PIV Measurement of Fluid Flow Inside a Human Uterus Model for Cryoablation :: essays research papers

PIV MEASUREMENT OF FLUID FLOW INSIDE A HUMAN UTERUS MODEL FOR CRYOABLATIONXiaolong Luo1, Jim S.J. Chen1, Marla Wolfson2, Charles Philips2, Thomas Shaffer21Department of Mechanical Engineering, Temple University2Temple University School of medical specialtyAbstract A new technique has been proposed that allows cryoablation to be achieved on the entire inner surface of the endometrium by circulating very cold perfluorochemical (PFC) silver intimate the human uterus. To understand the PFC flow field inside the uterus during cryoablation, a uterus model was constructed a fluid delivery system including the fluid delivery probe was designed and built to simulate the PFC flow during cryosurgery. With particle image velocimetry (PIV), the fluid flow inside the uterus was investigated at manner temperature to display a 2-D whole field velocity contour and vector plot.Keywords PIV, cryoablation, PFC, endometriumI. INTRODUCTIONMenorrhagia is medically defined as excessive bleeding at men ses, in duration or amount. A frequent cause of menorrhagia is uterine fibroid growth. Traditionally, hysterectomy is the main treatment for menorrhagia. Several cryosurgery methods such as localized cryoprobes 1 and pilot ablation 2 have been developed as alternatives to hysterectomy to treat the dysfunction of the endometrium. However, these are localized techniques and sometimes there is still proliferation of the endometrium. A new technique is proposed that allows cryoablation to be achieved on the entire inner surface of the endometrium using a PFC fluid 3. The objective of this project is to develop an efficient treatment method for aberrant uterine bleeding by freezing the endometrium. It has been shown that a temperature of 30 &61616C is required for destroy tissue necrosis 4. The heat transfer process during cryoablation was investigated through an experiment and numerically (1-D) with good agreement 5, in which a uniform fluid temperature boundary condition was used in the 1-D finite difference method to conciliate the temperature history in the human uteri of eight patients. This assumed that the fluid flow inside the uterus is uniform, repeatable and controllable. During the experiments it was found that the temperature difference at the inlet and venthole of the insertion probe varied from 10C to 50C. Inconsistent fluid temperatures may be caused by inadequate circulation of PFC liquid, i.e., recirculation within the uterus. The oddment of this study is to understand the flow field inside the uterus cavity during cryoablation so that the desired flow field and uniform temperature field can be obtained, thus proposing an optimal insertion probe design so that minimum PFC liquid and surgery time is used.

My favourite and least favourite characters from The Canterbury Tales :: English Literature

My favourite and least favourite characters from The Canterbury TalesMy favourite character from Chaucers Canterbury Tales is the Reeve.The Reeve comes across as a shady or minacious character whosintentions are not fully recognised even when his prologue isfinished. We dont get too much about his background save a lot on hisappearance and the way he works. We already know that he is the farmbailiff.His appearance already gave a gripping bound to his personality,His berd was shave as ny as ever he kan His beard was shaved asclose as couldHis heer was by his eris ful round shorn His hair was misfortune round hisearsHis top was dokked lyk a preest biforn. The top of his head was like apriestFul longe wre his legges and ful lene, He had very long and skinnylegsHis appearance gives the impression of an most evil qualityingcharacter, with skinny, no calf legs and the phrase.. His berd wasshave as ny as ever he kan gave the impression that he had a ruggedlook to his face, a rough lo ok which gives the impression that theothers on the pilgramge might have looked up to him not in a rolemodel way however rather a reverent and weary one. But then again he isgiven a holy like look as the top of his head is cut pathetic like apriest giving the Reeve a holy look, which gives a clash of twoworlds, the holy and the dark rugged side of life, but from examplesfrom The Summoner and The Monk, the chuchmen of the time were notsee as very respectful men either and some could say the dark worldwas the world of the holy. This rugged, dark and ominous look is oneof the things that makes me admire the Reeve, it is as if he is hidinghis own real feelings, opinions on life within himself and that hisface, this rough face is a mask hiding those feelings inside of him.It is as if you need to crack him to find more from him and his facegives no answers aiding to that.He also has a very quick-witted and cunning nature which I admire in TheReeve.Wel koude he kepe a gerner and a binn eTher was noon auditour koude on him winne.He could keep a granary and a cornbin wellNo auditor could catch him out.This shows that the reeve had a cunning edge, clever at his agate line andalso very stable in his job and with money as no accountant could ever

Greek Prophetess-cassandra :: essays research papers

THE CURSED PROPHETESSOracle, in the Ancient Greek world, was a shrine where peoplewent to seek advice from prophets or prophetesses (individuals who hadspecial powers to speak on behalf of a deity or foretell the future). Besidesreferring to an altar, the word vaticinator also refers to the prophet orprophetess, and to his/her prophecy (Cassandra). The Ancient Greekswholly believed in these sacred persons. When disease would crooked acity, the people would go to the shrines to ask a prophet to speak on behalf of the gods. Once the Greeks knew the cause of the plague, they would doeverything in their immortal power to coax the gods to relieve themfrom their suffereing. In the same way as Oedipus, the king of Thebes, asked Tiresias (a prophet) to speak for the gods explaining why his peoplewere suffering, in Oedipus Rex. The Ancient Greeks believed their fatelay in the powers and oracle of the prophets and prophetesses. There wasone prophetess, however, that was an exception to this belief. AlthoughCassandra was the most beautiful and intelligent prophetess, in Greekmythology, her prophecies were neer believed.Stories of gods falling in love with or lusting after little beautifulwomen appear everywhere in Greek mythology, and the case of Cassandrais no exception. Greek gods chose their prey because of somedistinguished characteristic or part of their geneology. Cassandra was alovely young woman, and described by Homer as the most beautiful ofPriams daughters. Apollo, similarly, was the most handsome of theyoung gods. Cassandra describes Apollo as someone who struggled to raise me, breathing ardent for me (Lefkowitz 15).Cassandra, daughter of Queen Hecuba and King Priam of Troy,was a beautiful young woman blessed with the gift of prophecy by the godApollo. In return, she was supposed to love him, but at the last minute sheshunned Apollo. As an act of revenge, Apollo added a twist to her giftCassandra was doomed to tell the truth, but never to be believed (Coh en50). Cassandra has always been misunderstood and misinterpreted as amadwoman or crazy doomsday prophetess. She has always been shownin paintings with her long hair flying around her shoulders in what wasconsidered lunatic fashion, scantily clad, and helpless on her knees in theface of her predicted doom. However, there is so much more toCassandra than her maddened predictions and pitiable treatment. Cassandra was a great, intelligent heroine who was cuss by the gods fornot playing by their rules. She is a tragic figure, not a madwoman

Creating A Writing Technology :: Writing Technology Technological Papers

Creating A Writing Technology In reading Tribble and Trubeks Writing Materials I learned that writing is a product of historical circumstances and cultural values as well as of individual invention.(2). The reading selections enabled me to realize just how much I and numerous others take modern technology for granted. In the book writing itself is defined as technology, which threw me off very early in this assignment. Id previously only eyeshot of technology as something that uses electricity or some type of battery. I do understand that writing has been in many ways perfected by technologies such as the typewriter and computer but writing itself as a technology still seems to be a bit beyond me. My lack of understanding did make this project a little difficult yet interesting but what was more difficult was the project itself. Trying to spell an idea for an invention was a very trying task, but after lots of aspect and checklists, I was able to produce an idea that I th ought feasible. I found it very well-off to think of many different ideas at once and then go through them champion by one checking off the things that were wrong or unnatural about them. One of the first ideas I explored was writing in mud. It was natural, I didnt need many materials and it seemed easy enough. But I came to the conclusion that the text would be difficult to see, as well as understand and the mud would probably crumble into pieces. Another idea I explored was writing in the sand. There were many things wrong with this idea. First, whatever I kept the sand in would be unnatural. Also if the sand was moved, so was the text and lastly where in heck was I going to find sand in my apartment complex. Finally I found an idea that I thought just might work. I would write a message on the bark of a tree with leaves using that sap from the tree to make the leaves sting to the bark. It seemed easy enough, everything was natural but the only thing was that it probab ly wouldnt last very long. This I figured would only be a nonaged obstacle because as with the invention of all new technologies there would be a few glitches.

History of the Amana Communes :: essays papers

History of the Amana CommunesWith the new foundland of north America, Europeans saw a chance to apply theirhopes and dreams of a perfect Utopian society. They saw an oppertunity to raisecommunities of so called utopian societies that they could not create in their alreadyruled land of Europe. While there would be Utopian experiments is Europe -like theParis commune and the Fourierist Planxes, it would only be in America where theEuropean divines would apply their Utopian ideals with such effort.The socialism of these early communities was the kind that Marx, rightly orwrongly, would brand as utopian, suggesting that it was idealistic and impractical. instead than seeking to create an ideal government or reform the world, the members ofthese communal groups withdrew form the sinful, corrupt world to work their miracles inmicrocosm, actually hoping to imitate the select state of affairs that existed among theApostles, who were said to hold all things in common.The most interesting point of these communal groups to me might be the overallbacking of their longing to create a community. It seems some of the communal groups,such as the Amana, were only created out of feelings of guilt and hope for redemption. From Oveds book, two hundred years of American Communes, he describes the Amanaas seeing their community as an island of redemption in a world awash with temptation,sin and avarice the Elect could come and perfect themselves, if they were watchful toheed the Lords call to chastity, poverty, simplicity, hard work, purity, and brotherly love.Although they sought redemption, the main driving force behind the Amana was that they sought ghostly freedom. Unhappy with their religious rights and flixability inGermany, the Amanas left ifn 1842, settling near Buffalo, New York. In 1855, thecommunity of True Inspiration, as they were called, moved west, forming their firstvillage along the Iowa River. The Amana set up their communities with a diligent effort. Ea ch village practiced their Utopian ideals and worked together as one large community.Perhaps the most impressive view of the Amana may be their unique contributionsto social reform. Many aided and abetted the abolitionists, womens rights, andobjections to war. Their history and communal methods were basically unchanged for 89years. The Amana is definitely one of the longest perdurable communal societies in theworld. In a sense you could actually say it was a bit of a success.The Amana had thier whole social class set up eliminating the need for conflict.

