneous Vaginal Delivery (SVD) at a hospital in Indonesia and weight of the baby was 2.6kg and is alive and well. On 2007, she also had a full term normal pregnancy and delivered a baby boy by spontaneous vaginal delivery also at Indonesia. The baby weight 2.3kg and currently is alive and well. Both of her children stays with her mother at Indonesia. Past Gynaecology History She attained her menarche at the age of 13year old with 28 to 30days regular cycle with 7days of menses. She denied dysmenorrhoea, menorrhagia, intermenstrual bleeding, dyspareunia and postcoital bleeding. As for contraception, she uses Implanon for 4years from 2002 to 2006 between the first and the second pregnancy. She was then on Oral Contraceptive Pills for 2months and had stop taking them afterward until today. After this pregnancy, she is keen to take Intrauterine Contraceptive Device (IUCD). She had never had pap smear done before. Past Medical History Nil. Past Surgical History Nil. Allergy and Drug History No known drug allergy or food allergy. Family History Her mother is alive and was diagnosed to have diabetes mellitus and hypertension and currently on medication. Her father died on 2007 due to renal failure. She had 3siblings and currently all of them are alive and well. Social History She has been married for 12years and came to Malaysia on 2006 which was 4years ago. She lives in a terrace house at Cheras and worked as a maid. Her husband came to Malaysia 5years ago but had recently go back to Indonesia 2months ago. He previously worked as a contractor for the same employer. He planned to return to Malaysia after his permit is renewed. Both of them does not smoke or consumed alcohol. Both of their children were in Indonesia and are taken care by her mother. Relevant Clinical Examination General On examination, she was alert, conscious and she was not pale or jaundiced. Her Blood Pressure was 142/92mmHg lying and 152/104mmHg standing. Her pulse rate was 90beats per minute and respiratory rate was 20breath per minute. She was afebrile. Her current weight was 69kg. There was no pedal oedema noted. Thyroid Gland There was no scar, lump or dilated veins noted around the area of the neck. There was no lymphadenopathy noted. Breast On inspection, both breast were symmetrical and bilaterally in size. Both her nipple were not hyperpigmented or retracted. There was no nipple discharge. Her breast were non tender and no mass was palpable. Cardiovascular System On inspection of the hand, there was no clubbing and peripheral cyanosis. Inspection of the mouth showed that there was no central cyanosis and hydration status was good. There was no surgical scar and no notable abnormalities detected on the praecordium. Jugular Venous Pressure was not raised. Peripheral pulses were present with normal rhythm and good volume. There was no radio-radial delay or radio femoral delay. There was no collapsing pulse. On palpation, apex beat was not displaced it was palpable at the 5th intercostals space and left midclavicular line. There was no parasternal heave and thrills detected. On auscultation, the first and second heart sounds were heard with no murmur or added sound heard. Respiratory System On inspection, the chest moved bilateral symmetrically with inspiration. There was no scars and deformities noted. She did not use accessory muscles on breathing. On palpation, her trachea was not deviated. Chest expansion was equal bilaterally. Air entry was good and equal bilaterally as evidenced by normal vocal fremitus and vocal resonance. Percussion of both lungs were resonant. There were vesical breath sounds equal on both sides with no added sounds on auscultation. Neurological System She was orientated to time, place, and person. All cranial nerves were intact. Both her upper and lower limbs were normal. Muscle tones, power, and reflexes were all good and normal. Abdominal Examination On inspection, the abdomen was distended by gravid uterus as evidenced by cutaneous signs of pregnancy such as linea nigra and striae gravidarum. The umbilicus is centrally located and flat. No scars noted and no dilated veins seen. On palpation, her abdomen was soft and non tender and uterus was not irritable. Clinical fundal height revealed that the uterus was 38weeks in size and was correspond to date. Symphysiofundal height was 37cm. Palpation of the fetus showed that it was a singleton in longitudinal lie with cephalic presentation. The head was 3/5 palpable and not engaged. The fetal back was on the maternal left side. The liquor was adequate and estimated fetal weight was 3.2 to 3.4kg. Pelvic Examination Vaginal examination was not done. Per Rectal Examination Per rectal examination was not done. Summary of Case 31year old maid gravida3 para2 at 38weeks and 1day POA admitted for blood pressure stabilization and induction of labour (IOL) due