Thursday, November 28, 2019

Let Them Eat Dog free essay sample

Paragraph 1- Implies change is a constant and therefore inevitable. Paragraph 2- Describes two types of â€Å"heat†. Environmental and social-political. Links the emotions of the individual to outward disorder and violence. Paragraph 3- Inner peace would be the most important of all. Accept what can’t be changed. Positive outward change is only possible after your inner emotional problems have been tended to. Warns to think before you act. Paragraph 4- Calls for a balance between inner heat and cool. Paragraph 5- Concludes. Little gestures can make a difference even if it’s only noticeable to him. Thesis Environmental issues can only be meaningfully addressed after people have first addressed their own inner issues. Summary Pico Iyer’s uses heat in various ways throughout his essay, â€Å"Inner Climate†. Iyer starts out by describing how heat in our outward climate causes changes. He then talks about how our â€Å"inner waters† (694) need to be tended to before our â€Å"outer environment† (694) can be healed. We will write a custom essay sample on Let Them Eat Dog or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page He concludes by telling us about his own small changes that may not change the world, still have a small impact on changing things slowly. Journal #11 â€Å"Small Change: Why the Revolution Will Not Be Tweeted’ pg. 411 Paragraph 1-4- February 1, 1960. Racism is real. Greensboro NC. 4 black men meant to start a change. Paragraph 5-6- Protest was growing. Spread across the South within a week without social media. Paragraph 7- Social media like Facebook and Twitter have given voices to people and causes who might have not been heard otherwise. Paragraph 8-9- Modern technology has lessened the importance of the history of communication and activism. Paragraph 10-14- Activism decades ago was driven by strong ties and committed individuals willing to face the repercussions of their actions for the cause they believed in. Everyone knew at least one other person in the protests. Paragraph 15-19- Activism now days associated with social media are built around â€Å"weak ties† (416). Weak ties are powerful in the sense that they are acquaintances not friends so they bring new ideas to the table and help circulate information. Paragraph 20-21- Civil rights movement in 1960 was more strategic than contagious. Organized by a central hierarchy. Paragraph 22-23- Social media activism is built through networking. Opposite of hierarchy because there isn’t one appointed person it’s a â€Å"consensus†(419). Paragraph 24-28- Hierarchical organization is best when going up a big organized establishment when needing discipline and strategy but social media is a way to scare or humiliate or find a common ground more than change. Paragraph 29-31- Modern technology along with social media get stories out fast with even faster feedback and support. Paragraph 32-33- The revolution of social media has its ups and downs. Thesis Activism through social media is far different from activism decades ago in the sense that it is based on the power of the internet not on the power of the people anymore. Summary In the article â€Å"Small Change: Why the Revolution Will Not Be Tweeted†, Malcolm Gladwell starts off by explaining how activism in the 1960’s was handled differently than today; Organized protests with hundreds and thousands of people were held without the use of social media. Gladwell argues the fact that being a social media activist is not true activism by implying it’s is easier to agree with something on the internet than go out on a limb and physical fight for what you believe in. He finishes off by explaining not all technology is bad being that new information and ideas come from it but that it has no organization or structure which will not have the same impact as the sit ins or protest of past decades. Journal #12 Gladwell points out the details in the story of sit-ins when in the story about the cell phone he basically tells just the main points of what happened. I believe he did this to emphasize his belief on how issues that became well known before social media were of importance and now and thing such as losing a cell phone become â€Å"famous†. Journal #13 â€Å"Let Them Eat Dog† pg. 661 Paragraph 1- Although legal eating dog is very taboo Paragraph 2-7-Eating dog t us is taboo where as in different cultures it’s fine but they don’t eat cows like we do. Paragraph 8-9- Eating companion animals is taboo not the animal itself. Paragraph 10-11- Most taboos are bad for us but dog isn’t. Eating dog is just as safe as any other meat. Used as medicine. Overcome bad luck. Enhance libido. Paragraph 12-15- Sarcastically proves that making dog a legitimate food source would benefit us Paragraph 16-17- Recipe for Filipino stewed dog Paragraph 18-20- It is not right for dogs along with any other animal to suffer the treatment caused by being a food source. Thesis Ties to an animal should not affect your view on it as a food source but taboo has made it that way. What we are taught is ethical may not be some else but in all reality none of it is right. Summary Jonathan Foer starts out his article â€Å"Let Them Eat Dog† by explaining the taboo of eating dog and how it’s almost unconceivable to most people to even think about. He then sets a sarcastic tone commenting on some of the way people think about the subject; â€Å"Don’t eat companion animals†(662). Foer then states that eating dog isn’t unhealthy for us and is just as safe as any other meat, if cooked properly, and proves his point by including a recipe. In the end Jonathan Foer is saying that no matter the animal type it’s going to be acceptable or taboo depending where at, and that although part of life factory farming and cruelty is unacceptable. Journal #14 From paragraph 10 to 17 is where I believe he is most sarcastic by saying that it’s healthy and by describing the taste of it. He also includes a recipe and is basically just sarcastically selling you on eating dog. Journal #15 â€Å"The Tyranny of Choice† pg. 800 Paragraph 1- Modern universities encourage students to shop around before choosing majors Paragraph 2-4- Now days there are millions of different options and choices for everything but with choice comes unhappiness. Paragraph 5-9- Examples of choice overload good and bad how then benefit and hurt us Paragraph 10-13- 30 years ago there were less options and more basic requirements. Paragraph 14-16- Digital revolution has given access to more ways and options of education. Paragraph 17-19- More choices can be a negative for life choices which has caused more depression Paragraph 20-25- Freedom of choice isn’t the main reason for decreased happiness but is a big part Paragraph 26- You can be what you want but be careful how you do it. Thesis Freedom of choice isn’t always a good thing and can be more harm than good. Summary The Tyranny of Choice begins by giving us the positive side of freedom of choice throughout education followed by the negative. Schwartz then relates this to society and how life outside of school is full of choices. The conclusion of this article is that freedom of choice is not always a positive.

