Friday, November 29, 2019

Jewish History Essays - Zionism, Land Of Israel, Aliyah,

Jewish History The Jews are a people with a multitude of dilemmas. From the Israelite tribes to the prosperous modern day Israel , bigotry towards the Jews has been greatly evident. The Jewish race has acted as Escape Goat for many crisis throughout history including the black plaque which swept across Europe in the 14th century. The establishment of Israel was a great incident was something the Jewish people were striving to obtain for generations. This, however, led to four major conflicts between Israel and the Arab countries. One of the most meaningful wars was the Six-Day War. Events such as the holocaust have also had a dramatic effect on world history and whose mysteries are still being unravelled. For twelve years following 1933 the Jews were persecuted by the Nazi's. Jewish businesses were boycotted and vandalized. By 1939,Jews were no longer citizens,could not attend public schools,engage in practically any business or profession, own any land, associate with any non-Jew or visit public places such as parks and museums. The victories of the German armies in the early years of World War II brought the majority of European Jewry under the Nazis. The Jews were deprived of human rights. The Jewish people were forced to live in Ghetto's which were separated from the main city. Hitler's plan of genocide was carried out with efficiency. The total number of Jews exterminated has been calculated at around 5,750,000. In Warsaw ,where approximately 400,000 Jews had once been concentrated,was reduced to a population of 60,000. They,virtually unarmed, resisted the German deportation order and had held back the regular German troops equipped with flame throwers,armoured cards, and tanks for nearly a month. This heroism was similar to the revolt which took place around 165BC. This uprising was led by the Maccabees, a provincial priestly family (also called Hasmoneans). They recaptured the Temple and rededicated it to the God of Israel. The Maccabees made there last stand on a mountain and was able to hold back the syrians for more then a month. There is a distinct similarity between the two stories and that is possibly why they are both recognised as holidays in the Jewish faith. These horrific events of the holocaust have let to some consequences which are beneficial and some are unfortunate to the Jewish people. The population of the followers has greatly declined. Also the Jewish people after the war still had problems finding jobs. They had to essentially start there life over. Most of them lost a close relative or at least knew someone who died in the gas chambers of the Nazi concentration camps. This has put a psychological strain on Jewish survivors or no longer having family and friends with them for support. This event has awaken the world up to the needs of the Jewish people. It has given them political power and a justification for some of their actions. On May recognised,1945 ,the end of World War II was seen. Organized Jewry in the European continent was damaged beyond repair. The Jews concentrated on the preservation of Israel and on the bringing of Nazi war criminals to trial. There is a day of commemoration, Holocaust Day, observed in Israel and elsewhere on Nisan (April) 19 and 20. The date is considered the anniversary of the beginning of the Warsaw Ghetto Uprising. The emergence of Israel as a Jewish state on the former territory of Palestine was the central political issue of the Middle East after World War II. A movement was established to work on the reestablishment of the Jewish national state of Israel. This movement was given the name Zionism. The Zionists were full of energy,enthusiasm, and skill which led to remarkable accomplishments. Israel was a modern European state in an underdeveloped area. This was the source of there problems and their achievements. The Jews received vast amounts of financial and military support from Western governments. The Israelis also benefitted from a highly trained and motivated citizenry to create a unique nation-state. It had taken the Zionists seventy years to purchase 7 per cent of Palestine. Now the UN was offering them another 50 per cent. The partition plan was objected by all of that Arab and Palestinian Arab governments. The Zionists excepted the plan. They however were upset that Jerusalem was excluded from the Jewish state. The Jews were the most fertile land including the citrus groves upon which the Arabs depended on for their living. Many of the nations of the world felt guilt or grief of the Hitler era. This is what is believed to have

Monday, November 25, 2019

How to Take Math Notes With a Smartpen

How to Take Math Notes With a Smartpen Everybody knows that its important to take good math notes, but do you really know how to take notes that really make a difference? The old rules may not work for modern students. For example, weve always heard that you should use a sharp pencil to take math notes. But these days its much better to use a smartpen! Using a Smartpen for Taking Math Notes A smartpen has the ability to record your teachers lecture as you take notes. This is important because no matter how quickly you copy notes in class, you are likely to miss something. If you are able to record the lecture as you write, you can review the teachers words as you work through the class problemsand you can do it over and over again! The best tool for recording math class is the Pulse Smartpen, by LiveScribe. This pen will enable you to tap on any space in your written notes and hear the lecture that took place while you were writing it. If you cant afford a smartpen, you may be able to use a recording feature on your laptop, iPad, or tablet. If these tools arent accessible, you can use a digital recorder.If you cant use a smartpen, you should be sure to write down everything that might be useful as you do your homework. Be sure to copy every single step of every problem, and in the margins of your notes, jot down anything the teacher says that may give additional clues t o the process. Science has shown that we all learn best through repetition over time. Rewrite each problem or process at night as you study. Also, try to re-listen to the lecture.Sometimes we struggle on exams because we havent worked through enough problems. Before you leave a class, ask for extra sample problems that are similar to the problems your teacher works through. Try to work through the extra problems on your own, but seek advice online or from a tutoring center if you get stuck.Buy a used math textbook or two with more sample problems. Use these textbooks to supplement your lectures. It is possible that one book author will describe things in a more comprehensible manner than another.

