The Counterpane Essay Example

The Counterpane Essay The Counterpane: An Objective Perspective on the Relationship Between Ishmael and Queequeg In this essay I will be discussing the queer (peculiar) relationship of two characters from the novel, Moby Dick by Herman Melville. The two characters of focus are Ishmael, the main protagonist, and Queequeg, a harpooner that Ishmael encounters. I will examine the growth of their relationship since their meeting and study their interactions with one another as the story progresses. I will interpret the significance of their behavior using examples of imagery and tone used in the novel. In Moby Dick, by Herman Melville, Ishmael and Queequeg form a strong bond that develops over the course of their adventure. Their relationship is more intense than the average friendship between men. Quotes such as hearts honeymoon and cozy, loving pair suggest a sense of matrimony between them. Ishmael is shown to care for Queequeg a great deal. He became fearful for Queequegs well-being Get the axe! For Gods sake, run for the doctor, some one, while I pry it open! It is also apparent that Ishmael greatly admires Queequeg. He seems to be very interested in his muscular physique, reveling his brawny shoulder. I believe that by analyzing the imagery and tone of the novel, their relationship can be depicted as more than a common friendship. Ishmael and Queequegs relationship is more affectionate and emotional than a common male friendship, this can be seen through specific uses of imagery. At first Ishmael was hesitant to share a bed with the mysterious harpooner, but after much explanation Ishmael found that Queequeg was actually polite and kind man. We will write a custom essay sample on The Counterpane specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The Counterpane specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The Counterpane specifically for you FOR ONLY $16.38 $13.9/page Hire Writer There is then much less tension as they shared a bed. Ishmael describes how Queequegs arm was thrown over him in the most loving and affectionate anner and how he could have been mistaken for his wife. Thus, then, in our hearts honeymoon, lay I and Queequeg, a cozy, loving pair. This imagery gives the impression of a sort of matrimony between the two of them that is uncommon in men, especially at their age. As the story progresses it becomes apparent that Ishmael cares deeply for Queequeg and his well being. Get the axe! For Gods sake, run for the doctor, someone, while I pry it open! Ishmaels tone of desperation is evidence of genuinely caring about Queequeg. From that hour I clove to Queequeg ike a barnacle, this imagery shows how tightly Ishmael embraced Queequeg after he returned from the sea, having Just saved the bumpkin. watched as Queequeg was revealing his brawny shoulders through the freezing foam, and seemed to ogle the grand and glorious fellow. The descriptiveness of each detail shows how much attention Ishmael was paying to Queequegs muscular physique. When Ishmael refers to him as My brave Queequeg as he dives to rescue a crew member shows his admiration for Queequegs vigilance in the face of danger. Queequeg and Ishmael have grown to trust each other with their lives. l seemed to istinctively perceive that my own individuality was now merged in a Joint stick of two. Ishmaels tone signifies that he understands and accepts that Queequegs life is in hands. . we were bosom friends; he would gladly die for me, if the need should be. This shows Queequeg too, trusted Ishmael enough to put his life on the line for him. Ishmael and Queequeg have grown very close since their first encounter and have continued to support each other. Friendships like these are uncommon among men at their age. Their interactions, along with the tone and imagery of the novel suggest that in the end they are more than Just friends.

Enzyme Coursework essays

Enzyme Coursework essays Aim: In this experiment I hope to try and find the effect of surface area of Enzyme on the rate of an Enzyme controlled reaction. Enzymes have a globular structure and are formed of various different proteins which are constructed from amino acids. These contain residual chains. The amino acids are arranged in single chains connected by peptide bonds. The chains are moulded into a 3d shape. Enzymes are a catalyst in chemical reactions. A catalyst is a reactant in a chemical reaction that increases the rate at which the reaction occurs by lowering the activation energy required for a reaction to take place, however the enzymes remain unchanged. - Potato (white English Nadine Yorkshire, grown in 2005) - Set up apparatus as shown in diagram 1. - Measure out 8cm3 of Hydrogen Peroxide into boiling tube. - Fill measuring cylinder with water and hold upside down in water trough. - Place one end of delivery tube in measuring cylinder, making sure the end with the bung is left out to place over boiling tube. - Now the delivery tube is set up in the correct position to collect the oxygen gas, you can now use the corer to cut out a piece of potato (this equipment is set up before experiment starts to stop gas escaping). ...

