Wednesday, September 2, 2020

Stroke Epidemiology In Southwestern Iran Health And Social Care Essay

Introduction:Harmonizing to the World Health Organization definition, shot is the quick designed development of imprints and side effects brought about by bound or across the board break of encephalon map which has vascular start and takes over 24 hours ( 1, 2 ) . Stroke can be all things considered isolated into two classs: Ischemic and hemorrhagic ( 1 ) . The infection is the second prima reason for perish known to man and considered as the third in the United States and other industrialized states ( 3-8 ) . 55 million expires happen every twelvemonth known to man where 10 % of them are because of stroke ( 9 ) . In the United States around 780,000 shots happen every twelvemonth ( one at regular intervals ) while 87 % is ischaemic and 13 % is haemorrhagic sort. Yearly mortality of the sickness in this state is 150,000 individuals ( one out of each 4-3 proceedingss ) so it is assessed that one out of each 16 Americans kick the bucket because of stroke ( 9 ) . In aë†â€ ¹aë†â€ ¹the Middle East and North Africa perishes occurring inside 28 yearss of the grim changes from 10 % in Kuwait to 31/5 % in Iran ( 4 ) . This infection, which 66% of all occasions of it happens in creating states, albeit preventable however is expanding ( 12, 13 ) . Prognosiss propose that by 2030 expires from shot will copy in the Middle East and North Africa ( 4 ) . Expanding age is such significant peril factor for the illness that after age 55, the risk of shot duplicates each 10 mature ages ( 7 ) . High blood power per unit zone as the most widely recognized preventable reasons for the malady is an other danger factor ( 11 ) . Other peril factors include: diabetes, smoke, plumpness, inadequacy of working out, eating an eating routine high in cholesterin and salt, intoxicant, atrial fibrillation, and family history of OCP utilization ( 7, 11, 14, 15 ) . In add-on sexual orientation is central factor in this infection ; when all is said in done shot is b ound to occur in work powers However, because of the more extended life expectation of grown-up females on one manus and the high frequency of shot in more seasoned ages in the different manus, the figure of occasions in grown-up females is more than in work powers ( 16 ) . Another note is that shot as the a large portion of import factor for physical disablement known to mankind, is one of the central variables need since quite a while ago run hospital consideration which prompted a significant expansion in the expense of intercession ( 7, 8 ) . By and large, the immediate and roundabout expenses ( including mature ages of lost advantages ) identified with the malady in the United States is about 5.65 billion yearly ( 17 ) . Results from not many surveies in Iran shows frequency of shot around 43 cases for each 100,000 individuals that 67 % is ischaemic and 23 % is haemorrhagic sort ( 18, 19 ) . The most widely recognized danger factor which has been accomplished is high blood power per unit zone with predominance around 54 % ( 18, 19 ) . Occurrence of shot was to some degree higher in grown-up females in all age classs ( 51-53 % ) However, in the age bunch 45-15 mature ages happens more in work powers ; while the mean time of rate is in the seventh decennary of life. Demise inside 28 yearss of shot in a review was 19.2 % , and in another 1 was 31.5 % ( 18 ) . Another overview alludes to the obscure situation of this illness in the Middle East and bungle with informations in Western states ( 1 ) that one time again clarifies the interest for more surveies in this regard. The solitary study led in Shiraz explores early encephalon seeping because of high blood power per unit territory in patients alluded to Shiraz University of Medical Sciences clinics during 2002-2004 ( 20 ) . Sing the preventable idea of the ailment, it is important to make more surveies to discover risk factors and verifiable in causes in a particular populace so as to Sketch and be after for the bar of it ( 18 ) . Sing that no epidemiological review have been led to clear up arranged features of shot in Shiraz since before, this overview was led in Shiraz Namazee learning Hospital as a referral community for shot patients in Fars state and southwesterly Iran to acquire general data about the situation of the infection in this part.Material and Method:We directed this medical clinic based study between August 2010 and January 2011 in Shiraz Namazee learning clinic. This clinic is one of the main referral habitats for neurological illnesses in southwesterly Iran and partnered with the Shiraz University of Medical Sciences, Shiraz, Iran. As this study was a cross-sectional one, all patients conceded in exigency and nervous system science ward with diagnosing of shot dependent on their clinical indications and imaging ( MRI or CT check ) during this period were incorporated. Patients with transeunt ischaemic invasion and the individuals who discharged without anyone else during clinic coarse were avoided. Three clinical students with administering and part of one nervous system science tenant finished the informations collection sheet by perusing persistent paperss during and after investigation period. It contains the majority of import informations about these patients including age, sex, sort of shot, sedate history, danger factors, level of awareness, neurologic imprints, continuation of hospitalization, result and endorsed meds after release. We broke down our informations with SPSS variant 16 and considered P-Value under 0.05 important.Consequences:305 CVA patients were examined that 269 ( 88.2 % ) had ischaemic and 36 ( 11.8 % ) had hemorrhagic shot. 64 ( 21 % ) had intermittent stroke while others encountered their most importantly time shot. 133 ( 43.6 % ) grown-up male and 172 ( 56.4 % ) grown-up female between 27-97 mature ages old ( mean:68.33â ±12.99 ) were arranged to six age bunches that the greater part of them were between 61-80 mature ages old, despite the fact that informations investigation did n't reveal significant contrast between death rates ( Table 1 ) . Normal period of ischaemic shot was 68.6â ±13.1 and hemorrhagic was 66.2â ±12.1. 15.1 % of all patients lapsed during their emergency clinic coarse while 11.4 % of ischaemic and 40.6 % of haemorrhagic shots lead to perish ( OR:5.34, 95 % C.I. :2.35-12.11 ) . Most regular risk factors among all patients were hypertension and ischaemic chest sickness ( figure 1 ) . Hyperlipidemia, ischaemic chest sickness and diabetes had significant diverse predominance between age bunches in a way that their most commonness were between 41-50, over 60 and between 41-60 mature ages old, severally ( figure 2 ) . In another order we sorted the patients into two gatherings: under or more 45 mature ages old. 5 % were under 45 and 95 % were over 45 mature ages old. CVA type and death rate was non altogether extraordinary between these two gatherings. Most regular neurologic characteristics of patients were correct side coming up short, left side fizzling and dysarthria ( figure 3 ) . In feature of level of cognizance, 6.3 % were incapacitated, 7.2 % Stuporous, 22 % befuddled and 64.5 % were witting that 78.6 % , 31.3 % , 16.3 % and 5.6 % of them terminated during their clinic coarse severally ( figure 4 ) . Mean systolic blood power per unit region in excused patients was 148.2mmHg and in lapsed patients was 144.7mmHg. Other than mean diastolic blood power per unit region in excused and lapsed patients was 84.5mmHg and 86.6mmHg severally. Mean systolic blood power per unit zone in ischaemic shots was 145mmHg and in haemorrhagic shots was 160mmHg ( P=0.006 ) . Other than mean diastolic blood power per unit zone in ischaemic shots and haemorrhagic 1s was 83mmHg and 90mmHg severally ( P=0.013 ) . Most normal medications utilized among patients was antihypertensive medications ( 43.3 % ) and acetylsalicylic corrosive ( 26.9 % ) . Statins ( 32.7 % ) and acetylsalicylic corrosive ( 31.6 % ) were most regular medications recommended for ischaemic patients who were released. Middle yearss of hospitalization for the two kinds of shot and both released and lapsed patients was 2.