Sunday, November 24, 2019

Relationship Between Spring Constant and Horizonta Essays - Physics

Relationship Between Spring Constant and Horizonta Essays - Physics Relationship Between Spring Constant and Horizontal Displacement Introduction: The crossbow is believed to have originated from China and Europe in approximately 6th to 5th century BC. According to evidence found by today's archaeologists, the common usage for a crossbow was for military purposes in China during the Warring States Period. However the crossbow is no longer used in modern warfare, it is now instead used for hunting purposes. At my grandfather's house he own a crossbow which uses to hunt. Every summer I go to his house and we hunt for deer. As I grew older i had started to become more curious in the functionality of a crossbow, the elastic that draws the marble back in order to fire it to be more specific. I wanted to better understand the relationship between the spring constant ( k ) and the distance an object will go after getting hit with a a force . As a result of my curiosity as a child i decided to investigate this relationship between the distance a block will go off of a table (the height of the table will be referred to as h ) in the horizontal axis ( d ) after getting hit by a certain magnitude of force. I investigated this relationship by first building a crude version of a crossbow with hooks that will allow me to change the drawback elastic. T he crossbow is an instrument which utilizes elastic force (will be referred to as F e ) in order to launch a projectile off the launch track and through momentum and impulse, the marble will hit a block and launch it into projectile motion. The schematics of the crossbow made by Leonardo Da Vinci are shown in figure 1. Figure 1 : Crossbow schematics made by Leonardo Da Vinci After the block has been launched off the track and into projectile motion the block will land a certain amount of distance from the starting position (the table). The objective of the experiment is to determine the relationship between the spring constant of an elastic and the final displacement of a solid object after undergoing projectile motion due to the transfer of momentum in an elastic collision. The assumption that can be made in this experiment are that the force of friction caused by the track can be ignored due to a low friction material being used to build the track of the crossbow. The assumption that air resistance is negligible can also be made due to the experiment being tested indoors, therefore there will be no wind blowing. As a result of my assumptions made an equation for the displacement in the horizontal axis for the block can be made. Even though these assumptions have been made, some allowing us to ignore some variables, there are still others va riables that can affect the results in precision and accuracy of this lab. Before the variables are discussed, the system has to be know before. The system has been to picked to include only the marble and the blood of wood so that in both the conservation momentum and conservation of energy is there impulse or work because all energy and momentum was conserved inside the system, therefore there is no need to go looking. Independent Variable: The independent variable is the spring constant. The springs constant is changed to observe the relationship between the spring constant and the displacement of the dependant Variable which is a wooden block. Dependant Variable: The dependant variable in this investigation is the displacement of a solid wooden block after receiving a transfer of momentum and undergoing projectile motion. Control Variables: In order to see the relationship between the independent variable and dependant variable all other variables present in the investigation must remain constant in order to assure that the most precise and accurate results will produced through the experimentation. Masses Mass of Marble The mass of the marble is kept constant so that when there is the momentum transfer only the velocity ( v ) will vary. The velocity will vary because much like the displacement of the wooden block, it is also dependant on the spring constant Mass of wooden block The mass

Thursday, November 21, 2019

Design thinking Essay Example | Topics and Well Written Essays - 2000 words

Design thinking - Essay Example Just like problem solving, design is a ubiquitous and natural human activity. The beginning of the design process is where dissatisfaction and needs with the current state summed with determination that an action must be taken to solve a particular problem. Scientist from the scattered parts of the world acts as designers in their careers not knowing that they are participating in the design process (Frisendal, 2012). Design thinking has also gained attention in the setting of business. The reason behind the increased attention is that the design of services and products is a great component of business competitiveness. Most well known companies have indeed committed themselves to being design leaders. Though design thinking has recently become an important part of engineering fields, design, and business, it can bring positive effects to the 21st century education across many disciplines. The positive impacts can be since it involves creative thinking in delivering solutions to problems (Menges, 2011). In academic environments students are expected to read critically, think and reason in a logic manner and solve problems that are complex. Therefore, to help students succeed in the digital, interconnected world, educators should provide pupils with systems thinking, design thinking, and teamwork skills. In doing so, it will help them nature their skills of problem solving and prepare them for higher education and career (Ingle 2013). In many fields, knowledge is accumulated and generated through action. Thus, knowledge is utilized to produce work, and work is evaluated to produce knowledge. People who are creative usually work in two different ways. They can work as makers or finders. Finders show their creativity through discovery while makers, though are equally creative they are driven to synthesize what they are aware of in concepts, compositions, constructions, arrangements and patterns.

Wednesday, November 20, 2019

Humans and Time Paper Essay Example | Topics and Well Written Essays - 500 words

Humans and Time Paper - Essay Example hose days.   The night was divided up into twelve hours, which were designated by the position of stars in the sky.   The day was divided into ten hours and a shadow clock was used to keep track of these hours.   The twilight hours were the hours before dawn and after sunset. After a while, the Egyptians and other ancient societies realized that the sun rose and set in different places in the summer and winter. In fact, the sun never took the same course on any one day throughout the year and also if the sky is overcast throughout the whole day and night this method would not work. (Barnett, 1998) The major fault with sundials and shadow clocks is obvious so, around 1400 B.C. water clocks were invented named clepsydra. A water clock was made of two containers of water, one higher than the other. Water traveled from the higher container to the lower container through a tube connecting the containers. The containers had marks showing the water level, and the marks told the time. Water clocks worked better than sundials because they told the time at night as well as during the day. But it also had its own limitations like Water would flow more slowly or quickly when the temperature changed. The first mechanical clocks appeared in Europe, supposedly because of inspiration by the stories that came from China about mechanical clocks. The first mechanical clocks were rather simple and just sounded a bell every hour.   The first mechanical clocks had a weight that would slowly lower, moving gears which moved a hand which showed the hour.   They could only be built in tall towers because the weights needed to fall a great distance or else the clocks would only work for a short amount of time. (ThinkQuest, n.d) Galileo made an amazing contribution to the world of time. Galileo had noticed that the pendulums period of swing appeared to be independent of the extent of the arc of the swing and recognized its potential for timekeeping, but died before his work could be

