Jaundice Disease Essay Example

Jaundice Disease Essay The word jaundice is derived from a French word called as jaune, which means yellow. It is a very common condition which is seen in newborn babies which can be treated by exposing them to sunlight. It is also known as yellow skin or eyes disease. It turns your skin, mucous membranes, sclera (the white of your eyes) into a single yellow color. This yellow pigment which is seen on your skin is due to bilirubin which is a byproduct of old red blood cells. If you are affected by jaundice consider it to be a serious problem which cannot to be taken lightly. Nearly 1% red blood cells retire everyday and those are replaced by fresh blood cells. These old blood cells are processed in the liver and later disposed. If there happens to be too many old red blood cells the yellow pigment builds up in the body, which results in the first stages of jaundice. Even though jaundice is not a disease but it is a sign for many other diseases. Jaundice is very common among babies due to the immature functioning of the liver. It is not equipped to deal with the removal of bilirubin from the bloodstream. Jaundice occurs mainly due to liver failure but there are many other reasons by which it is affected. Bilirubin is a natural product arising from the normal breakdown of red blood cells in the body and is excreted in the bile, through the actions of the liver. Jaundice is most often the result of a disorder affecting the liver it can be caused by a variety of other conditions affecting for example the blood or spleen. It should be thoroughly investigated so that the underlying cause can be identified and treated. We will write a custom essay sample on Jaundice Disease specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Jaundice Disease specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Jaundice Disease specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The red blood cells in our circulation carry oxygen to all parts of the body and have a life span of about 120 days. At the end of their life they are broken down and removed from the circulation by special cells called phagocytes, which are found within the bone marrow, spleen and liver. New red cells are of course continually manufactured and this also takes place within the bone marrow. Following breakdown of the red cells some of their component parts such as amino acids and iron can be re-used by the body. Other components such as bilirubin need to be removed. Knowing how this removal pathway works is the key to understanding how jaundice occurs. Most waste products of the body are excreted in the urine via the kidneys but the liver and bile system is the other main physical route out of the body for these substances. By waste products we mean the many compounds that arise in the course of the bodys metabolism but almost all forms of drugs must also be eliminated either via the urine or bile routes. In the case of bilirubin released from old red cells, it passes through the bloodstream to the liver, where the liver cells process it. These cells carry out many complex chemical functions and also produce the liquid bile, which is the vehicle by which the cells discharge their output to the bile duct system. This is a branching network of tiny tubes throughout the liver, which merge in the same way as the branches of a tree. Ultimately a single main bile duct comes out of the liver and joins the first part of the small intestine (duodenum). Bile (and therefore bilirubin) then passes out through the small and large intestines and is excreted in the stool (feces). Bile is green in colour, but bacteria in the large bowel act to change the bilirubin to substances that are brown, which gives stool its characteristic colour. Some of the bilirubin is reabsorbed back into the body through the bowel wall, eventually appearing in the urine as a substance called urobilinogen (although the typical yellow/orange colour of urine is in fact due a different pigment called urochrome). Therefore, any failure of the bilirubin removal pathway will lead to a build-up of bilirubin in the blood. When this happens the individuals skin turns yellow, causing jaundice. There are many conditions that could be associated with jaundice, such as: An excessive breakdown of red blood cells The balance between manufacture and breakdown of red cells is normally precisely balanced and equal but there are several conditions in which the rate of breakdown increases. If the amount of bilirubin thus released exceeds the livers capacity to remove it, then jaundice will develop. The medical term for excessive red cell breakdown is haemolysis, and within the developed world it is a fairly rare condition. Malaria is however a major cause in tropical climates as the malaria parasites live within the red cells and shorten their life. Similarly the condition in which a foetus develops haemolysis due to incompatibility of its Rhesus blood group with that of its mother is now rarely seen in the UK where we routinely check for Rhesus antibodies in the mothers blood. In parts