History of the Amana Communes :: essays papers

History of the Amana CommunesWith the new foundland of north America, Europeans saw a chance to apply theirhopes and dreams of a perfect Utopian society. They saw an oppertunity to raisecommunities of so called utopian societies that they could not create in their alreadyruled land of Europe. While there would be Utopian experiments is Europe -like theParis commune and the Fourierist Planxes, it would only be in America where theEuropean divines would apply their Utopian ideals with such effort.The socialism of these early communities was the flesh that Marx, rightly orwrongly, would brand as utopian, suggesting that it was idealistic and impractical. Rather than seeking to create an ideal government or reform the world, the members ofthese communal groups withdrew form the sinful, overthrow world to work their miracles inmicrocosm, actually hoping to imitate the elect state of affairs that existed among theApostles, who were said to hold all things in common.The most interesting intimate of these communal groups to me might be the overallbacking of their desire to create a community. It seems some of the communal groups,such as the Amana, were only created out of feelings of delinquency and hope for redemption. From Oveds book, two hundred years of American Communes, he describes the Amanaas seeing their community as an island of redemption in a world flooded with temptation,sin and avarice the Elect could come and perfect themselves, if they were prepared toheed the Lords call to chastity, poverty, simplicity, hard work, purity, and brotherly love.Although they sought redemption, the main campaign force behind the Amana was that they sought religious freedom. Unhappy with their religious rights and flixability inGermany, the Amanas left ifn 1842, settling near Buffalo, New York. In 1855, thecommunity of True Inspiration, as they were called, moved west, forming their firstvillage along the Iowa River. The Amana set up their communities with a dili gent effort. Each village practiced their Utopian ideals and worked together as superstar large community.Perhaps the most impressive view of the Amana may be their unique contributionsto social reform. Many aided and abetted the abolitionists, womens rights, andobjections to war. Their history and communal methods were basically unchanged for 89years. The Amana is definitely one of the longest lasting communal societies in theworld. In a sense you could actually say it was a poker chip of a success.The Amana had thier whole social class set up eliminating the need for conflict.

Hoot

Edexcel multinational ecumenical security system of Secondary Education and Edexcel Certificate June 2012 FINAL TImETAbLE International GCSE and Edexcel Certificate Examinations 1. The normal starting judgment of conviction for morning sessions is 9. 00 a. m. and for afternoon sessions 1. 30 p. m. 2. Wednesday 22 August 2012 restricted release of results to centres only 3. atomic number 90 23 August 2012 release of results to candidates www. edexcel. com Edexcel Certificate Examinations are only available to UK centres. week 1 Date monday 7 may morning duration afternoon LengthTuesday 8 may 4Cm0/01 4TU0/01 4Hb0/02 Commerce Turkish Human biota topic 2 2h 3h 4GN0/01 4Hb0/01 German Listening Human Biology make-up 1 Bangladesh Studies Paper 1 Pakistan Studies The History and Heritage of Pakistan Arabic (Classical Arabic) 30m + 5m reading time 2h 1h 30m 1h 30m 3h Wednesday 9 may 1h 4bN0/01 4PA0/01 Thursday 10 may 4AC0/01 Accounting 2h 30m 4CA0/01 Friday 11 may 4bN0/02 4PA0/02 Bangladesh Studies Paper 2 Pakistan Studies The Land, raft and Resources of Pakistan 1h 30m 1h 30m 4mA0/1F & KmA0/1F 4mA0/3H & KmA0/3H 4mb0/01mathematics precondition A Paper 1F Mathematics Specification A Paper 3H 2h 2h 1h 30m Mathematics Specification B Paper 1 Week 2 Date monday 14 may morning 4GN0/02 German Reading and piece of writing Length 1h 30m good afternoon 4AR0/01 Arabic (First Language) Length 2h 15m inc. 10m. reading time 3h 2h 30m 2h 30m 4bE0/01 4IS0/01 Bengali Islamiyat Religious Studies Tuesday 15 may 4bI0/01 & KbI0/01 4SC0/1b & 4KSC0/1b 4mA0/2F & KmA0/2F 4mA0/4H & KmA0/4H 4mb0/02 Biology Paper 1B Science (Double Award) Biology Paper 1 Mathematics Specification A Paper 2F Mathematics Specification A Paper 4H h 2h 2h 2h 2h 30m 1h 30m 3h 4RS0/01 Wednesday 16 may 4FR0/01 cut (Listening) 30m + 5m. reading time Mathematics Specification B Paper 2 French (Reading and Writing) Urdu Biology Paper 2B Thursday 17 may 4FR0/02 4UR0/01 4Pm0/01 Mathematics (Further Pure Mathe matics) Paper 1 2h Friday 18 may 4bI0/02 & KbI0/02 1h 4EC0/01 Economics 2h 30m Week 3 Date monday 21 may morning 4CH0/01 & KCH0/01 4SC0/1C & 4KSC0/1C 4IT0/02 Chemistry Paper 1C Science (Double Award) Chemistry Paper 1 Length 2h 2h 3h 1h 45m 2h 2h 2h 1h 30m Afternoon Pm0/02 Mathematics (Further Pure Mathematics) Paper 2 Length 2h Information and Communication Technology Practical 1 week window begins side of meat Literature (Drama and Prose) Tuesday 22 may 4ET0/01 & KET0/01 4ES0/01 4bS0/01 Business Studies 2h English as a Second Language (ESL) Paper 1 Reading and Writing Physics Science (Double Award) Physics Paper 1 Wednesday 23 may 4PH0/1P & KPH0/1P 4SC0/1P & 4KSC0/1P 4SP0/02 4AR0/02 4SP0/01 Arabic (First Language) Spanish Listening English Literature (Poetry) 1h 30m 30m + 5 m reading time 1h 30m 45m 2h 15m 3hThursday 24 may Spanish Reading and Writing 4ET0/02 & KET0/02 4ES0/02 English as a Second Language (ESL) Paper 2 Listening English Language (Specification A) Friday 4GE0/01 G eography 2h 45m 4EA0/01 & KEA0/01 4IT0/02 25 may Information and Communication Technology Practical 1 week window ends Week 4 Date monday 28 may morning 4GU0/01 4SI0/01 4SW0/01 4TA0/01 Gujarati Sinhala Swahili Tamil Chemistry Paper 2 Length 3h 3h 3h 3h 1h Afternoon 4HI0/01 History Length 2h 30m Tuesday 29 may 4CH0/2C & KCH0/2C 4EA0/02 & KEA0/02 4Eb0/01English Language (Specification A) 1h 30m 3h 1h English Language (Specification B) Physics Paper 2P Wednesday 30 may 4CN0/01 Chinese Listening 30m + 5 m reading time 1h 30m 3h 4PH0/2P & KPH0/2P Thursday 31 may 4CN0/02 4mG0/01 Chinese Reading and Writing Modern Greek 4IT0/01 Information and Communication Technology 1h 30m Friday 1 June International General Certificate of Secondary Education and Edexcel Certificate Subject/ unit Title Human Biology Human Biology ICT ICT Practical Number 4HB0/01 4HB0/02 4IT0/01 4IT0/02 June 2012 Timetable FinalSubject/Unit Title Accounting Arabic (Classical Arabic) Arabic (First Language) Arabic (First Language) Bangladesh Studies Paper 1 Bangladesh Studies Paper 2 4BN0/02 4BE0/01 4BI0/1B & KBI0/1B 4BI0/2B & KBI0/2B 4BS0/01 4CH0/1C & KCH0/1C 4CH0/2C & KCH0/2C 4CN0/01 4CN0/02 4CM0/01 4EC0/01 4ES0/01 4ES0/02 4EA0/01 & KEA0/01 4EA0/02 & KEA0/02 4EB0/01 4ET0/01 & KET0/01 4ET0/02 & KET0/02 4FR0/01 4FR0/02 4GE0/01 4GN0/01 4GN0/02 4GU0/01 4HI0/01 2h 1h 2h 2h 1h 30m + 5m reading time 1h 30m 2h 2h 30m 2h 45 minutes 2h 15m 1h 30m 3h 1h 45m 1h 30m 30m + 5m reading time 1h 30m 2h 45m 30m + 5m reading time 1h 30m 3h 2h 30m 3h 1h 30m Bengali Biology Paper 1B Biology Paper 2B Business Studies Chemistry Paper 1 Chemistry Paper 2 Chinese Listening Chinese Reading and Writing Commerce Economics English as a Second Language Paper 1 Reading and Writing English as a Second Language Paper 2 Listening English Language Specification A Paper 1 English Language Specification A Paper 2 English Language Specification B English Literature (Drama and Prose) English Literature (Poetry) French (Liste ning) French (Reading and Writing) Geography German (Listening) German (Reading and Writing) Gujarati History 4BN0/01 1h 30m 4AR0/02 1h 30m 4AR0/01 2h 15m including 10m reading time 4CA0/01 3h 4AC0/01 2h 30m Number Length Date 10/05/2012 10/05/2012 14/05/2012 23/05/2012 09/05/2012 11/05/2012 14/05/2012 15/05/2012 18/05/2012 22/05/2012 21/05/2012 29/05/2012 30/05/2012 31/05/2012 08/05/2012 18/05/2012 22/05/2012 24/05/2012 25/05/2012 29/05/2012 29/05/2012 22/05/2012 24/05/2012 16/05/2012 17/05/2012 25/05/2012 08/05/2012 14/05/2012 28/05/2012 28/05/2012 am pm pm pm pm am pm am am pm am am am am am pm am pm pm pm pm am pm pm am am pm am am pm am/pm Islamiyat Mathematics Specification A Paper 1F Mathematics SpecificationA Paper 2F Mathematics Specification A Paper 3H Mathematics Specification A Paper 4H Mathematics Specification B Paper 1 Mathematics Specification B Paper 2 Mathematics (Further Pure Mathematics) Paper 1 Mathematics (Further Pure Mathematics) Paper 2 Modern Greek Paki stan Studies The History and Heritage of Pakistan Pakistan Studies The Land, People and Resources of Pakistan Physics Paper 1 Physics Paper 2 Religious Studies Science (Double Award) Biology Science (Double Award) Chemistry Science (Double Award) Physics Sinhala Swahili Spanish Listening Spanish Reading and Writing Tamil Turkish Urdu 4IS0/01 4MA0/1F & KMA0/1F 4MA0/2F & KMA0/2F 4MA0/3H & KMA0/3H 4MA0/4H & KMA0/4H 4MB0/01 4MB0/02 4PM0/01 4PM0/02 4MG0/01 4PA0/01 4PA0/02 4PH0/1P & 4KPH0/1P 4PH0/2P & 4KPH0/2P 4RS0/01 4SC0/1B & 4KSC0/1B 4SC0/1C & 4KSC0/1C 4SC0/1P & 4KSC0/1P 4SI0/01 4SW0/01 4SP0/01 4SP0/02 4TA0/01 4TU0/01 4UR0/01 Publication Code UG029320 BTEC and NVQ GCSE and International GCSE GCE The Diploma DiDA & other qualifications Online services including Results Plus, Edexcel online International customers all enquiries For more information on Edexcel qualifications please use the following contact numbersLength 2h 1h 1h 30m 3h 2h 30m 2h 2h 2h 2h 1h 30m 2h 30m 2h 2h 3h 1h 30m 1h 30m 2h 1h 2h 30m 2h 2h 2h 3h 3h 30m + 5m reading time 1h 30m 3h 3h 3h Contact us www. edexcel. com 0844 576 0026 0844 576 0027 0844 576 0025 0844 576 0028 0844 576 0031 0844 576 0024 +44 (0)1204 770696 Date 08/05/2012 09/05/2012 31/05/2012 Please see Notes 14/05/2012 11/05/2012 16/05/2012 11/05/2012 16/05/2012 11/05/2012 16/05/2012 17/05/2012 21/05/2012 31/05/2012 09/05/2012 11/05/2012 23/05/2012 30/05/2012 15/05/2012 15/05/2012 21/05/2012 23/05/2012 28/05/2012 28/05/2012 23/05/2012 24/05/2012 28/05/2012 08/05/2012 17/05/2012 pm pm am pm am pm am pm pm am pm am am pm pm am am am am am pm am am am am Examination timetables are available in an electronic format www. modernisationonline. org. uk/comptimetableJune 2012 Examination Timetable Final International General Certificate of Secondary Education and Edexcel Certificate am/pm pm am pm Notes 1. Conduct of Examinations STARTING TIMES OF EXAMINATIONS Each examination must(prenominal) be taken on the day and at the time as s hown on the timetable. The published starting time of all examinations is either 9. 00 a. m. or 1. 30 p. m. Candidates with more than one examination in a session should take these consecutively. A supervised break of 15 minutes may be prone between consecutive examinations. Centresmaystartanexaminationearlierthan,orlaterthan,thepublishedstartingtimeforthesessionwithoutpriorapprovalfromEdexcel.However, in order to maintain the security of the examination all candidates must start examinations scheduled for a morning session no earlier than 8. 30 a. m. and by 9. 30 a. m. and for an afternoon session no earlier than 1. 00 p. m. and by 2. 00 p. m. , except where arrangements have been made for dealing with timetable clashes. Examination centres should bear on to the JCQ publication Instructions for Conducting Examinations in the first instance. Candidateswhotakeanexaminationearlierthanthepublishedstartingtimeshownonthetimetablemustremainundercentresupervisionuntilone hour after the published starting time for that examination. Candidateswhotakeanexaminationlaterthanthepublishedstartingtimeshownonthetimetablemustremainundercentresupervisionfrom30 minutes

