Tuesday, November 26, 2019

Fedralist 51 essays

Fedralist 51 essays James Madison wrote Federalist 51 because he wanted to make sure that the government of the United Stated has some kind of checks and balances for all branches. He wants to make sure that all the different departments have another department the checks them. If this was not in place today then our government could have many problems in their department by just making mistakes. Madisons words Ambition must be made to counteract ambition... fit right into the constitution because we need more than one branch so they can check each other. Madison wrote to inform people that we need checks and balances so no one branch could get too much power. Today, we have legislative, executive, and judicial branches, which fit right into the constitutional system and do not focus on just one idea. The separation of power in the government allows the different branches, such as the congress and the president, compromise their idea and come up with a resolution that benefits the majority. The separation of power also allows the pass through more than one department so there is nothing being passed that should not be. Madisons words are very important to the society today because our society has many ideas that the government just cannot pass. We need the checks and balances so that what is passed is checked more than once and corrected. If there were only one branch then they would only pass the laws, which were most appealing to that branch would be passed and not the others no matter which is important. Now if there is a law or an idea, it has to go through the congress, representatives, and the president who mostly makes the final decision. And if president does not like it he can veto it or the congress can take it out by number of votes. Our government and our people are fortunate because we dont have only one person making all of our decision for us but allow t ...

Friday, November 22, 2019

Greenland Shark Facts (Somniosus microcephalus)

Greenland Shark Facts (Somniosus microcephalus) The cold waters of the North Atlantic and Arctic Ocean are home to the worlds longest-lived vertebrate: the Greenland shark (Somniosus microcephalus). The large shark goes by several other names, including gurry shark, grey shark, and eqalussuaq, its Kalaallisut name. The Greenland shark is best known for its impressive 300 to 500 year life span, as well as its use for its use in the Icelandic national dish: kà ¦stur hkarl. Fast Facts: Greenland Shark Scientific Name: Somniosus microcephalusOther Names: Gurry shark, grey shark, eqalussuaqDistinguishing Features: Large gray or brown shark with small eyes, rounded snout, and small dorsal and pectoral finsAverage Size: 6.4 m (21 ft)Diet: CarnivorousLifespan: 300 to 500 yearsHabitat: North Atlantic and Arctic OceanConservation Status: Near ThreatenedKingdom: AnimaliaPhylum: ChordataClass: ChondrichthyesOrder: SqualiformesFamily: SomniosidaeFun Fact: Chef Anthony Bourdain said kà ¦stur hkarl was the single worst, most disgusting and terrible tasting thing he ever ate. Description Greenland sharks are large fish, comparable in size to great whites and in appearance to sleeper sharks. On average, adult Greenland sharks are 6.4 m (21 ft) long and weigh 1000 kg (2200 lb), but some specimens reach 7.3 m (24 ft) and 1400 kg (3100 lb). The fish are gray to brown in color, sometimes with dark streaks or white spots. Males are smaller than females. The shark has a thick body, with a short, round snout, small gill openings and fins, and small eyes. Its upper teeth are thin and pointed, while its lower teeth are broad with cusps. The shark rolls its jaw to cut away pieces of its prey. Greenland shark (Somniosus microcephalus). NOAA Okeanos Explorer Program Distribution and Habitat The Greenland shark is usually found in the North Atlantic Ocean and Arctic Ocean between sea level and a depth of 1200 m (3900 ft). However, the fish migrate to deeper water further south during the summer. One specimen was observed off the coast of Cape Hatteras, North Carolina at 2200 m (7200 ft), while another was documented at 1749 m (5738 ft) in the Gulf of Mexico. Greenland shark distribution. Chris_huh Diet The Greenland shark is an apex predator that feeds mainly on fish. However, it has never actually been observed hunting. Reports of scavenging are common. The shark supplements its diet with reindeer, moose, horse, polar bears, and seals. Adaptations While the shark feeds on seals, researchers are unclear how it hunts them. Because it lives in frigid water, a Greenland shark has an extremely low metabolic rate. In fact, its metabolic rate is so low that the species has the lowest swimming speed for its size of any fish, so it cannot swim fast enough to catch seals. Scientists hypothesize sharks may catch seals while they are sleeping. The low metabolic rate also leads to the animals slow growth rate and incredible longevity. Because sharks have cartilaginous skeletons rather than bones, dating their age requires a special technique. In a 2016 study, scientists performed radiocarbon dating on the crystals in the lenses of eyes of sharks caught as bycatch. The oldest animal in that study was estimated to be 392 years of age, plus or minus 120 years. From this data, it appears Greenland sharks live at least 300 to 500 years, making them the worlds longest-lived vertebrate. The biochemistry of the Greenland shark is adapted to allow the fish to survive extremely cold temperatures and high pressures. The sharks blood contains three types of hemoglobin, allowing the fish to obtain oxygen over a range of pressures. The shark is said to smell like urine, due to the high levels of urea and trimethylamine N-oxide (TMAO) in their tissue. These nitrogenous compounds are waste products, but the shark uses them to increase buoyancy and maintain homeostasis. Most Greenland sharks are blind, but not because their eyes are small. Rather, the eyes are colonized by copepods, occluding the fishs vision. Its possible the shark and copepods may have a mutualistic relationship, with the crustaceans displaying bioluminescence that attracts prey for the shark to eat. Reproduction Very little is known about Greenland shark reproduction. The female is ovoviviparous, giving birth to about 10 pups per litter. The newborn pups measure 38 to 42 cm (15 to 17 in) in length. Based on the animals slow growth rate, scientists estimate it takes about 150 years for a shark to reach sexual maturity. Greenland Sharks and Humans The high concentration of TMAO in Greenland shark flesh makes its meat toxic. The TMAO is metabolized into trimethylamine, causing potentially dangerous intoxication. However, the sharks meat is considered a delicacy in Iceland. The meat is detoxified by drying, repeated boiling, or fermenting. Hkarl hanging to dry in Iceland. Chris 73 Although a Greenland shark could easily kill and eat a human, there are no verified cases of predation. Presumably, this is because the shark lives in extremely cold water, so the chance of interaction with humans is very low. Conservation Status The Greenland shark is listed as near threatened on the IUCN Red List. Its population trend and the number of surviving adults is unknown. Presently, the species is caught as bycatch and intentionally for Arctic specialty food. In the past, Greenland sharks were heavily fished for their liver oil and were killed because fisheries thought they posed a threat to other fish. Because the animals grow and reproduce so slowly, they have not had time to recover. The shark is also threatened by overfishing and climate change. Sources Anthoni, Uffe; Christophersen, Carsten; Gram, Lone; Nielsen, Niels H.; Nielsen, Per (1991). Poisonings from flesh of the Greenland shark Somniosus microcephalus may be due to trimethylamine. Toxicon. 29 (10): 1205–12. doi:10.1016/0041-0101(91)90193-UDurst, Sidra (2012). Hkarl. In Deutsch, Jonathan; Murakhver, Natalya. They Eat That? A Cultural Encyclopedia of Weird and Exotic Food from around the World. pp. 91–2. ISBN 978-0-313-38059-4.Kyne, P.M.; Sherrill-Mix, S.A. Burgess, G.H. (2006). Somniosus microcephalus. The IUCN Red List of Threatened Species. IUCN. 2006: e.T60213A12321694. doi:10.2305/IUCN.UK.2006.RLTS.T60213A12321694.enMacNeil, M. A.; McMeans, B. C.; Hussey, N. E.; Vecsei, P.; Svavarsson, J.; Kovacs, K. M.; Lydersen, C.; Treble, M. A.; et al. (2012). Biology of the Greenland shark Somniosus microcephalus. Journal of Fish Biology. 80 (5): 991–1018. doi:10.1111/j.1095-8649.2012.03257.xWatanabe, Yuuki Y.; Lydersen, Christian; Fisk, Aaron T.; Kovacs, Kit M. (2012). The slowest fish: Swim speed and tail-beat frequency of Greenland sharks. Journal of Experimental Marine Biology and Ecology. 426–427: 5–11. doi:10.1016/j.jembe.2012.04.021