Halifax Analysis Essay Example | Topics and Well Written Essays - 1500 words

Halifax Analysis - Essay Example The service delivery method deployed by Halifax is strongly related to the company's ability to promote and execute to customer needs through professional E-business at http://www.halifax.co.uk/home/index.shtml. This allows the bank to run literally twenty-four hours per day year round. The benefits of this service delivery are the continuity of service, however the detriment may be found in genuine customer service and person to person contact. The professional service deliver for online banking is in high demand. In the long run, there will always be demand for credit cards, mortgages business loans or insurance in one form or another. Financial services are the backbone of our economy and will continue to be for years to come (Davies 1992). Because diversified financials offer such a wide range of products, they are able position their companies to tap changing demand for different products (Davies 1992). World population is continuing to expand at an exponential rate. It is important for companies within the industry position themselves in developing countries to take advantage of exploding populations, especially in emerging countries (Davies 1992). The degree of customer interaction for online banking is low. ... Several online banks also offer 'click to chat' options which allow an online customer to 'chat' with a professional banker. This is not an option available with Halifax. ). Technological innovation has allowed financial companies to automate time and labour intensive processes and enhance their ability to match up borrowers and lenders, regardless of geographic location (Gardener 1988). While Halifax has reached several components of innovative technology by the development of 24-7 online banking, they are severely lacking in the degree of viable customer interactions. Degree of Service Customisation The degree of service customisation is relatively high. Halifax has developed specialised services through online banking for the purpose of gaining new customers and retaining current customers (McDonald 2002). In the degree of customised services, Halifax offers diverse and multiple professional banking services. Expectations are commonly defined as "beliefs about a product that serve as standards or reference points against which product [or service] performance is judged" (Zeithaml et al. 1993, p. 1). To this, Halifax responds by offering direct and easy to navigate professional services. There are icons for nearly all-banking needs that the customer can easily navigate based on their requirements. Halifax also boasts that it will assist the customer in 'switching' banks, which customises the professional service towards new customers. Nature of Service Act The nature of the professional service is strongly E-business The service side concentrates mainly on providing services to the customer. Halifax's customer care section plays an important role on deciding if the company and should be

Management Accounting & Activity Based Costing Essay

Management Accounting & Activity Based Costing - Essay Example production process encompasses various activities such as operation of machines, maintaining the machinery, as well as supervising the production process. Operators operate the machines; maintenance mechanics perform the machine set ups and maintain machines when molding and the supervisors provide supervision for the maintenance mechanics and machine operators. Other activities include building, administration and sales. The resources used include energy for the set-up and molding process by the molding machines. Machines consume 6.3KW of energy on an hourly basis. Also, other consumable shop supplies like lubricants and hoses form the major resources within the company. A cost driver refers to characteristics of events or activities which results in business incurring costs. Activity based costing have the products consuming activities and the activities consume the resources (Kallunki& Hanna 2008, p. 62-79). In the case study above, the production process has the number of orders and number of set up machines as the cost drivers.The Cost drivers for machine operation include the number of the operators and machines available. Machine maintenance cost drivers include the number of machines to be maintained and the number of technicians. The supervision cost drivers include the number of supervisors and number of people to supervise. Cost drivers for the building include insurance and rent costs. Number of machine hour in production may be used in calculating the rate of machine hour relating to repair, depreciation and maintenance processes. Also, the production process will have the number of inspections as the cost drivers. In making of the product, inspection for quality evaluation requires the appointment of experts who consume money in terms of salary, travel, electricity, as well as the depreciation of the equipment. The overheads may be calculated based on the number of tests. Each batch requires 4 tests, and suppose the available batches are 200,

Perceptual completion experiment Essay Example | Topics and Well Written Essays - 1000 words

Perceptual completion experiment - Essay Example There are other reasons too, like ‘cortical scotoma’. There have been numerous studies on the process of perceptual completion and various theories on how this process occurs have been put forward. The first person to notice the phenomenon of filling-in was the inventor of kaleidoscope, Sir David Brewster in the nineteenth century. In 1832, he wrote, â€Å"Though the base of the optic nerve is insensible to light that falls directly upon it, yet it has been made susceptible of receiving luminous impressions from the parts which surround it, and†¦the spot†¦in place of being black, has always the same color as the ground† (Crossland and Rubin, 2007). The phenomenon wasn’t studied for a long time until the twentieth century. In the recent times, however, this phenomenon has been largely studied using something called as ‘artificial scotomas’. V.S. Ramachandran and Richard Gregory developed â€Å"artificial scotoma†. In artificial scotoma, a small object such as a small dot is surrounded by a background noise. After steadily looking at the object for some time, the object vanishes in the background noise. (Pessoa & Weerd, 2003) But ‘filling in’ is not only influenced by the area around the blind spot. It is also influenced by attention and extended distance as shown by Ramachandran. If two orthogonal lines, one black and one white, of equal lengths, are running through the blind spot, you do not see a grayish smear at the centre. Instead, the line on which you focus more is more easily completed by perceptual completion. Now, if, one of the lines is longer, the line that is longer is more easily completed. (Pessoa & Weerd, 2003) Dennett, however, argues that there is no ‘filling-in’ but ‘finding out’. Dennett argues that our brain simply ignores the blind spot and there is no neural process involved in doing this. He further argues that if brain knows what

