Friday, November 29, 2019

The Truth About Ballet free essay sample

The bloody Band-Aids, knotted lamb’s wool, rosin stained pointe shoes, twinkling tiaras, overused nail clippers, pristine tutus, ripped tights, dirty canvas slippers, salty sweat and tears: these are the coals of my heart. Dancing is the flame. Maybe it’s an addiction, maybe it’s a necessity, but no matter what it is, it is my passion. Nothing compares to the feeling of lacing up a pointe shoe, adorning a neat bun, fluffing a tutu, stretching one last stretch, taking a deep breath then stepping into the spotlight. A dancer’s final moments in the wing never change, yet somehow they are never the same. The adrenaline rush pushes her to dance differently than she has in any rehearsal. She can feel the friendly admiration each pair of eyes generates, creating an echoing eerie yet energetic silence. The stares permeate the skin and flow into the bloodstream, heart and body. We will write a custom essay sample on The Truth About Ballet or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The Grande jetes are more extended, the developpes higher, every pirouette quicker, and each port de bras more fluid. Together the movements depict an ever escalating story like never before. A spectator witnesses a miracle every time a dancer takes the stage. The years of training, the hours of rehearsal, the passion developed by a devoted individual are displayed in a perfectly unique sequence. The choreography tells the story of star crossed lovers or lovers denied or sugar plum fairies dancing in one’s head. Every story, even the darkest one, is told in the most elegant fashion. The art is breathtaking and fascinating, yet also extraordinarily deceptive. The blistered toes, the deformed body, the strict teachers, the painful stretches, and the perseverance of a determined dancer make the passion so unbelievable. The hard work that goes into learning the basic technique makes filling the movement with individual flair rewarding. A dancer pours all she has into the movemen t, making even the most mundane movements distinctively hers. Devoting one’s self to the painful hobby, ballet, in the hopes of expressing one’s emotions through dance, is a challenge many do not take. The determination of a dancer overpowers the suffering that grace necessitates, and makes every step magical. The dancer hides the pain, learns to live with it, and dances from the heart. The strict perseverance ballet dictates makes the action more than an ordinary hobby; ballet evolves into a lifestyle. It is common to see a ballerina dance down the aisles of Shop Rite, mark steps while sitting in class, penchee when picking objects up or use the excuse â€Å"Sorry, I have rehearsal.† Ballet technique may only be â€Å"taught† in the studio, but the passion that validates the technique is learned and integrated outside of rehearsals. However, the daily life of a ballerina is nothing compared to performance day. Performance provides a sensation of pure em powerment and freedom. As a dancer steps off the stage, her heart pounding and a satisfied smile on her face, she knows this is why she endured the intense classes; this is why I persevered this feeling of perfection that flows through my veins.

Monday, November 25, 2019

The eNotes Blog FOR SALE DraculasBirthplace

FOR SALE DraculasBirthplace Heres something you wont find in Craigslists classifieds The writing desk at which Bram Stoker created the bloodcurdling modern myth of Dracula will soon be up for auction. Looking at the ornate desk today, which seems so fitting as the gothic setting for the creation of perhaps the most chilling book in English literature, its hard to believe it was salvaged from near ruin not very long ago. Yes, this artifact, like all good curiosities, has its very own story After Stoker completed Dracula in 1897, he gifted the writing table to his good friend JSR Phillips, editor of the Yorkshire Post. According to an article in that same newspaper, the desk was later passed down at Phillips death to his son ER Phillips. Unfortunately, the younger Phillips wife so disliked the relic that she banished it from the house to rot in the garden for years. It was the Phillips son Guy, grandson of JSR, who saved the desk from complete ruin by taking it with him to London. But though he knew the history of the Dracula desk, Guy then left it behind in that London apartment when he moved away. Its next owners, the Brodericks, had no knowledge of its famous origins until they received a note from Guy Phillips later, explaining its history and hinting at its dark powers. I loathed the Dracula desk. But it is a fact that after leaving it behind, I and my family suffered misfortune after misfortune. I had two coronaries and my wife died suddenly of a stroke. Even after receiving the note, the Brodericks almost relegated the desk to destruction, casting it off to their neighbors the Yulls. At this point, the desk was in such bad shape that Mrs. Yull very nearly cast it off to a bonfire. It was only saved by her husband, who insisted it be put in his study and used as his computer desk. Interestingly, it was at the Dracula desk that Yull wrote his first book, a novel about Nazi fascination with the occult. Eventually, the antique made its way into caring hands. As of today the desk has been restored to more than its original glory by master furniture artist Mark Brazier-Jones, whose restorations can be found at none other than The Louvre and The Victoria Albert Museum. He explains his reimagining of the Dracula desk below. Even as a new desk, in its day, this was a modest item of furniture, a place for a man to work, and yet possessing a noble honesty.  I wanted to keep the desk complete and intact, to save all its scars and broken varnish, this history alive with its gnarled texturesI decided to attach, via callipers and clasps the necessaries to regain functionality.   To this I have also embroidered imagery appropriate to the great mans inspirations and imaginings.   I visualize Stoker sat pen to paper contemplating a moonlit rose garden, breathless milk white cleavage and blood soaked lace.   All the fixtures and fittings I have created are in bronze and burnished steel. He has also leather lined two secret compartments I have devised (the position of which will only be revealed to the final owner of the desk) The face panel of each drawer is acid etched through to copper and nickel layers.   The effect is to subtly represent a misty tableau of Whitby Abbey by moonlight, surrounded by gravestones and bats.   Over these drawer fronts are five bronze handles, each one different.   On the lower left, a bat, to the lower right, a savage hound (in Stokers book Dracula arrived in Whitby as a giant dog).   The three upper drawers consist of scrolling rose thorns and buds. The interiors are lined in deep buttoned blood red velvet.   The baroque rose motif is used again where they seem to crawl up and across the table top frame giving the feeling time has stopped like an overgrown grave. So, gone is the humble and battered desk of Stokers time, replaced by an ornate piece of art that certainly lives up to the gothic nature of its history. Hopefully some of the desks mysterious powers remain intact beneath all those coats of varnish, least of which is its uncanny ability to escape bonfires and garbage heaps. The Dracula desk can be yours, courtesy of the Profiles in History Hollywood Auction for a mere $60,000 to $80,000. Look for it on sale between December 15th-16th. Happy Halloween eNoters!

