The Ultimate Diagnosis Of Diseases Health And Social Care Essay

Biomedical information sciences is an emerging field using information engineerings in medical attention. This interdisciplinary field bridges the clinical and genomic research by disputing computing machine solutions ( Mayer, 2012 ) . It is the scientific discipline of utilizing system analytic tools to develop algorithms for direction, procedure control, determination devising and scientific analysis of medical cognition ( Edward Shortliffe H, 2006 ) . It leads to the development of intelligent algorithms that can execute submitted undertakings and do determinations without human intercession. It focuses chiefly on algorithms needed for use and geting cognition from the information which distinguishes it from other medical subjects pulling research workers interested in cognition acquisition for adept systems in the biomedical field.Knowledge Discovery ProcedureThe term Knowledge Discovery in databases ( KDD ) has been adopted for a field of research covering with the automatic fin d of inexplicit information or cognition within databases ( Jiawei, et al. , 2008 ) . With the fast development and acceptance of informations aggregation methods including high throughput sequencing, electronic wellness records, and assorted imaging techniques, the wellness attention industry has accumulated a big sum of informations. KDD are progressively being applied in wellness attention for obtaining huge cognition by placing potentially valuable and apprehensible forms in the database. These forms can be utilized for farther research and rating of studies.Stairss in KDD ProcessThe chief challenge in KDD procedure is to detect, every bit much as possible utile forms from the database. Figure 1.2 shows the stairss in KDD procedure. Fig 1.2 KDD Procedure The overall procedure of happening and construing forms from informations involves the perennial application of the undermentioned stairss. 1. Datas choice 2. Data cleansing and preprocessing 3. Data decrease and projection 4. Datas excavation 5. Interpreting and measuring mined forms 6. Consolidating discovered cognitionData excavationData excavation, a cardinal undertaking in the KDD, plays a cardinal function in pull outing forms. Forms may be â€Å" similarities † or â€Å" regularities † in the information, â€Å" high-ranking information † or â€Å" cognition † implied by the informations ( Stutz J 1996 ) . The forms discovered depend upon the information excavation undertakings applied to the database. Figure 1.2 shows the stages in the information excavation procedure. Figure 1.3 Phases in the information excavation procedure The stages in the information excavation procedure to extort forms include Developing an apprehension of the application sphere Data geographic expedition Data readying Choosing the information excavation algorithms Modeling Mining forms Interpretation of forms Evaluation of consequences1.2.3 Development of informations excavationData excavation has evolved over three subjects viz. statistics, unreal intelligence ( AI ) and machine acquisition ( ML ) ( Becher. J. 2000 ) . Statistics forms the base for most engineerings, on which information excavation is built. The following subject, AI is the art of implementing human thought like treating to statistical jobs. The 3rd one ML can be exposed as the brotherhood of statistics and AI. Data excavation is basically the version of machine larning techniques to analyze informations and happen antecedently concealed tendencies or forms within. Figure 1.4 Development of informations excavation1.2.4 Machine acquisitionML is the construct which makes the computing machine plans learn and analyze the given informations they study, so that the plans themselves can be capable of doing different determinations based on the qualities of the studied informations. They have the capableness to automatically larn cognition from experience and other ways ( T, et al. , 2008 ) . They make usage of statistics for cardinal constructs adding more advanced AI heuristics and algorithms to accomplish its ends. ML has a broad assortment of applications in wellness attention. Clinical determination support systems are one among them.1.3 Clinical determination support systemsA clinical determination support system has been coined as an active cognition systems, which use two or more points of patient informations to bring forth case-specific advice [ ] . Clinical determination support systems ( CDSS ) assist doctors in the determination devising procedure. They give a 2nd sentiment in naming diseases therefore cut downing mistakes in diagnosing. They help the clinicians in early diagnosing, differential diagnosing and choosing proper intervention schemes without human intercession.Necessity of CDSSThe most important issue confronting a household doctor is the perfect diagnosing of the disease. As more intervention options are available it will go progressively of import to name them early. Although human determination devising is frequently optimum, the turning figure of patients together with clip restraints increases the emphasis and work burden for the doctors and decreases the quality attention offered by them to the patients. Having an adept nearby all clip to help in determination devising is non a executable solution. CDSS offers a executable solution by back uping doctors with a fast sentiment of what the diagnosing of the patient could be and ease to better nosologies in complex clinical state of affairss.Approachs for CDSSThere are two types of attacks for edifice CDSS, viz. those utilizing knowledge base and illation engine and those utilizing machine larning algorithms. ML systems are most preferable than regulation based systems. Table 1.1 shows the differences between regulation based and ML based systems. Difference between the two attacks for CDSS Rule based Systems ML based systems Synergistic hence slow Non synergistic hence fast Human resources are needed to do regulations at each measure in determination devising procedure Once the system is trained determination devising is done automatically without human intercession therefore salvaging adept human resources Knowledge base requires inference engine for geting cognition Non cognition base learn and update cognition through experienceML based CDSSML algorithms based systems are fast and effectual for a individual disease. Pattern acknowledgment is indispensable for the diagnosing of new diseases. ML plays a critical function in acknowledging forms in the information excavation procedure. It searches for the forms within the patient database. Searching and acknowledging forms in the biochemical province of morbid people is really relevant to understanding of how diseases manifest or drugs act. This information can be utilized for disease bar, disease direction, drug find therefore bettering wellness attention and wellness care.Requirements of a good CadmiumThe prognostic public presentation and generalisation power of CDSS plays a critical function in categorization of diseases. Typically high sensitiveness and specificity is required to govern out other diseases. This reduces subsequent diagnostic processs which causes extra attempts and costs for di fferential diagnosing of the disease. Additionally high prognostic truth, speedy processing, consequences reading and visual image of the consequences are besides compulsory for good showing systems.Common issues for CDSSIn CDSS systems determination devising can be seen as a procedure in which the algorithm at each measure selects a variable, learns and updates inference based on the variable and uses the new overall information to choose farther variables. Unfortunately finding which sequence carries the most diagnostic information is hard because the figure of possible sequences taking to rectify diagnosing is really big. Choosing good variables for categorization is a ambitious undertaking. Another practical job originating from the CDSS is handiness of necessary sample of patients with a confirmed diagnosing. If there were adequate sample from the population of given disease it would be possible to happen out assorted forms of the properties in the sample. The thesis addresses these two jobs individually.Organization of the thesisThe thesis is divided into 10 chapters Chapter 1: Introduction Chapter 2: Literature reappraisal Chapter 3: Motivation and aims of the work Chapter 4: Knowledge based analysis of supervised larning algorithms in disease sensing Chapter 5: SVM based CSSFFS Feature choice algorithm for observing chest malignant neoplastic disease Chapter 6: A Hybrid Feature Selection Method based on IGSBFS and NaA?ve Bayes for the Diagnosis of Erythemato – Squamous Diseases Chapter 8: A Combined CFS – SBS Approach for Choosing Predictive Genes to Detect Colon Cancer Chapter 9: A Hybrid SPR_Naive Bayes Algorithm to choose marker cistrons for observing malignant neoplastic disease Chapter 10: Hegs algorithm Chapter 11: LNS Semi Supervised Learning Algorithm for Detecting Breast Cancer Chapter 12: Decision and future sweetening.DrumheadChapter 2Literature reappraisalOverview of Machine larningMachine larning systems in wellness attentionAs medical information systems in modern infirmaries and medical establishments became larger and larger it causes greater troubles. The information base is more for disease sensing. Medical analysis utilizing machine larning techniques has been implemented for the last two decennaries. It has been proven that the benefits of presenting machine larning into medical analysis are to increase diagnostic truth, to cut down costs and to cut down human resources. The medical spheres in which ML has been used are diagnosing of acute appendicitis [ 27 ] , diagnosing of dermatological disease [ 28 ] , diagnosing of female urinary incontinency [ 29 ] , diagnosing of thyroid diseases [ 30 ] , happening cistrons in DNA [ 31 ] , outcome anticipation of patients with terrible caput hurt [ 32 ] , outcome patients of patients with terrible caput hu rt [ 33 ] , Xcyt, by Dr. Wolberg to accurately name chest multitudes based entirely on a Fine Needle Aspiration ( FNA ) [ 35 ] , anticipation of metabolic and respiratory acidosis in kids [ 34 ] , every bit good as associating clinical and neurophysiologic appraisal of spasticity [ 35 ] among many others. Mention [ 31 ] [ 103 ] .ML Systems procedureMachine acquisition typesApplications of MLML algorithmsCommon algorithmic issuesSolutions to the algorithmic issuesFeature choiceFeature choice has besides been used in the anticipation of molecular bioactivity in drug design [ 132 ] , and more late, in the analysis of the context of acknowledgment of functional site in DNA sequences [ 142, 72, 69 ] .Advantages of characteristic choiceImproved public presentation of categorization algorithms by taking irrelevant characteristics ( noise ) . Improved generalisation ability of the classifier by avoiding over-fitting ( larning a classifier that is excessively tailored to the preparation samples, but performs ill on other samples ) . By utilizing fewer characteristics, classifiers can be more efficient in clip and infinite. It allows us to better understand the sphere. It is cheaper to roll up and hive away informations based on a decreased characteristic set.Need for characteristic choiceFeature choice methodsPresently three major types of characteristic choice theoretical accounts have been intensively utilised for cistron choice and informations dimension decrease in microarray informations. They are filter theoretical accounts, wrapper theoretical accounts, and embedded theoretical accounts [ 4 ] . Examples of filters are 2-statistic [ 5 ] , t-statistic [ 6 ] , ReliefF [ 7 ] , Information Gain [ 8 ] etc. Classical negligee algorithms include forward choice and backward riddance [ 4 ] . The 3rd group of choice strategy known as embedded attacks uses the inductive algorithm itself as the characteristic picker every bit good as classifier. Feature choice is really a byproduct of the categorization procedure. Examples are categorization trees such as ID3 [ 15 ] and C4.5 [ 16 ] . John, Kohavi and Pfleger [ 7 ] addressed the job of irrelevant characteristics and the subset choice job. Pudil, and Kittler [ 20 ] presented drifting hunt methods in characteristic choice. Blum and Langley [ 1 ] focused on two cardinal issues: the job of choosing relevant characteristics and the job of choosing relevant illustrations. Kohavi and John [ 24 ] introduced negligees for characteristic subset choice. Yang and Pedersen [ 27 ] evaluated document frequence ( DF ) , information addition ( IG ) , common information ( MI ) , a 2-test ( CHI ) and term strength ( TS ) ; and found IG and CHI to be the most effectual. Dash and Liu [ 4 ] gave a study of characteristic choice methods for categorization. Liu and Motoda [ 12 ] wrote their book on characteristic choice which offers an overview of the methods developed since the 1970s and provides a general model in order to analyze these methods and categorise them. Kira and Rendell ( 1992 ) described a statistical characteristic choice algorithm called RELIEF that uses case based larning to delegate a relevancy weight to each characteristic. Koller and Sahami ( 1996 ) examined a method for characteristic subset choice based on Information Theory. Jain and Zongker ( 1997 ) considered assorted characteristic subset choice algorithms and found that the consecutive forward drifting choice algorithm, proposed by Pudil, NovoviE†¡covA?a and Kittler ( 1994 ) , dominated the other algorithms tested. Yang and Honavar ( 1998 ) used a familial algorithm for characteristic subset choice. Weston, et Al. ( 2001 ) introduced a method of characteristic choice for SVMs. Xing, Jordan and Karp ( 2001 ) successfully applied characteristic choice methods ( utilizing a loanblend of filter and wrapper attacks ) to a categorization job in molecular biological science affecting merely 72 informations points in a 7130 dimensional infinite. Miller ( 2002 ) explained subset choice in arrested development. Forman ( 2003 ) presented