Radiation Induced Symptoms in Gynaecological Malignancies

Radiation Induced Symptoms in Gynaecological Malignancies CHAPTER I INTRODUCTION Cancer is a condition where a specific part of the body cells grow and reproduce uncontrollably .The Cancerous cells invade and destroy the surrounding healthy tissues , including organs .( National Health Service, 2005). Gynaecologic Cancers are the uncontrolled growth of cell and spread abnormally in the female reproductive organs, including the cervix , ovaries ,uterus , fallopian tubes, vagina and vulva .(American Cancer Society, 2004). Gynaecological cancer is the fourth most common type of cancer among women and annually it affects approximately 1 in 20 women. It is a frequent group of malignancies in women, which accounts approximately 18% of all female cancers Worldwide. The most common gynaecological cancers in women are cervical, endometrial and ovarian cancer, vaginal and vulvar cancers are rare. (Goker et al, 2004) Cervix, which is the lowest part of the uterus there the cervical cancer is starting. Where in Uterine or endometrial cancer it starts from the uterus. The uterus is a pear shaped organ in a women’s pelvis where the baby grows when a women becomes pregnant. Ovarian cancer begins in the Ovaries. Ovaries are located on each side of the uterus. Vaginal cancer starts in the vagina, which is a hollow organ, outside of the body and called birth canal and vulva is the outer part of the female genital organs that includes the inner and outer lips of the vagina, the clitoris, and the opening of the vagina and its glands where it starts cancer namely vulval cancer. (Kearney, 2006) Women are at risk for Gynecological Cancer, the risk factors include increasing age, strong family history, problems with gene mutation , multiple sex partners, exposure to hormones such estrogen pills ,exposure to diethylstilbestrol in the womb, viral infection such as human papilloma virus, life style factors such as smoking and overweight . (Gynecological Cancer foundation Women’s centre, 2002). National Health Service (2004) , reported that the symptoms of Gynecological Cancer depends on where the tumor is situated, the size of the tumor and how quickly it is growing. The symptoms include abnormal or persist vaginal bleeding, bleeding after menopause and bleeding after sex, unusual vaginal discharges, pelvic pain , pressure or discomfort in the abdomen, swelling of the abdomen, change in bowel or bladder habits, pain during sex, itching, burning or soreness ,lumps or warts like growth in the vulval area . Gynaecological cancer can be treated depending on the stage, type of the disease, the severity of symptoms and the women’s general health. Treatment mostly involves surgery to remove tumor by determining its stage. Radiotherapy, chemotherapy and hormonal therapy, may also be used to treat the Gynaecological cancers. (National Health Service, 2004). Cervical cancer accounted new cases for 493,000 and 273,000 will be dying, in which uterine cancer 199,000 new cases and death was 50,000. Considering the ovarian cancer 204,000 new cases and 125,000 deaths. Regarding vagina, valvul and choriocarcinoma together constituted 45,900 cases. Cervical cancer occurred 60% in the developing countries whereas in developed countries two thirds of is uterine cancer. (Sankarnarayanan and ferlay, 2006). Cervical cancer is the third most common gynaecological cancer in the USA and second most common cancer among women in worldwide. In Indian scenario annually, 132,000 new cases are diagnosed, and 74,000 deaths occur. The incidence rise during 30-34 years of age and peaks at 55-65 years with a median age of 38 years. It is mainly caused by HPV, multiple sex partners, use of contraceptive pills. The common signs are bleeding from the vagina before or after intercourse, pelvic pain during sex and Pap smear test used to diagnosis. The treatment options are surgery, chemotherapy and radiation therapy. (Karthikeyan, 2012). Endometrial cancer is the sixth most common malignancies among females in the worldwide and fourth most common cancer in developed countries with an estimated incidence of 288,000 new cases in the year of 2008. It occurs in the age group of 50 years with a median age group of 63 years. The risk factors are Obesity BMI (>30), long Lasting endogenous or exogenous, hyperestrogenism (polycystic ovary, tamoxifen therapy, an ovulation, null parity), hypertension. Hysterectomy surgery, radiation therapy both external and internal combined with chemotherapy are management for treating the endometrial cancer. (Colombo et al, 2006) Radiotherapy plays a key role in the treatment of patients with cancer in European countries. It is used for treating the palliative symptoms. Sometimes it may be combined with chemotherapy, surgery and hormone therapy for effective outcome. (Richardson, 2006). In the last century, radiation has been successfully used as primary and adjuvant treatment in the management of gynaecological malignancies .It is anticipated that the radiation therapy will continues as an integral component in the treatment of cervical, endometrial , vulvar, and vaginal carcinoma. (Bradley, 2006) Radiation therapy to any site in the pelvis can cause damage to many adjacent structures. The problems when treating pelvic areas include urinary problems such as pain or burning on mituration, increased frequency, and urgency of passing urine, incontinence or leakage and nocturia 23 % to 80%. Gastrointestinal effects such as nausea and vomiting, diarrhea and proctitis can occur as a result of the radiation therapy.86% of the women receiving pelvic radiation therapy have these symptoms. Sexuality and fertility problems frequently affect men and women following pelvic radiotherapy (Kearney, 2006). Advances in the treatment of gynecological cancer had extended the duration of survival of many patients. However ,these patients frequently experience a variety of treatment and disease related side effects that diminish their quality of life during and after treatment ; because of pain ,nausea and vomiting, anemia ,fatigue ,peripheral neuropathy ,emotional distress , and sexual dysfunction . Therefore, it is important to monitor the Quality of Life during the course of the disease and its treatment. (Wenzel, 2002). Gynaecological malignancies receiving radiation therapy, experience more symptoms like fatigue, nausea and vomiting, constipation, radiation cystitis and stomach upset. Therefore, it needs prompt identification