Thursday, November 21, 2019

Finnc nd Growth Strtgy Essay Example | Topics and Well Written Essays - 1750 words

Finnc nd Growth Strtgy - Essay Example Of cours ths findings dpnd on th sctor nd th typ of M& tht ws don. Mny fctors ply n importnt rol in th furthr succss of th compnis, nd th on, myb th most importnt cn b th knowldg nd bility to crt vlu ftr. Mrgrs nd cquisitions, two forms of rstructuring, rprsnt both strtgic opportunitis nd thrts for compnis, s ownrship chngs hnds. Mrgrs nd cquisitions crry on stting nw rcords in both volum nd siz. cquisitions probbly r not th quickst wy to grow comprd to othr options nd, from th prspctiv of top mngrs, thy r stimulting nd oftn finncilly rwrding. Howvr, by most ccounts, cquisitions r pron to filur, with som hving disstrous consquncs. Studis of th short-trm ffcts of M&s point out tht M&s gnrt vlu, vn though most of this vlu ccrus to th trgt firm. Rsrch in th US nd UK indicts tht th shrholdrs of th trgt firms xprincd gins of btwn 16% nd 45%. cquiring firms' shrholdrs, on th othr hnd, xprincd bnorml rturns rnging from -1.1% to 7.9%. Th combind firms' bnorml rturn ws btwn 1.8% nd 3.5%. (S Jnsn & Rubck 1983; Frnks & Hrris 1989; Bchr 2000; Mulhrin & Boon 2000; Kohrs & Kohrs 2000; ndrd t l. 2001.) Th long-trm ffcts of M&s in th US nd th UK hv bn xmind xtnsivly (S grwl, Jff & Mndlkr 1992, Brns 1984, Frnks, Hrris & Titmn 1991, Grgory 1997, Knndy & Limmck 1996, Limmck 1991, Lodrr & Mrtin 1992, Loughrn & Vijh 1997, Mitchll & Stfford 2000, Ru & Vrmln 1998). Ths studis, lthough criticisd th mthodology, ll indict tht th shrholdrs of th cquiring firms in most instncs los vlu. Th ngtiv typicl rturns wr s high s -20%. Th crtion of ngtiv typicl rturns holds tru spcilly whn th mthod of cquisition ws othr thn by mns of tndr offrs. Th min rson for M& to tk plc is xpctd synrgis, mngril hubris, nd promising solution of gncy problms. Synrgis r th prim motivtion for th bid nd s rsult for th trgts nd th biddrs tht shr th wlth gins. lthough most bidding compnis mk th sttmnt bout th potntil synrgis from th mrgrs nd cquisitions, frquntly th forcstd bnfits r not obtind. This cn b rsult of ovr optimistic forcst by th bidding mngmnt or simply th fct tht th mrgr for inititd for nothr rson, such s gncy problms. So ths thr tkovr motivs hv diffrnt outcom on th wlth crtd ftr mrgrs nd cquisitions. If synrgy is th primrily motiv for th mrgr, thn th trgt's nd biddr's shrholdrs should gin nd th distribution of wlth should only dpnd on th brgining powr of th biddr nd th trgt. If th scond motiv tks plc nd it mns tht gncy problm is worsning, th min slf-intrst of th biddr's mngmnt is th prim rson for th mrgr or cquisition. In such cs, mngrs just focus on growth rthr thn on th shrholdrs' vlu. For xmpl, Conyon nd Murphy (2002) show tht for th UK, siz (nd not th prfomnc) is th min dtrminnt of th mngril slris. This fct cn xplin why mngrs r so tmptd to us fr csh flow to furthr build th mpir tht hopfully will rsult in highr slris nd bonuss. No wondr tht ftr such circumstncs, th totl vlu ftr mrgrs nd cquisitions ctully gos down. Mngrs who r ggrvtd by prsonl intrsts, (.g. mximiz th siz of th firm nd thir fild of control) r mor pron to sk out lrg, wll known compnis s cquisition trgts - nd usully ovrpy in th bidding procss. This is n doubtful motiv for th cquisition of rltivly smll nd unknown privt compnis. Th cquisition of privt compny mor sily fits th motiv of mximiztion of shrholdr wlth. nd th third motiv of M& cn b th

Wednesday, November 20, 2019

I has a dream Essay Example | Topics and Well Written Essays - 500 words

I has a dream - Essay Example The â€Å"I has a dream† ad was a picture of a man with his back turned facing the opposite direction and the words â€Å"I has a dream† written in bold letters below the picture. To the bottom on one side was a small extract added to the picture that spoke out against Ebonics. The use of this historical appeal made famous by Martin Luther King was meant to gain the attention of those who saw the ad and needless to say, it did just that (Rickford 82). The argument behind the as was that the African American race had fought so hard to get where it was, and the use of Ebonics by the children would only serve to undermine this achievement. The ad meant to theorize the question â€Å"What if Dr. King had not been as articulate as he was? Would his message still have the same impact that it did?† This was shown by the screwed up version â€Å"I has a dream†. The man in the picture was also dressed in regalia that looked similar to Dr. King so as to bring this point across. The ad was meant to illustrate the immense impact that type of language used could have on an audience and convince them to encourage their children to speak proper English and reject Ebonics (Rickford 82). The phrase â€Å"I have a dream.† Can be considered to one of the most popular catch terms in the world and Martin Luther King is a man who generated a lot of respect especially from the black community and thus the use of his message was meant to bring the point across about the need for proper speech. There are other parts of the ad apart from the phrase and the depiction of a man similar looking to Martin Luther King that was used to bring the message across as well. One of these is the fact that the man in the ad has his back facing the audience (Rickford 89). This can be seen as a symbol of progression (or lack of it) as it brings out the message that Ebonics was a