Monday, November 18, 2019

New Product Entry into U.S. Market Term Paper Example | Topics and Well Written Essays - 2500 words

New Product Entry into U.S. Market - Term Paper Example In the present study, the marketing environment of the target companies will be studied and their situation will be analyzed. Proper strategies will be made for entry into the target market. Situation Analysis Steel cables are generally two or more cable wires bonded with each other in symmetry. They are used for various purposes such as towing, lifting or conveying etc. Steel wire cables are used in almost all big electrical and outdoor equipments such as elevators, escalators, big machines for holding equipments etc. It can be easily said that these steel cables are one of the building blocks of the outdoor electronic equipments like elevators and other construction equipments. In the present situation analysis, three companies will be selected who are the largest manufacturers of elevators and similar electronic equipments in US. The selection will be based on size of the company, number of employees, sales figures, location and distribution, major products manufactured and the pu rchasing process. 1. Dover Corporation The first company selected is Dover Elevator Systems Inc., USA, which is an arm of Dover Corporation. Dover is known as the largest manufacturer of elevators in US. The other operating divisions of the corporation are communications, vapor recovery, electronics etc. The elevators manufactured by Dover are mainly used by hotels, apartments, department stores, hospitals, factories, railway stations, medium high rise developments such as office, low cost flats etc (Dover Corporation, 2012). Dover follows a normal purchasing request which is demand –supply process. Demand is estimated according to pre-production analysis and supply process is initiated in cycles. Geographic markets- apart from United States, Dover has its operations in many countries such as Mexico, Malaysia, and Australia etc. Apart from distributing as a wholly owned brand, Dover has its distribution in many countries as third party distributors, franchisee and tie-ups. Do ver elevators are distributed in all major countries of Europe, Asia and majority of UK. Distributors- Dover operates through both independent and local distributors. One unique strategy which Dover applied was that both their names as well as the local distributor’s name were engraved in the installed equipment. This helped the organization to gain a local advantage. The presence of national distributions helps the company in reaching a wide geographic distribution over the country. 2. Otis Elevator Company Otis Elevator Company is considered as one of the biggest manufacturer of vertical transport system. The company is headquartered in Farmington, Connecticut, USA. Major manufacturing factories are established in America, Asia and Europe and it has distribution in more than 200 countries. The company also owns two testing towers, one situated at its headquarters and another in Japan (Otis Elevator Company, 2013). The company specializes in elevators, escalators and moving walkways. Apart from this, the company is also engaged in providing elevator solutions and immediate services to any issues regarding safety and communication. Distribution- the distribution occurs through many sales channels. The

