CRITICAL APPRAISAL OF A SYSTEMATIC REVIEW AND NARRATIVE...

CRITICAL APPRAISAL OF A SYSTEMATIC REVIEW AND NARRATIVE REVIEW RELATED TO COMPUTERISED PHYSICIAN ORDER ENTRY SYSTEM The author of this paper is a nurse educator working in an Intensive Care Unit (ICU) within the north-west region of England. For the purpose of this paper, the author has chosen a systematic review (SR) and a narrative review (NR) and aims to critically analyse these reviews using the Critical Appraisal Skills Programme (CASP) tool. The CASP tool has been developed by the Solutions for Public Health (SPH) (formerly known as Public Health Resources Unit), which is controlled by the National Health Service (NHS) (SPH, 2006). The tool is based on the guidelines formed by a group of clinicians at McMaster University, Canada†¦show more content†¦The author feels that using two different tools would increase the rigour of the appraisal and its relevance to practice. In the forthcoming sections of this essay, the author will attempt critically analyse the two papers using the CASP tool for SRs. Formulation of the research question Formulation of the research question guides the type of data collection for the study and states what the study will ‘hypothesise’ (Polit and Beck, 2010). The CASP tool acknowledges that clearly-focused research question will describe the population studied, the intervention given and the outcomes considered (SPH, 2006). The research question in the SR is clearly formulated. The population of patients studied were general and critically ill hospital patients, the intervention was a SR and outcome to be assessed was about the safety of the CPOE and clinical decision support systems or CDSS (CDSS is a computerised medication prescription system) based on hierarchy of outcome measures (kindly refer to table 2 of SR) within ICU settings. Likewise, in the NR, the population of patients studied were general and critically ill patients, the analysis was done via a NR and the purpose of the study was to assess the results of CPOE on clinical and surrogate outcomes in hospitalise d patients in both general and critical care settings. Based on this, the author acknowledges that the SR has adopted a narrow and more specific research question asShow MoreRelatedEvidence Based Practice Essay6286 Words   |  26 Pagesapproximately 17 hears to translate research findings into practice (if at all) • Without current best evidence, practice becomes rapidly out of date to the detriment of patients. • In order to keep up with the journals relevant to our practice, we need to review 19 articles a day, 365 days of the year!!! • Textbooks may be out of date by the time they are printed • Traditional continuing education conferences do not significannot ly improve clinical practice. • To advance our profession and enhance lifeRead MoreDeveloping a framework for critiquing health research5723 Words   |  23 Pagesthat are commonly used to critique qualitative research and then presents a single framework that addresses both research approaches. 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Hypertension Free Essays

Hypertension is also called high blood pressure. It is a condition where the blood is pumping harder around the body and the arteries have high blood pressure constantly. Arteriosclerosis is when the artery walls harden and the blood has to be pushed harder to get through the arteries. We will write a custom essay sample on Hypertension or any similar topic only for you Order Now How are they often related? These two conditions are related because when someone gets arteriosclerosis it will lead to getting hypertension. With the arterial walls hardening, the heart has to ump faster and harder to get the blood through causing the hypertension. Why is hypertension called the ‘silent killer? Hypertension is called the silent killer because most people do not get any symptoms and could eventually leads to stroke, heart attack, heart failure and kidney failure. Name three changes in your lifestyle that might help to prevent cardiovascular disease in old age. Three things I can do to prevent cardiovascular disease is; No smoking Having a healthy diet Exercising Undesirable clot formation can occur as a result of endothelial damage due to arteriosclerosis. How does the body form undesirable clots within intact blood vessels? Blood has three factors for it to clot. The three factors are; a hyperbolically state which means the blood can clot quickly because of increased platelets or thick blood due to hydration. Vessel incongruity, meaning there is a disruption in the smooth inner lining in the blood vessel. This can happen because of smoking or naturally due to bends and manipulation of blood vessels over a lifetime. The last thing blood needs to clot is blood stasis which is blood pooling and standing still. When blood is going through a vessel it is called a parabolic refill. This means that the blood in the middle of the vessel is moving the fastest and the blood on the walls is pretty much at a standstill. This will make the blood clot if it is hyperbolically, not moving, and is contact with a damaged vessel or rough surface. Activity 5. 2: At handover you are told a patient/client is cyanic. What would you expect to observe? Occasions is a sign of tissue hypoxia. Define what this means and name three conditions where this could occur: I would be observing my patient’s skin to see if there are any changes in the color. Occasions is where the skin turns a bluish or rupee color because the tissue near the skin is low on oxygen. Tissue hypoxia is one part of the body that is not getting anywhere near the correct amount of oxygen supply. Occasions is a late sign of hypoxia but is not always accurate. Three conditions where this could occur is emphysema, chronic bronchitis and can also lead to heart failure and death. Activity 5. 3: Describe the difference between a tracheotomy and endothelial intubations. A tracheotomy is a surgically made incision in the neck into the trachea. This hole is made because there is something blocking the airways. An endothelial intubations is a medical procedure where a tube gets inserted into the trachea through the mouth or nose. The difference between the two procedures is, a tracheotomy has a surgical incision and an intubations is being placed into the throat with no incisions. Activity 5. 4: Why will a patient who is anemic complain of shortness of breath? People with anemia are complaining of shortness of breath because the body is making fewer red blood cells. Because there is fewer red blood cells, there is fewer oxygen being carried around the body and also less carbon dioxide being removed, therefore causing the shortness of breath. Activity 5. 5: Paul is 15 years old, he has a known allergy to cashew nuts, but can eat all other types of nuts with no ill effect. He is eating a chocolate bar that contains mixed nuts. He complained of tingling around the mouth and lips, developed a rapid swelling of the face, and experienced difficulty breathing and inspiration, and within a few minutes had an audible wheeze on expiration. The initial diagnosis was asthma, but Paul was also treated for an allergic reaction. What type of allergic reaction is suspected? Paul is suspected of having nonphysical. Because of how difficult it is for Paul to breath this is also suspected. Nonphysical has a more severe effect on the lungs for people who have asthma. Why has this caused problems with breathing? When you have go into unpatriotic shock, your body will start showing signs within minutes. One sign is the throat swelling up. Due to the throat swelling up it would be quite difficult to breath already but with Paul having asthma, the lungs are being effected quite severely. Activity 6. 1 : Simon is 14 years old, admitted with severe abdominal pain and fever, diagnosed with severe appendicitis. If he is left untreated what would the result be? If you let appendicitis go untreated it will get worse and rupture, causing organ failure and possibly death. Activity 6. 2: Why does a lack of fiber in the diet encourage the formation of divestiture? Fiber helps prevent constipation. Having a lack of fiber in your diet means that stools will be a lot fuller and harder to pass, causing a strain in the bowel. Straining can cause increased pressure in the colon and this will encourage the formation of divestiture. Activity 6. 3: Explain why obstruction in the common bile duct causes interference with the congestion of some foods? The bile firstly goes into the liver and then gets broken down by bile salts. The bile is then on the Journey to the gall bladder, passing through the bile ducts. If there is a blockage in the bile ducts, all the bile stays in the liver and will not be able to reach the gall bladder which will then lead to the bile not reaching the small intestine and will not be able to be digested properly. Activity 6. 4: What nursing observations of their skin, faces and urine would support the diagnosis of an obstructed bile duct? Where would these observations be recorded? Observing the patient’s skin to see if it has gone yellow Induce) is a sign of an obstructed bile duct. Also looking at their urine to see if it is any darker or pale colored stools. These observations would be recorded in their progress notes. Also on fluid balance charts, bowel charts, urinalysis and care plans. Activity 9. 1: Explain why someone who is hemorrhaging. Ii has falling symptoms: blood pressure/volume will have a decreased urine output. (Refer to your Marine textbook and the chapter on the urinary system for a flow chart that will assist you to answer the question. ) When you are hemorrhaging you are losing a lot of blood and in a very short time. Because pressure has dropped, the kidneys are not getting enough blood pumped into them, this is causing the urine output to decrease. The fluid is going other places in the body instead of leaving through the urine. How to cite Hypertension, Papers Hypertension Free Essays