Saturday, August 22, 2020

Asset-Liability Management free essay sample

Resource Liability Management â€Å"Asset-Liability Management (ALM) can be characterized as the progressing procedure of detailing, executing, observing and updating systems identified with resources and liabilities to accomplish an associations monetary destinations, given the associations hazard resiliences and other constraints†[1]. ALM additionally is known as accounting report the executives. In banking movement the hole among resources and liabilities can bring a few results where the accompanying dangers are emerged. What's more, overall it impacts gravely on the bank’s working. Taking care of that issue is the essential objective of ALM. The great monetary record the executives implies that the arrival on advances and protections as the most elevated as could reasonably be expected, dangers are limited and fluid resources are in satisfactory sum (See Appendix 1 and 2). Thus bank staff while overseeing resources and obligations ought to follow four fundamental procedures which incorporate liquidity, resource, risk and capital ampleness management[2] (See Appendix 3). Customarily, ALM has concentrated fundamentally on the financing costs risk[3] which is emerged when the development of advantages and obligations and their volume are not the equivalent. We will compose a custom exposition test on Resource Liability Management or then again any comparative subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page For instance, business bank is seen as ‘short-funded’ when the development of its advantages is longer than the obligation development. In actuality, bank can be called ‘long-funded’ when the development of obligation is greater. The two circumstances are hazardous and perhaps very little gainful in light of the fact that in the two cases bank needs to renegotiate or reinvest assets at a rate that can be ominous. Be that as it may, today notwithstanding financing cost chance, the control of an a lot more extensive scope of dangers, for example, value, liquidity, cash, credit, operational dangers and so forth is locked in by asset report the board. Likewise there are a few techniques business banks use to deal with the dangers: by coordinating the advantages and liabilities as per the development design or the coordinating the span, by supporting and by securitization. Resource securitization ‘Asset securitization is a procedure of bundling illiquid singular advances and other obligation instruments into fluid protections with credit improvement to promote their deal in the capital market’[4]. There are various kinds of advantage which can be securitized: contracts, automobile advances, charge card receivables, high return bonds and credits and gear rent, etc. Indeed, even future sovereignties from record deals can be a kind of securitized resource. Be that as it may, the standard instances of ABS are contract sponsored protections (MBS) and made sure about charge card receivables. The procedure of advantage securitization The procedure of securitization you can discover in Appendixâ 4. As a matter of first importance, the borrower goes to a bank and requests an advance. At that point, the bank or the originator gives that advance. From that point onward, homogeneous resources are assembled in various tranches and went to an association which is made by the bank and calls a particular reason vehicle (SPV). It issues protections supported by these benefits (ABS) and spreads them among a wild scope of institutional financial specialists, for example, banks, insurance agencies and annuity reserves. The key point of formation of SPV is to differentiate originator’s dangers of insolvency from the protections which are given by the SPV. That’s why this vehicle likewise calls a liquidation remote entity[5]. Along these lines, speculators in ABS gave by SPV don't need to stress over bank’s dissolvability position and its FICO assessment in light of the fact that the protections are not influenced by the parent organization rating. As an outcome, rating office assesses ABS by investigating a securitization program yet not take a gander at a bank’s rating. Resource upheld protections have a few degrees of credit upgrade. It is important for lessening misfortunes which can be emerged from the basic resources credit dangers. Typically credit improvement relies upon the guarantor rating. Along these lines, SPV can document a high FICO assessment through overcollateralization, overabundance spread, letter of credit or a protection. Another individual from the procedure associated with the ABS creation is a financier. It is a go-between among SPV and financial specialists. The principle elements of the guarantor are protections assessment and holding their costs in a proper level. Additionally it is associated with organizing the exchange. Simultaneously the guarantor gives interviews in promoting and law. Advantages and disadvantages of benefit securitization Before resource securitization was made, banks loaned cash to families and organizations and these credits existed in the banks’ accounting reports until they develop or are paid off. This makes a bungling of advantages and liabilities on the grounds that normally banks use stores and issuance of obligations as an arrangement of advances. Furthermore, them two have shorter time of development then banks’ loaning particularly vehicles and home loans credits. Since the bank began to utilize protections supported by resources or as it were it begun to move the responsibility for advantages for SPVs, the incredible open doors have started generally accessible for the bank. Also, the fundamental of that charge pay and extra exchanging chances are giving. Securitization is the way toward changing illiquid assts into attractive protections. This causes banks to keep up or even increment their liquidity in light of the fact that drawn out advances are supplanted to SPVs. As a result, the hole between monetary record sides likewise is decreased. Furthermore, subsequently the situation of the bank turns out to be progressively steady and it opens up money to give new credits. At the end of the day, the open door for bank to loan extra assets to the customers shows up. In addition, securitization gives brisk access to reserves that would be inaccessible for quite a while as a result of the extensive stretch of development. Also, banks can raise extra capital without acquiring accounting report liabilities. These realities are additionally the significant proof of liquidity development. Also of securitization fascination is that it causes banks to broaden their benefits by permitting the supplanting of lower-yielding resources with higher-yielding resources. Additionally, the way toward overseeing credit and loan cost chance gets simpler. The introduction of dangers is diminished on the grounds that illiquid resources are supplanted from originator’s accounting report (See Appendix 5). After securitization the asset report turns out to be more fluid than it was the point at which the bank holding long haul contracts. This reality makes ROE (return-on-value) better. Mr. Jose Manuel Gonzalez-Paramo in his discourse at a Global ABS Conference 2008 contended that one of the principle reasons why banks have received securitization model is that ‘banks have regularly in the past streamlined on expensive capital requirements’[6], for example, Basel I which sets a negligible capital prerequisites and Basel II which gives suggestions on laws and guidelines of banks. Likewise Mr. Gonzalez-Paramo said that ‘the securitization of credits could diminish a mainstream wellspring of defenselessness of the economies’. Bank expels its illiquid resources from accounting report and spreads it all the more extensively in the segment. He contends that it can diminish the likelihood of the credit emergencies. What's more, land and local inconsistencies in the accessibility and cost of credit can be lessened in fluid and effective auxiliary securitization advertises by connecting neighborhood credit augmentation exercises to national capital markets frameworks. Securitization can assist with accomplishing some social and monetary advantages. It tends to be a trigger of the development of reasonable lodging. Additionally it assists with expanding the accessibility and bringing down the expense of customer credit; advance proficient market structures and establishments; encourage the effective use and balanced assignment of capital; and encourage the accomplishment of legislative monetary, financial and administrative arrangement goals[7]. Be that as it may, resource securitization has a few downsides. Most importantly, financial specialists and rating offices require the data revelation of benefits information. Likewise, adjusting reports the benefits condition on the customary premise. By the by, it very well may be the detriments just for originator or backer of protections. For speculators it is acceptable when the benefits, where the cash is placed in, are consistently observed. From the bank or guarantor perspective, there are different inconveniences. To start with, it is that the direct front costs required just because securitization are greater than the bank borrowings costs. Next, there are expenses to guarantors for securitizing resources, for example, venture banking charges, charges to rating organizations, charges related with the trustee of the advantage pool, and credit improvement costs. Securitization may here and there be hurtful on the grounds that it swindles the law and requests banks’ least capital necessities.

Effects of divorce :: essays research papers

Every year, more than 1 million American kids endure the separation of their folks; in addition, half of the kids brought into the world this year to guardians who are hitched will see their folks separate before they turn 18. Mounting proof in sociology diaries shows that the staggering physical, passionate, and money related impacts that separation is having on these kids will last well into adulthood and influence people in the future. Among these expansive and harming impacts are the accompanying: †¢     Children whose guardians have separated are progressively the casualties of misuse. They show more wellbeing, social, and passionate issues, are included all the more often in wrongdoing and medication misuse, and have higher paces of self destruction. †¢     Children of separated from guardians perform all the more inadequately in perusing, spelling, and math. They likewise are bound to rehash an evaluation and to have higher drop-out rates and lower paces of school graduation. †¢     Families with kids that were not poor before the separation see their salary drop as much as 50 percent. Right around 50 percent of the guardians with kids that are experiencing a separation move into destitution after the separation. †¢     Religious love, which has been connected to better wellbeing, longer relationships, and better family life, drops after the guardians separate. The separation of guardians, regardless of whether it is agreeable, destroys the major unit of American culture. Today, as indicated by the Federal Reserve Board's 1995 Survey of Consumer Finance, just 42 percent of youngsters matured 14 to 18 live in a "first marriage" family- - an unblemished two-parent wedded family. It ought to be nothing unexpected to find that separation is having such significant consequences for society. Reestablishing the significance of union with society and the government assistance of kids will require legislators and metro pioneers to make this one of their most significant assignments. It likewise will require an unassuming responsibility of assets to ace marriage programs. Monetary traditionalists ought to understand that administrative and state governments burn through $150 billion every year to finance and continue single-parent families.

Friday, August 21, 2020

Portfolio Essay Example | Topics and Well Written Essays - 1000 words - 1

Portfolio - Essay Example The subject on the selling of human organs is of significance because of its developing and petulant nature. A few inquiries have emerged from the perspective that organs are being sold, raising both heath and moral concerns. The American history is likewise of significant concern considering the requirement for our age to comprehend where our nation has originated from and get the opportunity to comprehend the distinctions and similitudes among at that point and now. The three articles I composed spins around these two significant subjects, here I will clarify in detail my discoveries and the positive and negative comments that I have built up as I audit them. Following an article on the ‘Capitalism Magazine’ by Holcberg about the issue of human organs being foreordained available to be purchased, I built up a profound enthusiasm to audit the theme in order to introduce Holcberg’s considerations deliberately. I found the report raising intense worries about legit imizing of selling of human organs. I plainly verbalized his interests while introducing the realities that he had thought of. My presentation was extremely enthralling and caught the worries at a first look. The thinking behind the article did not depend on my own contemplations yet that of the writer. The point constrained me to the contemplations of the writer; an angle that I accept brought some biasness in the article and made the theme thin as opposed to taking the more extensive viewpoint of catching the assessments of many. Be that as it may, the curtness and the efficient enunciation of my focuses made the paper to peruse and grasp. A few enhancements to the article could have made it all the more intriguing and increasingly educational. I just centered around an individual have felt that was a test; this could have been upgraded by considering the assessment of others as well as could have surveyed some writing on the subject. Another test is standing out I introduced my w ork, all the focuses I introduced them in one long passage. This could have been improved by articulating my focuses in singular short and exact passages. It is evident that the paper restricted utilization of my own considerations a viewpoint that made me as the essayist to be an analyst and had no chance to put over a genuine belief, particularly in light of the fact that the subject had been of worry to me. Linguistic mistakes and poor sentence structure likewise won in my work; an angle contributed by the way that I didn't set aside effort to alter my work, I took in an exercise and has concluded that next time I will be quick to reverify. My subsequent paper was equipped towards giving a rundown of the Krugman’s article that was distributed in the New York Times concentrating on the similitudes and contrasts between the America we had at autonomy and today. I introduced the purposes behind his contention as introduced in the media. The musings were broke down taking into concern the key focuses that outstand when contrasting the condition of the nation at the two distinct occasions. All the data was introduced in one section since they were immediate and clear as crystal. Be that as it may, the restricted introduction was confirm by the respect of Krugman’s musings just, without having a perspective from others. My assessment of the circumstance affected the outline, to such an extent that I was provoked to think against the contentions of the creator. In any case, to control myself from his realities and conclusions I needed to separate the contentions into focuses that he had referenced. This encouraged the improvement of a synopsis in an incredible

Essay --

Rules You are required to complete an exploration venture utilizing the Internet. The title of your task is Security and Confidentiality on the Internet. Produce a 1500 word report looking at the accompanying regions concerning the Internet. †¢ Identify three distinctive Internet Service Providers and thoroughly analyze †Connection techniques †cost correlation. †¢ Discuss the base equipment and programming prerequisites for interfacing with the web. †¢ Discuss the capacity of IP locations and how they apply to imparting on the web. †¢ Show the means in enlisting area name for client, demonstrating the various choices that must be thought of. †¢ Explain how a PC framework can be shielded from infections transmitted by means of the net †¢ Outline teh utilization of firewalls to secure against unapproved get to. †¢ Describe the utilization of computerized marks to confirm personality on the web. †¢ Explain the reason and potential hazard related with treats. â€Æ' Web Web is PCs arrange associated far and wide through committed servers. At the point when your PC is associated with the web you can send, got a wide range of data, for example, content, designs, voice, projects and video. The Internet history started with improvement of the PCs. First message was sent over the ARPaNet (The Advanced Research Projects Agency Network) from software engineering Professor Leonard Kleinrock's lab. The ARPaNet specifically prompted the advancement of conventions for internetworking, in which various separate systems could be consolidated into a system of systems. Network access Providers In the Ireland are a great deal of Internet Service Provider (or ISP), yet how to know which one is the best and accessible in your area. I will look ... ...nformation, for example, past activitie, shoping diagram, login data. Potantial chance utilizing treats is 2 sorts. First is sites can accumulate and sell your own data. Second hazard is sites can follow clients exercises over numerous sites. These are dangers of security more than dangers of harm to equipment or programming. â€Æ' Utilized Material: http://www.uswitch.ie/broadband/ - for analyze ISP (web access Provider) http://en.wikipedia.org/wiki/History_of_the_Internet - Wiki page about History about the Internet http://en.wikipedia.org/wiki/IP_address - Wiki page about IP address http://whatismyipaddress.com/dynamic-static - Wiki page about IP address types www.website.org †Web page to make sub Domain http://against infection programming review.toptenreviews.com/ - hostile to infection programming surveys http://en.wikipedia.org/wiki/HTTP_cookie - wiki page about Cookies