Friday, November 15, 2019

Panayiotopoulos Syndrome in a 3 Year Old Child

Panayiotopoulos Syndrome in a 3 Year Old Child Benign occipital epilepsy of childhood -Panayiotopoulos syndrome- in a 3 year old child Menon Narayanankutty Sunilkumar *, Vadakut Krishnan Parvathy Department of Pediatrics, Amala Institute of Medical Sciences, Amala Nagar, Thrissur-680 555, Kerala, India M N Sunil Kumar V K Parvathy Running title: Panayiotopoulos syndrome in a 3 year old child Manuscript type: Case study * Author for correspondence, Dr. Menon Narayanankutty Sunilkumar ABSTRACT Panayiotopoulos syndrome (PS) is a relatively frequent and benign epileptic syndrome seen in children in the age group of 3-6 years and is characterised by predominantly autonomic symptoms and/or simple motor focal seizures followed or not by impairment of consciousness. Although multifocal spikes with high amplitude sharp-slow wave complexes at various locations can be present in the EEG, interictal electroencephalogram (EEG) in children with this particular type of epilepsy characteristically shows occipital spikes. This syndrome has known to be a masquerader and can imitate gastroenteritis, encephalitis, syncope, migraine, sleep disorders or metabolic diseases. In the absence of thorough knowledge of types of benign epilepsy syndromes and their various clinical presentations, epilepsy such as PS can be easily missed. The peculiar aspects of this type of epilepsy in children should be known not only by paediatricians but also by general doctors because a correct diagnosis would avo id aggressive interventions and concerns on account of its benign outcome. In this case study, we report a case of PS in a 3 year old child. Keywords: Benign occipital epilepsy, Panayiotopoulos syndrome, Autonomic symptoms, Emesis, EEG I NTRO DUCTION The International League Against Epilepsy in their expert consensus has given due importance for the various benign childhood seizures which have good prognosis.1 PS is a common idiopathic childhood-specific seizure disorder formally recognized by the league and is included in the category of benign epilepsy syndromes and is recognized worldwide for its autonomic presentations.2,3 This early-onset benign childhood seizures was described by Panayiotopoulos.4 . It has been defined by Panayiotopoulos as consisting of brief, infrequent attacks or prolonged status epilepticus and characterized by ictal deviation of the eyes and/or head and vomiting, occurring in children usually between the ages of 3 and 7 years.5 Seizures are usually followed by postictal headache and are often associated with interictal occipital rhythmic paroxysmal EEG activity that appears only after eye closure.5 The PS has excellent prognosis and parents can be definitely reassured about its benign course 4,6,7,8,9. The risk of developing seizure disorder in later life is negligible 6. Detection of occipital epilepsy at very early stage is needed to successfully treat this condition and allay the fears of the parents and care givers of these children with PS.In this case report, we discuss about the occipital epilepsy in a 3 year old girl child. CASE REPORT A 3-year-old girl, only sibling from a poor socioeconomic family of a non-consanguineous couple, presented in the Out-patient Department of Paediatrics, Amala Institute of Medical Sciences, Thrissur, Kerala, with complaints of becoming limp after sudden episode of vomiting, followed by uprolling of eyes, stiffening of the both upper limbs and lower limbs and a brief period of drowsiness.The child was happily playing in the house about half an hour back.There was no associated fever,trauma,ear discharge ,no common paediatric illnesses like diarrhea,dysuria,cough,running nose,wheezing,throat pain. A detailed history was taken. The child was born of a non-consanguinous parents,fullterm normal vaginal delivery,with a birth weight of 2.215 kg. She was immunized to date and had normal milestones of development.The history revealed that she had similar episodes of vomiting especially getting up from sleep and having deviation of eyes to one side,becoming limp and followed by drowsiness for few minutes in the past from the age of 1 Â ½ years old. Overall she had 5-6 such episodes and 3 times she had these episodes when she was sleeping.There was no associated fever during these episodes. Two times she had stiffening of all the limbs with deviation of eyes to one side,and followed by drowsiness. There was no focal type of seizures in this child. The parents attributed these to indigestion and gave home remedies as always there was vomiting and tiredness following the episodes.The child then used to play around normally. One month back the child was seen by a local doctor who advised EEG and it was done which was reported as normal and parents were advised follow up. The child on admission was tired, but was conscious. On examination,she was afebrile,signs of meningeal irritation were absent, central nervous system examination was normal,neurocutaneous markers were absent,fundus examination was normal. Other systemic examinations were normal.Laboratory investigations showed hemoglobin (11.7 g/dl) with low indices, total leucocyte count (11,550/cumm), neutrophils (75%), lymphocytes (22%), platelets (210000/Â µl), ESR (35mm at1 hr),serum calcium(10 mg%),SGPT(28mg/dl),serum electrolytes levels were normal.EEG was done(Figure- 1A and B) and reported as symmetrically distributed normal sleep activities,with activation of rare sharp wave discharges arising from the left occipital region.An awake record could not be obtained. The diagnosis of PS was made based on the clinical history and EEG which showed the predominantly occipital spikes. She was started on carbamazepine with increasing the dose schedule to her required weight. The child did not have any allergic reaction to the drug and did not progress autonomic instability. She and her parents were given excellent emotional and pschycological supportive care, After completion of 5 days of observation for her symptoms and any allergy to the she was discharged on day 6 with improvement in clinical conditions on multivitamins, hematinics and deworming drugs with an advice to follow-up . DISCUSSION PS described by Panayiotopoulos4 is a common autonomic childhood epileptic syndrome with a significant clinical, pathophysiological characteristics and is multifocal.10 PS is now formally recognized as a distinct clinical entity within the spectrum of benign focal epilepsies of childhood.11 PS affects 13% of children aged 3 to 6 years who have had 1 or more afebrile seizures and 6% of such children are in the 1- to 15-year age group.6,7,12. Autonomic epileptic seizures and autonomic status epilepticus are the cardinal manifestations of Panayiotopoulos syndrome.12. The main aspect of PS is that irrespective of their location at onset, there is activation of autonomic disturbances and emesis, to which children are particularly vulnerable. These symptoms and pattern of autonomic seizures and autonomic status epilepticus in PS do not occur in adults and are very specific to childhood. 12 PS is often confused with occipital epilepsy and acute non-epileptic disorders such as encephalitis, syncope, cyclic vomiting or atypical migraine even with characteristic clinical and EEG manifestations. 13 The clinical and EEG features of PS is due to a a maturation-related diffuse cortical hyperexcitability 4,6. This diffuse epileptogenicitywhich may be unequally distributed,is predominating in one area of the brain , and is often posterior. The explanation for the characteristic involvement of emetic and the autonomic systems may be attributed to epileptic discharges which are generated at various cortical locations andthis in turn influence the children’s vulnerable emetic centers and the hypothalamus 4,6. The diagnosis is based entirely on clinical presentation and EEG.12 PS has some of the key clinical features which are often present as single, focal seizures with an unusual constellation of autonomic, mainly emetic, symptoms,associated behavioral changes, and sometimes seizure like clinical manifestations such as unilateral deviation of the eyes and convulsions 3,4,7,8,9,13. The emetic triad in PS (nausea,retching, vomiting) culminates in vomiting in 74% of the seizures; in others, only nausea or retching occurs, and in a few, vomiting may not be present. Other autonomic manifestations include pallor, , mydriasis or miosis, flushing or cyanosis thermoregulatory and cardiorespiratory alterations. Frequently incontinence of urine and/or feces, hypersalivation, cephalic sensations, and modifications of intestinal motility are also seen9. Half of the convulsions end with hemiconvulsions or generalized convulsions. Two thirds occur during sleep as was seen in our child for about three times.. Autonomic status epilepticus enveals then.. The seizures usua lly last for 5–15 min, but half of them are prolonged, sometimes for hours, constituting autonomic status epilepticus. The patient recovers within a few hours. even after the most severe seizures episodes and status.12 An