Tuesday, August 25, 2020

Parmigiani Toric Hemispheres Retrograde †MyAssignmenthelp.com

Question: Talk about the Parmigiani Toric Hemispheres Retrograde. Answer: Foundation Parmigiani Toric Hemispheres Retrograde has quite recently been built up, andmarketing is significant for its benefit and achievement. The watch gives a sufficient and tasteful condition. Reintroduced as the three-hand-with-date Toric Chronometer at SIHH 2017, the eponymous watch case was structured and arranged by Michel Parmigiani. By and by it is also the substance of the Parmigiani Toric Hemispheres Retrograde, a movement watch energized by a distinctly constructed advancement. The cal. PF 317 is furnished with a module that shows a second time-region at 12 o'clock, which can be set to the occasion, a famous part that isolates it is from most other twofold time region watches that must be set in one-hour steps. Setting the subsequent time region is done with the crown at two o'clock, while the crown at three changes both time regions simultaneously and in a condition of agreement. Both time regions have their specific day and night pointers, while the date is appeared by a retrog rade hand. Famously, the subsequent time region module was made by Agenhor; the respected Geneva-based traps ace drove by Jean-Marc Wiederrecht. Agenor's fingerprints are clear on the dial-side of the module, with the different frameworks, complex gear train, additionally skeletonized metal parts made by the UV-LIGA explanation strategy. The module sits over Parmigiani's in-house PF 331 customized with a 50-hour control hold. Available just in rose gold, until further notice, the circumstance is 42.8 mm in broadness; the largish size is a result of the estimation of the subsequent time region module. The dial is ivory with a grained total, organize with the spear shaped hands that are a Parmigiani top decision. Market Summary Parmigiani Toric Hemispheres Retrograde has important information concerning the commercial center; consequently, it is very much aware of the aggregate qualities of the steadfast and valued customers. The extravagance watch use this information to see well their careful prerequisites, just as improving correspondence withtheir potential and existing clients. The extravagance watch is a restrictive watch which is all around considered to attempt to empower new colleagues. Target client go from easy to refined the same number of clients need and love the tasteful watch. SWOT Analysis The ensuing SWOT Analysis features the significant shortcomings and qualities in the watch producer at that point makes reference to the dangers in addition to circumstances fronting the Parmigiani Toric Hemispheres Retrograde (Fillis, 2010). Qualities Solid associations with outsider merchants Profoundly prepared and client situated staff Shortcomings Feeble brand value, hardly any individuals think about it The brand name is difficult to articulate Arguments and aptitudes changing and getting uninteresting Inaccessibility of assets to advance and lift the brand Openings A ton of target bunch despite everything don't know about Parmigiani Toric Hemispheres Retrograde. Lift in deals openings as people acclimate themselves concerning the advantages of the extravagance observe Having the option to decrease customizable overheads (variable expenses) by methods for good association of the market Dangers Fake watches in the market Rivalry from different sources, for example, Rolex A decay of the general economy diminishes discretionary use on extravagance things Contender Analysis Engaging customers who esteem the Parmigiani Toric Hemispheres Retrograde and who may perhaps make rehashed buys as a blessing is the fundamental goal. Different keys to progress for the extravagance watch are superb client support just as keeping up client cordial costs (Hsu, 2011). The neighborly costs are reasonable contrasted with different brands of extravagance watches. Be that as it may, Parmigiani Toric Hemispheres Retrograde being a forthcoming activity despite everything needs to promote and constructed a solid establishment for it to thrive and pull in clients. Themarketing trick built up on passing on its value through set stages. This could be finished utilizing a few procedures. The underlying strategy is through boards, online life like Facebook, WhatsApp, Instagram and open dailies. The extravagance watch's clients can be separated into gatherings of upper-working class and lower white collar class. Experts, who are generally in the two classifications of the white co llar class describes those that are and acknowledges mentally animating brand that represents achievement. This gathering for the most part has a salary of over $50,000 to $100,000 every year. It goes to an enormous degree to show that they like a watch to coordinate their taste. This classification of individuals is generally matured 25-45 years. Strategic Parmigiani Toric Hemispheres Retrogrades mission is to expose the extravagance watch however much as could reasonably be expected. We intend to do this on a worldwide scale, especially through famous online life. Online networking has been esteemed to be viable for advertisers/sponsors these days of Generation Y or twenty to thirty year olds. Advertising and Financial Objectives Coming up next are the advertising and monetary destinations feasible inside the initial a half year following the official dispatch of the Parmigiani Toric Hemispheres Retrograde. Empower and build up the brand picture through brand advancement, on all objective stages Increment deals and abatement the costs A twofold digit development rate for each coming year Diminish the variable expenses through productivity Include benefit inside a brief period Showcasing Mix Strategy Situating the extravagance watch as the best watch for individuals to get mentally tested is additionally one of the destinations. The promoting plan tries to initially make client mindfulness with respect to the brand, build up the client base, and afterward put a push to setting up referrals and client faithfulness. The message the extravagance watch will try to tell potential clients is that Parmigiani Toric Hemispheres Retrograde is the watch to have that will offer them incredible friendly exchanges and in the long run an intriguing time with their companions. As per Anna Telin (2016), the promoting technique will be done through a few roads; Item Parmigiani Toric Hemispheres Retrograde is first in the business in introducing various jumps forward. The watch planner was the essential association to introduce water-safe watches. Also, it is first to introduce wristwatches where the time and date on the dial change subsequently, first to introduce wristwatches that show double cross zones together and the important association that earned chronometer affirmation. Their items are known for its exactness, and the watch advancement is uncommonly careful. Cost Parmigiani Toric Hemispheres considers a claim to fame segment, and it sets a first class cost for its items. Basically, the costs of the items rely upon the model and the expense of the materials used. The promoting mix (showcasing blend) esteeming method of the extravagance watch relies upon quality, competition, and type. Moreover, work cost is high as especially skilled experts are required to make these watches. Spot The extravagance watch keeps up a raised condition of exactness to the extent its part through its in-house delivering plants. Parmigiani Toric Hemispheres Retrograde empowers its retailers to offer in any event two watches in a year as it takes confidence in keeping up its first rate regard. It targets upscale regions and the items are open in picked and premium showrooms with a particular ultimate objective to spare its picture regard. Advancement The limited time framework in the exhibiting mix philosophy is comprehensive and uses all media. The logo of is exceptionally fundamental and contains the 42-millimeter red gold case depicted by a knurled bezel, the checked feature of the Toric brand. The key limits develop against the grained white dial for exceptional neatness. The lance shaped hands of the chief time region, plated in 4N gold, are secured with Super-Lumi Nova to make them luminous and progressively indisputable. In the meantime, the hands of the subsequent time region are rhodium-plated to show a progressively prudent shade. It depicts its item as a picture of thriving, accomplishment and extravagant brand. It furthermore adds to the monetary prosperity of the customer. Market Study All through the beginning periods concerning the improvement of the advertising procedure, various center gatherings will be completed to comprehend a determination of forthcoming customers (Ansgar Diana, 2011). The gathering gave useful comprehension with respect to the decision systems of imminent customers. A strengthening establishment of activemarketplace studyis a reaction structure established on circulated surveys, where the retailers give out the polls to the objective clients and are then expected to give criticism whether positive or negative. A last wellspring of commercial center examination is serious investigation. This is to be finished by frequently visiting contenders and examining the administrations they offer. Budgetary Projections This fragment offers a money related impression of the Parmigiani Toric Hemispheres Retrograde with respect to the achievements of the advertising endeavors. Additionally, the fragment tends to Break-Even Analysis, costs projections, deals projections, just as their significance to the promoting plan. Examination of the Break-Even Point According to Binod Devi (2013), the thought behind an earn back the original investment point is to figure the point wherein the incomes start to surpass costs. It is finished by isolating companys variable (those that change with the amount of yield) and fixed costs (those that don't change with yield amount). It is useful to business as it decides when it will begin to turn a benefit and be a valuable tip to with regards to estimating. In its everyday activities, the watchmaker needs to communicate with different organizations and ventures to analyze the earn back the original investment focuses as their fixed and variable expenses vary significantly. The underlying stages would be implemente

Saturday, August 22, 2020

The effects of mental health stigma in the media and society

The impacts of emotional well-being shame in the media and society Emotional wellness StigmaSuraya YosofAllison GreenEnglish 205The Effects of Mental Health Stigma in the Media and SocietyIf somebody is determined to have a physical disease or viral contamination, we anticipate that them should get treatment until it's relieved or it isn't destructive to the person in question. In the event that somebody had malignancy or Tuberculosis we don't just instruct them to get over it or you needn't bother with assistance with that. However with regards to psychological maladjustment, individuals experiencing it are relied upon to simply get over it and not get treatment. Society doesn't acknowledge nor comprehend the treatment of psychological sickness. The media places disgrace and oppression individuals with psychological sickness. That individuals who are experiencing dysfunctional behaviors abstain from getting treatment for their ailment; so as to not be marked as insane or being socially inadmissible. Albeit physical and dysfunctional behaviors are n ot the equivalent; psychological maladjustment can likewise have serious outcomes, for example, separation, self-mischief and death.Society and the media assume a colossal job in emotional wellness shame among patients with mental turmoil, and their refusal and shirking of accepting psychological wellness care.Stigma is characterized as imprint a disfavor towards a specific gathering base on a specific condition or quality (Oxford dictionary).There are two sorts of disgrace encompassing psychological sickness; the first is open seen disgrace. This is the open normal convictions and generalizations towards psychological sickness. It is likewise the basic open reaction to individuals who look for help for mental issues (Bathje, Pryor, 2011, p.161). The subsequent one is self-disgrace is the perspectives held by the person that the person is socially unsuitable and acknowledges how the open apparent mental illness.(Maier, Gentile, Vogel, and Kaplan, 2013, p. 239)I've had my own underst anding of the disgrace encompassing mental...