of the world where antenatal care is not as good haemolytic disease of the newborn is much more common. A temporary jaundice of newborn babies is however quite common, due to the relative immaturity of the babys liver cells and the higher than normal rate of cell breakdown that occurs in the first few weeks of life. It improves rapidly without treatment although when too high it can be speeded up by exposing the baby to ultraviolet light. Jaundice of the newborn is commoner in premature babies as their liver is even more immature than a baby born at term. Autoimmune haemolytic anaemia is a rare disease in which the bodys immune system seems to attack the red cells. It usually affects adults. Haemolysis can also be a side effect of some drugs, eg dapsone. Impairment of liver cell function The commonest cause is a viral infection of the liver cells (hepatitis). Many different types of infection including glandular fever (mononucleosis) can also be responsible for this. Alcohol abuse and subsequent scarring of the liver (cirrhosis) can cause significant cell damage leading to jaundice. Other less common conditions causing liver cell damage include haemochromatosis, alpha-1 antitrypsin deficiency and primary biliary cirrhosis. Tumours of the liver either primary liver cancers (arising from the liver tissue itself) or more commonly, the secondary spread of a tumour from elsewhere in the body into the liver can lead to cell failure and jaundice. Blockage of the bile ducts This can occur as a result of abnormality inside or outside the ducts. The commonest example of an internal blockage is a gallstone. Tumours of the bile duct are rare but if large enough, or situated just where the bile duct meets the duodenum, then they can block the flow of bile. At this junction point, known as the ampulla of Vater, the tube from the pancreas gland also joins to the duodenum. Cancer of the pancreas tends to arise in the part of the pancreas nearest to the ampulla of Vater, so is another potential cause of obstructive jaundice. Any external organ or mass lying nearby that becomes large enough to press on the bile duct could be responsible. Examples include swollen internal lymph glands, a cyst (perhaps of the pancreas) or scar tissue following a previous infection or surgery. Symptoms of Jaundice, other than that of the jaundice itself, will relate to the underlying cause. For example someone with haemolysis might also be anaemic and tired. If a gallstone were responsible there would probably have been a preceding history of pain in the abdomen. A cancer might be accompanied by weight loss, and so on. When jaundice is due to obstruction of the bile duct the person will often notice that their urine becomes dark and stools become pale, as the excess bilirubin spills over into the urine and no longer colours the stool. Obstructive jaundice is also often accompanied by intense itching. The diagnosis is made by recognition of the patients appearance and accompanying symptoms. A blood test will confirm the raised bilirubin level and other tests such as those for hepatitis and haemolysis are also done on the blood. Ultrasound is a good way to inspect the liver and bile ducts for signs of obstruction, and often can give useful information on the pancreas gland. CT scanning also helps diagnose obstructive jaundice accurately. Treatment will depend upon the diagnosis behind the symptom of jaundice. For example, if the problem is one of gallstones, then removal of the gallbladder may be required. Jaundice comes in several other types, I will elaborate briefly about some of those types as follows: Neonatal jaundice is usually harmless: this condition is often seen in infants around the second day after birth, lasting until day 8 in normal births, or to around day 14 in premature births. Serum bilirubin normally drops to a low level without any intervention required: the jaundice is presumably a consequence of metabolic and physiological adjustments after birth. In extreme cases, a brain-damaging condition known as kernicterus can occur; there are concerns that this condition has been rising in recent years due to inadequate detection and treatment of neonatal hyperbilirubinemia. Neonatal jaundice is a risk factor for hearing loss. Jaundiced eye, It was once believed persons suffering from the medical condition jaundice saw everything as yellow. By extension, the jaundiced eye came to mean a prejudiced view, usually rather negative or critical. Alexander Pope, in An Essay on Criticism (1711), wrote: All seems infected that the infected spy, As all looks yellow to the jaundiced eye. Similarly in the mid 19th century the English poet Lord Alfred Tennyson wrote in the poem Locksley Hall: So I triumphed ere my passion sweeping thro me left me dry, left me with the palsied heart, and left me with a jaundiced eye. In conclusion, if you or one of your friends or relatives suspect that you may have jaundice, it is essential that you arrange to see your doctor in order that the underlying cause is identified and any possible treatment initiated as soon as possible.

