Saturday, November 30, 2019
The Aztecs Essay Example
The Aztecs Essay Did you know that the Aztec took their human sacrifice(act of offering something to a deity in propitiation) very seriously? Why do you think the historians should emphasize on the Aztec sacrifice? Well, historians should emphasize(pay special attention to) on this topic because of the Interesting things that are practiced during the sacrifice. The three Ideas we will talk about Is how often or why the Aztec sacrifice,why are humans sacrificed,and the religious aspect. But here are their background (that were told from Document C and E). The Aztec first came from rather Mexico around sass. These people had common rivals(opponents)like the Spanish. Obviously, they had prisoners from war and the prisoners were to be sacrificed. The Aztec took care of the prisoners for a year to know each other,but why did they end up killing them? Now, this topic will get very interesting(the deeper you get in) so I believe this is why historians should emphasize on the Aztec sacrifice. Sacrifice was a huge cultural event to the Aztec people. The prisoners were taken from Etiquette and were brought to the capitol (doc C). The Aztec picked a warrior tit physical beauty who was later killed at the end of the ceremony (doc E). We will write a custom essay sample on The Aztecs specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The Aztecs specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The Aztecs specifically for you FOR ONLY $16.38 $13.9/page Hire Writer This warrior was changed from a seasoned warrior to a god of Educational (god of war). He was treated like a family member for a long year until given up for sacrifice (doc E). He was given all of the needed necessities and more. For example food, clothes, teachers, and instructions. This man was treated like a living god. When the day of sacrifice came, a priest sliced there chest and ripped out the heart and threw it into the shrine before the gods (doc D). Then the priest rolled the bodies down the blood dated stairway (doc D). This process lasted from midday until nightfall. About 2,300 men were killed (doc D). This sacrifice was a huge cultural event for the Aztec especially the high class Aztec who got to sit back and watch this ceremony be performed (doc D figure). Human sacrifice Is the act of killing one or more human beings, usually as an offering to a deity, as part of a religious ritual. Spanish explorers and soldier who had contact with the Aztec between 151 7, when an expedition from Cuba first explored the Yucatan, and 1521, when Herman Courtà ©s conquered the Aztec capital of Ethnocentric, made observations of and wrote reports about the practice of human sacrifice. A wide variety of explanations and interpretations of the Aztec practice of human sacrifice have been proposed by modern scholars. Most scholars of Pre- Columbian civilization see human sacrifice among the Aztec as a part of the long cultural tradition of human sacrifice in Mesospheric. (Background Essay: The Aztec: Should Historians Emphasize Agriculture or Human Sacrifice) (Document A) The Aztec sacrificed humans Instead of animals to their gods. The Aztec priests dressed up the victims to look like a god. They treated some victims to a life of luxury and let them live as gods for a year before the sacrifice. When the sacrifice time E) Animals could not be made to look or live like gods and only human hearts were a worthy sacrifice. This gorge subject matter has sensational appeal to the masses, like modern news stories of Satan-worshippers, serial killers and murder trials, for example. If people are drawn to the subject matter by morbid curiosity, they could end up learning a lot about the Aztec history as a side benefit. So, the Aztecan sacrifice is still an important topic that the historians should emphasize so that they can dig up more of the Aztec history. Many people question or gripe(complain) why should the historians emphasize the Aztec sacrifice? . Well, not only the topic is interesting, it can prove many things for the historians for their questions. For an example, a historian was pondering(wondering) about why most of the Aztec were not killed for the sacrifice. If that historian emphasized the Aztec sacrifice, they will surely find their answers. Historians should emphasize this profound(deep,smart meaning)topic because it is a very interesting and can lead to sufficient(enough) answers.
Monday, November 25, 2019
Tips for Graduate School Purpose Statements
Tips for Graduate School Purpose Statements Now that we have reached the end of my admissions essay website, I would like to take this opportunity to offer some final tips to those of you about to embark upon the purpose statement writing process. The following information I am about to advise has helped me to write several quality graduate school purpose statements as well as many other college papers. With that in mind, I hope that they will do the same for you. Some of the most important things to remember when writing any composition are quite often the easiest to forget. Keeping your self hydrated and well rested, for example, are two very important writing rules of thumb that many people disregard as unnecessary. If you are gearing up to write your essay, do yourself a favor and make sure to get lots of rest and to drink lots of water before getting started. Making sure that you are both mentally and physically prepared for the work is an important factor when writing a successful composition. Another thing to remember when writing your graduate school purpose statement is not to be too hard on yourself. The process of writing your admissions essay is a lengthy one; you are going to have good days and you are going to have bad days. That is why it is important to be good to yourself. If you are having a bad day and feel as though everything you write is wrong, take a break for a while. Or do something creative with your time. Writing your graduate school purpose statement isnt supposed to be fun, but it isnt supposed to be excruciating either! If you would like help in writing your purpose statement or if you would like some general information on graduate school purpose statements, please dont hesitate to access the link provided. You can also feel free to contact me directly as I would love to assist you.