Monday, November 18, 2019

Juan Francisco Manzano, Autobiography of a Slave Assignment

Juan Francisco Manzano, Autobiography of a Slave - Assignment Example The inhumane punishments and oppressive events narrated in the biography and the orthography and unorthodox syntax in the original manuscript and the mysterious â€Å"disappearance† of his work during his lifetime all bear the scars of slavery. He started documenting his life events at the request of his mistress. This was possible since she had already taught him how to read and write. His original work never surfaced since. Juan Francisco Manzano lived in isolation as he was never allowed to play with other black children, but he led a relatively comfortable life and enjoyed some â€Å"freedom† as he was treated as a white child. Sometime later, Manzano worked as a slave where he almost lost his life. â€Å"I was putting the sugarloaf comes in one of the sheds toward †¦Ã¢â‚¬ ¦.. It was a huge piece of the roof with several beams that fell behind me, hitting the black Creole, Andres.† From the shock I fell through to the filter house below us,† (Manzano, pg. 99). The filter house was a large low building with a dark and an almost airless interior. Andres, unfortunately, did not survive as his skull was crushed, and the eyes almost popped out. Later on, rumors would reach Manzano’s second prompting him to urge young master Pancho to speak to his mother on Manzano’s behalf and get him from Dionisio where he worked in the sugar farm. This happened without much ado and he went to have  a  great life worth  enough food to eat. He was also bought a hat and some shoes something that was very new to him (Manzano, pg. 101). Although he was still a young buy, he would not go out to play with the other children even after such comfort. â€Å"I sank into such depression that I did not emerge from my sorrowful despondency, even after I saw all the children engrossed in games or when they called,† (Manzano, pg. 101) At the age of nineteen, Manzano took a certain pride of everything he did. His

