Thursday, August 27, 2020
Cohen Vs Virginia Essays - Supreme Court, U.S. State, Free Essays
Cohen Vs Virginia Essays - Supreme Court, U.S. State, Free Essays Cohen Vs Virginia is Cohens versus Virginia, in which the inquiry emerged regarding the privilege of the Supreme Court to practice its re-appraising locale over the judgment of a state court including the legitimacy of state enactment. The dispute of the guidance for the state struck at the very foundation of the legal arrangement of the Union, with its position to audit state choices which included the coupling impact of the Federal Constitution and laws: thus to the conversation of this principal question Marshall brought his heaviest cannons. In a progression of incredible sections he declared the guideline of patriotism and the presence of a genuine association laying on the will and assurance of the individuals: That the United States, he stated, from, for some, and for most significant purposes, a solitary country, has not yet been denied. In war, we are one individuals. In making harmony, we are one individuals. In every single business guideline, we are indeed the very same individuals. In numerous different regards, the American individuals are one; and the administration which is separated from everyone else fit for controlling and dealing with their inclinations in every one of these regards, is the legislature of the Union. It is their administration, and in that character they have no other. America has decided to be, in numerous regards, and to numerous reasons, a country; and for every one of these reasons, her legislature is finished; to every one of these items, it is skilled. These words give us some thought of the straightforwardness of the style, the proof of intensity and certainty, the expert articulation which can raise a legal feeling into the domain of writing. This choice, earnestly keeping up the investigative authority of the Court and the incomparability of the national law when the law is consonant with the Constitution, left no further ground for lawful conversation, however the men of Virginia, worrying under the authority of the Court, spilled out their rage in many word
Saturday, August 22, 2020
Ludwig Van Beethoven And Sonatas Music Essay
Ludwig Van Beethoven And Sonatas Music Essay Ludwig van Beethoven was conceived in Bonn, Germany on sixteenth December 1770 and kicked the bucket in Vienna, Austria on 26th March 1827. He was one of the well known old style authors ever. He was otherwise called a piano player. Beethoven formed 32 piano sonatas for the piano. One of the piano sonatas that will be broke down in this postulation is the Piano Sonata in c minor, Op.13 which is named as Pathetique. Ludwig van Beethoven made the Piano Sonata in c minor, Op.13 Pathetique in 1798. This piece was devoted to Prince Karl Lichnowsky. This piano sonata has three developments. This sonata was the soonest Beethoven sonatas to be celebrated and this sonata was first distributed in Vienna, Austria. The main development, Grave, at that point Allegro molto con brio, the key mark is c minor and the time mark is in 4/4 time. As indicated by Elterlein, E. V. (1920), This development depicts his attributes, a similar image of masculine, excruciating, sincere and energetic feeling. To a great extent, fire breaks out, in a checked cadence, however just to be quickly extinguished. There are a few regulations in this development which are from c minor to eãâ â⬠¦ minor to Db major to f minor and back to c minor. The subsequent development, Adagio cantabile, the key mark is Ab major and the time mark is in 3/4 time. Elterlein, E. V. (1920) additionally said that this development is significantly more quiet than the main development and is very much communicated in the supported singing subject. The third development, Rondo allegro, the key mark is c minor and the time mark is in 4/4 time. It offers fulfillment to the entirety. The creator likewise said that The tempest which moved through the spirit in the principal development has died down. This development closes with an acceptable end. This piano sonata depicts Beethovens feelings and qualities when he was making this piano sonata. 1.2 Background of Study Ludwig van Beethoven was conceived in Bonn, Germany on sixteenth December 1770. He kicked the bucket in Vienna, Austria on 26th March 1827. During that time, there were two extraordinary authors who were all the while living which were Mozart and Haydn. Music around then was the type of amusement for some individuals. Be that as it may, in this cutting edge time, music despite everything stays as one of the type of diversion as well. As indicated by Knight, F. (1973), the creator said He is otherwise called a German arranger of Flemish plunge. He is the child and grandson of performers at the court of the Elector of Cologne at Bonn. His granddad, Louise van Beethoven was a court artist in Bonn in 1733 however inevitably turned into the Kapellmeister yet his granddad invested the majority of his energy maintaining a wine business. Johann, his child, Beethovens father was an instructor and an artist at a house of prayer. He was a heavy drinker. He wedded Beethovens mother, Maria Magdalena in 1767. Ludwig van Beethoven was their second kid in light of the fact that their first kid kicked the bucket in earliest stages. His granddad passed on when he was three years of age. His dad instructed him to play the harpsichord and the violin right when Beethoven fingers were sufficiently long to play the instruments. His dad needed him to be the following Mozart. So he made him practice hard. Beethovens didn't have a glad adolescence. At the point when he was eight years of age, he began exercises with different instructors other than his dad. C.G. Neefe was the court organist and a writer. He was the best instructor to Beethoven from 1779 to 1782 in light of the fact that he instructed him to play Bachs forty-eight Preludes and Fugues and arrangement. He was named as court organist when he was around thirteen years of age. In 1787, Beethoven went to Vienna, Austria just because and it was anything but a long visit since he needed to return to Bonn to see his mom who was genuinely sick. He was so discourage when she kicked the bucket. After his moms passing, his house was rarely very much overseen and Beethoven consistently looked chaotic. At the point when he was seventeen years of age, Beethoven needed to care for his family since his dad was in a pathetic state. Some portion of his pay was given to Beethoven and this made life simpler for Beethoven and his siblings. The van Breuning family is dear companions of Beethoven for an incredible duration. His violin educator, Franz Anton Reis and the youthful Count Waldstein helped him in different manners. Beethoven was likewise extremely lucky to have an Elector who wanted to invest his energy tuning in to music. Bonn had been attacked by the French militaries in 1794. In 1792, Beethoven left Bonn once and for all and he stayed away forever. He went to Vienna, Austria. It was likewise conceivable that he went to Vienna in the wake of being convinced by Haydn. In the wake of showing up in Vienna, Beethoven understood that Vienna has an alternate melodic environment. In Vienna there are more places of worship, theaters and court contrasted with Bonn. They are gone to by the citys huge populace. He was caught up with reading for certain years in piece since he generally discovered forming hard and distressing. As indicated by Sadie, S. (1967), the creator said that among the most punctual of his organizations which are as yet played today are the three piano sonatas, Op.2, which he committed to Haydn. In these we can perceive how this solid willed, rebellious youthful keeps an eye on character turns out in his music. In the wake of finishing the Piano Concerto in B level, he left Vienna for a couple of months because of a visit. He went to melodic focuses of Europe which were Prague, Leipzig, Berlin, Budapest and Pressburg. During his excursion, he met Prince Lichnowsky who got perhaps the best companion and was additionally going with him. He devoted one of his best piano sonatas to Prince Lichnowsky, the Pathetique. In 1798, he began to lose his hearing. He was turning out to be hard of hearing which is the most agonizing and awful destiny for a performer. The deafness didn't prevent him from creating in light of the fact that he had his ideal internal ear as he was a prepared and gifted artist. He could hear the sound just by taking a gander at the score. In 1799 and 1800 were the years that he understood that his hearing was weakening. He just told two of his dearest companions, Franz Wegeler and Karl Amenda of his infection. He attempted different medicines however they all appeared to aggravate him feel. Beethovens melodic style started to change. There are three periods which can be found in his life and works. As he was in his thirties, his music started to get new and more profound characteristics. This was the center time frame. His profession can be partitioned into three periods which are the great time frame models, the progressive pieces which extended the music jargon and arrangements which are written in a novel manner with components of contrapuntal, varieties and with complete opportunity. His pieces turned out to be longer, more profound and increasingly expressive. In his last years, he needed to convey every one of his discussions recorded as a hard copy since he turned out to be totally hard of hearing at that point. 