electroencephalogram is the only investigation with abnormal results, usually showing multiple spikes in various brain locations.12Multifocal spikes that predominate in the posterior regions characterize the EEG 6.The EEG variability in our child of 3 years is showing the characteristic occipital spikes from the left occipital region. The EEG done 5 months back was normal in our child. PS is the second most frequent benign syndrome of childhood after rolandic epilepsy,which primarily affects 15% of children at a peak onset at age 7–9 years 1. Another epileptic syndrome categorized with PS and rolandic epilepsy is the Gastaut type childhood occipital epilepsy 2, manifesting with frequent and brief visual seizures. However, this is rare,of uncertain prognosis, and markedly different from PS,despite common interictal EEG manifestations of occipital spikes 6.Occipital spikes in non-epileptic children with defective vision, occipital slow spike-and-wave found in some patients wi th the Lennox-Gastaut syndrome, focal epilepsy due to occipital lesions, seizures originating in the temporal lobe secondary to an occipital abnormality, and complicated or basilar migraine must be considered in the differential diagnosis.5 There are typical and atypical case of PS15,17,18 .Lada et al 15 conducted a retrospective study of 43 patients with PS who were seizure free >2 years. In their analysis girls predominated ,as in our child was a girl.. The first seizure was seen in 5 years of age. 86% had emesis as the symptom with the seizures. Seizures during sleep (84%) were more common than those in wakefulness. EEG showed occipital spikes in more than 50% of patients.. Prognosis was excellent and 80% children have been free of seizures for > or =2 years as is in a typical case of PS.15 DeÄÅ ¸erliyurt et al16 did a case series study of patients with PS and postulated that PS is associated with high rates of febrile convulsions, afebrile convulsions/epilepsy, migraine, and breath-holding spells in the patients and families suggested the importance of genetic factors 17.Febrile seizures are to be considered in the differential diagnosis because the recovery of consciousness from seizure is fast and Control of the seizure is paramount. uncomplicated usually.18 Ferrie et al. 17 postulated an atypical evolution of PS in a case report. The management of PS is not complicated. Education and knowledge about PS is the cornerstone of management. Control of the seizure is paramount. Prophylactic treatment with antiepileptic medication may not be needed for most patients. The emphasis is on treatment of possible fever and mainly of the underlying illness.One third (30%) of the seizures are relatively brief and self-limited. They subside spontaneously within 2–10min. The other two thirds (70%) have long-lasting seizures(>10 min) or status epilepticus (>30 min to hours). These should be appropriately and vigorously treated as for status epilepticus19,20. Parents of children with recurrent seizures should be advised to place the child on its side or stomach on a protected surface and administer a preparation of intravenous rectal benzodiazepine (BZD). In an emergency facility, the child’s airway should be kept clear, oxygenation maintained, and intravenous or rectal antiepileptic drug (AED) given to halt the s eizure. A BZD is probably the first choice. The great majority with PS do not need AED treatment even if they have lengthy seizures or have more than two recurrences. There is no increased risk of subsequent epilepsy or neurologic deficit. If a child has multiple recurrences (only about 5% exceed 10 seizures) and if the parents too worried prophylaxis can be given.Continuous prophylaxis consists of daily medication with any AED with proven efficacy in partial seizures.Although there is no evidence of superiority among monotherapy with phenobarbitone, carbamazepine(CBZ), sodium valproate or no treatment in PS, most authors prefer CBZ 14.Our child was started on Oxcarbazepine ,a structural derivative of CBZ with no side effects since last 1 month.Autonomic status epilepticus in the acute stage needs thorough evaluation; aggressive treatment may cause iatrogenic complications including cardiorespiratory arrest.12The adverse reactions of the antiepileptic drugs such as severe allergic r eactions ,abnormal liverfunction tests and idiosyncratic reaction should be kept in mind and monitored.14 The prognosis of PS is excellent 4,6,7-9. The lengthy seizures and status do not have any adverse prognostic significance, and the risk of developing epilepsy in adult life is probably no more than that of the general population 6. One third of patients (27%) have a single seizure only, and another half (47%) have two to five seizures. Only 5% have >10 seizures, but outcome is again favorable. Remission usually occurs within 1 to 2 years from onset.6. CONCLUSION PS is a common cause of epilepsy in children and a knowledgeable doctor does not miss it. Physician education of PS and recent guidelines on epilepsy management is vital in detecting PS at very early stage, so further lifesaving interventions can be done and prevent delay in the trearment administration. Multiple antiepileptic drugs use is required in only in a small proportion of patients. Seizures in PS, like febrile convulsions, despite their excellent prognosis, are a frightening experience for the in experienced parents, who often think that their child is dead or dying. Parents of young children should have general information by the family doctor regarding PS. Parental education and a supportive group comprising the paediatrician, neurologist, nursing staff and the social worker can help and reassure these distort parents as was done in our child who is doing fine with no recurrence in the last 1 month. ACKNOWLEDGEMENT The authors acknowledge the help of Dr Ajith TA, Professor Biochemistry, Amala Institute of Medical Sciences, Amala Nagar, Thrissur, Kerala during the preparation of the manuscript. REFERENCES Commission on Classification and Terminology of the International League Against Epilepsy. Proposal for revised classification of epilepsies and epileptic syndromes. Epilepsia 1989;30:389–99. Engel J Jr. A proposed diagnostic scheme for people with epileptic seizures and with epilepsy: Report of the ILAE Task Force on Classification and Terminology. Epilepsia 2001;42:796–803. Berg AT, Panayiotopoulos CP. Diversity in epilepsy and a newly recognized benign childhood syndrome [Editorial]. Neurology 2000;55:1073–4. Panayiotopoulos CP. Panayiotopoulos syndrome. Lancet 2001;358:68–9. Andermann F, Zifkin B.The benign occipital epilepsies of childhood: an overview of the idiopathic syndromes and of the relationship to migraine. Epilepsia. 1998;39:S9-23. Panayiotopoulos CP. Panayiotopoulos syndrome: a common and benign childhood epileptic syndrome. London: John Libbey, 2002. Panayiotopoulos CP. Vomiting as an ictal manifestation of epileptic seizures and syndromes. J Neurol Neurosurg Psychiatry 1988;51:1448–51. Caraballo R, Cersosimo R, Medina C, et al. Panayiotopoulos-type benign childhood occipital epilepsy: a prospective study. Neurology2000;55:1096–100. Kivity S, Ephraim T, Weitz R, et al. Childhood epilepsy with occipital paroxysms: clinical variants in 134 patients. Epilepsia 2000;41:1522–33. Guerrini R, Pellacani S.Benign childhood focal epilepsies. Epilepsia. 2012;53::9-18. Koutroumanidis M. Panayiotopoulos syndrome: an important electroclinical example of benign childhood system epilepsy. Epilepsia. 2007;48:1044-53. Covanis A. Panayiotopoulos syndrome: a benign childhood autonomic epilepsy frequently imitating encephalitis, syncope, migraine, sleep disorder, or gastroenteritis. Pediatrics. 2006 ;118:e1237-43. Michael M, Tsatsou K, Ferrie CD. Panayiotopoulos syndrome: an important childhood autonomic epilepsy to be differentiated from occipital epilepsy and acute non-epileptic disorders. Brain Dev. 2010;32:4-9. Ferrie CD, Beaumanoir A, Guerrini R, et al. Early-onset benign occipital seizure susceptibility syndrome. Epilepsia 1997;38:285–93. Lada C, Skiadas K, Theodorou V, Loli N, Covanis A.A study of 43 patients with panayiotopoulos syndrome, a common and benign childhood seizure susceptibility. Epilepsia. 2003;44:81-8. DeÄÅ ¸erliyurt A, Teber S, BektaÃ…Å ¸ O, Senkon G. Panayiotopoulos syndrome: A case series from Turkey. Epilepsy Behav. 2014;36:24-32. Ferrie CD, Koutroumanidis M, Rowlinson S, Sanders S, Panayiotopoulos CP.Atypical evolution of Panayiotopoulos syndrome: a case report. Epileptic Disord. 2002;4:35-42. Knudsen FU. Febrile seizures: treatment and prognosis. Epilepsia.2000;41:2–9. American Academy of Pediatrics. Practice parameter: the neurodiagnostic evaluation of the child with a first simple febrile seizure: Provisional Committee on Quality Improvement, Subcommittee on Febrile Seizures. Pediatrics 1996;97:769–72. Mitchell WG. Status epilepticus and acute repetitive seizures in children, adolescents, and young adults: etiology, outcome, and treatment. Epilepsia 1996;37:S74–80. Legend to figures Figure (1A and B): EEG of the child showing the occipital spikes (arrow heads).