Who Influenced Michael Jordan To Become The Player Essays

Who Influenced Michael Jordan To Become The Player Essays Who Influenced Michael Jordan To Become The Player And Person He Is Today? Davis 1 Who Influenced Michael Jordan to Become the Player and Person He is Today? I. Introduction A. Background B. Thesis Statement II. Body A. Childhood of MJ B. MJ the Child Player C. The College Years D. MJ- The Pro Athlete 1. Life in the NBA 2. Life in the MLB E. Back to the NBA 1. Bye, Bye, Bye (Retirement from the Game) III. Conclusion IV. Appendixes A. Charts and Statistics V. Bibliography Page Davis 2 Introduction Well everyone has theyre own opinion about Michael Jordan, but one thing is certain, he is a phenomenal athlete with a unique combination of grace, power, artistry and the improvisational ability. He is not only the top player of his Era, but is quite possibly the best player to wear the uniform of a NBA team. He is the most recognizable athlete in the world and is believed to be the best there ever was, is, or ever will be. (NBA.com) A person to this magnitude has obviously a success, being able to have a family of his own and, knowing that there are thousands of people looking up to him, and being many peoples idol. To be able to stand the pressure of being a national symbol of greatness, you have to have a driving force. This driving force has been known to be the edge a lot of people have needed to make it over. Michael Jordans family helped him to fight and become one of the most influential, successful, and professional sports figures ever. Body Michael Jeffrey Jordan was born on February 17, 1963, in Brooklyn, NY, to a proud Deloris and James Jordan. (Nba.com; BioLife.com) Now this very first point may seem like no big deal but its something in itself. Jordan almost wasnt born. In 1963, when Deloris was carrying Mike her mother died unexpectedly causing her to fall into a deep depression and stress period. Fearing a miscarriage the family doctor ordered her to bed rest. (Greene 12; NBA.com) I Davis 3 always said that Michaels birth was like a sign. I lost my mother while I was carrying Michael, and he was my godsend. Michael was the happiness he sent me after a very sad time in my life. Deloris (qtd. In Halberstam 48) The near miscarriage was very bad. James (qtd. in Halberstam 49) Michael the Jordans 4th child lived in a pretty much average house, which was on the lower end of the economic pool. When Mike was 2 he had a really close brush with death. James (Mikes father) was outside tuning up his car at his parents house. The ground was still soaked from the earlier downpour. Two extension cords let him stretch a lamp from the kitchen outlet to under the hood of his car. During his labor he saw something out of the corner of his eye. Mike had escaped his playpen and, was on his way to make it a father- son- project. James ran towards him bit it was too late. Mike walked right into the junction of the wires and began playing with them. A sudden surge of current sent him flying back about 3 feet, where he landed in too much shock to cry. (Greats of the Game.com; BioLife.com) James put a net up in the backyard and the boys played all the time. Michaels older brother Larry always beat him. Growing up Mikes favorite sport was baseball, and he was quite good too! He was the MVP of Dixie League and received a scholarship to Mickey Owen Baseball Camp. Michael got better at basketball and, decided to try out for the Varsity Laney High Basketball Team but, wasnt good enough as a sophomore. Jordan, as a sophomore, played on JV and, averaged 27.8 PPG. Jordan after junior year was Davis 4 invited to play at the 5-star Camp where colleges recruited. MJ won 10 trophies including 2 MVPs. The University of North Carolina recruited Jordan. Dean Smith the winningest coach in NCAA basketball history coached Mike. (Greene 52; Halberstam 27, BioLife.com) Most people thought that Mike would come and sit the bench. They were startled when they found out he was a season opener starter. (NBA.com) Mike had a great time playing for UNC, and his nest move was to become eligible for the NBA draft. Mike was 3rd pick behind Hakeem Olajuwon (Houston)

Heritage of music. Bla Bartk Essay Example | Topics and Well Written Essays - 1000 words