to gestational hypertention. Diagnosis and Differential Diagnosis Provisional Diagnosis Gestational Hypertension: She develop hypertension which is a blood pressure of 140/90mmHg aand above recorded on 2 separate occasions at least 4hours apart. Hypertension occur in second half of pregnancy which is after 20weeks of gestation. She is previously normotensive. There is absence of proteinuria She had risk factor; family history of hypertension. Differential Diagnosis Pre-eclampsia: Points for: Hypertension at least 140/90mmHg recorded on 2 separate occasions at least 4hours apart. Hypertension occur at second half of pregnancy, after 20weeks gestation. She is previously normotensive. She had risk factor; family history of hypertension. Points against: There was absence of proteinuria of at least 300mg Protein in a 24hour collection of urine. She had no risk factor such as pre-existing hypertension or pre-eclampsia. Chronic Hypertension: Points for: She has a family history of hypertension. Points against: She is normotensive prior to pregnancy. She had no other disease such as renal or connective tissue disorders that can lead to hypertension. Relevant Investigations with Reasons Full Blood Count To check whether patient is anaemic or not (Hb). To confirm patient is not on any infection such as urinary tract infection (WBC). White Cell Count + 14.2 x 109/L Red Cell Count 4.18 x 1012/L Haemoglobin 12.3 g/dL MCV 37.1% MCH 88.7 Fl MCHC 29.3 Pg RDW 33.0 g/dL Mean Platelet Volume 8.0 Fl Platelet 302 x 109 /L Neutrophils ++ 10.3 x 109 /L Eosinophils 0.4 x 109 /L Basophils 0.0 x 109 /L Lymphocytes 2.6 x 109 /L Monocytes 0.9 x 109 /L Nucleated RBC 0 x 109 /L Comment: There is a reduction of Red Cell count. This is due to pregnancy, as there is haemodilutional effect due to an increase in plasma volume. Patient is not anaemic as haemoglobin is on the normal range. However, there is leukocytosis mainly the neutrophils. This suggest an infection most likely bacterial in origin such as urinary tract infection. Renal profle To exclude secondary cause of hypertension due to renal damage. To detect abnormality in the level of serum urea and creatinine that will indicate renal damage or failure. Sodium 139 mmol/L Potassium 4.0 mmol/L Urea 2.3 mmol/L Creatinine 54 umol/L Comment: There is hypouremia. This is normal in pregnancy, as there will be an increase in Glomerular Filtration Rate (GFR), therefore there will an increase in clearence of urea in the body. Besides that, a reduction in deamination process in the maternal body will also cause blood urea to be reduce. Liver Function Test To see whether patient had any liver damage Albumin 33 g/L Total Protein 68g/L Bilirubin toral 6 umol/L ALT 19 u/L ALP + 141 u/L Comment: There is hypoalbuminaemia. There is increase level of Alkaline Phosphatase (ALP) due to placenta production. Thus, making it a normal physiological reaction. Serum Uric Acid Serum uric acid is a sensitive indicator of renal damage in pre-eclampsia. Uric Acid 371 umol/L Comment: Serum uric acid level is normal. Suggesting there is no renal damage. PE/ Pre-eclampsia Chart To monitor her blood pressure on lying and standing To monitor her urine whether there is albuminuria or not. To detect pre-eclampsia. Result: Other than the increase in blood pressure prior to delivery, there is no albuminuria noted. Therefore, patient did not have pre-eclampsia. Fetal Kick Chart To monitor the fetal well being. If there is decreased fetal activity, it may indicate some degree of fetal compromise. Cardiotocography (CTG) To monitor the heart rate and contraction of the uterus to detect abnormalities in the pregnancy. Ultrasound. To assess the fetal growth. Identify The Problem in Terms of Priority Gestational Hypertension. Induction of labour in gestational hypertension. Immediate and Subsequent Management Admit to ward for BP monitoring and stabilization. Monitor for any signs and symptoms of impending eclampsia. Bed rest. BP monitoring 2hourly for 24hours. If blood pressure reduce or return to normal patient can be discharge and to come again for antenatal follow up. Bed rest continued if persistent. Antihypertensive medication given if BP consistently noted to be 150/100mmHg. Preferred agent are alpha and beta blockers agent such as labetolol or methyldopa. Pre-eclampsia chart to exclude pre-eclampsia. CTG and fetal kick chart monitoring. Gestational hypertension not resolve, induction of labour is recommended. If induction of labour fails or spontaneous delivery is not possible, prepare for lower segment caesarean section (LSCS). Final Conclusion/ Plan for Further Management/ Patient Progress On admission on 29 November 2010, her blood pressure (BP) was high which was 142/92mmHg lying and 152/104mmHg standing. She was then given 200mg labetolol TDS. Pre-eclampsia chart done to monitor albumin in the