and management. (Cancer.net.com, 2012). Barbara, (2004) reported more than 60% of all clients with cancer receive radiation therapy at some point during the course of disease. It can be used as a primary , adjuvant ,or palliative treatment modality . the radiation therapy is the only primary modality of treatment used to achieve local cure of the cancer .As the adjuvant radiation therapy can be used either pre -operative or post operative to aid in the destruction of cancer cells. Chemotherapy also can be combined with radiation therapy and is administered before the Radiation therapy close in order to potentiate the effects of radiation therapy and as a palliative treatment modality to relieve pain caused by obstruction , pathologic fractures, spinal cord compression and metastasis Rebecca (2011) reported that during 20th century nearly 60% of cancer patients received radiation therapy aimed at the specific area where the tumor was located. Radiation usually given daily 5 days per week for 5 to 8 weeks. Daily treatment lasts about 15 to 30 minutes. It may be delivered externally or internally. Those with cervical or endometrial cancer, receive both external and internal radiation therapy. Henry.et al (2008) carried out the study, which examine the prevalence side effects and related treatment burden among cancer patients receiving chemotherapy or radiotherapy. The study design was cross sectional survey, 63,949 cancer patients were included. Data were collected regarding type of cancer, time since diagnosis, side effects of treatment, visits, caregiver burden, missed workdays and socio demographic characteristics. The result of the study showed that the patient experienced side effects were fatigue (80%), pain (48%), and nausea and vomiting (48%).They concluded symptomatic experienced, reported by a patients is considerable time burden during treatment. It is important to consider supportive care strategies that may effectively reduce side effects and their associated treatment burden. NEED FOR THE STUDY Cancer is a group of disease characterized by uncontrolled cell growth and spread of abnormal cell. The uncontrolled growth damages or mutations occur in the DNA. In our world, more than 100 types of cancer are existing. It is classified according to the type of cell that is initially affected in the body such as squamous cell carcinoma, adenocarcinoma, and transitional cell carcinoma etc., (Yarbo.et al, 2005). Gynaecological cancers estimated surveillance in 2013 in which, those 91,730 women will be diagnosed and in which, 28,080 will die from her disease. About cervical cancer, 12,340 were new cases and 4,030 were estimated deaths. In uterine cancer, estimated new cases 49,560 and 8,190 deaths, regarding ovarian cancer 22,240 were new cases and 14,030 deaths occur and in Vaginal and Vulvar cancer 2, 890 found new cases and 840 deaths occur. (American cancer society, 2013). In India about more than 10 lakhs people are affected by cancer among them one third is dying every year. The incidence of cancer will be increased by five times in the year of 2025. In the year of 2012, more than 5.55 lakhs people have died due to cancer in India. (Indian council for Medical Research, 2012). Gynaecological Cancer is the cancer of the female reproductive system, which includes cervical cancer, endometrial or uterine cancer, ovarian cancer, vaginal cancer, vulvar cancer, other types include fallopian tube cancer and placenta cancer, primary peritoneal cancer. (Gynecological Cancer foundation Women’s centre, 2002). Cancer has become an important public health problem with over 800, 000 new cases occur every year in India. It is the one of the ten leading cause of death. The incidence estimated to be around 70-90 /100,000 population .Cancer registries have also highlighted that more than 80% of cancer in females occur in the age group of 35- 64. Nearly 1,500,000 people require facilities, treatment and follow up at given time. About 50 -60% of all cancers among women in India are related mainly to the four organs; namely, cervix, uteri (endometrial), corpus uteri and ovaries. (Uma Devi, 2009). Radiation therapy is an important therapeutic management for treating the Gynaecological malignancies. The evidence based treatment guidelines, epidemiologic analysis suggests that radiation therapy is indicated 60% for cervical cancer patients, 45%for endometrial cancer patients, 35% of vulvar cancer patients, 100% to the vaginal cancer patients, 5% of patients with ovarian cancer. (American cancer society, 2013) Radiotherapy is the one of the main treatment options for patients with cancer. One-half of all patients with cancer receive radiation therapy during the course of the disease. It can be administered from a variety of sources. It can be divided into those outside the body called external beam radiation or teletherapy and, those inside the body or close to the surface of the body is known as internal radiation or intra cavity radiation or brachytherapy . These patients have their special needs and using inclusive of the concept of holistic care. (Ramsharan Mehta, 2007). Women with gynecological malignancies undergoing radiation therapy on the pelvic area may affect more in physical and sexual wellbeing. Radiation side effects such as nausea and vomiting, diarrhea, constipation, fatigue, urinary problems and sexually depression. We nurses are the person in a position do the necessary assessment, identify the problems, and provide quality of care in order to relief from the symptoms. (Ram sharan Mehta, 2007) Dunberger Bergmark (2012) stated that majority of cancer patients treated for gynecological, rectal and anal cancer suffer from physical symptoms such as bowel problems, the urinary bladder and the genitals. They supported the nurses are important role in managing these side effects with rehabilitation programme. I have seen in my clinical posting many of the patients receiving radiation therapy for cancer treatment. In which, Woman who are undergoing radiation therapy for gynecological malignancy in that majority of them diagnosed as cervical and endometrial cancer. They have undergone both external and internal radiation therapy. However, during the course of the treatment they apparently faced many side effects from the radiation source in which it affect the overall quality of life and disrupt the daily activities. Most of the woman told mainly they have physical symptoms such as fatigue, nausea and vomiting, insomnia, anorexia, bowel