Thursday, November 21, 2019

Women and Leadership Essay Example | Topics and Well Written Essays - 1000 words

Women and Leadership - Essay Example Women are underrepresented in some of even basic positions, for example, welfares that advocate for women empowerment and equality. Men continue to dominate some of the major institutions present in the world today, with a popular saying that emanates from the above like, ‘behind every successful man, there is a woman.’ Such sayings only serve to remind people that it is a male dominated world (Klenke 123), and that it will not come easy. This paper will examine some of the crucial aspects behind women and leadership, and why it is crucial for the leadership gap to be reduced, especially in these changing times. Women are generally considered to be the weaker sex, when compared to their male counterparts. Some of the characteristics that distinguish women from men include their assertive and persuasive natures. This may make them take risks that men would not otherwise take when in a leadership position. Some may take this as a sign that a woman leader may be reckless in her judgment, hence making her a poor leader. This is often attributed to the fact that women tend to work harder while in these positions, and against the status quo present in society (Martin 97). Focus and determination often arise from such a fight, which may then determine her place in a male-dominated environment that is waiting for one moment to prove that women are indeed, the weaker sex. Characteristics of women fighting for leadership positions The issue of education has been brought up as one of the many factors that have led to the rise in a number of women leaders. Education is a particularly powerful tool that has helped empower women into different positions in society today. Men, many at times, are intimidated by a well-educated woman who has it together and has a way forward. In my belief, education is the most crucial element for any person who wants to play a leadership role in a changing environment that needs the diversity and control that it might be missing. The assertive and persuasive attitude that embodies the woman leader often stems from the education aspect (Martin 106). It is these aspects that make some of the women leaders present a force that is driving the woman leadership phenomenon. Stepping out from what is considered the norm is what drives some of the women leaders presently. The adversity and challenges they face force them to take risks and directions never taken before, just to prove they can also do what men can do. Women leaders take the risk if they think that such moves are right and moral (Klenke 125). Abstract thinking could be the reason behind actions that need urgency and a quick mind. Team-building and inclusive aspects of the women leader are fundamental in their growth. It is common to find women leaders incorporating some of these aspects in their organizations. This often endears them to their employees, some of whom might be men who consider themselves more traditional and do not have to work under a wo man. Current position of women leaders in modern society The low number of women in some of the biggest institutions in the world at the moment is shocking. Religion, academia, politics, law, and even business are some of the most fundamental institutions in the world. The number of female representation in these fields indicates that a large number of women are stuck somewhere (Paludi and Coates 86). This is because the number of women who graduate with top honors in some of the above fields is surprisingly large. In law, for instance, half of entrants into this field are women. Unfortunately, the number of female law school deans, firm partners, and even federal judges is shockingly at its lowest. So, one might beg the