Monday, June 29, 2020

Amelia Earhart One Of The Most Influential Women - Free Essay Example

  Amelia Earhart could profoundly be named one of the most influential women of the early 1900s. With the very little time she had, she became a well-known ambitious role model to women all around the world. Especially because of her successful solo flight crossing the Atlantic, and her being the first woman to do it; but sadly her time as an aviatrix was shortened.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Amelia Earhart was born in Atchison, Kansas on July 24, 1897. As a little girl she was faced some challenges, her father struggled from alcoholism, which caused her mother to leave her father and take Amelia and her sister with her. She graduated while living in Chicago, and went to a college in Philadelphia known as the Ogontz school. This was the first time she saw an amputee, because of that she left school to become a volunteer nurse until the war had ended. It wasnt until shed moved back with her parents now living in California, that she had gone on her first airplane ride at an air show in 1920, in her biography, Amelia Earhart Biography, Amelia declared As soon as we left the ground, she said, I knew I had to fly.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  She began to partake in lessons, Earhart was taught by Neta Snook at Californias Kinner Field. Then a year later, she got her license from the NAA. Two years later, with the help of others and working multiple jobs, she was able to afford her own plane. During this time female aviators were called to for a flight across the Atlantic; Amelia took part in it, and became the first female to fly solo over the Atlantic. With this newfound fame, she met Putnam whom became her manager, and soon to be husband.   He is the one who arranged her tours,flights, and speeches, but people began to view her as just a puppet to Putnam, which greatly angered her. Because of these accusations,   she went on expeditions by herself to prove she wasnt just Putnams unskilled aviator, but one of great skill.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   One of the expeditions she took to prove herself was on the Lockheed Electra from Newfoundland, Canada, to Ireland which was not very easy to navigate alone, and she completed it in record breaking time too. She broke countless records even some that were set previously by herself.   Earhart also published many books such as, The Fun of It, 20Hrs., 40min.and, Last Flight,. Her books were mainly about her journeys and experiences on her voyages, and her strong passion for flight.

Tuesday, May 26, 2020

Sample Topics For Comparison and Contrast Essay

Sample Topics For Comparison and Contrast EssayIf you're looking for sample topics for comparison and contrast essay, then it is essential that you pay attention to the following guidelines. These are provided to you by numerous experts who have used them successfully in their essay writing career.The first thing that you need to keep in mind is that you need to have a consistent thought or idea across the entire paper. Thus, if you know that a particular topic is relevant for your topic, then use that. If you do not, then the question of inconsistency will arise.Your essay is the work that is written based on one particular idea. When you are using a particular topic for your topic for comparison and contrast essay, make sure that you know why the topic was chosen. Is it because the topic is applicable? Did the topic that you have chosen to give relevance to the essay?Then evaluate the specific nature of the topic that you have chosen. Check whether the topic is applicable to the to pic that you are writing. For example, if you are writing an essay on the struggles faced by women, then it is important that you write an essay on the struggles faced by men, but make sure that you differentiate between the experiences of men and women.Next is the relevance of the topic to the rest of the essay. Make sure that you write an essay on a subject that you have a grasp of. Make sure that the essay you write is not just your opinion. Instead, make sure that it is based on facts and research that you have gathered from the sources that you have chosen to use.Write an essay based on your research. For example, if you are writing an essay on workplace politics, then make sure that you study the rule book and how it is applied. On the other hand, if you are writing an essay on the relationship between sports and health, then make sure that you are using the right words when you are writing it.As you can see, sample topics for comparison and contrast essay has several features . All you need to do is select the topic that best suits your topic for the essay. And keep in mind that, the theme is the most crucial aspect of your essay and you need to have one that suits the theme you are working with.

Tuesday, May 19, 2020

Pharmacogenomics Of Sickle Cell Disease - 1444 Words

Pharmacogenomics of Sickle Cell Disease Abstract Hydroxyurea is a treatment therapy that is currently used to treat sickle cell disease. There are a total of 23 single nuclear polymorphisms (SNPs) that are involved with sickle cell disease. When hydroxyurea is given at an optimal maximum dose, it will act on the BCL11A gene and increase the fetal hemoglobin concentrations. There are a total of 5 SNPs that are associated with the BCL11A gene. Some parameters that were observed are differences in pharmacodynamic effects (PD), percent fetal hemoglobin (%HbF) and maximum tolerated dose (MTD). Hydroxyurea positively affected all of these parameters. It also helped tolerate the symptomatic effects of sickle cell disease. Patient reported outcomes allow practitioners to optimize dosage of hydroxyurea in conjunction with other medications. Thus far, hydroxyurea treatment has been effective in treating sickle cell disease. Introduction Sickle cell disease is a chronic condition that a person can inherit from their parents in which it effects the globular structure of the patients red blood cells. A more sickle shaped structure, which can alter a person’s blood flow, replaces the more common globular structure. This impairment in blood flow can lead to blood clots, severe debilitating pain and damage to vital organs such as the liver, kidney and spleen. This disease currently affects over 90,000 people in the United States, with the majority of them being African American andShow MoreRelatedRecent Uses of DNA Technology Essays1020 Words   |  5 Pagesthat could be compared to the 1849 California gold rush, scientists began to try to find other uses for DNA. Since then, DNA has been used for many things such as finding criminals and confirming paternity/maternity. Also DNA has been used to track diseases and problems that start at the molecular level. Three of the newer advances in DNA technology are DNA F ingerprinting, Recombinant DNA (rDNA) and Paternity/Maternity Tests. DNA Fingerprinting, also known as DNA Profiling, is a method used to identifyRead MoreLifelong Health Benefits of Mandatory Genetic Screenings1497 Words   |  6 Pagesidentifying genetic disorders through the study of an individual’s DNA. They can be used to determine predisposition for various disorders such as Alzheimer’s, breast cancer, and sickle cell anemia. Genetic screenings inform individuals about their state of health and can help them make efficient choices in regard to disease treatments and prevention; however they have not gone without controversy. Many feel that such screenings can cause stigma and discrimination against individuals who have unfavorableRead MoreEssay about The Dangers of Race Based Medicine4235 Words   |  17 Pagesfor poor and underserved populations (Braun 162). NitroMed’s study marks a growing movement that has begun to cite genetic makeup, specifically race-related genetic makeup, rather than environmental or other confounding factors as the source of disease. This shift in presumed cause of health-related problems raises many troubling implications. With race-based therapeutics comes the assumption that there are biological differences between races. The dangers of such implications are vast, the mostRead MoreSocial Work Assessment At Baseline6383 Words   |  26 Pagesnegative opioid screens than non-IDU morphine/heroin users was observed. No correlation with any of the addiction severity and disability measures at baseline was found in this study. Hence, the general perception that IDU patients possess higher disease severity than non-IDU patients and would realise higher benefit from treatment could not be concluded from this study. The prevalence of co-occurring mental health disorders at baseline (51% depression, 54% BPD) is comparable to the prevalence

Saturday, May 16, 2020

Google in China Case Analysis - 1592 Words

Google in China Business Case Analysis Facts of the Case: Key - Stick to the most important facts presented (Point form is expectable ONLY in this section) ââ€" ª Case is based on the negotiation that took place between Google Inc. and the Chinese government to allow their citizens access to Chinese version of Google.com (Google.cn) ââ€" ª Google looking at vast business opportunities in China as a long-term strategy. Due to its population size and market potential, China has become an attractive market for many U.S. and multinational companies ââ€" ª In order to establish a presence in China, Google had to agree to allow Chinese government to censor access to certain sites ââ€" ª Google take great satisfaction in being different from other†¦show more content†¦Ã¢â€" ª Has it become necessary for Google’s top leadership team to revisit decision in light of new information and circumstances? What should we do? Under a lot of pressure to act†¦.soon Inferences: Key - Read between the lines and make some assumptions about the case that are suggested but not explicitly provided (read between the lines) ââ€" ª Decision by Google to select China as its international target at this particular point in their political and social history is suspect, however, in accordance with their long-term global strategy, they could not pass up such a tremendous opportunity ââ€" ª Censorship decision was necessary to maintain their position as global search-engine market leaders and to fend off advances from major competitors such as Yahoo! (who already have an established foothold in China) and Microsoft ââ€" ª Capable of weathering out the storm of criticism without major negative financial implications ââ€" ª In time, entire episode will simply â€Å"blow over† as media moves on to something else ââ€" ª For long-term gain, worth putting up with short-term pain ââ€" ª Actions can be justified if given the proper â€Å"spin† ââ€" ª NoShow MoreRelatedGoogle in China Case Study791 Words   |  4 PagesGOOGLE IN CHINA CASE STUDY Introduction Currently Google faces major issues regarding its operation in China. Google has been faced with the decision to comply with Chinese government regulation and censor its search engine results or take on the human rights approach of freedom of speech and eliminate censorship of searched terms. This paper will examine the case study, Google in China, and answer the following questions: What advantages and disadvantages does Google have in the Chinese marketRead MoreAn Analysis of Google652 Words   |  3 PagesAn Analysis of Google A)Googles two-sided platform concentrates on products and services that unite users in the network. The triumvirate of Schmidt, Brin and Page has the CEO and two presidents orchestrating (in Schmidts own words) a kind of run-and-shoot offense (Google:3), allowing the search engine to profit both as a place where web searchers can locate information and a place where businesses can advertise their products. What began as a Stanford University research project became anRead MoreGoogle Case Analysis1322 Words   |  6 Pages2011 Capstone Course Google Case: Discussion Google’s mission to organize, and make all information accessible and useful to its users drives Google’s strategies to expand into new markets, gather further information, and make that information available in a beneficial, valuable manner. Googles objectives are to grow, expand into international markets, and continue developing new products such as new advertising technology. Strategically, Google differentiates themselvesRead MoreDecision Making at Google1645 Words   |  7 PagesDecision Making at Google Inc. Data Google defines itself as a non-conventional company which intentionally avoids the traditional management models. â€Å"Google has been managed differently in an atmosphere of creativity and challenge.† That said by Eric Schmidt, CEO, who also affirms that the business is driven according what Peter Drucker understood as a way to manage the â€Å"knowledge workers† in 1959. The idea was first described in his book The Landmarks of Tomorrow. We know now that the sourceRead MoreSWOT Analysis of the Nokia Corporation640 Words   |  3 PagesNokia 1. Declaration of Nokia profits had dropped by 40 % in 2010. 2. Nokia Mobile Phone prices are higher as compare to the prices of china mobiles handsets. 3. Nokia presence in the US cellular industry is very low and in Japan it has very weak position. Resources: http://creately.com/diagram/example/g86yb88e3/SWOT+Analysis+of+Nokia Case study example : Nokia mobiles till the last decade was one of the leading company in terms of mobile marketing. By invent of Samsung mobiles intoRead MoreEssay on Google Inc, in China7565 Words   |  31 PagesCase Study Analysis Template Analyst’s Name:  ¶ Levi Mohorich Date:  ¶ 2/23/14 Case Study Name:  ¶ Google, Inc., in China I. The Pre-Analysis: A. Perspective: 1. Author’s Perspective. Describe the perspective of the author(s) of the case study and possible biases of the author(s):  ¶ The case was wrote by Kirsten E. Martin, the Assistant Professor of Business Administration at George Washington University, School of Business. She has her Ph.D. fromRead MoreGoogle Inc. in China Essay7722 Words   |  31 Pagesï » ¿Case Study Analysis Template1 Analyst’s Name:  ¶ Date:  ¶ Case Study Name:  ¶Google Inc., in China I. The Pre-Analysis: A. Perspective: A.1. Describe the perspective2 of the author(s) of the case study and the possible biases that might result from that perspective:  ¶ The case study is titled Google Inc., In china, written by Kirsten E. Martin for the Business Roundtable Institute for Corporate Ethics. Kirsten Martin is the Assistant Professor of Business and EconomicsRead MoreBusiness Strategy Baidu3069 Words   |  13 PagesQ1) For this question, we will take a deep dive internal analysis of Baidu. Firstly, let us take a look at tangible resources. Under this category, we have financial resources, organizational resources, physical resources and technological resources. Financial resources [Tangible] In 2007, Baidu earned about $86 million net income and $239 million in revenue (Ireland, Hoskisson, Hitt, p266). Majority of the revenue is contributed by an enlarged active online marketing customer base. We willRead MoreGoogle: a Strategic Move1564 Words   |  7 PagesGoogle Inc. A Strategic Move History Sergey Brin and Larry Page met in spring 1995 at a gathering in Stanford University. Between January 1996 and December 1997, they created BackRub, the precursor of Google search engine. The objective was to better organize and huge amount of data on the Internet. Eventually the name was changed to Google to signify the immense amount of information that resided on the Internet. Google is transformed from the word googol, referring to 1 followed byRead MoreApple INC analysis1748 Words   |  7 Pagesfounded the company NeXT that was then purchased by Apple Inc. in 1985. Through this transaction, Apple Inc. has brought back Steve Jobs as part of the management team, which led to his position as CEO in 1997. (Linzmayer, 2004) General Environment Analysis Political Factors Economic Factors Social Factors Technological Factors Environment Factors Legal Factors An external research allows the company to ensure its place in the market, predict modify, proactively respond instead of responding