Sunday, July 26, 2020

Happy 21st Birthday to the Random Hall Milk

Happy 21st Birthday to the Random Hall Milk 21 years ago today a very special carton of milk was brought home from the supermarket to a dormitory at MIT. It has lived there ever since. If youve never met the Milk, then you should read  Vincents biography of the Milk  that he posted  on these blogs two years ago: Nineteen years ago, a fairly lactose-intolerant resident of Random Hall decided to make Macaroni and Cheese for dinner. Deciding that a little carton of milk couldn’t possibly hurt, he made his way to Shaw’s, a grocery store, braving and somehow surviving the treacherous Boston weather. Being an MIT student, he bought the milk carton and made his way to his floorâ€"Bonfireâ€"only to realize a grievous error. He had forgotten to get any macaroni! Ultimately, he decided that Mac and Cheese wouldnt help him complete his p-sets or levitate objects and he could probably do without them. The milk carton, despite its cream-filled protests, was chucked into a refrigerator, in which a stretch of time found it confined. The Bonfire Resident perhaps came across this carton a couple of times over the next few months, and probably figured, Hmm, definitely not mine. I’m lactose-intolerant. Other residents probably came across this curious carton and figured, Definitely didn’t buy it. Would be so good on my plate of Cheerios right now, but I should probably just stick to my stuff. Eventually, a few months later, someone took notice of Milk and stared at his expiration dateâ€"October 20, 1994. It had already expired, and belonged in the trashcan, but somehow, for some reason, Milk wasn’t so gracelessly disposed. Perhaps the wealth of disciplined persistence he’d built up over the months had come across to his finders in some way. Maybe MIT students just like to have fun and decided to see how long Milk could last. Either way, Milk was let to live, and is currently one of the oldest and proudest residents of Random Hall. I once asked a former resident of Random Hall why the milk had never been thrown away. He grinned, sort of spread his arms wide, and asked, Why throw something away when you can tell a story about it? Anyway, the Milk turns 21 today, which reminds me of another story: last year, around January 1st, we received a paper application in the mail. This was odd, because we dont have paper applications anymore; also, because the application was from a (then) twenty-year-old carton of milk that lived in a hermetically sealed jar in Random Hall and is occasionally, disgustingly burped. Regrettably, we were unable to offer the Milk admission to MIT in the Class of 2019, despite its impressive achievements, lively culture, and solid performance in AP Cowculus. Unfortunately, its negligence w/r/t basic testing, not to mention the logistical curdles posed by its potential mootriculation, made us think that the Milk might be best served by continuing its current course of self-directed educowtion. Fortunately, the Milk remains a bubbly member of the Random Hall community, and, I suspect, wont be departing MIT anytime soon. I have embedded the Milks application (with permission) below; you can also download it. edit: Yongquan from Random sent in this photo of the Milk celebrating its birthday with all of its friends last night.

Friday, May 22, 2020

Winners Lose in The Lottery by Shirley Jackson - 512 Words

Winners Lose Most people who fantasize about winning the lottery dream about quitting their jobs, traveling the world, and buying $100,000 cars. However, in â€Å"The Lottery† by Shirley Jackson, the villagers mentally prepare themselves to be stoned if they are unlucky enough to win and hope that they lose. Shirley Jackson uses many literary elements throughout â€Å"The Lottery†, such as allegories, symbolism, foreshadowing, the narrator’s tone, and her writing style, which are all used to covey a specific meaning. In the reader’s mind, the lottery is most likely seen as a good thing. Nothing about the lottery raises a red flag, much like the seemingly innocent, happy village. Nothing seems to be wrong with either†¦ at first. The lottery is actually an allegory/symbol for the village. While in the surface, both seem fine, after a while, it becomes apparent something is off (with the lottery and the village), what with the kids collecting rocks (fore shadowing) and the strange attitude all the adults have. Symbolism is seen often throughout â€Å"The Lottery†. One example of this is the characters names. Mr. Summer’s name symbolizes that, through the money he gets from his coal business, he has a lot of leisure time. Mr. Graves’ name clearly symbolizes and foreshadows the grave situation that is to come. The color black symbolizes death throughout the story. The black box and the black dot on a piece of paper lead to death. The box also symbolizes the tradition itself, and theShow MoreRelatedLiterary Elements in The Lottery, by Shirley Jackson1334 Words   |  6 Pagesshort story, â€Å"The Lottery,† by Shirley Jackson communicates this theme by showing how the villagers participate in a lottery every year. In life, there are people who follow tradition because the have to, or they are used to following without question. The author, Shirley Jackson was born on December 14, 1916 in San Francisco, Cal ifornia. In 1937, Shirley Jackson attended Syracuse University where she began to write short stories. She was famous for the short story, â€Å"The Lottery,† and her best sellerRead MoreEssay about The Rocking Horse vs Lottery996 Words   |  4 PagesProfessor ENGL 102-B54 LUO 3 February 2014 â€Å"The Lottery† vs. â€Å"The Rocking-Horse Winner† In â€Å"The Rocking-Horse Winner,† by D. H. Lawrence, and â€Å"The Lottery,† by Shirley Jackson, the two authors illustrate symbols and themes throughout their stories in which one common idea is present: perhaps winning is not always positive. â€Å"The Rocking-Horse Winner,† by D.H. Lawrence is a fictional story about a woman’s obsession for money and the lack of love and affection she shows to her family. HerRead MoreAnalysis Of The Book The Lottery 916 Words   |  4 Pages The Foreshadowing in â€Å"The Lottery† On a warm day in late June, villagers gather in the square to participate in a lottery run by Mr. Summers. The children arrive first and begin collecting stones until their parents call them to order. Mr. Summers calls each head of the household forward to a black wooden box, where each selects a slip of paper. Once the men have chosen, Mr. Summers allows everyone to open the paper and see who wins. Bill Hutchinson wins and his wife immediately starts protestingRead MoreCritical Analysis of The Lottery695 Words   |  3 Pagesâ€Å"The Lottery,† written by Shirley Jackson takes place on the twenty-seventh of June in a small town in the United States. The beginning of the story starts off talking about the local children gathering around and the town square where the lottery is held. At the square, the little boys begin to gather stones from small to large ones and pile them up. The next people to show up at the village square are the husbands as they are discussing daily lif e amongst each other, then finally, the wives beginRead MoreWinners Will Be Executed Short Story Analysis1085 Words   |  5 PagesWinning a lottery is a good thing, right? Someone buys a ticket, then scratches it off or waits to see if they hold the winning number in their hands. However, that is not the case in Shirley Jackson’s world of â€Å"The Lottery†. In her critically acclaimed short story, a small town gathers in the village square and draws a name out of a box, and the ‘winner’ of their lottery is brutally stoned to death. All of this is done in a calm and orderly fashion, as well as without question. The lottery is a yearlyRead MoreEnglish 102 Fiction Essay1129 Words   |  5 PagesMLA Outline THESIS: The themes of Shirley Jackson’s, â€Å"The Lottery† and D.H. Lawrence’s, â€Å"The Rocking-Horse Winner† demonstrate a very powerful and sinister aspect of fallen human nature. The characters in both of these stories are driven to what many would describe as insanity in the pursuit of a passion. Ultimately, these pursuits end in unimaginable tragedy and pain. I. The townspeople in â€Å"The Lottery† and the family members in â€Å"The Rocking-Horse Winner† are caught up in their passions. Read MoreThe Theme Of The Lottery By Shirley Jackson1159 Words   |  5 PagesWhen â€Å"The Lottery† begins, nothing seems unusual about this community, no hint of what is to come, or how heinous an act is about to occur. As they ready themselves for what seems to be a cheerful event, preparing as if to win something valuable, rather than to lose this lottery, eagerness and enthusiasm fill the air. The tradition, this community has been following, is overly duteous, more sheep like, illustrating the extent to which people will go to fit in, to be part of a crowd, to feel acceptedRead MoreAnalysis Of Shirley Jackson s The Lottery Essay878 Words   |  4 PagesMichael Espinoza English 1302-5003 Professor Johnson June 22, 2015 Research-Based Argument Essay Shirley Jackson’s â€Å"The Lottery† Born on December 14, 1916, in San Francisco, California, Shirley Jackson was an American author whose novels and short stories are still relevant today. Jackson grew up in California and moved East with her family when she was 17 years old. She began her college career at the University of Rochester, withdrew for one year to practice her writing skills at homeRead MoreThe Lottery Shirley Jackson Analysis1089 Words   |  5 Pages In Shirley Jackson’s â€Å"The Lottery,† the story conducts a â€Å"lottery† that involves the families of the town to go into a drawing. Once the drawing is done, the winner of the lottery is used as a sacrifice in the town and is pelted by stones thrown from the community, including children. Furthermore, the basis of â€Å"The Lottery† has to do with psychological problems and influence. Psychoanalysis is built upon Sigmund Freud’s theories of psychology, which asserts that the human mind is affected by theirRe ad MoreCompare Contrast Fiction Essay794 Words   |  4 PagesCompare Contrast: The Rocking-Horse Winner/The Lottery ENGL 102_B40: Literature and Composition Spring 2011 Michaela Gates L23562144 APA Gambling, whether for life or money, is risky and success is not guaranteed, even if you ‘win’. Two different tales both involving risk. 1. Gambling for something valuable - One for life and the other for money 2. Characters’ Personalities - Paul was hopeful and cared deeply for his