Heritage of music. Bla Bartk - Essay Example Bela Bartok’s amazing accomplishments are in part due to the biographical elements of his life, as well as to his own creative energy. The biographical elements include the times and places of his growth and development, as well as the people who influenced him. His individual creativity can only be attributed to that unexplainable factor that accounts for artistic genius. Together these elements combined to make one of the most influential composers of the twentieth century. Bela Bartok was born in the town of Nagyszentimiklos in Hungary in 1881 (Sadie and Tyrrell 132). Being a product of Eastern Europe at this time in history meant that he would experience a lot of political and economic instability during his life. Adding to this social and political insecurity, the death of his father in 1881 caused his mother to move to what became the Ukraine and then Slovakia (Raeburn and Kendall 248). The changing borders of these Eastern European countries together with the physical a nd economic unsteadiness of his family kept Bartok’s world in flux as he was growing up. It must have seemed as though the ground continued to move beneath him. It is possible that this lack of stability could have contributed to his development as an artist, that the music inside of him was a constant that was not present in his outside world. Although the unpredictable circumstances of his childhood may have been a factor in Bartok’s artistic development, his early musical accomplishments indicate that he must have had innate talent as well. Also, his mother gave piano lessons, so he grew up listening to her teach and play. At the age of eleven he gave his first public performance, which included some original compositions. During his teen years, Bartok continued to advance in his performance level and began composing chamber music, a skill he learned by reading musical scores. At the age of eighteen, he entered the Budapest Academy of Music, where he became influenc ed by other composers and their musical styles. He studied piano with teacher who was a student of Franz Liszt, from whom he drew what Taruskin called a â€Å"self-conscious image† (373). Perhaps this meant that he was developing a style which was his and his alone. Richard Strauss’s â€Å"Also Sprach Zarathustra† inspired him to think outside the borders of conventional music, and pieces by Debussy introduced him to the tone poem (Taruskin 349). This combination led to his first major work, Kossuth, which was composed in 1903 and performed in 1904. The central figure of this symphonic poem is Lajos Kossuth, who was a hero in the Hungarian revolution. Embodying Bartok’s youthful patriotism, Kossuth gained even more popularity because of the political tension between Hungary and Austria at that time. Hungarians in the German army were demanding the same representation among the commanding ranks and wanted the Hungarian language to be spoken and recognized as equal to German (Taruskin 373). Kossuth was â€Å"a kind of narrative of the 1848-1849 revolution, in which the Austrians are represented by a grotesque distortion of Haydn’s famous imperial anthem (‘Gott, erhalte Franz den Kaiser’), and Kossuth (by extension, the Hungarians) by a melody in the noblest magyar nota style† (Taruski 374), magyar nota meaning Old Hungarian song. Also while at the Academy, at about the same time that he discovered Strauss’s and Debussy’s music and adapted the genre and style of the tone poem to his own innovative compositions, Bartok met the composer Zoltan Kodaly, with whom he became a lifelong friend. Kodaly’s influence on Bartok was to introduce him to the music of the common people. Together they travelled the countryside collecting Slovak songs from the local peasants. These activities along with the popularity of Kossuth led him to become somewhat of a national hero, and his music came to represent what was Hungarian. According to Taruskin, â€Å"‘haughty accompanying rhythms,† â€Å"dotted pairs on every downbeat,†

The Case Of Brian Keith Rose Term Paper Example | Topics and Well Written Essays - 1250 words

The Case Of Brian Keith Rose - Term Paper Example Rose was initially charged in State court in Baltimore County though evidence in the form of a partial fingerprint was thrown out by a Baltimore County Judge. The United States Attorney took over the case after Judge Souder’s October 2007 ruling. Souder’s ruling was based on the fact that technique used to analyze the fingerprints was not scientifically reliable. State charges against Rose were then dropped and the case was re-filed in the US District Court (Brendan, 2010).MD Rule 5-702 requires that latent fingerprint identification methods rest on reliable factual foundations and in this case the ACE-V method used was not proved to be reliable and factual in State Court. Initially no latent fingerprints were identified by the crime lab and homicide Detectives suggested several names of suspects to the crime lab. At that time these names, including Brian Rose, were compared to the latent print recovered. Both sides in this case requested that the Court determine the re liability of the ACE-V methodology, hence allowing or disallowing the latent prints as evidence. The defendants contended that the ACE-V is not a method which has been scientifically tested, thus the error rate is unknown. Without an error rate it is impossible to know the reliability of this methodology. A fingerprint is in essence a reproduction of friction ridge formations of the surface of a finger, left by the transfer of oil or other matter between the finger and the object. These ridges form before birth.