Tuesday, November 19, 2019

Supply Chain Management in Zara & H&M Dissertation

Supply Chain Management in Zara & H&M - Dissertation Example The study "Supply Chain Management in Zara & H&M" targets to investigate the different supply chain behaviors that are being exercised by the different fashion retailers. Quick refers to the time it takes to release a product in the market, and quality refers to the product as a whole -- its components, or if it is in line with current fashion trend. One way of ensuring customer satisfaction is through the offering of quality goods and quick services. Because of this, firms are pressured to increase their productivity, reduce operational expenditures, and reduce lead times. Apparently, enterprise resource planning (ERP) system is needed so that organizations will obtain market value at this crucial moment. Supply chain networks succeed when the flow of information in organizations is not interrupted by any unwanted trouble. Members of the entire supply chain must be given permission to access timely information, and this information must flow to the direction where each and every mem ber is situated. The main role of ERP in the setting of an organization's SCM is for it to become equipped with an integrated information system. Most companies nowadays are experiencing pressure, and the reason for these is the shifts in demand. They are challenged to devise new ways of creating products as well as in finding various means to address the varying customer demands. The pressure that is being experienced by these manufacturing companies is made even complex as they expand the scope of their operations. both geographically and organizationally (Gattiker, 2007). In connection to the said circumstance, it is indeed timely to study a business strategy that targets to address the dynamic shifts that are already occurring in the manufacturing industry. While many types of manufacturing organizations are encountering such complexities, fashion retailers can become one good example of a firm that has been constantly experiencing the said changes. Supply chain (SC) coordinatio n gained relevance when organizations started to evolve. From then on, more attention is being given to the enterprise level management of supply chains than the factory level management (Gunansekaran, et al., cited in Akyuz & Erkan, 2010, p.5137). Because fast fashion has been becoming a trend in fashion retailing companies, the concept was chosen to become the focus of this study. Another reason why the concept was chosen is because of its correlation with supply chain management, for it has been considered a modern means applied by fashion companies to improve their supply chain which also part of their enterprise resource planning system (ERP). Research Approach: Quantitative Research This research is being built on a quantitative research approach, an approach that is widely used in testing the validity of existing theories. With this kind of approach to research, data collection is considered intense and continuous (Taylor, 2005, p.243). Quantitative research is useful in exam ining case studies that have been derived from theories and hypothesis; one reason why this approach to research analysis has been chosen for the study. In quantitative research, theories are developed through tests theory; thus, requiring the validity and reliability of information before one can begin

Sunday, November 17, 2019

Compare the play Killed with Blue Remembered Hills Essay Example for Free

Compare the play Killed with Blue Remembered Hills Essay In this essay I will compare the two plays Killed and Blue Remembered Hills. The play Blue Remembered Hills was written by Dennis Potter, I have been studying the Samuel French LTD edition. It is set in 1943 in the south west of Britain. Killed was written by Fred Hawksley, it is set mostly in France with flash backs to Manchester. Both plays are set in war times, Blue Remembered Hills takes place in the Second World War and Killed is set in the First World War. In Blue Remembered Hills the war is a back ground to the story; it is referred to but never seen, unlike Killed where the war is what makes the story. When we acted out the play Blue Remembered Hills I played John, he is a child who is part of a gang, a lot like the 14 platoon in Killed. In both there is a strong sense of hierarchy; in Killed there is no answering back to the one in charge this being the R.S.M. and in Blue Remembered Hills the character in charge is Wallace Wilson, although ever elusive on stage he is constantly mentioned in the dialogue as no.1 in the group. The speech in Blue Remembered Hills is very naturalistic using slang to enhance the informal feel of the play. Killed uses a more formal register when someone is in the presence of the R.S.M but takes a more natural tone when Billy remembers life in Manchester. They both have similar story lines where a group of friends are forced, or accidentally kill another one of their friends. They are both tragedies because the endings are sad and a friend ends up dead. In Blue Remembered Hills war is an exciting and glorified vision in the minds of the children. In Killed Billy is executed by his own side in the First World War and shows the harsh reality of being a solder in the trenches on the front line. The two plays have very different views of war. The characters in the two plays have very different personalities, yet they resemble some of the personalities from the other, for example the R.S.M. and Peter being a kind of leader figures bossing the members of the group. Billy and Donald also show similarities as they both die and their friends play a part in their deaths. The two plays would be performed very differently, Blue Remembered Hills is very natural; running in almost real time unlike Killed which is very stylistic and happens over two years with narrated flash backs. I would show these flash backs via the flash back being acted out on stage while Billy addresses the audience not being able to interact with the flash back although he tries to. I would create a simple set for Killed maybe some seats and a table for Billys home in Manchester and some staging lined up to make the lip of the trench. For the Blue Remembered Hills set we made a barn behind a woodland scene so that the whole scene could take place without any changes to the set and used the whole stage well. For costumes I would have Billy from Killed in a First World War uniform and in Blue Remembered Hills I would try to find some clothes that could help an actor inhabit the role of a child in the 1940s. The two plays are both very interesting and conjure different visions of war, in Blue Remembered Hills the World War engulfs all lands over seas and yet the children in mainland Britain have only heard the glorified version of the war, whereas Billy in Killed believes he will become a hero but finds that war is not as heroic as he thought.