Friday, May 8, 2020

Pornography Does NOT Cause Violence Against Women

Introduction Pornography is a controversial subject all around the world. Part of its appeal is its taboo nature. It has been argued that pornography is harmful. Porn is an underground market that is more or less legal but is it harmful? An article written by Diana E.H. Russell in â€Å"Dangerous Relationships: Pornography, Misogyny, and Rape† argues that it is. Diana E.H. Russell is a sociology professor. She has researched the issue and argues that pornography is profoundly harmful. Professor Russell believes that it inclines men to want to rape women and that it encourages them to act out rape fantasies. However, Michael C. Seto disputes Professor Russells theory that pornography is harmful. Michael Setos article, written with†¦show more content†¦The rapists admitted that they did not see the woman as human until it was too late and some still dont see their crime. They were asked if they believed that women enjoyed being raped. Many would say that wom en cause their own rape because of what they wear or how they act, they believe that most men are innocent of rape. All of the evidence provided was pulled from male rapists or men that proved to be force oriented. Experiments should be done based on healthy, non-rapist individuals, including women. Women view pornography, women are capable of ill thoughts and violence, and women are capable of committing rape. It would seem that there was plenty of evidence provided by Ms. Russell but I do not think that it is adequate to substantiate her theory that pornography is harmful. â€Å"No† Article From the â€Å"No† aspect written by Michael Seto, Alexandra Maric, and Howard E. Barbaree, they argue that 1) there is enough evidence any where proving that pornography is the cause of rape or rape crimes. They do not feel that it proves that men objectify and dehumanize women or that violent pornography desensitizes men to rape, 2) Knowing the definition of pornography and understanding the different versions help to identify where the issue lies, and 3) there are causal models that link pornography and aggression. The debate on pornography being harmful is so big because sexual victimization being such a major social problem. There is not enoughShow MoreRelatedPorn and Censorship15240 Words   |  61 PagesPornography and Censorship Should the government be allowed to legitimately prohibit citizens from publishing or viewing pornography, or would this be an unjustified violation of basic freedoms? Traditionally, liberals defended the freedom of consenting adults to publish and consume pornography in private from moral and religious conservatives who wanted pornography banned for its obscenity, its corrupting impact on consumers and its corrosive effect on traditional family and religious values. ButRead MoreEssay about Gendered Media9688 Words   |  39 PagesMedia on Views of Gender Julia T. Wood Department of Communication, University of North Carolina at Chapel Hill times more often than ones about women (â€Å"Study Reports Sex Bias,† 1989), media misrepresent actual proportions of men and women in the population. This constant distortion tempts us to believe that there really are more men than women and, further, that men are the cultural standard. THEMES IN MEDIA Of the many influences on how we view men and women, media are the most pervasive andRead Moreunethical advertising14492 Words   |  58 Pagesoverall rating of a TV show might be well over 10 rating points it might very well happens that the same show in the same moment of time is generating only 2.5 trps ( being the target women 25-45). This would mean that while the show has a large universe of viewers it is not necessarily reaching a large universe of women in the ages of 25 to 45 making it a less desirable location to place an ad for an advertiser looking for this particular demographic. IMPACT Billboard, New York City The impact ofRead MoreThe Censorship of Art Essay example14698 Words   |  59 Pageshave come under increasing attack from various sides representing the entire left and right political spectrum, purportedly for their explicit sexual and violent lyrical contents. In this paper is investigated which moral codes underlie these claims against popular music, how social movements mobilize actions around these claims, and the way in which they are manifested in mechanisms of control targeted at rap and rock music. Moreover, I explore how the performers and fans of these musical styles haveRead MoreRepresentation of Athletes in the Media2358 Words   |  10 PagesThere has been an abundance literature on the subject of the representation of female athletes in the media, from television coverage and newspapers to magazines and websites. From ancient Greece where it was not allowed for women to partake in or even watch the Olympic Games and the power and independence of the Amazonian tribal warrior woman, to present day and the struggles with underrepresentation and misrepresentation of female athletes in sport media (George, Hartley, Paris, 2001; Creedon,Read MoreMarketing and E-commerce Business65852 Words   |  264 PagesMisses Insight on Society: Every Move You Take, Every Click You Make, We’ll Be Tracking You Case Study: Instant Ads: Real-Time Marketing on Exchanges continued on back inside cover E -commerce business. technology. society. T e n T H e d i t i o n Kenneth C. Laudon Carol Guercio Traver New York University Azimuth Interactive, Inc. Boston Columbus Indianapolis New York San Francisco Upper Saddle River Amsterdam Cape Town Dubai London Madrid Milan MunichRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesOutcomes 25 Summary and Implications for Managers 30 S A L Self-Assessment Library How Much Do I Know About Organizational Behavior? 4 Myth or Science? â€Å"Most Acts of Workplace Bullying Are Men Attacking Women† 12 An Ethical Choice Can You Learn from Failure? 24 glOBalization! Does National Culture Affect Organizational Practices? 30 Point/Counterpoint Lost in Translation? 31 Questions for Review 32 Experiential Exercise Workforce Diversity 32 Ethical Dilemma Jekyll and Hyde 33 Case IncidentRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 Pages Agricultural and Pastoral Societies in Ancient and Classical History Jack Metzgar, Striking Steel: Solidarity Remembered Janis Appier, Policing Women: The Sexual Politics of Law Enforcement and the LAPD Allen Hunter, ed., Rethinking the Cold War Eric Foner, ed., The New American History. Revised and Expanded Edition E SSAYS ON _ T WENTIETH- C ENTURY H ISTORY Edited by Michael Adas for the American Historical Association TEMPLE UNIVERSITY PRESS PHILADELPHIA TempleRead MoreFundamentals of Hrm263904 Words   |  1056 Pagesbetter study smarter save money From multiple study paths, to self-assessment, to a wealth of interactive visual and audio resources, WileyPLUS gives you everything you need to personalize the teaching and learning experience.  » F i n d o u t h ow t o M A K E I T YO U R S  » www.wileyplus.com ALL THE HELP, RESOURCES, AND PERSONAL SUPPORT YOU AND YOUR STUDENTS NEED! 2-Minute Tutorials and all of the resources you your students need to get started www.wileyplus.com/firstday Student supportRead MoreManaging Information Technology (7th Edition)239873 Words   |  960 PagesIT management role, sometimes outsourced to IT vendors, it is not the only one. 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Wednesday, May 6, 2020