an em pirical comparing of 12 characteristic choice methods. Guyon and Elisseeff ( 2003 ) gave an debut to variable and feature choice.FS in clinical informationsRessom et.al [ 3 ] gives an overview of statistical and machine learning-based characteristic choice and pattern categorization algorithms and their application in molecular malignant neoplastic disease categorization or phenotype anticipation. Their work does non affect experimental consequences. C.Y.V Watanabe et.al [ 4 ] , have devised a method called SACMiner aimed at chest malignant neoplastic disease sensing utilizing statistical association regulations. The method employs statistical association regulations to construct a categorization theoretical account. Their work classifies medical images and is non applicable to textual medical informations. Siegfried Nijssen et al. , [ 10 ] have presented their work on multi-class co-related form excavation. Their work resulted in the design of a new attack for point set excavation on informations from the UCI depository. Their comparing included merely the new attack designed and the extension of the Apriori algorithm. Their consequences reveal comparison chiefly on the runtime of the excavation attacks. T. Cover and P. Hart [ 11 ] performed categorization undertaking utilizing K- Nearest Neighbor categorization method. Their work shows that K-NN can be really accurate in categorization undertakings under certain specific fortunes. Their consequences reveal that for any figure of classs, the chance of mistake of the Nearest Neighbor regulation is bounded above by twice the Bayes chance of mistake. Aruna et.al [ 6 ] presented a comparing of categorization algorithms on the Wisconsin Breast Cancer and Breast tissue dataset but has non provided characteristic choice as a pre-classification status. Furthermore they have analyzed the categorization consequences of merely five categorization algorithms viz. NaA?ve Bayes, Support Vector Machines ( SVM ) , Radial Bas is Neural Networks ( RB-NN ) , Decision trees J48 and simple CART. Luxmi et. al. , [ 12 ] have performed a comparative survey on the public presentation of binary classifiers. They have used the Wisconsin chest malignant neoplastic disease dataset with 10 properties and non the chest tissue dataset. Furthermore they have non brought out the consequence of characteristic choice in categorization. Their experimental survey was restricted to four categorization algorithms viz. ID3, C4.5, K-NN and SVM. Their consequences did non uncover complete truth for any of the categorization algorithms.FS in genomic informationsFeature choice techniques are critical to the analysis of high dimensional datasets [ 1 ] . This is particularly true in cistron choice of microarrays because such datasets frequently contain a limited figure of preparation samples but big sum of characteristics, under the premise that merely several of which are strongly associated with the categorization undertaking while others are excess and noisy [ 2 ] . Previous research has proven cistron choice to be an effectual step in cut downing dimension to better the computational efficiency, taking irrelevant and noisy cistrons to better categorization and prognostic truth, and heightening interpretability that can assist place and supervise the mark disease or map types [ 3 ] . Gene look analysis is an illustration of a large-scale experiment, where one measures the written text of the familial information contained within the DNA into other merchandises, for illustration, courier RNA ( messenger RNA ) . By analyzing different degrees of messenger RNA activities of a cell, scientists learn how the cell alterations to react both to environmental stimulations and its ain demands. However, cistron look involves supervising the look degrees of 1000s of cistrons at the same time under a peculiar status. Microarray engineering makes this possible. A microarray is a tool for analysing cistron look. It consists of a little membrane or glass slide incorporating samples of many cistrons arranged in a regular form. Microarray analysis allows scientists to observe 1000s of cistrons in a little sample at the same time and to analyse the look of those cistrons. There are two chief types of microarray systems [ 35 ] : the complementary DNA microarrays developed in the Bro wn and Botstein Laboratory at Stanford [ 32 ] and the high-density oligonucleotide french friess from the Affymetrix company [ 73 ] Gene look informations from DNAmicroarrays are characterized by manymeasured variables ( cistrons ) on merely a few observations ( experiments ) , although both the figure of experiments and cistrons per experiment are turning quickly [ 82 ] . in [ 12 ] , cistrons selected by t-statistic were fed to a Bayesian probabilistic model for sample categorization. Olshen et al [ 85 ] suggested uniting t-statistic, Wilcoxon rank sum trial or the X2-statistic with a substitution based theoretical account to carry on cistron choice. Park et al built a marking system in [ 87 ] to delegate each cistron a mark based on preparation samples. Jaeger et al [ 51 ] designed three pre-filtering methods to recover groups of similar cistrons. Two of them are based on bunch and one is on correlativity. Thomas et Al in [ 121 ] , they presented a statistical arrested development patterning attack to detect cistrons that are differentially expressed between two categories of samples. to detect differentially expressed cistrons, Pan [ 86 ] compared t-statistic, the arrested development patterning attack against a mixture theoretical account attack proposed by him. Besides statistical steps, other dimension decrease methods were besides adopted to choose cistrons from look informations. Nguyen et al [ 82 ] proposed an analysis process for cistron look informations categorization, affecting dimension decrease utilizing partial least squares ( PLS ) and categorization utilizing logistic favoritism ( LD ) and quadratic discriminant analysis ( QDA ) . Furey et al [ 39 ] farther tested the efficiency of SVM on several other cistron look informations sets and besides obtained good consequences. Both of them selected prejudiced cistrons via signal-to-noise step. two new Bayesian categorization algorithms were investigated in Li et al [ 68 ] which automatically incor porated a characteristic choice procedure. Weston et al [ 131 ] incorporate characteristic choice into the learning process of SVM. The characteristic choice techniques they used included Pearson correlativity coefficients, Fisher standard mark, Kolmogorov-Smirnov trial and generalisation choice bounds from statistical larning theory. Traveling a measure farther, Guyon et al [ 43 ] presented an algorithm called recursive characteristic riddance ( RFE ) , by which characteristics were in turn eliminated during the preparation of a sequence of SVM classifiers. Gene choice was performed in [ 50 ] by a consecutive hunt engine, measuring the goodness of each cistron subset by a wrapper method. Another illustration of utilizing the negligee method was [ 67 ] , where Li et al combined a familial algorithm ( GA ) and the k-NN method to place a subset of cistrons that could jointly know apart between different categories of samples. Culhane et al [ 31 ] applied Between-Group Analysis ( BGA ) to microarray informations. A few published surveies have shown promising consequences for outcome anticipation utilizing cistron look profiles for certain diseases [ 102, 14, 129, 140, 88, and 60 ] . Cox relative jeopardy arrested development [ 30, 74 ] is a common method to analyze patient results. It has been used by Rosenwald et Al to analyze endurance after chemotherapy for diffuse large-B-cell lymphoma ( DLBCL ) patients [ 102 ] , and by Beer et Al to foretell patient out of lung glandular cancer [ 14 ] .Semi supervised larningWithin the machine larning community, a figure of semi-supervised larning algorithms have been introduced taking to better the public presentation of classifiers by utilizing big sums of unlabelled samples together with the labelled 1s [ 12 ] . The end of semi-supervised acquisition is to utilize bing labeled informations in concurrence with unlabelled informations to bring forth more accurate classifiers than utilizing the labeled information entirely. A good overview of semi-supervised acquisition is provided by [ 7 ] .SSL methodsSemi-supervised larning algorithms can be productive, discriminatory or a combination of both. Some popular semi supervised methods within the productive categorization model include co-training [ 2, 5 ] . and outlook maximization ( EM ) mixture theoretical accounts [ 9, 1 ] . As a generic ensemble larning model [ 20 ] , hiking plants via consecutive building a additive combination of base scholars, which appears unusually successful for supervised acquisition [ 21 ] . Boosting has been extended to SSL with different schemes. Semi-supervised Margin Boost [ 22 ] and ASSEMBLE [ 23 ] were proposed by presenting the â€Å" pseudo category † or the â€Å" pseudo label † constructs to an unlabelled point so that unlabelled points can be treated every bit same as labelled illustrations in the boosting process. Regularization has been employed in semi supervised larning to work unlabelled informat ions [ 8 ] . A figure of regularisation methods have been proposed based on a bunch or smoothness premise, which exploits unlabelled informations to regulate the determination boundary and hence affects the choice of larning hypotheses [ 9 – 14 ] . Working on a bunch or smoothness premise, most of the regularisation methods are of course inductive. On the other manus, the manifold premise has besides been applied for regularisation where the geometric construction behind labelled and unlabelled informations is explored with a graph-based representation. In such a representation, illustrations are expressed as the vertices and the brace wise similarity between illustrations is described as a leaden border. Therefore, graph-based algorithms make good usage of the manifold construction to propagate the known label information over the graph for labeling all nodes [ 15 – 19 ]DrumheadChapter 3Motivation and aims of the workMotivation of the workFrom the literature study it can be seen that the machine-controlled systems for disease sensing, unluckily merely sort types of tumours or used for differential diagnosing of the disease. They do non choose the enlightening characteristic which contains necessary information for disease sensing. Raw information is used for preparation. Categorization utilizing natural informations without any pre processing techniques is a arduous work for the classifiers. The truth of the excavation algorithms is affected by the redundant, irrelevant and noisy properties in the information set. Generalizations of the machine acquisition algorithms are influenced by the dimension of the information set. Preprocessing techniques like characteristic choice and characteristic extraction eliminates excess, irrelevant properties and reduces noise from the information identifies prognostic characteristics therefore cut downing dimension of the informations. Many of the surveies available in the literature uses feature extraction techniques which transforms the properties or combines two or more characteristics therefore bring forthing new characteristic. Some surveies available in the literature utilizing feature choice techniques used either filters or negligees for choosing needed characteristic subset. Typically, filter based algorithms do non optimise the categorization truth of the classifier straight, but effort to choose characteristics with certain sort of rating standard. Filters have good computational complexness. The advantages are that the algorithms are frequently fast and the selected cistrons are better generalized to unobserved informations categorization. Different from filters, the wrapper attack evaluates the selected characteristic subset harmonizing to their power to better sample categorization truth [ 9 ] . The categorization therefore is â€Å" cloaked † in the variable choice procedure. Wrappers yield high truth. Furthermore, extra stairss are needed to pull out the selected characteristics from the embedded algorithms. To harvest the advantages of both methods hybrid algorithms are of recent research involvement. The thesis addresses the job of characteristic choice for machine larning through assorted methods to choose minimum characteristic subset from the job sphere. A good characteristic can lend a batch to the categorization. The classifier ‘s true value depends on the ability to pull out information utile for determination support. Existing CDSS systems are developed utilizing supervised algorithms, they require a batch of labelled samples for constructing the initial theoretical account. Obtaining labelled samples are hard clip devouring and dearly-won. But unlabelled samples are abundant. Semi supervised algorithms are suited for this state of affairs. These systems do non pull out the cognition available in the unlabelled samples. SSL combines both labeled and unlabelled illustrations to bring forth an appropriate map or classifier. When the labeled informations are limited, the usage of cognition from unlabelled informations helps to better the public presentation. SSL algorithms use the cognition from the abundant unlabeled samples for constructing the theoretical account.Aims of the workBetter the quality of medical determination support systems. Bettering the prognostic power of classifiers utilizing characteristic choice algorithms. Elimination of redundant, irrelevant and noisy characteristics without losing the important features of the information sphere. Improve generalisation of classifiers. Reducing the complexness of the algorithms.Benefits of the research workThe developed theoretical accounts in this research shall help the clinicians to better their anticipation theoretical accounts for single patients. More dependable diagnosing. Quality services at low-cost costs can be provided. Poor clinical determinations can be eliminated.