urine. She is also monitored on signs and symptoms of impending eclampsia. Her BP was monitored half hourly for 2hour and induction of labour (IOL) is done soon after BP is stabilize. On the next day , 7.15am, Bishops Score was done and result was 2/13. Therefore cervix was not favourable. First 3mg of Prostin tablet was inserted into the posterior fornix. CTG was then done after 1hour to monitor for uterine hyperstimulation of fetal distress. The abdomen and cervix will be reassess in 6hours time. Tablet labetolol was continued and signs and symptoms of impending eclampsia (IE) was monitored. Six hour later, patient had contraction (irregular) but no leaking liquor noted. There was no signs and symptoms of IE, per vaginal discharge and fetal movement was good. Her BP was 129/92mmHg which had decreased slightly. On palpation, her abdomen was soft and non tender. Uterus was 38weeks, presenting part was 3/5 palpable. Bishops Score was done again and cervix is still unfavourable at 3/13. Second prostin was inserted at the posterior fornix. CTG was done 1hour post prostin for monitoring. Six hour later, she had 2 contraction in 10 minutes and it was moderate. There was no leaking, no per vaginal bleeding and the fetal movement was good. Her BP on lying was 112/86mmHg and 122/90mmHg on standing, well controlled BP. Vaginal examination revealed normal vulvovaginal, cervix dilated to 1cm, os was 3cm membrane intact and station was -2. 2hour later, the contraction was 3 in 10minutes and no leaking liquor. Vaginal examination showed 1cm cervix, 4cm os. Artificial Rupture of Membrane (ARM) was done. Clear liquor was noted. Patient was in active phase of labour and was sent to the labour room for delivery. Entonox was given for pain management in the labour room. Contraction was 3 in 10 minutes with moderate intensity and os was 4cm. one and a half hour later, patient complained of having strong contraction and felt the urge to bear down. Vaginal examination done and os was fully dilated at 10cm. She delivered a baby boy weighing 2.53kg with apgar score of 8 in 1minute and 9 in 5minutes. The patient developed first degree tear, placenta was complete weighing 590gm. Estimated blood loss is 250cc. Cord pH was 7.312. In the ward, day 1 post SVD she was alert, conscious, comfortable and was not pale. Her BP was 118/83mmHg which was normal and her pulse rate was 96beats per minute. She was afebrile. Abdominal examination showed that her abdomen soft and non tender. The uterus was well contracted at 18weeks in size. The lochia was normal. Breastfeeding was established and she was ambulating well. The patient can tolerate orally and had pass urine and bowel movement. She had completed her family size and plans to use intrauterine contraceptive device (IUCD) for contraception. Prescription of labetolol was stopped as her BP has been stable and she had delivered her baby. She was then allowed for discharge and to come again 2weeks later to review her BP. She was given hematinics to increase haemoglobin level. Discharge Summary Name : Siti Arifah Age : 31 MRN : N285492 Race : Indonesian Gender : Female Discharge Date: 01/12/2010 Case Summary Date of admission : 29/11/2010 Date of delivery : 30/11.2010 at 22:35 Date of Discharge ; 01/12/2010 31year old, para 3 @38weeks and 4days of POA, post spontaneous vaginal delivery (SVD) with first degree tear diagnosed with gestational hypertension @ 38weeks. Antenatally, Dated at 15weeks. Antenatal clinic uneventful. Booking blood pressure (BP) 100/70mmHg. Has been normotensive throughout pregnancy (BP range 110-120/70-80mmHg) until on 38weeks, noted that BP at clinic 160/100mmHg. Tablet labetolol 200mg given stat at the clinic. Admitted to ward for BP stabilization and started on tablet labetolol 200mg TDS. Medical/surgical History Nil. VDRL/HIV/Hep B Non reactive. Admitted in for BP stabilization. Before admit and in the ward, patient complaint of headache. On day 2 of admission, cardiotocograph (CTG) showed sleeping pattern. Opted for induction of labour (IOL). Prostin inserted 2 times. After 7hours of second prostin insertion, patient went into active phase of labour, os 4cm. Artificial Rupture of Membrane (ARM) was done with clear liquor. Os fully after 1 hour 30minutes without augmentation. Second stage 10 minutes. Third stage 13minutes. She successfully delivered a baby boy of: Weight : 2.73kg pH : 7.312 TSH : pending G6PD : normal Estimated Blood Loss (EBL) : 250cc Currently she is normotensive. There is no acute complaints. No signs and symptoms to suggest of anaemia. She is tolerating orally and ambulating well. Passing urine/bowel open without problems and there is no excessive bleeding. Her baby is well and active, suckling well. BCG/Hepatitis 1st dose has been given. On examination, Her vital signs are stable. She is pink and alert. Abdomen soft and non