Friday, November 22, 2019
Anxiety Self Esteem And Alienation Psychology Essay
Anxiety Self Esteem And Alienation Psychology Essay Adolescence is a phase of physical, emotional, social variations, adjustment and development. Anxiety can impact self-esteem, interpersonal relationships and may lead to alienation. The study investigated the interrelationships among these variables on undergraduate girls and boys (40 each) between the ages of 18 and 23 years. Sinhaââ¬â¢s Comprehensive Anxiety Scale (1971), Coopersmith Self-Esteem Inventory (1967) and Sharmaââ¬â¢s Alienation scale (1988) were used to test the variables. Significant differences were found among female college students reporting higher anxiety, self-esteem and alienation than male college students. Self esteem and anxiety were highly correlated among males and valid relation was found between alienation and anxiety. However, gender differences were found towards core coon all the constructs. Further, the study contributes to examine the social problems that are prevalent among the adolescents so that maximum can be benefited to the societal inst itutions and the families by providing the understanding. Key Words: Adolescents, Anxiety, Alienation, Self-Esteem *Research Scholar, s.ali.shah14@gmail.com , 09891927834 **Assistant Professor, korsidk@gmail.com , Department of Psychology, Jamia Millia Islamia, New Delhi- 110025 Introduction: Increased media attentions, prevalence of university counseling centers and enhanced awareness of the mental health needs of college going students, (Benton, Robertson, Tseng, Newton, Rudd, 2004) marked the need to study severity of the problems which might affect the individual as he/she is at odd at self. The present study investigates the relationship between anxiety, self-esteem and alienation among male and female college students. Anxiety: Anxiety is an essential and natural emotional experience. The concept of anxiety is as old as human existence. Anxiety is associated with substantial negative effects on childrenââ¬â¢s social, emotional and academic success (Essau, Conradt Brown, Higgins, Hawkins et al., 2000; Suh Smith, 2000; Smyth, 2009).
Wednesday, November 20, 2019
Karim rashid work's images Research Paper Example | Topics and Well Written Essays - 2500 words - 1
Karim rashid work's images - Research Paper Example Bdesigns%26b%3D148%26ni%3D21%26ei%3DUTF-8%26xargs%3D0%26pstart%3D1%26fr%3Dchr-yie8%26fr2%3Dtab-web&w=330&h=330&imgurl=www.modernrestaurantseating.com%2Fwp-content%2Fuploads%2F2007%2F12%2Fkarim_rashid_kite_chair.jpg&rurl=http%3A%2F%2Fwww.modernrestaurantseating.com%2Fkite-chair-by-karim-rashid-light-and-convenient&size=8k&name=karim+rashid+kit...&p=karim+rashid+designs&oid=1fd9cc2308e679e2&fr2=tab-web&no=166&tt=288&b=148&ni=21&sigr=12mjumc8l&sigi=12m8ea27d&sigb=141seuem1 http://images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dkarim%2Brashid%2Bdesign%26ei%3Dutf-8%26fr%3Dchr-yie8&w=500&h=494&imgurl=deco-design.biz%2Fwp-content%2Fsoundwave-flo-panneau-acous.jpg&rurl=http%3A%2F%2Fletsgodeco.blogs.marieclairemaison.com%2Fdesign&size=146k&name=soundwave+flo+pa...&p=karim+rashid+design&oid=6d971e700056e8ba&fr2=&no=2&tt=16645&sigr=11kqcloko&sigi=11qdtrj9g&sigb=12n0232lc http://images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dkarim%2Brashid%2Bdesign%26ei%3Dutf-8%26fr%3Dchr-yie8&w=468&h=414&imgurl=marvinblog.com%2Fwp-content%2Fuploads%2F2009%2F09%2FRashid-Colors.bmp&rurl=http%3A%2F%2Fmarvinblog.com%2Fkarim-rashid-for-gorenje&size=567k&name=Rashid+Colors&p=karim+rashid+design&oid=d9d22d8896cebc86&fr2=&no=15&tt=16645&sigr=11edp4eg0&sigi=11ropkcfr&sigb=12n0232lc http://images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dkarim%2Brashid%2Bdesign%26b%3D22%26ni%3D21%26ei%3Dutf-8%26xargs%3D0%26pstart%3D1%26fr%3Dchr-yie8&w=600&h=592&imgurl=www.trender.fr%2Fwp-content%2Fuploads%2F2008%2F12%2Fkarim9.jpg&rurl=http%3A%2F%2Fwww.trender.fr%2Fpage%2F8&size=79k&name=karim9&p=karim+rashid+design&oid=33aa9ba4612d699e&fr2=&no=30&tt=16218&b=22&ni=21&sigr=10sede1d8&sigi=11kg7q1lt&sigb=13jn4jkia
Monday, November 18, 2019
Susan Power's Scared Wilderness Essay Example | Topics and Well Written Essays - 1500 words