Of Mice And Men Creative Writing Essay

The early morning dew on the grass sparkled in the sunlight as it rose from behind the Gabilian mountains. The town of weed was silent, desolate and all you could hear was the flow of the river which was gushing in between the fresh green willows of the Salinas River. The mist was so fine all you could see was the top of the Gabilian Mountains. On the other side of the Salinas River slight dew glistened on the grass, of which there were branches overhanging the green murky pool. On the sandy bank there lay beneath the trees of which had leaves that were brittle from the sunlight. They would make a scurrying noise when the leaves are walked over. Rabbits leap and bound out from their warrens, full of energy from their sleep, going to sit on the golden sand. As the morning became brighter and more alive the wildlife came to arose from the dark to start a fresh new day. There was a vivid path of some sort that went through plants and trees, a path that had been disturbed by boys, men, heavily walking on it coming down from a hard grafts work in the ranches, heading towards the deep pool for a refreshing dip. From another direction there were two shadows of a of a relatively little sized person and a comparatively big in size person. From the shadow of the comparatively big in size person it was very tall and very strongly built and the shadow of the relatively little sized person look less strong and built. The leader of the two men looked as if he was the brain and boss of the large man. He looked like a father figure. Due to the town f weed being deserted the voices of these two men got louder as the came closer to the town of weed. The larger men of the two look as if he was tired and fed up because he was dragging his feet across the path. It looked as if it was an effort carry the weight of the larger man. Sweat was pouring off of him and as they got closer you could here him sighing and saying â€Å"Are we here yet.† â€Å"For Christ sake I have already told you Lennie that we have got a mile to go yet. Stop moaning, walked quicker and we will get there in no time at all!† George said very crossly. â€Å"Why George is it taking so long. Where are we going George? I am thirsty and hot George.† â€Å"Lennie! How many times will I have to say this we are going to Murray and Ready’s to get our work cards so they can give us some work? I can’t believe you forgot already! I only told you like 15 minutes ago!† George looked at Lennie as if he was a little child who couldn’t remember anything. George looked at him with disgust. â€Å"George, George, I am sorry, I really am sorry George.† â€Å"Lennie just shut up and don’t forget it again. I am not going to say it again.† For a little while there was silence. All you could hear was the rustling of the sand and dust from the path. Then George said â€Å"come on its not long now, we will be here soon.† As George and Lennie walked the final part to get to the ranch George told Lennie about his plans for them both to work on the ranch for a little while and collect some money and then get a place of their own with rabbit and chickens and other stuff. But George also told Lennie that he had to be on his best behaviour as they wanted work otherwise he wouldn’t get to tent the rabbits. â€Å"Right Lennie we are here now. Now you wait out side here and don’t move while I get the work cards.† â€Å"Ok George I wont move till you come back.† â€Å"Yeah and be good for gods sake we don’t want the boss to find out what a crazy bastard you are sometimes do we.† Said George. Whilst George was getting the work cards Lennie was sitting down waiting for him. Lennie started to get bored, so his eyes started to wonder the soundings around him. In the corner of his eye he saw something with looked soft, red dress. It was a young girl with her father. She had rosy cheeks and a friendly smile, and luscious red dress. Lennie thought about what George had said for a second, then looked over at the young girl as she walked and sat next to him. Lennie then decided despite what George had told him, to talk to her and say hello. Lennie took at her and saw red dress and could not bear touching it. The dress looked so velvety and so soft. As he touched the dress he startled her, and so she screamed, but he couldn’t let go because it was so silky but the harder he clenched his fists the more he pulled it and the angrier Lennie got, as she tried to get away. As the girl was screaming so loud the father heard and came out but before he had chance to see Lennie, Lennie ran off. George instantly knew that Lennie had done something wrong, so he went in search of Lennie. â€Å"You crazy basted what you go and do that for. It was all going well until you done that!† said George. â€Å"George, George I am sorry, I really am. I tried not to touch. I did George.† Lennie said frightfully as he realised George was very irate with him. George looked at Lennie with anxiety as they ran from the town off Weed. They headed for the forest to make sure anyone that was searching for them wouldn’t find them. â€Å"Bloody hell Lennie I knew that you couldn’t go without getting into trouble. Five minutes I left you for, five bloody minutes. What the hell am I going to do with you?† â€Å"George I couldn’t help it, you know I couldn’t it just looked†¦..† â€Å"JUST STOP THERE LENNIE!† â€Å"Its all ways sorry George, I didn’t mean too. Well now you can sort it out I don’t care!† Lennie looked at George with disappointment, but knew that he had done wrong. All Lennie could reply with was â€Å"I am sorry George, I forgot.† From that point, on there was little sound all the way to the ranch. They walked for miles and miles on end on a long, boring and dusty road. There was not one mutter of a word.

Week three Team D Essay Example | Topics and Well Written Essays - 250 words

Week three Team D - Essay Example The Management and operational leaders of Boardman Management, empowers its staff to provide them with quality customer service with the little acts of kindness and offering them the hotel’s specialty services. The mission of Boardman Management Groups also includes retaining its customers by offering them a luxurious and unforgettable experience by continuously improving the quality of its employees, which ultimately improves the overall environment of the Resorts and cottages. The main goal of Boardman Management Group is to identify the individual attributes that an employee adds to its job, after getting acknowledgement and respect from its employer. The main goals of the existence of Boardman Management group also includes designing staffing, recruiting policies and to offer their employees certain benefits and payrolls. Boardman through its employee management practices try to improve the conditions of its resorts and cottages it manages, as the employees are considered to be the key component in the effective management of any place (Baderman Island, 2005). Baderman Island. (2005). Retrieved January 12, 2014, from Boardman Management Group: https://ecampus.phoenix.edu/secure/aapd/cist/vop/Business/BadermanIsland/Board

Thomas Paine's 'Common Sense' Essay Example | Topics and Well Written Essays - 500 words

Thomas Paine's 'Common Sense' - Essay Example From this situation, the best scenario is that these people create the laws by which they will live under themselves. This does not explicitly refer to the American colonists, but it does imply their current state at that time. Paine then turns his attack directly towards the British government by arguing that the system contradicts itself and places too much power on the monarchy. Furthermore, the monarchy itself is corrupt because the very idea of a monarch was formed out of a false argument. The people can choose who they want to be king in the first place, yet they have no choice about the king’s descendants. This presents an opportunity for greed and corruption as no one will dare to stop the monarch from continuing this practice. Paine argues that America should have the freedom to choose its leaders so that the leadership of the country will not remain within one extended family. Furthermore, Paine dispels the myth that America could not survive without the help of Britain by arguing that America has progressed to a point where it can flourish on its own two feet. Loyalists would claim that America has only progressed to what it was then because of the help of the king, and also the protection that has been provided to fend off outside enemies. Paine comments that Britain has only been doing this in order to look after its own interests. He even gives an example of British troops attacking some American colonies, although the British would protest this view and say that they have only been looking after America the whole time. Paine remarks that America has no benefit to remain linked with Britain because America can engage in more profitable trade with the rest of Europe. The British argument would be that the colonies can remain strong by trading with Britain because trade will benefit everyone. However, Paine says that trade will only benefit Britain beca use the British only see the colonies as a means

CYBER RIGHTS AND PRIVACY IN SOUTH AFRICA Thesis

CYBER RIGHTS AND PRIVACY IN SOUTH AFRICA - Thesis Example This is a privacy violation. Another privacy issue is that of electronic surveillance. Because of 9/11, this has become a hot-button issue. How wiretapping occurs, and what procedures are in place to ensure the privacy rights of all involved, are important concerns all over the world. Within the issue of surveillance is that of employer-employee surveillance, and why this is necessary for employers. This paper seeks to understand the privacy issues in South Africa and the United States, and how the laws and statutes in these countries deal with the issue of cyber privacy and electronic surveillance. Another issue that is a concern of this paper are the possible solutions to the data collection problem, concentrating on the United States as it, unlike South Africa, has refused to take substantial proactive steps in curbing the problem. Cyber privacy and electronic surveillance as paramount issues around the world, as the Internet is responsible for great criminal mischief and breaches of privacy. South Africa has an Act that will go a long way towards curbing these abuses. If this Act is successful, other countries might want to emulate it, including the United States. At any rate, nations must be proactive to address these concerns, and this paper will present a multitude of ways that this can happen. The advent of the Internet has brought lots of promise and convenience. It is difficult to imagine living without it. However, it has also brought lots of headaches and problems. The main problems deal with private information, and the fact that companies obtain this information and share it with other companies. (Bergelson, 2003, p. 387) This is a thorny problem, in that the individuals do not even know that this data is being collected, let alone with whom the data is shared. (Schwartz, 2004, p. 2078). This problem also leads to cyber breaches, in which personal information falls into the hands of criminals. (Sprague & Ciocchetti, 2009, p.