Thursday, November 21, 2019

Financial Plan for Small Business Research Paper

Financial Plan for Small Business - Research Paper Example The financial plan in this case is based on NASDAQ listed 1st Century Bancshares, Inc (Ticker: FCTY). The total market capitalization of the company is $66.44 million as on May 9, 2014 (Yahoo Finance, 2014). The balance sheet is the most important financial statement of any business irrespective of its size or market capitalization. It presents the financial position of the business on a given date. It is divided into three sections namely, assets, liabilities and owners’ equity. Assets and liabilities are further classified on basis of period of maturity. Assets include, cash, accounts receivables, inventory, land & buildings, goodwill, etc. Liabilities include account payables, debt capital, creditors, etc. The positive difference between total assets and total liabilities is the shareholders’ equity (Ramachandran and Kakani, 2009, pp.3-9). The historical balance sheet of business reveals that during the period 2011 to 2013, the company had very strong cash and its equivalents. However, the net cash and cash equivalents declined by 5.7 percent annually to $0.155 million in 2013. The total current assets of the company comprised of net receivables, cash and cash equivalents only. The total assets of the business increased by 15.2 percent historically from 2011 to 2013. In comparison, the current liabilities and total liabilities of the business increased by 15.8 percent historically from 2011 to 2013. The company does not intend to issue debt instruments as it has sufficient cash resources available for attaining its financial objectives. Historically, the shareholders’ equity increased by approximately 10.9 percent at compounded annual growth rate. The historical information about the financial position of the business will assist in determining the probable course of action of the business through projected fin ancial forecasts. The pro-forma balance sheet of the business is presented below: By observing the historical information about the

Wednesday, November 20, 2019

Is Sex Education Beneficial or Harmful to Teenagers Essay

Is Sex Education Beneficial or Harmful to Teenagers - Essay Example In addition to all this, there is an impulsive drive within the teenagers to engage in forbidden adequate notwithstanding the absence of wisdom and guidance. As a result more harm than good can be done. Opponents of sex education argue against sex education by claiming that this type of education opens kids to ideas that they had not thought about before. They start fantasizing about instead of letting it go by and let things take its own natural course. They start wondering about it, start thinking about its consequences and start treating it as an exception to the norms of the world. As a result, they can become more vulnerable to poor choices regarding sex, poorer than what they would have taken without being informed. A lot of parents also argue against sex education. They feel that sex education takes away the responsibility from the family. At the end of the day, it is the parent’s job to raise their children and the onus is on them how they want to educate their children about sex education. Educating their kids on sex education triggers a bond between them and their children which is lost if the kids assume that school will teach their kids. By education about sex, ma ny opponents feel that schools try to step into the shoes of the family. Sex education can be very healthy for teens. It offers them guidance and prevents teenage pregnancies.

Monday, November 18, 2019

Contruction & analysis Exercises Essay Example | Topics and Well Written Essays - 1250 words