The Hunters Moonsong Chapter Nine Free Essays

string(94) " and looked up to see a triumphant smile on Damon’s face as he reached to take her arm\." Where r u? Elena texted impatiently. Stefan was supposed to meet her at her dorm room more than twenty minutes ago. Surely his study group was over by now? She was starving. We will write a custom essay sample on The Hunters: Moonsong Chapter Nine or any similar topic only for you Order Now She paced around the room, occasional y glancing at the dark tree branches beyond the windows. It wasn’t like Stefan to be late. She checked her phone. It was too soon to try to reach him again. Outside, something dark moved, and she gasped. Then she shook her head. It was just the branches of the trees out there, waving in the breeze. She moved closer, trying to see past the reflections on the glass. Their room was on the third floor; there wouldn’t be anyone sitting that high up. At least not anyone human. Elena shuddered. â€Å"Elena,† said a cool, clear voice from outside. With a squeak that sounded like a frightened rabbit, Elena jerked backward, pressing one hand to her pounding heart. After a moment, she stepped up to the window and threw it open. â€Å"Damon,† she said. â€Å"You scared me to death. What are you doing out there?† There was a flash of white teeth in the shadows. A mocking tone rang through his answer. â€Å"Waiting for you to invite me into your room, of course.† â€Å"You don’t need an invitation,† Elena said. â€Å"You helped me move in.† â€Å"I know,† Damon said, smiling. â€Å"I’m being a gentleman.† Elena hesitated. She trusted Damon, of course she did, but this seemed so intimate. Damon outside in the dark, Elena alone in her bedroom, neither of her roommates around. He’d been in her room at home, but Aunt Judith and Robert had been just down the hal . She wondered if Stefan would mind her being alone here with Damon, but she shook off the thought. He trusted Elena, that was what mattered. â€Å"Elena,† Damon’s voice was soft but insistent. â€Å"Let me in before I fal .† Rol ing her eyes, she said, â€Å"You’d never fal . And if you did, you’d fly. But you can come in anyway.† With a soft whoosh, faster than her eye could fol ow, Damon was suddenly beside her. She had to step back a pace. Eyes and hair as dark as night, pale luminous skin, perfectly cut features. He even smel ed good. His lips looked so soft†¦. Elena caught herself leaning toward him, her own lips parting, and pul ed away. â€Å"Stop it,† she said. â€Å"I’m not doing anything,† Damon said innocently. When Elena arched a skeptical eyebrow at him, he shrugged and shot her a brief, bril iant smile. There, Elena thought. That’s why Stefan might mind Damon being here. â€Å"Oh, al right. I’m only teasing you.† He looked around the room and quirked an eyebrow of his own. â€Å"Why, Elena,† he said, â€Å"I’m almost disappointed. You and your friends are running so true to type here.† Elena fol owed his eyes. Bonnie’s side of the room was a mess, a tumble of stuffed animals, rejected outfits, and Dalcrest paraphernalia. In contrast, Meredith’s area was rigidly tidy, books lined up alphabetical y, a single silver pen on the desk next to her slim silver laptop, her bed neatly draped in a silk duvet in subtly patterned gray and white. Her dresser and closet were closed, but inside, Elena knew, Meredith’s clothes would be organized by type, color, and season. Damon was right: just by looking at their parts of the room, you could tel that Meredith was rational, sophisticated, careful y control ed, and private, while Bonnie was fluffy, fun-loving, and disorganized. What about Elena’s own things? What did they say about her? She looked over her part of the room with a critical eye. Framed art prints from her favorite exhibits, her silver brush and comb lined up on her dresser, deep-blue sheets that she knew set off her eyes and hair. Someone who held on to what she liked and didn’t change easily? Someone who was very aware of what suited her? She wasn’t sure. Damon smiled at her again, without the mocking edge this time. â€Å"Don’t give it a second’s thought, princess,† he said affectionately. â€Å"You’re more than your possessions.† â€Å"Thanks,† Elena said shortly. â€Å"So, did you just drop in my window to say hel o?† He reached out and tucked a stray lock of hair behind her ear. They were standing very close together, and Elena backed away a little. â€Å"I thought maybe, now that you’re a col ege girl, we could go out tonight and have some fun.† â€Å"Fun?† Elena said, stil distracted by his mouth. â€Å"What kind of fun?† â€Å"Oh, you know,† he said, â€Å"just a little dinner, a few drinks. Friend stuff. Nothing too daring.† â€Å"Right,† Elena said firmly. â€Å"It sounds nice. But I can’t tonight. Stefan and I are going out to dinner.† â€Å"Of course,† Damon said. He gave her a firm little nod and what was so obviously supposed to be a supportive smile that she had to stifle a giggle. Supportive, friendly, and unassuming were not natural looks on Damon’s face. He was trying so very hard to be her friend even though they al knew there was more than that between them. Since he had died and come back, he had been trying to change his relationships with Stefan and with her, she knew, to be with them in a way he never had before. It couldn’t be easy on poor Damon, trying to be good. He was out of practice. Elena’s phone chimed. She read the text from Stefan: I’m sorry. The study group’s running late. I think it’ll be at least another hour. Meet later? â€Å"Problem?† Damon was watching her, the same innocent, friendly smile on his face, and affection for him washed over Elena. Damon was her friend. Why shouldn’t she go out with him? â€Å"Change of plans,† she said briskly. â€Å"We’l go out, but just for a little while. I need to be back here to meet Stefan in an hour.† She texted Stefan quickly to let him know she was going to grab some food and looked up to see a triumphant smile on Damon’s face as he reached to take her arm. You read "The Hunters: Moonsong Chapter Nine" in category "Essay examples" Bonnie walked across campus, practical y skipping in time to the happy tune in her head. A date with Zander, la la la la la. It was about time, too. She’d been eagerly anticipating seeing Zander again al week, and although they’d talked on the phone, she hadn’t laid eyes on him around campus at al , even though of course she’d been looking. At last she was about to see him. La la la la la. Lovely, gorgeous Zander. She had on jeans and a sort of silvery, draping top that at least made it look like she might have some cleavage. It was a good outfit, she thought, understated enough for just hanging out but also a little bit special. Just in case they decided to go out clubbing or something at the last minute. Zander hadn’t told her what he’d planned, just asked her to meet him outside the science building. La la la la la, she hummed. Bonnie’s footsteps slowed, and the tune in her head died off as she saw flickering lights il uminating a group of people up ahead. They were gathered in the courtyard in front of one of the dorms. Approaching, she realized it was a group of girls holding candles. The wavering light from the candles sent shadows across their serious faces. Propped against the wal of the dorm were three blown-up photos, two girls and a guy. Al across the grass in front of them were heaped flowers, letters, and teddy bears. Hesitant to break the silence, Bonnie touched the arm of one of the girls. â€Å"What’s going on?† she whispered. â€Å"It’s a candlelight vigil for the missing people,† the girl whispered back. Missing people? Bonnie scanned the faces in the photographs. Young, smiling, about her age. â€Å"Are they al students here?† she asked, horrified. â€Å"What happened to them?† â€Å"Nobody knows,† the girl said, her gaze serious. â€Å"They just vanished. You didn’t hear about this?† Bonnie’s stomach dropped. She knew that a girl was attacked – or something – on the quad the first night, but she hadn’t known about any disappearances. No wonder her gut instinct had warned her to be scared walking across campus the other day. She could have been in danger. â€Å"No,† she said slowly. â€Å"I didn’t hear anything.† She dropped her eyes and bowed her head, silent as she sent out a fervent hope that these three happy-looking people would be found, safe and sound. In the distance, a siren began to wail. â€Å"Something’s happened.† â€Å"Do you think someone was attacked?† A babble of frightened voices rose as the sirens got closer. A girl near Bonnie began to sob, a hurt, scared sound. â€Å"Al right, what’s the trouble here?† said a new, authoritative voice, and Bonnie looked up to see two campus police officers shouldering their way through the crowd. â€Å"We †¦ uh†¦Ã¢â‚¬  The girl who had spoken to Bonnie gestured at the photos and flowers against the wal . â€Å"We were having a vigil. For the missing people.† â€Å"What are those sirens for?† another girl asked, her voice rising. â€Å"Nothing to worry about,† said the officer, but his face softened as he looked at the sobbing girl. Bonnie realized with a slight shock that he wasn’t much older than she was. â€Å"Miss?† he said to the crying girl. â€Å"We’l help you get home.† His partner looked around at the crowd. â€Å"It’s time to break things up and head inside,† he said sternly. â€Å"Stick together and be careful.† â€Å"I thought you said there was nothing to worry about,† said another girl angrily. â€Å"What aren’t you tel ing us?† â€Å"There’s nothing you don’t know already,† the man said patiently. â€Å"People are missing. You can never be too careful.† If there’s nothing to worry about, why do we have to be careful? Bonnie wondered, but she bit back the words and hurried away down the path, toward the science building where Zander had suggested they meet. The idea of trying to have a vision, to see if she could learn anything about the missing people, nudged at Bonnie’s mind, but she pushed it away. She hated that. She hated the loss of control when she slid into one of her visions. It was unlikely to work, anyway. Her visions had always been about people she knew, about immediate problems facing them. She didn’t know any of the missing people. She bit her lip and walked faster. The excitement about her date had fizzled out, and she didn’t feel safe now. But at least if she got to Zander, she wouldn’t be alone. When she arrived at the science building, though, Zander wasn’t there. Bonnie hesitated and looked around nervously. This corner of campus seemed to be deserted. She tried the door of the science building, but it was locked. Wellof course it was – there weren’t any classes this late. Bonnie shook the handle of the front door in frustration. She reached into her bag, then groaned as she realized she’d left her phone back in her room. Suddenly, she felt very exposed. The campus police had said to stick together, not to wander around alone at night, but here she was, al by herself. A cool breeze ruffled her hair and she shivered. It was getting awful y dark. â€Å"Bonnie. Psst, Bonnie!† Zander’s voice. But where was he? Bonnie saw nothing but the dark quad, streetlights throwing little circles of light on the paths. Above her, leaves rustled in the wind. â€Å"Bonnie! Up here.† Looking up, she final y spotted Zander on the roof, peering down over the side at her, his pale hair almost glowing in the moonlight. â€Å"What’re you doing up there?† she cal ed to him, confused. â€Å"Come on up,† he invited, pointing to the fire-escape ladder on the side of the building. It was lowered to just a couple of feet above the ground. â€Å"Real y?† said Bonnie dubiously. She walked over to the fire escape. She could make it onto the ladder, she was pretty sure, but she was going to look clumsy and awkward scrambling up on it. And what if she got caught? She hadn’t actual y read the campus regulations thoroughly, but wouldn’t climbing the fire escape up to the roof of a closed building be against the rules? â€Å"Come on, Bonnie,† Zander cal ed. His feet clanging loudly against the iron steps, he ran down the fire escape, shimmied down the ladder, and leaped to the ground, landing catlike on his feet beside her. He went down on one knee and held his hands out together. â€Å"I’l boost you up so you’l be able to reach.† Bonnie swal owed, then stepped up onto Zander’s hands and stretched for the ladder. Once she swung her leg up onto the bottom rung, it was a piece of cake, although the slightly rusty metal was rough against her hands. She spared a moment to thank al the powers of the universe that she had decided to wear jeans rather than a skirt tonight. Zander trailed behind her up the fire escape from one landing to another until final y they arrived on the roof. â€Å"Are we al owed to be up here?† Bonnie asked nervously. â€Å"Well,† Zander said slowly, â€Å"probably not. But I come up here al the time, and no one’s ever told me not to.† He smiled that warm, wonderful smile at her and added, â€Å"This is one of my favorite places.† It was a nice view, Bonnie had to admit that. Below them, the campus stretched, leafy and green and mysterious. If anyone else had brought her up here, though, she would have complained about the rusty fire escape and the concrete roof, suggested that maybe a date should involve going somewhere. This was a date, wasn’t it? She froze momentarily in a panic, trying to recal exactly what Zander had said when he suggested meeting here. She didn’t remember the words themselves, but they definitely had a date-y feel to them: she wasn’t a kid anymore, she knew when she was being asked out. And Zander was so cute, it was worth making an effort. â€Å"It’s pretty up here,† she said lamely and then, looking around at the flat dirty concrete, â€Å"I mean being so high up.† â€Å"We’re closer to the stars,† Zander said, and took her hand. â€Å"Come on over here.† His hand was warm and strong, and Bonnie held on to it tightly. He was right, the stars were beautiful. It was cool to be able to see them more clearly, here above the trees. He led her over to the corner of the roof, where a ratty old army blanket was spread out with a pizza box and some cans of soda. â€Å"Al the comforts of home,† he said. Then, quietly, â€Å"I know this isn’t a very fancy date, Bonnie, but I wanted to share this with you. I thought you would appreciate what’s special about being up here.† â€Å"I absolutely do,† Bonnie said, flattered. A secret little cheer went up inside her: Hurray! Zander definitely knows we’re on a date! Pretty soon Bonnie found herself tucked up against Zander’s side, his arm around her shoulders, eating hot, greasily delicious pizza and looking at the stars. â€Å"I come up here alone a lot,† Zander told her. â€Å"One time last year I just lay here and watched a big fat ful moon get swal owed up by the earth’s shadow in an eclipse. It was nearly pitch black without the light of the ful moon, but I could stil see its dark red shape in the sky.† â€Å"The Vikings thought eclipses were caused by two wolves, one who wanted to eat the sun, and one who wanted to eat the moon,† Bonnie said idly. â€Å"I forget which one wanted to eat the moon, but whenever either a solar or a lunar eclipse happened, people were supposed to make a lot of noise to scare the wolf away.† Zander looked down at her. â€Å"That’s a random piece of information to know.† But he smiled as he said it. Bonnie wriggled with delight under the sheer force of his smile. â€Å"I’m interested in mythology,† she said. â€Å"Druid and Celtic, mostly, but myths and stories in general. The Druids were into the moon, too: they had a whole astrology based on the lunar calendar.† She sat up straighter, enjoying the admiring look on Zander’s face. â€Å"Like, right now, from late August to late September, we’re in the month of the Artist Moon. But in a couple of weeks, we’l be in the month of the Dying Moon.† â€Å"What does that mean?† Zander asked. He was very close to her, gazing straight into her eyes. â€Å"Well, it means it’s a time of endings,† Bonnie said. â€Å"It’s al about dying and sleep. The Druid year begins again after Hal oween.† â€Å"Hmm.† Zander was stil watching her intently. â€Å"How do you know so much, Bonnie McCul ough?† A little smile played around his mouth. â€Å"Um, my ancestors were Druids and Celtics,† Bonnie said, feeling stupid. â€Å"My grandmother told me we were descended from Druid priestesses, and that’s why I see things sometimes. My grandmother does, too.† â€Å"Interesting,† Zander said softly. His tone grew lighter. â€Å"So you see things, do you?† â€Å"I real y do,† Bonnie said, seriously, staring back at him. She hadn’t meant to tel him that. She didn’t want to weird him out, not on their first date, but she also didn’t want to lie to him. So blue. Zander’s eyes were as deep as the sea, and she was fal ing farther and farther into them. There was nothing above her, nothing below, she was ceaselessly, gently fal ing. With a wrench, Bonnie pul ed her eyes away from Zander’s. â€Å"Sorry,† she said, shaking her head. â€Å"That was weird. I think I almost fel asleep for a minute.† â€Å"Don’t worry about it,† Zander said, but his face looked stiff and strange. Then he flashed that warm, enchanting smile again and got to his feet. â€Å"Come on, I want to show you something.† Bonnie stood slowly. She felt a little strange stil , and she pressed her hand briefly against her forehead. â€Å"Over here,† Zander said, tugging her by the other hand. He led her to the corner of the roof and stepped up onto the narrow ledge running around it. â€Å"Zander,† Bonnie said, horrified. â€Å"Come down! You might fal !† â€Å"We won’t fal ,† Zander said, smiling down at her. â€Å"Climb on up.† â€Å"Are you crazy?† Bonnie said. She’d never liked heights much. She remembered crossing a high, high bridge once with Damon and Elena. They’d had to if they were going to save Stefan, but she never would have been able to do it, except Damon had used his Power and convinced her she was an acrobat, a tightrope walker to whom heights were nothing. When he’d released her from his Power, after they crossed the bridge, her retroactive fear had been nauseating. Stil , she’d made it across that bridge, hadn’t she? And she had promised herself she would be more confident, stronger, now that she was in col ege. She looked up at Zander, who was smiling at her, sweetly, eagerly, his hand extended. She took it and let him help her climb onto the ledge. â€Å"Oh,† she said, once she was up there. The ground swam dizzyingly far below her, and she yanked her eyes away from it. â€Å"Oh. No, this is not a good idea.† â€Å"Trust me,† Zander said, and took her other hand so that he was holding on to her securely. â€Å"I won’t let you fal .† Bonnie looked into his blue, blue eyes again and felt comforted. There was something so candid and straightforward in his gaze. â€Å"What should I do?† she asked, and was proud when her voice was steady. â€Å"Close your eyes,† Zander said, and when she’d done that, â€Å"and pick your right foot up off the ledge.† â€Å"What?† Bonnie asked, and almost opened her eyes again. â€Å"Trust me,† Zander said again, and this time there was a rich undercurrent of laughter in his voice. Hesitantly, Bonnie lifted her foot. Just then, the wind picked up, and Bonnie felt like it was about to scoop her off the ledge and throw her into the sky like a kite whose string had snapped. She tightened her grip on Zander’s hands. â€Å"It’s al right,† he said soothingly. â€Å"It’s amazing, Bonnie, I promise. Just let yourself be. Life isn’t worth living if you don’t take risks.† Inhaling deeply and then letting the breath out, Bonnie forced herself to relax. The wind was blowing her curls everywhere, whistling in her ears, tugging at her clothes and her raised leg. As she relaxed into it, she felt almost as if she was being lifted, gently, into the sky, the air al around supporting her. It was like flying. Bonnie realized she was laughing with sheer delight and opened her eyes, gazing straight into Zander’s. He was laughing, too, and holding on to her tightly, anchoring her to the earth as she almost flew. She had never been so conscious of the blood thrumming through her veins, of each nerve catching the sensations of the air around her. She had never felt so alive. How to cite The Hunters: Moonsong Chapter Nine, Essay examples