Susan Power's Scared Wilderness - Essay Example Different backgrounds and eras gave them an idea to restore foundation to fulfill the dream of American women. The novel is taking us through the time, when the Mohawk were living on the territory of present-day Minnesota. The fourth novel by Susan Power is taking up to the centre cultural and spiritual traditions. We are getting cognizance with four women: Gladys Swan is enjoying the mansions on St. Paulââ¬â¢s Avenue. She is a housekeeper in the house of Candace Jenssen, who is well-to-do lady. She has all necessary material goods, she does not suffers from poverty, in spite of this she has a lack of spirit, being in disconnection with her husband and the sources and heritage of her Mohawk culture. Gladys, being as the elder of an Ojibwe, is thinking about putting Candace in touch with her ancestors as her private mission. However, Candace does not know about this idea. Beautiful Maryam is her co-conspirator in this unusual task. Candace dismisses appeals of Maryam, thinking about her as a hallucination caused by a brain tumor. Maryam changes the strategy, appealing to Gladys, who is very glad to meet ââ¬Å"a sisterâ⬠, who would join to her work and share her desire to help Candace. The author is trying to show is the images of the prehistoric biblical times, giving the readers an interesting re-imagining of first meetings of Native Americans with the missionaries of the Christian religion. She makes the reader to look from another fresh point of view to the lives Mary, Joseph and Jesus. Al this is happening in addition to the Power`s contemporary line of story, returning to the traditions of ancient cultures, which the imaginative time-traveler would be able to found in the early 17th century on the territory belonging to the Mohawk people, when man were hunting the food and female Mohawks looked after the gardens and collected vegetables to feed the tribes. ââ¬Å"Do you really want to be reduced to some kind of throwback stereotype from the Dark Ages?
Saturday, November 16, 2019
Tet Holiday Essay Example for Free
Tet Holiday Essay According to our traditional custom, the Tet holiday is the Lunar New Year Holiday ââ¬â the most important holiday in Vietnam. It is around late January or early February, depends on each year. We celebrate three days beginning of the new year, the first day of new year marks the beginning of Tet . This year, the New Year Day is in January 26th. People will have about two weeks off. Although there are three days which are the main days of Tet but we usually start to prepare much time before. There are many things to do such as clean and redecorate our houses, try to pay all our debts or everything we borrowed before the Tet, buy new clothes and presents for our relatives On this special occasion, everybody wants to return to their families, to where they grew up. The people, who are married, manage to take their families to visit or stay with their parents. Tet is the occasion to everybody gathers in warm atmosphere. We prepare for get-together meals, talk about the good things. People try to avoid arguments, or saying any bad things. There is a funny thing that people try not to sweep their house during Tet, because they believe that sweeping means put the good luck away. We forget all the troubles in past year and hope for a better new year. The first person comes to our houses on the New Year Day, who is called the first-foot is very important. People believe that they will bring our good luck or bad luck for the new year, so people usually choose who will be their first-foot. We spend time on visiting our relatives, friends, colleagues and go to pagodas or temples to pray health, happiness ans success for our families. When coming othersââ¬â¢ houses or meeting anybody at Tet, we usually wish each other health, happiness, success and many good things. Children are the happiest at Tet. They are usually received presents, especially little red envelopes with money in as New Yearââ¬â¢s Wishes, which people believe that will bring good things to children in the new year. People usually say ââ¬Å"the First Day is Fatherââ¬â¢s Tet, the Second Day is Motherââ¬â¢s Tet and the Third Day is Teacherââ¬â¢s Tetâ⬠. On the First Day morning (New Year Day), after finishing what we have to do in our houses , we go to our parents house to give New Yearââ¬â¢s greeting. People who are married manage to visit their parents on the husbandââ¬â¢s side on the First Day, and then their parents on the wifeââ¬â¢s side on the next day. People usually spend the Third Day to visit their teachers. Tet is time to hold get-together parties.