Classroom Management and Diversity

Samantha Formato Classroom circumspection and diversity are deuce very important concepts to consider because naturalizeroom trouble in assorted environments can be a lot different than in less respective(a) environments. There is so much diversity going on now that everyone should be aware of the importance of classroom anxiety inside the versatile environments. When I talk about diversity in this paper I am referring to ethnic and cultural diversity. There are many different strategies that can help students in to a greater extent diverse classrooms feeling more thriving and be in a let out learning environment.In my paper, I exit be touching on five major(ip) strategies that help classroom solicitude in more diverse classrooms. These strategies are building trust, engaging personal culture, confronting social control condition and social soundice, transforming instructional practices, and engaging the blameless naturalise community. I will be talking about all of the advantages to these strategies. A nonher thing I will be touching on is the importance of classroom management in these diverse classrooms.I will in any case look at the differences mingled with classroom management in less diverse environments and classroom management in more diverse environments. I will talk about my experiences observing classrooms and the differences between the classroom management strategies distributively teacher uses. Classroom management is a very critical part of teaching and having cracking classroom management in a more diverse classroom is a contend task, exclusively overly a very important one. In more diverse environments especially, it is sometimes harder for teachers to have thoroughly classroom management.Mainly because the students in more diverse settings work to act out more or disobey the rules. If students feel like they are in an open and trusting community at school they are more likely to succeed and heed to the teachers di rections. Building trust, engaging personal culture, confronting social dominance and social justice, transforming instructional practices, and engaging the entire school community is five very important strategies that make classroom management easier. Building trust is one of the most important strategies that help classroom management in more diverse environments.Building trust entails being honest with students and having discussions about race and ethnicity with the entire class. Talking about students different cultures instead of just simply acting like they are not there. One teacher from the Apple Valley School District says, I need to move beyond being color-blind. The main idea of this outline is to establish positive leaning communities in each classroom. If the students feel like their cultures and ethnicity are accepted they will feel more comfortable. Trust is such an important thing to have in a classroom in format to be able to have full classroom management.If the students feel like they can trust the teacher they will be more open and the teacher will have better insure over his or her management (Howard, 2007). The second strategy is engaging in personal culture. This strategy is very important because it can be the difference between high school students dropping out of school or continuing on. The main reasoning of engaging in personal culture is to form reliable and effective relationships across differences. These relationships are very important to students who are going through school.If students feel that their teachers do not care about them they are more likely to drop out of school. Forming relationships with your students is important in order to maintain good classroom management. If the students feel like you enjoy getting to know them and that you lever them then they are more likely to listen and follow directions. If students feel like you do not respect them and could care less about them they are more likely to diso bey and possibly even drop out of school all together (Howard, 2007). Confronting social dominance and social justice is the 3rd strategy to better classroom management.This strategy is about making teachers aware of their surroundings and the issues that surround race and class. It forces teachers to think about race and class in a different way and causes them to better understand their students and what their students are going through. During this strategy teachers will come together and have discussions about race, class, gender, immigration, and other forms of diversity. They will open up and get a better consciousness about social dominance and diversity. This will help teachers teach their students better and make them more aware of what is going on approximately them (Howard, 2007). The fourth strategy is ransforming instructional practices. This strategy is crucial to having good classroom management. The main focus of this strategy is for teachers to geological fault t heir teachings to meet the diverse learning needs of students. in any case, to use curriculum that honors each students culture. For example, if a teacher was working in a school district that was mainly a Spanish speaking area if the teacher had to send something home to the parents they could send one paper home in side of meat and on the back have the same paper written in Spanish. This would make it a lot easier on parents and students of mainly Spanish speaking families.This would also help classroom management because it is very important that your students parents understand you (Howard, 2007). The fifth and last strategy is engaging the entire school community. This strategy talks about how if you want to have good classroom management in diverse environments you not only have to involve the students, but also their parents. If the students are not getting any support from their parents it is hard for them to succeed. Teachers can help parents get more involved by sending home news show letters and letting them know about any activates going on around the school.Even though this might not forever and a day get the students parents involved it so far good to try. It is a lot easier to have classroom management when the students feel supported by not only the teacher, but also by their parents (Howard 21). Also students in schools with a strong sense of community are more likely to be academically motivated (Schaps, 2003). I recently observed two different classrooms, one in a diverse environment and one in a less diverse environment. The classroom I observed that was diverse is in the Northeast school district in Reading and the less diverse classroom is in the Pleasant Valley school district in Brodheadsville.The way the teachers in each of these schools manage their classrooms is completely different because of the diversity differences. The biggest difference I came across while observing these two classrooms was how serious each of the teachers has to be. From observing I realized how much harder it is to have good classroom management in more diverse classrooms. For example, in the more diverse classroom the teacher had to be very serious and the teacher in the less diverse classroom joked around a lot.The teacher in the more diverse classroom had to be serious because the students were constantly acting up. The teacher did not have time to joke around because at every moment she had to oblige her students on track of what they were supposed to be doing. They constantly needed guidance. When I was observing the less diverse classroom I saw that the teacher joked around a lot. He made funny references and was all around less serious and strict. This was because his students were better behaved. They did act up at certain times, but they were always quick to get back on topic.Another thing that I realized was that the teacher in the diverse environment used all of the strategies that help classroom management and the teac her in the less diverse environment only used two of the strategies. There were a few kids in the less diverse environment that were diverse but the teacher did not recognize them. He did not confront social dominance and justice, transform practices, or engage school community. He just acted as if everyone was the same ethnicity and ignored all differences. Which, is not always the best way to act. When a teacher acts this way even though they are teaching all of the students the same.Sometimes the students that are ethnically different can fall behind or feel as if they are not cared about. Where as the teacher in the diverse environment took advantage of her students differences and did all of the strategies, which helped her classroom management become better. By enforcing the strategies the classroom management becomes better because the students respect the teachers more and also usually listen better. The students and teacher benefit from using the five strategies. Keeping co ntrol of diverse classrooms is much more challenging than keeping control of less diverse classrooms.There is a big difference between diverse and less diverse classrooms, that is why classroom management is so important. If the teacher in the diverse environment did not use the five strategies I think it would have been very hard for her to have good classroom management in her classroom. The teacher in the less diverse environment however was able to get away with not using the five strategies because his classroom was less diverse so the students were not as hard to handle. Achieving classroom management in diverse classrooms is a very important and challenging task.Classroom management continues to be a serious concern for teachers and especially in urban and diverse learning environments (Milner 2010). Classroom management is so important in order to have a successful running class. It is easier to obtain classroom management in less diverse classrooms but there are five major strategies that help teachers achieve classroom management in diverse classrooms. I mentioned these strategies earlier, they are again building trust, engaging in personal culture, confronting social dominance and social justice, transforming instructional practices, and engaging the entire school community.Without these five strategies it would be almost impossible to gain good classroom management in diverse environments. If a teacher did not use the five strategies it is possible that his or her classroom would not have very good classroom management, depending upon if the classroom was in a diverse environment or not. Like I mentioned earlier in my paper, classrooms in less diverse environments can often get away with not using the five strategies. This is because the students are easier to manage.It is crucial however, for the teachers in the diverse environments to use the strategies. If in the future teachers determined not to use the strategies and instead decided to just ignore the differences between diverse and non-diverse environments it would cause major problems with classroom management. If a classroom had bad classroom management the students would suffer terribly. Some students would not care about their work, some would not listen, and some would just simply drop out.If teachers did not have control over their classrooms the students would not have anyone to listen to or pay attention to. That is why classroom management is so important. There is a way however, to help classrooms in diverse environments have good classroom management and it is to use the five strategies. If teachers in diverse settings continue to use the strategies it will help not only the teachers, by making good classroom management easier to achieve, but it will also help the students because they will learn more if they are listening and paying attention to the teacher.H. Richard Milner IV, B. T. (2010). Classroom management in diverse classrooms. Retrieved from http/ /uex. sagepub. com. ezaccess. libraries. psu. edu/content/45/5/560. full. pdf html Herbert Elizabeth, A. (1998). Design matters How school environment affects children. Realizing a Positive School Climate, 56(1), 69-70. Howard Gary, R. (2007). As diversity grows, so must we. Responding to Changing Demographics, 64(6), 16-22. Schaps Eric. (2003). Creating a school community. Creating Caring Schools, 60(6), 31-33.