1.3 Literature Review A couple of course readings about music hypothesis were perused so as to comprehend the field of the exploration. Subsequent to perusing a couple of them, it tends to be seen that a couple of books express a few things which are comparative and a few things which are extraordinary. For instance, Willson, R. B. (2009) course reading titled An Introduction to Music Studies gave a short presentation about music hypothesis and examination. The book discusses investigation that can be useful for the entertainers, it can assist us with building up our listening aptitudes, give us a psychological portrayal of music and attempt to comprehend what the arrangers did before. Hypothesis then again gives a structure to investigation yet it didn't clarify about the examination of structure and mood like the other book which is the Dale, C. (2003). The book which was composed by Dale, C. (2003) titled Music Analysis in Britain in the Nineteenth and Twentieth Centuries, discusses melodic examination of structure and mood. In the investigation of structure section, the creator clarifies about ternary and paired structures. This part likewise clarifies on how two of these structures make a bigger structure, for example, sonata and rondo. Both these books are useful in this proposal since it helped in recognizing the structures and shows an individual to dissect a score yet the Dale, C. (2003) book didn't portray about how to build up our listening abilities or give us a psychological portrayal of music and furthermore how to comprehend what the writers did previously. Another reading material which is Kostka, S. Payne, D. C. (1984) titled Tonal Harmony: With an Introduction to Twentieth Century Music is about music hypothesis and agreement. The creators said that Harmony is characterized as the sound that outcomes when at least two pitches are performed at the same time. It is the vertical part of music, created by the mix of the segments of the flat angle. It likewise portrays the components of pitch and musicality. It likewise presents and shows us groups of three, seventh harmonies, diatonic harmonies in major and minor keys, voice driving notes, 4 section composing, consonant movement, non-harmony tones, diatonic seventh harmonies, enlarged sixths, neapoliton harmonies, twofold and ternary structures, balance strategies and enharmonic balances. Be that as it may, this reading material didn't examine about the Sonata structure, sluggish development structure and the Rondo structure which will be utilized all through this whole proposition. In a ny case, this book can be use as a source of perspective to comprehend the fundamentals of hypothesis music. A book from Caplin, W. E. (1998) titled Classical Form: A Theory of Formal Functions for the Instrumental Music of Haydn, Mozart, and Beethoven contains all the data which is required for this proposition. This book clarified about the sonata structure in one section which comprises of the article, advancement and restatement. At that point there is the sluggish development structure in another part in the book which is typically found in a piano sonatas second development, for example, the Beethovens Piano Sonata in c minor, Op.13 Pathetique and it is additionally known to consolidate the change and subordinate subject or can likewise diminish the size of the improvement area. At that point there is a part clarifying the rondo structure too in the book, for example, the rondo structure is known to have two primary sorts which are the five dad
Friday, August 21, 2020
New Cap on Student Loan Borrowing Proposed - OppLoans
New Cap on Student Loan Borrowing Proposed - OppLoans New Cap on Student Loan Borrowing Proposed New Cap on Student Loan Borrowing ProposedInside Subprime: March 25, 2019By Lindsay FrankelLast week, President Donald Trump and Education Secretary Betsy DeVos asked Congress to place limits on the amount students can borrow for college. The proposal was one of several suggested updates for the Higher Education Act, which was last reauthorized in 2008.While the proposed cap is designed to curb exorbitant tuition rates and to âencourage responsible borrowing,â according to a senior administration official, experts are worried that the limits would exacerbate inequality in educational opportunities between wealthy and working-class families. The announcement comes at the heels of the recent college admissions scandal, which highlighted that families of means are willing to invest huge amounts of money in their childrenâs educational futures, and that some are even willing to commit fraud. Thatâs on top of extensive research that shows gaps in opportunity and performance based on socioeconomic status.Currently, students can borrow up to $57,500 in total, and there are no limits to what parents can borrow on behalf of their dependents. The proposal didnât state what the new cap would be, which was cause for concern for higher education experts. Some worry that the new limits may mirror a bill proposed by Republican Rep. Virginia Foxx last year, which would have limited loan amounts for parents to $12,500 annually.âSome reasonable cap on borrowing definitely makes sense but capping it too low would mean that the private market would have to fill in the gap,â New America higher ed expert Clare McCann said. âThat has implications for equity and access for those students.âSeton Hall college finance expert Robert Kelchen told MarketWatch that the proposed cap would âdisproportionately affect students who canât get private loans.â Thatâs because low-income families with poor credit histories may not be able to access additional credit, effecti vely putting a college education out of reach. And those that manage to get private loans may be subject to predatory interest rates that put a greater burden on low-income families.McCann also noted that while a reasonable limit on student loans might encourage for-profit undergraduate programs to lower their tuition costs, it wouldnât do anything to help students seeking undergraduate degrees at public universities. A better solution, McCann said, would be more federal funding for state schools.Democrats have long criticized the Trump administration for actions that seek to benefit for-profit educational institutions while harming students. Betsy DeVos tried to block an Obama-era rule that was created to forgive student loan debt for borrowers that have been misled by for-profit colleges. Because of a court order, the rule was still implemented.Some experts are calling for an entirely new system instead of Trumpâs proposal, one that would allow students to attend college witho ut paying a cent. âWe have to remember why the student loan system get created: So everyone could go to college, not just the rich,â Student Debt Crisis executive director Natalia Abrams told ThinkProgress. âI fear weâre going back to that system where itâs a two-tiered system where only people of means can go to college.âFor more information on payday loans, scams, and cash advances and check out our city and state financial guides including Florida, Illinois, Texas, Washington D.C. and more.Visit OppLoans on YouTube | Facebook | Twitter | LinkedIn
Monday, May 25, 2020
Monty Python Satire Essay - 1647 Words
In the film, Monty Python and the Holy Grail, a confabulation took place between a nonsensical King Arthur and a soldier with a keen interest in birds. In Monty Python and the Holy Grail we see everyday acts of chivalry, being hilariously mocked. ââ¬Å"What, ridden on a horse?â⬠ââ¬Å"Yes!â⬠ââ¬Å"You re using coconuts!â⬠ââ¬Å"What?â⬠ââ¬Å"You ve got two empty halves of coconuts and youââ¬â¢re bangin em together.â⬠This is a prime example of satire directed at chivalry today. People seem to think that chivalry is rooted so far in the past that itââ¬â¢s gone. I can say that it may be gone from some minds, but definitely not all. To be a good and true knight, a man had to follow certain ideals, ideals of chivalry and courtly love. That consisted of, beingâ⬠¦show more contentâ⬠¦Through means of this story, chivalry seems like a perfect ideal that everyone can and should do, but in Monty Python and the Holy Grail viewers can see that maybe chivalry was sort of silly and kind of hard to follow. In the film Monty Python and the Holy Grail they satirize the sort of chivalry shown in Sir Gawain and the Green Knight. For example, while Sir Gawain was honorable and brave, Pythonââ¬â¢s Arthur and his men were exactly the opposite. Arthur and his men ran away from danger, they ran away when the French castle threw whole animals at them, they ran away from the killer bunny and Sir Robin ran aw ay when he realized that he was not going to win the battle against the three headed knight. Clearly, the characters in Monty Python and the Holy Grail didnââ¬â¢t exhibit any of the ideals of chivalry. Chivalry was also well represented and adored in the film Knights of the Round Table. In the film we see many chivalric acts take place, but one act that I focused on was, when Arthur and Sir Lancelot were unknowingly fighting in the woods. The film shows Arthur getting his sword stuck in a tree and Sir Lancelot getting it out for him. So the chivalric idea of fighting a fair fight is shown when Sir Lancelot helps his opponent, instead of just taking the advantage and winning. Once again this aspect of chivalry wasShow MoreRelated Life of Brian as Historical Satire Essay examples2766 Words à |à 12 PagesMonty Pythonââ¬â¢s Life of Brian traces the tragic last year of Brian of Nazareth, a man who shares his exact birthday and town with Jesus Christ, the subject of countless biblical epic films. Comedy distinguishes this biopic, which features a male actor playing the analog of the Virgin Mary, a cured leper begging for alms, and spontaneous song on the crucifix. It is not sufficient, however, to relegate the film to parody, which seems the obvious criticism, simply for taking a comedic outlook.Read MoreAdvertising to Youth2683 Words à |à 11 Pagesmoney on advertisement to ensure popularity and early brand loyalty. In the last decade, these superbrands are looking towards new and outrageous ways to capture young audiences, although these campaigns are appealing, how effective are they? This essay is meant to demonstrate how companies are reinventing themselves, whether their efforts are effective, and what possible implications these actions may have on youth during their teenage years, when they may be the most impressionable. As mentioned