Wednesday, May 6, 2020

Roles Of Women During World War II - 1338 Words

Throughout history women have been burdened to be nothing more than domestic individuals. Their roles were to fulfill their household duties as wives and mothers. Many restrictions applied to their womanhood and not being able to work was one of them. However, the roles of women changed during World War II. As men were being recruited to fight in the war the openings for jobs were in high demand. During this time many women began to commence in the workforce altering the role of women, particularly those of the Mexican-American communities. Minority groups were often discriminated especially Mexican- Americans, not only were they discriminated but were also seen as criminals and were a temporary implement during the war. Mexican- Americans had to overcome obstacles that were put in their way and fight for what they deserved. Before the war women were responsible to care for their children and be good wives to their husbands. Their responsibilities at home were their only obligations they had to worry about. That quickly changed when the war began, as jobs were being left behind women were needed in the workforce to fill in the spots that were left vacant by men. The government began to endorse Mexican- American women by creating propaganda posters that appealed to them luring them to work. Many of those women began to work in manufacturing warehouses to work on aircrafts. Some of their male counterparts were intimidated with having women working along their side doing jobsShow MoreRelatedRole Of Women During World War II950 Words   |  4 PagesHistory 116 December 1 2015 The Role of Women in World War II In the early 19th century the role of women was typically categorized as doing chores around the house and raising children. Seldom were women seen with real jobs or in positions of full-time employment but as the United States developed so did the role of women. One of the largely contributing factors to the evolution of women’s role in society was the conditions of the US at war. World War II was a war that required more military andRead MoreWomen s Roles During World War II1641 Words   |  7 PagesWomen’s Roles During World War II On September 3rd 1939 World War II started in Europe. During World War II, more than 16 million American men served in the military. While this large portion of the population was overseas fighting for the United States, women had to do many of the jobs in America normally held by men. Women were considered vital assets to the war effort, and the American government made sure to use their skills and labor in many different areas to win the war. Women contributedRead MoreChanging Role Of Women During World War II1434 Words   |  6 PagesChanging Role of Women in World War II When Britain declared war against Germany in 1939, the Australian Prime Minister, Robert Menzies, proclaimed that Australia was also at war. The declaration of war saw Australians respond to another world conflict. On this occasion, Australia itself would be under the threat of attack. World War II would not only require young men to travel overseas and fight but it also significantly impacted the lives of Australian women. The contribution Australian women madeRead MoreRoles of American Women During World War II1144 Words   |  5 Pagessegment Women and World War II) Roles of American Women in World War II Essay Two During World War II, Hollywood films strongly influenced the roles American women played, both while men were away and directly after they returned. These films often sent the message that while their men were away, women must be romantically loyal and keep a secure home for the men to return to. The films also often encouraged women to do their patriotic duty and their part in the war effort by doing war work. Read MoreGender Roles Of Women During World War II1551 Words   |  7 Pagesattention is on this analysis of gender roles and before any blood is spilled, that statement was the expectation of family life until World War II. Men held the sole responsibility for providing the income for a family prior to the war. Men left as soldiers fighting a war and came home to a new world of changes they could not have ever thought possible. Women took jobs normally reserved for men which set the wheels in motion for equality in the workplace. When women found their place in the workforceRead MoreRole Of Mexican American Women During World War II1980 Words   |  8 PagesMarch 3, 2015 The role of Mexican American Women during World War II 1. - The beginning of World War II 2. - Mexican American society before World War II a) The role of the Mexican American woman b) The job opportunities for Mexican American women 3. - Changing roles during World War II a) The job opportunities for Mexican American women during the war b) Leaving the family to go to work 4. – Effects of the World War II experience on Mexican American women 5. - Conclusions Read MoreEssay The Role of Women in Australian Society During World War II 991 Words   |  4 PagesDuring the World War II era, the outlook on the role of women in Australian society revolutionised. As a majority of men were at war, Australian women were encouraged to rise above and beyond their stereotypical ‘housewife’ status. They were required to take on the tasks that were once considered predominantly male roles, and also allowed the opportunity to join the armed services as well as enlist in the Women’s Land Army. Many women who doubted their abilities played their part by entering voluntaryRead MoreWomen and their Involvement in World War II Essay787 Words   |  4 PagesWomen and their Involvement in World War II Women had a huge role in the World War II that so many do not recognize. Women were involved in many different jobs that allowed them to step out of the ordinary norm as the â€Å"typical housewife†, and dive into fierce hardworking jobs that until then only a man could do. Women jumped into the factories and many different roles that contributed to World War II, because the need for more American workers was crucial. A few roles of women prior to theRead MoreWomen During World War II1534 Words   |  7 PagesDuring World War I, women stayed at home, aided the Red Cross, and volunteered with churches and civic groups to collect donations. Women s roles in World War II challenged the traditional roles of homemaker and caregiver. Women took on a more active role in the military and held positions alongside men. They were trusted with more responsibilities and offered more freedom than they had during the First World War. Women held more traditional roles in comparison to World War II when women took onRead MoreWomens Role During World War 11 Essay1210 Words   |  5 PagesWomen’s Role During World War II During World War II, thousands of women in various nations were deeply involved in volunteer work alongside men. Before World War II, the women’s role was simply to be a wife to her husband, a mother to her children, and a caretaker to the house (Barrow). As World War II raged on, women made enormous sacrifices for their family, and also learnt new jobs and new skills. Women were needed to fill many â€Å"male jobs†, while men went off to fight in the war. Women served

Personality Characteristics And Characteristics Of...