incontinence, urinary problems, vaginal problems, and emotional upset. Therefore, they need to be addressed and provide the quality nursing care to reduce the symptoms experience. Nursing strategies implemented during the radiation therapy treatment help them to get rid of radiation-induced symptoms. Nurses are the experts in identifying the symptoms and pro viding best quality of care to relieve the symptom experienced by the patients. STATEMENT OF THE PROBLEM: A study to assess the Radiation Induced Symptoms and execution of Nursing Strategies among patients with Gynaecological Malignancies at KMCH, Coimbatore. OBJECTIVES: The objectives were to, assess the Radiation Induced Symptoms of patients with Gynaecological Malignancies. determine the effectiveness of Nursing Strategies on Radiation Induced Symptoms among patients with Gynaecological Malignancies. OPERATIONAL DEFINITION: Radiation Induced Symptoms: It refers to the symptoms, which include pain, fatigue, nausea and vomiting, loss of appetite, insomnia, diarrhea, abdominal cramps, urinary incontinence, urgency, and vaginal problems that will be assessed by radiation induced symptoms assessment questionnaire. Nursing Intervention: Independent and collaborative nursing measures will be taken and direct to manage the Radiation Induced Symptoms such as pain, fatigue, nausea and vomiting, diarrhea, abdominal cramps, urinary incontinence, urgency, vaginal problems and psychosexual problems. Radiation Therapy: Radiation therapy is the one of the cancer treatment strategies by using external and internal radiation therapy to kill the cancer producing cells in the body. Patients: Patients with gynaecological malignancies such as cervical cancer, uterine cancer (endometrial), who are undergoing radiation therapy. HYPOTHESIS: H1: There is a significant difference between radiation-induced symptoms before and after execution of nursing strategies. ASSUMPTIONS: Patients who receiving radiation therapy for gynaecological malignancies are developing radiation induced physical symptoms. Nursing strategies reduce the symptoms experience. CONCEPTUAL FRAMEWORK Conceptual framework act as a building block for the research study. The overall purpose is to make research finding meaningful and generalisable. It deals with abstractions that are assembled by virtue of their relevance to a common theme (Polit and Hungler). Conceptualizations are a process of forming ideals, which are utilized for the development of research design. It helps the researcher to know what data is to be collected and gives direction to an entire research process. It provides certain framework of reference for clinical practice and research. Nursing is complex field of study with a need for practical and hands- on training as well as knowledge of the theoretical and the historical basis. Conceptual framework for this study was developed based on Ernestine Wiedenbach’s clinical nursing practice. She proposed her theory in 1970. This theory helps the nurse to guide practice and identify activities to help the patient the situation. Elements of Nursing According to Wiedenbach, there are four essential components to the field of nursing: 1. Philosophy of nursing Philosophy of nursing includes the attitudes and beliefs about life, the nurse maintains and how these beliefs affect the reality. Philosophy leads the nurse to act in a certain way to improve the patient outcome. 2. Nursing purpose The purpose of nursing includes what a particular nurse wishes to accomplish through the profession and the activities that are directed to the overall good of the Patient. 3. Nursing Practice The practice of nursing involves identifying and administering the required needs of a patients and determining whether the actions were helpful to the patient. 4. Art of Nursing Wiedenbach encouraged nurses to see nursing as an art, which includes understanding whether those actions are helpful to the patient. Wiedenbach’s view of nursing as an art based on goal directed care. Wiedenbach’s vision of nursing closely parallels the assessment, implementation and evaluation of the nursing practice. According to wiedenbach, nursing practice consists of identifying a patient’s need for help, ministering the needed help and validating that the need for help was met. According to her factual and speculative knowledge, judgment and skills are necessary for effective nursing practice. `This theory consists of three factors: central purpose, prescription and realities. A nurse develops a prescription based on a central purpose and implements it according to the realities of the situation. According to wiedenbach’s central purpose is the overall goal towards which a nurse strives. Prescription refers to the plans of care for a patient. Realities refer to the physical, physiological, emotional and spiritual factors that come into play in a situation involving nursing actions. The attributes adopted in this study are, Central purpose: The central purpose of this study is to assess the radiation induced symptoms and execution of nursing strategies among patient with Gynaecological Malignancies. Prescription: The investigator plans the prescription that will fulfill the central purpose by identifying various needs to achieve the goal. Thus, the investigator prepared nursing strategies for symptoms such as pain, fatigue, nausea and vomiting, appetite loss, bowel problems, urinary problems and vaginal problems. Realities: The five realities identified by Wiedenbach are agent, recipient, goal, means and framework. Agent Investigator. Recipient Gynaecological patients receiving radiation therapy. Goal Reduces the symptom experience level and feel comfortable. Means Nursing strategies. Framework Radiation oncology department in KMCH. Identification: `This includes identification of radiation-induced symptoms, the need for nursing strategies and its effectiveness on the symptom experience among Gynaecological Malignancies patients. Ministration: Ministration refers to the administration of nursing strategies for reduce the radiation induced symptoms such as pain, fatigue, nausea and vomiting, nutritional imbalances, bowel problems, urinary problems and vaginal problems among patients with gynaecological malignancies. Validation: It concerns the evaluation of the effectiveness of nursing strategies on radiation-induced symptoms among patients with gynaecological malignancies. A positive outcome represents patients had markedly decreased symptoms experience.