Contruction & analysis Exercises - Essay Example The curtains flapped about in the draught caused by a carelessly half-closed window. And on the floor, to the left of the chairs lay Jerry Pinto, very, very quiet.in fact, very, very dead Mary Pinto entered the room. She had a tranquil air about her; her skin looked translucent, her mouth was soft, and her eyes large and dark, giving her an appealing wide-eyed look. She was six months into her pregnancy-a fact barely discernible on her slight figure. Mary deposited her shopping bag on the sideboard next to the half empty glasses, humming a tune, and smiling to herself. "Jerry, how are you, darling" she said with genuine affection, in the direction of where she expected him to be sitting Not hearing his reply she turned around, and stood stupefied for a momentonly for a momentthen she ran to where he lay fallen on the floor. She seemed somehow to understand, as soon as she saw him, that he was dead. Perhaps it was the way he lay. In that strange and stiff fashion She ran over to him and sat down by his side, gently lifting up his head, cradling it in her lap. The sobs came hesitant and rasping at first, but louder and more abandoned as the moments passed. She must have sat thus, for what seemed like an age to her. But it must have been no more than five minutes Mary suddenly stopped crying, and wiped her eyes. ... The voice at the other end was familiar " Quick! Come quick! I think Jerry's dead!" said Mary into the receiver " Mrs. Pinto yes Mrs. Mary Pinto here. I think so. He's lying on the floor, and I think he's dead" she said, as her voice caught on another sob. The call over, she busied herself in the room, moving here and there, straightening up the furniture, trying not to look where it layItHe was it now. No longer Jerry. Before long, Mary heard the sound of a car. Even before the knock, she was at the door to open it. Two plains clothes men stood there. She knew them wellthey were Jerry's colleagues after all. On seeing them, Mary suddenly felt the tears start again. James Hendricks, the young officer who had joined the force only recently was plainly moved. He helped Mary gently to a chair. Aneez Afzal, the other cop, a veteran, kept his face expressionless. But as he moved towards Jerry, it crumbled for a moment in an expression of grief and despair. Jerry was his colleague and friend, and they'd been working together for the last five years "Is he dead " Mary managed to ask. "I'm afraid so", replied Afzal. "Tell us what happened, Mrs. Pinto. Where were you, and how long back did this happen" "You know, how punctual Jerry is", said Mary. "He had just returned from the police station by 5.30, as usual. I was sitting here with my sewingI hadn't cooked any dinner today. You know, every Wednesday we go out for dinner. But Jerry was so tired"Her breath caught on a sob again, and she took some time to compose herself. "I thought it better to have dinner at home. I put a leg of lamb in the oven, and nipped across to Vipul's, you know, Vipul's the Indian store down the road I didn't have any vegetables at home. I left Jerry to unwind over a drink. I was hardly away