Thursday, May 14, 2020
Essay on History of Disparity in Development - 650 Words
History of Disparity in Development Human is one of few creatures of mother earth that can think and decide what is right or wrong. Due to that special characteristic, people are always curious about something and try to find the reason about it. In 1974, Jared Diamond was staying in Papua New Guinea, and one day, a local named Yali asked Diamond a deceptively simple question ââ¬Å"Why is it that you white people developed so much cargo, but we black people had little cargo of our own?â⬠(NGO, 2005) Jared thought it was very interesting question and made a research for more than 20 years. As a result, Jared was able to find his own conclusion and wrote a book call ââ¬Å"Guns, Germs, and Steelâ⬠based on knowledge he gathered from different places ofâ⬠¦show more contentâ⬠¦People started using plows using animals and animalââ¬â¢s dung worked as a great fertilizer. Meanwhile animals in Papua were not that useful. All they did was just providing meat. Due to that, people in Papua needed to spend more time on gathering food while people in Fertile Crescent started to develop day by day. People in Fertile Crescent now had more people and they were able to feed technicians who work with irons. This made huge difference in technological development. There are some other theories of human development. The most popular theory is about water (Marrone, 2014/02/04). The key role water plays in human development is well accepted (Donoso, 2009) throughout the world. Unlike Diamondââ¬â¢s theory, people who support the theory that water is a main factor say domestication was possible because of existence of water and support with 3 different examples. First example is in 11500 years ago, people didnââ¬â¢t have technology to pump the water, so they had to use their hand in order to provide water to plants and animals. Due to that, people naturally moved to the region that is close to the water (Briggs, 2009 and 2014/02/03). Second example is, in ancient world, peopleââ¬â¢s average life expectancy was 20 years (Galor/ Moav, 2007), it is caused by many reasons, but the main reason was disease. By washing their body everyday with water made them cleaner and healthier than before. Longer lifespan means moreShow MoreRelatedThe Rural U rban Gap And The Policy Response Essay1689 Words à |à 7 Pages ABSTRACT The rural-urban gap in development attainment has attracted the attention of many economists. Lewis, Fei-Ranis, and Harish-Todaro models focus on the rural-urban dualism in underdeveloped economies and proceed to illustrate how the economies get transformed in the process of development. When India attained independence in 1947, it was a predominantly rural, agricultural and colonially exploited poor country. 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Wednesday, May 6, 2020
Regulation and Pizza Hut - 636 Words
CASE STUDY ââ¬â PIZZA HUT School cafeterias served nearly $500 million of pizza a year. Only frozen pizza was used, however, because freshly prepared pizza was effectively excluded by a U.S. Department of Agriculture (USDA) regulation that required inspection of any pizza with meat toppings that was sold at wholesale for resale. The same was true for other institutions such as hospitals and prisons. The 39 broader issue was the closure of the institutional market to freshly-prepared foods such as pizza and other fast foods. Pizza Hutââ¬â¢s overall business strategy was to become a ââ¬Å"pizza distributionâ⬠company, and the institutional market was crucial to that strategy. According to Roger Rydell of Pizza Hut, schools were ââ¬Å"ââ¬Ëa potentiallyâ⬠¦show more contentâ⬠¦The second institutional arena was Congress, which could enact legislation to overturn regulations. Pizza Hut worked through Congress to include a provision in a 1991 agriculture bill that would allow fresh pizza to be purchased by school cafeterias without USDA inspection. The amendment directed the USDA to issue regulations by August 1992 allowing fresh pizza with meat toppings to be sold to private and public institutions.2 Pizza Hut had headquarters in Wichita, Kansas, and Representative Dan Glickman, whose district includes Wichita, commented that the USDA regulation was ââ¬Å"a Byzantine, outdated and, quite honestly, an anti-competitive regulatory structure.â⬠3 One question was whether this issue was resolved by interest group politics or by some public policy process based on a careful study of the costs and benefits. The opposition, for example, argued that an exemption posed a health hazard, whereas Pizza Hut argued that precooked toppings such as pepperoni had already undergone two inspectionsââ¬âone at the processing plant and one earlier at the slaughterhouse. These arguments likely had little effect on the decision other than to convince members of Congress that there was no health hazard in fresh pizza sold to institutions. This issue was ultimately resolved through interest group politics, with Pizza Hut and other fast-food chains backing the exemption and frozen pizzaShow MoreRelatedInternal Factors That Influence Workplace Relationships Essay1401 Words à |à 6 Pagesany other factors you consider important for this assessment. 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Brands), Papa John s International, and Little Caesars Pizza. It also competes with a large number of private label companies.â⬠Dominoââ¬â¢s sets itââ¬â¢s self apart by ââ¬Å" generally competes on the basis of product quality, location, delivery time, service, price, and also competes onRead MoreReport of Transcom Beverage Bd1596 Words à |à 7 Pagesemphasizing on à TranscomFood Beverage Ltd.à So it seems to us as aà limitation of the study.à à They are very busy with their regular task. So, it becomes quite difficult for them to givetime to the outsiders. And also there areà some rules and regulations so that we cannotenter to the head office. So, that we have to talk with their company officers,staffs,employes . That was a bigà limitation for us.à à à We got only 2-3 weeks to prepare this report. This could be a limitation of this study. à Read MoreEnvironmental Scanning Porters Five Forces in Business1132 Words à |à 5 Pagesmarket. 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Prakash Submitted By: Pallavi (07BS2758) Ã¢â¬Æ' Table of Contents Company Profile â⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦.02 Industry profileâ⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦10 Major competitors profileâ⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦.â⬠¦Ã¢â¬ ¦13 Literature reviewâ⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦.20 Marketing Mix Analysisâ⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦..23 Marketing Mix Of Competitorsâ⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Read MoreBusiness Description Of Yum China1714 Words à |à 7 Pagesof its parent company, Yum Brands. The company was founded on April 1, 2016 and is headquartered in Louisville, Kentucky. Yum China became a publicly traded company on November 1, 2016. They have exclusive rights to operate and sub-license KFC, Pizza Hut, and Taco Bell with outright ownership of East Dawning and Little Sheep restaurants as well. Yum China is the leading restaurant company with over 7,300 restaurants in 1,100 cities spanning across every province and mainland in China. They have
Tuesday, May 5, 2020
Bruegel, Pieter the Elder free essay sample