Personality, according to the American Psychological Association, â€Å"refers to individual differences in characteristic patterns of thinking, feeling, and behaving. The study of personality focuses on two broad areas: One understands individual differences in particular personality characteristics, such as sociability or irritability. The other area understands how the various parts of a person come together as a whole.† (Kumari, 2015). There are layers to every individual’s way of thinking and interacting with the world that are defined by their experiences and their innate characteristics. These characteristics are displayed in every aspect of a person’s life. The personality is a fingerprint people instinctively leave when completing everyday tasks as well as dealing with others. A person’s behavior can become predictable because of the consistency of the pattern of characteristics and actions the person displays. A person disposition, forces them to be who they truly are and to live a life with accomplishments that reflect their views on the world (Goodarzi, 2015). When determining personality, there are five approaches which researchers focus on to determine one’s personality. The first approach is the trait approach which concentrates on the individual differences and the unique organization of the adaptations to the environment determined by the psychological systems. Gordon Allport, a trait psychologist, believes the development of traits supports a personologicalShow MoreRelatedThe Personality Characteristics Of Personality2513 Words   |  11 Pagesnotion of personality can be defined as a specific set of organised characteristics that influence a person’s everyday actions. These actions are guided by different motives and cognitive processes causing the large range of behaviours in a person. Each person’s characteristics are unique and come together to create an individual personal identity (Burger, 2011). Therefore a personality is subjective to each individual person, it is these unique characteristics that make i t so. Characteristics such asRead MorePersonality Characteristics1455 Words   |  6 PagesPersonality Characteristics Saundra Moskoff PSYCH 504 November 21, 2011 Angela J.W. Steele, Psy. D. Personality Characteristics People differ from one another not only in physical appearance but also psychologically. An individual’s persona is a mixture of life span experiences in addition to genetic characteristics (Cervone Pervin, 2010). Saundra Moskoff focused on three personality traits: self-esteem, autonomy, and sociability, and examined how the characteristics developed during herRead MoreCharacteristics And Characteristics Of Personality1065 Words   |  5 Pages Introduction A persons’ personality refers to their way of thinking, behavior, and feelings. It is determined based on five basic pillars: agreeableness, extraversion, openness to new experiences, neuroticism, and conscientiousness. Through these pillars, it is possible to determine an individuals’ personality profile, which may be used to predict their behavior, relationships and other outcomes in life. The traits also determine someone’s personal profile, their work experiences, physical andRead MorePersonality Characteristics Of Personality Traits1235 Words   |  5 PagesPersonality characteristics Introduction Personality psychologists define personality as the psychological traits that contribute to an individual’s enduring and distinctive patterns of feelings, thinking, and behavior, (Cervone Pervin, 2013). Now, this statement can denote that personality might be somehow fixed. Perhaps the most obligatory questions to ask in this regards are: is personality inherited or acquired. Can individual’s personality be altered? For decades, these and many other questionsRead MorePersonality Characteristics Of A Personality Assessment1100 Words   |  5 PagesCoworker Personality Assessment Within my current organization, I have had a direct experience with an individual who has personality characteristics of substantial variance from my own. For this essay, I shall refer coworker as Bob. To understand Bob’s beliefs and motivators, I will identify Bob’s personality traits using the â€Å"Big Five† model. The â€Å"Big Five† model consists of five factors; Extraversion, agreeableness, conscientiousness, emotional stability, and openness to experience (RobbinsRead MoreCharacteristics And Characteristics Of A Personality Disorder1460 Words   |  6 Pagespsychopathy or some form of mental illness or disorder. Our textbook states the â€Å"the term psychopathy â€Å"refers to a very specific and distinctive type of psychopathology†-a personality disorder characterized by antisocial behavior and a lack of feelings, especially empathy for or sensitivity to others . There are some biological characteristics such as traumatic events or abuse that turn in to psychiatric issues or defects to a person’s body that can cause criminal activity. These are some of the problemsRead MorePersonality Characteristics And Personality Traits1691 Words   |  7 PagesPart 1: Personality Characteristics and Motivation Character/Personality Traits: After Interviewing Tanseer, I got some really useful insights about her overall personality and how she became an entrepreneur. In her opinion, some of the entrepreneurial skills that she acquired over the time were the main reason behind her success. Throughout the beginning phase of the interview she stressed on the importance of Perseverance skills as being utmost important when launching an entrepreneurial ventureRead MoreCharacteristics Of A Personality Disorder1707 Words   |  7 PagesPsychopathy is condition in which an individual has a wide array of negative personality traits. The trait that stands out the most is that they enjoy the suffering of others, as well as compulsively, and very skillfully, lying to others. Also, their sense of superficial charm causes people to gravitate toward them. Psychopaths are also known for their lack of general remorse and empathy for any wrongdoings they may commit. They are known to deny responsibility for actions they commit, as well a sRead MoreExternal Characteristics Of Personality1044 Words   |  5 PagesPersonality consists of different traits that each individual embodies. Each personality is composed of a diverse variety of traits and characteristics that are influenced by our environment, upbringing, experiences, and personal attributes we have attained throughout our lives. These are examples of both external and internal characteristics. External characteristics include the environment and surroundings an individual is amerced in. Internal characteristics include traits such as introversionRead MorePersonality Characteristics Of Personality Traits1043 Words   |  5 Pagesthe textbook, it describes how to define personality. There is no single definition of the word personality. That is because it is used in so many different ways, and because one word describing someone’s personality can be interpreted many different ways. For example, if you describe yourself as a â€Å"happy person†, that could mean something different to another person who also describes themselves as â€Å"happy†. Your personality is an arrangement of personality traits that describe a consistent style

Death of a Salesman Archetypes free essay sample

The Journey Willy must go and discover job opportunities to restore fertility into his house hold, he also descends into a mental, the flashbacks, and real hell, being fired, in order to discover his faults. The Fall Willy was once a very successful salesman, his children looked up to him and even had a woman on the side. Just like any hero, Willy is soon expelled from his paradise, such as being fired. Unhealable Wound Willys ability to hallucinate is something that can not be healed and in the end is the reason why Willy ends his life. SYMBOLIC ARCHETYPES Innate Wisdom Vs Educated Stupidity Neither Biff nor Willy can realize their goals until they become street smart and realize their lessons. CHARACTER ARCHETYPES Mentor Pupil Relationship Biff looks up at Willy as a mentor, as well as his father, Willy also tries to teach Biff important lessons. Hunting Group of Companions Biff and Happy are willing to come together and tackle money issues for their father. We will write a custom essay sample on Death of a Salesman Archetypes or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Loyal Retainers Willys children Biff and Happy could be considered his side kicks due to their actions in the flash backs. The Outcast Biff could be seen as the outcast, after he failed math and could never get a job, whence going from job to job, place to place. Creature of Nightmare Ben could be considered a creature of nightmare due to he is the reason Willy ends his life, all though his head. Woman Figure Earthmother She holds Willy up emotionally, cares for him and looks out for him, does not want to embarrass her husband. The Temptress Willys affair causes the downfall of Biffs life, and also throws Willy off of his pedestal, causing most future problems to accrue.

Tuesday, May 5, 2020

Physical Therapy for Benign Paroxysmal Positional Vertigo

Questions: 1. List two impairments that may be found during a vestibular assessment that would indicate a central versus a peripheral vestibular pathology. Indicate during which test or observation in which these impairments may be noted. 2. Identify and describe the treatment strategies that are the most beneficial for the posterior and horizontal canal based upon the Practice Parameter: Therapies for Benign Paroxysmal Positional Vertigo (An Evidence-Based Review): Report of the Quality Standards Subcommittee of American Academy of Neurology. 3. Based upon the Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo, describe whether you would provide post-treatment precautions to a patient you treated for BPPV. If you recommend restrictions, describe your restriction, rationale as to why, and your restriction duration. 4. Perform the Dix Hallpike and the Canalith Repositioning Maneuver for the posterior canal on any willing person. Describe your experience. Do you feel you are ready to perform this on a patient? Answers: 1. It has been observed that the reduction in an appropriate neural output can happen due to the dual effect of Peripheral Vestibular Disorders (PVD) and Central Vestibular Disorders (CVD). This effect and reduction in neural output hamper the eye movement and spatial orientation. Individuals facing this impairment have found to face various problems that include dizziness, falls, imbalance, bilateral vestibulopathy, vertigo associated with dysfunction of the auditory system, benign paroxysmal positional vertigo (BPPV), vertigo associated with brainstem and oscillopsia (visual blurring) (Bhattacharyya et al., 2008). Assessment and inspection of the tympanic membrane and external ear are one of the tests and observations that can find out the impairment. Other tests and observation include Cranial nerve examination that can identify the potential cause of hearing loss and palsies. Apart from this, Dix-Hallpike test can clinically confirm the diagnosis of the posterior canal for benign paroxysmal positional vertigo (BPPV). However, various other tests are also important in finding out the impairments (Kutz 2010). These tests are vestibular testing, radiographic imaging, audiometric testing, computerized posturography, balance and gait testing, electronystagmography, orthostatic balance testing, audiometry testing, bedside testing, etc. 2. Many scientists and researchers have claimed that Dix-Hallpike maneuver therapy is the best-known diagnosis for posterior canal based BPPV. The treatment includes a top pole of rotational beating with the presence of torsion and up beating nystagmus. The whole set up is focused on the downside (affected) ear of the patient. The therapy follows a technique where the patients head is turned 45 degrees towards the position where it needs to be tested, and then the head is laid back (Fife et al., 2008). During this process, if the patient is suffering from BPVV then the nystagmus would ensure it within a second. Hence, nystagmus along with Dix-Hallpix maneuver technique is considered the ideal therapy for posterior canal BPPV. The horizontal canal based BPPV is diagnosed with Dix-Hallpike or supine maneuver process. They produce two types of geotropic positions. In the first prototype, the geotropic position is presented towards the ground that is known as the horizontal geotropic. The second prototype produces the geotropic position facing away from the ground that is known as apo-geotropic. Both of these geotropic possess a direction changing paroxysmal positional nystagmus. The patient is tested while he/she is seated in a straight supine position (Post Dickerson 2010). The patient is examined with the help of nystagmus. The observation of nystagmus is recorded by turning the head of the patient each in left and right side once. The readings and direction of nystagmus finally verify the type of horizontal canal BPPV and identifies the nature (geotropic or apogeotropic). Moreover, certain other techniques have been identified for the treatment of horizontal canal BPPV that are barbecue roll maneuver, Gu foni maneuver and VannucchiAsprella liberatory maneuver techniques (Troxel, Drobatz Vite 2015). 3. I would suggest the patients of post-treatment precautions who have been treated for BPPV under my guidance. Firstly, I would advise the patient to perform Brandt-Daroff exercises. This particular exercise would help him/her get accustomed to the abnormal balance signal that is triggered from the particles of the inner ear. Moreover, it would also assist the brain of the patient to get used to his/her conditions and it would provide immense help for setting him/her up for the further therapy and treatment. Moreover, I would like to suggest the patient that he/she should perform the exercise in three sets in a single day and should continue doing it for at least two weeks. Apart from this exercise, I would also suggest him/her to maintain a proper balance exercise for vertigo like standing up with the feet resting together, moving the head from side to side (Zaidi Sinha 2013). These small activities are believed to help the patient to get the cure and overcome the benign paroxysma l positional vertigo (BPPV) related problems. Moreover, the following exercises need to be performed by the patient on a regular basis (at least five times a day for the two weeks and so on). On the other hand, individual studies and research works have revealed that self-administered Canalith repositioning procedure (CRP) if assisted with Semont maneuver and Brandt-Daroff techniques result in good post-treatment precautions for the patients. And hence, I would also like to suggest the patient perform CRP's to provide them with better precautions. Apart from this, certain restrictions should be followed by the patients at every time as post-treatment restrictions are as follows - Getting up slowly from the bed and sitting on the edge of the bed before standing Try to avoid leaning to pick up anything from the ground Avoid sleeping sideways with the year as that may cause fatal and severe consequences Need to be extra careful while reclining Physical sports like football, rugby or anything that requires a vigorous jerk to the body should be avoided Avoid to move the head up and down . Avoid tilting the head frequently 4. The experience that I gained is that the Dix-Hallpike test requires "head hanging" for the patient maintaining a 10-degree rise in head position. Now, if the movement fails, then tests for horizontal semicircular canals are conducted. Again, if no nystagmus result is obtained in this position, then posterior semi-circular canals are tested. Moreover, I have also observed that the head hanging position followed by right and left movement of the head results in the collection of canaliths that ultimately provides a positive outcome. However, I have also observed that failure in conducting the posterior semi-circular canal testing will eventually provide us with false negative results. I have also experienced that horizontal canal trial and repetition of Dix-Hallpike test will ultimately decrease the chances for the patient undergoing extra tests. Moreover, these additional tests often lead to misdiagnosis. Furthermore, I also understood that if vertigo or nystagmuses elicit a moveme nt then a proper and appropriate CRM is carried out. Yes, as a doctor I am very much confident and ready on the fact that I can perform these methods on the patients. Reference Bhattacharyya, N., Baugh, R. F., Orvidas, L., Barrs, D., Bronston, L. J., Cass, S., ... Fuller, D. C. (2008). Clinical practice guideline: benign paroxysmal positional vertigo.Otolaryngology-Head and Neck Surgery,139(5), S47-S81. Fife, T. D., Iverson, D. J., Lempert, T., Furman, J. M., Baloh, R. W., Tusa, R. J., ... Gronseth, G. S. (2008). Practice Parameter: Therapies for benign paroxysmal positional vertigo (an evidence-based review) Report of the Quality Standards Subcommittee of the American Academy of Neurology.Neurology,70(22), 2067-2074. Kutz, J.W., (2010). The dizzy patient.Medical Clinics of North America,94(5), pp.989-1002. Post, R. E., Dickerson, L. M. (2010). Dizziness: a diagnostic approach.Am Fam Physician,82(4), 361-68. Troxel, M. T., Drobatz, K. J., Vite, C. H. (2015). Signs of neurologic dysfunction in dogs with central versus peripheral vestibular disease.Journal of the American Veterinary Medical Association,227(4), 570-574. Zaidi, S. H., Sinha, A. (2013). Benign Paroxysmal Positional Vertigo (BPPV). InVertigo(pp. 81-90). Springer Berlin Heidelberg. Zhang, Y. X., Wu, C. L., Xiao, G. R., Zhong, F. F. (2012). [Comparison of three types of self-treatments for posterior canal benign paroxysmal positional vertigo: modified Epley maneuver, modified Semont maneuver and Brandt-Daroff maneuver].Chinese journal of otorhinolaryngology head and neck surgery,47(10), 799-803.