Critical Analysis of 1984 and Consumerism †MyAssignmenthelp.com

Question: Discuss about the Critical Analysis of 1984 and Consumerism. Answer: 1984 and Consumerism George was a socialist who fought for the Republicans in the Spanish war. In the process, he was wounded by a sniper bullet to the throat thus becoming disillusioned. He wrote 1984, as a form of futuristic-cautionary defined by mind control, anxiety, hatred, and cruelty. The Novel satirizes and warns us on the dangers of a totalitarian state. It depicts a society that has gone astray. Citizens are oppressed by the government through being denied freedom to choose and express themselves. Similarly, governments use lies and manipulation to control and stay in power. These factors constitute elements of consumerism. Consumerism plays a critical role in governance. Although it seems to make citizens happier, it makes them easier to control. Citizens are conditioned to like new things as propagated by people in authority. Similarly, they are encouraged to discard old ways of thinking. This is seen in how the society values new items even today.Therefore, this paper provides a critical ana lysis of how the novel 1984 represent consumerism and how W.B Yeates and Mark Slouka would criticize this form of consumerism. Oceania was the superstate where Winston Smith stayed.The ruling party subscribed to Ingsoc. This is a Newspeak neologism for English socialism. The citizens believed that the Big Brother, nominal leader, created a revolution by being a focal point in love, reverence, and fear. Similarly, the citizens used Newspeak (Orwell, Nineteen Eighty-Four, 1949). The structure of this language eliminated unorthodox social and political thoughts by withdrawing words used in their expression. One of the ways in which consumerism is presented by Orwell the endless war on a global scale. There is strong enemy between world powers.There are three nations; Oceania, Eastasia, and Eurasia. They all have an equal share of control on global resources (Flink, 2013). Orwell notes that the countries were fighting a warfare of limited aims through combatants who were not able to outdo each other. Further, they lacked a genuine reason for fighting each other. For example, Oceania was at war with Eurasia. The Oceania Party encouraged this using misleading slogans like War is Peace to make the citizens of Oceania believe that it was okay to be at war with other states. The perpetual warfare in the novel shows compromise for both individual and collective freedom. The Big Brother considered ignorance as strength. Therefore, any transgression against the party was seen and treated as a capital crime. As a result, what existed in Oceania is invisible ignorance where orthodoxy exists without people necessarily knowing that it does exist. Further, the Big Brothers worldview was upheld by people who have not been empowered to understand . The Society of Oceania was divided into three main categories; Inner Party, Outer Party, and Proles. The Inner Party was made up of a small group of people. On the other hand, the Outer Party had numerous and indoctrinated people. The Proles were kept from political control through being engaged in sports and entertainment. Those who seemed aware of any political problems were controlled using by the Police (Nourbakhsh, 2015).This ensured that the Ocean citizens continue to remain under the control and manipulation of governments that do not want them to prosper beyond control. Also, the Outer Party members were used to encourage ignorance among citizens. For example, Winston Smith worked in the Records Department of the Ministry of Truth (Orwell, Nineteen Eighty-Four, 1949). Here, his role was to revise historical records to be in alignment with the ever-changing stand of the Inner Party members. Also, he was charged with deleting references to unpersons-people who were killed by the state. Every aspect of Orwells fictional world was monitored by telescreens. These instruments also broadcast propaganda, announcements, and news. They kept a 24-hour surveillance (Inwood, 2013). Therefore, every move, word, facial expression and involuntary reaction is detected and investigated by the Big Brother.Orwell notes that everywhere Winston went, the party watched him using telescreens.He saw the face of the Partys omniscient leader referred as the Big Brother (Orwell, Politics and the English Language, 1968). Further, Orwell writes that the Party controls everything in Oceania. In fact, it was in the process of inventing the Newspeak language that would prevent rebellion through omission of worlds related to that field. The language of newspeak in 1984 presented impotent distortion of the English language. Orwell showed that there was a strong connection between the success of tyrannical government and the deterioration of English as a language. 1984 shows how Modern English, especially written, has become worse due to imitation which can be avoided when people commit time, will and energy to do so (Allan, 2012). He states that the decline of the English language has been caused by political and economic factors. Further, he states that the language, especially written, has been made ugly by factors like lack of precision, worn-out metaphors, inappropriate verbs, pretentious diction, meaningless words, vague phrases and staleness of imagery and bringing (Inwood, 2013). To bring the change he recommends the application of holistic approaches; not only professional writers (Susan, 2016). Moreover, he assures the audience that if everyone takes responsibility for correcting the Modern English language, then it will lead to political regeneration where language is unpretentious and unfashionable. The use and misuse of journalism in spreading propaganda showed some elements of consumerism. The media manipulated the people thus leading to loss of critical thinking, self-expression. This is shown when Winston Smith tries to start a journal. Orwell stated that Winston had been contemplating to start a journal for a while even though he knew it was wrong to do so (Isaac, 2015). He bought a journal, pen and some ink from some shop. It is clear that he wanted to note down something for himself or the society. Orwell notes that Winston hoped he could transfer what had been running in his head for so long. However, as soon as he began writing, he realized that he had spent so much time thinking about writing a journal without thinking about the content. This shows that he lost the power to express himself. Also, it shows lack of critical thinking (Cooper, 2014). Evidently, no one needs to write in Oceania because all the information is conveyed by telescreens (Flink, 2013). This dysto pic environment was created and encouraged by Big Brother to steer hate, misinformation, and misunderstandings. Further, the concept of double-thinking created by the Party members in 1984 enabled the forceful exercise of power. It is the ability to hold two contrary opinions at the same time and believe that they are both true. Orwell portrayed it as the ability by the Big Brother to control the thoughts of Oceania citizens by making them forget things done to them. Ultimately, Oceania citizens lost the power to form independent thoughts. Throughout the novel, Orwell has provided occurrences that can be deemed doublethink. For example, the partys four ministries; Plenty, Love, Peace and Truth. The Ministry of Plenty was in charge of overseeing shortage of resources. The Ministry of Peace declared and conducted war (Isaac, 2015). The Ministry of love issued punishments and torture while the Ministry of Truth spread propaganda and revised historical facts. Employees in the Ministry of Truth would falsely historical records. Then, they would believe and act according to the revised version. Similarly, when Oceania and Eurasia were at war with each other, the Party made them believe- from revisionist history- that this has always been the situation between the two of them (Allan, 2012). Doublethink can also be found in the three slogans of the Party; War is Peace, Ignorance is Strength and Freedom is Slavery.Apart from being a total contradiction, the statements were untrue (Slouka, 2009). Sadly, the citizens of Oceania were brainwashed to the point of not recognizing the difference. In 2009. Mark Slouka wrote an article, Dehumanized, to show the state of the American education and its effects on democracy and citizens freedom (Slouka, 2009). He talked about the unqualified triumph of particular ways of thinking or seeing the value (Orwell, Politics and the English Language, 1968). Further, he said that as arts and humanities were becoming marginalized, citizens were being taught on what to think instead of how to formulate their own worldview (Susan, 2016). Admittedly, what is taught in schools is a measure of what is valued in our society. Meaning, if our curriculum does not encourage critical thinking and self-expression, our children grow up lacking skills in the same (Thompson, 2015). Consequently, our society will be made up of people who are willing to take anything as the gospel truth. This is what was envisioned in 1984 by George Orwell and sadly, it is has been noted by current scholars as well. Orwells sentiments are similar to the lines of a poem, The Second Coming, by William Butler Yeates in 1919. The poem was first printed in The Dial in 1920. Yetaes used the Christian imagery on the second coming of Christ to enlighten people on the atmosphere of the post-war Europe where totalitarianism was prevalent (Chenoweth, 2010). Just like Orwell, Yeates used poetry to describe political turmoil characterized by chaotic and unpleasant beliefs (Yeats, 1920). The second coming described is not of the Messiah, but humanity. Although the Scripture paints a perfect picture of the second coming of Christ, Yeates showed the worry and instability to be experienced by future generations. Orwell affirms his worries by describing what the society had become in 1984. In conclusion, as much as Orwells novel was an exercise in futuristic imagination, it was a warning against a society and government that deny people the capacity for critical thinking, the creation of accurate information and authentic self-expression. Although what he wrote during his time seemed absurd to most people, current events in the society show no difference in the world George Orwell envisioned. He was right to show concern for the direction taken by the society since the problems are being experienced today. The contemporary society is facing a myriad of challenges among them being insecurity, civil conflicts, racism, corruption, terrorism, and neocolonialism. Further, there has been a clash between governments and citizen over the latters disagreement with the methods used by the state to exercise power. At the center of the conflict is the media which is being used to further exploitation and manipulation instead of bringing to light the evils done by governments. All these, are indications of the reality painted by George Orwell in 1984. Thus, there is a need to reassess the direction headed by the society and introduce a change that will bring freedom, favor critical thinking and advocate for truth. References Allan, K. (2012). Pragmatics in the English Lexicon. Cambridge: Cambridge University Press. Chenoweth, E. (2010). Democratic Competition and Terrorist Activity. The Journal of Politics , 16-30. Cooper, W. H. (2014). Free Trade Agreements: Impact on US trade and implications for US trade policy. Current politics and Economics of the United States, Canada, and Mexico , 425. Flink, A. (2013). Conducting research literature reviews: from the Internet to paper. Sage Publications . ID Mitchell, R. B. (2012). Concepcion and Preemption Under the Federal Arbitration Act. Penn State Yearbook of Arbitration and Mediation, Forthcoming. , 35-60. Inwood, D. A. (2013). Street naming and the politics of belonging: spatial injustices in the toponymic commemoration of Martin Luther King Jr. Social Cultural Geography , 211-233. Isaac, R. K. (2015). Every Utopia turns into dystopia.Tourism Management , 329-330. Martin, C. J. (2004). Reinventing welfare regimes employers and the implementation of active social policy Management. World Politics , 34-70. Nourbakhsh, I. R. (2015). The Coming Robot Dystopia. Foreign Aff , 23. Orwell, G. (1949). 1984. Orwell, G. (1968). Politics and the English Language. Slouka, M. (2009). Dehumanized. Harper's Magazine , 32-40. Susan, R. T. (2016). Coping with Grim Dystopia: A Re-Reading of The Fire-Dwellers. Studies in Literature and Language , 27-34. Thompson, C. (2015). Book Review: General Politics: Analysing Political Speeches: Rhetoric, Discourse, and Metaphor. 124-127. Yeats, W. B. (1920). The Second Coming. The Dial.

The Lord Of The Flies Essays - English-language Films, Allegory

The Lord Of The Flies William Golding uses much symbolism in his novel, The Lord of the Flies, to help readers gain a greater understanding of his message. He uses symbolism in three important areas: objects that have symbolic value as references to ideas, characters that symbolize important historical and religious people, and the setting which frames the conflicts on the island in comparison to the whole world. Objects are the first part of the story that are symbolic. Many objects in The Lord of the Flies have important symbolic value. The conch shell represents power and authority, and Ralph uses it to call for the boys to come to meetings. Whoever has the shell has the power to talk. The conch shows how people use objects to give power, like a crown, sceptre, or other thins that show who has power. We also learn that objects don't really give power when people choose not to obey it, like Ralph's conch. The pig's head, or Lord of the Flies, is an important object. To Jack it is a sacrifice for the beast. This object shows that people will make religions and rituals to control their world, even when what they think is not true. The Lord of the Flies is also a symbol of Satan, or the Devil. When Simon talked with the Lord of the Flies, he learned what the real evil was, which is the evil in people's hearts. The Lord of the Flies is a symbol of the things we make up to be the cause for evil, when those things aren't the real reason. The fire is a symbol of hope and rescue. When the fire was burning bright, it was because the boys were working hard to get rescued. When the fire burnt out, it was because many boys, like Jack, didn't care anymore about being rescued. In the end, the fire that got them rescued was not meant for rescue. It was there because Jack was burning down the island to kill Ralph. This shows us that we get things from luck instead of hard work. The objects in the story are used by characters that also have symbolism. The many different characters on the island are symbols of important people. They show how the real world is made up of people. Ralph is a good leader who cannot control bad people like Jack. Ralph is like Franklin Roosevelt before World War II who could not stop the war from breaking out. He also represents democracy, and is responsible. The boys wanted to do what they wanted, but Ralph couldn't stop them. Piggy represents educated people who give advice but nobody listens to them. Piggy was like Albert Einstein because people didn't care that he thought the atomic bomb was bad weapon. Simon was a symbol of Jesus Christ because he knew the truth about the beast, but the boys killed him when he came to tell them the truth. Jack was a symbol of Adolf Hitler. He was a crazy leader who killed many people because he wanted power. Like Hitler Jack was dictatorial and ignorant. Jack started his own tribe when they should stay with Ralph, and Jack killed Simon and didn't care. Roger is even worse than Jack, even though he isn't like that at the start. He is like Dr. Mengele who was Hitler's worker and did very bad operations on people, worse than Hitler. Roger is like this because he makes stick sharpened at both ends. All these people live in an island that is like the rest of the world. The setting of The Lord of the Flies is backdrop that makes it easy to see the boys' wickedness compared to the wickedness of the world and people in general. World War II is going on while the story happens. The parachuter, that the boys think is the beast, shows that they cannot get away from war, and they have war themselves later. Parts of the island are also important. The beach is important because it is where Simon dies, and also where the boys live. Castle Rock is important because this is where the tribe goes to live. It is very small, with no food or soft ground, but the boys still go there because they can defend it. They think they must fight the beast and other boys, but they really have nothing to be afraid of from the