Analysis of the Interview about American Healthcare Sector Assignment

Analysis of the Interview about American Healthcare Sector - Assignment Example Within the current setup, the impact of disparities in the economic gap has remarkably been felt. Indeed, the rich have been able to access quality care and treatment, while the poor are left scrambling for low-quality services (Conklin, 2002). On the basis of personnel, shortages have been constant occurrences, leading to increased instances of duty delegation. Such delegations of duties have been marred with threats to patient safety. Technologically, there is increased digitization of operations in the hospital sector. This has enhanced efficiency with which certain crucial services are performed. Looking forward though, there are many things to hope for. Firstly, there is need to hope that medical errors will be a thing of the past within the next five years. There is also need for active personnel training to cover the staffing shortages currently observed in the sector. In concurrence with the observations expressed by Practice Fusion Inc (2012), it is believable that the next five years will mark an era of digital change, and that such digital changes will enhance efficiency in service delivery. Indeed, it would be a milestone achievement if American health institutions can be fully interlinked remotely within the next five years Currently, there are a variety of ways through which stakeholders in the public health sector interact. The establishment of the hospital information systems has undoubtedly changed the scene of the public health sector. Through such systems, processes involving revenue management, financial budgeting and accounting, and reporting can be facilitated. These systems are, nevertheless, managed through a system of interconnected computers aimed at promoting centralized operations in which the various departments and stakeholders can access crucial data real-time (Healthcare Software Inc, 2015). This promotes an inter-disciplinary approach to issue making them easier to deal with.  

Working In Business Essay Example | Topics and Well Written Essays - 750 words

Working In Business - Essay Example The values of person determine the type of worker the person will become once he / she reaches the job marketplace. I’m a dedicated person that pays attention to details and I understand that in the business world individualism is not a desired trait. Working with others as a team can provide greater benefits for everyone within an organization. I always give a 100% at everything in life. My passion and enthusiasm are traits that are going to help me achieve my professional goals. When I start something I commit to it completely until the finish. Perseverance and patience are part of my persona. In life one must realize that hard works pays off and eventually a good worker will get the recognition the person deserves from the corporate world. During the course I learned a lot about myself. I realize that there are lots areas that I need to improve in order to become a better person. My experience in the classroom also taught me about the importance of teamwork. Teamwork occurs when group members work together in ways that utilize their skills efficiently to accomplish a purpose (Schermerhorn, Hunt, Osborn, 2003, p.194). An assessment that helped me realized the things I have to do to become a better team player are Belbin Team Roles Inventory. Belbin’s framework helped me realize that within a team setting I can help out the team by adapting my personality into a role that can benefit the team the most. Some of the roles include resource investigator, coordinator, shaper, monitor evaluator, implementer, and finisher (Belbin, 2001). I realize after learning about Belbin team roles inventory that I usually undertake the role of evaluator. There are new trends in the workplace that must be understood in order to beco me a businessperson that can adapt to the changes in the marketplace. Three of these trends are technological progress, increased mobility, and deculturation. Technological

Assignment 2 Essay Example | Topics and Well Written Essays - 500 words - 2

Assignment 2 - Essay Example (Smith and Preston 2000) Alliance Decision Support: This a strategic decision support system that reports healthcare providers’ cash flow and operating margin from existing operations. It can also be considered as an integrated system since it combines financial, clinical and administrative information and other key indicators for decision making. (Enrado 2007) Microsoft Electronic Medical Record and Clinical Information System Solutions for Healthcare Providers: This a clinical information system developed as an electronic record storage that integrates data from a wide range of systems aimed at improving productivity and quality of service. (Microsoft 2008) Ascentis HR: As a human resource management system, it aids in the administrative work of a healthcare organization by integrating and centralizing HR system that promotes connectivity, communication and control. (Ascentis 2008) EMIT Primary Care: This combines both strategic decision support and patient care systems by using Internet technology to its online patient management structure. â€Å"It aims to change the current concept of silos of information to a model of interoperability.† (NZ MOH) Enterprise Performance System: A strategic decision-making system that integrates Internet technology in the delivery of critical information for financial planning. (Enrado) It features web-based decision support applications such as those that concern productivity, contract modeling and enterprise-wide reporting. The Seimens Syngo Suite: This is a clinical management system that offers a complete imaging management workflow that increases the efficiency of diagnostic and therapeutic cycles. The system that seamlessly features information in images allows a role-based access to information. (Seimens 2008) Two of these management systems, EMIT Primary Care and Enterprise

Entrepreneurship Essay Example | Topics and Well Written Essays - 2250 words

Entrepreneurship - Essay Example But many economists have proved that the usefulness of the term is not just limited to â€Å"starting of one’s business† (Sobel, 2008), it is more than that. From then the meaning has become more prominent and understandable to everyone. Entrepreneurs are the individuals who start business and operate their business and are fully accountable for the profit or loss in their business. For example if a person who intends to be a successful entrepreneur has to possess few important qualities. Success in business is ascertained by the innovation and the types of actions that are taken in the course of the business. To be a successful entrepreneur a person has to think about innovation. Innovation is needed because the market is becoming competitive and there exist a number of competitors. In order to stay one step ahead of the competitors entrepreneurs have to be innovative and have to take the right business concepts to deal with the business (Sobel, 2008). Entrepreneurship - Definition Stevenson has defined â€Å"Entrepreneurship† as the search for new opportunities with the resource constraint. Whenever an entrepreneur recognizes that there is a small window of opportunities they grab it and try to exploit the opportunity as far as possible. According to Peter Drucker, entrepreneur is defined as someone who searches for change, adopt that change and exploit those changes as an opportunity (Grebel, 2001). After introducing a business an entrepreneur should show progress in order to attract more resources so as to bring the business to a stable condition from where he/she can think of making the best business. The opportunities that the entrepreneurs seek may entail: embracing an innovative product constructing a new business model which can bring in success to the business creation of a more improved version of the existing product Target new set of customers with the existing products (Eisenmann, 2013). Example of entrepreneurship The example of entrepreneurship can be given through the basic steps that are followed to start a new venture. They are as follows: Creating a business plan: This is a very critical part of the process where an overview of the business should be made along with the industry background. It also includes the type of product/services the business is looking forward to launch and the business model they are going to use. The main focus is on the market segment they are going to address their products to. The trend of the market is also analysed in order to get the whole picture of the market. This is basically done to make sure that whether the trend will make profit for the business or will hurt the business. The start-up cost is also estimated in the business plan so that they do not face financial uncertainties and face loss. Choosing the Business approach: This is the testing stage for the previous step. The step tests whether the customers will buy what they have planned to sell. The best way to do so is to communicate with the potential customers and see their reaction about the product. The reactions in this initial stage indicate whether the company will be successful or not. Raising the capital for the business: This stage is a very critical stage for the entrepreneurs as they have to face the problems of raising capital for the business. Investors are reluctant to invest in the venture at first without checking whether the business is viable or not. Choosing the legal structure: If the investment is made by the

Anthropology Essay Example for Free

Anthropology Essay Anthropology is the study of humans and society and cultures within that society. It studies how we as people evolve and change based on different locations in the world and different ways in which we are raised. Culture is learned through childhood and growing up watching how things are done and learning what actions are deemed acceptable. So when you are an anthropologist and step back to look at different societies, you are able to see difference between the same human in rituals, work, and the basic things they do to survive. Anthropologist look at different historical actions and the present day lives of citizens in culture to understand differences between themselves and the culture and society they are studying and may even take part in. Anthropology raises some issues within one culture while studying other cultures normal way of life. In order to understand what you are seeing and studying, you must actually watch or take part in other cultures and see what and especially why they do certain things. This can bring up questions of ethics. When people go to other places to study and learn other’s culture you must try to leave your culture and way of life behind. Anthropologists are not around to spread what they deem the best culture but to learn and understand what other cultures do and why they do those certain things. In the past, Anthropology was studying people far away from you with different types of lives and cultures. Recently, however anthropology has become the study of cultures you may actually take part in. Learning and improving upon yourself and your way of life. Anthropologists also study of all different things from the way culture is passed on, survives through the generations, and how people use culture in different societies to solve unexplainable events, disease, and way to act in a culture.