Wednesday, April 15, 2020

Should Orcas Be Kept in Captivity free essay sample

Should Orcas be Kept in Captivity? In my opinion I think orcas should not be kept in captivity because they are dangerous. They will not be kept in their natural habitat. And they get stressed from being enclosed. It is to dangerous for orcas to be kept in captivity. They are to hard to understand nobody knows what can happen. What if they go wild or something. What if they can’t control themselves. I mean they are used to doing every thing on their own. What if they get taught. What can happen. Also because they will not be kept in their natural habitat that can cause many things. Like since they know what to do alone then if we were to just like do every thing for them then they will forget to do it alone. All scientist may want is to study the orcas after that they my just let them go. We will write a custom essay sample on Should Orcas Be Kept in Captivity or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page That is not right because learning about something can take years. And in that time the people will do everything for them. Then when it’s time to let them go they won’t know what to do anymore because humans did everything for it. Also because they can get stressed out when being enclosed. Nobody knows what they can do people think look that orca is so cute but dangerous. What if it gets stressed and goes on rage. What will happen now. It can do anything now that it’s crazy. What if it gets to stressed and starts hitting everything and break the window were you can see them under water. They should not be kept in captivity. Orcas should once again not be kept in captivity because they are dangerous. They won’t be in their natural habitat and forget everything. And they are stressed being enclosed.

Tuesday, April 14, 2020

You Can Write a Computer Science Essay Online - Here Are Some Tips

You Can Write a Computer Science Essay Online - Here Are Some TipsOne of the requirements for the DNP (Digital Natives Package) Essay in Computer Science is writing a computer science-based essay. The Essay has to address specific topics and computer science research and development in current universities, colleges and universities. Students taking the test need to write a paper that is coherent with the rest of the course and needs to be original.There are several methods available for writing DNP Essay samples. Students can make use of book-length textbooks, books on CD or software to assist them. However, software is much more efficient, quick and easy to use. Students can use several practice essays using this software to gain familiarity with its operation.An efficient and popular program is the PowerPort Essay Program. It is easy to use and provides automatic editing of your essay. It will save you much time as you move on to solving other problems.If you are a student who wan ts to learn to write Computer Science-based essays, then you should look for Essay samples in your local library. Most of the books that have been written on this subject include Essay samples. Moreover, there are many websites that offer essays on these subjects.Writing a paper for any subject is not an easy task. Though it is hard, it is not impossible. If you are creative and eager to work on your writing skills, then the online essay writing services will prove to be beneficial.You may choose to do all the writing yourself or to employ the help of someone else for this purpose. There are many who prefer to hire a ghost writer to write the essay for them. However, this can become expensive.For those students who want to do it on their own, they need to understand the needs of the subject. They also need to find out what the subject is about. Only then, can they create their own personal idea for the topic.The Computer Science essay writing can prove to be a challenge if you want to do it alone. It is important that you study hard, practice your writing skills and use software to help you write the paper. You must be aware of the other considerations, so that you can solve your problems.

Thursday, March 12, 2020

#8220;Argumentative Essay Sample on the Myth of the Half Soul #8220;

#8220;Argumentative Essay Sample on the Myth of the Half Soul #8220; Religion is a potent instrument in directing peoples opinions and conviction so the masculinity of the god it represent certainly have a impressive influence to those who believe that doctrine. When this attitude is taught to a child, he/she receives it as the ultimate truth. As he grows up, the patriarchal society imposes the same teaching through the stories like Beauty and the Beast, Psyche and Eros, Iseult and Tristan, and Lancelot and Guenevere. Because of how I was brought up, I am having a hard time believing that even divine scriptures could be only derived from what a writer just want to believe. And based from the book, the writer is a masculine imposing his power and control over women. The gender used in the Bible that refers to God only imposes mens superiority over women, so as the use of man instead of woman and he instead of she. Using god for this gender issue make patriarchy the natural and original thing. I disagree with the part where it is said that the romantic myth declares that a man longs to posses his beloved and that a woman longs to be posses, not only sexually, but emotionally and spiritually. It is like saying that women should be inferior compared to men. Because of the negative characteristics given to the first woman, females were prearranged to have the same personality. I prefer the first version of origin of humanity were man and woman were made together. It gives a sense of equality compared to that version where Eve was made for Adam. The myth about the rib only suppresses women’s image. Man is given the authority to say that they are guilty of sins but accuse Eve as responsible for it. Like in the story of Iseult, a couple could not be happily married forever because they followed the romantic expectations set for them. They must truly love each other and not just long for love. Females are posed to be the objects of the fulfillments of males needs. Even if women try to get away from this they could not free themselves because of what the society imposes. Instead of being compared to men by qualities like diligence and productiveness, they are measured by attractiveness and purity. The story of Beauty, in a way, could also tell mens weaknesses. The father and the beast depended on Beauty for their life. It lifts a womans worth and at the same time, she may not need any rescuing like what was shown on the retelling of Beauty’s story. The Myth of the Half Soul shows women that they have a choice. They could stand up to the standards made for them but may not be prepared for their worth. It does not mean that Romantic Love is not real if we cannot pin down what exactly we long for. Like the characters in the stories, women could be equal to men or could find their own Romantic love if they could understand the source of their love or the basis of their relationship with men.

Tuesday, February 25, 2020

Impact of Other Industries on Power Tools Industry Essay

Impact of Other Industries on Power Tools Industry - Essay Example Hand Tools are tools that are powered manually (U.S. Department of Labor, 2002). These tools are powered solely by the person using it and do not use motors (Wikipedia, 2007). These include hammers, screw drivers, hand drills, saws and knives etc., that require manual power to operate. The Hand Tools industry can be a threat for power tools. Though outdated and used less frequently, yet they can be the tools of choice by some consumers due to their lesser costs and supposedly longer lives. Hand Tools offer some benefits as compared to power tools, these don't rust easily, there is no expenditure required for purchasing batteries etc., electricity is not required to operate these and there are no essential scheduled maintenance requirements. Hence, hand tools can provide a cost competitive alternative for some people, mainly the Do-It-Yourself (DIY) type of customers. The forecasting for the hand tools industry depends upon the value the user derives from the use of these tools. The estimations can be obtained using customer surveys that show preferences of customers who are using hand tools. The surveys can provide valuable information about the features that power tools manufacturers should try to incorporate in their design if possible. In addition, some estimates can be developed by analyzing the revenues and sales data of various companies providing hand tools and then comparing this data with the power tools sales information to identify the extent of competition hand tools providers are posing for power tools industry. Bench Mounted Tools Bench Mounted tools are those that are not portable; these are fixed (mounted) at a place. Usually, these are required in small industries where tools like Thickness Planer, Saw Table etc. (Mitre 10, 2007) are used by a group of workers at the same time. These are mainly used where a number of people are involved in doing a single task like an assembly line where all workers follow similar procedures. In these kinds of situations, using portable tools is cost ineffective; instead the bench-mounted tools are used for efficiency and effectiveness gains. These are also used in metal working environments. The Bench Mounted tools industry provides competitions to the portable electric power tools industry because a large number of industries have now installed fixed tools instead of providing portable tools to all its workers. The forecasts can be derived by analyzing the historical industrial data for new technology deployment and from sales figure of these tools. Air Driven (Pneumatic) Tools Pneumatic tools are powered by compressed air and include chippers, drills, hammers and sanders (U.S. Department of Labor, 2002). These tools are usually used in the mechanical and automotive industries which require high power tools. They may pose a competition to the portable electric tools market where the electric tools face the threat of substitution. The relevant forecasts and statistics can be obtained by analyzing the market size and segmentation. Liquid Fuel and Hydraulic Power Tools These tools are operated by generating power from liquid fuel like gasoline or water. These are used in environments where there is a need of extremely high power to operate the tool. The industry data can be obtained for estimating the market size and usage level and then an estimate can be made regarding

Sunday, February 9, 2020

Housing Pre and Post Recession Lab Report Example | Topics and Well Written Essays - 750 words