Saturday, November 16, 2019

Developing a Management Plan for Type 2 Diabetes

Developing a Management Plan for Type 2 Diabetes A long term condition (LTC) is defined as an incurable syndrome. However, some LTC can be managed through medication (Goodwin et al 2010) whereas for others, it can be managed by healthcare providers facilitating health promotional support to patients in order to self-manage their conditions effectively (examples, maintaining healthy diet and physical activities) (Hutchison Breckon 2011). Additionally, for this assignment I will use a case study to discuss my experience about caring for a patient with type 2 diabetes in the hospital. The discussion will include the identified problems to support patients’ needs, the nurses’ contributions to promote patients’ health and well-being as well as the benefits of working alongside with a multidisciplinary team. According to Goodwin et al (2010) type 2 diabetes is also known as insulin resistance. The syndrome is when an individual body lacks the ability to produce sufficient insulin or the body is incapable of controlling enough blood glucose level. It is categorised as a LTC because it is incurable. Nonetheless, it can be managed depending on the individual’s conditions needs such as healthy food and regular activities, or a combination of medications and a healthy lifestyle (Diabetes UK 2012). According to Nursing and Midwifery Council (NMC 2010) Guidance on Professional Conduct, the patient’s identity will be maintained confidential and an anonymous name (Jane) will be used. Jane 65, who has had type 2 diabetes for about two years, was suffering from kyphosis on her back. As she has not been on pharmaceutics’ therapy since her diagnosis, she was advised to maintain her weight within an ideal range. However, Jane has not been able to gain control over her weight (73 kg). She lives alone and has no close family members but she has a good relationship with her neighbours and friends. I met Jane while on placement on an aging admission ward. She was admitted via Accident and Emergency department (AE) to an elderly ward referred by her General Practice (GP) with elevated blood glucose (11.5mmol) which was making her feel weak and was also giving her severe headaches, tiredness and recent weight gain (73.6kg). While she was admitted to AE, her hyperglycaemia was s tabilised with a dosage of metformin (500mg) (8.0mmols) prior to her transfer from AE to the elderly ward. Bakris (2011) suggested that nurses should carry out a comprehensive assessment on patients with type 2 diabetes as this will support the nurse to identify and address issues that can prevent and reduce problems that may affect the patients with type 2diabetes. Diabetes UKÂ  (2012), also recommended that a patient’s risk can be recognised if healthcare professionals could aid an in-depth assessment. This includes; blood glucose level, Hba1c, blood pressure, cholesterol, Body Mass Index (BMI) and waist circumference. The rationale behind the assessment is to support healthcare professionals to make an appropriate individualised care plan considering the patient’s preference (Diabetes UK 2012). To classify any interrelated problem, the nursing assessment was to look at Jane’s medical history before the admission and to observe what her current condition looked like. The nurse along with the author admitted Jane and prior to carrying out the assessment they introduced themselves to the patient. To obtain Jane’s consent, a full detail of the information about the process was explained to her (Nursing and Midwifery Council 2010). Jane’s vital signs presented a blood pressure of 138/80 mmHg, heart rate 84, respiratory rate 16 and temperature 36 degree centigrade. While examining Jane’s nutritional assessment, her MUST stool height was (1.62cm), weight 73.6kg, and waist circumference 88cm. It was identified that she had a BMI of 27 giving her a score (0). In addition to Jane’s assessment, her fasting glucose level was stable 6-7 mmol/litre her foot showed normal to sensation, no sign of lesions on toenails and skin. From Jane’s screening, the underlying cause for Jane’s hyperglycaemia is an increased BMI 27, this indicates overweight as (British Association for Parenteral and Enteral Nutrition 2010) recognised. Overweight is when an individual has more fat than normal in their body. However, an athlete with muscle mass or someone with swollen legs (oedema) could be overweight due to an increase in BMI (Heath Sturdy 2009). According to Nazarko (2008) an individual with a BMI 25-30 is considered to be overweight. BMI is the most common evidence-based tool used to analyse normal weight, overweight or obese in hospital when patients come for admission. It is calculated by dividing an individual’s body weight kilogram by the square of body height (NICE 2006). Waist circumference is also a reliable tool used to recognise overweight and obesity as it provides information with regards to the distribution of excess body fat in a person’s abdomen (NICE 2006). Nevertheless, BMI has some weakness; it is not suitable for individuals with excess body fat or muscle mass as it does not differentiate between excess body fat and muscle mass (Heath Sturdy 2009). Diabetes UK (2012) argued that using BMI alone to calculate a patient’s height and weight would not identify overweight or obesity. However, the combination of BMI and waist circumference will help classify an overweight or obese person, and for this reason Jane’s waist circumference was measured because it is the best way to measure abdominal fat distributed around her waist as suggested by Diabetes UK (2012). Regardless BMI and waist circumference screening tool was used to classify Janes’ overweight, however, according to Ashwell et al (2012) studies have proved waist to height ratio screening tool a better way of identifying overweight or obesity in adult than BMI and waist circumference. As a result nurses should consider using waist to height ratio as a screening tool to recognize overweight or obese patients with diabetes. This is because the tool measures the ratio of an individual waist to his or her height (Ashwell et al 2012). Jane’s height and weight was measured using stadiometer and clinical scale, nevertheless, the use of stadiometer to measure Jane’s height was comparatively weak (BAPEN 2010). Jane is a 65 year old woman with a small kyphosis on her back and according to Hirani Aresu (2012) the result for an elderly with this condition may impair their actual height resulting to false reading. This is because some people grow older with distort height like kyphosis, this as such will result in the individual to losing his or her real height. Kyphosis is a deformity of an individual’s back which can lead to hunched back due to a deviation of a spinal curvature from its normal shape (Kado et al 2013). Therefore the use of demispan measure tool could be an evidence based practice to consider when a patient’s actual height is distorted. As a result this might have worked for Jane as she has a small kyphosis on her back and the NMC (2010) emphasized that nurses should use their clinical knowledge, skills and judgement to classify factors that could impair individual’s height. Consequently, Jane’s hypoglycaemia is partly dependant on her overweight; therefore the main nursing intervention that needs to be targeted is Jane’s weight loss as it will lead to long term benefit for her. This is because overweight can cause hypoglycaemia, overweight is also associated to inadequate exercise and unhealthy eating behaviours considered to be primary factors contributing in the rising prevalence of type 2 diabetes and if not well managed, it could also lead to other complications such as obesity, heart attack or stroke (Diabetes UK 2012). As a result an effective weight management can improve Jane’s wellbeing using nursing problem solving approach. According to Barrett et al (2010) nursing problem solving approach is about understanding the individual as a whole person. Therefore, using the problem solving approach means nurses have to link the individual’s illness to factors that could affect their disease. These involve psychological, emotional, social environment, spiritual and time and if there’s any of these identified then it should be addressed as they form part of the individual’s well-being (Wade 2009). Knol et al (2006) states depression is common in people suffering from type 2 diabetes. Knol et al (2006) also recognised that thirty seven percent of those people with a medical history of depression are prone to have type 2 diabetes. Evidently, Jane during her initial assessment mentioned that she had little knowledge on dietary due to lack of motivation and her dietary history reveals having unhealthy food such as ready meals and dessert while away with friends. Consequently, this has had an impact on her psychological wellbeing. She also recognised excesses carbohydrate intake and her normal dinner meals consist of pasta whereas during the day she often has rice with homemade sauce as well as walking exercise 10-15 minutes twice in a week. However, the nursing team worked with Jane to determine if Jane’s overweight was caused by her not complying with her dietary advice, as a result she agreed that a referral to a dietician and diabetes specialist nurse was her concern and this was made to deliver meal plan as well as maintain her physical activity. This is the best practice as suggested by NMC (2006) that nurses must work together with their patient to ascertain the patient’s understanding about risk associated with overweight. This is because if Jane’s food pattern is left unattended it may lead to further ill health problems such as obesity, stroke and heart disease (Thomas 2008). The United Kingdom Progressive Diabetes Study (UKPDS 1990) recognised the majority of people with type 2 diabetes have ill health complications associated with their long term condition. In addition to this, the role of the dietician is to identify problems relating to an individual’s nutritional status and once identified the dietician working in partnership with the individual will then formulate meal plan that adapt to the person’s needs and preferences (British Dietetic Association 2012). Department of Health (2005) emphasised that nurses should empower patients with long term condition so that the individual is capable to manage and live with their disease effectively. NICE (2008) also suggested this method of approach as the best practice as it helps the individuals to manage their condition. According to Thomas (2008) weight loss through dietary can be defined as a reduction of less food intake to that of the energy used by an individual. Therefore the dietician along with the nursing team main target was how Jane would lose weight through dietary behaviour change and in order to achieve this she was seen a day after her admission. The initial approach considered was the motivational interview based on providing a solution to a suitable diet. Motivational interviewing is a collaborative patient centred approach in a form of supporting a person’s motivation to encourage and empower patients’ behaviour change (Resnicow Mcmaster 2012). This is to maintain the patient’s autonomy based on his or her needs for their condition and that any decision made is eventually up to the patient (Resnicow Mcmaster 2012). Jane agreed having a motivational interview and had the opportunity to discuss her dietary plan with the main focus on the types of food she likes as mentioned above. In order for Jane to have an appropriate balance diet, the dietician and the nursing team worked with Jane by setting a realistic goal. This is because for an individual to lose weight involves time and encouragement to achieve his or her goals effectively and therefore the best practice is setting an appropriate goal that suits Jane (Thomas 2008). It was difficult to set a short term goal for Jane as she was unable to maintain weight loss due to lack of motivation and therefore a long term goal was set with smaller intake of caloric food so that Jane could gradually lose weight and also improve her glycaemic control (Diabetes UK 2012). Jane was offered the importance to a strict diet and she was provided food such as fish, vegetables, low starchy food per day; a reduction of low sugary food was put in place. She was also encouraged to drink two litres of water daily. Her daily food intake was recorded to meet her dietary care plan needs as (Lang Froelicher 2006) recommended. Moreover, Jane during her admission was subjected to weight monitoring and repeating her ‘MUST’ screening progress for any changes in her BMI (BAPEN 2010). Jane following a regular monitoring, on her fifth day on admission was still considered overweight; however, evidence shows a minimal improvement of 900gms weight loss. A risk of any physical complications of diabetes was low and no episode of hyperglycaemia. Her symptom of severe headaches and tiredness was now resolved and she was more excited to go home. Following Jane’s outcome of her dietary care plan, if Jane can be convinced to increase her physical activity her need for hypoglycaemic drug will be minimised. This is because the combination of dietary and an increase in physical activity on a regular basis is recommended to be more effective for an individual to achieve weight loss in a long term goal (NICE 2006). As such Jane’s care plan was reviewed with the nursing team prior to discharge and from her assessment it was recognised that she does not need a psychological referral but to improve her knowledge with regard to her type 2 diabetes so that she can self-manage her diabetes successfully. Even though Jane was suffering from kyphosis, physically she was fit to increase her physical activity and following the discussion how significantly an increase in exercise can have positive effect on glucose management, Jane agreed to walk each day in the mornings 20 – 25 minutes. After reviewing Jane’s dietary and physical options, a discussion about the need to continue metformin helped to improve her glycaemic control; therefore she was prescribed 500 mg twice a day. Metformin is an oral drug to lower glucose level in the blood. Jane will benefit from taking metformin as it is associated to weight loss this will prevent her from gaining more weight (NICE 2009). Other oral anti-diabetic agent such as thiazolidinedious and sulphonyureas were not recommended due to an increase of body weight caused by these agents. Prior to discharge Jane was informed about the importance of community nurse. The nursing team liaised with the community nurse for a regular monitoring of Jane’s glucose level as well as her weight. NMC (2010) highlighted that consent must be given to Jane before involving a community nurse thus it is the right of an individual to confidentiality and consequently is a must for a nurse to respect this. To sum up, Jane’s dietary plan did not make much significant changes in her weight, however, on discharge she was educated to continue recording her daily food and drinks intake, regular exercise, to closely monitor glucose level for symptoms of hyperglycaemic or hypoglycaemia. Further information about getting support from educational programme such as DESMOND was discussed with Jane. She was also given information leaflets which were easy to read as supporting interventions to help increase her knowledge about how to self-manage her diet.