Hydroxyapatite as a Substrate for Bone Reconstruction

Hydroxyapatite as a Substrate for Bone Reconstruction To combat the shortcomings of autografts and allografts associated with limited availability of tissue, morbidity of the donor site, risk of disease transmission and immunogenic rejection; clinicians have started centuries ago implanting artificial materials in the body to aid and restore functioning of organs or tissues.1-6 The high incidence of morbidity, skill required to harvest bone from donor, and so many factors have been the rationale for the increase in applications of bone substitute materials.7-9 Hydroxyapatite (HA) ceramics produced synthetically or by processing biological substrates and is used widely and successfully for bone reconstruction. There are many natural sources for HA which include human bone, bovine bone1,2 coral3,4 chitosan5,6fish bone7and egg shell8, and so. However a concern with natural HA is risk of transmission of diseases when proper preparation is not followed to remove all protein9. Synthetic HA is more commonly used, because of easily availability, and free from disease transmission risk. HA are available as granules and blocks with different pore sizes or as injectable material. HA is osteoconductive in nature and serves as a structural scaffold for the building of new bone tissues. Several authors have suggested HA is prone to intraoral degradation or dissolution10-25 but others have shown no resorption13-22 like our case. Here we report clinical cases which showed the radiological evidence of bone formation after more than 4 years of follow up. Clinical Report 1- In our study group the Male patient aged 65 yrs had recurrent OKC on lateral part of the mandible (Figure-1) which required partial hemi mandibulectomy with disarticulation. Patient was not ready for any other modalities of reconstruction except condylar stainless steel recon plate. Considering patient age and denial for distant or free flaps, our team of doctors inspired by orthopedic replacement strategies and indigenously designed hydroxyapatite block. Which has been prepared by Biograft (IFGL Ceramics Kolkota, India) on request. This has been used for reconstruction of lateral mandibular defect distal to canine. The block fixed to stainless steel condylar plate using 26 gauze wires. (Figure-2 Figure-3)After 5 years of evaluation the patient had no complications, absorption, dislocation but very little bone formation seen radiologically (Figure -4, Figure-5 Figure-6). Clinical Report 2- The Male Patient of 20 yrs, reported to our department with swelling in anterior mandible since 8 yrs which was small initially and progressively grown to the present size.( Figure-7) Under general anesthesia the lesion has been resected leading to a mid-line defect. The patient denied for any other reconstruction options including distant flaps and free flaps because of affordability. So it is decided to have reconstruction using SS recon plate with a block graft for support. (Figure-9) In this case we are expecting connective tissue and later bone formation as the graft block is in contact with the bony edges on both sides. Clinical report 3- Case of unicystic ameloblastoma in a patient aged 55 years male crossing the midline, undergone resection and reconstruction using BBHA and SS reconstruction plate. (Figure-9 Figure-10) In this case we are expecting bony bridging between interface of the bone fragment and graft end on both midline and ramus area of mandible. Surgical Considerations: The surgeon should change gloves before handling the BBHA material because oral flora and debris previously picked up on gloves during the pre-grafting stages of surgery could contaminate the BBHA, resulting in a subsequent infection. In its initial form, BBHA is brittle and must be handled and shaped carefully so it does not inadvertently fracture, although the material becomes very strong after healing. It is important to use irrigation when cutting the individual grafts from the larger blocks with a bur and when refining the contours. BBHA grafts can be used as interpositional (inlay) grafts placed between osteotomies or as facial augmentation (onlay) grafts or for mandibular reconstruction of lateral/midline defects. They can be applied to the maxilla, mandible, chin, orbit, zygoma, nose, forehead, and cranium. Onlay grafts may require stabilization by placing bone screws through the material, as in BBHA chin or cheek onlay grafts. A lag screw/wire technique should be used with m inimal tightening to prevent fracturing of the grafts. Rigid fixation is paramount to provide the necessary stability and stress protection for the BBHA grafts to heal properly. The grafts in the maxilla should be accurately contoured and wedged in position. If there is excessive mobility between the bone segments and BBHA grafts or a functional overload, the grafts may displace or fracture. Alternatively, a significant decrease in the amount of bone growth through the implants could occur, resulting in a nonunion. A soft diet is encouraged for 3 to 4 months during the initial post-surgery healing phase to minimize loading and micro movement, thus preventing displacement, fracture, or nonunion of the grafts. The use of 4 bone plates is recommended to stabilize the maxilla, with 2 bone screws above and 2 bone screws below the level of osteotomy for each bone plate.47,48 Postsurgical displacement or fragmentation of the BHA grafts can occur as a result of the following:38 1. Inadequate rigid fixation and stress protection, 2. Improper contouring or placement of the implant into the osteotomy site, 3. Parafunctional habits (i.e., clenching, bruxism), 4. Poor patient compliance, 5. Trauma. Discussion: The use of bone graft material both particulate12,14,16,18,19,21,38-40,54and block graft13,15,17, 19,20,22,23,41 studied in humans and animals. The majority of animal studies found bone formation within graft material10,11,18,42-51 and others reported connective tissue formation.43,52,53 The human studies reported formation of bone 12-17,29-32,37-40,54 and others reported connective tissue surrounding HA particles.18,19,29 Long-term retention biocompatibility of BHA has been established fact in orthognathic and craniofacial surgery.50 Histologic studies29,30,35 and a long-term clinical study demonstrate good biologic acceptance of the grafts in association with the maxillary sinus. The immobility of HA is crucial factor for initial healing20 as mobile particles induce connective tissue formation and immobile foster bone formation. Wolford et al. introduced the use of porous BHA as a bone graft substitute in orthognathic and craniofacial surgery.30 Rosen and Ackerman reported complication rate of 4.3% after a follow-up period of 6 to 20 months in orthognathic surgical BHA grafting48,49 Ayers et al17 Holmes et al31 and Nunes et al.16 demonstrated an average composition of 48.5-53% hydroxyapatite matrix, 18-27% bone, and 33.5-21% soft tissue in BBHA grafts through histomorphometry after 4.7 to 16.4, mean 19.1 months respectively with biopsies of BBHA grafts which were used in corrective jaw surgery in patients. The composition of the adjacent normal maxillary and mandibular bone averaged 66.5% bone and 33.5% soft tissue, indicating that the ratio of hydroxyapatite/bone to soft tissue/vascular space is equivalent to normal bone.17 The study also demonstrated that bone growth through the BBHA grafts was essentially complete in 4 months, with further progression of the healing process resulting in maturation of the ingrown bone. The grafts had less soft tissue than the adjacent bone (30% soft tissue) and bone contact over 60% of their surfaces which is a near-balance between the BBHA grafts and surrounding bone.16 There was no significant difference in micro hardness values between the bone in the BHA grafts and the adjacent maxillary bone.17 Bone ingrowth appeared to plateau at around 20 months, reaching an equilibrium in which the relative amount of osseous tissue remained constant. 17 Different theories proposed on the mechanism of bone formation. Early vascularization followed by connective tissue formation16,43,44 bone gradually inserted around the HA particles21,43,44 and non-inducing creeping substitution21,22 also proposed. Very recently the bone induction has been seen with nano-crystalline HA. The use of BBHA as an alloplastic grafting material has several advantages over other types of grafts: no donor site morbidity is involved, adjacent bone will not be resorbed, there is no known hypersensitivity or immune response, the substance is easily manipulated, there are no working time constraints, surgical time is decreased, blood loss is decreased, the volume is unlimited, and healing is faster resulting in a shorter recovery time. Interpositional bone grafting is indicated in orthognathic surgery to provide bony continuity, improve healing, improve stability, decrease surgical relapse in traditionally unfavorable jaw repositioning movements during orthognath ic surgical procedures. This type of reconstruction options will increase the survival rate and lesser morbidity. The incorporation of autogeneous bone, platelet rich plasma, rhBMP-2 showed good bone formation.50 The studies have shown hydroxyapatite is osteoinductive.51,52 Recently studies have shown use of Platelet derived growth factor (PDGF), transforming growth factor ÃŽ ² (TGF-ÃŽ ²), BMP, and stem cells in bone regeneration.50 The BBHA will provide structural architecture for BMP to achieve better and earlier function. These laboratory concepts were regarded a visionary a few years ago, but now they reached clinical reality.53-59 Our report is milestone in reconstruction of continuity defects of mandible. Hydroxyapatite is a versatile biocompatible graft substitute that does not cause any chronic inflammatory, allergic, or toxic reaction. Results of both densitometric and radiographic studies suggested that the use of synthetic hydroxyapatite graft material has the potential to accelerate bone formation in an economical way.60-63 Conclusion: The primary aim of the reconstruction was to have a proper face form, aesthetics and structural balance for face which has been achieved in a very economical way. Our plan to have implant supported prosthesis in the HA blocks in near future for these patients is planned. This type of reconstruction with indigenously designed and prepared block graft can suffice the aim and objective of successful reconstruction which is a viable modality economical. No clinical signs of pathosis were identified around the graft, no infection or discomfort was elicited upon palpation.

Becoming a Teacher: My Philosophy on Education Essay examples -- Teac

Becoming a Teacher: My Philosophy on Education When did education start? Do we still need education to function as a society? How long will public education remain a kindergarten through twelfth grade curriculum? The answers to these questions will vary from person to person, but they will all have one common theme: education will and must go on! Education is the key to a progressing society. Education is the only way that knowledge is passed from generation to generation. In this paper I will explain why I wish to teach, my educational goals, and the philosophy that I will use during my teaching career. Becoming a teacher in today’s society is not the most choice among our society. People tend to demean the profession of teaching in that it does not pay enough money. I have been told that I should not become a teacher for this reason and even considered not becoming a teacher because of the poor pay. Now, I would have to disagree with this precept. Teaching is probably one of the most underpaid careers that one could pick; but for me I believe that the personal satisfaction outweighs the pay. Teachers are not going to have the biggest houses or the most expensive cars, but truthfully I do not strive for those possessions. I believe that teaching requires great skill and professionalism. In order to teach someone, you must know the subject that you are teaching well. The field of education is not for everyone; it takes a special person that has a genuine love for children and can get students motivated to learn. My love for a subject, secondary mathematics, and my natural desire to help others are the reasons that I wish to become a teacher. From th... ...as a philosophy because I believe that a student should have to learn ideas that have lasted over centuries and use the ideas within the classroom. For example, a student should have to use the rules for derivatives in calculus because they have lasted over time. When I become a teacher I hope to incorporate all of these philosophies into my classroom. Teaching is not a profession that today’s society would call a rewarding profession because of the demands and poor salaries. I struggled with not making enough money for a little while, but have since put that behind me. I realize I can change some students’ lives. This is more rewarding than money and will make an impact on my students for years and years to come. I strive to be the best teacher that I can be so that my students will enjoy school and maybe, one day, want to become a teacher too.