korean war :: essays research papers

Korea was engaged in a civil war as an attempt to keep North Korea from thrusting its influence on South Korea. Communist Russia and China were strong supporters of the North, and to keep Communism contained the United States sent troops to the South. USA troops spent years fighting and dying for a country some had never heard of. The irony of this war is that no one really paid attention and its memory withered as well as the memory of the men who fought there. You may ask how this could’ve happened or how it all came about, and ,yes, there is an answer it just may be a little difficult to explain. Hence this war was known as the â€Å"forgotten war†. A cry rang out, June 24, 1950, from a small country half way around the world and America listened. Korea’s geographical realties affected the conduct of war at the strategic, the operational, and the tactical level. It’s strategic location made it a collision point for competing interests of major power throughout the world. As far as the actual land mass, Korea is a country no larger than the state of Kansas. All together, North and South Korea covers an area of 85,246 square miles, and only fifteen percent of that can be considered plains – these are mostly in the southern coastal regions. The United States could not allow its interests in East Asia, particularly Japan, to be placed in jeopardy. It was not the nation of Korea but its geographical location that prompted America to intervene in the war. (Sommers, 3-10)   Ã‚  Ã‚  Ã‚  Ã‚   The United Nations was greatly concerned with the war in Korea, but it did not have an army to send. Thus, the United States Army made up four fifths of the actual forces sent to Korea. The bulk of the forces sent were placed under the command of General MacArthur from the United States.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   One of the first attempts to drive the North Koreans back was a wise plan devised by MacArthur. He landed his forces from the sea at Inchon and worked his way up the coast. His gamble paid off when his army retook the South Korean capital of Seoul. After this victory the United States questioned whether they should stop at the 38th parallel or go beyond it and try to recapture North Korea. They decided to go on. After the 38th was crossed putting the US and South Korean forces in the North , China