Tuesday, April 28, 2020

Rabbit Proof Fence Summary free essay sample

Rabbit proof fence An Australian drama movie 2002 Book: â€Å"Follow the rabbit proof fence† by Doris Pilkington Garimara. Which is the true story of her mother, Molly. The movie takes place in Western Australia during the 1930? s the story begins in a remote town of Jigalong where three children live with their mother and grandmother. 14 yr old Molly 8 yr old Daisy 10 yr old Gracie The town lies along the rabbit proof fence, which runs for several thousand miles. The â€Å"protector† of Western Australia Aborigines A. O. Neville signs an order to relocate these girls to Moore River education camp, were they will grow up Neville refers the children as â€Å"half-castes† because they have one white and one Aboriginal parent. Therefore they must be bred out of existence. After the camp the girls will be servants to white families. Molly, Gracie and Daisy decide to escape the camp and walk home to Jigalong. We will write a custom essay sample on Rabbit Proof Fence Summary or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page An Aboriginal tracker, Moodoo is called in to help track down the girls. The girls are trained in disguising their tracks, and receive aid from strangers along the path. Eventually they find the fence. Neville spreads word that Gracie? s mother is in the town of Willuna. The information finds its way to an Aboriginal traveller who helps the girls. Gracie breaks off the group, and in the attempt to catch a train she gets captured and taken away. Molly and Daisy continues, and make it home. Along with their mother and grandmother the sisters hide in the desert. In the end Molly explains that Gracie never returned to Jigalong. And that her two own daughters including herself were taken back to Moore River. Molly managed to escape with one daughter, Annabelle. And once again walked the 2400 km. However, Annabelle was taken away after a short time and Molly never saw her daughter again. I think its a good movie with an interesting and sad story. And I think everyone should see it.