Thursday, November 14, 2019
Things Fall Apart :: essays research papers
Things Fall Apart is by the widely acclaimed African author Chinua Achebe. The story told is a tragic one of a person by the name of Okonkwo who's own stubborn views about what it is to be a man leads to his own demise. Okonkwo is often compared by people to the tragic hero like those in Greek tragedies. This is probably the primary way in which the text is interpreted but I feel Achebe is trying to make another point as well through the story. Achebe received inspiration to write the novel from a poem written by an Englishman by the name of William Butler Yeats. The title of the poem is The Second Coming. The poem talks about anarchy that is upon the world during the present time and how things will change with the 'second coming." During this 'second coming'; the chaos that is prevalent will end finally after two thousand years. Achebe uses this poems basic idea by creating the story of Okonkwo who lives in a chaotic and barbaric world. To outsiders who are observing Okonkwo's people, they may certainly seem uncivilized in many ways. Achebe symbolizes the end of this anarchy in Okonkwo's society by the introduction of Christian missionaries who pacify the Ibo people and ultimately cause the death of Okonkwo. I believe Okonkwo is the last and final source of chaos that is finally muted to bring civility to the people. The Ibo people live a very peaceful but ignorant life. At first glance their lifestyle may seem to be normal but when examining the depths of it we can clearly see why it would seem to be chaotic. When I use the term chaos or anarchy I don't mean it in the literal sense but in comparison to the modern world or in particular England. Anarchy or chaos in my usage is meant to be the lack of morals and/or certain values, which we as westerners would agree to be good. There are many things that the Ibo people were accustomed to that we would find horrific and savage. One of their customs was to throw away babies that were borne as identical twins because they were thought of as being bad. Another custom was to mutilate the dead corpse of a baby that was thought to be evil in order to prevent it from being borne again. Another thing that is chaotic about their culture was the fact that their laws and justice system were very perverted.
Monday, November 11, 2019
Building Working Relationships With Customers Essay
Effective communication strategies can help towards building strong working relationships with clients and customers and are very important for the progress of any company. It is essential to create a good impression and therefore it is important that the employeeââ¬â¢s self presentation meets the expectations of the customer and leaves them with an overall positive opinion. Employeeââ¬â¢s appearance is essential for creating a good first impression to the customer. It is important to look professional and to dress appropriately according to your working environment. While some companies require smart dress code at all times, for others wearing a suit may be seen as too dressy and would suggest that the employee is not familiar enough with the type of business. Ideally employees have to carefully consider the type of clients their company is aiming for and do their best to associate themselves with them, always aiming for a neat and tidy appearance. Major factor for oneââ¬â¢s self presentation is their attitude towards clients. It is vital to show interest in meeting the customerââ¬â¢s needs and making them feel valued. A successful employee always shows engagement to a query and ideally aims to be more-productive, customer-focused and profit-gathering. Their manners should display positivity and helpful attitude at all times. It is important to be attentive and respond appropriately to customersââ¬â¢ needs and focus on delivering business results. Satisfied customers are likely to give good feedback about your work and are more likely to remain loyal, making future purchases repeatedly. They are considered a real asset to the organisation and ideally would still choose to use the same company over going for a competitorââ¬â¢s services. Moreover their positive feedback can attract new potential clients, contribute towards achievement of wider business goals for the company and make it more successful at the marketpla ce. In order to be able to deal more efficiently with their clientsââ¬â¢ needs, companies have various protocols designed to improve their employeesââ¬â¢ customer service and productivity. The protocols consist of a set of guidelines covering the correct conduct towards customers, setting out the main duties which customer-facing employees have to be able to carry out. Thus the company ensures that its employees are delivering a consistently high level ofà service to the customers. Protocols usually cover key areas of customer service describing how to appropriately respond to customers and how to refer to a relevant individual. This may include telephone etiquette ââ¬â aiming to answer a phone call within three rings and greeting the customer with an exact phrase before taking their details. Responding to e-mails on the same day using the correct wording and sending out letters along with a complimentary slips from the company. It can also cover logging details and processes on to a specific database, creating customer files and recording different actions and outcomes of employeeââ¬â¢s daily duties ââ¬â for example completing flow chart templates showing the progress of a certain task or a project. Protocols are important not only for improving the standards of general customer service and minimising the possibility of errors, but also