Wednesday, November 13, 2019

Christianity, the True Religion Essay -- Religion Christian Jesus

Christianity, the True Religion I was raised Catholic, at the insistance of my parents. After many years of drinking and partying, I got very bored and thought, Is this ALL there is to life?!?! I thought, If there really IS any truth to a life after death, I should at least TRY to find the answer. I started to do some research on science and religion to see if I could come up with any TRUTH about the meaning of life. In school, I was taught that mankind was evolving and getting better, but it didnt appear that way to me. It SEEMED as though modern science had proven that God didnt exist. As I did more research on my own, I found out that this just isnt the case. I learned that the Universe and ALL matter have a DEFINITE beginning. Most atheists and re-incarnationists believe that the Universe has ALWAYS existed, but this contradicts the fact. Cause and effect tells us that the Universe must have been caused. It is logical to believe that an invisible, non-material God had caused the beginning of the Universe. Some think that aliens and U.F.O.s have something to do with our existence, but even if they DID exist, THEY would need a beginning as well! The evolutionists believe that evolution is a FACT, and that the fossil record PROVES it. I learned that neither evolution NOR creation are FACTS, they are only THEORIES! There is NO way to PROVE either one because they CANNOT be re-created in a lab experiment. Whatever THEORY you believe, you MUST believe by FAITH. I learned that when something dies, it does NOT become a fossil, it rots away VERY quickly. Fossils are formed by RAPID burial and destruction , NOT over SUPPOSED billions of years! What the fossil record DOES prove, is that there was a TERRIBLE global disaster. Scattered across mountain tops all over the world are fossils of both modern & extinct ocean and land creatures ALL MIXED TOGETHER. This fact can ONLY be explained by a RECENT Creation and a WORLDWIDE FLOOD, and NOT by evolution. I thought that evolution was true just because the majority accepted it. The MAJORITY also used to believe that the Earth was FLAT!!! Then I was confused about all the different religions out there. Which God should I serve?!?! Does it REALLY matter as long as I am sincere and a GOOD PERSON I thought, What if I am sincerely WRONG!?!? I started to do some more research to try to find the TRUTH. ... ...ask questions. I am just writing this paper because I was SO surprised that I was able to find REALLY satisfying answers to all my questions, when I thought that no one could EVER really know the TRUTH for sure. I read some books on life after death and re-incarnation by people who have CLAIMED to have died. Then I thought If these people were REALLY dead, then they STILL would be!! I DONT expect anyone to just believe me or this paper, but I would HOPE that this article would at LEAST make people think about all of this on their OWN and do some of their OWN investigating!! I just wanted to share what I have learned and to give people a head start. I know how difficult it is to listen to someone else tell you about their religion, I was there. It all seemed so confusing to me, at first. Since Ive done all this research, I KNOW that the Bible is TRULY Gods Word to all mankind, and I believe it. I pray that THE LORD JESUS CHRIST uses this paper to open up the minds and hearts of everyone who reads this so that they may be saved from an eternity separated from GOD and in hell. Eternity is a loooong time to gamble with. If you died right now, do you know where YOU would go !?!?!

Sunday, November 10, 2019

Personal Statement Essay

I write this statement to support my application to Management and Leadership in Health and Social Care vourse at your university. Due to previous experiences of working with a range of people in the care sector I believe that throughout my time on various work placements with individuals with different disabilities and requirements in care along with the experiences gained throughout my studies, my wish to pursue a career in the care profession has grown. To further my interest in working with and around people I completed my first degree as a health visitor in Hungary. Prior of that I took a gap year in Germany with a church’s volunteer service called Freiwilliges Sociales Jahr (Voluntary Sociales Year). I worked as a health care assistant in a nursing home with 144 beds. While this year was very challenging I also found it an extremely rewarding and enjoyable experience. To further my knowledge and passion for working with those individuals who are in need of care I studied at Semmelweis University, Medical College Faculty and graduated as a health visitor. To put my academic knowledge into practice I worked as a school nurse in 3 different schools. It was an enjoyable experince but only to realize that I was more interested to do something with elderly people and move away from children. I decided to move to England and started to work as a home care worker first, but rapidly I was promoted to a field care supervisor and aft er that to a care coordinator. Working for different care companies in different cities was a valuable and great experience where I learnt how to improve my leadership and management’s skills and also to put my academic knowledge in practice. I always was looking to improve the company and bring innovative ideas to my role and complete my work to a high standard. I currently work as a care coordinator, which incolves human resource management, arranging and coordinating training, dealing with social workers and other health care professionals on a daily basis. I manage around 60 home care workers in terms of their compliancy and adequate training. I completed National Vocational Qualification in Health and Social Care Level 3 only to realize that I would like to study more and broaden my leadership skills in this area. Working in a senior team gives me a great satisfaction , where I can show my effective communication and organisation skills ad good working relationships. During my spare time I mainly like to read books, travel to other countries to explore different cultures. I also go to the gym to keep myself fit. I also attended a various events related to self development and self-management. This helps to increase my confidence and also gives me great oppurtunities to meet like-minded people. I feel that university is definitely the right path for me. I always work extremely hard to achieve my best, a feat which I intend to carry on throughout my university years. I believe I have the necessary skills needed to enjoy university to the full and also be successful in future years. In addition I would also like to go to university to develop my management and leadership skills even further so I can gain a valuable and rewarding, higher position in health and social care sector and lead that senior team to an absolute success.