Housing Pre and Post Recession - Lab Report Example From figure 1, we see that the data starts off from the middle of a recession in 1982. It lasted only till the 4th quarter of the year. The percentage of GDP growth since then rose sharply until the 2nd quarter of 1982 and then started gradually moderating. The ensuing period was characterized by some volatility until the 1st quarter of 1991 from where the GDP growth dipped sharply and the second recession initiated. This recession also lasted only for two quarters. The decade of the 1990s marked a steady climb in the GDP growth rate and signs of the next recession were observed only in the first quarter of 2000 since when it started decreasing rapidly. This third recession lasted from the 1st quarter of 2001 to the last quarter of the same year. There was a small climb in terms of GDP growth since then until 2007. From the last quarter of 2007 the recent recession set in and it lasted for seven quarters making it the longest recession in the time horizon under consideration. Figure 1 Housing Starts Turning to the Housing markets, we start by looking at housing starts in Figure 2. Interestingly, apart from a steady dip a few quarters ahead of the current recession, inter-temporal movements in housing starts have been moderately stable. The recessions do not seem to have affected housing starts to any considerable extents and we find only small dips in the first two recessions. Strangely during the third recession, we find that housing starts actually increased. However, it can also be seen from the graph that housing starts exhibit a marked decline from around the 3rd quarter of 2005 onwards well into the recent recession. Figure 2 Average real housing prices The next housing market indicator considered is the real average housing price. As can be seen from figure 3, housing prices exhibit smooth but evident cyclical movements. Comparing these movements with figure 1 reveals that in terms of trends the housing price movements particularly in the latter half of the time horizon match those of the real GDP growth although real GDP volatility is considerably higher. The peaks and the troughs in the average housing price time plots are clearly distinguishable and there are substantially lesser reversals making the series a lot smoother. Although resemblances in trend are not so clear in the quarters before 2000, since then the GDP growth and housing prices seem to follow very similar patterns. Figure 3 Months’ supply Finally, in figure 4 below, we look at movements in months’ supply of housing across the duration considered. In between the first two recessions here, the series seems to have been substantially volatile though stably so, around a mean of 2. Thereon, the movements of the series have been relatively less volatile. Figure 4 We see from the figure that months’ supply has declined in periods subsequent to the 1st, 2nd and 4th recessions. After the 1982 recession, housing supply exhibits a small decline in the ge neral trend although it as mentioned earlier fluctuated around an average. A more pronounced decline in the series occurred following the 2nd recession in 1991. The strong declining trend during this phase continued on through the onset of the third recession. There was a surge in early 2005 reflecting what we know now as the gradually forming housing bubble. The series attained its maximum halfway into the fourth recession. The housing supply series seems to reflect a lagged