Thursday, November 14, 2019

Lets Rank the Clique :: essays research papers

Let's Rank the Clique! In case you don't know, the Clique was an infamous backstage of friends (Triple H, Kevin Nash, Shawn Michaels, Scott Hall and X-Pac/Sean Waltman) who reportedly managed to find ways to manipulate Vince McMahon and the WWF's booking to their own advantage for a few years during the mid-90's. They were all members of the WWF's "Next Generation" of superstars who were supposed to usher in a new era of WWF product. They were all being pushed as young and cool. Not as cool as the Official Ninja Homepage (http://www.bol.ucla.edu/~rahjr79/ninja.htm), but whatever "cool" was to Vince McMahon at the time. Keep in mind, this is the same guy who built an angle on his second biggest PPV around a guy in a turkey outfit. So which member of this group of backstage politicians will make it to the top? Which one will be the undeniable "leader" of this infamous backstage faction? That's the question we will answer today! So let's break this down in a scientific manner.... Most Memorable Moment: Triple H: Steals Stephanie McMahon on WWF TV, then dates her in real life Shawn Michaels: Beating Bret Hart for WWF title Kevin Nash: Formed NWO in WCW X-Pac: Return to WWF in Spring '98 Scott Hall: NWO debut, ladder match with HBK at 'Mania Most Embarassing Moment: Triple H: Breaks kayfabe during infamous MSG incident in '96, gets hung out to dry by fellow Clique members and is depushed for a year Shawn Michaels: Gets ass kicked by "9 regular guys" at bar in Syracuse. Loses smile. "Injures" knee in '97. Cries in locker room after Hart screw job on "Wrestling with Shadows", hung out to dry after appearing in WWF locker room "unready to work" (according to WWF management) last year.................... Kevin Nash: Totally flops as WCW booker, sends company further on road to hell X-Pac: Invented Bronco-Buster and crotch-chop. Ten year olds everywhere begin telling teachers to "suck it" Scott Hall: Post-Divorce party that lasted from 1996 to 2000 Turning Point of Career: Triple H: When he was rehabbing knee injury in '98 and found a way to suddenly get bigger Shawn Michaels: Taking a bad bump from the Undertaker during a casket match in '98, led to career-ending back injury Kevin Nash: Given WWF title after squash win over Bob Backlund at WWF house show X-Pac: Injured his neck and had to give up his trademark high-flying style Let's Rank the Clique :: essays research papers Let's Rank the Clique! In case you don't know, the Clique was an infamous backstage of friends (Triple H, Kevin Nash, Shawn Michaels, Scott Hall and X-Pac/Sean Waltman) who reportedly managed to find ways to manipulate Vince McMahon and the WWF's booking to their own advantage for a few years during the mid-90's. They were all members of the WWF's "Next Generation" of superstars who were supposed to usher in a new era of WWF product. They were all being pushed as young and cool. Not as cool as the Official Ninja Homepage (http://www.bol.ucla.edu/~rahjr79/ninja.htm), but whatever "cool" was to Vince McMahon at the time. Keep in mind, this is the same guy who built an angle on his second biggest PPV around a guy in a turkey outfit. So which member of this group of backstage politicians will make it to the top? Which one will be the undeniable "leader" of this infamous backstage faction? That's the question we will answer today! So let's break this down in a scientific manner.... Most Memorable Moment: Triple H: Steals Stephanie McMahon on WWF TV, then dates her in real life Shawn Michaels: Beating Bret Hart for WWF title Kevin Nash: Formed NWO in WCW X-Pac: Return to WWF in Spring '98 Scott Hall: NWO debut, ladder match with HBK at 'Mania Most Embarassing Moment: Triple H: Breaks kayfabe during infamous MSG incident in '96, gets hung out to dry by fellow Clique members and is depushed for a year Shawn Michaels: Gets ass kicked by "9 regular guys" at bar in Syracuse. Loses smile. "Injures" knee in '97. Cries in locker room after Hart screw job on "Wrestling with Shadows", hung out to dry after appearing in WWF locker room "unready to work" (according to WWF management) last year.................... Kevin Nash: Totally flops as WCW booker, sends company further on road to hell X-Pac: Invented Bronco-Buster and crotch-chop. Ten year olds everywhere begin telling teachers to "suck it" Scott Hall: Post-Divorce party that lasted from 1996 to 2000 Turning Point of Career: Triple H: When he was rehabbing knee injury in '98 and found a way to suddenly get bigger Shawn Michaels: Taking a bad bump from the Undertaker during a casket match in '98, led to career-ending back injury Kevin Nash: Given WWF title after squash win over Bob Backlund at WWF house show X-Pac: Injured his neck and had to give up his trademark high-flying style