Bone Forensic Anthropologists Essay

1 How did your findings compare to the rest of your team and to the actual data provided by your teacher? What could account for any variation?2 why do you think the pelvis is often the number 1 b bingle forensic anthropologists look to in determining sex from skeletal remains? The pelvis is the first bone anthropologist look at because a male can not fit a human head through their pelvis. A female (the one that is pregnant) can fit a babies head through her pelvis because its wide enough and doesnt have anything blocking where the baby comes out at.3 The developmental occurrences you apply to determine be on stopped at age 25. What are otherwise clues a forensic anthropologist may be fitted to use to determine age if the drum belong to a person over age 25? Determining the age of a sub-adult skeleton is examination of the teeth and jaw by a forensic anthropologist. However, a comparative analysis may be made using the skull sutures and epiphyseal fusion in the young-adult skel eton. Sutures are the zigzag seams where the bones of the skull meet. Endocranial sutures (inside the skull) are more than reliable as an aging method than is ectocranial suture analysis.4 What is the difference between qualitative and quantitative evidence? Explain how both types of measurements played a role in this activity. Quantitative data Observations that do not involve numbers. These observations were definitely used in this activity when we obsered things like cordiform vs. round pelvis or blunt vs. sharp upper eye sockets. Quantitative observations are numerical observations. We also used these in this activity for measurements on the sub-pubic angle, the length of leg and arm bones, the nasal index, etc.5 To analyze the long bones, the femur and the humerus, you looked at bone markings such as condyles, tuberosities and trochanters. Look stand at the photographs and at the bone markings on your Maniken. How would you describe these markings in your own words? Which fea tures do you thinkseparate each class of markings from the others?1. In this activity, you were able to analyze skeletal remains in order to determine four particular traits of an individual. In a real life situation, scientists could provide a more detailed description of the individual based on additional information that can be acquired from the bones of this person. Describe at least two other pieces of information you could possibly learn from bone. Make sure to provide a specific example for each piece of information.