Assessing a Underachieving Employee Essay

Executive Summary This is a short study about measuring an underachieving employee that I personally had to cover with. It discusses the jobs that arose. I analysed them and so put into topographic point a twosome of solutions. The most debatable work state of affairs that I personally encountered was with a work co-worker who was a immature lady working at the Cooperative nutrient group and she was underperforming. This relates to the constructs of book2. An debut to human resource direction in concern. session 4 Assessing and developing people at work. When my work co-worker foremost started working at the Cooperative she was an first-class worker who gave 100 % all the clip. She had worked at the Cooperative for merely over two old ages and we were in the procedure of believing about advancing her from a client service helper to a supervisor. She started to do errors at the check-out procedure. our director noticed hard currency deficits. losing dealing paperwork and errors on the lottery and paypoint terminuss. As a supervisor my director asked me to supervise the state of affairs over a two hebdomad period and to compose down any errors or hard currency deficits and put the day of the months they happened so that our director could make up one's mind what the following class of action would be. Measuring a Underachieving EmployeeThe analysis of the jobs that arose. I am utilizing constructs from book 2. An debut to human resource direction in concern. session 4. assessing and developing people at work. These errors that my work co-worker were doing could be go oning for a figure of grounds. She could be holding fiscal troubles so she has stolen the money that is why there are hard currency deficits. nevertheless that does non explicate why the other errors have occurred on the lottery and paypoint terminuss and it’s really easy to leap to the incorrect decision when analyzing this. I believe the chief point to be about public presentation direction as it states in book 2. session 4. 1. public presentation direction â€Å"ensuring that staff are motivated† . I don’t believe she is motivated any longer. as when she is at work she is stuck on a check-out procedure for really long periods of clip. There is no assortment in her occupation function to maintain her motivated. and to be absolutely honest when other members of staff are busy she does acquire forgotten approximately and if she does non inquire the other members of staff she would non even acquire her interruptions as they forget about her. Making the same thing twenty-four hours in twenty-four hours and twenty-four hours out can go a spot humdrum. This is why her public presentation has started to endure as she feels deflated and demotivated. It is as though she has given up on this occupation and merely turns up because she has to and she needs the money. As it states in book 2. session 4. 2 Measuring public presentation â€Å"the individual may miss way or be working to less than full capacity† . Which in this instance I believe to be true. This will impact how the concern is run if non cover with as other members of staff could get down to make the same. Customers will non desire to shop at that place if t he staff don’t show an involvement. The criterions that were one time at that place will get down to drop ensuing in a negative impact on the concern. A solution to the jobs that occurredThe first thing I would make would be to put up a record of meetings with this work co-worker and our director. This is a treatment about what is go oning and it is recorded for future mention. At this meeting I would discourse how we can travel frontward together as a squad. I would explicate to her the importance of her occupation function and how of import it is to acquire it right. I would put her little accomplishable marks to take for with wagess given when achieved. Arranging regular meetings is besides a good thought ; this could be done as a public presentation assessment. As it states in book 2. session 4. 4. table 4. 2. it has the â€Å"Opportunity to actuate staff by recognizing achievements† . I believe this is what is needed in this state of affairs. she needs to experience like a valued squad member. this would so give her the motive needed to make her occupation right and to her full capacity. the concern will so be more prod uctive as it stated in book 2. session 4. 2 Assessing public presentation. I may so look into whether she would be interested in altering her occupation function a small. for illustration. stock refilling. and bringing bringings in. look intoing day of the months on merchandises. that kind of thing. This would give her some assortment in her occupation and hopefully actuate her once more. This would necessitate more preparation and cost the concern. nevertheless if she is merely on the check-out procedures and non been monitored she is bing the concern money anyhow through the errors she is doing. Some of this preparation would be done externally. through preparation classs. nevertheless most of the preparation would be done by training. As it states in book 2. session 4. 6. Developing is non merely preparation classs. â€Å"coaching ; a manner of reassigning cognition and accomplishment from a more experient individual to a less experient person† . I think this is the best manner frontward for this work co-worker in this state of affairs.Research fr om the Internet I looked on the cyberspace and did some research to see how to develop underperformers at work. I found two the first 1 was Yourbusiness. azcentral. com. It fundamentally states that underperformers inhibit teamwork and lower morale of other staff members. It besides says you need to organize relationships with employees. so you can make a willingness to assist the person. It besides says to put incremental ends for the employee. What this web site was stating made sense. nevertheless I’m non certain how dependable this beginning is as it wants me to subscribe to them. The following 1 I looked at was World Wide Web. acas. org. uk. I found this website really interesting as it gives a full list of different signifiers that you can publish including appraisal signifiers. absence record sheets and tonss of information about how to pull off public presentation. I believe this to be a dependable beginning as this administration is devoted to forestalling and deciding employment iss ues. besides it wasn’t seeking to sell me anything. Tutor group forumI peculiarly enjoyed the coach group forum activity 2. 1 – Work Pleasure or Pain? It was nice that most people thought the same as me. in that they enjoyed their work. My hubby hates work and ne'er understands how I can bask traveling to work. I wholly agreed with what Mark Pickering said in that work is a pleasance and that it allows me to accomplish my ends in life. while supplying for my household. Mentions Book 2 ( 2012 ) ‘An debut to human resource direction in business’ The Open University. Milton Keynes. Study Companion ( 2012 ) . The Open University. Milton Keynes.Yourbusiness. azcentral. com.World Wide Web. acas. org. United Kingdom

Commonly Confused Words Have and of

Commonly Confused Words Have and of The sound of the preposition of  is similar to the sound of vethe shortened form of the helping verb have. As a result, of is sometimes misused in contractions. Usage Have  often functions as an auxiliary verb (or helping verb). In speech and informal writing, the contracted form ve  is sometimes used with the verbs could, must, should, would, may, and might. Of  is a  preposition, not a contraction. Examples Jed could have tried harder to help us.Jed said, I wouldve tried harder if Id known you were paying attention.Some of us must have been watching the game when the burglars broke into the house.If the Mets would have given him two more runs per game, Seaver would have won 20 games by the end of August. But that was one of those wouldve, couldve, shouldve scenarios.(Josh Rosengren, Hammerin Hank, George Almighty and the Say Hey Kid, 2008)The planning of the fly was an application of pure intelligence, morals not being concerned. Not one of us could have planned the fly, not one of us could have constructed him; and no one would have considered it wise to try, except under an assumed name.(Mark Twain, Thoughts of God, early 1900s) Usage Notes Mr. Wood, my English teacher, is always telling us that theres no such thing as must of, should of, could of, its must have, should have, could have. Mr. Wood says stuff like, The day you all get that simple little fact into your tiny little heads is the day I can retire a happy man. Well, this is all very well and good, but he doesnt need to be moaning on to me about it. (Hayley Long, Lottie Biggs Is [Not] Mad. Macmillan, 2009)When we speak, we slur these phrases so that they all sound as if they end in of, but in fact, all of them end in have. Their correct forms are may have, might have, must have, should have, would have, and could have. (Susan Thurman, The Only Grammar Book Youll Ever Need. FW Media, 2003)Some writers use of for ve deliberately to add flavor; should of and Id of have a drawled look that the more clipped shouldve and Idve lack. Ring Lardner and John OHara often used of for ve, and it is unlikely that either did it from ignorance. (Edward Johnson,  The Handbook of Good English. Washington Square, 1991)   Practice Exercises Fill in the blanks with either have or of. See how you did with the answers below. One _____ us made a mistake.It must _____ been you.She was one _____ the few gentlewomen I _____ ever known, and has remained throughout my life the measure _____ what a human being can be. (Maya Angelou, I Know Why the Caged Bird Sings. Random House, 1969) Answers to Practice Exercises One  of  us made a mistake.It must  have  been you.She was one  of  the few gentlewomen I  have  ever known, and has remained throughout my life the measure  of  what a human being can be. (Maya Angelou,  I Know Why the Caged Bird Sings. Random House, 1969)