Tuesday, November 12, 2019

The Famous Architect

Known as one of the most famous architect of all times Frank Lloyd Wright is a legend. The child of minister, â€Å"William Cary Wright and teacher, Anna Lloyd Jones, Retrieved from http://architect. architecture. sk/frank-lloyd-wright-architect/frank-lloyd-wright-architect. php † Frank Lincoln â€Å"Wright was born June 8, 1867 in Richland Center, Wisconsin. † Retrieved from http://architecture. about. com/od/wrightwebsites/Frank_Lloyd_Wright_Web_Sites. htm.He later changed his name to Frank Lloyd Wright after his parents divorced. During his childhood Frank and his family moved several times. At the age of 12 his family had â€Å"settled in Madison, Wisconsin, where he attended Madison high school. † Retrieved from http://architecture. about. com/od/wrightwebsites/Frank_Lloyd_Wright_Web_Sites. htm His â€Å"summers were spent on his Uncle James Lloyd Jones farm in Spring Green, Wisconsin, here he realized his dream of being an architect. † Retrieved from http://architect. rchitecture. sk/frank-lloyd-wright-architect/frank-lloyd-wright-architect. php Without finishing high school he left Madison in 1885 to work for Allan Conover, the Dean of the university of Wisconsin's Engineering department. When employed at the University he attended two semesters of classes studying civil engineering. He moved to Chicago in 1887. When Wright moved to Chicago, he worked briefly for an architect. Shortly after that he landed a job as a draftsman for a firm with Dankmar Adler and Louis Sullivan.The Auditorium Building was the first project with that firm; the building was the largest building in Chicago of that time (1890). During the time he worked with Sullivan he designed several houses including one for himself in Oak Park, Illinois with Sullivan’s assistant, he stayed employed with Sullivan until 1893. Sullivan was not pleased when he found out that Wright was branching out on his own and after just a few years this lead to a break bet ween them; they did not speak for many years. Although they departed from each other on bad terms Wright had always felt.