Enabling a Remote Workforce. Essay

Productivity Are employees who telecommute more(prenominal) generative than their traditional office colleagues? 1Savings What types of savings from a telecommuting program should employers expect? 2Planning What kind of objectning does an organization enquire to do to fitly fulfil a successful telecommuting program? 2Eligibility How do managers determine the eligibility of employees for telecommuting? 3Social Interaction What types of kindly limits do out-of-door lickers gravel? 3Communication Limitations Are organizations disadvantaged due to dialogue limitations with inappropriate tameers? 4Management How do managers successfully manage and incite inappropriate workers? 5Technical Issues 5Network What ar the security, bandwidth, and cornerst unrivaled implications for the company web to indorse external annoy? 5Hardw ar/Softw ar Needs What atomic number 18 the hardware, home infrastructure, and software product licensing needs for the remote user? 6Telecommuting Variations What are alternative solutions or variations for telecommuting programs? 7Connectivity What are the tools and strikeations to accommodate remote network access? 8Communication How do you cater your employees to communicate electronically and verbally from home? 9Collaboration What are the tools that foster parley? 9IT Support What are the options and challenges to providing remote employees with technical give? 10Cost How a lot does deploying a remote work ram cost? 10 mop up 11IntroductionThere are a number of good reasons why companies should consider supporting a remote worker program including an spread out labor pool, cut down barter congestion costs (late arriving/stressed out employees), improved recruitment and retention of staff, facility cost savings, lessen parking costs, reduced sick leave and improved worker productiveness. Conversely, at that place are some disadvantages that companies should also be aware of including an isola ted work force, family turf problems, omit of social interaction with other employees and the fear by remote workers that they go away be overlooked for promotions.Companies obviously operate believe a lot to factor in deciding whether or not to implement a telecommuting program. Thus, the goal of this paper is to volunteer consideration points to numerous of the common questions facing much(prenominal) companies. The questions and discussion herein are divided into two primary categories technical and organizational. They are intended to support more generalized knowledge that decision makers can use to upraise their understanding of telecommuting issues.Organizational IssuesProductivity Are employees who telecommute more productive than their traditional office colleagues?In general, remote workers appear to be more productive than traditional office workers. In an October 1995 survey of Fortune 1000 managers, 58% reported increased productivity by employees who telecom muted. Also, according to the State of Californias Telecommuting Pilot Program, companies that implemented a remote work force experienced productivity increases ranging from 10 30%. Further, telecommuters working for American Ex shrink produced 43% more business than their office-based counterparts1. Clearly the case can be made that remote workers are indeed more productive.The primary explanation for improved productivity is a quieter work environment, which offers fewer interruptions. Certainly the remote worker also faces interruptions in their daily work, such as family business, neighbors, chores, television, etc. However these interruptions are generally much fewer than those experienced by the traditional office worker.Savings What types of savings from a telecommuting program should employers expect?The biggest savings for companies result from reduced absenteeism costs and reduced existent estate costs. Oftentimes when employees need to take care of personal business such as doctor visits, car repair, be to children, etc. they call in sick for the entire day. However, remote workers can take care of personal business and still accomplish some or most of their work tasks from home. The International Telework Association & Council estimates that employees who telecommute can save their employers $10,000 each in reduced absenteeism costs2.According to PC World, telework can cut corporate real estate costs from 25 to 90%, which can result in substantial savings for employers. In fact, AT&T saves $25 million per stratum from employees who are full-time telecommuters3. Many companies who lead implemented a successful telecommuting program have instituted hoteling systems in their offices. A hotel is essentially an empty cadre that is set up with a auditory sensation, network fall inions and basic office supplies that any employee can use, often by making a reservation with an office administrator. Hoteling offers telecommuting employees a place to work in the office when necessary without employers having to provide them with a full-time workspace.Planning What kind of planning does an organization need to do to properly implement a successful telecommuting program?Without doubt one of the most important keys to implementing a successful telecommuting program is proper planning. And since every organization has their unique differences (i.e. size, industry, complexity, culture, locale), there is no single formula for such planning. However, successful telecommuting programs should address the following at a borderline* Perform an initial assessment* Consider organizational strategy and culture* Consider the role of management* Consider the need for staff input* crack which staff tasks are most am change to telecommuting* Consider regulatory compliance and legal issues* Determine technology needs* Prepare a cost-benefit depth psychology and/or ROI analysis4Eligibility How do managers determine the eligibility of employe es for telecommuting?According to Langhoff, tasks that are most appropriate for telecommuting are jobs where a person works alone, handling information such as reports, proposals, data or research. Writers, salespersons, accountants, programmers, graphic artists, researchers, engineers, architects, public relations professionals all are prime candidates for telecommuting5. In determining eligibility for telecommuting, managers should first consider whether the employees tasks can be performed remotely. Second, an examination of the individuals level of performance should be made (i.e. are they hard working and self-motivated or do they need constant supervision and coaching?). Of course it can be tricky selecting who can and cannot telecommute therefore companies should be aware of the potential legal implications stemming from employees who wished to work remotely but were turned down.Social Interaction What types of social limitations do remote workers experience?Too often compa nies only view telecommuting as providing benefits to them and to their employees however, there remains potential downsides. One potential downside is the lack of social interaction between employees. Employees who work at an office setting spend a considerable amount of their day interacting with other employees. These water-cooler discussions foster a camaraderie that translates into value for companies when the said(prenominal) employees work on projects together or are in need of support from each other. Also, the camaraderie in unionizely benefits the company when management is trying to achieve buy-in on various initiatives. Lastly, having close relationships allow employees to maintain a healthy mental balance at work resulting in an overall higher level of morale.Once telecommuting is introduced into the mixed, some or all of those relationships are lost. Analysis of past telecommuting research shows that the most cited problem associated with veto impacts of telecommuti ng is the feeling of isolation and loss of morale6. Although isolation feelings and loss of morale (and the resulting precipitate in a companys value) are delicate metrics to measure, some workable solutions have been devised to combat these negative issues. Other solutions have include limiting telecommuting days and making sure to include telecommuting employees in company events7.Communication Limitations Are organizations disadvantaged due to communication limitations with remote workers?The office environment offers some benefits that telecommuting cannot provide. Most important amongst these benefits is the companys ability to communicate to its employees. Most offices display signs of the companys direct communication whether it is embodied in mission statements, annual goal and targets, or modsletters. Indirectly, the company communicates with corporate color schemes, promotion company clothing, and other branding substantial such as coffee mugs. All of these communicat ions are omnipresent throughout the corporate office setting and help to build company pride, employee loyalty, and a sense of corporate culture. Employees who tend to work remotely are only exposed slightly to this communication through email, conference calls, and other mailed material. This lack of corporate communication may lead to low motivation, lack of identification with the company, and reduced company loyalty8.The solution to the communication challenge is to ensure that corporate communication includes channels to the remote worker. In fact, companies should recognize that off-site employees need more direct and indirect communication such that employees do not develop those negative feelings. Also, companies should make a concerted effort to limit telecommuting days and to include all telecommuting employees in company events9.Management How do managers successfully manage and support remote workers?Another challenge with telecommuting employees revolves around their d irect management. Not only do managers find it much more difficult to monitor the productivity and effectiveness of their telecommuting employee, but they are also challenged by having to change their management style to incorporate the limitations brought about by telecommuting10. Managers who have telecommuting employees are also faced with more potential issues such as family conflicts arising from their employee working from home. These conflicts cross the boundary of work and personal life, and almost ever negatively impact productivity. Lastly, it is the role of managers to provide organizational support to the telecommuting employee. With the employee being off-site, the manager is unremarkably limited to email and telephone to support his employee. This limitation further restricts a managers effectiveness and typically utilizes more of a managers time in sorting out support logistic11.Solutions to the managers challenge involve setting up a detailed action plan between ma nager and telecommuting employee. This action plan should be supplemented with an active communication plan12. Once expectations for both parties are clearly outlined in the action plan, both parties can then communicate increase or support needs more efficiently. Moreover, managers can adapt their management styles to telecommuting employees by setting results-based milestones and orienting tasks into projects such that managers still retain realise of certain processes13.Technical IssuesNetwork What are the security, bandwidth, and infrastructure implications for the company network to support remote access?Before considering the strategy to deploying remote access for a company, a survey should be done of the existing network and current remote access courses. Once a complete analysis of the current configuration and future needs are assessed, then the following issues need to be included in your strategy of preparing and deploying the company network for a remote force secur ity, bandwidth, and infrastructure.14Table N1 3 Areas of Security15Internal NetworkUsually the most unattackable of the three, but still should be reviewed for any fallacies.External NetworkMust secure the PC in the remote location (i.e. firewalls, RSA encryption, etc) to prevent unauthorized access and snooping from the remote location.Remote WorkerLeast secure, must require security policies to be followed about passwords, where to connect, and who to trust.With more remote workers, there forget be an increased demand of bandwidth on the network. Will the remote employees be productive with the current infrastructure that your network can provide? Perhaps considerations for upgrading from16FromToDial-up (56K)ISDN (128K-256K)ISDN (128K-256K)T1 (up to 1.5M)T1 (up to1.5M)T3 (44.736 Mbps)With the increase demand more infrastructure will be required for allowing an increasing number of remote workers to connect to the corporate network (more servers, security hardware, and routing h ardware).Hardware/Software Needs What are the hardware, home infrastructure, and software licensing needs for the remote user?For the employees who travel often, they are usually provided some mobile computing solutions and they have ground ways to work from remote locations. However the new generation of employees, the remote worker will work from the comfort of their home. Working from home brings a new set of issues in to play.HARDWARE* Can the employee keep work and personal items separated?* If not, should the company provide additional hardware?* If the company does NOT provide additional hardware, then how much of the employees hardware can be expensed if upgrades are necessary?* The employee may need/require a fax machine, an additional phone line, or other office equipment.SOFTWARE* Software licensing has be clear-cut as far as how many computers can use the same license, however what about home workers?* The companys site licensing may not cover home computers and will r equire the company to pay extra for these licenses.INFRASTRUCTURE* For someone at home who has a DSL, Cable, or Dial-Up connecting, how much of that should the company pay for?* Support, Support, Support. Who will provide the maintenance and support?* Is the home PC secure? If not, who will provide the hardware/software in order to secure it? Also consider how much of the companys data should be on the personal machine. What happens if the home PC is hacked?Telecommuting Variations What are alternative solutions or variations for telecommuting programs?Outlined in this paper is the most common setup for a company to develop telecommuting options for their employees. However most of these configurations allow the employee to use limited resources over the network (access to shared folders, documents and e-mail). Depending on the size, the costs of setting up an infrastructure for telecommuting workforce could be unaffordable. The following are other options available to companies w ho wish to have a telecommuting workforce.CitrixRemember or heard about the mainframe days? Well, history tends to repeat itself. As more PCs were become powerful, we moved away from the mainframe days. However with the Internet, the paradigm of sharing resources has returned and now software applications and operating systems have the enhanced ability to handle more than one user concurrently. Citrix17 allows concurrent remote users access to a single server that will give a separate session for each user. Each user will have access to the same set applications on one machine. This solves the software licensing issues of working from a remote location as well as reduces amount of maintenance of hardware/software for the IT department.Satellite OfficesCompanies are opening satellite offices to reduce commute times for employees and help alleviate city traffic and parking congestion problems. This will result in reduced land costs since these centers are away from the city where the cost of living is lower.18 Telework centers are equal to a satellite office, but operate by independent parties. Unlike satellite offices, numerous employees use them. Think of these options as outsourcing building/infrastructure issues.Connectivity What are the tools and considerations to accommodate remote network access?In todays information environment, connectivity has become essential for a significant portion of the workplace. Access to email, network resources, server applications, and the Internet is a continual activity for the white-collar professional. At a minimum, companies would be well served to support webmail. In much the same stain as portal email (Hotmail, Yahoo), mail is maintained on the company server. This server is then linked to a website, and employees can gain secure access to the company server via any browser. Once logged in, an individual has the full functionality of their account to compose, receive, store, and delete email without explicitly ne eding to connect to the company network. However, there will be a resulting lack of security employees need to be encouraged to create and regularly modify complex passwords, and to close public web sessions. That said, the security fortune is only to an individual email account not the company network as a whole.A second logical step for an IT department is to enable Virtual Private Networking (VPN). This will allow employees to connect their remote machines to the company network after establishing an Internet connection through an ISP. This machine then behaves only if as a networked office-located computer. For users maintaining both an office and remote computer, this solution requires any desktop applications be maintained on both systems. To avoid this duality, many users will first establish a VPN connection and then emulate their office computer with built-in Windows 2000 and Windows XP remote desktop tools or 3rd party tools such as VNC19. In essence, the remote machine then acts as a terminal or monitor to the office computer, and the user can run the applications found on that machine without any needs for secondary software. The downside to this solution is that emulation is only as good as the connection speed.Communication How do you allow your employees to communicate electronically and verbally from home?Todays telephone solutions for the telecommuter generally consist of providing an office phone with call-forwarding features to an employees business cell phone an often times reimbursed expense. This avoids some of the problems associated with using a home line for a combination of business, personal, and dial-up use. The office system simplifies contacting an individual (Simply dial an extension and press 7 to connect to the forwarded line alternatively than maintaining a constantly changing set of employee contact information).A home line alternative is a characteristic ring system multiple phone numbers (home, office, fax) use a si ngle line with each producing a unique ring that can be directed to an appropriate voice mail box or machine (PC, fax). A second alternative consists of an off-premise-extension (OPX) or foreign exchange (FX) system. While more expensive, these systems truly mimic the office with a separate home line that is identical to an office extension20.Electronic mail is a requirement for most remote users. IT departments can help support employees using multiple computers to access their email by allowing mail to be retained on the company server rather than downloaded to the individual PC. (As an unrelated benefit, this provides much greater redundancy in the event of a computer hard drive crash). Please see the discussion on web mail for more on remote e-mail use. A less intrusive substitute to phone conversations is instant messaging. While this has potential for both misuse and unproductive use (where conversation is more efficient), this is often times an ideal mechanism for sharing sma ll tidbits of information and is especially valuable for troubleshooting. A more extensive tool would be the newsgroup in combination with a company intranet. Here, employees can develop an extensive knowledge base of processes, questions and answers.Collaboration What are the tools that foster communication?At the lowest end of the technology spectrum, there is the traditional conference call a virtual audio meeting with many parties. In an effort to fight the inherent isolationism of remote workers, the videoconference personalizes the conference call as participants better identify with the visual image than the audio. To implement, however, youll need additional webcam hardware, videoconferencing software and a fast Internet connection.Chat rooms (a variation on the aforementioned instant messaging) are suitable for short discussions or as supplements to a meeting (agenda, minutes, links, data, follow-ups)Web conferencing often includes both videoconferencing and chat room fea tures, but distinguishes itself in that it allows a moderator to emulate his/her desktop to the attendees. Among the forefront of the software leaders in this area is WebEx21.IT Support What are the options and challenges to providing remote employees with technical support?One of the drawbacks to working remotely is the absence of immediate technical support for both fruitless and complex hardware and software issues. Given that troubleshooting is often a hands-on activity, solving problems for telecommuters is likely to be frustrating and time-consuming. However IT managers can take a number of steps to reduce downtime.* Standardize the equipment and installation. The more alike your users systems are, the better positioned you will be to reproduce and diagnose problems.* Maintain an inventory of back-up equipment in the same way that a car repair shop offers loaner cars.* Set up remote users so their desktops can be emulated by technical support in this way an IT department ca n provide step by step demonstrations to fix problems* Maintain an easily accessible FAQ and update it with each new problem and solutionManagers may also want to consider outsourcing their technical support requirements. Companies like Voyus22 provide 24 hour help desk support and web-based support applications.Cost How much does deploying a remote workforce cost?The decision that the companies face is how much ownership the company will take for each of the types of telecommuters. For an casual telecommuter, the employee will more than likely take on the costs. For a heavy telecommuter, the company will probably need to cover the costs to the employee.Telecommuter Type absolute frequencyImplementation Costs InvolvedOccasionalInfrequentlyDial-up, Web-based applicationsRegularScheduled intervalsRemote Connection, 3rd Party Software, Laptop, Firewall, Router.HeavyFrequently to Full Time nominate second computer, VPN connection, ISP costs, other office equipment, maintenance.It is n ot the technology costs that make or break the telecommuting decision, but its the organizational issues that should benefit the company if deployed properly.ConclusionTelecommuting seems to be the answer to the increased workload versus work/personal life balance issue that many companies are seeking. While there exist many challenges towards implementing a successful telecommuting plan, there also seem to be many practical solutions. The real issue seems to stem from whether a company will change its processes and standards to allow for telecommuting to co-exist with office employees. Such a decision, as this paper has outlined, is not as simple as providing remote employees with an internet connection. Rather, the decision has significant technical and organizational ramifications that need to be well thought out before implementation otherwise, the company is doomed to make the mistakes of many companies that have haphazardly gone down this path.1 http//www.langhoff.com/faqs.htm l2 http//www.youcanworkfromanywhere.com/infocenter/facts.htm3 http//www.youcanworkfromanywhere.com/infocenter/facts.htm4 http//www.tfw.org.uk/teleworking/contents.htm5 http//www.langhoff.com/faqs.html6 Pinsonneault, A. (1999). The Impacts of Telecommuting on Organizations and Individuals A Review of the Literature, Cahier du GreSI, 99(9).7 Guimaraes, T., and Dallow, P. (1999). Empiracally Testing the Benefits, Problems, and success Factors for Telecommuting Programs, European Journal of Information Systems, 8, 40-54.8 Davenport, T.H. and Pearlson, K. (1998). Two Cheers for the Virtual Office, Sloan Management Review, 39(4), 51-65.9 Guimaraes, T., and Dallow, P. (1999). Empiracally Testing the Benefits, Problems, and victory Factors for Telecommuting Programs, European Journal of Information Systems, 8, 40-54.10 Kirvan, P. (1995). How to Manage Systems for Remote Workers, Communications News, 33, 67.11 Kirvan, P. (1995). How to Manage Systems for Remote Workers, Communications News , 33, 67.12 Guimaraes, T., and Dallow, P. (1999). Empiracally Testing the Benefits, Problems, and Success Factors for Telecommuting Programs, European Journal of Information Systems, 8, 40-54.13 Davenport, T.H. and Pearlson, K. (1998). Two Cheers for the Virtual Office, Sloan Management Review, 39(4), 51-65.14 Ascend Communications, 2002, Telecommuting Network Guide A imagination for Planners, Excutives, and Information Managers, http//users.skynet.be/teletravail/PDF/solut_technique.pdf15 Jessica L. Hirsch, 2000, Telecommuting Security Policies and Procedures for the Work-From-Home Workforce, http//www.teleworker.org/articles/telework_security.html16 Bandwidth Savings, 2003, Services In Detailed, http//www.bandwidthsavings.net/servicesdetail.cfm17 Citrix.com, 2003, Home Page, http//www.citrix.com18 Hall, Aric, Bilski, Alicia, Wadman, Scott, 2003, Ways People Telecommute, http//members.tripod.com/trom/page3.html19 http//www.uk.research.att.com/vnc20 Wrobel, Leo A., February 1997, Hel pful Hints for MIS Managers Supporting Telecommuters and Nomadic Users -Part I Voice Communications, http//www.rewireit.com/articles/w0297.pdf21 http//www.webx.com22 http//www.pcsupport.com/