Pieter Bruegel ( about 1525-69 ) , normally known as Pieter Bruegel the Elder to separate him from his senior boy, was the first in a household of Flemish painters. He spelled his name Brueghel until 1559, and his boies retained the H in the spelling of their names. Pieter Bruegel the Elder, by and large considered the greatest Flemish painter of the sixteenth century, is by far the most of import member of the household. He was likely born in Breda in the Duchy of Brabant, now in The Netherlands. Accepted as a maestro in the Antwerp painters club in 1551, he was apprenticed to Coecke new wave Aelst, a taking Antwerp creative person, sculpturer, designer, and interior decorator of tapestry and stained glass. Bruegel traveled to Italy in 1551 or 1552, finishing a figure of pictures, largely landscapes, there. Returning place in 1553, he settled in Antwerp but ten old ages subsequently moved for good to Brussels. We will write a custom essay sample on Bruegel, Pieter the Elder or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page He married van Aelst s girl, Mayken, in 1563. His association with the new wave Aelst household drew Bruegel to the artistic traditions of the Mechelen ( now Malines ) part in which allegorical and peasant subjects run strongly. His pictures, including his landscapes and scenes of peasant life, emphasize the absurd and vulgar, yet are full of zest and all right item. They besides expose human failings and follies. He was sometimes called the peasant Bruegel from such plants as Peasant Wedding Feast ( 1567 ) . He developed an original manner that uniformly holds narrative, or story-telling, significance. In capable affair he ranged widely, from conventional Biblical scenes and fables of Jesus to such fabulous portraitures as Landscape with the Fall of Icarus ; spiritual fables in the manner of Hieronymus Bosch ; and societal sarcasms. But it was in nature that he found his greatest inspiration. His mountain landscapes have few analogues in European art. Popular in his ain twenty-four hours, his plants have remained systematically popular. Bruegel died in Brussels between Sept. 5 and 9, 1569. Pieter Brueghel the Younger ( 1564-1638 ) was the senior of two boies born merely a few old ages before their male parent s decease. Known as Hell Brueghel because of his captivation with hobgoblins, fires, and grotesque figures, he made his calling in Antwerp, where he became a maestro in the club in 1585. He is best known as a scribe of his male parent s pictures, as they were both popular and scarce. In his ain canvases, such as Village Fair and The Crucifixion, he shows a steadfast appreciation of infinite and motion. His boy, Pieter Brueghel III ( 1589- ? 1640 ) , was besides known chiefly as a scribe. Jan Brueghel ( 1568-1625 ) , called the velvet Brueghel, was the 2nd boy of Pieter Bruegel the Elder and, like his brother Pieter Brueghel the Younger, made his calling in Antwerp. Known for his still lifes of flowers and for his landscapes, he was a friend of Peter Paul Rubens and collaborated with him in pictures such as Adam and Eve in Paradise. He specialized in little wooded scenes that were finely finished and brilliantly colored. His manner was perpetuated by his boies Jan Brueghel II ( 1601-78 ) and Ambrosius Brueghel ( 1617-75 ) , whose boies carried on the tradition into the eighteenth century.
Thursday, April 9, 2020
APES Chapter 5 vocab Essay Example
APES Chapter 5 vocab Essay Example APES Chapter 5 vocab Paper APES Chapter 5 vocab Paper interspecific competition occurs when members of two or more species interact to gain access to the same limited resources such as food, light, or space predatation occurs when a member of one species feeds directly on all or part of a member of another species parasitism occurs when one organism feeds on the body of, or the energy used by, another organism, usually by living on or in the host mutualism an interaction that benefits both species by providing each with food, shelter, or some other resourcea commensalism an interaction that benefits one species but has little, if any, effect on the other predator-prey relationship relationships between a predator and its prey coevolution evolution in which two or more species interact and exert selective pressures on each other that can lead each species to undergo adaptations resource partitioning occurs when species competing for similar scarce resources evolve specialized traits that allow them to reduce niche overlap population dynamics a study of how the distribution, numbers, age structure, and density of populations change in response to changes in environmental conditions age structure the proportions of individuals at various ages biotic potential capacity for population growth under ideal conditions intrinsic rate of increase (r) the rate at which the population of a species would grow if it had unlimited resources intrinsic rate of increase (r) the rate at which the population of a species would grow if it had unlimited resources carrying capacity (K) the maximum population of a given species that a particular habitat can sustain indefinitely without being degraded logistic growth involves rapid exponential population growth followed by a steady decrease in population growth until the population size levels off (S-shaped curve) r-related species species that have many, usually small, offspring and give them little or no parental care or protection K-related species tend to reproduce later in life and have a small number of offspring with fairly long life spans. They also tend to mother and protect their young population density the number of individuals in a population found in a particular area or volume ecological succession during which, some species colonize an area and their populations become more numerous, while populations of other species decline and may even disappear primary succession involves the gradual establishment of biotic communities in lifeless areas where there is no soil in a terrestrial ecosystem, or no bottom sediment in an aquatic ecosystem secondary succession in which a series of communities or ecosystems with different species develop in places containing soil or bottom sediment tipping point where any additional stress can cause an ecosystem to change in an abrupt and usually irreversible way that often involves collapse
Monday, March 9, 2020
College Admission Essay â⬠Outline and Structure
College Admission Essay ââ¬â Outline and Structure Free Online Research Papers Writing an admission essay for college or university can be challenging for a number of reasons. Provided is a structure that helps to demonstrate a solid outline and flow for a four paragraph essay. Paragraph 1 (Introduction) I. Leading sentence: It took me eighteen years to realize what an extraordinary influence my mother has been on my life. II. Summary of main points: I not only came to love the excitement of learning simply for the sake of knowing something new, but I also came to understand the idea of giving back to the community in exchange for a new sense of life, love, and spirit. Paragraph 2 (First Supporting Point) I. Transition sentence: My mothers enthusiasm for learning is most apparent in travel. II. Supporting point: Her mothers enthusiasm for learning. III. Evidence: Learning through travel by using the example of a trip to Greece. Paragraph 3 (Second Supporting Point) I. Transition sentence: While I treasure the various worlds my mother has opened to me abroad, my life has been equally transformed by what she has shown me just two miles from my house. II. Supporting point: Her mothers dedication to the community. III. Evidence: Her multiple volunteer activities such as helping at the local soup kitchen. Paragraph 4 (Conclusion) I. Transition sentence: Everything that my mother has ever done has been overshadowed by the thought behind it. II. Reiteration of main points: She has enriched my life with her passion for learning, and changed it with her devotion to humanity. III. Taking it one step further: Next year, I will find a new home miles away. However, my mother will always be by my side. Research Papers on College Admission Essay - Outline and StructureMind TravelCapital PunishmentPersonal Experience with Teen PregnancyComparison: Letter from Birmingham and CritoTrailblazing by Eric AndersonEffects of Television Violence on ChildrenAssess the importance of Nationalism 1815-1850 EuropeWhere Wild and West MeetThe Relationship Between Delinquency and Drug UseThe Effects of Illegal Immigration
Saturday, February 22, 2020
Postmodernism and Jean-Paul Sartre Essay Example | Topics and Well Written Essays - 500 words
Postmodernism and Jean-Paul Sartre - Essay Example The essay "Postmodernism and Jean-Paul Sartre" discovers postmodernism. Before modernism, there was a very distinct line which separated humans from machines. However, increasing industrialization has transformed us into automatons without feelings. Death was not an abstract thing as long as people remained people and acknowledged the value of social relationships. Transition into mere objects can be explained by increased industrialization which has made human life increasingly mechanical. A mechanical lifestyle has made us ââ¬Å"lose touch with the pulse of lifeâ⬠. Postmodernism has not only introduced us to an absence of social relationships because we have gone beyond that. We have also lost ourselves. Through No Exit, Sartre forwards this argument that we abuse the right to gaze at others so much that we restrict their freedom in addition to objectifying them. All three damned souls in the play also are so infuriated with each otherââ¬â¢s gaze upon themselves that they desperately look for mirrors or anything that could help them avoid the burning effect of gaze. It is claimed that in a postmodern life, ââ¬Å"reality itselfââ¬âi.e., what we have conventionally understood as realââ¬âis in a process of disappearanceâ⬠. In the past, people were considered human beings. Now, they are gazed upon as objects. People are judgmental and they view others as objects. Such is the culture found around the globe in the current postmodern era in which we witness ââ¬Å"the disappearance of the human, the social, and the realâ⬠.