Effect of Inter-professional Team on Collaborative Working

Effect of Inter-professional Team on Collaborative Working How Communication within an Inter-professional Team Can Affect Collaborative Working Strategies Introduction Schwartz, Lowe Sinclair (2010) have stated that effective communication is very important for a health care professional and service user to interaction with each other successful and also between the health care professionals. according to Weiss Tappen (2014),P98 Communication is considered to be a core competency in promoting inter-professional collaborative practice. This assignment will identify and discuss the differences within the inter-professional and collaborative working strategies, which can help health care professionals overcome any boundaries within different professions. The assignment will also looked at the knowledge and skills which are vital in order to show autonomy in practice this help nurses to improved their level of interaction with different professionals within the an inter-professional team. Anderson(2013), have stated that communication is vital in nursing profession this is due to the nursing practice on a daily basis is build on collaborating or working with different professionals. (Garwood, Lingard et al, 2005) reported that when medical errors take place, the reasons for the error are often traced back to breakdowns in communication between members of the healthcare team. It has been stated by Goodman and clemow(2010) nursing profession is not a solitary profession. Nurses should therefore be able communicate effectively with different professionals in order to work as a part of the team and interact successfully. If nurses can maintain this positive attitude of working in inter-professional collaborative working strategies and communicate effective, this will not only benefit the patient centre care but it will also reduce the conflict within different professions. Anderson (1990) stated that active listening is a process that requires energy and concentration to avoid one missing major points which would in turn compromise delivering quality care to the service users. This has been evidenced in both Victoria Climbie baby P cases and Mid Staffordshire(Francis report 2013) where there was a lack of communication and collaboration among the inter-professional group which led to fatal incidents in both cases. According to (Hall and Weaver,2001) in order to improved the quality of the service user there has to be a good communication, collaboration and congruence among the health care provides. To be an effective collaborative worker. The Nursing Midwifery Council (NMC,2008) have state in the code of conduct that nurses must able to work effectively as a part of a team and this can only be achieved through if nurses are willing to sharing their knowledge, skills and experience with their colleagues. making consultations, taking advice when appropriate, and making referrals to other practitioners. cooperate with others in the team; maintain your professional knowledge and competence; be trustworthy and to act to identify and minimise risk to service users This strategy naturally entails communication with other professionals. Communication in this case can be verbal or non-verbal.when communicating with different professional it is vital that the language which is used during the communication is understood by all those whom are involved in the care of the service user. (Kourkouta Papathanasiou, 2014).What that means is that during inter-professional communication the language which is use should be formal and consistent. This is another way which help to improve inter-professional communication and enhance collaborative practice. Schwartz et al.(2010) have identify that one related problem which prevent effective development of inter-professional communication, which is development of a language that is different for every profession. Having a language which is only unique to one profession or discipline can seriously cause communication barrier within personnel from different professions or discipline(Schwartz et al.2010). Miscommunication could be due that health care professionals are unable to understand the information which been given , now this could be due to lack of shared understanding of commonly used acronyms , terms and concepts.( Schwartz et al.2010).This can have great impact of the quality of collaboration within professionals this could be due that they are unable to understand each other on easy way. In order to deal with this problem it is important to avoided use of medical jargon, especially when inter-professional team involved non-healthcare personnel. This issue of using medical jargon when communicating with non-healthcare personnel has been a hot topic during the lecture of Cares of Hertfordshire, they have stated that they wish that healthcare professional will communicate with them with the language that they understood not so many medical jargon that they do not understand and has not been explained to them in way that they could understand it. which is why it vital to recognize our