Wednesday, November 13, 2019

Intestinal Neoplasia Model Essay examples -- Biology,

The mammalian intestinal tract is structurally a tube that is divided into two segments: the small and large intestine. The inner wall consists of a simple epithelium called mucosa, which is responsible for the processing and absorption of nutrients (Sancho et al., 2003; Barker et al., 2008). The small intestine epithelium is folded into finger-like protrusions, called villi, directed toward the lumen; the valleys are invaginations into the sub-mucosa and are known as the crypts. In the large intestine, the mucosa lacks villi, and the crypts invaginate deep into the sub-mucosa. There are four distinctive, differentiated cell types in the mucosa to mediate the functions of the intestinal epithelium: enterocyte (EC), goblet cells (GC), enteroendocrine (EE), and Paneth cells (PC) (Radtke and Clevers, 2005; Barker et al., 2008). ECs are absorptive, and the others have secretory function. The epithelium renews its cells after every 4-5 days and is fueled by proliferative stem cells residi ng at the bottom of the crypt. In mammals, swallowed food passes through the esophagus to the stomach, where food accumulates and digestion proceeds; it then moves to the small intestine for nutrient absorption and later to the large intestine for further nutrient, water and electrolyte absorption. Finally, it reaches the rectum and anus for excretion (Thompson and Malagelada, 1981). Like mammalian intestine, Drosophila intestines also have similar tissue architecture and physiological function (Rubin, 2007). Developmentally, both the mammalian gut and Drosophila midgut are of endothelial in origin (Kedinger et al., 1987; Tepass and Hartenstein 1994). They comprise an epithelial monolayer of columnar or cuboidal cells called enterocytes. To maximize i... ...gle (E blast cell) lineage, is made of 20 cells arranged to form a tube with a central lumen. Each of these cell pairs forms an intestinal ring (II-IX int-rings). The most anterior intestinal ring (int ring I), is made of four cells. The apical surfaces of the intestinal cells carry numerous microvilli. In C. elegans, intestine carries out multiple functions that are executed by distinct organs of higher eukaryotes. The primary function of intestinal cells seems to be digestive since they secrete digestive enzymes (e. g. cysteine protease, endodeoxyribonuclease) into the lumen and take up processed material and nutrients. Intestine also seems to be a large storage organ since it contains a large number of assorted storage granules (White J., 1988)). The intestinal contents are excreted to the outside via a rectal valve that connects the gut to the rectum and anus.