7 things successful people do over the weekend

7 things successful people do over the weekend Perhaps you picture financially successful people jetting off to Ibiza for the weekend. Or maybe the truly accomplished spend their free time writing novels over Sunday brunch? Whatever your vision of success, the time the weekend offers is valuable to everyone- and some of us are definitely squandering it. Let’s explore a few simple ways you can spend the weekend time to become the best version of yourself. UnplugSuccessful people finish their tasks, then leave work behind. Stress from work can eat into your weekend if you let it, rendering the time useless. There’s nothing worse than an unfinished task gnawing at you or work emails reminding you what you need to do once Monday rolls around. If you set clear work-life boundaries, especially with your tasks and tech, it will result in fewer nuisances over the weekend and a better focus during actual work hours. Really, ask yourself- can’t this email wait until Monday?RestBelieve it or not, successful people do ha ve downtime. No one can run with all cylinders firing all the time; if you tried, you would burn out quickly. Successful people are good at scheduling themselves during the work day, which includes scheduling break time. Maximizing a successful weekend means taking that time to recover from the work week. Whether it’s in the form of meditation exercises, getting lost in a good book, or simply getting a couple good nights of sleep, prioritizing rest helps you recharge for the week to come.Challenge yourselfWhy not run the extra mile? Exercise is just as important for the mind as it is for the body. As with rest, you maximize your potential when your body and brain get a boost from physical fitness. But a successful person might take it up a notch beyond the stationary bike at the gym. They challenge themselves to go further: hike a mountain, train for a triathlon, take up kickboxing, or simply try something new they’ve never done before. When exercise is about striving towards a goal or making new discoveries, it fosters the kind of dynamism that make successful people excel.Develop other talentsSuccessful people can possess a laser-like focus on their goals, but highly successful people don’t just excel in their field; they likely have talents in other areas. Diversifying is not just for the financial portfolio. Art, music, or learning a foreign language helps you to challenge yourself mentally and to develop a healthier, balanced brain. The drive that helps you succeed can be used to help you find fulfillment and harness talent in other aspects of life.SavorOn the weekend, successful people make the most of their time- not by filling every second with action, but by enjoying what you can while you can. It’s the difference between savoring the flavor of coffee vs. guzzling it down like diesel fuel. Making the most of the seasons, getting outdoors, and enjoying family time are important ways to recharge over the weekend.Let the back- burner workSometimes your best ideas come to you when you’re not actively working. Innovation can be brewing in the back of your mind while you’re busy cultivating a life outside of work. Successful people are on the lookout for those ideas, ready to capture them- which means taking time away from the grind.Plan out the weekendSo how do you rest, challenge yourself, develop a new talent, unplug, and spend family time all in one weekend? It’s no secret that successful people plan out the hours of their work day to meet goals efficiently. Why wouldn’t they plan the weekend too? If you’re torn between weekend goals, planning recreational activities ahead of time helps you get the most out of the day. Just remember: the planning shouldn’t be stressful. The most successful weekend is the one you enjoy.

Battle Analysis for Bull Run

The battle itself was fought on July 21st, 1861, though the Union Army began executing its movements to Virginia almost a week prior. The Civil War divided the states in simple terms of a Union north and a Confederate south, with a couple undecided states in the middle. The President of the Union was Abraham Lincoln and the Confederate President was Jefferson Davis. Months prior to Bull Run President Lincoln had appointed Brigadier General Irwin McDowell to command the Army of Northeastern Virginia. McDowell was a Mexican-American War veteran and West Point graduate. The commander of the Confederate Army of the Potomac was Brigadier General P. G. T. Beauregard, who was dubbed â€Å"The Hero of Sumter. † He was also commended for valor in the Mexican-American war and like McDowell, a graduate of West Point. The two were classmates at one point. Only months after the start of the war at Fort Sumter, the Northern public pressed to march and capture the Confederate capital of Richmond, Virginia, which could bring an early end to the war. Against his better judgment, BG McDowell yielded to the political pressure and on July 16, 1861, the general departed Washington with the largest field army yet gathered on the North American continent. The Confederates found themselves at a disadvantage in mass initially, and BG McDowell wanted to keep that advantage. He ordered Union MG Robert Pattersons Army to engage BG Joseph Johnstons Army in the Shenandoah Valley, about 50 miles northwest of Manassas. The Union objective was to overwhelm the Confederate forces with a distraction flank attack to the right and a swift surprise flank to the left. With the reinforcements choked off, BG McDowell’s ambitious plan would put his Army in the Confederate capital by the end of the day. The Confederates, however, had been planning to attack the Union left, and if the attack had gone as planned it might have led to a clockwise rotation of the forces. Hundreds of excited spectators in horse-drawn carriages flocked from Washington D. C. to Manassas to watch what they thought to be a speedy Union Army defeat the Confederacy. Both the spectators and the Union Army would leave Bull Run in a hectic retreat back to Washington D. C. Each force had two Armies, one to the east and one to the west. For the Union, BG McDowell commanded the 36,000 Army of Northeastern Virginia Union troops in the east. MG Patterson commanded the 18,000 troops in the west. Within BG McDowell’s Army of five divisions there were several elements that consisted of: The 11th, 13th, 14th, 38th, and 69th New York, the 3rd, 4th, and 5th Maine, the 1st Minnesota, the 5th and 11th Massachusetts, the 1st Michigan, the 1st Vermont, the 2nd Wisconsin, with Griffin and Ricketts Artillery Brigades. BG Beauregard’s Confederate Army of the Potomac consisted of 21,000 troops in the east. BG Johnston’s four Brigades of 12,800 troops were in the Shenandoah Valley to the west and were critical reinforcements. BG Beauregard’s force of six Brigades consisted of: The 2nd, 4th, 5th, 8th, 18th, 27th, 33rd, and 49th Virginia, the Hampton Legion, the 6th North Carolina, the 7th Georgia, the 4th Alabama, Stuart’s Calvary, Elzey Regiment, Early Regiment, and the 7th and 8th South Carolina. The weapon technology used was fairly similar for both sides. Both the Union and Confederate Army relied on simple single-shot Pattern 1853 Enfield Muskets for their infantrymen. The revolvers used by the Union were mainly the new Colt Army Model 1860, and the Confederates preferred the older Colt 1851 Navy Revolver. A variety of bayonets were also an integral part of the infantrymans gear. Typically, these were socket or ring bayonets, intended to be attached to the end of the musket or rifle, and not wielded separately like a knife. The Confederate Calvary would also employ a Sabre, which was a long, lightweight single-edged slashing sword. Field Artillery also played an important role for both sides. The Union used 10-30 pound Parrott Rifles, 12 pound Napoleon smoothbores, 12 pound Howitzers, and 13 pound James Rifles. The Confederates had 6 pound guns, 6 pound rifles, 12 pound Howitzer, 10 pound Parrott Rifles, and 6 pound Cadet Guns. Both Generals had planned offensives. Much of the intelligence was concentrated on reporting the mass of the opposing forces rather than each other’s strategy. BG McDowell wanted a concentrated attack on the Confederate left flank, while BG Beauregard had planned to strike the Union left flank. From Washington D. C. the Union troops had marched southwest into Virginia, and it was at Centreville on July 20th, that BG McDowell decided to rest his weary, overheated troops and concentrate his forces. The same day, BG Johnston’s troops to the west in the Shenandoah Valley received word of the Union advances and they immediate slipped away to reinforce BG Beauregard. He never met MG Patterson’s forces. An hour after BG Johnston’s departure, MG Patterson wired BG McDowell saying he had managed to keep BG Johnston’s Army in the Shenandoah. Shortly after entering Centreville on the 20th, BG Tyler would disobey his orders and send his troops to attack the Confederate front along Bull Run. The attack was easily repulsed. With the Confederate troops dug in across the bank of Bull Run, and the majority of BG Beauregard’s force were behind them. The Union troops marched from Centreville at 0230 on July 21st. BG Tyler was ordered to initiate a diversion to the northwest at Stony Bridge at 0600. The diversion was quickly crushed by COL Evan’s Confederate forces and the feign fails. At 0830 the bayonets of McDowell’s flanking troops were spotted by one of COL Evan’s soldiers and he was warned of the Union plan to flank him. BG McDowell’s troops continued on to the left down bad roads, which would destroy his timeframe to ford Bull Run at Sudley Springs. COL Heinzelman’s Union division also missed the trail at Poplar Ford, and they were forced to stack up behind COL Hunter’s division also fording at Sudley Springs, further downstream. They arrived there at 0930, hours behind schedule.