Edible Glowing Blood Slime

Edible Glowing Blood Slime What couldnt Halloween costume or party benefit from some blood slime? This particular slime is also edible, non-sticky and glows blue-white under a black light. Its easy to make! Glowing Blood Slime Materials 1 teaspoon soluble fiber (e.g., Metamucil)8 ounces (1 cup) diet tonic water red food coloring Make the Slime! Stir the fiber into the tonic water.Add a drop or two of food coloring. The slime gets darker during preparation, so dont add too much food coloring.Heat the liquid in a microwave-safe container until it boils. Depending on your microwave power this may be anywhere from 1-4 minutes. When the mixture boils, pause the microwave and stir the slime.Cook the microwave another 1-2 minutes. Stir it.Repeat the cooking/stirring cycle a total of 4-5 times, until the slime develops a gelatinous consistency. Carefully remove the slime from the microwave. The container will be very hot!Let the slime cool before you handle it. You can play with it, decorate with it, or even eat it. No matter what color you made your slime, it will glow blue-white under a black light or ultraviolet light. The glow is fluorescence from the quinine in the tonic water.Store your slime in a sealed bowl or plastic bag. If you are just decorating with it, its fine at room temperature, but if you plan on putting the slime in your mouth, its a good idea to refrigerate leftovers. While the slime wont stick to most surfaces, the food coloring will cause it to stain fabrics and skin. Clean up slime with soap and water. Your favorite stain remover will take out the food coloring. Watch a video of this project.

Conference week Essay Example | Topics and Well Written Essays - 250 words

Conference week - Essay Example He believes that globalisation is wrong because it solely serves the interests of the ruling elites by controlling everything, including the government, the media, and now, even those who are supposed to be critical of and against them. I agree that globalisation has its weaknesses and negative consequences to the poor and marginalised sectors; however, I also believe that with the right vision, mission, goals, leaders, advocacy, and activities, disempowered sectors can use globalisation to develop a more humane, environmentally-friendly, and socially balanced form of global capitalism. The rich and powerful has been using the WTO and other international and national institutes to promote their economic goals, which includes political and cultural dimensions too, but the poor can use the same platform to improve the quality of their lives. I understand what Chossudovsky means when he criticises the hi-jacking of the people’s movements through international organisations that fund anti-globalisation movements. Nevertheless, the same system can be used to benefit the disempowered through using current technologies and marketing strategies to let the world know social injustice and to help society change itself. Instead of stopping globalisation, the disenfranchised because of it should also use it to advocate and support fair and benevolent capitalism. Hence, Chossudovsky is wrong to think that globalisation itself is wrong because people can use it to do great noble things that will empower the poor and minority

East Asia Past and Present Essay Example | Topics and Well Written Essays - 2500 words

East Asia Past and Present - Essay Example The membership has expanded to ten countries that include Laos, Burma, Cambodia, Brunei and Vietnam. East Asia had experienced decades of internal conflicts and economic depression, but the formation of ASEAN enabled sub-regional cooperation and trade liberalization (Borthwick 71). The main three pillars include economic growth and cooperation, social progress, and political-security. The model of security and stability in the region attained high success and ASEAN started playing a major security role in even beyond Southeast Asia. The security matters in Southeast Asian countries encompass various political, economic, social, cultural and military dimensions and ASEAN has utilized regional cooperation in order to further peaceful external environment and allow the member states to concentrate on their domestic development priorities (Borthwick 29). ASEAN was a focus of rivalry and competition between the US and Soviet Union, but ASEAN preferred regional solutions by declaring the r egion as a Zone of Peace, Freedom and Neutrality in 1995 (Holcombe 241). ASEAN rise to greater importance in East Asia affairs has been facilitated by the ASEAN Free Trade Area that aims at enhancing the competitive advantage of local manufacturing. The region has signed free trade agreements with China, Japan, Australia and India that aim boosting economic growth in the community. The free trade agreements have led to consistent growth in member states GDP by between 4 percent to 7 percent since the end of Cold War. The region has benefited from technology transfer and e-commerce evolution since member states like Malaysia and Singapore account for more than 50 percent of e-commerce transactions in the entire region (Borthwick 81). The economic community is committed to equitable economic development and integration with the global economy as demonstrated by the consistent reduction in import duties (Borthwick 112). ASEAN member states