Monday, November 11, 2019

A World Class E-Government: Singapore

E-government refers to the transformation of the business of the government such as processes, operations and transactions that is driven by the information technology. This can happen both internally (streamlined government administration procedures for greater efficiency and effectiveness) and externally (simplified, enhanced government-client interaction via online connections) (Tan, Pan & Lim, 2007). Singapore is a small country with a population of about four million with a small market and limited natural resources. Although Singapore’s position as an information gateway in the region has lead it to become a global hub which is attractive to many Multinational National Companies (MNC) (Chan & Al-Hawamdeh, 2002). Singapore is a leader in the electronic governance that has invited worldwide recognition. Singapore’s e-government offers 98% of all government services are provided online for businesses and the community. It is one of the first countries to have the Civil Service Computerization Program (CSCP). The above mechanism was followed by the e-Government Action Plans. These involved implementing as many public services online as possible, adding value to the e-services and providing a one stop service via the internet. Singapore has launched a iGov2010 plan in the aim of bringing the government a greater efficiency by integrating the back end processes of the government ministries and organisations. As per Tan, Pan & Lim (2007) it improves efficiency in terms of utilizing less time, effort and material resources while maintaining a constant level of output. There are two portals offered by the government of Singapore which are namely for the citizens and the businesses. The portal offered for the citizens is known as the eCitizen Portal which is the single entry point for the community to access the services provided by the government and private corporations. The portal is to be accessed by the SingPass which is given to the citizens and permanent residents of Singapore. It is the single online user identification called the Singapore Personal Access. Through this system they can access their own confidential information. Also through the e-portal the community can post any thoughts on issues they are currently facing. For example the extensions of the smoking ban or the country’s national climate change strategy. The portal offered for businesses involves the Online Business Licensing Service (OBLS). This is an one stop portal for government registrations and licenses required to conduct business in Singapore. Through this portal the applicant needs to complete only one integrated form for multiple licenses. The system provides consolidated online payment mechanisms for one-time payments for multiple license fees. This system has lead the processing time a business license to reduce from 21 days to 8 days saving businesses more than $2. million annually. Therefore the implementation of IT in the government has lead to an increase in effectiveness and efficiency in providing services to businesses. Another example of such is provided by Tan, Pan & Lim (2007) where the unprocessed tax returns accumulated in the Singapore income tax department resulted in administrative backlogs and dissatisfaction among taxpayers. The e-filing system in the Inland Revenue Authority of Singapore (IRAS) has lead to greater efficiency in the department and the use of back-end infrastructure to incorporate taxation calculations and regulations has improved its effectiveness. Question 1: Explore the two portals. What are the benefits to both the community and businesses? In Singapore, citizens have quickly warmed up to the e-Government services. Activities such as renewing road taxes and e-filing of income tax returns over the internet are now common among the community (n. a. , 2006). The main benefit for the community is the lessened administrative burdens they have to go through for payments, renewals and other services. The e-Government would lead to an improved quality of information with a reduction in the process time. It would also result in cost reduction for both the community and the ministries. These improved service levels would lead to efficiency where the community operating with the e-Government would be satisfied (Corsi, Gumina & Ciriaci, 2006). Another benefit that is enjoyed is the ability for the citizens to use their mobile phones to interact with the government services. There are many services offered by the e-Government in Singapore that is compatible with the hand held device. For example Housing Development Board and IRAS. Another benefit provided is the use of SingPass to access the individuals own MyeCitizen account. Having this unique SingPass would enable the privacy and confidentiality of the citizens. The users can personalise the portal and they have a variety of channels to choose from such as MyTravel, MyKids and MyCareer. Lastly the ability of the citizens to voice out their opinions is a great benefit for both the government and the citizens. Businesses have also benefited by the services provided by the e-Government. It is an increased efficiency and convenience to deal through the online platform. The offering of the Online Business Licensing Service (OBLS) allows the applicant to complete one integrated form for multiple licenses. The website provides the applicants with step by step guide which makes it trouble-free for the business to apply for licenses. By the OBLS the processing time of applications were reduced from 21days to 8days. This would be an efficient approach for the business where they can concentrate on other parts of starting up the business without a delay from the government authorities. Question 2: According to the chapter, there are six stages in the transformation to e-government. Which do you think Singapore is in? Why? In order for a transformation of a traditional government to an fully functional online government, there are six stages that are to be completed. These factors are explained in Wong (2000). Stage one is information publishing/dissemination which involves providing information on individual govermental departments by seting up their own website. It allows the community and businesses to choose from a range of services and contact for further assistance. By this activity the, the government departments would be able to reduce the number of phone calls customers need to make in order to clarify requests. Stage two is the â€Å"official†two-way transactions where the customers are able to submit personal information and conduct monetory transactions with individual departments through secure websites. At this stage customers should be convinced about the departments ability to keep the information private. Stage three is the multi-purpose portals. It involves integrating different departments. A portal allows the customers use a single point of entry to send and receive information and to process monetory transactions across many departments. Stage four is the portal personalisation where the customers can customise portals with their desired features. The goverment needs a much more sophisticated web programming that allows the interfaces to be user-manipulated. By the personalisation activity, the government can have a clearer read on the customer preference for electronic versus non-electronic service options. Stage fiveinvolves the clustering of common services where the customers now view the once-diparate services as a unified package through the portal. They tend to recognise group of transactions rather than than the group of agencies. Therefore the government will cluster the services along common lines to accelerate the delivery of shared services. Stage six involves the full integration and enterprise transformation. This is the stage where all departments across the government is integrated with technology. It would bridge a shortened gap between the front and back offices. Singapore’s e-government is in stage six in the Deloitte’s transformation model. E-government in Singapore has carried out Action plans since year 2000 regarding the accessibility, integration and providing value added services with one-stop service via the internet. There iGov2010 plan was launched in 2006 which involves bringing the e-government to a greater level of efficiency. This is to accomplished by back end processes across the entire government’s ministries. Question 3: What could other governments learn from the example of Singapore?  Despite the differences in Singapore and other styles of governments, there are things a country can learn from Singapore’s e-government experiences. Singapore has enjoyed political stability since independence in 1965 and the People’s Action Party (PAP) has been in government throughout that period. Due to the one party government system, there has been little or no disruption of policy implementation, which has enhanced the effectiveness of the delivery mechanism of public services. This stability has created well-organized institutions that help all stakeholders to adopt e-Services. Investments and master plans have leaded the success story of Singapore. For an instance in 2005,, the Singaporean government introduced a master plan to tackle security issues. S$38m (? 12. 3 million) will be invested in this plan to ensure a secure online environment. Incentives for tax-payers who submit tax declarations electronically, extensions of deadlines for those who are willing to declare their incomes electronically and lower fees for people who apply for their passports online are some incentives given by the government to promote e services and thereby an e governance. The social strengths of Singapore have been demonstrated by an educational system that produces a well-educated workforce to attract foreign direct investment (FDI). Not only developing its own pool of local talents, Singapore also recruits foreign talents to work in both the public and private sectors. Time saving, convenience and actual monetary savings are the main drives to pull e-Users to e-Services. In conclusion, one country cannot be a model of another country. But any country can be inspired by another. Singapore is a good example for other countries to open doors toward the success.