to protect employees from occasions where unfair claims and disciplinary proceedings which may occur. In my job role as an administrator at a traineeship provider company, I rarely have to contact any external customers and my clients are assessors working at different departments of the same organisation. I am responsible for processing their new learners registrations and have to follow a certain guidelines on a daily basis to ensure my work is done correctly. When receiving a new request I register our new learners for the relevant qualification with the correct awarding body and enter their details on to an online registrations system. The next step is liaising with a colleague from finance department and issuing a purchase order number. I have to make a copy of the new registration details and keep in the learners file. According to my companyââ¬â¢s protocol I have to complete all new registrations within two days from the original submission date and get back to the assessors by e-mail once I have dealt with their request. Although there is no formal etiquette I have to follow when responding to them, it is important that I stick to the protocol and ensure all data is correctly processed and saved. Appropriate communication between customers and employees is essential for any companyââ¬â¢s progress. Showing respect in every interaction is vital and there is certainly no place for negative or rude attitude towards the client. Good telephone manner and polite face-to-face communication is equally important in both formal and informal situations. If any differences in views or ideas occur employees should first try to understand them from the clientââ¬â¢s perspectiveà and then respond by emphasizing what they can do to help resolving the matter. Unfortunately, customers are more likely to s peak up and make a complaint about a bad customer experience, rather than giving feedback about a positive one. On occasions when someone has raised a complaint to me within my company I listen to the client without passing any judgements or rushing to give an advice and follow through with stating what I can do to help resolve the problem. It is important that the customers see a quick and appropriate response to their issue, know that that I am looking forward to helping them and that my organisation cares about providing them with a solution. In situations where I think I cannot resolve a clientââ¬â¢s problem I seek advice and help from a manager or a more experienced employee. I focus on issues and not personalities when I address and pass on the complaint and express appreciation when others give me assistance. In situations when a client has complained about an error made by an employee from my company, the situation is usually dealt with by a department manager or coordinator, who ensures that the customer receives the necessary compensation and that the same mistake would not be mad e again in future. Customer satisfaction is essential for the survival of any business, therefore it is important that the clientââ¬â¢s needs should be met and if possible ââ¬â exceeded. To do that, companies look for employees who can identify what the client is looking for and provide with good service. This can prove to be a challenging task as customer needs are a dynamic feature, based on a wide range of changing factors and it can be difficult to know exactly what someone is looking for. Common basic expectations are helpful high quality products or services and competitive pricing. Employees should be prepared to go above and beyond to satisfy the customer expectations, as this will increase the sales and create additional business opportunities. It is important that needs should be met because then there is a better possibility that the client will choose to do business with the organisation. However, if their expectations of customer service are exceeded they are likely to become loyal customers and use other services in future. Thus the company will stand out, differentiate from the rest of its competitors and has better chances of expanding. Positive worki ng relations with any customer will bring more investments and will make the organisation more popular on the market. It will also allow the employees to get to knowà their customers better, find the right matches for their needs and find new ways to deal effectively with any problems or complaints. Important aspect in building good working relationships is agreeing on certain quality standards and timescales for their requests. By doing so, both parties are agreeing on setting a specific target and the company can make sure it stays focused on the right needs of the customer and knows exactly what has to be done so that the clients are satisfied with the end result. It encourages new improvements and ensures consistency in service. Reviewing customer service provision is the process through which the company receives and evaluates feedback for their services to their clients. There are various ways to do this and most popular ones are informal feedback and completing surveys, comments book and questionnaires. My company often uses online evaluation sheets and has also dedicated a section from its official webpage for comments and suggestions. Customers can choose to remain anonymous when sharing their customer service experience. Although feedback information important, yet sometimes difficult to obtain, companies need to ensure their customers are not pressurised to participate in the evaluation if they are not interested to do so. Building good working relationships with clients helps towards the continuous improvement of companies services, brings more profits and attracts new potential customers.