Saturday, November 16, 2019

Complications of Post Angioplasty Bleeding

Complications of Post Angioplasty Bleeding Introduction This paper is aiming to identified the potential complication of post angioplasty bleeding and abrupt closure of coronary artery base on the case of Elizabeth Green from caseworld and explore the issue in depth and widen horizon. Relevant nursing decisions and recommendations of post angioplasty care will be provided and discussed which is based on clinical guideline of the University of Minnesota Hospital and Clinic(UMHC). This article is structured into three aspects which are indications of the percutaneous coronary angioplasty and Mrs Green’s data, evidence-supported nursing interventions for bleeding prevention and evaluation of the interventions regarding to ANMC competency elements. The determine progress of individual plan and quality improvement of unique care will be presented. Indication of the percutaneous coronary angioplasty and Mrs Green’s case data Apart from a very small percentage of individuals who has difficulties to pass the guide wire or the balloon catheter through the narrow artery, 90%-95% of patients can be effectively relieved from coronary arterial obstruction after the percutaneous coronary angioplasty. Percutaneous coronary angioplasty is a non surgical treatment offered to patient with coronary artery disease, the major aim of this procedure is to increase the arterial lumen size and allow greater blood flow. A ballon tipped catheter is used to split and reshape the atheromatous material, pushing it to the artery wall therefore more blood can be transferred through the particular artery. Abrupt closure of the dilated coronary artery and bleeding are two uncommon but possible complications for Elizabeth Green within the very first few hours post angioplasty. The cause of abrupt closure varies, it can be due to combination of dissection of the inner lining of artery , thrombosis and spasm at the balloon site. As to assist in preventing thrombosis formulation during or post percutaneous coronary intervention, oral anticoagulant medication including aspirin will be administered to avoid platelets from adhering the artery wall and stimulating blood clotting. To further prevent blood clotting, intravenous heparin or synthetic analogues of heparin molecule can be given to the patients. The anticoagulant drugs can help reduce the risk of abrupt closure however can contribute to increasing risk of post angioplasty bleeding. Giving the fact that Mrs Green’s gender, age, past history of unstable angina and episode of heart attacks make her at high risk for bleeding or bruise on the puncture site. The femoral sheath is funnel-shaped and consist of femoral artery, femoral vein and lymphatic, If there is a bleeding in the femoral sheath, it can spread to the abdominal wall follow the wall of the sheath. There will form a continuation of the transversalis fascia and the femoral sheath can directly connect to the anterior abdominal wall. Differ from bleeding to abdominal wall there is another kind of post angioplasty bleeding named rectus sheath hematoma (RSH). The damage or tear to the superior or inferior epigastric arteries can result in bleeding into the rectus sheath. In many case of major bleeding,RSH can also lead to other complication including multiorgan dysfunction and abdominal compartment syndrome Even the fact that RSH has not been detected post a PTA procedure, when patient present episode of acute abdominal pain, RSH can be considered as a differential diagnosis. evidence-supported nursing interventions for bleeding prevention Following Angioplasty After the procedure, pressure is required to apply on the site for about 5-10mintues in order to close off the insertion holes in the arteries. Patient will be positioned to lie on their back with gauze dressing taped to the site for 4-6 hours. 4-6 hour is proper for normal blood clotting seals the hole in the artery. On the other hand, patient need to be assessed for recurring chest pain which indicate the procedure artery is re-closed, bleeding at the groin site and symptoms of dye-induced kidney damage. Guideline for the nursing care of a patient after percutaneous coronary angioplasty The word ‘guideline’ is chosen rather than ‘standard’ is because clarify of term help in avoiding potential legal consequence. Literature has shown that, in a malpractice suit, standards may be used by plaintiff against hospital. Standards could be misconstrued for inappropriate purpose. In real case, if a patient is required a nurse to monitor observation every 15minutes in the first hour post angioplasty, legally the nursing staff can be charged for not implement the standard, even the nurse is considering patients’ urgent priorities. The term guidelines means those strategies are for quality improving and goals promoting for patient care. Nurse can remain independent nursing decision depend on patient’s individual circumstance. Nursing intervention for caring post angioplasty patient 1.Vital signs should be monitored and documented every 15 minutes in the first hour post procedure then every 30 minutes for 2 hours, every hour for 4 hours then 4 hourly observation.Do not use automatic blood pressure cuff. 2. While doing each of vital signs, assess patient femoral site, symptoms of oozing , swelling and increasing pain show signs of hematoma. Especially when patient is coughing, sneezing, vomiting and flexing position on bed etc, there is a high risk of bleeding. 3. If necessary or ordered, exam and monitor patient’s coagulation test result and hemoglobin studies, usually it is done every 4-6 hours. 4 Follow prescribed regimen to perform anticoagulation therapy (goal is to have partial thromboplastin time 50-100) 5 Put a blanket over patient’s extremity and tuck the end under mattress so patient’s groin site can be immobilize however pressure area like ankle and heel should be protected by putting towels under 6 Movement of the patient need to be minimized. Only move the patient bed to bed once. Avoid weighting patient unless ordered by fellow. When patient need to toilet, use bedpan and turn patient away from the procedure site same with lying on the bed always preferred on the side away from procedure site. If the patient need to change position, educate patient to ask for assistance 7 Procedure site need to remain straight at the hips through out the process Educate patient not to extend and bend their limb. 8 Educate patient to cover their groin site when they coughs and sneezes. 9 Check patient medication history if he is on anticoagulant and provide assessment to the fellow for considerations. 10 Do not perform unnecessary venipunctures or intravenous insertions ,intramuscular and subcutaneous injection only if the coagulation value is normal. Instruct the patient on all the above precautions and cares 11 When patient present bleeding, hold pressure on arterial venous puncture site as longer as the bleeding seems to stop usually take 20 minutes or more. Avoid using sandbag or pressure dressing unless ordered by physician. 12 Report and contact intern for any presenting bleeding or potential bleeding. . The PTCA fellow should be notified by the intern 13 Maintain transparent dressing to site at all times. In patient’s discharge planning, health provider need to provide education pack of self-care of angioplasty and long-term care for coronary disease, these contribute in of complication of angioplasty and further cardiac issue. For example in this education pack instruction need to be provided including when they can recovery to normal activity, in the few day post angioplasty, heavy lifting and strong exercise should be avoided hence the femoral site can heal properly and if patient detect early symptoms who should they contact and what do they need to report to the G.P For patients who have been prescribed with aspirin or other antiplatelet medication post angioplasty, they need to be informed what are the medication the patient must take and the purpose.Usually when stent has been implanted, patient will be administered clopedigrol(Plavix) once a day for within 2-4 weeks time. This medication is an potent aspirin-like drug which help reduce the clot formulation around the stent during the first week after the procedure. To avoid life-threatening complication, clopedigrol is a good prevention and patient should bring this medication before they discharged as prescribed. Specially for those patient who had medication history of anticoagulant to treat chest pain caused by the blockage, they can be resistant to the effects of aspirin thus regular blood examination is required to monitor patient’s response to anticoagulant and the doctor can adjust the dosage of aspirin or change the medication. Family support for the patient is essential in the recovery process, specially for elderly client who live alone, family visit help in early detection of complication and maintain of patient’s regular social function. EVALUATION OF QUALITY CARE Firstly if the nursing goal is achieved, clinical outcome directly match to effort, according to ANMC competence it is the nurses responsibility to fulfill duty of care and prevent harm to the patient for example, quickly identify bleeding in the post angioplasty patient. Secondly, practises in accordance with profession framework, understand clinical guideline and perform excellence quality of nursing care, for example, Avoid venipunctures on the post angioplasty patient. Thirdly, demonstrate analytical skills in accessing and and collecting patient’s data. In the case of the post angioplasty patient, this can be like assess patient on their procedure site and vital signs to and make independent nursing judgment to meet quality care. Based on the ANMC competency, nurse need to be able to identify individual and other team member’s responsibilities. Example is the when there occur bleeding, the nurse should contact the intern for bleeding and report relevant assessment and information. What’s more, nurse need to use evidence-based practice and give patient step by step instructions for performing a task, for example with the onset of bleeding from groin site post angioplasty, nurse need to put on gloves and hold pressure on the sheath site for approximately 20 minutes or more. Last but not least set up individual care plan for patient base on their preference and clinical objectives to meet unique demand of the patient. Conclusion Post angioplasty bleeding can be life threatening complication hence it is important for the health provider to monitor and assess early symptoms for internal or external bleeding. To practice within clinical guide benefit in prevention of the complication however individual situation should be considered and nurse need to make independent decision. Clinical guideline is aiming to improvement of quality of care thus evaluation of clinical outcome and feedback from patient play a role in improving practice.