Friday, November 8, 2019

Financial Analysis †Abu Dhabi Islamic Bank and National Bank of Abu Dhabi

Financial Analysis – Abu Dhabi Islamic Bank and National Bank of Abu Dhabi Introduction Abu Dhabi Islamic Bank (ADIB) and National Bank of Abu Dhabi (NBAD) are two leading banking institutions based in the capital city of United Arab Emirates, Abu Dhabi.Advertising We will write a custom research paper sample on Financial Analysis – Abu Dhabi Islamic Bank and National Bank of Abu Dhabi specifically for you for only $16.05 $11/page Learn More This report comprises of a financial analysis of both banks while taking into consideration financial information in the past three financial years, i.e. 2009, 2010 and 2011. The financial analysis presented in this report includes, profitability ratios, liquidity ratios, leverage ratio and solvency ratios of the two banks. Overview of the Banks Abu Dhabi Islamic Bank was founded back in the year 1997 with the mission of conducting its operations in accordance with the Islamic principles as laid down under â€Å"Shariah Law† (Abu Dhabi Islamic Bank, 2011; Bloomberg, 2013). Nationa l Bank of Abu Dhabi was founded in the year 1968, and since then it has earned a great reputation not only in the region, but also in other parts of the world. Today, National Bank of Abu Dhabi is regarded as the largest financial institution in Abu Dhabi as far as its lending operations are concerned (National Bank of Abu Dhabi, 2011; Bloomberg, 2013). Financial Analysis Following is a comprehensive analysis of the financial position and performance of the companies selected in this report: Profitability Ratios Profitability ratios are determined in order to evaluate profitability of a business concern. Profitability ratios generally include, gross margin, operating margin, return on equity, return on investments, return on capital employed, etc. (Helfert, 2001; Siddiqui, 2006).Advertising Looking for research paper on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Following profitability ratios have been dete rmined for the banks selected for analysis in this report: Abu Dhabi Islamic Bank National Bank of Abu Dhabi 2009 2010 2011 2009 2010 2011 Return on Equity 1.51 % 12.62 % 13.48 % 14.77 % 15.27 % 14.05 % Return on Investment 0.12 % 1.36 % 1.55 % 1.53 % 1.74 % 1.45 % Net Profit Margin 7.26 % 43.68 % 44.31 % 60.72 % 61.16 % 56.96 % Source: (Abu Dhabi Islamic Bank, 2011; Abu Dhabi Islamic Bank, 2010; National Bank of Abu Dhabi, 2011; National Bank of Abu Dhabi, 2010; Bloomberg, 2013). The return on equity has increased significantly from 2009 to 2010 for Abu Dhabi Islamic Bank. The reason behind this substantial increase is the improvement in the bank’s earnings in 2010 and onwards. Moreover, since there is comparatively lower increase noted in total equity of the bank, and therefore, resulted in higher return on equity in 2010 and 2011. Similarly, for National Bank of Abu Dhabi the ratio has shown improvement from 2009 to 2010, but declined in 2011. The reason be hind these fluctuating trends noted in return on equity for National Bank of Abu Dhabi is fluctuations in net income during the past three years. Similar to the trends noted in return on equity for the two banks in the past three years the return on investment for the two banks showed similar trends. Also, net profit margin also followed similar patterns for both banks. Due to significant increase in revenues of Abu Dhabi Islamic Bank, the net income increased considerably, the impact of which has been ultimately depicted in the net profit margin during 2010 and 2011.Advertising We will write a custom research paper sample on Financial Analysis – Abu Dhabi Islamic Bank and National Bank of Abu Dhabi specifically for you for only $16.05 $11/page Learn More Liquidity Ratios The liquidity ratios determine the ability of a company to meet its short term borrowing obligations through its internal current sources. Liquidity ratios generally include current ratio, quick ratio, cash ratio and net working capital ratio (Helfert, 2001; Siddiqui, 2006). Following are the current and cash ratios determined for Abu Dhabi Islamic Bank and National Bank of Abu Dhabi for the past three financial years, i.e. 2009, 2010 and 2011. Abu Dhabi Islamic Bank National Bank of Abu Dhabi 2009 2010 2011 2009 2010 2011 Current Ratio 0.25 0.30 0.33 0.28 0.32 0.33 Cash Ratio 0.17 0.21 0.23 0.13 0.09 0.11 Source: (Abu Dhabi Islamic Bank, 2011; Abu Dhabi Islamic Bank, 2010; National Bank of Abu Dhabi, 2011; National Bank of Abu Dhabi, 2010; Bloomberg, 2013) As can be observed in the table above, there is no major difference noted in the current ratios of the two banks over the period of past three years. The current ratios of both banks have improved from 2009 onwards due to significant improvements noted in the current assets of both banks and a comparatively lower increase in the current liabilities, particularly short term borrowings by the ba nks. On the other hand, cash ratio for Abu Dhabi Islamic Bank has shown a similar trend in the past three years, whereas for National Bank of Abu Dhabi, the ratio has been observed as fluctuating during the past three years. In 2010, the cash ratio of the bank reached at its lowest point in the past three years, due to fall in cash and cash equivalent reserves.Advertising Looking for research paper on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Leverage Ratio The leverage ratio, such as debt to equity ratio, determines the extent to which a business entity’s operations and activities are reliant on debt financing as compared to equity financing. In other words, it also shows the extent of debt over equity in a business’ balance sheet (Helfert, 2001; Siddiqui, 2006). The gearing ratios for the two selected banks in this report are determined as follows for financial periods 2009, 2010 and 2011: Abu Dhabi Islamic Bank National Bank of Abu Dhabi 2009 2010 2011 2009 2010 2011 Gearing Ratio 1.44 0.58 0.79 0.58 0.94 0.74 Source: (Abu Dhabi Islamic Bank, 2011; Abu Dhabi Islamic Bank, 2010; National Bank of Abu Dhabi, 2011; National Bank of Abu Dhabi, 2010; Bloomberg, 2013) The gearing position of Abu Dhabi Islamic Bank has shown consistent fluctuations over the past three financial years. As for instance, in 2009, the gearing level of the bank is seen at its highest level due to increased preference for debt financing of banks operations rather than opting for equity financing. This situation changed significantly in 2010 due to a comparatively higher increase in equity of the bank as compared to increase in debt. However, the situation changed once again in 2011 due to significantly higher increase in debts of the bank in contrast to the increase in equity. On the other hand, gearing situation for National Bank of Abu Dhabi is completely opposite. The gearing level of National Bank of Abu Dhabi increased from 2009 to 2010 and then declined in 2011; the reason being about a 100 percent increase in debts of the bank and a low increase in equity level. In 2011, total debts slightly declined due to which gearing ratio also came down in comparison with the previous year. Solvency Ratios Solvency ratios determine the ability of a business enterprise to survive in future (Helfert, 2001; Siddiqui, 2006). Following are the solvency ratios determined for two banks for the past three financi al years: Abu Dhabi Islamic Bank National Bank of Abu Dhabi 2009 2010 2011 2009 2010 2011 Debt to Assets Ratio 0.92 0.89 0.88 0.90 0.89 0.90 Cash Flow to Debt Ratio 0.40 0.76 0.42 17.72 7.21 8.38 Source: (Abu Dhabi Islamic Bank, 2011; Abu Dhabi Islamic Bank, 2010; National Bank of Abu Dhabi, 2011; National Bank of Abu Dhabi, 2010; Bloomberg, 2013) The debt to assets ratio for Abu Dhabi Islamic Bank can be observed as declining during the past three years, but with small differences. The primary reason behind this decline is that the bank’s assets have increased, not in proportion to the increase in debt, which shows that there is less increase in assets due to debt. Similarly, for National Bank of Abu Dhabi, the ratio declined from 2009 to 2010, but improved in 2011. The reason for the decline is same as has been noted in case of Abu Dhabi Islamic Bank. On the other hand, cash flow to debt ratio for Abu Dhabi Islamic Bank increased in 2010, but came to the same level in 2011 as it was in 2009. The primary factor, which has resulted in fluctuation in this ratio, has been operating cash flows of the bank. On the other hand, cash flow to debt ratio for National Bank of Abu Dhabi has been noted as significantly lower than that of Abu Dhabi Islamic Bank. Moreover, the ratio has declined from 2009 to 2010, but slightly improved in 2011. The sharp decline in 2010 is due to significant increase in total debts of the bank. Conclusion From the financial ratio analysis of Abu Dhabi Islamic Bank and National Bank of Abu Dhabi’s financial statements for the financial years 2009, 2010 and 2011, it has been observed that there are varying trends and patterns in the past three years for both banks as far as their financial performance is concerned. The profitability ratios for the two banks have revealed that Abu Dhabi Islamic Bank has performed much better, as indicated by significant improvement in net income, as compared to National Bank of Abu Dhabi. On the other hand, the liquidity positions of the two banks have remained more or less similar in the three years period under consideration. As far as leverage positions of the two banks are concerned, it is concluded from the analysis that both have shown volatility in this respect. As has been noted, there is no particular pattern is followed in maintaining a certain gearing level by both banks. Moreover, the overall gearing level for both banks remained at high levels from 2009 to 2011, due to high levels of debt financing. Lastly, the review of solvency position of both banks concluded that the debt to assets ratio for both banks remained at the same level in the past three financial years, primarily due to the fact that the increase in debt and increase in assets for both banks remained proportionately similar. However, significant differences have been noted in cash flow to debt ratios as there have been significant differences in the operating cash flows of the two ba nks. Reference List Abu Dhabi Islamic Bank. (2010). Annual Report 2010. Abu Dhabi: Abu Dhabi Islamic Bank. Abu Dhabi Islamic Bank. (2011). Annual Report 2011. Abu Dhabi: Abu Dhabi Islamic Bank. Bloomberg. (2013). Abu Dhabi Islamic Bank (ADIB:Abu Dhabi). Bloomberg. Web. Bloomberg. (2013). National Bank Of Abu Dhabi (NBAD:Abu Dhabi). Bloomberg. Web. Helfert, E. A. (2001). Financial Analysis Tools and Techniques: A Guide for Managers. New York: McGraw-Hill. National Bank of Abu Dhabi. (2010). Annual Report 2010. Abu Dhabi: National Bank of Abu Dhabi. National Bank of Abu Dhabi. (2011). Annual Report 2011. Abu Dhabi: National Bank of Abu Dhabi. Siddiqui, S. A. (2006). Managerial Economics And Financial Analysis. New Delhi: New Age International Publishers.