Who are the Arabs Essay Example | Topics and Well Written Essays - 1000 words

Who are the Arabs - Essay Example Rodinson’s (1981) claim can therefore be valid for myriad reasons, foremost being their ‘Arab identity and their awareness of being Arab’ (p45). Rodinson’s definition of Arab is also important because it helps to give distinct identity to people who may be from other races but follow and identify with the fundamentals of Arabic culture and religion. As he elaborates that Egyptians and Lebanese Christians believe that they are Arabs by Arabian ideology (p7). Thus, ideological beliefs of Arabians have also evolved to encompass and bestow identity of Arab to non Islamic descendents who may not even speak Arabic. The criteria of following traits and traditions of Islam that broadly defines Arabic culture therefore becomes one of the vital ingredients for having an Arabic nationality. Halim Barakat (1993) also corroborates with broader description of Arab as defined by Rodinson. His asserts that Arab should contextualization become major factor while identifying Arabs. According to him, it allows one to ‘connect similarities as well as distinctive differences’ (p1). It incorporates the heterogeneity as well as plurality and helps one to assert one’s identity as an ‘Arab’. Indeed Barakat’s elicitation is hugely relevant as it emphasizes and recognizes the need for evolving civilization. The need to adapt to socio-religious and cultural paradigms become critical issues for evolving societies. For Arabs, it could be more logical because they cannot be confined within defined land or geographical area but the knowledge gained through religious ideologies and practice can certainly provide them with distinct identity of being ‘Arab’. ‘Arab’ has wide connotations and cannot be bound by linguistic or land. It is a conglomeration of people from different place having similar ideologies and beliefs. It is a ‘nationality’ within

Genetic diseases Essay Example | Topics and Well Written Essays - 250 words

Genetic diseases - Essay Example The latter mode of inheritance entails involvement of environmental factors besides multiple genes’ alterations in an individual’s body. For illustration, different genes that cause breast cancer where researchers have unveiled the presence of 6, 11, 13, 14, 15, 17, and 22 chromosomes besides environmental factors (Doak 10). Other multifactorial inheritance disorders include diabetes, obesity, cancer and arthritis (Doak 29). Single gene inheritance mainly emanates from mutation changes, which take place in the DNA sequence (Doak 10). Presently, there are no effective methods meant for the treatment of many genetic diseases affecting humanity globally, though medical practitioners can advocate for various prevention methods (Doak 29). This is due to their diverse complexities once they reach at an advanced stage. For example, breast cancer and diabetes where after they have reached at advanced stages, medical practitioners normally result to the application of their respective management practices. This is to length the patient’s lifespan, and it entails occasional gene therapies coupled with doctors advising relatives to offer the ailing person both the necessary material and moral assistance (Chantal & Farndon 550). Most of the gene therapies advocated by medical practitioners; their core purpose entails alleviating the patients’ severe pain. This is a short-term resolution meant to give patients the necessary comfort while still

About Time Essay Example for Free

About Time Essay When introducing his book, author Adam Frank tells us that he is setting out to â€Å"unfold the grandest conception of the universe we human beings have been able to imagine and explore. At the same time embracing our most intimate and most personal experience of the world — the very frame of human life. † â€Å"This book is about time, both cosmic and human. † For those interested in the complex journey of humanity through the cosmos, Frank does not fail in his quest to unravel the unique web of ‘time’ into a thread of understandable science. That is if you can take a partially solved puzzle and write a book that connects the proverbial dots of known science and cultural anthropology with the partially understood theories of cosmology and related sciences. Mission accomplished by Frank. Upon first receiving this book, I was hopeful that Frank would present the material of thousands of years of science in a unique and interesting way; setting his writing apart from the hundreds of other astronomy books I’ve read. See more: Strategic Management Process Essay Frank, being a seasoned writer and astrophysics professor, did not disappoint. Frank takes you on a conversational journey, filled with real life examples, both personal and historical, to share his view of some of the most multifarious ideas being considered in our galaxy today. The first few chapters are a review of compound science related to our galaxy, but Frank quickly dives into a discussion of how culture has been affected by the world around it. From there Frank draws a picture from intricate ideas and theories of how society fits in the larger puzzle of cosmology. All while focusing on the measurement of time. If you are looking to take your perspective of cosmology to a new and deeper level, allow Adam Frank to steal some of your time and read his book â€Å"About Time†. Frank will surely have you viewing your society, history, and clock in a whole new perspective. Not to mention putting you on the forefront of scientific theories and cultural progress being considered in the world of cosmology.

Biotechnology :: essays research papers

#1. a)  Ã‚  Ã‚  Ã‚  Ã‚  The Use of a Bacterial Plasmid to Clone and Sequence a Human Gene The process begins with restriction endonucleases scanning and binding to double-stranded DNA at specific base-pair sequences, the recognition sites, in a predictable manner. The restriction sites are usually 4 to 8 base pairs long and are characterized by the palindromic sequences, with both strands having the same sequence when read in opposite direction. After the restriction endonuclease binds, it starts to disrupt, using hydrolysis, the phosphodiester bonds between neighbor nucleotides, causing the H-bonds between base pairs in the cutting region to be broken. This cuts the original double-stranded DNA strand, producing two DNA fragments, which may differ for different restriction endonucleases, depending on where the phosphodiester bond is broken when cut by the endonuclease. This process can produce either blunt ends (where ends of the DNA fragment are fully paired with no overhangs), or sticky ends (where both DNA fragments have nucleotides lacking complementary bases and ove rhangs are produced). However, sticky ends are more useful for genetic engineering. The next step, gel electrophoresis, separates the gene that has been excised, from the unwanted fragments taking advantage of chemical and physical properties of DNA. The DNA fragments travel through gel as a result of charge passed through it causing the longer fragments to separate from shorter ones, which helps in identifying gene and makes it easier to cut it out from the gel. The DNA fragment with the desired gene is, therefore, excised and purified. The same restriction endonuclease, that is used to cut the original DNA strand, then splices this gene into a plasmid (small, circular DNA molecules found in bacteria). Because the plasmid and the foreign gene are cut by the same restriction endonuclease, the sticky ends formed, are complementary and anneal to each other forming H-bonds. The DNA ligase reforms the phosphodiester bonds, after which, the recombinant plasmid with the foreign DNA, is in troduced into the bacterial cell, in the process of transformation, and replicates to form clones (exact copies of itself). Overall, this technique of altering sequence of DNA molecules became very useful for many reasons, one of which is production of hormones. Hormones such as insulin and somatropin, were produced by inserting a gene into a plasmid, and became essential hormones in medical practice. In this process, the needed human genes were incorporated into plasmids and activated or inactivated when needed, using specific inducers for promoter regions.

The Difference Between the Lumiere Brothers and George Melies

Explain the main differences between the approach the Lumiere Brothers and George Melies had towards the potential of the very first cameras and projectors. Explain the impact of this difference for the history of narrative film. In 1895, two brothers, Auguste and Louis Lumiere invented a variation on Edison's Peephole Kinetoscope film camera on the behest of their father Antoine, who had seen Edison's effort on display in Paris a year earlier. They called it the Cinematographe and they duly patented it in February of that year.They began to make films with the Cinematographe and displayed them to private audiences. One member of such an audience was George Melies. He was immediately taken by the phenomenon and attempted to purchase the Cinematographe from the Lumiere brothers without success and so set about trying to invent one himself, which he did by 1896, the Kinetographe Robert-Houdin. He would later discard the bulky and noisy camera only a year later choosing instead to purch ase more advanced cameras that were made by none other than the Lumiere brothers amongst others.The Lumiere brothers’ style of filmmaking was to reflect daily life with common scenes such as a train arriving at the platform and passengers disembarking as seen in their first film in 1895, L’Arrivee d’un train en gare. Another was the depiction of hundreds of their father’s employees leaving the factory after a days work. This style depicting ‘actuality’, was filmed outdoors with just one long shot and very little if any camera movement. Also in keeping with their penchant for realism, no actors were used in their films. A particular highlight of the brothers first film was the angled shot of the train oming into the station which showed a beautiful perspective to the audience. It should be noted that the audience, far from being bored by such straightforward visual capturing, was excited just to see moving images for the first time and their e xcited reactions reflected this. George Melies on the other hand used his affinity with magic to try to recreate plots based on fantasy that included techniques that showed actors disappearing in a puff of smoke as in his film A Trip To The Moon. Melies experimented with film to tell a story or unfold a plot using actors and special effects.He would edit his scenes with jump cuts as well as using stop motion technique to great effect. All in an effort to tell a story via the mise en scene. Melies’ films were filmed in a studio setting with elaborate backdrops to match his elaborate plots. It is fair to say that Melies took filmmaking too another level in terms of technique. On the one hand we had the Lumiere brothers capturing reality and on the other hand you had Melies capturing fantasy. Clearly this separation of styles has impacted the history of narrative film.In 1903 Edwin S Porter’s The great Train Robbery was a film that included sophisticated camera work and e xcellent editing. This was the first film where scenes were not shot in order and were edited to enhance storyline and dramatic effect. There was also a cast of over 40 actors working to an actual script. Porter made the film while working as a Director and Producer at Edison’s East 21st Street Skylight Studio. In order to truly appreciate the impact Melies’ approach to filmmaking had on the history of narrative film, one would only have to look at the mergence of the great film studios in the years after he started making films. In particular Thomas Edison’s Motion Picture Patents Company and then Paramount Studios and Universal Studios and MGM – all of which began between 1896 and 1924. The emergence of these big studios dominated filmmaking and in so doing limited the reach of the independent filmmaker who was not attached to any of them. One could argue the style portrayed by the Lumiere brothers, that of a documentary, was being overshadowed by the m ore extravagant narrative style portrayed by George Melies, that was adopted by the big studios.Not until the US Supreme Court decision in 1948, did the grip of the big studios loosen on the film industry and allow smaller independent filmmakers a path back to the cinema and a wider audience. Whilst narrative film still has the lions share of the backing from big film studios across the world, filmmakers documenting reality have made their mark in the film industry with some of the most memorable films ever made and they have solidified their place and their audience thanks largely to the growing media, and in particular the emergence of the internet and the ability to ‘do it yourself’ successfully.