Saturday, November 9, 2019
Upper Lobectomy
Upper Lobectomy Krysten Miller Pennsylvania College of Technology ?IntroductionAn Upper Lobectomy is the removal of the superior lobe from a lung. This occurs when a neoplasm is confined to a specific area and hilar nodes are not involved. This procedure may be done to remove the spread of cancer, abnormal abscess, or infection within the lungs. The lungs are located below the clavicle and above the diaphragm. They consist of five lobes, both sets being separated by fissure. The right side has three lobes known as superior, middle, and inferior. While the left has superior and inferior. The left side only has two lobes because the anatomical position of the heart needs room to rest. Connected to the lungs are ancillary structures, such as, bronchus, pulmonary artery and vein, and lymphatic vessels. These structures enter at the hilum where the lungs are slightly concave. The surgical goal is to remove the neoplasm without harming other structures. Signs/Symptoms/Risks Generally, signs and symptoms may vary depending on the diagnosis. For example, signs and symptoms of TB are pain in chest, fatigue, fever/chills, or mucus and blood in saliva. Whereas signs and symptoms of cancer consist of a reoccurring respiratory infection, chest pain, weakness in the upper body, and trouble swallowing, change in bowel movement (American Cancer Society, 2018). In most cases signs and symptoms are very common and testing will need done for diagnosis. If these signs and symptoms are noticed a doctor should be consulted and a check-up be made. Diagnosis/Alternatives In addition, a neoplasm may be diagnosed through a Computerized Tomography (CT) or a Magnetic Resonance Image (MRI). During a CT scan small lesions may be identified, whereas, MRI may reveal a mass or nodule. If a spot occurs, a tissue biopsy may be done to identify what the mass or lesion may be. Another diagnosis is sputum cytology. During this assessment the sputum is looked under a microscope for cancer cells to be identified (Mayo Clinic, 2018). Once diagnosed alternative therapy may be assessed if surgery is too much to handle. These sources include radiation, chemotherapy, radiosurgery, and drug therapy. Overall, these alternatives use multiple drugs and or highââ¬âpower of radiation to kill and reduce the neoplasm within the lungs. Alternative medication to help those with signs and symptoms involve acupuncture, hypnosis, massage, meditation, and yoga. These forms of medicine help relax the tissue and relieve pain within the area. When alternatives are not an option, and the aggression is too far surgery is the option. Surgery Set Up To begin, the set up contains a back table and mayo stand. The back table will consist of three sections: drapes, instruments, and sharps. Drapes will be towels and an adhesive back drape. Electrocautery and suction, as well as, other items that need access to the patient may be placed here as well. Instruments are then placed on the field. Two main trays will be placed along with a variety of other tools. A thoracotomy set will include useful instruments that aid in removal of a rib and exposure to repair the underneath organs. A general vascular set will also be available. This set includes additional cardiovascular instruments that may be useful if needed. In addition, various sizes of hemoclips are separate and kept for hold. Once instruments are placed, sharps and basins are then placed. In the top corner an emission basin and bowl are placed for fluids. Sponges in the form of kitners, laps, and 4Ãâ"4 are placed on the field. A suture counter is then placed in the corner. This is filled with silk suture ties, polypropylene suture, and pledgets. A number 10, 11, and 15 knife blades are then loaded on a handle. Once the back table is complete with all needed instruments the mayo may be addressed. The common instruments include knife, tissue forceps, and metz and scissors to dissect to operative area. Hemostats, Kocher's and Allis's may be place to grab tissue and retract along with hemostasis. Multiple retractors and elevators may be used either sorted on the mayo or back table. Once the sterile field is prepped, the patient is retrieved and prepped. Patient Preparation Following set-up, the patient is brought into the room. They are transferred to the OR bed and position aids are placed. Antiembolitic hoses are placed on the legs to help with blood flow. Aesthesia may apply Swan-Ganz and CVP lines which allow direct contact to the heart (Goldman, 2008). Once general anesthesia is applied with endotracheal intubation, the patient is placed in lateral position with the surgical site up. During this time a catheter may be placed, as these procedures may be length if problems occur. Padded kidney rests or pillows are placed around the torso to stabilize. The unaffected arm is placed on an arm board while the other is rested above on a padded mayo. The lower leg is slightly bent with a pillow placed on top and the top leg laid flat, this is done to keep the patient from rotating. Pads are placed around the ankles and other bony areas for cushion. During this time, it is needed to be confirmed that blood has been ordered and available for this case. Prep/Draping Once the patient is positioned, prepping and draping of the surgical area may begin. When prepping cleansing for a posterolateral incision is made. Starting at the mid-thorax region, extending from the shoulder, to the iliac crest and down bilaterally. Within the prep the axilla region should be included as well. After the prep is dried, drapes may be placed. Folded towels are placed in a square around the incision site. Towel clips are placed at each inside corner to hold the towels together. An adhesive drape is then placed and unfolded across the patient to create the complete sterile field. Two