tender. Uterus well contracted and 18weeks in size. There is no excessive bleeding. Lochia is normal. Mother Haemoglobin: 12.3g/dL Contraception: Intrauterine contraceptive device (IUCD) Plan; Off labetolol EOD BP at local clinic To come again (TCA) in 2weeks to review BP. Continue Haematinics. Medications Tablet Hematinics OD Tablet Gelusil Ponstan TDS Syrup lactulose 15mls TDS Diagnosis: Post- SVD with first degree tear. Prepared by, Connie (CONNIE KABINCONG) House Officer Obstetric and Gynaecology ward UKMMC Referral to Doctor For Continued Management To: Medical officer of Obstetric and Gynaecology Department Date: 01 December 2010 Dear Doctor, Regarding: Siti Arifah, N285492 Thank you for seeing this patient, Siti Arifah, a 31year old Indonesian maid, para 3 post spontaneous vaginal delivery (SVD) with first degree tear at 38weeks and 2days of period of amenorrhoea (POA). She was admitted for blood pressure stabilization and induction of labour. She was referred from antenatal clinic when it was noted that her blood pressure was high which was 160/100mmHg. She never had history of hypertension before until on 38weeks and 1day of POA. However, she had a family history of hypertension. She was given labetolol for blood pressure stabilization and was given tablet Prostin 2times to induce the labour. She was then delivered a baby boy by SVD and her baby was alive and well. Her blood pressure was 118/83mmHg after the delivery. She was then stopped on taking Labetolol. Kindly see this patient for blood pressure monitoring and to exclude pre-existing hypertension in this patient. Thank you. Regards, Connie (CONNIE KABINCONG) House Officer Obstetric and Gynaecology Ward UKMMC Mock Prescription: For Patient on Discharge Name : Siti Arifah Age : 31 MRN : N285492 Race : Indonesian Gender : Female Discharge Date: 01/12/2010 Tablet Haematinics OD Tablet Gelusil/Ponstan TDS Syrup Lactulose 15mls TDS By, Connie (CONNIE KABINCONG) House Officer Obstetric and Gynaecology Ward UKMMC Professionalism Component Communication Issues As communication will be crucial in our future career as a doctor, a good basic has to be established now. As a good communicator we must be able to convey our message and information to our patient either in the form of words or from plain body language. Fortunately, my patient Madam Siti was very cooperative. I was able to establish rapport with her rather rapidly. She became more comfortable while answering my questions. Management wise, I found that she was well assured and well informed about what was being done for her. The doctor in charged informed her about her condition and told her about the possible complication that may arise and enough reassurance was given. Psychosocially, she did admits that she was a little scared of the possible complication that might affect she and the baby. Furthermore, her husband was not able to be by her side for moral support. I spent some times consoling her and she felt better afterward. Financially speaking, she and her husband total household income is currently not sufficient as she only earn approximately RM1000 per month and her husband is currently unemployed and waiting for his permit to return to work to Malaysia. However she claimed that her employer are offering to help her out during her confinement period. Spiritual Issues She is a very religious woman and has a strong spiritual side. She believe that God will helped her through this challenge and it had made her become quite cheerful and optimist despite of her current state. Ethical Issues As medical student, we have been reminded from time to time that medical ethics are crucial in order to be good doctors in the future. A good doctor should always put the patients life at the highest priority and respect the patients right to autonomy, information and privacy. Madam Siti should be counseled on options, pros and cons of the choices and the choice that made by her with guidance and advice by the doctor. No information should be withheld from her. Ethically as patient they also entitled to their privacy and confidentiality. Unfortunately, in a teaching hospital such as HUKM, patients privacy is sometimes compromised. Madam Siti was continuously approached by the students who wished to clerk her although it is very tiring to repeat all the words again and again, she still can tolerate it. Unfortunately there isnt much things I can do to help her but I can learn from this by learning not to disturb patient during the visiting hours or when they are tired while still grabbing every opportunity to learn in the ward. Professional Judgement In managing obstetric patient, we must take into account that we are not only dealing with one life but two. Thus extra caution must be taken. Especially with Madam Siti condition, as hypertension in pregnancy if it is not well controlled and