The African Experience: A Curse or Blessing :: Research Papers

The African Experience: A Curse or Blessing The native African places an immense amount of importance and respect on Nature. Its effects determine certain predicaments that control and direct African lives, and how outsiders, especially Westerners, perceive them. Never before has a group of people followed so religiously and faithfully a baffling phenomenon such as nature. Nature worship has deep roots in the African tradition and is now a full and indispensable branch of the African heritage. Nature defines Africa to the world as the â€Å"Cradle of Mankind.† To the African, Nature also acts as a mediator between the gods in the heavens and man on earth. This relationship, I feel, has been greatly misinterpreted by the vacuous and ethnocentric civilized world: it has been tagged as ‘black magic,’ ‘voodoo,’ and other meager figments of unfortunately parochial imaginations. What an insult! Oh may the gods forgive them, for they know not what they do. â€Å"In the beginning was the water, and the water was with god, and the water was god.† This quote clearly defines how the natural elements such as land (earth), sun, moon, lightning, and, in this case, water are considered not just as the vital necessities that help sustain life but as the gods of life. They are built honorary shrines as an act of appreciation and appeasement. In Egypt, in northeast Africa, a great temple was built for Isis, the water god. This temple was built so flamboyantly as an attempt to try and reflect architecturally how important the Nile is to the people of Egypt. Without the Nile, Egypt would have been a barren, desolate place, incapable of supporting life; just an eastern extension of the Sahara Desert. Therefore, the great river is considered a miracle, a miracle from the gods, given in order that man may continue to exist and not be annihilated. Hence the magnificence of the Temple of Isis. African peoples had a lot of mysteries in their continent which they tried to explain. And once again, they turned to their superiors in the supernatural world, the gods. For example, if lightning should strike, that would be an ominous sight, implying that the gods are angry with the people; an extraordinary harvest or rain after a long, intolerably dry season would be considered as an act of favor towards man by the gods. All this was the Africans’ way of trying to understand the unexpected and to explain the inexplicable, functioning much as science does in contemporary Western society. Why, then, does this entire system connote barbarism or a rustic, undeveloped mentality when used in its original context, or when approached by the

Hawaii Essay -- essays research papers fc

Hawaii: Paradise Island Specific Purpose: To inform my audience about the physical geography, history and culture of Hawaii. Central Idea: We will see that Hawaii is a special place, by looking at its physical geography, history, and culture. Introduction I.  Ã‚  Ã‚  Ã‚  Ã‚  What comes to mind when you think of palm trees, beautiful beaches, luaus and hula dances? A.  Ã‚  Ã‚  Ã‚  Ã‚  Hawaii B.  Ã‚  Ã‚  Ã‚  Ã‚  The â€Å"Aloha† state.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   II.  Ã‚  Ã‚  Ã‚  Ã‚  Do you know what aloha means? A.  Ã‚  Ã‚  Ã‚  Ã‚  Aloha is the Hawaiian word meaning love. B.  Ã‚  Ã‚  Ã‚  Ã‚  It is also used to say hello or goodbye to visitors. III.  Ã‚  Ã‚  Ã‚  Ã‚  During my visit to Hawaii, I was able to learn a great deal about its geography, history and culture. IV.  Ã‚  Ã‚  Ã‚  Ã‚  Today I will like to share with you some of the geographical, historical and cultural values of Hawaii. (Transition: Let’s start with the physical geography.) Body I.  Ã‚  Ã‚  Ã‚  Ã‚  Hawaii is the only state made up of islands and islets formed from volcanoes. A.  Ã‚  Ã‚  Ã‚  Ã‚  It is the southernmost state in the United States 1.  Ã‚  Ã‚  Ã‚  Ã‚  Located south of the Tropic of Cancer. 2.  Ã‚  Ã‚  Ã‚  Ã‚  The only state located in the tropics, and the without territory on the mainland of any continent. B.  Ã‚  Ã‚  Ã‚  Ã‚  Hawaii has eight major islands that are inhabited. 1.  Ã‚  Ã‚  Ã‚  Ã‚  Hawaii (known as The Big Island), Oahu (capital city is Honolulu), Maui, Moloka’i, Kaua’i, Lana’i, Ni;ihau, and Kaho’olawe are the eight islands that are inhabited. 2.  Ã‚  Ã‚  Ã‚  Ã‚  The remaining 132 islets are uninhabited. 3.  Ã‚  Ã‚  Ã‚  Ã‚  Has more than 70 state parks and recreation areas. C.  Ã‚  Ã‚  Ã‚  Ã‚  Hawaii has mild temperatures all year, and rainfall due to its rainforest. 1.  Ã‚  Ã‚  Ã‚  Ã‚  Summer temperatures average about 82 degrees Fahrenheit. 2.  Ã‚  Ã‚  Ã‚  Ã‚  Winter temperatures average 77 degrees Fahrenheit. 3.  Ã‚  Ã‚  Ã‚  Ã‚  The average annual precipitation in Hawaii are 110 inches. D.  &n... ...p;  Ã‚  Polynesian cultural center – traditions of different ethnic groups are displayed and performed. 4.  Ã‚  Ã‚  Ã‚  Ã‚  Became a national tourist place. B.  Ã‚  Ã‚  Ã‚  Ã‚  Hawaii has its own alphabet and languages. 1.  Ã‚  Ã‚  Ã‚  Ã‚  Official languages: Hawaiian and English 2.  Ã‚  Ã‚  Ã‚  Ã‚  Alphabet consists of twelve letters: a, e, i o, u, h, k, l, m, n, p, and w. Conclusion I hope you see from the diversity of Hawaii’s geography, history, and culture why it is a special place to live as well as visit. Thank you Bibliography Books Hintz, Martin. â€Å"America the Beautiful: Hawaii†. New York: Children’s Press, 1999. This author describes the geography, plants, animals, history, languages, and people of Hawaii, a state made up of Pacific islands. Foster, Jeanette. Frommer’s Hawaii. New Jersey: Wiley Publishing Inc, 2004 In summary, the author of this book explains Hawaii’s tourism, as well as its traditions and cultures. Fradin, Dennis Brindell. From Sea to Shining Sea: Hawaii. Chicago: Children’s Press, 1994. This author discusses the wildlife, events, cultures and traditions of Hawaii.