suction tubes should be thrown up at this time along with any other cords that need to be thrown off. Surgery Following draping, a time out may occur and surgery begins. A posterolateral incision is made into the fourth intercostal space of the ribs with a #10 blade. Rib spreaders are placed to open the ribs and the pleura is cut. The anterosuperior portion of the hilar pleura is then incised and then separated making room to open the thorax. Once opened, the likelihood of the rib instruments being reused are slim and may be removed from the surgical field and onto back table (Frey & Ross, 2014). The upper and lower lobe fissure is opened, and dissection down to the pulmonary artery begins. During this time the surgical technologist should keep count of how much irrigation is used for the account of potential blood replacement. If sponges are to be weighed they must be fully saturated before throwing off. The second count may begin at this time. The pulmonary artery and vein branches are identified. Once identified they are separated. The surgical technologist should move quickly to access suture and assess double ligation of artery and vein. They are then divided. Blunt dissection is then used to free the upper lobe bronchus. It is either clamped with a bronchus clamp or a stapler. Sutures and stapler should be prepared prior to the step, bronchus is divided quickly. The clamp or stapler should be placed 2 cm form the main bronchial trunk (Frey & Ross, 2014). Entry to the bronchial tree changes wound class and results in contaminated instruments. At that time contaminated items shall be separated. The bronchus is then closed with a nonabsorbable suture or staples. Closely watching the surgeon and his assistance allows for anticipation at this time. A pleural flap is secured with sutures over the bronchial stump and the remaining lobes are checked for leakage of air. Leakages are checked by filling the thorax with body-temperature irrigation. The wound is irrigated and chest tubes of sort are placed in the thorax. The lines form the tubes must be hooked with a closed drainage unit and immediately turned on to prevent clotting. Final counts are made while tubes are placed. An injection of 0.25% Marcaine is made for postoperative pain control prior to closure. The fascia is closed with a 2-0 Vicryl and the skin is closed with staples. Dressing is a nonadherent contact layer, may vary depending on the doctor preference. The surgical technologist should not break scrub until the patient has left the operating room. Outcome Following surgery, the patient is then transported to the CCU. The endotracheal tube is still attached at this time to check for postop ventilation and proper breathing. The patient will stay in the hospital 7 to 10 days. If no complications they may leave and have a full recovery. Additional treatments may be essential such as chemotherapy and radiation. These treatments can help determine when normal activity can return. If complications occur hospitalization is longer. This may be a surgical site infection, hemorrhage, atelectasis, pneumothorax, embolus, edema, etc. During this time the patient will be monitored and possible emergency surgery may be done. If no complications occur during surgery this is a Class 1: clean procedure. Conclusion To conclude, an upper lobectomy is the surgical removal of a lobe caused by an abnormal growth or infection. It can be diagnosed through imaging or a tissue biopsy. Alternatives before surgery are a variety of drug therapy and active medicines. Once these are out of the question surgery is an option. The patient is then prepped and assessed for surgery. The lobe is removed and the patient is sent to recovery. They will then be hospitalized for 7 to 10 days and sent home if no other complications occur. ? ReferencesFrey, K. B., & Ross, T. (2014). Surgical technology for the surgical technologist: a positive care approach. Clifton Park, NY: Delmar Cengage Learning.Goldman, M. A. (2008). Pocket guide to the operating room. Philadelphia: F.A. Davis Co.Lung WebMD. (2018). Cancer Symptoms: What You Should Know. Retrieved April 22, 2018, from https://www.webmd.com/lung-cancer/understanding-lung-cancer-symptomsAmerican Cancer Society. (2018). Managing Cancer-related Side Effects. Retrieved April 25, 2018, from https://www.cancer.org/treatment/treatments-and-side-effects/physical-side- effects.html
Thursday, November 7, 2019
How to Save 50% of Your Income for Retirement
How to Save 50% of Your Income for Retirement You may think you have years and years to go before you have to start thinking about retirement. Think again. Though the idea isnââ¬â¢t looming on your horizon just yet, itââ¬â¢s actually the best time to start planning. Give yourself a huge edge to being wealthy in your old age. Compare what youââ¬â¢d have after 40 years of savings as opposed to 20- more than double, giving interest rates. Youââ¬â¢ll be able to retire sooner, and better. You donââ¬â¢t even have to make a lot to save. Thereââ¬â¢s plenty you can do making less than $40k per year. So stop procrastinating. Donââ¬â¢t pass up on any opportunities that come your way. Keep your eyes open for them and take them whenever you can- your future self will thank you.1. Save NowIt doesnââ¬â¢t matter whether youââ¬â¢ve never saved, are bad at saving, or have no idea how to do it. Now is the time. Donââ¬â¢t let your expenses become an excuse. These are your prime years; even putting away a little now can pay off a lot later.2. Get HelpCompanies advertise 401k plans in their employment benefits packages for a reason. This is part of your compensation- take advantage of it. Sign up and start using it. And bonus points if your employer has a matching program. Let them double your money for you!3. Go RothNo company sponsored retirement plan? Sign up for the next