monitored it could easily turns into something terrible very quickly. I felt that the management of Madam Siti was fair, she was properly counseled on maternal and fetal complication that could arise from hypertension in pregnancy. She was also well informed on the results of all the investigation done on her and her current management. Critical Appraisal Hypertension in pregnancy is defined as Blood Pressure more than or equal to 140/90mmHg in previously normotensive women that occur in 20th week of gestation without proteinuria until 6weeks postpartum. Or alternatively, a rise in systolic BP of more than 25mmHg or diastolic BP of more than 15mmHg compared with booking BP. Hypertension in pregnancy caused an increase in maternal and perinatal morbidity and mortality. Normal BP usually never went beyond 120/80mmHg. However in pregnancy plasma volume increases on an average 1200ml. So vasodilatation is needed to maintain the peripheral pressure. If the vasodilatation action is counteract by arterial spasm, hypertension occurs and lead to reduction in perfusion to all organ. This includes the uterus and placental site. Hypertension in pregnancy can be divided to pre-eclampsia, gestational hypertension, chronic hypertention, pre-eclampsia superimposed of chronic hypertension. Pre-eclampsia is defined as hypertension of at least 140/90mmHg recorded on 2 separate occasions with the significant proteinuria of more than 300mg in 24hours urine collection after 20weeks of gestation in a previously normotensive women and resolve completely by 6weeks postpartum. Eclampsia is a serious complication and life threathening complication of pre-eclampsia. It is defined as convulsions occurs in a woman with pre-established pre-eclampsia in the absence of any neurological or metabolic cause. Chronic hypertension is caused either due to essential hypertension or secondary hypertension. Secondary causes include renal artery Stenosis, glomerulonephritis, cushing syndrome and pheochromocytoma. Chronic hypertension is a hypertension diagnosed prior to 20weeks of gestation or history of hypertension preconception and de novo hypertension in late gestation that fails to resolve postpartumly. Pre-eclampsia superimposed on chronic hypertension is diagnosed when there is: De novo proteinuria after 20week gestation Sudden increase in magnitude of hypertension Appearance of features of pre-eclampsia-eclampsia Sudden increase in proteinuria in women with preexisting proteinuria in early gestation in women with chronic hypertension. Risk factors for women to develop hypertension in pregnancy can be divided into obstetric, medicaland social aetiology. In obstetric aetiology, the risk factor can be further divided into maternal and fetal risk factor where: Maternal risk factors are: Nulliparity or primigravida Advanced maternal age or extreme age (35year old) Family history of hypertension, pregnancy induced hypertension, pre-eclampsia and eclampsia. Previous history of gestational hypertension, pre-eclampsia, eclampsia. Maternal obesity (>80kg) Fetal risk factors are: Multiple pregnancy Molar pregnancy Hydrops fetalis From medical aetiology the risk factors are: Diabetes mellitus or gestational diabetes mellitus Established hypertension Connective tissue disease Renal disease: glomerulonephritis, renal artery Stenosis Endocrine disease: cushings syndrome, pheochromocytoma. From social aetiology the risk factors are: Smoking Alcohol consumption Complication that can arise from hypertension in pregnancy are eclampsia, intrauterine growth restriction, renal failure, thrombocytopenia, abruption placenta, subcapsular haemrrhage and liver dysfunction. Treatment wise, patient need to be admitted to hospital first fo r BP monitoring and stabilization. Used of antihypertensive agents that may be used in hypertension in pregnancy is Labetolol, which is a combined alpha and beta blocker. By blocking alpha adrenoreceptor in the peripheral arteries, it reduced the peripheral resistance. At the same time beta blocking effect protects the heart from reflex sympathetic drive normally induced by peripheral vasodilatation. Nifedipine, a calcium channel blocker can be use as an alternative. Delivery is the ultimate treatment of hypertensive in pregnancy and its timing is dependent on the observation of fetal and maternal well being. Prolongation of pregnancy by drug therapy may reduce the risk of prematurity and improves the chances of delivery. Reference Lists Obstetrics By Ten Teachers, 18th edition; Philip N. Baker. Obstetrics Illustrated, 7th edition; Kevin P. Hanetty, Ian Ramsden, Robin Callander. Handbook of Labour Practice, 2nd edition; Dr. Yun-Hsuen Lim, Professor Dr Muhammad Abdul Jamil, and Professor Dr. Zaleha Abdullah Mahdy. A Practical Approach to Obstatric Problems for the Undergraduate, 4th edition; Professor Kulenthran Arumugam.