own use of jargon and asked colleagues clarified unclear terminology and use jargon free language whenever is possible. Campbell(2006) Have reported that poor communication has frequently been cited as one of the biggest criticisms in health care settings. Another importance of collaboration is that it ensure the transfer of accurate information necessary to deliver appropriate care . Nurses have also been advice to adopt a structured format of verbal and non-verbal communication skill which is acceptable to all members of the inter-professional team. One structured which is common within the hospital known as SBAR,(Situation, Background, Assessment and Recommendation) this method make inter-professional communication more effective and easy to understand and reduced any confusion . Narayan(2013,p504). According to Kourkouta Papathanasiou, (2014,p65) have stated that communication can happened even without words been said, which is it is important to recognise that non-verbal communication is quail important as verbal communication. Non-verbal communication is through body language and facial expression (Kourkouta Papathanasiou,2014 ) . This is why it is vital that nurses learn within early stage of their practice learn how read and understand other professionals non-verbal communication, which usually should use with spoken words, in order to fully understand the information communicate and eventually improve collaborative practice. It is important to have a clear and structured form of communication in order to prevent stereotyping and judgmental attitudes and unprofessional behaviours towards other members of staff. with this knowledge in hand it is important to make sure ones future professional judgement or decision are based on accurate information sharing, making sure that non-judgemental avoided misunderstanding and misconception when making decision. This is one of the reason why The NMC (2008,p5) states that nurses should be able to work cooperatively within teams and respect the skills, expertise and contribution of the others. another strategy of collaborative working is that always make sure that patients or service users are involved at any decision making regarding their acre. According to Beauchamp Childress (2001) the autonomy of services users should be respected and their decision-making capacity of independent person which enabling them as an individuals to make reasoned informed choices about their treatment. It is clear that nursing profession is like any other profession which requires a certain of independence from other professions even if the practice of nursing required ones to work collaborating with other professions. Dave (2009) have state that the role and responsibilities needs to be defined, challenged and task to be shared within health care profession this will enable both nurses and different other health care professions whom are also involved in service user care. Independent practice points to the concept of autonomy. Dewar (2010) states to be able to practice professional autonomy means that one is already in the advance practice of ones profession. Nurses should be able make clinical decision directly relating to their patients care in order to practice autonomy. It is important to know yourself and your capabilities, to understand what makes us do the things we do and why we do them. also to be self-aware. Self-awareness is a vital aspect of professional development. People are born into different backgrounds and are different in their ways, motivations, thoughts and beliefs; however as a professional, it is important to recognise how these affect others to be able to establish and maintain therapeutic relationships with patients. (Swapna ,2007) Knowing our own thoughts and feelings, strengths and weaknesses gives us the ability to guide us in our decision making, and also helps us to become more self-confident in our approaches The main priority of service improvement is to improve access for patients by engaging clinical teams to reduce waits and delays at all stages across a patient pathway. Service Improvement is achieved by looking for opportunities to redesign as well as ensuring that effective waiting list management practice is implemented. Conclusion Inter-professional communication gravely affects collaborative working strategies which use within an inter-professional team. It is core effect which is inefficient collaborative practice which enable to make sure high quality of care is deliver to the patients at all time. poor inter-professional communication can hinder collaboration within professionals and which in turned can have a greater impact on the quality of care which delivered to the patient. It is important to have good inter-professional communication and collaborative working practice in place to prevent any miscommunication happening within the health care. SBAR is one good example of using a formal structured language. It is also very important as a health care profession to remind ourselves to avoided using medical jargon . References Anderson, L. (2013). Why communication in the nursing profession is important? Retrieved May 10, 2015, fromhttp://www.nursetogether.com/why-communication-in-the-nursing-profession-is-important Anderson, C. (1990) Patient Teaching Communication in an Information Age. New York. Delmar Publishers Inc. Beauchamp T Childress J (2001) Principles of Biomedical Ethics. Oxford. Oxford University Press Dewar, K. (2010). Advanced practitioners and advanced practice. In: M. Standing (Ed.).Clinical judgement and decision-making in nursing and inter-professional.