Friday, November 8, 2019

Korean War MiG-15 Communist Jet Fighter

Korean War MiG-15 Communist Jet Fighter In the immediate wake of World War II, the Soviet Union captured a wealth of German jet engine and aeronautical research. Utilizing this, they produced their first practical jet fighter, the MiG-9, in early 1946. While capable, this aircraft lacked the top speed of the standard American jets of the day, such as the P-80 Shooting Star. Though MiG-9 was operational, Russian designers continued to have issues perfecting the German HeS-011 axial-flow jet engine. As a result, airframe designs produced by Artem Mikoyan and Mikhail Gurevichs design bureau began to outpace the ability to produce engines to power them. While the Soviets struggled with developing jet engines, the British had created advanced centrifugal flow engines. In 1946, Soviet aviation minister Mikhail Khrunichev and aircraft designer Alexander Yakovlev approached Premier Joseph Stalin with the suggestion of buying several British jet engines. Though not believing that the British would part with such advanced technology, Stalin gave them permission to contact London. Much to their surprise, the new Labour government of Clement Atlee, which was friendlier towards the Soviets, agreed to the sale of several Rolls-Royce Nene engines along with a licensing agreement for overseas production. Bringing the engines to the Soviet Union, engine designer Vladimir Klimov immediately began reverse-engineering the design. The result was the Klimov RD-45. With the engine issue effectively resolved, the Council of Ministers issued decree #493-192 on April 15, 1947, calling for two prototypes for a new jet fighter. Design time was limited as the decree called for test flights in December. Due to the limited time allowed, designers at MiG elected to use the MiG-9 as a starting point. Modifying the aircraft to include swept wings and a redesigned tail, they soon produced the I-310. Possessing a clean appearance, the I-310 was capable of 650 mph and defeated the Lavochkin La-168 in trials. Re-designated the MiG-15, the first production aircraft flew December 31, 1948. Entering service in 1949, it was given the NATO reporting name Fagot. Principally intended for intercepting American bombers, such as the B-29 Superfortress, the MiG-15 was equipped with two 23 mm cannon and one 37 mm cannon. MiG-15 Operational History The first upgrade to the aircraft came in 1950, with the arrival of the MiG-15bis. While the aircraft contained numerous minor improvements, it also possessed the new Klimov VK-1 engine and external hardpoints for rockets and bombs. Widely exported, the Soviet Union provided the new aircraft to the Peoples Republic of China. First seeing combat at the end of the Chinese Civil War, the MiG-15 was flown by Soviet pilots from the 50th IAD. The aircraft scored its first kill on April 28, 1950, when one downed a Nationalist Chinese P-38 Lightning. With the outbreak of the Korean War in June 1950, the North Koreans began operations flying a variety of piston-engine fighters. These were soon swept from the sky by American jets and B-29 formations began a systematic aerial campaign against the North Koreans. With the Chinese entry into the conflict, the MiG-15 began to appear in the skies over Korea. Quickly proving superior to straight-wing American jets such as the F-80 and F-84 Thunderjet, the MiG-15 temporarily gave the Chinese the advantage in the air and ultimately forced United Nations forces to halt daylight bombing. MiG Alley The MiG-15s arrival compelled the US Air Force to begin deploying the new F-86 Sabre to Korea. Arriving on the scene, the Sabre restored balance to the air war. In comparison, the F-86 could out dive and out turn the MiG-15, but was inferior in rate of climb, ceiling, and acceleration. Though the Sabre was a more stable gun platform, the MiG-15s all-cannon armament was more effective than the American aircrafts six .50 cal. machine guns. In addition, the MiG benefited from the rugged construction typical of Russian aircraft which made it difficult to bring down. The most famous engagements involving the MiG-15 and F-86 occurred over northwestern North Korea in an area known a MiG Alley. In this area, Sabres and MiGs frequently dueled, making it the birthplace of jet vs. jet aerial combat. Throughout the conflict, many MiG-15s were covertly flown by experienced Soviet pilots. When encountering American opposition, these pilots often were evenly matched. As many of the American pilots were veterans of World War II, they tended to have the upper hand when facing MiGs flown by North Korean or Chinese pilots. Later Years Eager to inspect the MiG-15, the United States offered a bounty of $100,000 to any enemy pilot who defected with an aircraft. This offer was taken up by Lieutenant No Kum-Sok who defected on November 21, 1953. At the end of the war, the US Air Force claimed a kill ratio of around 10 to 1 for MiG-Sabre battles. Recent research has challenged this and suggested that the ratio was much lower. In the years after Korea, the MiG-15 equipped many of the Soviet Unions Warsaw Pact allies as well as numerous other countries around the world. Several MiG-15s flew with the Egyptian Air Force during the 1956 Suez Crisis, though their pilots were routinely beaten by the Israelis. The MiG-15 also saw extended service with the Peoples Republic of China under the designation J-2. These Chinese MiGs frequently skirmished with Republic of China aircraft around the Straits of Taiwan during the 1950s. Largely replaced in Soviet service by the MiG-17, the MiG-15 remained in many countries arsenals into the 1970s. Trainer versions of the aircraft continued to fly for another twenty to thirty years with some nations. MiG-15bis Specifications General Length:  33 ft. 2 in.Wingspan:  33 ft. 1 in.Height:  12 ft. 2 in.Wing Area:  221.74  sq. ft.Empty Weight:  7,900 lbs.Crew:  1 Performance Power Plant:  1 Ãâ€" Klimov VK-1 turbojetRange:  745 milesMax Speed:  668 mphCeiling:  50,850 ft. Armament 2 x NR-23 23mm cannons in lower left fuselage1 x Nudelman N-37 37 mm cannon in lower right fuselage2 x 220 lb. bombs, drop tanks, or unguided rockets on underwing hardpoints Selected Sources Warbird Alley: MiG-15Aviation History: MiG-15Military Factory: MiG-15 (Fagot)