Thursday, March 19, 2020

The history of radiation therapy machines Essays

The history of radiation therapy machines Essays The history of radiation therapy machines Essay The history of radiation therapy machines Essay Prior to the advent of ionizing particle beams, medicine had few options for treating some malignant and benign diseases. Physicians needs for new techniques to address these problems formed a vacuum, clearly demonstrated immediately following the discovery of X-rays in November 1895. By the first few months of 1896, X-rays were being used to treat skin lesions prior to any understanding of the beams physical or biological characteristics. The driving force was, of course, patients overwhelming need of treatment for uncontrollable and debilitating diseases. Radiation medicine developed over four major eras: the era of discovery, from R intents discovery to about the late sass; the orthoclase era, from the late o sass through World War II; the megavolt era, which began with higher-energy lanais for therapy in the sass, and, with refinements such as intensity-modulated X- ray therapy (IMMIX), is still ongoing. Within this scheme, the roots of BIT fall into the third or megavolt phase, with the first treatment of humans in 1954. J. M. Slater Department of Radiation Medicine, Loam Linda University Medical Center, 11234 Anderson street, SSP A-OHIO, Loran Linda, CA 92354, USA e-mail: [emailprotected] Lump. Du U. Line (deed. ), Ion Beam Therapy, Biological and Medical Physics, Biomedical Engagement, DOI 10. 1007/978-3-642-21414-1 1, Springer-Average Berlin Heidelberg 2012 3 4 These eras represent a continuum rather than a succession of distinct periods, but are a convenient way to assess the evolution of ART and BIT as a sophisticated part of it. In each era, the fundamental impetus for improvements came from patients needs for effective disease control while retaining or improving quality of life. These needs aroused the curiosity of physicians, physicists, and biologists, who, in their own ways in each of the eras, performed studies aimed at better understanding the tools they were working with and learning how to use them optimally for patients benefit. A kind of teamwork occurred in all of the eras, although often no formal teams existed; an overarching goal better patient treatment guided the efforts. The development of ion beams is part of this process. 1. 1. 1 The Discovery Era During this period of 30-35 years, the roots of ART were established. This era saw the coverer of the atom and various subatomic and electromagnetic particles; investigators strove to learn how to use them therapeutically. The salient discovery was R intents in 1895 [1], although X-rays were produced o earlier if unwittingly by others [2]. His report was followed soon by Becquerels on the phenomenon of radioactivity [3] and, in 1898, by that of the Curies on the discovery of radium [4]. Becquerel and Curie reported on the physiologic effects of radium rays in 1901 [5]. Such discoveries stimulated speculation that radioactivity could be used to treat disease [6]; indeed, X-rays were used to treat a patient with areas cancer in January 1896 [7]. By 1904, ART texts were available [8, 9]; reports of the use of X-rays and radium (characterize) occurred throughout the first decade of the twentieth century. In retrospect, it is clear that lack of knowledge of the biological effects and mechanisms of actions of the new rays led to much morbidity and poor cancer control [10]. However, such outcomes led physicians to ponder better modes of delivery; radiologists to study the effects of the rays on cells; and physicists to investigate the properties of these newly discovered radiations. Physics research led o the discovery of radioactive isotopes, which later were used for interactivity and interstitial therapy; the same research led ultimately to an understanding of the structure of the atom. As the era progressed, biologists began to understand the relationship between time and dose on cell survival. A crucial discovery occurred when Regard [1 1] and Couture [12] studied alternative ways of delivering the total radiation dose. Until that time, treatment was generally administered in one or a few large doses. Regard demonstrated that fractionated therapy would eradicate cooperativeness rearmament; Couture later showed that applying external beam therapy similarly could control head and neck cancer without the severe reactions and late effects that single large doses caused. These findings established that normal cells are better 1 From X-Rays to Ion Beams: A Short History of Radiation Therapy able to recover from radiation injury than cancer cells and led radiation therapists to employ dose fractionation. During this era also, Coolidge developed a practical X-ray tube, allowing physicians to deliver higher-energy X-rays (180-200 xv) to deeper tumors [13]. Until then, X-rays ere used mainly to treat superficial tumors. High-voltage transformers were also developed. Subsequently, physicists and engineers developed techniques to better measure the dose of radiation with X-rays. The path to charged-particle therapy begins with Ernest Rutherford, whose work spurred understanding of atomic structure. Rutherford explained radioactivity as the spontaneous disintegration of atoms; he helped determine the structure of the atom; and he was the first to note that one element could be converted to another. A complete bibliography of Rutherford works is available online, as part of a impressive site devoted to him [14]. The reader is referred to that source for publications relating to discoveries noted herein. In 1896, Rutherford began to use X-rays to initiate electrical conduction in gases; he repeated the study with rays from radioactive atoms after Becquerels discovery. In 1898, he discovered that two separate types of emissions came from radioactive atoms; he named them alpha and beta rays, the latter of which were shown to be electrons. He showed that some heavy atoms decay into lighter atoms, and in 1907 demonstrated that the alpha particle is a helium atom stripped of its electrons. He and Geiger developed a method to detect single particles emitted by radioactive atoms. He investigated whether alpha particles were reflected from metals, discovering that some alpha rays were scattered directly backward from a thin film of gold; a massive yet minute entity, the atomic nucleus, turned back some alpha particles. In 1911, Rutherford proposed the nuclear model of the atom. One of his students, Nielsen Boor, placed the electrons in stable formation around the atomic nucleus; the Rutherford-Boor model of the atom, with later modifications, became tankard, and Rutherford scattering is still used today in basic and applied research. Wilhelm Wine, in 1898, had identified a positively charged particle equal in mass to the hydrogen atom. In 1919, Rutherford demonstrated that nitrogen under alphabetical bombardment ejected what appeared to be nuclei of hydrogen; a year later, he equated the hydrogen nucleus with the charged entity that Wine had discovered. He named it the proton. The discovery of X-rays, then gamma rays, then the structure of the atom with electrons, protons, and neutrons marked the first era. It was one of physical and illogical experimentation to determine and understand the characteristics of the newly discovered beam and the effects of such rays on cells and tissues. Especially following the work of Rutherford, radioactive elements were also identified and diligently studied, as well. As treatment began with these new types of radiation prior to adequate knowledge of their characteristics and effects, errors were made and patients were injured. However, as knowledge and understanding increased during this era, two major divisions of radiation medicine diagnosis and therapy were developing; reared, some of them successfully. 1. 1. 2 The Orthoclase Era The period from roughly the late sass to 1950 encompasses this era. Patients needs for treatment of deep tumors were addressed largely by radium-based interactivity and interstitial irradiation, in the absence of deeply penetrating external beam sources. It was also a transitional period: physical developments that led t o superlative (apron. 500 xv-2 NV) ART were being made [15]. During the sass, advances in physics and engineering led to increased understanding of subatomic particles and techniques for energize and focusing them. The first superlative X-ray tubes, built by Coolidge [16], were the basis of the linear accelerator, developed by Widere in 1927 and described in a German Journal in 1928. E. O. Lawrence, despite knowing little German, used Widerex.s equations and drawings to conceptualize the cyclotron [17]. By the late sass, particle accelerators began to be constructed. Following the invention of the linear accelerator, devices operating on the principle of applying a potential difference were developed by Van De Graff in 1929 [18] and by Cockcrows and Walton in 1932 [19, 20]. The cyclotron, also based on the principle of applying a difference in potential, was invented in 1930 by Lawrence and Livingston [21]. At Lawrence laboratories at the University of California, Berkeley, accelerated particles were used to bombard atoms of various elements, forming, in some cases, new elements. Lawrence brother, John, a physician, along with Robert Stone, pioneered neutron radiation for medical treatments [22]. Electron beam therapy became a practical and useful therapeutic option in 1940, when Serest developed the beetroot [23, 24]. The first machine produced 2 Move electrons; later devices yielded up to 300 Move. Medical research in particle therapy was largely sidelined during World War II, but high-energy physics investigations were spurred, notably in the effort to develop an atomic bomb. Some who worked on it, notably Robert R. Wilson, became instrumental in the development of 1ST. One major advance during this period was the synchrotron, conceived independently and at about the same time (1944-1945) by Vessels in the Soviet Union and McMillan in the United States. McMillan gave priority to Vessels [25]. The central concept was phase stability, by which high energies could be achieved without the need to build ever larger cyclotrons. Phase stability became the basis for all heightening proton and electron accelerators thereafter. More importantly for medical use, the synchrotron made it easier to vary the energy of acceleration and thus the depth of penetration in tissue needed for optimal radiation treatments. The first, the Commotion at Brookhaven National Laboratory, began operation in 1952 [17]. 1. 1. 3 Megavolt Era noted, in some respects it is still in progress. A major advance, in response to 7 the continuing need to treat tumors located in deep tissues, was the development of ball telegraphy machines and megavolt linear electron accelerators. Cobalt telegraphy was capable of producing beams equivalent to approximately 1. 3 NV X- rays. Electron lanais began to become clinically available as early as the mid sass [26], but widespread application occurred in the sass and sass. Their higher energies (4-6 Move in earlier machines; 10-20 Move in later units) made possible increased depth of penetration, greater skin sparing, and improved disease-control rates, which often doubled or tripled, through delivery of higher doses [27, 28]. There as still a major limitation, however, because the radiation sources, X-rays or gamma rays (cobalt), were difficult to control as they passed through tissue: they scattered laterally and passed beyond their targets, exiting patients opposite the point of entry and causing excessive radiation in normal tissues surrounding the tumors. To overcome this, radiation oncologists and medical physicists developed multiplied treatment plans to spread unwanted radiation to larger volumes of normal tissue, thereby reducing the high dose to any one region. This tactic helped to reduce visible effects, but also increased the total dose delivered to normal tissues (volume integral dose). Doses sufficient to control many tumors were still unattainable because of continued acute complications and late effects caused by injury to normal tissues. During this era, radiation medicine advanced as a discipline. Well-designed clinical studies demonstrated the efficacy of modern methods of delivering ART. One of the earliest was done by Gilbert Fletcher at the University of Texas M. D. Anderson Hospital; it demonstrated clearly that megavolt treatment resulted in improved survival in cancer of the uterine cervix [29]. The founding of the American Society for Therapeutic Radiologists (ASTRAY) in 1966 (originally the American Club of Therapeutic Radiologists, founded in 1958) occurred partly as a means of encouraging careful studies such as those done by Fletcher. As time progressed, radiation therapists began to emphasize themselves primarily as radiation oncologists; in 1983, the organization became the American Society for Therapeutic Radiology and Oncology (ASTOR) [30]. In many respects, the megavolt era is still in progress, although the development of higher-energy electron accelerators is quite mature. In recent years the emphasis in photon ART has been on conformal techniques, featuring computerized control and approaches such as IMMIX. The intent, as has been true throughout the megavolt era, is to deliver a more effective dose to the target volume while reducing the dose to tissues that do not need to be irradiated. One might think of it as the multipart approach brought to its logical conclusion; indeed, the approach was anticipated by rotational arc therapy, popular for a time in the sass and sass. IMMIX can conform the high dose to the target volume, but the modality employs a greater number of imposed of photons; their absorption characteristics in tissue remain unchanged. 8 1. 1. 4 The Era of Ion Beams The groundwork for BIT was laid in 1946 when Robert R. Wilson wrote the landmark paper in which he proposed that protons accelerated by machines such as Lawrence could be used for medical purposes as well as scientific investigations [31]. In a conversation with the author, Wilson said that his insight was inspired by the medical work that Lawrence and Stone had done at Berkeley. In the immediate postwar years, higher-energy accelerators were Just becoming available. Wilson seasoned that protons, among the charged particles, offered the longest range for a given energy and were then the simplest and most practical for medical use. Willows interest in the medical use of protons never ceased. When he was selected as first director of the National Accelerator Laboratory (later Ferreira), he encouraged the idea of a proton treatment facility. In 1972, Ferreira investigators proposed such a facility. However, physicians in the Chicago area advocated a neutron facility at the laboratory instead. After Wilson resigned the directorship in 1978, others at Ferreira, mongo them Miguel Shallow, Donald Young, and Philip Lividly, continued to believe in a patient-dedicated proton facility. The first clinical use of a proton beam occurred at Berkeley in 1954 [32]; limited investigation proton treatment lasted for a few years afterward, until Berkeley scientists, notably Cornelius A. Tibias, began investigating biologically similar helium ions. Tibias was a nuclear physicist who, early in his career, became interested in applying physics to biology and medicine. His fundamental research interest was on the effects of ionizing radiation on living ells, and he, like Wilson, foresaw the advantages of therapeutic ion beams long before most radiation oncologists did [33, 34]. Proton therapy (OPT) began to spread to other physics laboratories around the world. The second use of a physics research accelerator for OPT occurred in Pascal, Sweden in 1957. Physicians at MGM, led by a neurosurgeon, Raymond Goldberg, began employing protons in 1961 for neurological radiographers; pituitary adenoma were first so treated at Harvard in 1963 [35], followed by fractionated OPT for other malignant tumors in 1973 [36, 37], under the leadership of Herman D. Suit. Proton beam therapy began at Audubon, Russia (then USSR), in 1967; subsequently, other Russian facilities began operating at Moscow in 1969 and at SST. Petersburg in 1975. The Japanese experience began in 1979, at Chief; another facility opened at Tissues in 1983. At the Swiss Institute for Nuclear Research (now the Paul Scorcher Institute), OPT commenced 1985 [38]. The development of the worlds first hospitals of data output from the computer-assisted treatment planning systems developed at LUMP in the sass. The image from the first (ultrasound) planning system, for a patient treated in 1973, is shown at left; a planning image from the second LUMP system, which employed CT scans, is shown at right for a patient treated in 1978. In addition to reproduction of the patients anatomy, the CT- based system allowed assessment of density variations as the X-ray beams passed through tissue particle beams (CB. Chap. 34 for details). Industry provided sufficient computer competence and the needed imaging technology by the early sass. LUMP investigators began developing the concepts needed for computer-assisted radiation treatment planning in the late sass and completed the first unit, utilizing ultrasonically, in the early sass [39]. In the mid-sass, this was converted to a CT- based unit, using one of the first GE scanners developed (Fig. . 1). This system provided electron density data, which made possible placement of the Bragg peak precisely within the designated treatment volume [40]. Michael Gotten at MGM expanded the planning system to three-dimensional capabilities, thus providing excellent treatment-planning capabilities for heavy charged particles [41, 42]. The establishment of such planning systems provided one of the essential prerequisites for proton (and other heavy charged-particle) ART [43]. By 1984, all prerequisites for establishing optimal ion beam facilities for clinical use were in place. This was clearly agonized by some of the staff at Ferreira and at the MGM and LUMP departments of radiation medicine. The author approached the leadership of Ferreira, Deputy Director Philip V. Lividly and Director Leon M. Alderman, who agreed to provide Ferreira support for developing a conceptual design for such a clinical facility; to continue with development of an engineering design; and to produce the accelerator, beam transport, and beam delivery systems for LUMP to begin OPT clinical trials (Figs. 1. 2 and 1. 3). A major turning point in OPT, therefore, occurred in 1990, with the opening of he worlds first hospital-based proton treatment center at LUMP. This event occurred more than 20 years after the author and colleagues began to investigate and work toward developing such a facility [44, 45]. Protons were selected as the particle of choice at LUMP because the relatively low LET of protons as compared to that of heavier ions would allow selective 10 Fig. 1. 2 Leon Alderman, Ph. D. , Director of Ferreira from 1979 to 1989; recipient of the Nobel Prize for Physics in 1988. In 1986, Dry. Alderman approved Forelimbs collaboration with LUMP in developing the worlds first hospital-based proton reattempt center destruction of the invasive cancer cells growing among normal cells, as had been demonstrated for many years and documented by the worldwide data from using photons (X-rays). By this period, the ROBE was known to be very similar for the two kinds of radiation. Loam Linda investigators realized that optimal applications and accumulation of meaningful clinical data could be made only in a facility designed to support patient needs and to operate within a medical environment, with access to a large patient volume and the supporting services available in a medical center. To date, over 15,000 patients have been treated at LUMP. Protons were not the only particles investigated for therapy. In the sass and sass, some physicists and radiation biologists were enthusiastic about the therapeutic possibilities of negative pi-mesons and ions heavier than the hydrogen nucleus. It was then not a given in the minds of many that the particle employed most commonly would be the proton. Basing their suggestions on the pinion capture phenomenon, Fowler and Perkins proposed pi-mesons for clinical use [46]. Pinions were expected to become clinically ascribable [47], and trials were conducted at three centers: Los Alamos National Laboratory, the Paul Scorcher Institute in Switzerland, and TRITIUM, in British Columbia, Canada. Although some successful outcomes were reported [48-50], in general, the anticipated clinical outcomes did not materialize. 11 Fig. 1. 3 Two Ferreira personnel who helped make the hospital-based proton center at LUMP a reality. Philip Lividly (left) was Deputy Director of the laboratory in 1986, when the decision was made to proceed with the center. Lividly had been a colleague of Robert Wilson; he shared Willows commitment to proton therapy. Lee Tent, Ph. D. Right), shown with the Loam Linda proton synchrotron under construction in the late sass, was the chief designer of the accelerator Helium ion therapy was begun at Berkeley by Tibias and colleagues in 1957 [51]; some notable outcomes supervened [52-54]. Clinical studies with heavier ions were begun by Joseph R. Castro and associates in 1974 [55, 56]; Tibias elucidated the molecular and cellular radiology of the particles [57]. Advantages of heavy ions, though appealing theoretically, were not well-understood clinically; the Berk eley studies were undertaken partly to help develop this understanding. Several trials notably specialized indications such as bone sarcomas and bile duct carcinomas [58- 60]. However, the cost of developing and delivering heavy ions eventually could not be Justified by the relatively limited patient experience, as had been true in the pinion trials [61]. Studies of heavy ions shifted to Japan and Germany, under the leadership of such individuals as Horopito Tutsis at Chief and Gerhard Kraft at Dramatic. Today, several ion beam facilities operate around the world, including facilities in the United States, Japan, Germany, Russia, France, Canada, China, England, Italy, South Africa, South Korea, Sweden, and Switzerland. Most centers offer protons, but carbon ion therapy is available at HIM (Chief) and HIBACHI (Tattoos) in Japan, and at HIT (Heidelberg), in Germany. The two latter centers offer both protons and carbon ions [62]. Thousands have been treated to date with carbon ion therapy [63, 64], but Kickoff and Line note that systematic experimental studies to find the optimum ion have not yet been pursued [65]. They speculate that ions with atomic numbers greater than 6 are unlikely to undergo a clinical revival, but those with atomic numbers between 1 and 6 may be alternatives to carbon. 1. 2 Perspective The development of 18TH was a response to the need to preserve normal tissue as much as possible, so as to lessen the side effects and complications that often barred delivery of sufficient dose levels to control tumors, even in the mature megavolt era. Investigations by physicists and radiation biologists from the sass to the sass pointed to the supe riority of charged particles in comparison to photon and neutron beams. Both Wilson and Tibias told the author that they found it easier to explain and demonstrate the advantages of protons and other ions to fellow scientists than to physicians. As evidence mounted, however, some physicians recognized the physical attributes of ions and were able to understand how these attributes would translate into clinical advantages beneficial to patients. From the clinicians point of view, the advantages ultimately rested on the fact that ion beams are precisely controllable in three dimensions, while photon and neutron beams are less controllable in two dimensions and are uncontrollable in the third. The controllability of ion beams, in the hands of skillful physicians, provides a superior tool for cancer therapy and for dealing with difficult-to-treat benign sissies. Curing patients who have solid tumors requires controlling those tumors at their site or region of origin. Normal-tissue damage, whether occasioned by surgical trauma or effects of radiation or chemotherapy, restricts the ability to ablate malignant cells. Keeping the volume integral dose to normal tissues as low as possible is a fundamental issue in radiation medicine. Rubin and Creates demonstrated that there is no safe radiation dose, in terms of avoiding sequel in irradiated normal tissues [66]. Later, Rubin and colleagues noted a cascade of cytokines in mouse fibrosis [67]. Biological studies are now commonly finding other injury mechanisms. Research, therefore, is always ongoing to develop new techniques to overcome these imposed limitations of normal-cell damage. Proton and other charged-particle beams are one outcome of such research. Any radiation beam, regardless of the basic particle employed, can destroy any cancer cell or any living entity if the dose is high enough. Historically, therefore, the limiting factor in radiation medicine has been the normal cell and the need to avoid irradiating normal tissues, so as to permit normal-tissue repair and avoid reattempt-compromising side effects. This was the fundamental reason behind dose fractionation and multipart techniques. During the early years of radiation medicine, the major problem of practitioners was their inability to focus the invisible radiation beam precisely on the invisible tumor target. Improvements in imaging technologies, along with computer-assisted, CT-based radiation treatment planning, enabled radiation oncologists to deliver precision external-beam radiation treatments to any anatomic site. This advance was limited, however, because conformity with photon beams, which has reached a high degree 3 Fig. . 4 An example of improved controllability needed to spare normal tissues from unnecessary radiation. A 3-field proton plan (left) is compared with a 6-field IMMIX plan for treating a large liver cancer. Both modalities effect similar high-dose coverage of the clinical target volume (red outline), but the superior controllability of the proton beam enables the physician to avoid most of the normal liver tissue receiving low-dose irradiation in the IMMIX plan of precision with IMMIX, requires a trade-off: an increased normal-tissue volume integral dose. Ion beams forming a Bragg peak offer a means to achieve the needed increased conformity I. E. , sparing a greater volume of normal tissue (Fig. 1. 4) because of their charge and increased mass. Physicians using ion beams can now plan treatments to place the Bragg peak in targeted tissues and avoid unacceptable normal-tissue effects. Such capability is facilitated not only by precision therapy planning but also by precision positioning and alignment (CB. Chaps. 33 and 34). This creates a new focus for research and development in the upcoming era. Included in this era, one can expect studies on cell organelle effects with each particle and delivery technique used, and ultimately, biological dosimeter to be developed and merged with physical dosimeter for further improvements in treatment planning. We can also expect to use much more optical imaging fused with our more conventional imaging techniques to better understand the physiological attributes and biological effects of targeted cells and nearby normal cells following treatment. In future years, this increased understanding of cell physiology should help provide a more reasonable rationale for selecting the particle