Sunday, January 19, 2020

The Spark of World War I :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  The conflicting national interests in western and eastern Europe drove the major countries to form protective coalitions, even with nations that had once been bitter enemies. Smaller countries were forced to choose sides, and by 1914, Europe was separated into two heavily armed camps. Any spark would have been enough to ignite the war everyone expected.   Ã‚  Ã‚  Ã‚  Ã‚  That spark was touched off in Sarajevo, the capital city of Bosnia and Herzegovina. In an attempt to ease tensions between Austria-Hungary and people in the Balkans, the Austrian Archduke Francis Ferdinand and his wife made a ceremonial trip to Sarajevo.   Ã‚  Ã‚  Ã‚  Ã‚  Ferdinand was in line to be the next emperor of the Austria-Hungarian Empire. The Archduke had made enemies in the neighboring kingdom of Serbia because he once favored the reorganization of the empire to create a third kingdom of Croatia. At the same time, Serbia was attempting to expand its power by bringing all of the ethnic Serbs under its dominion, so it had designs on Croatian territory as well.   Ã‚  Ã‚  Ã‚  Ã‚  As Ferdinand’s caravan of open cars made its way through Sarajevo, it was attacked by a group of bomb-throwing terrorists who hoped to assassinate Ferdinand. Their grenade missed the Archduke but killed others in the caravan. Terrified, the Archduke’s driver tried to escape by turning the carriage around and racing towards the train depot. In an ironic twist of fait, he got lost and entered a street where nineteen-year-old Gravilo Princip, a young Serbian nationalist, was hiding. Princip was part of the terrorist group, and he quickly realized a second opportunity to kill the Archduke was a hand. He pulled out a pistol and began to fire, hitting Sophie, who had tried to shield her husband.

Saturday, January 11, 2020

Is Enough Being Done to Preserve Languages? Essay

Throughout history the world has consisted of many cultures and languages, some of them have been dominant, some of them have been minor. Until the 20th century global and minority languages have continued a peaceful coexistence that has provided cultural diversity for the Earth. In the present this balance has been broken and most of indigenous languages tend to disappear. Although worldwide scientists do not spare efforts to stop this extinction, there is a debate whether it is sufficient to do for saving extinct languages or not. Some experts suggest that some positive trends have emerged in linguistic field which can alleviate the grave situation such as master-apprentices program and large-scale documental projects. However, many scientists assert that the measures are not enough to protect languages from losing, since the rate of this process is extremely high and negative attitudes towards local languages are intensive. Therefore, this essay will contend efforts that have been made to preserve languages are inadequate because of considerable amount of adverse aspects. There are some effective efforts have been made to save languages in the world. One of these efforts is master-apprentices program which has increased the survival of languages. In this program young people learn their own language by older generation who teach them traditional customs and craftsmanship. For example, in California Native Americans are trained basket weaving in their own native tongue, because of this method it is enough about 300 hours to begin to speak fluently (Knight, 2000). Similarly, another successful master-apprentices program has been developed by academic Leanne Hinton of Berkeley and has passed on the knowledge and skills of indigenous Native American languages to the youth. As a result, this incentive can provide to maintenance of 25 aboriginal languages in the US (Wayt-Gibbs, 2002). The next one of efficacious ways to preserve languages is documentation which has supported fieldwork and other activities relevant to recording, documenting and archiving endangered languages. In the recent years several potent foundations have been created in order to invest considerable amount of money for these purposes. According to Wayt-Gibbs(2002), the Volkswagen foundation has helped to establish a multimedia archive in the Netherland and collect data on dozen rare languages. Moreover, owing to the Lisbet Rausing Charitable Fund, in the UK linguists will probably manage to record and save about 100 minor languages (Wayt Gibbs, 2002). In fact, these immense documentation projections can be more beneficial for science rather than common people, since the preservation does not contribute using minority languages in the real life. To sum up, due to some constructive projects that have raised interest and investment to saving endangered languages, scientists hope to stop language extinction. However, there