Thursday, January 30, 2020

The American Civil War Essay Example for Free

The American Civil War Essay After the War of Independence the United States of America was governed by the Articles of Confederation. This provided for a weak central government and strong state governments. However, it proved unworkable and a new Constitution was adopted that resulted in a stronger Federal government with powers which included regulating interstate commerce as well as foreign affairs. The different states had varying policies concerning slavery. In some areas of the country where religious groups such as the Quakersplayed a prominent role in political life, there was strong opposition to having slaves. Rhode Island abolished slavery in 1774 and was soon followed by Vermont (1777), Pennsylvania (1780), Massachusetts (1781), New Hampshire (1783), Connecticut (1784), New York (1799) and New Jersey (1804). The new states of Maine, Michigan, Wisconsin, Ohio, Indiana, Kansas, Oregon, California and Illinois also did not have slaves. The importation of slaves from other countries was banned in 1808. However, the selling of slaves within the southern states continued. Conflict grew in the 19th century between the northern and southern states over the issue of slavery. The northern states were going through an industrial revolution and desperately needed more people to work in its factories. Industrialists in the North believed that, if freed, the slaves would leave the South and provide the labour they needed. The North also wanted tariffs on imported foreign goods to protect their new industries. The South was still mainly agricultural and purchased a lot of goods from abroad and was therefore against import tariffs. In 1831 Arthur Tappan and Lewis Tappan established the first Anti-Slavery Society in New York. When two years later it became a national organization, Tappan was elected its first president. William Lloyd Garrison, Theodore Weld, Samuel Eli Cornish, Angelina Grimke, Sarah Grimke Robert Purvis, Wendell Phillips, John Greenleaf Whittier, Frederick Douglass, Lucretia Mott, Lydia Maria Child, William Wells Brownsoon emerged as the main figures in the organization. Its main supporters were from religious groups such as the Quakers and from the free black community. By 1840 the society had 250,000 members, published more than twenty journals and 2,000 local chapters. The growth in the Antislavery Society worried slaveowners in the South. They feared that the activities of the abolitionists would make it more difficult to run their plantation system. Where possible they wanted to see an expansion of slavery into other areas. They therefore supported the annexation of Texas as they were certain it would become a slave state. They also favoured the Mexican War and agitated for the annexation of Cuba. Conflict grew in the middle of 19th century between the northern and southern states over the issue of slavery. The northern states were going through an industrial revolution and desperately needed more people to work in its factories. Industrialists in the North believed that, if freed, the slaves would leave the South and provide the labour they needed. The North also wanted tariffs on imported foreign goods to protect their new industries. The South was still mainly agricultural and purchased a lot of goods from abroad and was therefore against import tariffs. In 1850 Congress passed the Fugitive Slave Law. In future, any federal marshal who did not arrest an alleged runaway slave could be fined $1,000. People suspected of being a runaway slave could be arrested without warrant and turned over to a claimant on nothing more than his sworn testimony of ownership. A suspected black slave could not ask for a jury trial nor testify on his or her behalf. Any person aiding a runaway slave by providing shelter, food or any other form of assistance was liable to six months imprisonment and a $1,000 fine. Those officers capturing a fugitive slave were entitled to a fee and this encouraged some officers to kidnap free African Americans and sell them to slave-owners. Frederick Douglass, Wendell Phillips, William Lloyd Garrison and John Greenleaf Whittier led the fight against the Fugitive Slave Law. Even moderate anti-slavery leaders such as Arthur Tappan declared he was now willing to disobey the law and as a result helped fund theUnderground Railroad. In 1854 Stephen A. Douglas introduced his Kansas-Nebraska bill to the Senate. These states could now enter the Union with or without slavery. Frederick Douglass warned that the bill was an open invitation to a fierce and bitter strife. The result of this legislation was to open the territory to organized migrations of pro-slave and anti-slave groups. Southerners now entered the area with their slaves while active members of the Antislavery Society also arrived. Henry Ward Beecher, condemned the bill from his pulpit and helped to raise funds to supply weapons to those willing to oppose slavery in these territories. Kansas elected its first legislature in March, 1855. Although less than 2,000 people were qualified to take part in these elections, over 6,000 people voted. These were mainly Missouri slave-owners who had crossed the border to make sure pro-slavery candidates were elected. The new legislature passed laws that imposed the death penalty for anyone helping a slave to escape and two years in jail for possessing abolitionist literature. In 1856 Abraham Lincoln joined the Republican Party and unsuccessfully challenged Stephen A. Douglas for his seat in the Senate. Lincoln was opposed to Douglass proposal that the people living in the Louisiana Purchase (Louisiana, Arkansas, Oklahoma, Kansas, Missouri, Nebraska, Iowa, the Dakotas, Montana, and parts of Minnesota, Colorado and Wyoming) should be allowed to own slaves. Lincoln argued that the territories must be kept free for poor people to go and better their condition. Abraham Lincoln raised the issue of slavery again in 1858 when he made a speech at Quincy, Illinois. Lincoln argued: We have in this nation the element of domestic slavery. The Republican Party think it wrong we think it is a moral, a social, and a political wrong. We think it is wrong not confining itself merely to the persons of the States where it exists, but that it is a wrong which in its tendency, to say the least, affects the existence of the whole nation. Because we think it wrong, we propose a course of policy that shall deal with it as a wrong. We deal with it as with any other wrong, insofar as we can prevent it growing any larger, and so deal with it that in the run of time there may be some promise of an end to it. Lincolns speech upset Southern slaveholders and poor whites, who valued the higher social status they enjoyed over slaves. However, with rapid European immigration taking place in the North, they had a declining influence over federal government. Opponents of slavery were also becoming more militant in their views. John Brown and five of his sons moved to Kansas Territory to help antislavery forces obtain control of this region. With the support of Gerrit Smith and other prominent Abolitionists, Brown moved to Virginia where he established a refuge for runaway slaves. In 1859 John Brown led a party of 21 men in a successful attack on the federal armory at Harpers Ferry. Brown hoped that his action would encourage slaves to join his rebellion, enabling him to form an emancipation army. Two days later the armory was stormed by Robert E. Lee and a company of marines. Brown and six men barricaded themselves in an engine-house, and continued to fight until Brown was seriously wounded and two of his sons had been killed. Brown was executed on 2nd December, 1859. Southern slaveholders were outraged when in 1860 the Republican Party nominated Abraham Lincoln as its presidential candidate in 1860. They looked to the Democratic Party to defend its interests but when it met in Charleston in April, 1860, it selected, Stephen A. Douglas. Unhappy with this decision, Southern delegates decided to hold another convention in Baltimore in June, where they selected John Breckenridge of Kentucky to fight the election. The situation was further complicated by the formation of the Constitutional Union Party and the nomination of John Bell of Tennessee as its presidential candidate. Abraham Lincoln won with 1,866,462 votes (18 free states) and beat Stephen A. Douglas (1,375,157 1 slave state), John Breckenridge(847,953 13 slave states) and John Bell (589,581 3 slave states). In January 1862 the Union Army began to push the Confederates southward. The following month Ulysses S. Grant took his army along the Tennessee River with a flotilla of gunboats and captured Fort Henry. This broke the communications of the extended Confederate line andJoseph E. Johnston decided to withdraw his main army to Nashville. He left 15,000 men to protect Fort Donelson on the Cumberland River but this was not enough and Grant had no difficulty taking this prize as well. With western Tennessee now secured, Abraham Lincoln was now able to set up a Union government in Nashville by appointing Andrew Johnson as its new governor. General George McClellan appointed Allan Pinkerton to employ his agents to spy on the Confederate Army. His reports exaggerated the size of the enemy and McClellan was unwilling to launch an attack until he had more soldiers available. Under pressure from Radical Republicans in Congress, Abraham Lincoln decided in January, 1862, to remove the conservative Simon Cameron as Secretary of War, and replace him with Edwin M. Stanton. Soon after this Lincoln ordered George McClellan to appear before a committee investigating the way the war was being fought. On 15th January, 1862, McClellan had to face the hostile questioning of Benjamin Wade and Zachariah Chandler. Wade asked McClellan why he was refusing to attack the Confederate Army. He replied that he had to prepare the proper routes of retreat. Chandler then said: General McClellan, if I understand you correctly, before you strike at the rebels you want to be sure of plenty of room so that you can run in case they strike back. Wade added Or in case you get scared. After McClellan left the room, Wade and Chandler came to the conclusion that McClellan was guilty of infernal, unmitigated cowardice. As a result of this meeting Abraham Lincoln decided he must find a way to force McClellan into action. On 31st January he issued General War Order Number One. This ordered McClellan to begin the offensive against the enemy before the 22nd February. Lincoln also insisted on being consulted about McClellans military plans. Lincoln disagreed with McClellans desire to attack Richmond from the east. Lincoln only gave in when the division commanders voted 8 to 4 in favour of McClellans strategy. However, Lincoln no longer had confidence in McClellan and removed him from supreme command of the Union Army. He also insisted that McClellan left 30,000 men behind to defendWashington. Albert S. Johnston and Pierre T. Beauregard reunited their Confederate armies near the Tennessee-Mississippi line. With 55,000 men they now outnumbered the forces led by Ulysses S. Grant. On 6th April the Confederate Army attacked Grants army at Shiloh. Taken by surprise, Grants army suffered heavy losses until the arrival of General Don Carlos Buell and reinforcements. During the fighting Albert S. Johnston was killed and the new commander, Pierre T. Beauregard, decided to retreat to Corinth, Mississippi.Shiloh was the greatest battle so far of the Civil War. The Union Army suffered 13,000 casualties and the Confederates lost 10,000. However, the Union Army, with the arrival of General Henry Halleck and his troops, were now the stronger and had little difficulty driving Beauregard out of Corinth. The difference in manpower between the two sides now becoming more noticeable. Whereas the Union consisted of 23 states and 22,000,000 people, the Confederacy had only 9,000,000 people (including 3,500,000 slaves). President Jefferson Davis now announced that the South could not win the war without conscription. In April the Confederate Congress passed the Conscription Act which drafted white men between eighteen and thirty-five for three years service. In May, 1862 General David Hunter began enlisting black soldiers in the occupied districts of South Carolina. He was ordered to disband the 1st South Carolina (African Descent) but eventually got approval from Congress for his action. Hunter also issued a statement that all slaves owned by Confederates in the area were free. Lincoln quickly ordered Hunter to retract his proclamation as he still feared that this action would force slave-owners in border states to join the Confederates. Radical Republicans were furious and John Andrew, the governor of Massachusetts, said that from the day our government turned its back on the proclamation of General Hunter, the blessing of God has been withdrawn from our arms. The actions of General David Hunter and Lincolns reaction stimulated a discussion on the recruitment of black soldiers in the Northern press. Wendell Phillips asked, How many times are we to save Kentucky and lose the war? This debate was also taking place in the Cabinet, as Edwin M. Stanton was now advocating the creation of black regiments in the Union Army. Horace Greeley, editor of the New York Tribune, one of the leaders of the anti-slavery movement, urged Lincoln to convert the war into a war on slavery. Lincoln replied that he would continue to place the Union ahead of all else. My paramount object in this struggle is to save the Union, and is not either to save or destroy slavery. If I could save the Union without freeing any slave, I would do it; and if I could save it by freeing all the slaves, I would do it; and if I could do it by freeing some and leaving others alone, I would also do that. The federal fleet under David Farragut captured the forts guarding the New Orleans in April, 1862. The following month General Benjamin F. Butler and his troops took control of the city. Butler was accused of treating Rebels very harshly and after ordering the execution of a man who had torn down the United States flag, he was nicknamed the beast. Alexander Walker, a pro-Confederate journalist who was one of those arrested, complained that the prisoners were: closely confined in portable houses and furnished with the most wretched and unwholesome condemned soldiers rations. He added that some were compelled to wear a ball and chain, which is never removed. President Jefferson Davis accused Benjamin F. Butler of inciting African slaves to insurrection by arming them for war. Davis issued a statement ordering that Butler no longer be considered or treated simply as a public enemy of the Confederate States of America, but as an outlaw and common enemy of mankind, and that, in the event of his capture, the officer in command of the captured force do cause him to be immediately executed by hanging. During the summer of 1862, George McClellan and the Army of the Potomac, took part in what became known as the Peninsular Campaign. The main objective was to capture Richmond, the base of the Confederate government. McClellan and his 115,000 troops encountered the Confederate Army at Williamsburg on 5th May. After a brief battle the Confederate forces retreated South. McClellan moved his troops into the Shenandoah Valley and along with John C. Fremont, Irvin McDowell and Nathaniel Banks surroundedThomas Stonewall Jackson and his 17,000 man army. First Jackson attacked John C. Fremont at Cross Keys before turning on Irvin McDowell at Port Republic. Jackson then rushed his troops east to join up with Joseph E. Johnston and the Confederate forces fighting McClellan in the suburbs the city. General Joseph E. Johnston with some 41,800 men counter-attacked McClellans slightly larger army at Fair Oaks. The Union Army lost 5,031 men and the Confederate Army 6,134. Johnson was badly wounded during the battle and General Robert E. Lee now took command of the Confederate forces. On 26th June, 1862, Major General John Pope, was appointed the commander of the new Army of Virginia. Pope soon made it clear he intended to develop an aggressive approach to the war. Soon after taking command he issued a proclamation to his troops: I have come to you from the West, where we have always seen the backs of our enemies; from an army whose business it has been to seek the adversary, and to beat him where he was found; whose policy has been attack and not defense. I presume that I have been called here to pursue the same system and to lead you against the enemy. It is my purpose to do so, and that speedily. Major General John Pope was instructed to move east to Blue Ridge Mountains towards Charlottesville. It was hoped that this move would help McClellan by drawing Robert E. Lee away from defending Richmond. Lees 80,000 troops were now faced with the prospect of fighting two large armies: McClellan (90,000) and Pope (50,000) Joined by Thomas Stonewall Jackson, James Longstreet, and George Pickett, the Confederate troops attacked George McClellan atGaines Mill. and on 27th June. After severe fighting the Union Army losses were 893 killed, 3,107 wounded and 2,836 missing. Whereas the Confederate Army had 8,751 killed and wounded. George McClellan wrote to Abraham Lincoln complaining that a lack of resources was making it impossible to defeat the Confederate forces. He also made it clear that he was unwilling to employ tactics that would result in heavy casualties. He claimed that ever poor fellow that is killed or wounded almost haunts me! On 1st July, 1862, McClellan and Lincoln met at Harrison Landing. McClellan once again insisted that the war should be waged against the Confederate Army and not slavery. In July, 1862, John Pope decided to try a capture Gordonsville, a railroad junction between Richmond and the Shenandoah Valley. Pope selected Nathaniel Banks to carry out the task. Robert E. Lee considered Gordonsville to be strategically very important and sent Thomas Stonewall Jackson to protect the town. On 9th August, Jackson defeated Banks at Cedar Run. George McClellan and army based at Harrisons Landing was told to join Popes campaign to take the railroad junction. When Lee heard this news he brought together all the troops he had available to Gordonsville. On 29th August, troops led by Thomas Stonewall Jackson and James Longstreet, attacked Popes Union Army at Manassas, close to where the first battle of Bull Run had been fought. Pope and his army was forced to retreat across Bull Run. The Confederate Army pursued the Army of Virginia until they reached Chantilly on 1st September. The Union Army lost 15,000 men at Bull Run. John Pope was blamed for the defeat. A staff officer later recalled that Pope was entirely deceived and outgeneralled. His own conceit and pride of opinion led him into these mistakes. Relieved of his command Pope was sent to Minnesota to deal with a Sioux uprising. The government was now seriously concerned about the poor performance of the Union Army and Salmon Chase (Secretary of the Treasury), Edwin M. Stanton (Secretary of War) and vice president Hannibal Hamlin, who were all strong opponents of slavery, led the campaign to have George McClellan sacked. Unwilling to do this, Abraham Lincoln decided to put McClellan in charge of all forces in theWashington area. George McClellan became a field commander again when the Confederate Army invaded Maryland in September. McClellan and Major General Ambrose Burnside attacked the armies of Robert E. Lee and Thomas Stonewall Jackson at Antietam on 17th September. Outnumbered, Lee and Jackson held out until Ambrose Hill and reinforcements arrived. It was the most costly day of the war with the Union Army having 2,108 killed, 9,549 wounded and 753 missing. Although far from an overwhelming victory, Lincoln realized the significance of Antietam and on 22nd September, 1862, he felt strong enough to issue his Emancipation Proclamation. Lincoln told the nation that from the 1st January, 1863, all slaves in states or parts of states, still in rebellion, would be freed. However, to keep the support of the conservatives in the government, this proclamation did not apply to border slave states: Delaware, Maryland, Kentucky and Missouri that had remained loyal. Lincoln now wanted George McClellan to go on the offensive against the Confederate Army. However, McClellan refused to move, complaining that he needed fresh horses. Radical Republicans now began to openly question McClellans loyalty. Could the commander be loyal who had opposed all previous forward movements, and only made this advance after the enemy had been evacuated wrote George W. Julian. Whereas William P. Fessenden came to the conclusion that McClellan was utterly unfit for his position. Frustrated by McClellan unwillingness to attack, Abraham Lincoln recalled him to to Washington with the words: My dear McClellan: If you dont want to use the Army I should like to borrow it for a while. On 7th November Lincoln removed McClellan from all commands and replaced him with Ambrose Burnside. Throughout the autumn of 1862 the Confederate Army continued to make progress in Kentucky. However, in September, General E. Kirby Smith was halted by Union troops led by General Don Carlos Buell in Covington. The following month General Braxton Bragg installed a Confederate government in Frankfort, Kentucky. However, this was short-lived and on 8th October, 1862, Bragg came under attack atPerryville (Chaplin Hills). During the battle Don Carlos Buell lost 4,211 men (845 killed, 2,851 wounded, and 515 missing) whereas Braxton Bragg lost 3,396 (510 killed, 2635 wounded and 251 missing). After the battle Bragg was forced to retreat back to Tennessee. General Ambrose Burnside had replaced George McClellan as commander of the Army of the Potomac on 7th November, 1862. After complaints that had been made by President Abraham Lincoln and the Secretary of War, Edwin M. Stanton, about the inaction of the Union Army, Burnside was determined to immediately launch an attack on the Confederate Army. With a force of 122,000, Ambrose Burnside, Joseph Hooker, Edwin Sumner, William Franklin attacked General Robert E. Lee and his army of 78,500, at Fredericksburg, Virginia, on 13th December. Sharpshooters based in the town initially delayed the Union Army from building a pontoon bridge across the Rappahnnock River. After clearing out the snipers the federal forces had the problem of mounting frontal assaults against troops commanded by James Longstreet. At the end of the day the Union Army had 12,700 men killed or wounded. The well protected Confederate Army suffered losses of 5,300. Ambrose Burnside wanted to renew the attack the following morning but was talked out of it by his commanders.