Tuesday, March 3, 2020

Score College Credit Guide for the AP Physics 1 Exam

Score College Credit Guide for the AP Physics 1 Exam The AP Physics 1 exam (non-calculus) covers Newtonian mechanics (including rotational movement); work, energy and power; mechanical waves and sound; and simple circuits. For many colleges, the Physics 1 exam does not cover the same depth of material as a college physics course, so youll find that many of the more selective schools will not accept a high Physics I exam score for college credit. If at all possible, students serious about the sciences and engineering should try to take the calculus-based AP Physics C exam. About the AP Physics 1 Course and Exam Physics I is an introductory-level physics course grounded in algebra, not calculus. Students in the course explore a range of topics in Newtonian physics organized into 10 content areas: Kinematics. Students study forces and how interactions between systems can change those systems.  Ã‚  Dynamics. Students examine how the properties of a system determine how the system will behave.  Circular Motion and Gravitation. Students learn about gravitational forces and use Newtons third law to predict the behavior of systems.Energy. Students study the relationship between forces on a system and kinetic energy, and they learn how to calculate the total energy of a system. They also study the transfer of energy.Momentum. Students learn about the ways in which a force on a system can change the momentum of an object. This content area also covers the conservation of momentum.Simple Harmonic Motion. Students examine the conservation of energy, and the behavior of oscillating systems.Torque and Rotational Motion. Students learn how a force on an object can create torque and change the objects angular momentum.  Electric Charge and Electric Force. This content area examines h ow a charge on an object can affect its interaction with other objects. Students study long-range and contact forces. DC Circuits. In studying direct current circuits, students examine how the energy and electric charge of a system is conserved.Mechanical Waves and Sound. Students learn that a wave is a traveling disturbance that transfers energy and momentum, and they study concepts such as amplitude, frequency, wavelength, speed, and energy.   AP Physics 1 Score Information AP Physics 1 exam is the most popular of the four AP Physics exams (it has three times more test-takers than the AP Physics C Mechanics exam). In 2018, 170,653 students took the AP Physics 1 exam, and they earned a mean score of 2.36. Note that this is by far the lowest mean score of all AP exams- in general, students who take the AP Physics 1 exam are less prepared than those who take any other AP subject. Since most colleges who do allow credit for the exam require a score of a 4 or 5, only  about 21% of all test takers are likely to earn college credit. Be sure to consider this low success rate before deciding to take AP Physics 1 in high school.  Ã‚   The distribution of scores for the AP Physics 1  exam is as follows: AP Physics 1 Score Percentiles (2018 Data) Score Number of Students Percentage of Students 5 9,727 5.7 4 26,049 15.3 3 33,478 19.6 2 48,804 28.6 1 52,595 30.8 The College Board has released preliminary score percentages for the 2019 AP Physics 1 exam. Realize that these numbers may change slightly as late exams get added to the calculations. Preliminary 2019 AP Physics 1 Score Data Score Percentage of Students 5 6.2 4 17.8 3 20.6 2 29.3 1 26.1 Course Credit and Placement for AP Physics I The table  below presents some representative data from a variety of colleges and universities. This information is meant to provide a general overview of the scoring and placement practices related to the AP Physics 1 exam. For other schools, youll need to search the college website or contact the appropriate Registrars office to get AP placement information. Sample AP Physics 1  Scores and Placement College Score Needed Placement Credit Georgia Tech 4 or 5 3 hours of credit for PHYS2XXX; the Physics C (calculus-based) exam is required to earn credit for PHYS2211 and PHYS2212 Grinnell College 4 or 5 4 semester credits of science; will not count towards the major and does not satisfy any prerequisites LSU 3, 4 or 5 Students need to take the Physics C exams to earn course credit MIT - no credit or placement for the AP Physics 1 exam Michigan State University 4 or 5 PYS 231 (3 credits Mississippi State University 3, 4 or 5 PH 1113 (3 credits) Notre Dame 5 Physics 10091 (equivalent to PHYS10111) Reed College - no credit or placement for the Physics 1 or 2 exams Stanford University 4 or 5 Students must score a 4 or 5 on BOTH the Physics 1 and Physics 2 exams to earn course credit Truman State University 3, 4 or 5 PHYS 185 College Physics I UCLA (School of Letters and Science) 3, 4 or 5 8 credits and PHYSICS General Yale University - no credit or placement for the Physics 1 exam A Final Word About AP Physics 1 Its helpful to keep in mind that college placement isnt the only reason to take the Physics 1 exam. Selective colleges and universities typically rank an applicants academic record  as the most important factor in the admissions process. Extracurricular activities and essays matter, but good grades in challenging college preparatory classes matter more. The reality is that success  in challenging courses is the best predictor preparedness available to the admissions officers. Doing well in a course such as AP Physics 1 serves this purpose well, as do other AP, IB, and Honors classes.   To learn more specific information about the AP Physics 1  exam, be sure to visit the  official College Board website.