are an impressive number of pessimistic forecasts to further existence of linguistic variety in our planet. The greatest concern is caused by rate of dying minor languages especially in developed countries. Krauss, a linguistic professor at the University of Alaska, states that about 3 000 languages will have vanished by the end of the century. For example, only two of 20 languages known in Alaska have been learn by children (Wayt-Gibbs, 2002). Moreover, the Navajo tongue is also on the danger list because only elder people speak in this language (Knight, 2000). The similar process has occurred in Australia, where 20 of 70 Aboriginal languages were not spoken by all current generations (Wayt-Gibbs, 2002). Respectively, most scientists are concerned about the alarming situation and its development in the future. Nevertheless, common people, especially native speakers, often have inferior attitude towards their own language. This attitude is another cause of disappearing minor languages. Owing to learning a dominate language and forgetting own language, people hope to improve their standard of living and be equal to their surroundings. This case happened to some dialects in Scottish which have given way to common English language (Wayt-Gibbs, 2002). It is obvious that an individual does not understand why he or she has to save own language when it is not useful for everyday life. Thus, the world has lost its language diversity with the exponential rate, as indigenous communities have rejected using its own language in favor of global languages in order to have better opportunities for themselves and their children. Therefore, although some encouraging perspectives have recently appeared in linguistic fields to prevent minority languages from dying out, the process of language extinction is irreversible. Most of the evidence was presented above particularly from developed countries such as the US and Australia. Nonetheless, developing countries have also lost its indigenous languages. According to Wayt-Gibbs (2002), there are aboriginal languages in Brazil, Ivory Coast, East Timor which it is likely to be extinct in the next 100 years. How it can be seen from the examples, almost in all parts of the world there are disappearing languages and its number increase constantly. As for people who renounce their own languages in favor of a global language, they do it not always willingly, but under pressure of political and economical circumstances. In the past the US government constrained the Navajo to reject from their language (Knight, 2000). Moreover, for business it is not also profitable to contribute language diversity that prevents from economic globalization (Knight, 2000). For these reasons the fate of most local languages are sealed. While some optimists insist that it is possible to save losing languages because of master-apprentices program, Wayt-Gibbs (2002) states that this project is not widespread, mainly in the US. In addition to that, he claims that elder speakers tend to die before they pass on their knowledge to the youth. In regard to positive results of documentation undertaking, creation of language archives has encountered serious complication due to inconsistency of collected data and uncertainty with the period of archive‘s maintenance (Wayt-Gibbs, 2002). Even if to allow that linguists manage to collect and record all endangered languages, humanity would receive only an outline that could not revive real languages (Wayt-Gibbs, 2002). Thus, although attempts to save language variety are weak and separate, the world prefers to use several dominant languages. Perhaps, it is worth reflecting to native speakers which language they will choose in the future and they will not loss probably only their own language, but their own lifestyle and throughway. In conclusion, minor languages disappear extremely quickly throughout the world and most non-global language speakers consider their language as useless. Despite of some earnest attempts to transmit indigenous languages from elder people to new generation and save minor languages by means of its documentation, these projects are not sufficient to surviving these languages as the educational program has not spread widely and documentation has not manage to revitalize languages, only collect and record some of them. As a result, by the end of the century most minority languages will have vanished. Nowadays, the cost which people pay for vague prosperity and social safety seems no high, nevertheless, in the future they may realize that they lost not only their language and their identity. References: Knight, J 2000, ‘Lost for words’, New Scientist, 12 August, viewed 14 November 2007, < http:// www.newscientist.com/article.ns?id=mg16722512.400&print=true >. Wayt-Gibbs, W 2002, ‘Saving Dying Languages’, Scientific American, August, p.p. 78-85.