Wednesday, November 13, 2019

Stress in College :: Education, Generation Me

Stress in College Every person will experience some degree of stress in his or her life. Stress can be healthy. Stress can make a person feel hopeless, helpless, and powerless. Constant worry about problems can cause a diversity of physical symptoms. Some people face stress more than others do. College students deal with stress each stage of courses. Gender, age, and finance is a major influence on how a person experience stress in college. Bettina (2001) conducted research on stress stating, ‘’coping strategies used by adolescents prove that boys use more problems oriented, and direct action approaches to stress. Bettina (2001) says, ‘’Girls use passive and seeking strategies to cope with stress’’. Women like to talk about their stress with others and try to find friends to be of assistance to them. Men will put unwanted energy into doing energetic things similar to sports, working or television. In the majority of households, girls are encouraged to converse feelings more than boys. Venting to someone can help keep away from the sensation that stress is overpowering. Aid-win, Sutton,and Lachman (1996) studied whether stressful episodes provide content to the development of coping resources and reported,’’ 81.9% of men reported solving recent problems by using prior coping strategies gained through encountering problems in their lives, work, and family’’. As a person gets older, he or she is capable to cope with stress better. An older person will find ways to minimize excitement and energy levels. A returning student, will tend to know exactly what he or she wants to do with his or her future. Having insight into your future makes a person more focus. Returning students do not have the need to quench any curiosity with doing anything that will stray from their vision. When a student is eighteen years old recently out of high school, your mentality is different. A younger student is not sure of what he or wants to do. A new student becomes very curious, with new a found freedom. New students tend to feel as if he or she were on top of the world and life will just get easier after high Stress in College :: Education, Generation Me Stress in College Every person will experience some degree of stress in his or her life. Stress can be healthy. Stress can make a person feel hopeless, helpless, and powerless. Constant worry about problems can cause a diversity of physical symptoms. Some people face stress more than others do. College students deal with stress each stage of courses. Gender, age, and finance is a major influence on how a person experience stress in college. Bettina (2001) conducted research on stress stating, ‘’coping strategies used by adolescents prove that boys use more problems oriented, and direct action approaches to stress. Bettina (2001) says, ‘’Girls use passive and seeking strategies to cope with stress’’. Women like to talk about their stress with others and try to find friends to be of assistance to them. Men will put unwanted energy into doing energetic things similar to sports, working or television. In the majority of households, girls are encouraged to converse feelings more than boys. Venting to someone can help keep away from the sensation that stress is overpowering. Aid-win, Sutton,and Lachman (1996) studied whether stressful episodes provide content to the development of coping resources and reported,’’ 81.9% of men reported solving recent problems by using prior coping strategies gained through encountering problems in their lives, work, and family’’. As a person gets older, he or she is capable to cope with stress better. An older person will find ways to minimize excitement and energy levels. A returning student, will tend to know exactly what he or she wants to do with his or her future. Having insight into your future makes a person more focus. Returning students do not have the need to quench any curiosity with doing anything that will stray from their vision. When a student is eighteen years old recently out of high school, your mentality is different. A younger student is not sure of what he or wants to do. A new student becomes very curious, with new a found freedom. New students tend to feel as if he or she were on top of the world and life will just get easier after high