Interventions to Meet the Needs of Consumers

Interventions to Meet the Needs of Consumers with Mental Health and Add Issues. BY songster CHAMBER Provide interventions to meet the involve of consumers with amiable health and ADD issues. Introduction Case study of Susan a female patient age 40 years old. Name change overdue to confidentially and I had been given consent to obtain and access her personal medical file for the purpose of my study. In her ass, Susan is beginning to experiencing bouts of unhappiness. She turned to inebriant. The trauma proterozoic in Suntans life, coupled with the subsequent health problems had placed Susan at risk or developing a serious psychiatric disorder as an adult.Despite getting help for depression, her drinking gradually increased. Following the death of her mother in 2003, Suntans addiction escalated to the point that she could not start the day without a drink. It was in capacious emotional pain, and her drinking increased. At this point, she was never sober. Recently she had turned herself to ignorenabis smokers. Susan had identifying her first problem. She wanted to get well and be normal allowing her greater freedom from the horrible side-effects of alcohol. She was placed on an antidepressant medication to assist her in functioning better. Her family is very stakeive.She had a secure and stable family. Susan is fully aw argon of her intellectual state. She scored full in Mini mental state examination. Her speech is normal and calm. Therapeutic relationship Susan and I had a nurse-patient relationship thats based on vernacular trust and respect. I had been providing wish in a manner that enables Susan to be an equal partner in achieving wellness. I had always make convinced(predicate) Susan has hiding when provide wish and be sure that her basic needs are met, including relieving pain or there sources of discomfort. I too had actively listened to her to make sure I understand her concerns by restating what she has verbalized.I had maintained profes sional boundaries like respecting differences in her cultures. We as nurses help Susan achieve harmony in mind, body, and spirit when engaging in a therapeutic relationship based on effective communication that incorporates caring behaviors. Its a win-win situation in which the nurse and Susan can experience ingathering by sharing the moment with each other. Assessment We did assessment for Susan as the first part of the nursing process, and thus form he basis of the care plan. The subjective requirement of accurate assessment is to view Suntans holistically and thus identify her real needs.Through the uptake of a scoring formula identification of evidence to support decision making and practice. The assessment tool will assist nurses to two articulate and quantify the nursing contributions to care. Suntans chart provides information about his health status. It includes detail about the current medical condition, treatment plan, related past medical history and other important data required to create a care plan. Vital Signs, jugular monitoring of a patients face rate, blood pressure, temperature and evaluate a Suntans overall condition.Abnormalities can indicate a variety of problems ranging from anxiety to heart failure. Suntans interview is the one of the most important assessment tools the patient herself. An initial detailed interview to get a full picture of Suntans physical and mental status. Patient Safety Plan There was a Patient Safety Plan for Susan. The purpose of the safety plan is to encourage Susan to identify calming strategies that whitethorn be of assistance to them while she is in hospital. This plan helps to list those things that can be assistance and encourage helping prevent a crisis developing that business leader place the patient and others at risk.The plan helps to list Suntans activities and strategies that find accommodative in keeping calm. For example Susan likes listening to slow and sentimental music and doing artwork to calm her nerves. She does not like noise and being bullied these will act as triggers and she will get angry. Risk Factors Alcohol abuse as well can perk up serious repercussions on a persons life, leading to financial and legal troubles, impaired thinking and Judgment, as well as marital tress. If were struggling with bills or grappling with a failed relationship, were more likely to feel depressed.A persons home and social environment also can play a big fictional character in determining whether they will develop both depression and a drinking problem. Children who have been abused or who were raised in poverty come out to be more likely to develop both conditions. Researchers have been searching for a common gene or genes that might lie behind both conditions. They have pinpointed at least one a variant of the gene CHARM that is involved in several important brain functions, including memory and attention. Variations in this gene might put good deal at risk for alcohol dependence and depression. Surveillance, R.A Primer of Drug Action, Macmillan, 2005. J. Goldberg, 2012. Minimize social isolation We had suggested that Suntans family members and friends can also benefit from the hospital support group that they learn more about the disorder and become more constructively involved in recovery of Susan. viable alternatives to traditional treatment. Here is some traditional treatment that Susan attends in her day activities in the day Centre in the hospital itself for relaxing. A number of essential oils are believed to be specially beneficial in the treatment of depression as they help to balance and relax the nervous system.Aromatherapy can be helpful in alleviating mental disorders including depression. Aromatherapy is the use of essential oils to produce different emotional and physiological reactions. Some essential oils affect the nervous system, can help absolve tensions and anxieties, and even reduce blood pressure. Massage therapy is believ ed to be helpful for people with depression. Massage produces chemical changes in the brain that result . In a whimsey of relaxation, calm and well- being. It also reduces levels of stress hormones such as adrenalin, cortical and morphogenesis which in some people can trigger depression.Yoga breathing exercises are beneficial for depression. Yoga is an old-fashioned Indian exercise philosophy that provides a gentle form of exercise and stress management. It consists of postures or asana that are held for a short period of time and are often synchronized with the breathing. It is very helpful for reducing stress and anxiety which are often precursors to depression. We have given leaflets on acupuncture for traditional euphony China, Japan and other eastern countries. Acupuncture is based on the principle that stimulation of specific areas on the skin affects the functioning of certain organs of the body.Fine needles are inserted into specific points called acupuncture points Jus t below the surface of the skin. It is believed that acupuncture can help to relieve depression, along with anxiety, nervous tension and stress. Other self-help measures include Meditation, relaxation, diet, alcohol and drug avoidance and exercise. Withdrawal symptoms The common symptoms of alcohol intoxication include slurred speech, euphoria, impaired balance, loss of muscle coordination, lushes face, dehydration, vomiting, reddened eyes, and erratic behavior.Which Susan does not have but she does not sleep well, not thinking clearly, irritability and loss of appetite. These symptoms are related to withdrawal from another drug as well focal point of dependent drug intoxication and withdrawal Encourage and monitor diet and fluid. Reduce all environmental stimuli like providing single room with dim lights 4 hourly vital signs Administer medication prescribed by MO Consider assessment of breath or blood alcohol level where there is a concern of polycrystalline use. Report mental sta te and concerns, discuss with MO Referral to psychiatry.Treatment her treatment includes Disappear, Thiamine, and multivitamin and foliate supplements. Mobility Performs falls risk assessment on falls risk management tool (FROM) On going assessment and management Assessment of the patients risk and protective factors status at the current time. render of feedback on the patients risk level. Review of progress since the last towards achieving current goals. Identification of upcoming high-risk situations. Development and practice of coping responses Addressing any problems the patient whitethorn currently experience and Setting new oils for the time until the next.For Susan the goal is to disrupt the cycle and reduce the risk of relapse. Treatment can include continuing care. We use intensive inpatient care based on 12-step principles. Followed by continuing care involving self-help groups, 12-step group counseling, and some individual therapies. Alternative approaches to enhance tr eatment memory board in both initial and continuing care. The 12-step programs that provide a spiritual and behavioral guide to self improvement and offer social support for people seeking to achieve abstinence Each of these groups offers several hypes of meetings like speaker meetings.With invited speakers such as discussion meetings in which all participants chair to the discussion of a given topic or 12- step meetings that discuss one of the 12 steps and participants are encouraged to attend all types of meetings. Cognitive-behavioral therapy begins with an analysis to identify beliefs, attitudes, and situations that contribute to the patients ADD use. Based on this analysis, coping responses that the patient can use are developed and practiced in high-risk situations to avoid relapse (Carroll 1998 month et al. 1999). Monitoring of her sleep pattern.Monitoring of her fluid and diet intake. Being The aim is addressing Suntans social care needs including possible triggers or sub stance misuse. To give her education in improving awareness of risks taking behavior and explaining how to find support. To give her treatment of mental health problems, drug treatment, psychosocial therapy and complementary therapies.