Wednesday, February 5, 2020
Care analysis Acute Appendicitis of a 77 year old woman Research Paper
Care analysis Acute Appendicitis of a 77 year old woman - Research Paper Example This ultimately leads to accumulation of pus and necrotic tissue. In advanced cases, appendix can perforate and the pus can ooze into the peritoneal cavity leading to peritonitis, sepsis and other consequences (Craig, 2010). B. At least 4 symptoms of acute appendicitis. Answer the question why does the body develops each symptom? Explain the reason for the development of each symptom? Pain is the most important symptom in appendicitis. The pain typically begins in the navel and then shifts to right lower quadrant. Pain in umbilicus is related to inflammation of the peritoneum surrounding the appendix. Later, the whole organ gets inflammed and hence the pain shifts to the right lower quadrant, at the McBurney's point, the anatomical location of appendix. Nausea and vomiting are other important symptoms and occur due to irritation of the peritoneum covering the appendix. Fever is an indication of infection of the appendix and impending rupture due to accumulation of pus (Craig, 2010). C. The medications provided to the patient were (all intravenous) Protonix, magnesium sulfate, Unasyn, and Azactam, Lasix. Based on the symptoms written above why do you think the Dr. ordered these meds? Compared the treatment provided above with what the Medical-surgical literature of acute appendicitis says about managing this condition.
Tuesday, January 28, 2020
Breast Cancer Awareness And Assessment Health Essay
Breast Cancer Awareness And Assessment Health Essay Programme evaluation is one of the key skills required of public health professionals. Evaluating healthcare interventions is important in order to allocate resources efficiently, assist decision-making and inform policy[1].It is also important in order for programme managers to monitor progress in achieving set objectives, improving programme activities, justify need for continuity and accountability to project funders. The proposed evaluation would be carried out using the CDC framework of programme evaluation which has six steps[2].This evaluation would be somewhat pluralistic in nature as there would be an interplay of the perspectives of different groups[3].However, the dominant perspective would however be that of the policy makers-a managerial perspective[1].This evaluation would be carried out three years after the start of the programme. It would take a long time to achieve the overall programme aim, hence the need for reliance on short or intermediate indicators (Parry)cited in[4]. An evaluation working team would be set up for the proposed evaluation and a leader would be appointed. In this evaluation, the author would be the lead evaluator and would be responsible forselecting members of the evaluation team, scheduling meetingswith stakeholders, planning, and budgeting funds for the evaluation, addressing data collection needs, reporting evaluation findings, and working with consultants whose services may be required. Prioragreement would be on the reasons for carrying out the evaluation, the primary user of the evaluation findings, funding arrangements, time-line for completion of the evaluation and reporting of its findings. Engaging stakeholders The programme mainly targets postmenopausal women between 48 and 63 years as breast cancer commonly affects this population. However, the 40-47 age group would be included as early presentation occurs commonly in this population. The key stakeholders involved in the programme are the clients, the Federal Government of Nigeria, the Federal Ministry of Health, Oyo State Ministry of Health, the Ministry of Women Affairs, University College Hospital, Ibadan, programme managers, and staff. Professional associations-Nigerian Medical Association (NMA), Association of Radiologists of West Africa and the Medical Women Association ofNigeria (MWAN) -advocate for the implementation of a national breast cancer screening programme and policy which is currently non-existent[5, 6]. Other stakeholders are advocacy groups-the Genevieve Pink Ball Foundation , Breast Cancer Association of Nigeria (BRECAN),Medicines Plus; media groups-Silverbird Entertainment, Inspirational FM, City People, Genevieve mag azine, Globacom Limited-a leading telecommunications firm. The primary users of this proposed evaluation are the policy makers and the programme management.The findings would determine if the programme is worth its ââ¬Ëvalue for money and would help inform decision on the whether the programme should be continued and if a screening policy would be implemented. The purpose of the evaluation would be made clear and agreed upon by all key stakeholders from the outset[4]. It would have been possible to develop the logic model for this evaluation using the theory of change approach with the stakeholders. Defining a theory of change which is agreed by all stakeholders can mitigate the effects of causal attribution[4].One representative would be selected from each key stakeholders group to form an evaluation working group. The stakeholders in the team would be asked about their vested interests in the programme, their expectations, and what resources they would put in during the actual implementation of the evaluation. The Ibadan-Ibarapa Breast Cancer Screening Initiative The programme was commissioned in December, 2006 in response to the growing concern for the need for early detection of breast cancer. The programme aims is to reduce incidence and mortality from breast cancer in women. Breast cancer screening is a secondary prevention programme that takes the form of physical examination using in combination with radiographic techniques-mammography. Health needs assessment using the epidemiological approach conducted prior to the implementation of the programme revealed that breast cancer is the most common cause of female cancer deaths in Nigeria. Breast cancer is the most common cancer affecting women globally[7] and in Nigeria [5, 8-11].It accounts for the greatest proportion of cancer deaths in women in Nigeria. Previous surveys showed a rising prevalence in breast cancer in Nigeria from 33.6 per 100,000 in 1992[12] to 116 per 100,000 in 2001[5].A retrospective review of hospital-diagnosed cases of cancer revealed 1,216 cases over a four-year period with breast cancer accounting for 13.9% of the cases[11] .Differences exist between the aggressiveness and survival rates in Nigerian women when compared to other populations[13, 14]. The mean age at presentation is 48 years[5]. The average age at menopause of Nigerian women is 48 years[15, 16]. The intervention targeted at women between 40 and 64 years as early presentation-before menopause-has been observed to be the dominant pattern in this population. There is generally a low level of awareness and knowledge of early detection breast cancer among Nigerian women [8, 10, 17-19].Despite the burden, there is currently no national policy or programme for early breast cancer detection[5, 18]. There is a high mortality from breast cancer in Nigeria. This is because most present for treatment late[18, 20-22] and tumours are more aggressive, responding poorly to medical treatment[23].Cultural factors and religious influences also affect health seeking behaviours with some detected cases seeking healing from lay or traditional practitioners. Risk factors for developing breast cancer include age at menopause, at age at first live birth and parity, history ofà first-degree relative with breast cancer[24]and smoking. Research evidence supports that early detection of breast cancer leads to improved outcomes. Surveys investigating the knowledge, attitudes and practice of female health care workers showed that with the exception of physicians, there are gaps in knowledge of the risks of breast cancer and low practice of early detection methods [6, 25]. The activities being carried out in this programme are: Breast cancer seminars and workshops for nurses, physicians, community health workers, public health nurses and health promotion specialists in order to increase their knowledge of breast cancer risks and change their attitudes towards screening practices Clinical Breast Examination (CBE) trainings using breast models -donated by the University of Chicago Medical Centre-in order to enhance clinical skills in breast lump detection. Breast cancer education workshops and lectures for postmenopausal women and teaching skills in Breast Self Examination (BSE) to increase their knowledge of the benefits of early detection of breast cancer and to change their attitudes and beliefs on breast cancer Counselling sessions by breast cancer survivors who are volunteers trained to help motivate women in utilising the screening service and reassurance that the benefit of screening outweighs any discomfort felt during the mammography procedure Distribution of IEC (Information, education and communication) materials breast cancer facts leaflets and posters to increase knowledge of breast cancer risks and the benefits of early detection Media campaigns through paid and unpaid advertisements in newspapers and magazines widely read by women; radio jingles in English and the local dialect; role plays on television by volunteers; health