Wednesday, November 6, 2019

Martin Luther King and Malcolm X essays

Martin Luther King and Malcolm X essays Martin Luther King and Malcolm X - Two Views, One Cause Many black authors and leaders of the sixties shared similar feelings towards the white run American society in which they lived. Malcolm X, James Baldwin, Martin Luther King, and Stokely Carmichael all blamed the whites for the racism which existed. However, they agreed that it was up to the black society to end this problem. Using the black society, each of the authors had their own idea of how racism could be stopped. Unfortunately, for some, such as Malcolm X, this involved the use of violence, while others, such as King, favored the non-violent approach. This paper will focus, for the most part, on Malcolm X and King because they are both strong representations of two different approaches to a common goal. Perhaps their different approaches of violence and nonviolence stem from their original opinions of how capable the whites are Not all of the whites involved in the problem of racism supported it. Some were actually trying to help fight for the blacks. Unfortunately, it took Malcolm X a long time to figure that out. Malcolm's paper, "The Ballot or the Bullet," makes that clear. In his paper, he is constantly criticizing whites as a whole. He does not consider, even for a moment, that a white could actually support equality for all men. "Usually, it's the white man who grins at you the most, and pats you on the back, and is supposed to be your friend. He may be friendly, but he's not your friend" However, in a later work of his, "1965," one can see that Malcolm was learning to accept whites as possible allies. I tried in every speech I made to clarify my new position regarding white people - 'I don't speak against the sincere, well meaning, good white people. I have learned that there are some. I have learned that not all white people are racists' (367). ...

Monday, November 4, 2019

Short Essay Example | Topics and Well Written Essays - 2000 words - 1

Short - Essay Example Their original rationale does not fit any more and their activities too have been altered as the world economy has grown (Krueger, 1998). Nevertheless, Bretton Woods institution did play a leading role in the restructuring of international relations in the post -war period. Exchange rates in the pre-war period were used to secure competitive advantage in the mercantilist world (Crockett, 1999). Current account payments were subject to severe restrictions. The International Capital Mobility evolved because the Great Depression discredited gold standard orthodoxy and the financial markets became unpopular. The attachment to gold was identified as the causes of economic calamity. Financial products and markets became closely regulated. Maintaining high employment was considered more important than preserving the value of currency (Obstfeld, 1998). The current account payments were to be progressively liberalized. These changed attitudes led to the establishment of the Bretton Woods Institutions. The basic idea with which this institution was promoted was to promote cooperation and humanitarian goals. The two architects had different goals and objectives right from the beginning. While White intended to favor incentives designed to create price stability within the worlds economies, Keynes wanted a system that encouraged economic growth (O’Hara). Hence, even before the plan was launched, there were compromises made from both sides although the final plan was largely American in nature. It was obligatory for each of the member country to adopt a monetary policy that maintained the exchange rate of its currency within a fixed value in terms of gold. IMF would bridge temporary imbalances of payments. The planners at Bretton Woods favored a liberal system relying primarily on the market with the minimum barriers to the flow of private trade and capital. It was believed that the fundamental cause of the two world wars lay in economic

Saturday, November 2, 2019

HRM- BMW Essay Example | Topics and Well Written Essays - 250 words

HRM- BMW - Essay Example BMW’s move shows that management is not the lone representative of a business; it is bigger than that- there are lessons to be learned and given from and by everyone involved. A cohesive business is a successful one, and a company can only be cohesive when all levels of employees believe that they can speak up and make a difference. The more people who can get involved in the process, the more it will be an accurate reflection of the company and community’s true set of standards and complementary goals. #3 I believe that both employees and managers would think the new policy is fair. The only potential obstacle may be that employees or the public might see the move as a calculated response to media pressure due to recent corporate scandals involving inflated executive bonuses. However, as the case states, â€Å"BMW has been discussing its compensation practices for months, and claims its announcement has nothing to do with a larger debate about public accountability of executives† (BusinessWeek, 2011). The linked bonus program shows a link between management and employees in the company, and an expansion of vertical communication that will, I believe, make the line workers feel more valued and responsible, thus increasing their productivity as well as their company loyalty. REFERENCE BusinessWeek Case (2011).