Emergency And Disaster Management Essay

There has been an increase in disasters in the world as exhibited in the recent past. Since time immemorial, disasters have been known to occur causing emergency situations in many parts of the world. As a result of disasters, there is loss of life, destruction of properties worth million of shillings, mass displacement of millions of people leading to refuge status, psychological trauma among other issues (Cuny, 1983, p. 29). However, the severity of the above results depends on a country’s disaster preparedness and mitigation measures that have been put in place. The modern world calls for quick response to disasters and various governments have formulated policies on how to deal with disasters and most importantly how to avoid them. Funds have been set aside that caters for any emergency situations that warrant a quick response by all sectors. According to Alexander (2002, p. 20), a disaster is a calamity which can be as a result of humans or can be natural and disposes a high risk to loss of life, deterioration of the health status of the affected, loss and destruction of properties and most at often causes environmental deterioration through loss of habitat and ecological imbalance. Disasters result from a failure to handle a risk factor in the vulnerable environment or people. It is unfortunate, that most disasters with tragic and greater consequences affect the so called developing countries as compared to industrialized nations. Hoffman & Smith (2002, p. 20), notes that greater than 95% of fatal cases as a result of disaster occurs in less industrialized nations. Furthermore, natural disasters account for more than 20 times the losses in developing countries as compared to the industrialized nations. Read more:Â  Role of State Government in Disaster Management Theses observations beg the question; what needs to be done in these developing nations so as to reduce the consequences of disasters. The answer can be found in developing an effective disaster management program to cater for emergencies. This essay focuses on development of a disaster management program specifically for China which is prone to disasters. It will tackle issues to do with hazard analysis, prevention, preparedness, response and the recovery plans in case of a disaster. Frequency and impact of disasters in China China as a country in the far eastern side of the Asian continent is prone to many natural and man-made disasters. In the recent past, it has topped in disaster occurrences in the world with rise in the death toll and destruction of properties. China has an occurrence of six of disasters in the world which are classified as deadly due to their severe consequences. Among this top six disasters, the leading three affected China leading to deaths calculated to be in millions of people (CRED, 2009, para. 4). Historically, the China floods of 1931 had the greatest death toll of over 2 million people followed by the Yellow River floods of 1887 which had a death toll of over 0. 9 million. Thirdly, the Shaanxi earthquake which occurred in 1556 claimed 0. 83 million lives. The frequency of occurrence of disasters in China has hindered both economic and social development of the country due to the resulting consequences. This has posed a challenge to the government of China in its effort to alleviate poverty mostly in the rural populations and in highly populated provinces. Efforts have been put in maintaining a data base for the disaster prone areas by organizations like International Disease Database (EM-DAT) and the Centre for Research on the Epidemiology of Disasters. This data helps in identifying the most disaster prone areas so as efforts are enhanced to reduce the risks involved therefore mitigating the hazard (CRED, 2009, para. 3-6). China has had an increased risk to occurrence of disasters than any other in the continent of Asia. Recently in August of 2010, China has been affected by landslides that resulted in the death of at least 127 people while thousands were missing and many people had to be evacuated to safer grounds. In this same year hundreds of people were feared dead in the mountainous area of Qinnghai after a 6. 9 earthquake struck the area. The area is inhabited by poor people who are highly prone to this kind of disaster. In 2009, there was also earthquake that killed more than 5000 students. Also, mine blasts were recorded to have caused deaths in this same year (Poyzner, 2010, para. 5). In the year 2008, several earthquakes were reported that caused deaths that amounted to thousands of people. In the same year land slides were reported causing destruction of property and loss of lives. The year 2005 was marked by mine blasts that consumed several lives of mine workers. Virulent outbreaks of Severe Acute Respiratory Syndrome were recorded which also consumed several lives. As observed from the above data, three major disasters affecting China are Earthquakes, landslides and floods (Ponserre & Hoyois, 2006, para. 2-7). Frequency and impacts of earthquakes, landslides and floods in China According to Young et al. (2007, p. 299), China is one of the countries that experiences very strong intra-continental seismicity that leads to the frequent occurrence of earthquakes in the country. High frequency has been noted in the Northern parts of China which have resulted into deaths of many people in that area. Occurrence of earthquakes in China is always catastrophic with china topping the list of the world’s earthquakes that have caused many loss of life. Since 1976, the Sichuan earthquake tops the list of casualties having caused the death of close to 70,000 people. Since then, the government of the People’s Republic of China took upon itself to come up with an earth quake administration that operated nationally. Among the duties of this institution were to conduct monitoring of occurrence of earthquakes, conduct research in areas that were recorded to be prone or vulnerable especially in the north. Additionally, they had the responsibility of coordinating all emergency efforts in case an earthquake occurred. The institution changed its name after being legally mandated by an Act in their legislative laws. In 1998, it became the China Earthquake Administration that oversees the independent earthquake administrations in the provinces and regions. The well coordinated efforts of this institution have seen quick emergency response to earthquake disasters thus minimizing the number of deaths. Earthquake occurrence in China is high compared to other nations around it. In this year alone, 300 people perished in April as a result of a 2. 9 earthquake. The year 2009 also recorded deaths from earthquakes. The year 2008 will remain remembered by many in China as in the month of May, over 50,000 people perished in southern China. The same quake caused a lot of destruction to infrastructure with 80% of buildings collapsing in one county. Earthquakes have a high occurrence in China with hardly a year passing without any reports of earthquake. Joint efforts are called for in case of emergencies. In China the army is involved in conducting evacuation of the victims, providing medical services to the ailing evacuees, they undertake construction works to open communication and provide temporary shelters to the affected. China has been said to be geologically vulnerable to occurrence of landslides mainly due its topography. Several factors come into play that influences the occurrence of landslides. This includes the climatic conditions mainly targeting on rainfall patterns, the soil type and its qualities and off course the soil covering in the said areas (Reilly, 2010, para. 5). Recently, there have been heavy rains in China which has resulted into a landslide in the hilly areas of Gansu. The landslide that occurred in the second week of August killed at least 127 people and left thousands missing. In addition, thousands of people had to be evacuated to safer grounds to reduce the casualty. In July, still several people were reported missing as a result of a landslide in the southern parts of China. In the year 2009, southern China also experienced a major landslide that caused a lot of destruction to buildings and infrastrures such as roads and bridges. The year 2008 was not left behind, with a landslide that occurred in a mine without an operating license killing 254 people. As indicated above the impacts of these disasters are many with death topping the list, loss of properties and infrastructure and movement of people thus having a percentage of people who are homeless in their own country? Nationally, theses disasters are a hindrance to economic growth and prosperity. They create disharmony in efforts to develop and are time and money consuming which would have been otherwise used somewhere else. Also, they create psychological stress and the people’s productivity is lowered. This has left many in poverty and relying on aid from well wishers and the government. The climatic conditions experienced in China exposes it to flooding. China experiences heavy rains in some seasons in the years causing breaking of river banks and the drainage system. What follows is flood waters everywhere especially in the low lying areas sometimes reaching heights of over one meter. Currently in the month of August, China has experienced heavy summer rains causing flooding and mudslides in the provinces of Gansu and Yunnan. In the recent months alone, floods and landslides have caused the death of more than 1,500 residents who were unlucky and failed to be evacuated. In the months of June and July, more than 4200 people had to be evacuated to safer grounds in a government coordinated rescue mission. A critical observation of flood data points the southern parts of China as the most vulnerable to flooding. China alone tops the world in the top six slots of the most catastrophic floods and landslides to be recorded in history. In the year 1931, the most catastrophic landslide in the world was recorded with deaths ranging from 2-4 million people. This flood also secures the first position as the top natural disaster in history having caused the highest number of loss of lives. Despite China being faced with lots of torrential rains in summer which cause floods, it produces a record grain harvest. However, the yields have been affected by the floods. Apart from deaths caused by floods, they also impact negatively on crop yield by destroying crops in the farming fields. This has led to loss of millions of yuans in the export market and also confounded poverty index in China (Watts, 2010, para. 6). Apart from this, the floods have left millions of the Chinese people who live in the low level farm lands homeless and without a source of livelihood. There have been government efforts to construct levees and also hydroelectric projects from the flood waters. The government has involved planners in developing projects that will see water being diversified into regions that receive less rainfall in the northern parts of the country. This will enable the excess water to be channeled to the arid regions. This will serve two purposes of controlling floods and trying to improve the agricultural activities in the north. Differences in frequencies and impacts of disasters The northern part of China has a diffuse zone which is prone to seismic activities as compared to other parts of China or even other countries. The plate tectonics theory as is known by geologists helps in understanding seismic actions in China. There are tectonic movements due to the influence of the Indo-Asian collision due to motions in the crust in the continental China. There is gravitational movement leading to spreading of the tectonic plates which has a major influence in the deformation of the crust in much of Asia. The northern China block experiences higher seismicity than the southern parts due to high stress forces in the northern plates. The south China lacks this stress forces and moves together as one block hence reduced or no seismic activity. Research has also shown that, as a result of previous seismic activity, an area is left prone to occurrences of similar stresses and seismic activity (Yang, 2007, p. 3). This explains the frequency of occurrence of tectonic earthquakes in the northern parts unlike in other areas of the continental Asia. China as indicated above has been faced by many catastrophic floods that have resulted into many losses. There are many causes of floods which lead to China being more vulnerable to them in comparison to other nations. First and foremost, China experiences heavy torrential rains in summer most in the southern parts of the country. The rains come in flashes which often supersedes the holding capacity of China’s drainage system. Most of the rivers in the affected areas break their banks leading to water spreading in the low lying areas which are mainly inhabited by the farmers. This causes havoc to their crops and their dwellings. In its efforts to industrialization, China has many factories and motor vehicles in their roads (Hilhorst, Dijkzeul & Herman, 2010, p. 122) This has led to pollution of the air and hence the ozone layer is destroyed. As a result global warming is accelerated and this has led to snowmelt in spring and the water going into the sea. The rise in sea level consequently causes a rise in the river levels which then breaks and cause flooding. The relief of China also hastens flooding. In the lowlands, the rivers will flow much slowly and any change in the water volume will cause flooding in the low lying areas. China borders the ocean in a very large area unlike other countries. The coastal areas experiences high tides and heavy storms that leads to rise in the sea level. If the level surpasses the level of the low lands at the coast, flooding occurs in these areas. In addition, the high population in China also may exacerbate the problem of flooding. The high population needs life necessities like food and shelter. As a result, they cultivate and inhabit the low lying areas which are prone to flooding. Their uncontrolled cultivation of the land will lead to soil erosion and the land cover is destroyed. The land is therefore left bare and with increased risks of floods during heavy rains. Many forces do interplay to hold the land surfaces together. The force of critical importance is friction which holds the various layers of the soil in a compact nature. Any interruption to this force of friction causes a slippery motion and results in landslides. Gravity plays the key factor in causation of landslides. If at any time the force of gravity supersedes the force of friction, a landslide will occur. Water is the common trigger of landslide since the sippage of water into the ground causes reduction of friction that exists between the bedrock and the upper sediment layers of soil. When this happens, debris of soil is sent downhill. Due to the torrential rainfall in China, landslides are imminent especially in the sloppy areas. China experiences a high frequency of earthquakes as compared to any other country. Consequently, the seismic waves cause vibration in the earth’s surface which upsets the existing frictional forces and causes landslides (Helmer & Hilhorst, 2006, p. 106). Landslides are therefore common in earthquake regions as well as areas prone to flooding. Volcanic eruptions have also been shown to result in landslides in areas that have recently experienced volcanic activity. In addition, human activities like blasting during mining process and vibrations as a result of heavy traffic also cause earthquakes. China has had its citizens lose their lives as a result of mine blasting activities as the mines collapse burying the miners alive. China has had its exceptional share of these disasters as a result of these predisposing factors. Conclusion In conclusion, disasters have continued affecting many parts of this world. Despite the preparations that are put in place a lot deserves to be enhanced to minimize the tendency of occurrence of disasters. While some natural disasters are inevitable as they are beyond human control, mitigational measures should be enhanced to take care of the rise in these cases. China tops the list of most fatal disasters that have been recorded in historical times. The top three have been the frequent earthquakes in the northern parts, deadly floods in the low lying areas which have brought havoc to the people inhabiting these areas and finally the landslides which also have caused destruction of property. With these disasters occurring frequently in china, the government has had to come up with an authority that is concerned with disaster management. It has a well established system of disaster mitigation which tends to prevent the disposing hazards turning into disasters. Secondly, they have preparedness measures that involve enhancing their capabilities to fight disasters. They also do have a well developed disaster response system (Harrald, 2006, p. 256). Finally, recovery measures are enhanced to return into normalcy. Whatever they do all efforts must be directed towards saving lives. References Alexander, D. (2002). Principles of Emergency planning and Management. Harpended: Terra publishing. CRED (2009). The International Disaster Database: EM-DAT. Retrieved 18/08/2010 from: http://www. unisdr. org/disaster-statistics/impact-killed. htm Cuny, F. (1983). Disasters and Development. Oxford: Oxford University Press. Harrald, J. (2006). Agility and Discipline: Critical Success Factors for Disaster Response. The Annals of the American Academy of Political and Social Science 604, 256. Helmer, M. & Hilhorst, D. (2006). Natural Disasters and Climate Change. Disasters, 30 (3), 100- 107 Hilhorst, D, Dijkzeul, D. & Herman, J. (2010). Social Dynamics of Humanitarian Action. Disasters, 34 (3), 120-125. Hoffman. S. & Smith, A. (2002). Catastrophe and Culture: The Anthropology of Disaster. Santa Fe NM: School of American Research Press. Ponserre, S. & Hoyois, P. (2006). Disaster statistics 1991-2005. Internationa; Strategy for Disaster Reduction. Retrieved 18/08/2010 from: http://www. unisdr. org/disaster-statistics/introduction. htm Poyzner, M. (2010). China, Disasters Timeline. Retrieved 18/08/2010 from: http://www. mapreport. com/subtopics/d/countries/china. html Reilly, M. (2010). China’s Giant Landslide: Natural or Man-made Disaster? Discovery News. Retrieved 18/08/2010 from: http://news. discovery. com/earth/chinas-giant-landslide-natural-or-man-made-disaster. html Watts, J. (2010). China Devastated by Floods. Guardian News and Media Limited. Retrieved 18/08/2010 from: http://www. guardian. co. uk/world/2010/jun/20/china-devastated-floods Yang, M. et al. (2007), Active Tectonics and Intracontinental Earthquakes in China: The Kinematics and Geodynamics. The Geology Society of America, 20 (5), 299-306.