promotion messages on television aired in English and Yoruba languages Provision of free Clinical Breast Examination (CBE) and free mammography screening to postmenopausal women between ages 40 to 63 years Funding is mainly from the Federal Government with equal support from the Breast Cancer Research Foundation and the Genevieve Pink Ball Foundation. Shortage of health care staff and inadequately trained staff contribute to mortality from breast cancer. Cultural and religious beliefs also influence cancer health-seeking behaviours. There is increasing interest in cancer issues and many agencies are getting involved in breast cancer awareness activities. Focusing the evaluation design Evaluation design and perspective taken by an evaluation depends on who the primary user of the evaluation is[1].The proposed evaluation takes the managerial perspective[1]. The primary users of this evaluation are the programme managers and the policy makers (health systems). At this stage of the programme, three years after its implementation, it is inappropriate to make judgement based on the achievement of long-term outcomes. It will thus assess the changes in the knowledge, attitudes, and beliefs of the clients concerning breast cancer and the utilisation of the screening service. Purpose of the evaluation In future, evaluating the programme would determine if the breast cancer awareness programme and screening leads to a reduction in incidence and mortality from breast cancer in women aged 40-63 years .The proposed evaluation would carried out in order for policy makers to decide the effectiveness of the programme in promoting health i.e. to evaluate the effectiveness of breast cancer screening as a public health policy; to make decisions about continuity of the service in light of its cost-effectiveness in the face of other healthcare needs competing for funds and to assist in policy making and implementation [4]of a national breast cancer screening programme. It would also assist the programme manager in judging fidelity of implementing the programme activities. The main evaluation questions to be dealt with can be thus can be summarised as follows: Effectiveness-ââ¬ËIs the programme working as intended? i.e.is it achieving the objectives it set out in its mandate? Efficiency- ââ¬ËAre the programme activities being produced with minimal use of resources? The proposed evaluation would use the Before-After (Type 3) evaluation approach[1] in assessing the effectiveness of the programme in producing the change in knowledge, attitudes and behaviour that would ultimately lead to achievement of the programmes goal of reducing the incidence and mortality from breast cancer. This evaluation needs to be carried out in a relatively short period and funding for the evaluation is limited. While true randomised controlled trials are said to be the gold standard for evaluation[26], they would be unethical; expensive to conduct and take a really long time to complete. The main problem with this before-after design is the issue of causal attribution- that the results may not be conclusive in proving that the outcomes are as a result of the programme activities[1].The opinions and inputs of the key stakeholders would also be taken into account at this stage[27].Stakeholders opinion would be sought on how the evaluation would be funded ,how long it wo uld be carried out for and what the reasonable level of achievement should be. The number of years the programme has been in existence would help set the standard against which progress is monitored. Gathering credible evidence-Data collection The mixture of quantitative and qualitative methods would be used in data collection.Observational methods would be used in collecting some primary data for the evaluation as there are few existing databases from which the relevant information for the evaluation can be obtained. Green and South stress that selecting methods for measuring outcomes of health promotion programmes should be based on concern for ââ¬Å"reliability, validity, suitability for purpose, feasibility, consistency with the values and methods of working of the project and appropriateness for use with various groupsâ⬠[4].Although validity is recognised as being very important in selecting the indicators for evaluation, practical feasibility should also be put into consideration[4]. McNamara fallacy-ââ¬Ëmaking the measurable important rather than the important measurable. Change in the knowledge, attitudes and practice of healthcare workers would be assessed using a structured self-administered questionnaire placed in the staff pigeon holes at the teaching hospital where the programme activities are carried out. The questionnaire would be pre-tested prior to its use for the evaluation. Pertinent questions would reflect social and demographic characteristics of the respondents, level of knowledge about breast cancer, risk factors for its development, symptoms, screening methods known as well as their individual practice of breast self examination (BSE) and screening using mammography as appropriate. The questions would be closed and pre-coded responses would be included in the questionnaire as these are quick to analyse[28].Careful attention would be paid to the wording of the questionnaire and how the information is coded during its design in order to ensure its reliability and validity. The healthcare workers would be sampled using the stratified ran dom sampling technique based on age and gender. Responses would be anonymised to reduce the chances of reporting bias. The number of healthcare workers would be determined from the training register kept by the programme monitoring and evaluation staff and it can be estimated from the survey in the absence of fidelity in the recording of programme activities. In order to assess if the healthcare workers have developed the appropriate clinical competence in Clinical Breast Examination (CBE).Participants would be observed carrying out the examinations. A hospital researcher skilled in ethnographic methods would be called upon to engage in this aspect of the evaluation. The limitation of this method of investigation is that observer bias is an issue to contend with and the method is not objective[28].To limit observer bias, a different observer would also assess the trained participants-inter-observer comparison[28].The contribution of the Hawthorne effect-a reactive effect which produces bias- is also a limitation worth noting [28].If healthcare staff are aware that they are being studied, they strive to demonstrate that they have the required level of competence in carrying out the breast examination. Changes in the knowledge, attitudes, and practice of screening in the clients would also follow the before-after method of investigation. Study participants would be randomly selected from the community. Informed consent would be ensured before data collection. Data would be obtained using structured pre-coded questionnaires with allowance for open-ended questions delivered via face-to-face interviews trained interviewers. The interviewers would trained on the social skills of establishing good rapport with people in order to reduce potential bias[28].Information obtained would include socio-demographic variables- age, marital status, level of education, religion, occupation-potential risk factors for developing breast cancer-family history of breast cancer, parity, duration of breast-feeding age at onset of menstruation, age at menopause-knowledge of screening methods-Breast Self Examination(BSE),Clinical Breast Examination(CBE) and mammography and on utilisation of screening servic es[29].Barriers to accessing service can also be explored. Mailed questionnaires would have taken less time and would be cheaper to administer but consideration is given to the fact that most people in this community do not have mailing addresses and the literacy level is generally low. Justifying conclusions Data collected from the surveys would be analysed using appropriate tests with statistical software. The main exposure variables of interest the educational component of the programme and the physician skills training in Clinical Breast Examination(CBE) while the main outcome of interest is the utilisation of mammography as a screening service. Secondary variables of interest are the media campaigns, healthcare workers training, Clinical Breast Examination Other factors that would be explored would be the effect of some key demographic characteristics like age, ethnicity, and level of education on the utilisation of the mammography service. In conducting the analysis, adjustment would be made for potential confounding by other influences. The before-after status of the women receiving the educational programme would be compared. For the uptake of mammography as a screening method comparison before and after status would also be compared as though a few other mammography centres exist, none is currently running a similar awareness programme that may qualify its use as a non-random control. The overall results obtained would be compared with the set standards as outlined in the programme objectives or in the absence of this, what was agreed upon at the stakeholders meeting as a measure of success Ensuring use of the evaluation findings The findings would be