The One Minute Manager Reaction Paper Essay

The One Minute Manager provides a concise and simple method for planning, coaching and evaluating people for organizational and personal success. For many, the book sets forth the principles for productive relationships between a manager and his or her associates. There are three different methods portrayed that will help employers and employees find such a relationship. The first is One Minute Goal Setting. The second is One Minute Praising. Lastly, the book suggests One Minute Reprimands. With these work ethics in practice, a friendly, more productive work place results for everyone. These three ideas will help simplify life, increase productivity, reduce stress and help the reader find peace of mind. One minute goals, one minute praising and one minute reprimands are ideas that if used effectively can help to increase ones success in life. These are the three different methods in One Minute Manager. The first one is the one minute goal is about being aware of what is expected from the beginning. It is recorded on a single sheet of paper and should only take one minute to read it. It can help your staff to produce efficient results. The second step in one minute management is to catch people doing something right or the one minute praising. It hardly takes a minute for you to tell someone that he or she did a good job. One minute praisings include praising the people immediately, telling them what they did right, how you feel about it and encourage them to do more of the same. And the third one is the One minute reprimands are given as soon as an employee does something wrong. One minute reprimand has three parts. One: praise them for their usual good work and reliability. Two: point out the error and let them know it’s unacceptable. Three: Remind them how much they’re capable of, and that you value them. And once it’s over, it’s over. One minute reprimands are highly effective because the feedback is immediate, unlike the annual reviews where you are charged for things committed several weeks or months ago. This book has helped me to understand how to become a good leader and a manager in the future. It shown me that by setting attainable one minute goals will keep the business moving forward and by giving one minute praising’s when the job is done right will help the business move forward and keep moral up in the work place. Also that if the job was done wrong and the goal is not obtained  you must give the one minute reprimand to get back on track and once the reprimand is over it’s over. If I will be a manager on my own business or become as an HR Manager in an organization someday. I will use these skills that I have learned to make my business and workers as efficient as possible. I will use these lessons as the base of my management and all new managers that work for me will take a course on one minute managing. This will allow me and my employees to enjoy more success with less stress.

controlled Environment essays

controlled Environment essays What controlled environment did you spend time in? How long? When I graduated from High School I entered into the Merchant Marine Academy at Fort Schuyler in New York. From then until I was in my mid thirties I was involved with ocean liners, tankers and ships. For periods of one year at a time I would be on a ship traveling the world, making shipments and patrolling the seas. The controlled environment was both on the ship and in the academy. Once on the ship I had to obey the rules and morals taught to us in the academy. Was there an effort to separate you from your former identity? No not really. Contrary to the NAVY, ARMY or Marines our boot camp was less severe and did not include such physical conditioning. Our personalities were not changed because we were not in combat and did not have to learn to be a killing machine. What were the most important rules you had to follow? Besides not falling in the water, we had to obey almost everything our captain told us. Our captain was like our parents his wishes were our commands. The captain set the standards and the rules for us to follow. What were the least and less important rules you had to follow? There was a uniform but it was not very important that we followed it. As an officer we had to look respectable but usually the uniform requirements were not met. We also had a curfew but that was rarely followed and it was rare for a person to get into any trouble for breaking curfew. What were some of the make-dos the inmates made up for their deprivations with? Since there was no T.V. almost every night after dinner we held chess and checkers tournament. The games were fast paced and mostly just for fun, no money was ever wagered. We also drank a lot of beer when we were at sea for extended amounts of time. Which were accepted by the authorities and which were not? Well the chess tournaments everyone enjoyed and ...

Living experience of a person of another race Essay

Living experience of a person of another race - Essay Example Additionally the book brings out an aspect of female discrimination and how they were not given a position in the society. If I was born black and was in the shoe of the young black lady, I think my life would have been harder. People of color were discriminated more that the Asian, in fact, the Asians faced discrimination mainly because they were thought to be brighter than the white. Secondly, the white felt that Asians would take over. As much as all immigrants faced racial discrimination, the black people were more oppressed, because of the color and the fact that they were seen as illiterate hence considered inferior, especially the female. If I was in a colored skin, I would not have an opportunity to experience some opportunities because black women were not even give a chance by their community to have a profession. Unlike the Asian where the society encouraged their girls to study so that they can be able provide for their family financially. Asians also believed in a strong culture that emphasis on the connection between efforts and achievement. Being born black especially as women one was reduced to a state of enslavement working as a salve, nannies in their master homes and in fields. The pay was minuscule. Black people were victims of racism, chauvinism, and manipulation specially the black woman. Therefore, they had no voice in the society and the black men also did not give them the chance and considered them as inferior too, and their role was to look after their family. That is why in the book Bell narrated how it was sickening to have to do things to please his brother. This demoralized the young black girls since they did not have a role model in the society, neither were they give a chance to go to school. Furthermore, they did not have people to push them to acquire good education as the Asian. Most grew up knowing

LANGUAGE, POWER & IDENTITY Essay Example | Topics and Well Written Essays - 1500 words - 1

LANGUAGE, POWER & IDENTITY - Essay Example Furthermore, language convergence and membership of a person in groups are also determined based on the languages that they know (THOMAS And WAREING, 1999). Bi-lingual or Multi-lingual Having the ability to speak two differently languages fluently marks a bi-linguist, whereas the ability to speak more than one language fluently marks a person as being a multi-linguist. Being bi-lingual or multi-lingual can be and is often for a number of reason, but mostly the adoption of more than one language occurs more rapidly in the early childhood stage of a person’s life. Whether it is because of a competent and saturated job market, parents or grandparents belonging to different nationalities or because one has migrated elsewhere, the reasons for accounting to a person being a bi-linguist or multi-linguist are many. Influences on Social identity of a person who is multi-lingual In order to case study the influences, impacts and effects of language diversity on a person, it is important to understand some majorly important terms and influences that shape the changed personal identity of a person. ... Individuals of a specific speech community communicate more often with each other than with individuals outside their speech community and so there exist preference and speech community isolation, which is also termed as communicative isolation. This is influenced by social, cultural, economic or regional similarities or preferences. To understand the term community better, we can analyze that the family of an individual is also a community and there by the language with which they communicate will form a speech community too. Furthermore, speech community is also observed with friends or the employees of the work place. It is noted that the changes in accent, dialect, written Performa or the differences in the languages spoken by individuals also mark changes and developments of speech communities (AGER, MUSKENS And WRIGHT, 1993). The community in general may have a focused set of characteristics of a language being communicated or it can be also diffused with emergence of different widely varying set of characteristics. Code-switching An individual, who is well-versed in more than one language, often tends to change or switch languages while speaking. Either to stress on a specific word, to lay emphasis on the issue or to just make someone laugh or impress the other- the use and reason for code switching varies from person to person and situation to situation. Sometimes, it also occurs unknowingly (NORTON, 2000). Linguistic convergence The lexical, phrasal, verbal or grammatical borrowings or transfusions from one language to another is often termed as linguistic convergence i.e. the convergence or merger of more than one languages, accents or dialects into another. Sometimes it is

Musical Jersey Boys Assignment Example | Topics and Well Written Essays - 750 words

Musical Jersey Boys - Assignment Example The performance had its share of light and dark moments, where if on the one side these boys manage to carve out a space for themselves as astute and talented performers, yet, they are unable to get rid of the dark shadow of the mafia linkage and poverty that defined their urban background. The play encapsulates the life and times of the group, packaging and presenting it as a nostalgic remembrance of something moving and enrapturing. The show happened to be crisply fast paced, punctuated by more than ample moments of urban humor and laughter, which indeed imparted a tinge of lightness to an otherwise moving plot having its share of dark and grim moments. They much liberal exploitation of music made the play a much lighter and invigorating experience and the fast pace combined with a comparatively lighter tonality added to its overall appeal. The play allowed for an assemblage of perspectives, as it is narrated from the point of view of varied members of the Four Seasons group. This multiplicity of viewpoints is immaculately used in the play to weave the story of the ascendance of a group of four boys born and brought up amidst urban squalor and crime to the dizzying heights of fame, as they moved the hearts of millions of fans and music lovers. The struggle of these four boys justified by the success they achieved is movingly presented to the accompaniment of soundtracks from Frankie Valli and his band the Four Seasons. The hits like â€Å"Big Boys don’t cry†, ‘Dawn† and â€Å"Walk like a Man† imbued the theatre with a stimulating and palpitating sense of harmony, showcasing the golden hits that made these boys a rage amongst the music lovers of all ages and times. All the actors did do a remarkable job, bringing an emphatic and earnest charm to all the four characters that signified their appeal and immense following. One also does need to praise the musical abilities of most of the

Comparative International Accounting Essay Example | Topics and Well Written Essays - 3000 words

Comparative International Accounting - Essay Example ntal bodies to determine what taxes a business must pay; and occasionally by customers to determine the price to be paid when contracts call for cost-based payments. (Encyclopedia Britannica, 2007) The aim of this paper is to critically compare and contrast the accounting methods, structure and regulation in Canada with the UK including a critical and detail analysis of both current issues and academic literature surveyed relevant to the country. To begin we will talk briefly about the evolution of Accounting in both countries. According to Baylin et al (1996), Accounting standard setting in Canada has undergone a number of significant structural adjustments since the late 19th century. Following Canada’s emergence from its colonial status and due to the establishment of new trading partners, there was a change in the demand for accounting and the accounting standard setting process in Canada (Baylin et al, 1996). There have also been changes in the source of authority for standard setting, the range of interests were formally included in the standard setting process and changes in relative influence of technical versus political concerns. Canada continues to have one of the few private standard-setting processes in the world. (Baylin et al, 1996). No central source of accounting standards existed in Canada before 18646. Accounting standards were governed by common law. For example, the Dominium Insolvent Act was introduced in 1864 and was the first legislation to recognise the need for the regulation of accounting and the quality of financial information. (Baylin et al, 1996). Following this act, Canada witnessed the first real appearance of public accountants to act as â€Å"Official Assignees† for the handling of the affairs of estates, which were bankrupt. Foreign influences, government, and the internal needs of the early accounting firms drove the accounting profession, which was still at its infancy. (Baylin et al, 1996). As a result, the legal