Miss Brill Essay

Miss brill is a con story published in1922, in which Katherine Mansfield, the author gives great insight into how insulate individuals can begin to twist their perception of the humanness around them, eventually leading them to unintentionally contradict their loneliness and causing their false perception of the world to collapse and fail estranged. Miss brill, the main percentage is a middle-aged, unmarried English teacher who lives by herself in an apartment in France. Miss Brill owns a treasured fur which she wears around her neck every Sundays at three oclock when she goes to the park. The lonely foreigner strolls around the park and has become quite an expert at eavesdropping on other peoples conversations while creating artificial connections or relationships with the people around her. The short story focuses on one particular Sunday afternoon where Miss Brill is forced to step out of her delusions and face reality after her illusions were shattered by the remarks of a yo ung couple. In the story Katherine Mansfield uses conscious narrative to allow readers to know so much about the main fibre through the main characters thoughts and perception of other characters. By doing this, the readers get a complete characterization of Miss Brill, the main character through the responses and emotions that result from other characters conversations or actions.A good example of that would be when Miss Brill suddenly realized that the people who sat at the bench attached to her all seemed odd, silent and old which ironically reflects on her situation although she does non see it at them time. According to short stories for students, Miss Brill is told in a third-person, stream of consciousness narrative, a common device in Mansfields works which serves to heighten the storys psychological acuity and perceptive characterization. though narrative is in third person, the stream of consciousness technique allows the reader full access to no social function but Miss Brills thoughts. This shows us that the point of view is extremely critical to our understanding of Miss Brills character and what she is all about. At the beginning, readers perceive Miss Brills excitement and mood as pleasant when she describes the blissful weather and her surroundings. Although it was so brilliantly fine-the blue sky powered with gold and great spots of ignition like wine splashed over the Jardins PubliquesMiss Brill was glad that she had decided on her fur. At this point conclusions can be worn-out that the fur is somewhat connected to its owner because they are both advanced in age and live in a dark room or cupboard where they get to come out of every Sunday.In the first few paragraphs readers get the sense that Miss Brill is quite pleased and comfortable with her current lifestyle and readers also comprehend that Miss Brill has indeed found a way to compensate for her solitude by sitting in on other peoples lives. We can articulate for sure that Miss Bril l is delusional when she refers to herself as an actress in a fantasized play. Miss Brill believes that she somehow serves a purpose when she goes to the park every Sunday and if she did not show up for her role someone would notice. This fantasy is abruptly cut short when a young couple insults her and brings her back to reality. One critic, Robert L. Hull argues that Miss Brills world is more than lonely he claims that it is also an experiential world in which she finds herself in complete solitude estranged from God, man, and importantly from herself. The critic goes on and states that the primary theme of Miss Brill is that of estrangement, estrangement from love, which Mansfield admits in a letter to John Middleton that it was the primary reason for writing Miss Brill.I completely agree with Robert and I think that Miss Brill was not just lonely, her life made no meaning whatsoever. In a traumatic conclusion, Miss Brills life was changed drastically from that one escort with t he young couple. She will never be the same again after that day the young couple did more than just hurt her feelings, in a way they took away her innocence. To Miss Brill the Sunday the outings was more than just eavesdropping at other people or being noisy, it was the one harmless thing that made her happy, sort of like a guilty pleasure. Finally, Mansfield leaves the readers wondering what would happen next to Miss Brill, would she continue with her normal Sunday routine or was she so traumatized that she wouldnt dare go back to the park.Works CitedHull L. Robert Alienation in Miss Brill, in studies in short fiction, Vol. V No.1, pass by 1967, pp 74-6 Murry J. Middleton, The Letters of KatherineMansfield, Knopf, 1930Wilson Kathleen Ed, Miss Brill Short Stories for Students, Vol.2. Detroit Gale, 1997, 132 145, Gale Virtual Reference Library. Web. 19 Sept.2014Miss Brill, A Character Analysis. 123HelpMe.com. 19 Sep 2014 http//www.123HelpMe.com/view.asp?id=110412Nordquist, Richard Miss Brills fragile fantasy http//grammar.about.com.Wood Michael Kerry The short fiction Mastery of Katherine Mansfield as seen in Miss www.humanities360.com. Published July 30, 2009Scarlett Velveteen Characterization of Miss Brill by Katherine Mansfieldhttp//www.teenink.com 16 Sept 2014

Porter’s 5 Forces Essay

Webjet is Australia and New Zealands largest online get going agency. Leading the way in online go away tools and technologies, Webjet enables customers to easily search and book the scoop up domestic and international travel passage deals, travel insurance, car hire and hotel accommodation worldwide. Webjet sites are simple to navigate, engaging and informative, giving customers confidence when managing their own travel arrangements. Webjet offers a 24/7 customer support profit to cater to our customers necessitate. On 21 August 2013, Webjet announced a profit of $11. 4 one million million million and NBAT of $6. 5 million.During the year the company experienced a growth in total transaction values of $110 million from $768 million to $884 million. About service Webjet. com has created our site around the belief that saving time and money is the key to opening up a world of travel opportunities. Operating as a completely independent flight booking engine, Webjet. com shows th e absolute economical fares available, displaying the lowest total travel price. With the use of leading proprietary search technology, Webjet. com sifts by means of millions of promulgated airfares from over 150 different airlines and 69,000 hotels to choose from.In addition to discounted fares offered through our consolidator network we provide the most affordable travel options available. We are fully act to providing better access to savings on both international and domestic airfare as well as top deals for hotels, travel packages, cruise, car rentals and more contradictory most of our competitors, we display the TOTAL price, including taxes and fees, up front to allow customers to compare prices and do it what to expect at point of purchase. We help U. S. world travelers navigate through the jungle of international airfares to find the best deals, says Mathias Friess, Webjet.coms CEO. With that said who wouldnt want to easily find flights that will save them money? Also, n ot just does Webjet. com promise convenient and affordable flights but we also promise privacy. Booking online, no matter what site used, requires users to provide personal information. Webjet. com promises to not only hold dear this information but also to only share it after receiving the travelers consent. So why choose Webjet. com? Because our team works to provide affordable fares and put customers needs first. Marketing and IT teamWere more than such social media junkies and computer geeks. Our marketing team works to make a connection with our customers and let them know about the exciting updates with our site. We figure out what you want and need so that we can get it to you. From making you smile with our TravelProblems tumble to providing travel tips with our blog and update you on deals with our newsletters we enjoy reaching out to each customer. Were constantly using our creativity to give travelers what theyd want from sweepstakes to our hangout videos that provide t ips for change of location abroad.Feel free to connect with us on our Facebook, Twitter and Google+. History Established in 1998, Webjet was founded by former Jetset Travel Chief Executive David Clarke. counsel WEBs senior focussing has a mix of backgrounds, with a core convention of directors and managers having been with the company for several years. In the early 2000s this group pursued the development of an integrated booking platform to streamline its website activities Since then they have expanded Webjets services into complimentary fields that can be managed via their alert website.Webjets ROE over the last several years attests to the success of these decisions and managements ability to provide good returns on investor capital. Internal possession is substantial, with over 12% of outstanding shares owned by the directors and senior managers alone. Bonuses are typically 20% or less of total remuneration across the management group. Risks Stiff competition in online ac commodation service with the likes of Wotif (WTF) and lastminute.com Competition from existing brand- denomination competitors like Flight Centre (FLT), who are also developing their online accommodation bearing Reliance on indebted Australian and new Zealand consumers for the vast majority of revenue Sensitivity to the AUD, as a lower dollar will reprove Australians from holidaying overseas Opportunities One of the few companies in Australia that is currently benefitting from the high AUD, as Aussies head overseas for their holidays to take emolument of increased get power The web-based business model is unencumbered by physical store fronts like its rival Flight Centre, making Webjet suitedto the on-line shift for flight and accommodation bookings Good brand name recognition within Australia An easily-scalable business for overseas operations Webjet is a great business with good brand name recognition in Australia and a business model suited for the online future. Their financi als look great, with a stable ROE of approximately 20-25% and a robust balance cerement that has no debt. Management have successfully grown the Webjet business by increasing the services it offers and maintaining a low cost structure.Unfortunately Webjet has no constant competitive advantage and is sensitive to movements in the AUD. Further, the online world has low barriers to entry and consumers can be fickle. In addition, Webjet must also compete with established travel groups like Flight Centre and dedicated booking agents like Wotif. As such, Empire Investing considers Webjet a Good Company with no competitive advantage one wed like to own, but only at a big discount to compensate.