Hospitality Management Essay

Investigate the range of hospitality businesses in your district. How many are there? What faction / section of the industry do they cater for? Make notes for a brief report on what you discover? I investigated the range of hospitality business in my district. My district is Midleton area in County Cork. I found six hospitality businesses in my area: Midleton Park Hotel Barnabrow House Ballymaloe House Castlemartyr Resort Garryvoe Hotel Bayview Hotel Midleton Park Hotel: Midleton Park Hotel, Co Cork is a 3 star hotel. The Hotel is situated in the bustling East Cork market town of Midleton, located just 14 miles (15 mins drive) from Cork City, this luxury 3 star Irish hotel is perfect for accommodation, conference & meetings, weddings, leisure, and for wellness.The hotel boasts extensive Leisure Club facilities and has a Wellness Centre specialising in the Yonka range of spa products. Barnabrow House: Barnabrow Country House located in Cloyne, Co Cork, dating from 1639, has been lovingly and extensively restored over the past ten years. It now proudly stands as one of the most stunning wedding venues in Munster. It sprawls over 35 acres, has 22 individually-designed bedrooms and a large medieval-style banqueting hall that seats 150 guests as well as some traditional self-catering cottages. This is a private family run estate with a medieval-style banqueting hall for those special events – weddings, family celebrations, private parties, christenings and meetings. Barnabrow Country House is a private & intimate wedding venue in Ireland. This is the ideal wedding venue in Cork for those searching for something different but at affordable prices. The Bride and Groom and their guests are guaranteed complete privacy through exclusive use of the estate for that special day. Barnabrow House is approved for Civil Ceremonies and Civil Partnerships and can seat 75 people for the ceremony. They also have a range of holiday homes, spacious and well-equipped self-catering cottages – a unique Irish experience where old and new have been superbly combined. Barnabrow is not a hotel – it is a family home and a home to children and their pets. They are welcome children. They have 7 donkeys, 2 goats, geese and dogs Barnabrow is the ideal retreat for any intimate party. Cork’s only 1 table restaurant where you can watch and converse with the Chef Stuart Bowes while he prepares your 5-course dinner right in front of you as you sit at the chef’s table. They also have seasonal cookery courses. Ballymaloe House Ballymaloe House, the renowned Irish country house hotel and restaurant owned and run by the Allen family for over 40 years. Nestled in a 400 acre estate in rural East Cork, Ballymaloe House is only 20 miles from the historic city of Cork, and minutes from the breathtaking south coast. The Grain Store is the latest addition to Ballymaloe House. It is a 17th century farmyard building that was sensitively converted into an elegant multi-purpose venue. It is available to be used for conferences, art exhibitions, weddings, concerts, parties, dances, fashion shows, fund raisers and family event. All rooms are decorated to the highest standard, combining modern comforts with timeless elegance and an eye for detail. Each room has its own name and own distinct character, and all have private bathrooms as standard. They also have a limited number of self catering cottages situated in the farmyard. The hotel facilities include: Heated outdoor pool (summer only); Tennis court. Young families and high mid-age income couples would be the most important to bring to this area. These two social group have the time and money to go on holidays. Young families with children always going somewhere, because „spending time together† is very important for them. High income mid-age couples also has claim to go for holiday, because they have money and they are still active. I would promote these two social groups to give some lift for this area.

Sergical Tech. Informative

Courtney Davis English 111 –CML 02-09-12 Essay #2 – informative Do You Want to Be A â€Å"Scrub†? Have you ever considered entertaining the idea of establishing a career in Surgical Technology? Many people are not thoroughly familiar with the job duties, educational requirements, earnings, job outlook, and potential downsides. Exploring these five areas will assist you in making a more informed career decision. Surgical Technologist can also be referred to as â€Å"Scrubs† (Occupational Outlook Handbook, p. ). A Surgical Technologists’ duties before an operation is to help prepare the Operating Room by setting up instruments and equipment that are used and needed by the Surgeon performing the procedure. Cynthia Davis, RN/ CST states her duty â€Å"I prepare and maintain highly complex sterile environments. † They get the patients ready for surgery by washing and shaving the necessary parts of the body that the surgeon will be focusing on. The y also observe the patients vital signs and check charts.During surgery a surgical technologists assist the surgeon or their assistant by passing and holding instruments, cutting sutures, counting needles and other supplies that are essential to the surgery being performed at the time. Sometimes the surgical techs even operate suction machines, sterilizers, adjust lights to a specific area, and help operate diagnostic equipment that is in the surgical room. .Cynthia describes her position as â€Å"the primary surgical tech responsible for handling instruments, supplies, and equipment during all surgical procedures. These procedures range from minimally invasive biopsies to highly complex surgeries†.After an operation Scrubs may help the patient to recovery. They also clean and restock the operating room so that it will be ready for the next operation. Jennifer Davis, NP . , says, â€Å"My responsibilities as a surgical technologist are to set up, maintain a sterile field dur ing surgery, assist the surgeon if needed and clean up and start all over again†. Most Scrubs work a regular 40hour week, but also will remain on call to work nights, weekends, or whenever needed just depending on how many surgeries are scheduled throughout the week. Usually, holidays are on a rotating basis. (Bureau of Labor Statistics,U. S.Department of Labor. ) Most employers prefer to hire certified technologist. Training programs last 9-24 months and lead to a certificate, diploma, or associates degree (Occupational Outlook Handbook, p. 1). Technologist may obtain voluntary professional certification from the National Board of Surgical Technology and Surgical Assisting by graduating from a CAAHEP-accredited program and a passing a national certification examination In order to maintain certification they must earn 60 hours of approved continuing education over 4 years or retake and pass the certifying exam at the end of 4 years (Occupational Outlook Handbook, p. 3).The wa ges of surgical technologist can vary with their experience, education, responsibility of the position, working hours, and the economy of a given region of the country (Occupational Outlook Handbook). The benefits that are provided by most employers will include paid vacation and sick leave, health, medical, vision, dental, life insurance; and a retirement program. A few even provide tuition reimbursement and child care benefits. Cynthia Davis reports she organizes her own schedule that must consist of four twelve hour shifts , says she is always on call but that the excellent benefits and health insurance make up for it. . On average surgical technologist made $38,740 in May of 2008 according to Occupational Outlook Handbook. According to the Bureau of Labor Statistics, U. S. Department of Labor the employment is expected to grow much faster than average. Job opportunities will be the best for those willing to relocate (ooh) in 2008, surgical Technologist held about 91,500 jobs, wi th 71 percent of the jobs being in hospitals. Other positions were held in offices of physicians’, dentist, and ambulatory surgical centers (Occupational Outlook Handbook). Industries employing the largest numbers of surgical technologist were Specialty hospitals $40,880 and Out patient centers $39,660. (Bureau of Labor Statics, U. S. Department of Labor) â€Å"Technologists must respond quickly and must be familiar with operation procedures in the order to have instruments ready for surgeons without having to be told to do so† (Occupational Outlook Handbook, p. 3). Scrubs need manual dexterity to handle instruments quickly. They must be conscientious, orderly, and emotionally stable to handle the demand s of the operating room environment.Potential downsides are standing for long periods of time, being exposed to communicable diseases and unpleasant sights, odors and materials. Jennifer describes this job as high stress but very rewarding. The worst part of the job is losing a patient. † In conclusion, the thought of establishing yourself in a surgical technology career can consist of knowing the duties, educational requirements, earnings, job outlook, and the potential downsides to the job.The relatively short amount of time it takes to obtain a degree or license needed to start a career, the joy of doing something different everyday, and the substantial earnings you can make each year are all good reasons to pursue nursing as a career, as long as the downsides are tolerable for you. If you are thinking that the downsides don’t seem so bad then you should check into pursuing a career in surgical technology and you can be a â€Å"Scrub†.

Applied Assignment: Self-Managed Work Teams

Identify and discuss the four most common forms of work teams. Give an example of each and what they do Problem solving teams: This type of team is composed of five to twelve employees. They meet weekly to focus on improvement, whether it is in quality, efficiency, or the work environment. An example of this could be all department heads in a firm that meet on a weekly basis to exchange ideas on how to improve productivity.However, they only make suggestions to the higher-ups, who will then be the one to implement their ideas. Self-Managed work teams: A self-managed team is a group of employees that take the responsibility of a supervisor. Different from the problem solving teams, In that they are the ones that come up with the ideas and are also the ones to Implement them into the work place. They often chose their own members and evaluate each other with in the group.This type of group has not always shown to be positive. In one study It showed higher absenteeism and higher turnove r rates. They have also shown to lack In conflict resolution with in the work place. An example of this type of group could be, student workers in an apartment complex that are hired without a â€Å"manager in place to maintain their schedules and the way they organize their office. They are given a goal or an objective and together they decide how to reach that goal or objective.Cross- Functional teams: This team is composed of employees at a similar hierarchical level that come together to come up with innovative ideas. A cross-functional team is good to come up with new products or new ideas, because having employees from different apartments allows many points of view to be expressed about the success or Implementation of the Idea or product. An example might be the coordination of the marketing department, the accounting department, and the production department, meeting to come up with a new marketing campaign.This way the accounting department can express monetary restrictio n, the marketing department can show its ideas, and the production department can provided input on how much increase in production it can handle. Virtual teams: These teams are comprised of members that are not geographically close but use genealogy to communicate and achieve a common goal. These teams sometimes suffer from lack of social rapport and direct interaction among members. They also tend to share less information, because of that, low levels of virtually in teams results In higher levels of information sharing, but high levels of virtually hinder It.For these teams to work they need to be monitor to make sure that; trust Is established among members, team progress Is monitored closely, and the efforts and products are publicized throughout the organization. An example of this could be, an international company that has members work together to create a universal What are defensive behaviors? Provide three examples of defensive behaviors and explain why an employee would engage in the behavior. Defensive behaviors are reactive and protective behaviors to avoid action, blame, and change.The defensive behaviors of avoiding action include, over conforming, buck passing, playing dumb, stretching, and stalling, The defensive behaviors avoiding blame include, buffing, playing safe, Justifying, scapegoat, and misrepresenting. The defensive behaviors to avoid change are, prevention and self-protection. Defensive behaviors seem to employees to be the way to protect their self-interests, however over time it wears them down. Eventually they know this as the only way to behave and begin to lose trust in other employees, bosses, and even clients.An example of behavior to avoid action, stretching, includes prolonging the progress or the start of an assignment. For example an employee is given the task of creating a proposal that would normally only take a couple of days, they appear to be occupied n other things and take a week to complete. An employee might do this if they do not agree with the idea or process they are producing the proposal for, or if they do not agree with the supervisor's way of asking for the task to be completed.One of the ways a defensive behavior is displayed to avoid blame is scapegoat. This is blaming a negative result on external factors that re not entirely blameworthy. They might take the icy weather for not being able to complete a report. While the weather may have hinder their productivity, most likely one day of bad weather should not eve been the reason that more work was not put into it prior to the bad weather or after the bad weather to still insure that the project was completed on time.To avoid change some employees will act in a way to prevent the action from happening. Maybe the boss is implementing a new computing system that could replace one of the employees. In order prevent it, an employee may act defensively and provide reason after reason why this will not work. They may also act as if they are having a lot of difficulty with the new program to make it seem that the program is hard to use.