put together as a draft after representing the data in well-presented graphs and tables as appropriate and circulate among the stakeholders. After reviewing the draft with the stakeholders, the results would be disseminated widely in the hospital journals, as a government publication, in women magazines and other publications as defined by the stakeholders. The results obtained are expected to help inform the development and implementation of a national breast screening policy and programme. Quality assessment There are a number of frameworks that have been developed for investigating the quality of healthcare services[30]. The Maxwells framework would be used for assessing the quality of the screening service. Maxwells conceptualisation of health care quality is organised around the following six dimensions[31]: Access to services-accessibility in terms of time ,distance and location of services, language and other cultural barriers Relevance to need (for the whole community) Effectiveness (for individual patients) Equity (fairness) Social acceptability(cultural competence) Efficiency and economy. Effectiveness The effectiveness of mammography as a screening method has been proven to be beneficial by some studies. A case-control study reported a 50% reduction in mortality from breast cancer using mammography hence supporting its efficacy[32].A recent case control study also demonstrated similar results[33]. Collette et alevaluated a breast cancer screening programme using different methodologies and found that early detection using mammography reduced mortality in the 50-64 age groups[34]. Though a previous meta-analysis demonstrated no benefit to women in the 40-49 age group[35],the well cited Swedish trials have however suggested the need for screening in this age group. Efficiency and economic evaluation This would answer the evaluation question: ââ¬Ëare we making the best use of limited resources? The economic evaluation of this programme would take the managerial standpoint to answer the policy makers question on if it is the best ââ¬Ëvalue for money. It is important in making resource allocation decisions[4]. The overall summary of the programme can be succinctly stated as: Activities- breast cancer education workshops, lectures, and seminars, Clinical Breast Examinations (CBE) for healthcare workers distribution of information leaflets and posters, media campaigns, mammography. Outputs-Number of educational sessions held, number of healthcare workers trained, no of women reached by educational programme, number of women counselled, number of women screened, and number of IEC materials distributed Outcomes -increased awareness and knowledge of breast cancer risks and screening methods (short-term outcome) -increased awareness of early detection (intermediate outcome) -increase in uptake of breast cancer screening (behaviour change) Goal-reduction in incidence and mortality from breast cancer (long term impact) Accessibility, equity, relevance, and acceptability The issue of accessibility and social acceptability would be addressed in the questionnaire survey of clients after the intervention.Relevance to need was initially addressed in the epidemiological needs assessment prior to programme implementation. In further evaluating the need for the programme with respect to the community, focus group discussions with carefully selected members of the community would be held. Members of women groups who are opinion leaders in the community would be involved in these interviews. This technique enables the evaluator explore in-depth views on how social, cultural, religious, and other barriers that affect the uptake of screening service. However, they are time-consuming; data is difficult to analyse; confidentiality is compromised and interviewer bias is a key issue[28]. References Ovretveit, J., Evaluating health interventions : an introduction to evaluation of health treatments, services, policies and organizational interventions. 1998, Buckingham: Open University Press. Centers for Disease Control and Prevention. Framework for Program Evaluation in Public Health.à 1999à [cited 2010 7 February]; Available from: http://www.cdc.gov/eval/framework.htm. Naidoo, J. and J. Wills, Evaluation in health promotion, in Foundations for health promotion. 2005, Baillià ¨re Tindall Edinburgh. Green, J. and J. South, Key Concepts for Public Health Practice: Evaluation. 2006, Maidenhead: Open University Press. Adesunkanmi, A.R.K., et al., The severity, outcome and challenges of breast cancer in Nigeria. The Breast, 2006. 15(3): p. 399-409. Akhigbe, A. and V. Omuemu, Knowledge, attitudes and practice of breast cancer screening among female health workers in a Nigerian urban city. BMC Cancer, 2009. 9(1): p. 203. Ferlay, J., et al., Global Burden of Breast Cancer. Li C et al. Breast Cancer Epidemiology, Springer Science, 2008. Okobia, M., et al., Knowledge, attitude and practice of Nigerian women towards breast cancer: A cross-sectional study. World journal of surgical oncology, 2006. 4(1): p. 11. Okobia, M.N. and U. Osime, Clinicopathological Study of Carcinoma of the Breast in Benin City. African Journal of Reproductive Health / La Revue Africaine de la SantÃÆ'à © Reproductive, 2001. 5(2): p. 56-62. Adebamowo, C.A. and O.O. Ajayi, Breast cancer in Nigeria. West African Journal of Medicine, 2000. 19(3): p. 179-91. Nggada, H.A., et al., Breast Cancer Burden in Maiduguri, North Eastern Nigeria. The Breast Journal, 2008. 14(3): p. 284-286. Ihekwaba, F.N., Breast cancer in Nigerian women. British Journal of Surgery, 1992. 79(8): p. 771-775. Ikpatt, O.F., et al., Breast cancer in Nigeria and Finland: epidemiological, clinical and histological comparison. Anticancer Research, 2002. 22(5): p. 3005-12. Huo, D., et al., Population Differences in Breast Cancer: Survey in Indigenous African Women Reveals Over-Representation of Triple-Negative Breast Cancer. Journal of Clinical Oncology, 2009. 27(27): p. 4515-4521. Okonofua, F.E., A. Lawal, and J.K. Bamgbose, Features of menopause and menopausal age in Nigerian women. International Journal of Gynecology Obstetrics, 1990. 31(4): p. 341-345. OlaOlorun, F. and T. Lawoyin, Age at menopause and factors associated with attainment of menopause in an urban community in Ibadan, Nigeria. Climacteric, 2009. 12(4): p. 352 363. Okobia, M., et al., Knowledge, attitude and practice of Nigerian women towards breast cancer: A cross-sectional study. World journal of surgical oncology, 2006. 4: p. 1 9. Oluwatosin, O.A. and O. Oladepo, Knowledge of breast cancer and its early detection measures among rural women in Akinyele Local Government Area, Ibadan, Nigeria. BMC Cancer, 2006. 6(1): p. 271. Odusanya, O.O., Breast cancer: knowledge, attitudes, and practices of female schoolteachers in Lagos, Nigeria. Breast J, 2001. 7(3): p. 171-5. Ezeome, R.E., Delays in presentation and treatment of breast cancer in Nigeria. J Clin Oncol (Meeting Abstracts), 2009. 27(15S): p. 1527-. Ekanem, V.J. and J.U. Aligbe, Histopathological types of breast cancer in Nigerian women: a 12-year review (1993-2004). African Journal of Reproductive Health, 2006. 10(1): p. 71-5. Ukwenya, A., et al., Delayed treatment of symptomatic breast cancer: The experience from Kaduna, Nigeria. South African Journal of Surgery, 2008. 46(4): p. 106. Gukas, I.D., et al., Clinicopathological features and molecular markers of breast cancer in Jos, Nigeria. West African Journal of Medicine, 2005. 24(3): p. 209-13. Negri, E., et al., Risk factors for breast cancer: pooled results from three Italian case studies. American Journal of Epidemiology, 1988. 128(6): p. 1207-1215. O. Odusanya, O.O.T., Olumuyiwa, Breast Cancer Knowledge, Attitudes and Practice among Nurses in Lagos, Nigeria. Acta Oncologica, 2001. 40(7): p. 844-848. Black, N., Why we need observational studies to evaluate the effectiveness of health care. BMJ, 1996. 312(7040): p. 1215-1218. U.S. Department of Health and Human Services. Centers for Disease Control and revention. Office of the Director, O.o.S.a.I., Introduction to program evaluation for public health programs: A self-study guide 2005: Atlanta, GA. Bowling, A., Research methods in health:investigating health and health services. 2002, Buckingham: Open University Press Akhigbe, A.O. and V.O. Omuemu, Knowledge, attitudes and practice of breast cancer screening among female health workers in a Nigerian urban city. BMC Cancer, 2009. 9: p. 203. Gray, S., The contribution of health services to public health, in Public Health for the 21st Century:new perpectives on policy,practice and participation, J. Orme, et al., Editors. 2007, Open University Press: Maidenhead. Maxwell, R., Quality assessment in health. British Medical Journal, 1984. 288(6428): p. 1470-1. Walter, S.D., Mammographic screening: case-control studies. Annals of Oncology, 2003. 14(8): p. 1190-1192. Puliti, D., et al., Effectiveness of service screening: a case-control study to assess breast cancer mortality reduction. British Journal of Cancer, 2008. 99(3): p. 423-427. Collette, H.J., et al., Further evidence of benefits of a (non-randomised) breast cancer screening programme: the DOM project. Journal of Epidemiology and Community Health, 1992. 46(4): p. 382-386. Kerlikowske, K., et al., Efficacy of Screening Mammography: A Meta-analysis. JAMA, 1995. 273(2): p. 149-154.