The Slums And Shanties Problem In Sri Lanka

The Slums And Shanties Problem In Sri Lanka Slums including tenement gardens came into existence in Colombo with the expansion of export trade associated with the rubber boom after the Second World War. The character of Colombo changed in keeping with the new economic demands for warehousing, workers accommodation and the road network improvement. The city core became more congested and the city elite moved out into more spacious residential areas in the suburbs. The central part of Colombo became a predominantly low income residential area with many slums, and the northern and eastern parts of the city were occupied by shanties. Half of the population of Colombo has been living for many years in slums, shanties and other types of low income settlements. The 2001 survey carried out by the Colombo Municipal Council has identified a total of 77,612 families living in 1,614 low-income settlements in the city. Many of people in slums areas cannot afford the services provided by the formal sector because of their educational backgr ound. The slum-dwellers make their livelihood by working as garbage handlers, cleaners, street vendors and other as pickpockets, prostitutes and petty thieves of the migrant population to the main city and people who visit Colombo for various reasons. The informal sector, which is predominantly owned and run by the people in the low-income areas, provides the necessary services and goods needed by the majority of the city in parallel with the formal sector. POLICIES AND ACTIONS TAKEN TO IMPROVE SLUMS The government of Sri Lanka together with the respective local authorities has implemented several programmes for the improvement of slums and shanties in the city since early 1970s. A summary of these programmes is provided below. 1. Before 1970 Minimum Government Intervention No major government involvement in improving the livelihoods of urban poor and people managed their basic needs by themselves. 2. 1970 to 1977 Direct government intervention in preparing and implementing policies and programmes- Enactment of the Ceiling on Housing Property Law No. 01 of 1973 (CHP Law) Introduction of new policies and regulations ensuring the housing rights of urban poor and direct housing construction by government to meet the housing need of urban poor. 3. 1978 to 1994 The government started its interventions through a provider approach and gradually changed towards enabling approach in housing improvement. A number of programmes and initiatives were taken place. Establishment of the Urban Development Authority (UDA) Establishment of the National Housing Development Authority (NHDA) Establishment of the Common Amenities Board (CBA) Urban Basic Services Programme, 1978 1986 Slum and Shanty Improvement Programme, 1978- 1984 Hundred Thousand Houses Programme and One Million Houses Programme, 1978 1994 4. After 1994 In 1994, the Government appointed a Presidential Task Force on Urban Development Housing to make policy development which: Established a Real Estate Exchange Limited (REEL) programme under the Ministry of Housing, Construction and Urban Development Urban Renewal Programme implemented by the UDA/NHDA Urban Settlements Improvement Programme (USIP), JBIC/World Bank Funded Project Municipal Councilors Rs.1.5 Million Programme implemented by the Colombo MC 5. In 2010 The Urban Development Authority started to evict street vendors from capital city under supervision of Defense Minister and that program was hundred present completed. The Sri Lankan government is moving to speed up the military-supervised eviction of thousands of poor families who live in Colombos slums as part of the City of Colombo Development Plan to attract investors and tourists. Readings Mainstreaming Under-Served Urban Communities in Colombo, Sri Lanka by Marinne Dhakshike Wickrema Illinois Wesleyan University Bloomington, IL (1996) In general, slums may be characterized by inadequate access to water, sanitation and infrastructure compared to the rest of the city. Faced with a growing urban slum population during the 1980s, the Sri Lankan government pioneered the participatory approach and achieved widespread urban slum improvements by mobilizing community decision-making, conducting training workshops and providing small loans for on-site slum upgrading. The government played an intermediary role and attempted to incorporate slum dwellers into the mainstream of the economy and society. In spite of successive upgrading efforts, these residents remained marginalized in terms of city services, infrastructure and social mobility. The two main political parties are still linked to social welfare packages, especially subsidized housing for the urban poor. The political parties, with the support of semi-political institutions and other pressure groups in the society, started using the welfare system as a strong weapon in gaining political popularity and attacking the political opponents. Sri Lanka Freedom Party (SLFP) promise to provide houses suitable to live in for everybody and the United National Party (UNP) which ruled Sri Lanka for 17 years before the SLFP came to power in 1994, states in its election manifesto in 2005 that they will work towards giving a house to every Sri Lankan, will encourage house ownership and will erase outstanding housing loans. Experiences The Hundred Thousand Houses Program In 1984, the Government initiated the Million Houses Program (MHP). The National Housing Development Authority (NHDA) was charged with leading the massive nationwide program. The program consisted of six sub-Programs. Fifty thousand houses were built in rural areas through the aided self-help method. Another thirty thousand houses were built in urban areas through direct construction by the private sector. The remaining portion of houses targeted the urban poor in Colombo through a slum and shanty upgrading. The urban sub-Programme, consisting of about 300 housing projects in 51 local authority areas, was launched in 1985. The MHP was notable because the government completely institutionalized enabling mechanisms through a national policy that encouraged local government, community organizations and the beneficiary households to make decisions regarding housing improvements. Sri Lanka won the World Habitat Award for the Million Houses Programme in 1987. The Million Houses Program is frequently listed in the literature as a successful example of institutionalized national policy where the Government facilitated housing construction and self-help upgrading by decentralizing decision-making to the community through community action planning (CAP) which was pioneered in Sri Lanka. Finally, the Report stated as conclusion that the Hundred Thousand Houses Programme was objectively successful in improving the social lives of a selected group of slum dwellers. Participation of private financial institutions in social housing initiatives in Suriname Thesis Master of Public Administration Program in Governance 2008 2009 (MPA Intake III) by Marlon K. Powel The Government of Suriname committed itself to ensure that the needy households are guaranteed affordable and appropriate housing. As part of its social policy, public houses were built and distributed as rental housing and hire purchase. The house shortage has increased during time because the production of houses has been structurally low and cannot meet the demand. The author focused on the partnership approach in social housing in Suriname and explore if a PPP between the Government and the private financial institutions is an appropriate mechanism to address the housing problem of the low and middleà ¢Ã¢â€š ¬Ã‚ income households more effectively. The author included as conclusion that Public Private Partnerships (PPPs) are not solution for the housing problem of the low and middleà ¢Ã¢â€š ¬Ã‚ income households in Suriname. He pointed out that there are no lands available for corporations that build social houses and contracting loans for social housing projects is very diffi cult. Also banks argue that the risks attached to these loans are too high. Low income households have very limited resources, are often not creditworthy, and have a low repayment capacity. The Government had failed to create a sound enabling environment for the actors in social housing.

Beta Pictoris: Planets? Life? Or What? :: essays research papers fc

BETA PICTORIS: PLANETS? LIFE? OR WHAT? JARA ASTRONOMY 102 SEC 013 The ultimate question is; Is there a possibility that life might exist on a planet in the Beta Pictoris system? First, one must ask, Are there planets in the Beta Pictoris system?. However, that question would be impossible to answer if one did not answer the most basic questions first; Where do planets come from? and do the key elements and situations, needed to form planets, exist in the Beta Pictoris system?. To understand where planets come from, one has to first look at where the planets in our solar system came from. Does or did our star, the sun, have a circumstellar disk around it? the answer is believed to be yes. Scientists believe that a newly formed star is immediately surrounded by a relatively dense cloud of gas and dust. In 1965, A. Poveda stated, â€Å"That new stars are likely to be obscured by this envelope of gas and dust (1).† In 1967, Davidson and Harwit agreed with Poveda and then termed this occurrence, the â€Å" cocoon nebula† (1). Other authors have referred to this occurrence as, a â€Å" placental nebula† (1), noting that it sustains the growth of planetary bodies. For a long time, even before there was the term cocoon nebula, planetary scientists knew that a cocoon nebula had surrounded the sun, long ago, in order for our solar system to form and take on their currents motions (1). In 1755, a German, named Immanuel Kant, reasoned that â€Å"gravity would make circumsolar cloud contract and that rotation would flatten it (1)." Thus, the cloud would assume the general shape of a rotating disk, explaining the fact that the planets, in our solar system, revolve in a disk-shaped distribution. This idea, about the disk-shaped nebula that was formed around the early sun, came to be known as the nebula hypothesis (1). Then, in 1796, a French mathematician named Laplace, proposed that the rotating disk continued to cool and contract, forming planetary bodies (1). Also, when investigating the evolution of stars, it was proposed â€Å"that a star forms as a central condensation in an extended nebula... The outer part remains behind as the cocoon nebula (1)† . During the same study it was also indicated that under various conditions such as: rotation, turbulence, etc. the nucleus of the forming star may divide into two or more bodies orbiting each other (1). This may be the explanation as to why more than half of all star systems are binary or multiple, rather than singles stars, like ours, the sun. This same fragmentation may also form bodies too small to become stars.

Mom Is Most Influential in My Life Essay

People have had someone to influence them in their lifetime at some time or another, but my biggest influence in my life is my mom. I can’t but admire my mom’s strength and her wisdom. I am a strong believer in the saying â€Å"like father†, â€Å"like son† goes with both genders, however, I do think that this is more a result of following example rather than a result genetics. It is common knowledge that not everyone is perfect, even heroes, and in realizing this I know. Although I wish to be like my mom in most ways I do not at all. This realization may be one of the most important things I have learned, my mom has taught me to be firm in my decisions in life, not solely on the examples and actions of others but simply on what I gather and learn from the examples and actions of others. In other words, she has taught me not to follow blindly but to make my own decisions based on what I think is important. The things I have learned and continue to learn from my mom are continuous; she has taught me all of the founding principles of my life and for that I am very thankful. Read more:  Admiration speech essay My mom has an enormous influence on me because she always encourages me to do my best, taught me to be a survivor and finally mom influences me by is always helping needy. People have had someone to influence them in their lifetime at some time or another, but my biggest influence in my life is my mom. I can’t but admire my mom’s strength and her wisdom. I am a strong believer in the saying â€Å"like father†, â€Å"like son† goes with both genders, however, I do think that this is more a result of following example rather than a result genetics. It is common knowledge that not everyone is perfect, even heroes, and in realizing this I know. Although I wish to be like my mom in most ways I do not at all. This realization may be one of the most important things I have learned, my mom has taught me to be firm in my decisions in life, not solely on the examples and actions of others but simply on what I gather and learn from the examples and actions of others. In other words, she has taught me not to follow blindly but to make my own decisions based on what I think is important. The things I have learned and continue to learn from my mom are continuous; she has taught me all of the founding principles of my life and for that I am very thankful.