(pp. 28-53). Maidenhead: Open University Press. David Hutton (2009)Professional Advisor Revalidation, Nursing and Midwifery Council Preceptorship Framework for Newly Registered Nurses, Midwives and Allied Health Professionals Department of Health (2009) Goodman, B. and Clemow, R. (2010).Nursing and collaborative practice: A guide to interprofessional learning.London: SAGE. Francis (2013) Report on Mid Staffordshire Hospital. Retrieved from https://www.gov.uk/government. Hall, P., Weaver, L. (2001). Interdisciplinary education and teamwork: A long and winding road. Medical Education, 35, 867 – 875. Joshi Swapna Ranade Sujata (2007)Model Answers in Obstetrics Nursing Published byJaypee Brothers Medical Publishers (P) Ltd. The Nursing Midwifery Council (2008) Code of professional conduct: Standards for Conduct, Performance and Ethics. London. NMC Kourkouta, L. Papathanasiou, I. (2014). Communication in nursing practice.Mater Sociomed,26(1), 65-67. Narayan, M. (2013). Using SBAR communications in efforts to prevent patient rehospitalizations.Home Healthcare Nurse,31(9), 504-515. Rita Debnath Professional Skills in Nursing: A Guide for the Common Foundation Programme (Campbell 2006) Chapter 3 Communication Skills Schwartz, F., Lowe, M. Sinclair, L. (2010).Communication in health care: Considerations and strategies for successful consumer and team dialogue.Retrieved December 20, 2014, fromhttp://www.hypothesisjournal.com/?p=885 Thurgood, G. (2011). Teamwork: Working with other people. In: R. Burton G. Ormrod (Eds.).Nursing: Transition to professional practice.(pp.118-157). Oxford: Oxford University Press. Verhovsek, E., Byington, R. Deshkulkarni, S. (2013). Perceptions of interprofessional communication: Impact on patient care, occupational stress and job satisfaction.The Internet Journal of Radiology.12(2) Retrieved December 20, 2014,https://ispub.com/IJRA/12/2/4895 Weiss, S. Tappen, R. (2014).Essentials of nursing leadership and management.Philadelphia: F.A. Davis Company. 09203474 Jarra jabang1

To what extent do you regard The Shield Of Achilles as characteristic E

To what extent do you regard The Shield Of Achilles as characteristic of Auden’s work as whole? At first glance Auden’s poem the ‘Shield of Achilles’ appears to be focused on the classical world. The poem’s classical nature is first indicated by the title- Achilles was of course a famous Greek hero, and throughout the poem there are further classical references, many of which Auden has taken from Book XVIII of Homer’s Iliad- ‘Marble well-governed cities’ (l.3), ‘†¦athletes at their games’ (l.46), ‘Hephaestos, hobbled away’ (l.61). However, the poem also combines these classical details with the modern world- ‘Proved by statistics’ (l.17), ‘Barbed wire enclosed an arbitrary spot’ (l.31). Although there is this unusual combination of classical and modern, the poem can be seen as timeless: Column by column in a cloud of dust =================================== They marched away enduring a belief Whose logic brought them, somewhere else, to grief. (‘The Shield of Achilles’ ll.21-23) Here the army who are ‘enduring a belief’ (l.21) that they are doing good can be as easily applicable to the modern day (i.e. the situation in Iraq) as to classical times. The timeless nature of the poem can be said to be a characteristic feature as it appears in other poems such as ‘Gare du Midi’: ====================================================================== †¦clutching a little case He walks out briskly to infect a city Whose terrible future may have just arrived. (‘Gare Du Midi’, ll.6-8) Here we are led to believe that a man is about to unleash a terrible weapon on a city and although the poem was written in December 1938, its proleptic nature allows the poem to be much more in tune with the w... ...atures, it is perhaps impossible to outline a characteristic Auden poem. ‘The Shield of Achilles’ lacks many features that would make it characteristic. For example, poems such as ‘Moon Landing’ and a ‘Walk After Dark’ are rife with colloquial (‘Mneh’- ‘Moon Landing’, ll.22) and recherchà © (‘Lacrimae rerum’- ‘A Walk After Dark’, l.30) language, whereas ‘ The Shield of Achilles has none, instead the language in the poem obeys the poem’s principle of contrast- it alternates between classical and modern language. Therefore it’s reasonable to say that there are many re-occurring themes throughout Auden’s poems, but not that there are entire poems which are ‘characteristic’. --------------------------------------------------------------------- [1] It is notable that ‘Ist September 1939’ appeared on many websites after the September 11th attacks in 2001.