Saturday, November 9, 2019

Tb Prevention For People Health And Social Care Essay

Children and grownups populating with HIV can be protected from one of their deadliest menaces – TB – with a regular, low-priced preventative medicine harmonizing to new guidelines launched today by the WHO. Of the about two million AIDS-related deceases each twelvemonth, a one-fourth of them are associated with TB. Because of their weakened immune system, people populating with HIV are less able to contend TB infection and are more likely to develop active TB which can be lifelessly and can distribute to others. In some communities, up to 80 % of people with TB trial positive for HIV. Taking medical specialty incorporating the anti-TB drug INH is a simple and cost-efficient step that prevents the TB bacterium from going active if it is present. Known as Isoniazid Preventive Therapy ( IPT ) , the intervention attack is non new, but for a assortment of grounds it is underused. Merely 85 000 ( or 0.2 % ) of all people populating with HIV received INH for TB bar in 2009. â€Å" As we commemorate Global AIDS Day, it is clear that pull offing HIV must include turn toing TB, † said Dr Gottfried Hirnschall, Director of WHO ‘s HIV/AIDS Department. â€Å" We need to to the full implement the WHOA Three I ‘s for HIV/TBA scheme in coaction with all spouses. TheA Three I'sA are Isoniazid Preventive Therapy, Intensified TB showing and Infection control for TB. These steps should be delivered as portion of comprehensive HIV services. †Key recommendationsThe guidelines are based on new scientific grounds that updates the old 1998 policy. The cardinal recommendations are: All kids and grownups populating with HIV, including pregnant adult females and those having antiretroviral intervention, should have INH bar therapy. Isoniazid should be provided for six to 36 months, or as a life-long intervention in scenes with high HIV and TB prevalence. Peoples populating with HIV who may hold TB symptoms should be further screened for active TB or other conditions so that they are able to entree the appropriate interventions. â€Å" In many states HIV is a major driver of the TB epidemic. Terbium is preventable and curable and the new guidelines show how to interrupt the concatenation that links TB and HIV taking to decease, † said Dr Mario Raviglione, Director of WHO ‘s Stop TB Department. â€Å" All states and communities need to implement the new guidelines and WHO can supply the necessary support to guarantee that this can go on. † Misconceptions that may lend to the low consumption of isoniazid therapy are besides addressed in the new guidelines. For illustration, concern that utilizing INH without other TB medicines causes opposition to the medical specialty was non found to be supported by any scientific grounds. These and other elucidations featured in the guidelines should unclutter the manner for greater entree to the preventative therapy for 1000000s of people populating with HIV. hypertext transfer protocol: //www.uptodate.com/contents/treatment-of-latent-tuberculosis-infection-in-hiv-infected-patients Persons with latent TB ( LTBI ) are symptomless and non infective. However, these LTBI B remain feasible and may reactivate old ages subsequently and do active diagnostic, and frequently catching, TB ( TB ) disease. ( SeeA ‘General concepts'A above. ) Compared with HIV-uninfected persons, HIV-infected patients with LTBI are significantly more likely to reactivate with TB disease, peculiarly those with advanced immunosuppression. ( SeeA ‘Interactions between HIV and tuberculosis'A above. ) In both HIV-infected and clean persons, the chief agents that have studied for LTBI includeisoniazid, the rifamycins ( bothA rifampinA andA rifapentine ) andA pyrazinamide. ( SeeA ‘Drug Toxicity'A above. ) Treatment of LTBI is effectual in forestalling active TB disease among HIV-infected patients. Adverse events and drug discontinuance rates are by and large lower among patients taking monotherapy compared with combination therapy and among those takingA isoniazidA for six to nine months compared with INH for 36 months or longer. ( SeeA ‘Clinical tests of latent TB intervention in HIV-infected patients'A above. ) All HIV-infected patients with grounds of LTBI should have therapy for the bar of active TB disease ( Grade 1A ) . There is no incontrovertible benefit of administrating intervention among patients who have negative trials for LTBI or who are anergic. Treatment is besides recommended for HIV-infected patients with recent contact with a individual with active TB disease or in those with a history of untreated or inadequately treated healed TB ( eg, fibrotic disease on chest X ray ) , irrespective of trial consequences for LTBI. ( SeeA ‘Indications for TB preventative therapy'A above. ) IsoniazidA is preferred for the intervention of LTBI in the HIV-infected patient because of its overall efficaciousness, safety, and cost. ( SeeA ‘Treatment regimens and duration'A above. ) The optimum continuance of therapy for LTBI is unknown. In resource-rich scenes, most patients are treated with nine months of dailyA isoniazidA ( 300 milligrams daily ) . In resource-limited scenes, clinical tests have evaluated six months of INH to womb-to-tomb therapy. The possible benefits of long-run INH are likely to be seen merely in high transmittal scenes and must be weighed against the greater toxicity, cost, and load on patients compared to shorter regimens. ( SeeA ‘Duration of therapy'A above. ) Surveies suggest a benefit for earlier induction of antiretroviral therapy on the incidence of TB among patients populating in endemic countries. Eligibility standards for induction of antiretroviral medicines for HIV disease vary by geographic location. ( SeeA ‘Initiation of antiretroviral therapy'A above andA † The impact of antiretroviral therapy on morbidity and mortality of HIV infection in resource-limited scenes † , subdivision on ‘Effect of antiretroviral therapy on other comorbidities ‘ . ) Prior to induction of intervention for LTBI, all patients must be scrutinized for active TB infection to avoid monotherapy and the hazard of TB drug opposition. ( SeeA ‘Assessment for TB disease'A above andA † Diagnosis, intervention, and bar of drug-resistant TB † . ) Everyday baseline research lab testing is non required prior to the induction of intervention of LTBI. However, individuals with a history of liver disease ( eg, alcoholic, viral hepatitis ) should hold baseline testing of transaminases. ( SeeA ‘Baseline research lab testing'A above. ) There is no consensus on the demand for everyday monitoring of transaminases in patients taking intervention for LTBI. However, all patients should be counseled on the symptoms and marks of drug-induced hepatitis ( eg, right upper quarter-circle hurting, icterus, sickness, purging, loss of appetency, dark piss ) . ( See'Patient monitoring'A above. )