Sunday, February 16, 2020

Myocardial Infarction Research Paper Example | Topics and Well Written Essays - 750 words

Myocardial Infarction - Research Paper Example When a portion of myocardium is affected thus, the function of the whole heart is affected resulting in blood supply to other parts of the body like brain and vital organs (Fenton, 2008). This leads to multiorgan dysfunction. Arteries that supply the muscles of the heart are known as coronary arteries. These arise from the aorta and lie on the surface of the heart. There are 2 main coronary arteries, namely the right and left coronary arteries. The right coronary artery supplies the right ventricle and the left one supplies the lower parts of the heart. Most of the left ventricle is supplied by left anterior descending coronary artery. The circumflex artery supplies the back portion of the left ventricle (Zevit, 2006). Atherosclerosis, which results in coronary artery plagues is the most common cause of myocardial infarction. Other causes of myocardial infarction are respiratory failure, profound anemia, cocaine abuse, carbon monoxide poisoning, anamolous coronary artery and coronary artery vasospasm (Fenton, 2008). Risk factors for myocardial infarction are advanced age, smoking, sedentary lifestyle, male gender, abnormal lipid profile, hypertension, diabetes mellitus, family history of ischemic heart disease and hypertension. Compensatory mechanisms Physiological response to myocardial infarction include increased heart rate, increased mean arterial pressure, increased respiratory rate and raised serum cortisol levels (Cherrington et al, 2002). Medical treatment The goals of treatment in a patient with myocardial infarction are to restore oxygen supply to the heart, to prevent worsening of ischemia, cause relief of pain and finally to prevent and also manage various complications related to myocardial damage. Treatment of patient diagnosed to have myocardial infarction includes oxygen administration, aspirin, sublingual nitrate, betablockers and pain relief using morphine. Administration of aspirin in the prehospital phase or even after immediate arrival to t he hospital has shown to decrease mortality and chances of reinfarction. Those allergic to aspirin must be administered clopidogrel. Sublingual nitrate decreases preload and also decreases paon. However, this drug must not be administered in right ventricular infarction and hypotension. Betablcokers decrease the heart rate and hence decrease the oxygen demand of the myocardium. Morphine decrease pain and thus demand of oxygen. Further treatment depends on the type of infarction (Fenton, 2008). In STEMI, immediate reperfusion therapy must be initiated and this includes either percutaneous coronary interventions or thrombolytic therapy. NSTEMI patients must receive antiischemic treatment along with percutaneous coronary interventions. Reperfusion therapy must be started immediately in STEMI patients. Percutaneous coronary interventions are better than thrombolytic therapy (Fenton, 2008). These are done after angiogram. Adjunctive intravenous heparin therapy is given for maintenance of patency of the arteries (Fenton, 2008). The patient under discussion was given aspirin, heparin, Vitamin E,B and D and protonix. Protonix is proton pump inhibitor and it is give in conjunction with aspirin therapy because of risk of gastrointestinal complications following aspirin therapy. Nursing management Nursing management

Sunday, February 2, 2020

The Sensory Retail Environment of Small Fashion Essay

The Sensory Retail Environment of Small Fashion - Essay Example The paper "The Sensory Retail Environment of Small Fashion" discovers the experiential retailing as the way of retail brand differentiation. The researchers introduced the photographs, which were taken by the participants as a tool to give more information on the questions. This was effective because the participants were able to communicate dimensions of their lives. Visual images play an important role in the customer behavior in a commercial setting. The research design was suitable for this study, researcher compared two different vintage shop with contrasting sensory environment. Comparison why customer returned to one shop compared to the other. In addition, the sample size was small to gather more information on the question of the study. Interviews were used for this case study, which were long enough to ensure that the questions were satisfactory answered. In addition, there was telephone follow up for clarification of the information. The notes were written down to generate insights in the fashion retailing shop. The photographs were also used to support the written words to add meaning to the information communicated. The sample collection process within the participant was consistent. All participants were given similar digital camera and demonstrated how to use. In addition, the entire participants were met individually to ensure the information provided was according to their own experience. A photograph is very useful because it record things the way they look.

Saturday, January 25, 2020

Pros and Cons of Tariffs

Pros and Cons of Tariffs Definition of Tariffs Tariff are custom assessments that are demanded on imported merchandise. The duty is generally connected as a rate of the aggregate expense of the item, including cargo and protection. This raises the cost of the import and gives leverage to household items inside of that market. Tariffs are a hindrance to exchange and are utilized to secure a residential industry. Tariffs are otherwise called traditions or import obligations, or import charges. Averagely, tariffs are for the most part around 5%. Be that as it may, diverse nations charge distinctive tariff rates relying upon what item they are attempting to secure. They will likewise charge deals charges, and different neighborhood assessments, and even extra traditions expenses. The greater part of this is gathered at the season of traditions leeway. Amid the developmental years of the United States, tariffs were essential to the development of the economy. By forcing tariff on imports, the United States had the capacity ensure its youngster assembling industry and energize extension in different segments. The tariffs raised the cost of less expensive remote products, particularly those fabricated in England, and urged buyers to buy household merchandise. This protectionist arrangement was instrumental in the improvement of the United States as a mechanical nation. Until the start of the twentieth century, tariffs were an imperative method for raising government income. The United States government gathers tariffs on imports; on the other hand, it doesn't gather tariff on fares, as this practice is denied by the U.S. Constitution. Tariff for the most part have both an income impact and a defensive impact, yet a few tariffs are for income just. These are tariffs that are gathered on imported items that are not created in the importing nation. Tariffs whose essential capacity is to ensure one or more household commercial enterprises in the importing nation by raising the cost of imported items that are the same as those delivered locally create government income and having a defensive impact. On the off chance that tariffs turn out to be exorbitantly high, they can shorten all importation of an item and in this way lose their income raising impact. Tariffs are registered in three unique ways. A levy may be notice valorem, particular, or a blend of promotion valorem and particular. A notice valorem duty forces an assessment equivalent to a rate of the offering cost of the import. A duty that is particular forces an altered or set measure of assessment on every unit of the foreign made item sold without respect to the offering cost. A levy might likewise be a mix duty that forces both a promotion valorem expense and a particular assessment on a foreign item. Pros Most business analysts concur that facilitated commerce is the most ideal approach to boost a nation's development potential, however chose authorities may have different objectives as a top priority. Tariffs shield particular businesses from remote rivalry, which can meet vital objectives or political targets. Whether its local needs or remote approach objectives, exchange protectionism can be enticing for policymakers. Tariffs can shield infant commercial ventures from worldwide rivalry, permitting them to develop without the risk of being snuffed out by more develop or progressed remote organizations. They can likewise be utilized to ensure zones that nations consider to be deliberately critical. For instance, a nation may limit farming imports to support its own particular ranchers, not having any desire to place itself in a powerless position where it needs to import all its sustenance. Steel assembling and substantial industry additionally can be the recipients of tariffs, as pioneers hope to keep their capacities primed and ready if there should arise an occurrence of vital need. At the point when the US government decides to place a levy on a foreign decent, the maker can decide to lessen their cost to make up for the tariff or to go on the expense to the buyer. At the point when makers decide to go on the expense to American customers by expanding their value, it advances American items. In the event that American organizations are creating a comparable item at a comparative value point, the outside item turns out to be more extravagant. Thusly, customers decide on the less costly alternative and buy the American item, giving American organizations an unmistakable point of preference. At the point when commercial enterprises are secured, the occupations that accompany them additionally are ensured. While financial analysts contend that this keeps laborers from taking occupations that are more advantageous to themselves and the nation, concentrating work and capital in wasteful commercial enterprises, which is little solace to specialists in an auto organization that goes under on the grounds that it can't rival lower-cost remote adversaries. Ensuring occupations can be much to a greater degree an objective for state and nearby governments that face losing their assessment base when a major manager shuts its entryways. Infrequently, tariffs can advantage an economy by guaranteeing its organizations have a notwithstanding playing field. Case in point, a few tariffs are executed as a component of against dumping laws, as a response when an organization based abroad offers items beneath its expenses or underneath what it offers them for short of what it does at home, with an end goal to take out opponents and construct its position in the business sector so as to charge higher costs later. Others are intended to ensure when the opposition isn't square with. In the event that one nation finances its vehicle industry and another does not, a duty can keep that error from unjustifiably affecting a household industry. Authorities can likewise utilize tariffs and quantities to meet outside strategy targets, whether they're being utilized as a carrot or a stick. Exchange authorizes regularly are utilized as a stage shy of equipped clash as an endeavor to stop undesirable conduct from different nations. In the event that a nation relies on upon grain sends out or outside automobile deals as a key driver of its economy, the risk of tariff or assents can be an in number prevention. Likewise, uprooting existing exchange hindrances can help cover up a precarious transaction with outside pioneers. Cons A standout amongst the most talked about issues in worldwide exchange is protectionism. On one hand, countries accept a certain sum is important to protect employments and domestic businesses. On the other, protectionism may welcome countering from exchanging accomplices, foster extra protectionism and result in squares to unhindered commerce. Two generally utilized protectionist devices are tariffs and portions. Tariffs raise the cost of imports. This effects customers in the nation applying the tariff as costlier imports. At the point when exchanging accomplices strike back with their own particular tariff, it raises the expense of working together for sending out commercial enterprises. Some examiner accept that tariffs cause a reduction in item quality. Organizations search for approaches to slice generation expenses to record for tariffs. Tariffs are more straightforward and less demanding to regulate than standards. This makes it less demanding for exchanging accomplices to bring them down or dispense with them. Tariffs may make nearby commercial enterprises less productive because of diminished worldwide rivalry. They might likewise prompt exchange wars as trading nations counter with their own tariffs on imported items. At the point when exchanging partners respond with their own tariffs, it raises the expense of working together for exporters. This circumstance might likewise trade off the nature of merchandise and administrations as businesses search for approaches to cut generation costs. A duty alludes to an assessment forced on items and administrations. Tariffs are utilized to control exchange, on the grounds that they expand the cost of imported items, making them more extravagant to the end buyers. A particular expense is forced as a settled toll taking into account the item. Furthermore, a commercial valorem tariff is forced in light of item's quality. The target behind tariffs is to reduction interest for imports while expanding interest for household items. Governments might likewise force tariffs to shield nearby commercial enterprises from outside rivalry, on the grounds that buyers generally pick imported items or administrations when they are less expensive. Tariff give extra wellsprings of pay to the forcing nation to the detriment of customers and remote makers. Singular purchaser decision stays as one of the best shopper advantages to worldwide exchange. At the point when tariffs are put on imported merchandise, the expanded costs and lessened exchange preclude people from all decisions that could be accessible in the business sector. If American organizations don't deliver an item like the foreign made great, customers may be ransacked of the chance to buy an item out and out on the grounds that they pushed a remote item out of the business with a levy. Conclusion Tariffs are by and large used to shield household makers from abroad rivalry offering less expensive products. The higher costs of imported products because of tariffs regularly causes outside makers to choose to withdraw from the household business, diminishing rivalry. This absence of rivalry expels the motivating force from local makers to discover approaches to bring down the costs of their products, bringing about higher general costs for customers, and also an absence of development that rival frequently causes. Tariffs additionally have a negative effect on the exchange equalization with nations against which they are utilized. Remote countries frequently force their own particular tariffs because of local tariffs, raising the costs of traded divine beings, which causes less interest for those products abroad. This, thus, brings about a loss of benefits for residential makers who send out merchandise, and also a loss of conceivable employments on the local front in light of the fact that makers must lower creation or withdraw from the fare advertise inside and out.