Wednesday, November 6, 2019

Buying Wholesale Electronics

Buying Wholesale Electronics Free Online Research Papers Selling wholesale electronics might be a great business especially among young customers who love appliances. This is a certain fire way to earn money. Yet, you require to know how to purchase wholesale electronics inorder to raise you can get the best deal and healthy returns, so provide yourself with cognition and sense over decision making ablity for right selection . Presenting here are some useful tips for your absulote accuracy. It is favorable to buy locally in your own state than to buy overseas. Purchasing overseas has more disadvantages than benefits. For one, you require to pay for the shipping fee, which can be really huge if you purchase wholesale electronics from the overseas sides of the world. Also, other nations have their own quality and buyer regulations. You are not sure if they would meet your states own regulations. Finally, it takes a long span of time to ship products from different country than that of yours. So to save yourself from these worries, simply purchase being locally. Be suspicious of wholesalers who are dealing outdated or last years models of electronic products. Some companies sell their last year goods with old model products for a cheaper price just to dispose them because the newest and current merchandises have just been embarked to them by the producers of innovative electronics. The less told correct condition for this is closeout, not really wholesale. Closeout wares are usually less expensive than wholesale products. And unless you desire to trade old patterns of electronic appliances, you may want to bond to purchasing wholesale electronics. Acknowledge the specifications of the electronic products that you want to purchase. Wholesalers have not much cognition about this, so it all reckons on to you. Before you inspect any maker or fabricators, make sure that you have in your mind a list of goods you are looking for. Electronic gadgets must be shipped containing warranty. This way, you and your buyer are protected if the something suddenly went wrong with the product. Ask the wholesaler about warranty scheme or if they have some kind of undertakings or arrangements earlier you bargain their product Electronic gadgets must be shipped containing warranty. This way, you and your buyer are protected if the something suddenly went wrong with the product. Ask the wholesaler about warranty scheme or if they have some kind of undertakings or arrangements earlier you bargain their product Research Papers on Buying Wholesale ElectronicsRiordan Manufacturing Production PlanDefinition of Export QuotasMarketing of Lifeboy Soap A Unilever ProductIncorporating Risk and Uncertainty Factor in CapitalThe Effects of Illegal ImmigrationMoral and Ethical Issues in Hiring New EmployeesBionic Assembly System: A New Concept of SelfAnalysis of Ebay Expanding into AsiaPETSTEL analysis of IndiaTwilight of the UAW

Monday, November 4, 2019

Thompson v Oklahoma 1988 Essay Example | Topics and Well Written Essays - 500 words

Thompson v Oklahoma 1988 - Essay Example Even advocates of death penalty can hold that executing minors is wrong and undeserved. Most juvenile offenders have a history of bad and abusive childhoods and have not had the chance to make peace with their experiences or lead normal lives. They also do not have a sufficient understanding of death as minors tend to think of themselves as invincible. Therefore, a threat of capital punishment would not really deter juveniles from committing crimes. The government should instead focus on instigating changes is the society so that neighborhoods would turn up less violent individuals instead of imposing the most extreme punishment. Then there's the concept of justice and retribution to justify execution for juveniles. Minors do not fully understand the repercussions and seriousness of their acts, so they do not deserve this. The age, level of maturity, and childhood history should be taken into consideration when deciding a person's punishment. Those who argue the opposite strike me as too unsympathetic. Proponents for using capital punishment for minors maintain that even juveniles are capable of understanding the consequences of their actions and should therefore be held accountable for it.

Friday, November 1, 2019

The Invisible Man by Ralph Ellison Essay Example | Topics and Well Written Essays - 750 words

The Invisible Man by Ralph Ellison - Essay Example He is like the newborn child with total loss of memory, forgets his name, powerless to comprehend speech, and a formless identity. This birth involves no parents and he interacts with the doctors lonely. The narrator is rather ambushed by the arrogance of the medical science, and the doctors advise him to establish his own new identity, as he has no past now. The identity imposed on him in societal terms has ceased to exist. It is a new act in the drama of his life, which has no connections to the earlier acts. He is without any support and has lost connectivity. His suffering related to his identity has not ended and he is undergoing a new type of suffering, in view of the imposed inferiority complex. Since the narrator has lost the ability to speak, the doctors are unable to extract any information about his identity. In the absence of any documentary proof about the antecedents of the patient, the doctors arrive to their own conclusions based on their knowledge of racial history a nd racial stereotypes. As the narrator suffers the seizures of electric shock treatment, the doctors note sarcastically that black people have excellent rhythm. This derogatory comment is the barometer for the thinking level of the white doctors and how racist beliefs are ingrained in them. Lobotomy episode is significant as it creates two different personalities out of one individual. The narrator has lost forever his black identity established through the historical processes of several centuries. 2. Mary Rambo is a unique character and the narrator is fascinated by her neutral but unique societal disposition. In the dingy societal reactions that confronted him often, Mary Lambo is an exception. She treats him with utmost affections and provides him with food and shelter. Her humane quality of willing acceptance without any reservations fills hopes in the life of the narrator. Mary does