Process Of Becoming A Radiology Professor Education Essay

Introduction I am a professor of radiology and I work in a university learning infirmary. My work is learning radiology classs for undergraduate and graduate student pupils, and developing occupants in our radiology section. The purpose of our radiology section is to be certain that the pupils will derive sufficient sum of cognition and accomplishments to be able to pattern clinical diagnosing and understanding imaging which is an built-in portion of patient direction. I am graduated since 1989 and I work in learning Radiology course of study for more than ten old ages, it ‘s interesting to look back but I will non get down from the beginning as this was many old ages ago and I will discourse what I do during instruction and reflect it for farther development. In our section, the instruction design alteration between learning basic scientific discipline such as radiological anatomy, pathology, radiobiology and radiological natural philosophies and learning radiologic imagination of assorted systems and the function of imaging in clinical direction. So I use different instruction methods which are suited to the intended acquisition results of our radiology course of study. These methods include formal talk to stress on basic scientific discipline elements, little groups learning ( like: instance survey, seminar, tutorial, conference and job based acquisition ) which is the standard instruction signifier for learning radiology course of study i n which we use different radiological images as a acquisition focal point, and clinical instruction for developing our occupants how to achieve different accomplishments of radiological scrutiny. I will concentrate my composing on job based acquisition ( PBL ) as an illustration of little group learning and on clinical instruction of radiological accomplishments.Problem based acquisitionWe apply job based acquisition as a instruction method in some parts of graduate student foundation programme ; I have a deep construct that PBL is an of import manner for learning radiology course of study due to the presence of radiological subspecialties of system based manner which is relevant to job based scheme. Barrows and Tamblyn1 suggest that â€Å" Problem-based acquisition can be defined best as the acquisition that consequences from the procedure of working towards the apprehension or declaration of a job † . Albanese and Mitchell2 provide another position â€Å" PBL at its most cardinal degree is an instructional method characterized by the usage of patient ‘s jobs as a context for pupils to larn problem-solving accomplishments and get cognition about the basic and clinical scientific discipline † . There is no individual construct about the theoretical footing of practising job based learning.3 Savin-Baden4 suggests different dimensions of job based acquisition and place that the best distinction in which the cognition, acquisition and the pupil function are manifested and conceptualized in the course of study. Self direct acquisition is an active procedure and high efficient attack for go oning medical instruction as the acquisition is based on the pupils old cognition, the new cognition and understanding which can be blended through the personal and professional context of the person.5 Spencer and Jordan6 suggested that in PBL, new cognition and understanding comes from working on the job while in traditional larning the new cognition is indispensable for working on the job. I agree with those writers and I follow self directed theory, as PBL is pupil centered larning I direct the pupils for ego acquisition and actuate them to increase their self assurance, besides I consider the old experience a utile resource for constructing more information through reading, all these make the scholar able to be confronted with many undertakings. The constructivism position of acquisition is concerned on the significance of apprehension is built up through a procedure include the specific cognition foundations and cognitive operation.7 Mayes and Freitas8 suggested that constructivism acquisition is based on cognition which must be constructed through accomplishing understanding to let pupils associate new experience to bing cognition. The constructivism is the other theory which I follow in job based acquisition by stressing on activation, constructing on old experience and prosecuting the current apprehension and the new experience through active relevant job and group interaction. With many seeking about job based acquisition, I found another construct which is illustrated by Norman and Schmidt9 who show that job based acquisition has relevant countries including: activation on anterior cognition, larning in context, amplification of cognition and fosterage of competency by utilizing speculative manner of larning. Sing the old construct, I have to concentrate more on those relevant countries which are needed for job based acquisition and are closely related to constructivism. Implanting job based larning without a prepared program about the environment of the acquisition including the function of the instructor, pupil group organisation, scenario development, making the resources and measuring pupils public presentation will take to confusion between the instructors and pupils without accomplishing PBL goals.3 First, I will analyse the function of instructor in our section, in the first meeting I apply the job scenario to the pupils which include radiological images related to the PBL object, full clinical history and related medical, surgical and pathological information. I do my best to promote all pupils to inquire inquiries which explain subjects of the scenario and steer the pupils towards developing larning aims. After spliting the undertakings on the pupils, I direct the pupils for the needed resource and assist them for research, besides I take attention about the clip allowed to the pupil ‘s research to be sufficient for their ego directed larning about the undertakings divided on them. In the 2nd meeting, the pupils return back after roll uping the needed information, I do my attempt to keep all pupils showing their new information, synthesis account and use the new acquired information into the job. As I am believing about my old public presentation, I find that sometimes I face some pupils who have loose bad attitude which cause dysfunctional group behaviours, so I have to take attention about cues which denote the disturbed behaviour inbetween the pupils, give chance to keep regular interpersonal kineticss and command the challenge degree of the pupils. In discoursing the function of the instructor as a facilitator in the tutorial of November 11 2010 ( group 2 ) , there is a argument about who is the best facilitator, I understand from it a new construct as some institute use a biomedical scientist with rich scientific discipline base as a facilitator non the clinician as they believe that the clinicians are n't really good facilitators as they may exaggerate the instance and intend to develop what they think. But in our section the radiological physician is the lone facilitator for PBL Sessionss as he about understand the radiological course of study and expected to hold facilitation accomplishments in his forte. With more deep position, I think we need more staff development to avoid troubles which may confront some of the staff in pull offing PBL Sessionss, so we have to trip our ego survey by reading more books and article about PBL direction, and use new facilitator to achieve many PBL Sessionss with another experient facilitat or. Newman3 showed that the tutorial procedure have a certain frame to let the development and pattern of cognitive and metacognitive accomplishments. There are many theoretical accounts of job based larning tutorial procedure that give greater ground tackle to observe spreads in cognition and autonomous acquisition program to achieve needful knowledge.10 When I begin a PBL session with a new scenario, I direct the pupils to research the job and analyse it to place what they do n't cognize, find which undertaking they will make and be engaged in ego directed research for cognition. At the 2nd meeting the pupils presents their new information that they have learnt from research, synthesis it and reflect this information on the procedure of acquisition. Venon and Blake11 identified that different job based acquisition showed that the feedback is limited. The feedback is related to the method by which the acquisition aims are classified between the students.3 In the tutorial of November 11 2010 ( group 2 ) in which Fred Pender was discoursing PBL, he explains the importance of PBL feedback as certain institute use four electronic equal appraisal feedback per twelvemonth and he considered peer appraisal is one of the of import transferable accomplishments which the pupils will derive during PBL, in which each pupil is able to advert the difference of other pupils attitude by giving comments about his equals to measure them with respect to their professional attitude. Sing to the old construct, we do n't use peer appraisal as an appraising method due to our limited experience about this method, but now I think we need equal preparation in peer appraisal schemes and our pupils have to larn how to execute peer appraisal to develop their accomplishments of self-appraisal. Benson etal12 suggested that for the betterment of communicating accomplishments and the development of coaction, it is best to do larning group within five and 10 members. In peculiar for keeping all pupils sharing and leting deep acquisition, in the last PBL session I divide the pupils into two groups, in each one eight pupils are involved alternatively of 16 pupils per session. In some theoretical accounts, the construction of PBL includes sharing a different pupil to ease the session. Newman3 argued that, as this reinforces the message that the pupils take the duty of acquisition and the map as a facilitator. Benson etal12 showed that when the pupils take the function of facilitator in a supporting environment, this will assist them to pattern and develop facilitation accomplishments. Looking at this construct from Benson etal position, I make the first test by using one pupil to be a chair of the group, at the start of the session the pupil chair reads the scenario and seek to promote other pupils under my supervising. Although this is the first test, I think it may actuate the group and give them more duty, but, I ca n't measure the benefit of this alteration for farther development. The job based acquisition scenario is referred to the content presented to the pupils. Evans13 stated that scenario should be written harmonizing to the class larning aims, it allows pupils to incorporate old cognition to their current cognition, encourage pupils to research the subjects through searching. Some PBL scenarios which I use in learning focused on coevals and reading of medical images like images of conventional radiology, computed imaging and magnetic resonance imagination, while other scenarios begin with simple and unfastened reappraisal of patient history followed by using more information in a consecutive manner about the diagnostic processs with several radiological images are attached to the scenario, besides sometimes we apply PBL scenarios which connect radiology to metabolic procedure by utilizing functional imagination.But in malice of the applied attempts to arouse pupil involvement and challenge, I found myself confronting of import point as during PBL learni ng there is small clip to cover basic cognition related to medical images like discoursing radiation safety and radiological natural philosophies, as most of the scenario focal point on utilizing radiological images as resources for reading. So I suppose using more job based acquisition scenario which is relevant to this topic ( like, how to look into a pregnant adult female with acute thorax hurting, as this will trip the pupil to derive necessary cognition about the consequence of radiation on the foetus and understanding the natural philosophies of different mode to get the better of this job ) . Although we apply PBL as an effectual instruction method in some parts of graduate student foundation programme but there are many practical accomplishments which are n't suited for PBL ( like, how to execute a radiological guided biopsy ) . So we have to promote our pupils to larn different practical radiological accomplishments in concurrence with other learning methods.Clinical instruction of radiological accomplishmentsSecond, I will concentrate my composing on clinical preparation of the occupants in Radiology section, Radiology differs from other fortes as trainees are working in a close apprenticeship with their supervisors for deriving cognition and accomplishments in their workplace until they can execute many processs harmonizing to their degree of residence preparation. During the occupants developing they will larn many practical and communicating accomplishments related to Radiology field. There are many theories which explain clinical instruction and preparation. In self finding, there are two primary sorts of motive: controlled motive which is brought by external force per unit area and independent motive in which the scholar has internal beliefs and interest.14 Harmonizing to self finding, our occupants spend most of their professional life-time in a specific radiological environment which is adapted to their demands as they will be motivated and interested when they become more adept in observing instances of losing diagnosing. With more deep position, I find that some of occupants with higher degree of residence preparation lose some of their motive once they move into independent pattern, so I have to take attention about keeping their internal motive by promoting their of import function in real-life pattern and actuating their feeling about the