Monday, January 20, 2020
A Passing Thunderstorm :: essays research papers
A Passing Thunderstorm à à à à à When one returns home from work or school, the first thing he wants is relaxation. Some factors that can affect relaxation are sights, sounds, and feelings. To achieve the most relaxing environment at your home, you must have ideal weather conditions. Different weather can affect these factors. There is not a more relaxing atmosphere than a cozy house while a light thunderstorm passes overhead. à à à à à An oncoming thunderstorm should visibly change your atmosphere. One can look out the window and see the trees swaying easily in the wind. One should turn off all the lights as to sooth your sense of sight. The turning off of lights and the blocking of the sun by clouds will both darken your house making the perfect place to go rest or even nap. Some people may choose to light a fire in which case the flames would glow on all the walls. à à à à à A thunderstorm can produce some soothing sounds as it passes overhead. The light rain tapping at oneââ¬â¢s window provides a comforting pattern for resting. The sound of thunder sounds like volleys of cannons being fired repeatedly in the distance. One knows the fire is hard at work by the crackling of the flames. One can hear the whistling wind sweeping the corners of your house repeatedly. à à à à à Along with the thunderstorm comes a lower temperature. All one wants to do is bury himself in his bed. The soft bed provides the most comfort and easiness for your body. The brisk warmth of the fire enwraps the body in comfort. The sounds uniform sounds of the thunderstorm calm your mind. All these feeling combined will bring restfulness upon oneself.
Sunday, January 12, 2020
A Late Aubade
A person praises other of his daily activities and says that he does not waste his time and he utilizes his time in useful activities. He then asks him to bring them some eatables.Paraphrase:Now you could be seated in a carrel and turning rotten page or mounting in a caged lift that was moving toward Ladiesââ¬â¢ Apparel. You could be sowing in a rough field of salvia while wearing rubber gloves or contemplating over a series of thought of somebodyââ¬â¢s love with a disappointing head. Or you are helping a dejected setter to nurse back to health or paying heed to an unwelcoming lecture on Schoenberg's serial technique.1Is this nit something superior?Consider the whole time you are not dissipating and would not be bothered to throw away. Express gratitude to God that such things are not of your flavor. Take into account the time you have by a womanââ¬â¢s calculations and you who had somewhat lazed in bed and kiss, may use your thought and time for this than something else. You declare that it is about midday?If so, time takes wings and I feel no want to repeat the flowery topic of years old poetry. If you have to leave, stay for a short time and after that move downward and fetch some ice-cold white wine with some blue cheese, crackers and some amount of excellent reddish pears. Ã
Saturday, January 4, 2020
Illegal Immigrants In America Have Contributed Massively
Illegal immigrants in America have contributed massively to the Economy and researchers have facts and evidence to back up their finding. For the most part many people are not educated enough about the concept illegal immigrants or donââ¬â¢t bother to look for the fact about illegal immigrants. Their contribution to the economy is very productive, according to the institute on taxation and economy: Collectively, undocumented immigrants in the United States pay an estimated total of $11.74 billion in state and local taxes a year (see Table 1 for state-by-state estimates). This includes more than $7 billion in sales and excise taxes, $3.6 billion in property taxes, and $1.1 billion in personal income taxes (Christensen, Gardner, Hill, Wiehe). Asâ⬠¦show more contentâ⬠¦Many people think Undocumented immigrants are taking native America jobs, but in reality, illegal immigrants simply work in industries that Americans refuse to work. In Texas immigrants are working in farming th at help not only the state but the country. According to Pew: a study issued by the National Bureau of Economic Research, loss of that segment of the labor force would cost the U.S. economy $5 trillion over a decade. Illegal immigrants provide $500 billion in output a year (The Morning Call). The cost of produce in general would rise because of a lack of farm workers. It is also proven that restaurants and manufacturing industries would also take a big hit, the shortage of worker would definitively close many business. More fact about the importance of undocumented immigrants. According to a to report by the social security Administration, unauthorized workers often use fake social security end paid 13 billion into trust fund in 2010 and only received 1 billion in retirement (The Morning Call). Many sees undocumented immigrants as criminals and spur discrimination and deportation against them. Knowing that for the most part people end up stay here in the US illegal because of problem they are facing in their native countries. In 2014, about 69,000 kids from El Salvador, Honduras and Guatemala take a long journey from their countries flying violence. They run away from their countries because of the fear of theShow MoreRelatedOfw Remittances- an Economic Booster10937 Words à |à 44 Pagesacross the World. The World stands as a globalised village. Many people go aboard for better education or for a better lifestyle. Through Remittance they do not need to worry about their loved ones at home anymore. Remittance transfers have existed for centuries, but have only garnered the attention of people in the last couple of decades. Remittance Transfer could either be domestic or could be International. If the money is remitted within the same country then it is said to be Domestic. It is believedRead MoreModern History.Hsc.2012 Essay25799 Words à |à 104 PagesUnited States originally pursued a policy of non-intervention, avoiding conflict while trying to broker a peace. - When a German U-boat sank the British liner Lusitania in 1915, with 128 Americans aboard, U.S. President Woodrow Wilson vowed, America is too proud to fight and demanded an end to attacks on passenger ships. Germany complied. - Wilson unsuccessfully tried to mediate a settlement. He repeatedly warned the U.S. would not tolerate unrestricted submarine warfare, in violation ofRead MoreWal-mart case analysis. This paper includes SWOT/TOWS analysis, PEST analysis, environemental scan and strategic analysis.5493 Words à |à 22 Pagesrepair, refund or exchange Policy. II. CASE ISSUES Company Image (CI#1): Wal-Mart has been the subject of more than 24 complaints to the National Labor Relations Board (NLRB) since November 2001. The accusations involve sex discrimination, illegal immigrant and anti-union activities. Will the company be able to sustain a good brand image? Mature Industry (CI#2): Saturation in the US market was mainly due to the fact that Wal-Mart already served the most desirable areas of the market with 2000 plusRead MoreUK - Analysis Report31935 Words à |à 128 Pagesinvolvement of the UK in the war on terror in Afghanistan and Iraq seems to have had some negative consequences. The threat of terrorism is being taken more seriously than before. The July 7, 2005 bombings in London brought the capital to a standstill. The public threats issued by various Islamic fundamentalist groups such as al-Qaeda are a clear indication of the constant danger that they pose. Foiled terrorist attacks have also served to put the government and the public on edge. In March 2010, the
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