Thursday, November 7, 2019

What Does “Competitive Salary” Mean

What Does â€Å"Competitive Salary† Mean Sometimes the vocabulary of job searching all seems to blend together into a confusing jumble. Have you seen the phrasing  Ã¢â‚¬Å"competitive salary,† and not been quite sure what it means? Let us help. Competitive salary simply means that the salary they’ll offer will be equal to or more than the industry standard for similar jobs in the same geographical area. That makes it easy to estimate if you do a bit of field research. It also means this company might be more open to salary negotiations. Or that they keep their salary information confidential to protect their employees; i.e. you’ll find out when you’re hired. It also might mean that the company is trying to weed out candidates who are only in it for the money. You might also see the terms â€Å"negotiable salary† or â€Å"market rate.† Those terms usually mean the same thing.It’s Not All in the NumbersRemember: in places where supply is lower than demand, the going rate, or â €Å"competitive salary† will be higher. And also keep in mind that there are other forms of compensation in a package, like benefits. One company might offer a lower salary than another, but more than make up for that in the benefits they are willing to provide.Determine Your GoalsIf you’re looking for a job, the most important things to consider are what you need to support your life. Do your research into the going market rate in your region. Then figure out what the minimum is you’d need to make. Don’t forget to consider things like benefits. What would insurance cost in your state if not subsidized by your employer? How much paid time off would you want in a given year- and how much would that be worth, given the rates? Will this company contribute significantly to a 401k?Once you know what you need, or want, you’ll reach an appropriate moment to bring this up with your potential employer- usually not before the second interview, or when an off er is made at the latest. One option is to wait and see whether the employer brings it up first and saves you the awkwardness of finding a way to steer the conversation in that direction. Once you find your moment, inquire about the compensation.Be StrategicOnce you have your answer, and it’s not quite enough, realize you might not get what you ask for. But don’t walk away! Use what you’ve learned about the â€Å"market rate† to gently and respectfully see if they are willing to negotiate. If you’re the candidate they want, chances are that if they can, they’ll try.Remember: Don’t sell yourself short if you don’t absolutely have to. Stay strong and get your needs met- that way you won’t resent your employer down the line.

Tuesday, November 5, 2019

A Complete List of John Steinbecks Books

A Complete List of John Steinbeck's Books John Steinbecks books depict a realistic and tender image of his childhood and life spent in Steinbeck Country, the region around the city of Monterrey, California. The world-renowned novelist, playwright, essayist, and short-story writer was born in Salinas, California, in 1902. Growing up in a rural town, he spent his summers working on local ranches which exposed him to the harsh lives of migrant workers. These experiences would provide much of the inspiration for some of his most celebrated works such as Of Mice and Men. John Steinbeck's Books John Steinbeck (1902–1968) was an American novelist, playwright, essayist, and short-story writer.His best-known work includes Of Mice and Men and The Grapes of Wrath.  He wrote a series of short stories set in his hometown of Monterrey, California, about the harsh lives of migrant workers there.  He won the Pulitzer Prize for Grapes of Wrath in 1940, and the Nobel Prize in Literature for his body of work in 1962.   Best Known Books Steinbeck published 30 books, including several that were well-respected by both critics and the public. Among those are Tortilla Flat, about a charming group of layabouts who live near Monterey; The Grapes of Wrath about a farming family fleeing the Dust Bowl of Oklahoma for California during the Great Depression; and Of Mice and Men, a story of two itinerant ranch hands struggling to survive. Many of Steinbecks books centered around the difficulties experienced by Americans living in the Dust Bowl during the Great Depression. He also took inspiration for his writing from his time spent as a reporter. His work has stirred controversy and offered a unique view into what life was like for struggling low-income Americans. John Steinbecks Books 1927: Cup of Gold- A historical fiction based loosely on the life of the 17th-century pirate Henry Morgan.1932: The Pastures of Heaven- Twelve interconnected stories about the people in a valley in Monterrey, California, a place which would become central in many of his later works.1933: To a God Unknown- Four brothers who move to California to work a ranch and struggle when drought takes away all they have grown.1935: Tortilla Flat- A small band of Hispanic paisanos in Monterrey enjoy life in Monterrey (Steinbecks first big success).  1936: In Dubious Battle- A labor activist struggles to organize fruit workers in California. Movie still from the 1939 Hal Roach production of Steinbecks Of Mice and Men. Here, George (Burgess Meredith) talks with his oafish friend, Lennie (Lon Chaney, Jr.). Corbis / Getty Images 1937: Of Mice and Men- Two displaced migrants seek work in California during the Great Depression. The book was often a target of censorship for its vulgarity and offensive language.1937: The Red Pony Stories- Episodic novel appearing in magazines between 1933 and 1936, first published together in 1937, about a boy and his life on a California ranch.1938: The Long Valley- A collection of 12 short stories, written over several years and set in the Salinas Valley of California (includes the first Red Pony story).   L-R Dorris Bowden, Jane Darwell and Henry Fonda on the set of the film The Grapes of Wrath. Corbis / Getty Images 1939: The Grapes of Wrath- A poor migrant family from Oklahoma and their struggles to find a place in California. Steinbecks best-known novel and winner of the Pulitzer and other literary prizes.  Ã‚  1941: The Forgotten Village- A documentary film written by Steinbeck and narrated by Burgess Meredith, about a Mexican village grappling with modernization.  1942: The Moon Is Down- A story of a small coastal town in northern Europe which is overrun by an unnamed army (thought to be a fictionalization of the occupation of Norway by the Nazis in World War II).  1942: Bombs Away: The Story of a Bomber Team- A nonfiction account of Steinbecks experiences with several World War II American Army Air bomber crews.  1945- Cannery Row- A story of a disastrous party thrown by the inhabitants of a small town in California for their friend Doc.  1947: The Wayward Bus- Interactions of a cross-section of people at a crossroads bus stop in California.1947: The Pearl- An immense pearl brings ill-effects to an oyster fishermans family.   1948: A Russian Journal- A report from Steinbeck on his travels through the Soviet Union during Joseph Stalins rule.  1950: Burning Bright- A morality story meant to be produced as a play, during which an aging man goes to great lengths to have a child. A fishing boat moves on to a trailer pulled by a truck, in Golfo de Santa Clara, Baja California, in Mexico. Fishermen from this area fish in the Sea of Cortez which is the habitat of an endangered porpoise, La Vaquita. Corbis via Getty Images / Getty Images 1951: The Log from the Sea of Cortez- Steinbecks personal log of a six-week expedition in the Gulf of California he made with marine biologist Ed Ricketts. Written in 1941, published in 1951.1952: East of Eden- A novel about two Salinas valley families in the first two decades of the 20th century, based on the story of Steinbecks own ancestors.  1954: Sweet Thursday- A revisit of the people in Cannery Row, taking place after the main character Doc returns at the end of World War II.1957: The Short Reign of Pippin IV: A Fabrication- A political satire, exploring what might happen if an ordinary fellow was selected to be the King of France.  1958: Once There Was A War- A collection of articles written for the New York Herald Tribune while Steinbeck was a foreign correspondent during World War II.1961: The Winter of Our Discontent- The struggles of a Long Island man whose family has fallen from an aristocratic level to a middle-class existence. Steinbecks last novel.  1962: Travel s with Charley: In Search of America- A travelogue of Steinbecks road trip across the U.S. in a hand-built camper with his dog Charley.   1966: America and Americans- A collection of articles from Steinbecks career as a journalist.  1969: Journal of a Novel: The East of Eden Letters- A series of letters written by Steinbeck to his editor during the writing of East of Eden. Published posthumously (Steinbeck died in 1968).   Mexican-American actor Anthony Quinn, American actors Marlon Brando, Lou Gilbert and Harold Gordon on the set of Viva Zapata! directed by Greek-American Elia Kazan. Corbis / Getty Images 1975: Viva Zapata!- A screenplay written by Steinbeck was used to produce this biographical film about the Mexican revolutionary Emiliano Zapata.  1976: The Acts of King Arthur and His Noble Knights- An adaptation of the legend of King Arthur, started in 1956, and unfinished at his death.  1989: Working Days: The Journals of The Grapes of Wrath- Edited and annotated version of Steinbecks personal journal written while he was working on The Grapes of Wrath. Prizes for Literature   Steinbeck won the Pulitzer Prize in 1940 for The Grapes of Wrath, and a Nobel Prize for Literature in 1962, an award he did not think he deserved. The author was not alone in that thought; many literary critics were also unhappy with the decision. In 2013, the Nobel Prize committee revealed that the author had been a compromise choice, chosen from a bad lot where none of the authors stood out. Many believed that Steinbecks best work was already behind him by the time he was chosen for the award; others believed that the criticism of his win was politically motivated. The authors anti-capitalist slant to his stories made him unpopular with many. In spite of this, he is still considered one of Americas greatest writers and his books are regularly taught in American and British schools.