Healthcare Issues/ Importance of Issues Essay

For a tolerant returning infrastructure after(prenominal) total hip replacement surgery, on that point is a need for the case manager to address whatever issues that whitethorn hinder proper healing or honorablety issues. In the case of Mr. Trosack, there argon several issues that the case manager must address prior to discharge. First, Mr. Trosack is a newly diagnosed diabetic. He was confirming Glucophage to help control his blood sugar and has demonstrated that he is able to perform his testify blood glucose check using a glucometer. He has verbalized that he is not happy nearly having to take the darn musics and his family seems to be in denial about his diabetes.They believe that diet alone allow control his blood sugar. Mr. Trosacks unhappiness about taking medication and his familys neediness of solicitude about continuing the medication go out put Mr. Trosack at put on the line for non-compliance with his medication regimen. It is important that Mr. Trosack as k round on dismission education about controlling his diabetes including proper diet and taking his medications at specific times. This as well as needs to be addressed with his family so they are supportive in providing a healthy standard force for Mr. Trosack. Mr. Trosack is at a take a chance for falls given his age and history of falling down the stairs.His home is cluttered and there are m whatsoever slough rugs which stern interfere with safe ambulation. He is reliant on a walker for balance and lives on the second floor of his flat tire building. It is important that any clutter and tripping hazards are cleared before Mr. Trosack hindquarters return home to decrease his notice of falling. It is to a fault important that a personal therapist evaluate Mr. Trosacks ability to climb 2 flights of stairs safely. Being newly diagnosed with hypertension, Mr. Trosack must be educated on the importance of rising belatedly to restrain dizziness which may allow to falls.He also may sprain tired or dizzy from his Percocet. Any educational materials should be in larger print to compensate for his impaired day-dream and any verbal education must be done to his right to compensate for the hearing exhalation in his left ear. Mr. Trosack is at a risk for social isolation due to his inability to journey two flights of stairs which lead to the outside of his apartment. His brother helps him manage the family bakery and pull up stakes have to treat purposeless hours since Mr. Trosack is unable to work. His son and daughter-in-law both work 60 hours a week and are try to conceive a child.They were hoping to assist Mr.Trosack but admit that they have little bring through time. They were intending to investigate whether there was a local grocery store that could deliver forage. This social isolation could lead to depression or force Mr. Trosack to attempt risky behaviors to fend for himself. If he has a fall at home, there is no telling how long it wou ld take for someone to come to his aid. Interdisciplinary Team Members and Roles Several disciplines should be compound in the discharge planning for Mr. Trosack. The hold dear case manager pass on oversee the tolerants sympathize with to ensure that they have access to the resources they need to recover.They help coordinate the patients shell out and make sure all aspects of care are covered. Case managers communicate with other specialists and ensure that the care is delivered in a timely manner. The physician will assess Mr. Trosack and clear him medical examinationly for discharge to home. The physician will monitor the healing process and prescribe any medications necessary. Any referrals to specialists will originate from the physician. The physical therapist will work with Mr. Trosack to set up an exercise regimen to improve strength and stamina. He can assess whether or not Mr.Trosack is able to safely navigate the stairs leading to his home.Educating the patient abo ut total hip precautions and safety is important. The physical therapist will teach the patient how to custom the walker, safely get up from a female genitaliaed or lying position, climb stairs and function the toilet while maintaining total hip precautions. He may recommend a raised thunder mug or grab bars in the bathroom for safety. The social worker can assess the patients support system and recommend resources that can make life a little easier for the patient.She may recommend an aide to assist Mr.Trosack with bathing, dressing, shopping or light housekeeping. The social worker could set up the delivery of meals from Meals on Wheels or other service. She could help find a grocery store that delivers food to the patients home. Since Mr. Trosack will be alone near of the time and he has an increased risk for falls, the social worker could help set up a medical alert system, like Lifeline, that will allow Mr. Trosack to call for immediate medical assistance in the event of an emergency. Safety Assessment The entree to Mr. Trosacks apartment requires walking up 2 flights of stairs. There is no elevator in the building.Mr. Trosack will not be able to safely navigate the stairs without the assistance of another person. He will not be able to carry his walker and safely descend the steps. If he does have the assistance of someone who will carry his walker, there must be a handrail available for extra stability. The physical therapist needs to educate Mr. Trosack on the safe way to ascend and descend stairs. When going up, Mr. Trosack should lead with his good leg, and then bring his operative leg to the same step. When descending the stairs, he should lead with his bad leg and then bring down his good leg. Mr.Trosacks apartment is described as small and cluttered.The area will need to be cleared so there is a safe pathway for him to walk through that includes enough room for his walker. Any throw rugs should be removed to prevent tripping. The bathroom s hould be equipped with grab bars to give Mr. Trosack extra stability. A bath seat should be placed in the tub so Mr. Trosack does not have to stand while bathing, thusly reducing the chance for a slip and fall. A raised seat commode would be multipurpose to prevent breaking total hip precautions. Any old medication in the medicine console should be propel away to prevent confusion.The kitchen is small and cannot accommodate the walker. Mr. Trosack will have to be taught to safely navigate the kitchen using the counters for support. An occupational therapist could assess the situation and make recommendations for kitchen safety. The stove seems to be complaisant with the controls on the front in easy reach. Old food in the refrigerator should be thrown away to prevent food borne illness. If an aide is involved in Mr. Trosacks care, she could help with food shopping, throw away all old food each week and take the trash out. Discharge mean Needs Mr. Trosack will require an enviro nment that is safe and supportive during is recovery. His home will need to be cleaned and all tripping hazards interpreted away.He will need supervision in activities of daily hold (ADLs) like bathing, cooking and ambulation. His groceries will need to be delivered and his trash will need to be taken down the stairs. He will need some form of communication to alert emergency run if he falls. His family is extremely busy working 60 hours a week and they have little spare time to help. The family needs to decide if they can take on this responsibility alone. Mr. Trosack needs to realize that he will not be able to help in the bakery until he is healed.The stairs to his apartment are a huge barrier to him leaving the home for any reason and he cannot do it safely without help. Social Isolation Mr. Trosack is at risk for social isolation due to living alone, lack of family support and inability to leave his house due to surgery. According to the World Health Organization, social isol ation is associated with increased rates of premature death, lower general well-being, much depression, and a higher level of deterrent from chronic diseases (Childrens, Womens and Seniors Health Branch, British Columbia Ministry of Health BC Ministry of Health, 2004, p. ).The isolated tend to have a higher incidence of depression and stress-related conditions. People who feel alone are at an increased risk of early death. A British study found that the most socially isolated were 26% more likely to die than those who were active (Szalavitz, 2013). Some of this is due to delayed medical care caused by medical conditions going unnoticed until the condition has become advanced. Some is due to the lack of health benefits of social, physical attain like holding hands. Physical contact can help reduce pain and blood pressure while decreasing stress hormones and inflammation.The stress caused by social isolation generates the production of cortisol in the proboscis. This has a deleter ious effect on wound healing. On the other hand, during social contact and bonding, the body produces oxytocin. This hormone blocks the effects of cortisol and helps promote healing (Detillion, Kraft, Glasper, Prendergast, & DeVries, 2003). Psychological Factors Mr. Trosack will be alone most of the time. He is a widower and his family is busy with work. He is unable to leave his home due to mobility issues. He will not be able to function at the bakery as he wishes.This may lead to loneliness and frustration which will negatively impact his well being. He may become depressed and lack the motivation to continue with his therapy program. His sleep patterns may be affected and he may lose track of time which may make it difficult for him to maintain proper medication brass instrument times. Recommendations It should be recommended that Mr. Trosack be discharged to home with several services in place to assist him. A visiting nurse will provide additional education about medications and monitor Mr. Trosacks medication compliance. She can also reinforce teaching about diet and total hip precautions.A nurse aide can help with ADLs and some light housework to make sure the home trunk uncluttered. The aide can help with shopping, cooking and taking out the trash. A physical therapist can visit and help with mobility and exercises. The therapist can determine when Mr. Trosack can advance to use of a can instead of a walker. The case manager can provide outside resources like transportation and Meals on Wheels. An occupational therapist can teach Mr. Trosack how to safely dress and bathe himself to promote independence. Visits from these professionals will also decrease the feeling of loneliness and social isolation.

Law Enforcement Today Essay

legion(predicate) police departments are facing budget problems, forcing them to cut their police force down. Many officers are being asked to do things they normally dont do such as patrolling. guard departments are also facing increasing crimes due to the poor economy. More people are engaging in criminal activities. Local and small agencies interact with the communities that they patrol on a daily basis. overlap culture between agencies are important not only for Home Land tribute tho for the publics safety as well.Law enforcement agencies are development The Home Land Security Information Net land which allows them to securely collaborate with partners across the country. Law enforcement professionals also use HSIN to share information including Be on the Lookouts (BOLOs), Requests for Information (RFIs), For Your Information (FYIs), Intelligence Reports, and other Law Enforcement Sensitive documents. HSIN allows users to create and run out messages to large, mission-spe cific contact lists.This rapid, secure information exchange provides law enforcement professionals with critical intelligence as they conduct work in the field (Homeland Security Information Network Law Enforcement Mission, n. d. ). The purpose of this dry land and Local Fusion Center Concept of Operations (CONOPS) is to establish a framework for a comprehensive, incorporated and consistent approach for outreach by the Department of Homeland Security (DHS) to State and Local Fusion Centers (SLFCs).This CONOPS outlines DHS processes relating to SLFC choke off including intelligence and operational information flows and interactions, deployment of officers, component integration, and identification of SLFC requirements, technical assistance and training. DHS will also retard outreach, communication, and integration with other multidisciplinary partners (i. e. , fire service, public health, and emergency management), to further ensure and facilitate information sacramental manduct ion between SLFCs and these disciplines.This CONOPS will be periodically reviewed and modified as additional processes are implemented and refinements place The CONOPS provides transparency into DHS support to SLFCs. The CONOPS also Furthers the goals of the Director of National Intelligence (DNI) and the class Manager Information sacramental manduction Environment (PM-ISE) to develop and support a national information share environment and network of confederacy centers.Underscores the role of the Under Secretary for Intelligence and Analysis as the Executive Agent for DHS SLFC Program and DHSs representative to various Federal Senior-level advisory groups providing guidance and support to fusion centers. Defines the roles and responsibilities of the State and Local Program Management Office (SLPO) to execute the DHS SLFC Implementation Plan and to lead DHS outreach to SLFCs which includes, but is not limited to, the appointment of DHS intelligence analysts and officers and the provision of tools to the fusion centers nationwide.The SLPO serves in the central coordination role for DHS interaction with SLFCs. Institutionalizes the Single Point of suffice (SPS), a coordinated Office of Intelligence and Analysis/Office of Operations Coordination and Planning business process, essential to ensure all SLFC inquires are responded to expeditiously by the appropriate elements within DHS and there is accountability for this transactional activity.An self-assertion circulating within information sharing discourse is that the effectiveness of information sharing can be measured in terms of information flow, distribution, timeliness, coordination, and related dodge performance measures. 44 The Information share Environments (ISE) stated mission is to ensure the ability of agencies to share information but precisely who is responsible for ensuring that such abilities to share information tangibly improve preparedness remains unclear.This theater of operati ons indicates that development system performance measures and capabilities to assess the effectiveness of information sharing is inadequate and potentially wasteful and misleading. In developing metrics to assess the benefits of information sharing, officials must engage in the difficult task of relating system use to tangible improvements in preparedness. Information-sharing initiatives also unfold within varying budgetary constraints and divergent reenforcement priorities.As a result, future research needs to address how financial and structural conditions influence information-sharing processes and practices. This study also suggests the need for comparative and longitudinal research of information sharing. However, future studies that attempt to construct cover variables for hypothesis testing may similarly confront the contingency of the meanings of information sharing and preparedness.Although information sharing and preparedness are socially-defined concepts, their meanin gs can be mapped within different organizational contexts and across time using both qualitative and quantitative methods. Doing so can potentially assist policy makers and practitioners assess the benefit of information-sharing strategies and the impact of associated organizational change efforts.