best option, a Roth IRA. You fund this with money from your paycheck after tax, but when you withdraw the funds later, unlike a 401k, you wonââ¬â¢t be taxed. Put as much as you can into that fund. Yes, even now. Do you really need that pair of designer jeans? You can also try the MyRA, from the U.S. Treasury, which promises that the savings bond will never decline in value. Bonus: there are no low-balance fees.4. InvestIf investing is an option for you, do so. And do so shrewdly. Try to put a bit in stocks, not just safe bonds with a safe (and flat) return rate. Look for funds that are targeted for your age bracket to help g uide you. And find a manager you trust!5. Get SmartAn overwhelming number of people donââ¬â¢t have any actual financial literacy. Donââ¬â¢t be one of them. Take control of your future funds by making sure you understand how markets and investments and money work. If your company offers access to a financial advisor? Sit down with them ASAP.6. Stay Out of DebtStudent loans and mortgages are a necessary evil. But try to keep debt from piling up on your credit cards. Youââ¬â¢ll pay more than double the original amount for your purchases if you let the interest charges get the better of you.7. Have a StashMake yourself a safety net so you never have to dip into the red. That way, if your car dies, youââ¬â¢re not saddled with a huge credit card bill that has the possibility of becoming a spiraling balance down the road.8. Get Those Tax BreaksFind out whether your tax bracket offers any breaks for contributing to a 401k or IRA. Thereââ¬â¢s also something called the ââ¬Å"s averââ¬â¢s creditâ⬠for individuals beneath a certain income threshold. See if you qualify.
Monday, November 4, 2019
The causes of marital infidelity in our society Essay
The causes of marital infidelity in our society - Essay Example According to a number of experts, sex is not the only requirement that continues a healthy relationship; however, intimacy is the factor that plays the vital and crucial role in sustaining different issues of lives in a collective manner. In addition, sexual desire is considered the basic factor that brings two people closer to each other; however, it is indicated by the studies that it is essential that a couple should be understanding each other through presence of intimacy. Moreover, it is essential that two people in a relationship should effectively communicate with each other, as reports have indicated that opposite sex attraction is not the greatest concern in the case of marital infidelity, but the inefficient communication that takes people far away from each other. According to a survey in the year 2000, more than thirty percent of males admit that they had slept with another woman once during their marriage. (Duncombe, pp. 23-25) In addition, approximately twenty percent of women admitted doing the same during the survey. Interestingly, all these men and women accepted that they were having a passionate sexual relationship with their partners in marriage. In this regard, it was not the absence of sexual satisfaction that prompted these participants in betraying their partners, but lack of communication. (Aaron, pp. 33-34) In other words, sexual desires for others would be the only cause of marital infidelity for some people; however, collapse o f communicational bond is one of the major factors that cause marital infidelity in relationships. A number of other causes have been indicated by the experts, as it is observed that a relationship starts affecting, when a partner divert his focus from the his/her partner to other platforms, such as career, business, friends, etc. Studies have indicated that most of the extra-marital affairs do not begin with sexual attraction, but general mode of friendship that involves sharing of personal issues and
Saturday, November 2, 2019
Serpico Essay Example | Topics and Well Written Essays - 1000 words - 1
Serpico - Essay Example An understanding of Serpicoââ¬â¢s story helps to illuminate the importance of integrity, autonomy and responsibility in every individual involved with criminal justice. The story of Frank Serpico has proved the impetus for a variety of police reforms and attempts at reform as the public found out just how extensive the system of ââ¬Ëcrooked copsââ¬â¢ went following Serpicoââ¬â¢s revelations to the New York Times when he found his superiors unresponsive and incapable of dealing with what he encountered. Rather than being a case of a problem that had been so long unknown that it was beyond control, much like a houseful of termites within the framework, what Serpico uncovered in the 1960s and early 1970s was a case of so many individuals embroiled in the action that it was nearly impossible to find superiors capable of following through on investigations without implicating themselves. Reading through the slightly fictionalized biography of Frank Serpico reveals not only the extraordinary conditions in which he finds himself, but the several places in his life in which he was forced to make a difficult ethical decision, often at his own perso nal cost and suggests places in which an equally ethical criminal justice administrator might have been of significant assistance. The story opens up as Serpico is being rushed to the hospital after having been shot in the face in what is still debated as possibly an arranged ââ¬Ëhitââ¬â¢ between the drug dealers and the police officers with whom he was working. Once it is properly established that this did not prove to be a fatal shot, although it came within fractions of a centimeter of being so, the novel turns to recount the past events of Serpicoââ¬â¢s life that had brought him to the hospital that night and why suspicions of conspiracy were circulating. Touching only very briefly upon his childhood
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