Sunday, November 3, 2019

Personal statement Essay Example | Topics and Well Written Essays - 250 words

Personal statement - Essay Example I demonstrated my skills by starting a debut â€Å"high tech† home health agency where I together with my fellow practitioners infused blood products, IVIG, pain management and chemotherapy agents. I further gained knowledge and skills, two years after successful training in the Metabolic and Oncology units, in handling open heart patients and trauma patients while working in the ICU. Having demonstrated further skills in leadership and critical decision making in difficult situations, I was promoted to nurse in charge position. With 8 years into the promotion as charge nurse, I got a transfer to the Emergency medicine where I continued to naturally demonstrate my leadership qualities. I developed a comprehensive plan to enhance and facilitate the delivery of the emergency care in the ER. This plan entailed patients the highest priority and emphasizing on the customer service. This was the cause of my immediate promotion to the position of the Director of the Emergency Department. I returned to outpatient job after 12 years in the ER. Currently I am employed with a pharmacy as an infusion nurse where I handle Pulmonary Hypertension patients and those in need of enzyme replacement or IVIG infusions. I also partly work with other hospitals, offering education on therapies to nurses and physicians on the same caliber. All these time I have focused on developing further my assessment skills and ability to make critical decisions and multitasking. Personally, I regard a Nurse Practitioner as important personnel in modern healthcare services. In most cases, the practitioner assists the Managing Director to deliver care; without them, almost all patients can go unattended. In addition, they examine patients professionally and help them make good decisions concerning health. Practitioners are a necessity for the successful delivery of healthcare. I chose nurse practitioner for several reasons: firstly, I have enough time to study nursing.