Business process management Case Study Essay

1.How would you define â€Å"business process management†based on this video and text reading? How would you compare it to business process re-engineering, continuous improvement, and total quality management approaches? Answer: -Business Process Management is most often associated with the life cycle of a business process. The process life cycle spans identifying and improving processes that deliver business capability to deploying and managing the process when it is operational. 2.What are the major objectives of BPM? Answer: After a business process is deployed, it   must be managed, and, to manage the business process, you must have visibility into process performance. When a process is no longer meeting its performance goals, it is time to jump back in the life cycle to assess the root cause of the performance problem and to look for additional improvement opportunities. –  3. what is the significant of a â€Å"service oriented architecture?† What differences does this make for implementation,cost, and flexibility of the BPM tools? Answer: -solution to enable reuse of services across systems to eliminate data inaccuracy problems, enhance existing applications and deploy new ones 4.Why is it important that the BPM software products a Business Process Exucution Language (BPEL) Model for the IT department? Answer: using business process modeling and the IBM WebSphere Business Modeler tool to describe flows and interactions within different areas,† says Nay. â€Å"WebSphere Business Modeler can then export into Business Process Execution Language (BPEL); BPEL can be pulled into the WebSphere integration tools, becoming part of the creation of integrated processes. This helps us focus on process issues across silos, instead of having to look at issues within siloed areas.† Nay believes that by reusing services, logic previously usable in only one place can now be exploited wherever needed.  Ã¢â‚¬Å"For example, we can create a service that performs a grade lookup for the Distance Education project,† he says. â€Å"We can reuse that service repeatedly across different systems to solve different problems, saving time and money. By adopting the SOA approach using WebSphere Business Modeler, IBM Process Server and IBM WebSphere Integration Developer, 5.what is the utility of â€Å"key performance indicators â€Å"(KPI)? Answer: Business activity monitoring provides visibility over operational performance. IBM WebSphere Business Monitor is a comprehensive business activity monitoring software product that provides users with a real-time, end-to-end view of busi- ness processes and operations. WebSphere Business Monitor provides customizable business dashboards that calculate and display key performance indicators (KPIs) and metrics derived from business processes, business activity data and business events from a wide range of information sources. 6.why is it important for managers to be able to â€Å"drill down† into the data and system? Answer: In order to identify the patterns that may lead to catalog errors—and quickly and appropriately act upon the detection of these patterns—IBM needed to capture, evaluate and correlate multiple events from the various systems and organizations that are involved across the enterprise. The type of processing needed for this problem is called business event processing (BEP). Business Process Management (BPM) software and services from IBM help organizations optimize business performance by discovering, documenting, automating, and continuously improving business processes to increase efficiency and reduce costs. And to easily manage their business with out worrieng about any problems – 1.What are some features of Antivia Desktop that remind you og web 2.0 technologies Answer: Antivia subscribe to the view that ideas and concepts realized through the advent of web 2.0 are Transforming the way in w/c the world expects to access and use information. 2.What is the importance of communities in the antivia Desktop? Answer: They have invested significant amounts of time,effort and money to achieve  this. Antivia desktop incorporates some web 2.0 techniques and technology to Avhieve a richer collaboration environment. 3.Why is it important that discussions are closely linked to resources (documents)? Would you find this feature a distraction, or useful? Why ? Answer: in business , in all aspect of business you should have a resources like document to manipulate you transaction even you far away to your busiiness 5.For what types of business is Antivia Desktop well suited? Answer: Any business that have a link o or connection to other, like networking company, 6.What are some drawbacks or weaknesses of the antivia system? 1.What is the ‘8 second rule’ of the internet and why is it important to m-commerce technology? Answer: The 8 second rule: it is the average maximum length of time an Internet user will wait for downloading a webpage, before he or she shuts the Internet page and goes to another website. 2.why might it be useful to m-commerce providers to have records of theirs’ purchase histories? Answer: If m-commerce is to spread, the network used has to be successful enough, otherwise consumers won’t use their smartphones as a mode of payment. 3.what is the biggest concern most cell phone users have about using m-commerce service? What are some other concerns? Answer: With records of their users’ purchase histories, m-commerce providers â€Å"get(†¦) the visibility into consumer habits that enable them to develop new products and services that are more tailored to what consumers really desire† 4.How would the widespread use of m-commerce technologies affect you life? Answer: 1.Using Porter’s competitive forces model,analyze the NBA’s market situation.How does te use of akamai help the NBA compete in this market? 2.Using Porters generic strategies model,what do you think is the NBA’s overall stategy or strategies? 3.Why is it important that all fans in the world have the same experience? 4.why is it important that individual franchising owners can build,manage, and distribute on the NBA platform their own content? 5.The word â€Å"partnership†appears several times in the video.Who are the NBA’s partners?How does the concept of strategic apply to the NBA’s partnership strategie? 1.What kinds of limitations do you see for users of telepresence?Is it really a substitute for face-to-face meeting?make a list of features of face-to-face meetings. Then consider a range of business situations as anemployee,from initial hire,to working with a team,to understanding what your boss wants,and even a termination meeting.How would telepresence work for you in these situations? 2.What are the business benefits of telepresence described in these videos? What is the benefits of a hologram? 3.In the past,work was organized into central buildings located in central locations (like cities) in order to facilitate face-to-face interactions.What impacts might telepresence have on the organization of work? How could you use tools to organize work on global scale with actually building physical facilities in remote locations? 4. Why is it important that the remote locations using telepresence have the same lighting,seating,and style? 5.What applications of telepresence would be useful for marketing to customers?