chance of doing a difference in the patient life. Kolb15 explained that larning occur in four phase rhythm and immediate experience is the base for observation and contemplation, besides he stated that for effectual larning the scholar needs four different sorts of abilities â€Å" concrete experience, brooding observation, abstract conceptualisation and active experimentation † . I follow experiential theory of kolb during occupants ‘ preparation as I involved the occupant for taking new experience ( like, go toing a session of chest x-ray reading ) , after that I guide him to detect and reflect these new experience from many positions by inquiring and believing about this new experience ( like, what this determination means, what the relation between it and other findings and if it is related to old instance findings ) , so the occupant Begin to make a construct that incorporate his observation and assisting him for naming chest X ray, after that he will be able to utilize this new applications for following thorax x- ray reading. Kolb15 suggested that experiential acquisition can get down at any of the four phases while the scholar rhythms continuously through these four phases. Following this construct, I will actuate the occupants to look in the literature and read new information ( like, reading about chest x-ray reading ) and discourse it with their colleges, to get down larning from the 3rd measure by understanding the general rules and so they will finish the rhythm. The Honey and Mumford larning manner stock list is based on Kolb ‘s learning rhythm and they identify four chief acquisition manners which are activist, reflector, theoretician and pragmatist.16 I believe that no 1 has individual preferable manner of acquisition, with following Kolb ‘s learning rhythm I found that when the occupant take a new experience he is in activist manner as he learn by engagement in an activity, but when he pass to the brooding phase he learn by reflecting and detecting on his experience, while when he get down the abstract conceptualisation phase he learn through theoretician manner by developing account of the implicit in grounds and constructs, and when he pass to the active experimentation phase he learn straight from his experience through pragmatist manner. With deep thought, I normally begin the acquisition rhythm by exposing the militant manner, but I have to direct the occupant to get down his larning at any measure of the learning rhythm as this will expose different acquisition manners which will suit him. Community of pattern emphasize on the importance of incorporating certain single in a professional community and the function of community in reinforcing and rectifying single practice.17 I follow community of pattern during my clinical instruction, as the occupant starts as an perceiver and bit by bit he becomes a participant in group activity, this occur when the occupant joins our radiology section and begins his preparation we allow him to take parts of work activity and by this manner he will get cognition and accomplishments and he will travel from legitimate peripheral participant into nucleus participant. But sometimes I find some occupants lose their involvement emmet attempt to get away from group engagement so I have to follow these occupants and apply uninterrupted encouragement to them to increase their enthusiasm and better their engagement. Ramani and Leinster16 stated that clinical instruction must present cognition and acquisition of accomplishments to the scholar and they emphasis the phases in which the scholar base on balls from unskilled to skilled which Begin by consciousness, acquisition so development and terminal by amplification. I follow the old stairss during developing the occupants, for illustration, when I teach the occupant how to make Ba survey, at first I aware the occupants about the importance of these scrutiny through active treatment as this help them in observing their spreads in cognition, so I begin to present the new information either in the tutorial, during discoursing Ba images or during executing the Ba scrutiny. Gradually the new cognition will develop and the occupants will execute the process. I normally follow my occupants during executing the process to be certain that they will come on good and for uninterrupted betterment. With respects to my public presentation, I think that my of import function is how reassign the occupant from witting incompetent phase to witting competent phase, I normally allow the occupant to inquire any inquiry and I help him for ego survey, mentoring him and follow his advancement until he can make the accomplishment, and bit by bit with more pattern and follow up the occupant will reassign into unconscious competent phase as he can execute the accomplishment without witting. But I find that some older occupants fall into unconscious unqualified phase, so I have to take attention about the occupants ‘ public presentation in all survey old ages by forcing them to continuous ego survey for more mature pattern. Understanding the psychomotor learning rules is necessary for learning clinical accomplishments, these rules are based on Taxonomy of the psychomotor sphere which are conceptualisation, visual image, verbalisation, pattern, rectification, skill command and accomplishment autonomy.18 I was believing that I follow the old rules during clinical preparation of the occupant, as at the beginning of the preparation, I perform the scrutiny in forepart of the occupant while explicating what I do and let him to inquire inquiries, after that I perform the accomplishments several times while the resident provide account about what I do and I provide rectification for any misinterpretation until I become satisfied that the resident full understand the accomplishment, so I allow the occupant to execute the scrutiny under my supervising while he describe each measure before it is taken. But when I look about my old public presentation, I find that I miss an of import phase as I do n't show the prac tical accomplishment without account and I run through this phase rapidly in malice of its importance. So I have to take attention of this measure and get down my clinical instruction by executing the process with no remark to let the occupant observe the stairss of the process which is of import for ocular scholar. Besides for suiting different acquisition manners I have to increase the resident-patient interaction as patient-centered instruction maintain the attack for visual- audile – kinaesthetic learning manner of the scholar through detecting the patient, analyzing him and transporting out radiological processs. Barrows19 defined fake patients as a â€Å" normal individual who has been carefully coached to accurately portray a specific patient when given the history and physical scrutiny † . I gain a important information about fake patient from the tutorial of October 28 2010 ( group 5a ) in which some colleges emphasize on utilizing fake patients in their infirmary after taking a specific session for developing under academic staff supervising to larn them how simulate different medical status. We do n't use utilizing fake patients during clinical instruction, but I think we have to be after to use fake patients in learning non invasive process like how to execute ultrasound scrutiny as this may ease the occupant to derive experience from normal ultrasound scrutiny before they proceed to the existent patients. There are great grounds for positive consequence of communicating accomplishments preparation, this decision is based on big figure of surveies which show that a different group of medical pupils improved their ability of questioning efficaciousness and deriving information from the patients.20 I have a construct that the relation between the radiotherapist and the patient who will undergo radiological imagination scrutiny is different from that of other clinical specializer, so for radiotherapist, larning communicating accomplishments is necessary to observe patient ‘s complain and taking attention of patient when they come for imaging. Besides I think that there is no argument about the effectivity of communicating accomplishments but existent job is how to reassign such accomplishments to the occupant through day-to-day pattern. Aspegren20 concluded that experiential methods of larning are more effectual than instructional methods. In the imagination room I become in direct contact with the patient, this relation may happen one clip or may be intermittent over long clip. I set up this relation by inquiring the patient why he is showing to the survey, discourse the process before executing it, keeping scrutiny distractions and eventually I discuss the consequences of the scrutiny to the patient. I take attention about every measure I do as the occupant will larn from my behaviour the high points of radiologist patient interaction in the radiology imaging room during these meetings. There are seven indispensable communicating accomplishments which are: â€Å" constructing the doctor-patient relationship, open the treatment, gather information, understanding the patient ‘s position, portion information, reach an understanding on job and program and supply closing † .21 As it is clear that equal patient-centered relation between the physician and patient will heighten the quality of the patient attention I normally try to keep a clear patient-centered environment. First, I respect the patient confidentiality and I avoid taking the patient history, discoursing the scrutiny or doing the process in a busy room as the scrutiny room must be safe and comfort. When I see the patient at the first clip I greet him by his name and warm smiling, I spend few proceedingss in looking to the patient with close eyes contact and stress to him that the consequences of scrutiny are wholly confidential. I ne'er rush the patient into the scrutiny and I take my clip in acq uiring the patient history, discoursing the stairss of the scrutiny and replying any obscure inquiry for him. Beck etal22 execute a systematic reappraisal of surveies of GP-patients interactions to mensurate specific behaviours faithfully and supply grounds of their influence on patients results, they found 14 surveies of verbal and eight surveies of non-verbal communicating which had an consequence on patient results. I agree with the writers about the importance of verbal phrases and organic structure linguistic communications, as I normally use verbs which evoke empathy, support, reassurance, account and sometimes wit and courtesy, but I change my verbal linguistic communication when my patient is a kid as the words which I use with kids must related to cognitive degree of the kid. I remember a old bad communicating, in which I was executing endovenous urography scrutiny to a immature kid, while I asked the kid to make full his vesica like a balloon he become so hard-pressed as he believe his vesica will detonate. After this clip, I make a frame of mentions which are easy understood by th e kid. Many observations show that there is no individual communicating accomplishment but different facet of patient and physician interaction demand to be learnt.20 Many radiological processs distress the patients like executing radiologic guided interventional processs, with this patient I direct him during explicating the scrutiny and depict the feeling and esthesis of what he might experience, this is what I think it may better the patient hurt along the processs, but I need more betterment in my communicating attack as I do n't take uninterrupted patient feedback or peer group feedback to measure my public presentation with the patients. So I have to turn out my communicating accomplishments by thoughtful contemplation from revising patient and peer feedback, and taking more classs in communicating accomplishments. Miller 23 suggested a celebrated pyramid for appraisal of scholar ‘s clinical competency, this pyramid is formed of four degree, at the lowest degree of the pyramid is knowledge ( knows ) , followed by competency degree ( knows how ) , so public presentation degree ( shows how ) and terminal by action ( does ) . In my construct, the ambitious function of the clinical instructor is how to measure the pupil public presentation at the highest degree of the pyramid in the workplace, in which the patient attention take the precedence and clinical instructor has to detect the occupants interaction with the patient. I normally observe the resident clinical accomplishment ‘s public presentation at the imagination room when he fix the patient for scrutiny, do the process under my supervising or make it independently, besides I take attention about the resident behaviour during patient interaction. After that I give my occupant a frequent feedback about his public presentation, whi ch is non judgmental, descriptive non give voicing feedback ( like ; when the patient was stating you about the site of her abdominal hurting, you are concentrated on ultrasound screen and you do n't look at her ) , besides I try to depict his behaviour which can be changed in little measures and promote any helpful cues he do. I try to be supportive to my occupant by avoiding unfavorable judgment signifier of the feedback which makes the occupant blamed or rejected. Sing my public presentation, I ever do my best for detecting and follow up the occupants and give them feedback about their public presentation, but in some occasions I hesitate in giving negative feedback to some occupants who view negative feedback as a personal onslaught and reject it. So I think that we must set up more positive acquisition environment in which errors are acknowledged and feedback is accepted, besides I have to assist the occupants to understand the benefits of effectual feedback as when they take insight about what they do either well or hapless, they know where they are in comparing to where they must to be and what they must make.