English Language Arts 11 All Questions/Answers ( Introduction to Early American Literature Sentence Fluency) Flashcard

English Language Arts 11 All Questions/Answers ( Introduction to Early American Literature Sentence Fluency)

Honda Essay Example

Honda Essay Example Honda Essay Honda Essay Message from the President and CEO Striving to be a company society wants to exist by continuing to create technologies and products with new value please customers, we will endeavor to provide even better products by redoubling our quality assurance activities. Bringing all Hands resources to bear in a global effort to strengthen our business structure Striving to be a leader in environment and safety Were finally beginning to see subtle signs of a recovery in the global economic slowdown that began with the financial crisis in the United States in 2008. Although a lull recovery in our businesses in Japan, Europe, and the United States will take more time, Honda delivered products to more than 24 million customers worldwide through its motorcycle, automobile, and power product businesses in PAYOFF. Im confident that these results are the product of a concerted effort on the part of our associates, suppliers, dealerships, and other partners to supply products and services that will please customers while respecting local culture and customs in accordance with our policy of manufacturing close to the customer, a philosophy Honda has embraced nice its founding. Nowhere is this success more evident than in China, where we sold a record 580,000 automobiles during 2009, and in Thailand, where we are manufacturing the PC scooter, a strategic global model, and expanding our business from Asia to the world. Nonetheless, the business environment in which we operate continues to be a challenging one, and I recognize that it is essential for Honda Group companies worldwide to come together to strengthen our business structure through the targeted application of limited management resources to key segments of our operations. We also face challenges in fulfilling our responsibilities as a manufacturer of mobility solutions. Consistent with our historic commitment to manufacturing high-quality products that will CARS Report 2010 During 2010, we launched the CRY-Z sport-type hybrid, which combines environmental friendliness with driving pleasure, as well as the Nope generator, which runs on ordinary household butane gas canisters. Were planning to including a hybrid model of the Fit hatchback and the EVE-neo electric motorcycle. We also plan to contribute to the resolution of environmental issues from the standpoint f renewable energy utilization by promoting use of residential generation units and thin-film solar panels, which use less energy and generate lower CA emissions during the manufacturing process than conventional silicon-based solar panels. Additionally, the Gawk Plant, which began operations in 2009, is striving to implement environment- and people-friendly operations, particularly through initiatives to reduce energy consumption. The facility has been designed with future generations in mind, for example by minimizing generation f waste products during the plants future demolition, using recyclable building materials, and making use of construction techniques that minimize the structures environmental impact. How do we make products environmentally friendly? How do we make them useful and convenient? How do we make them fun to use? Honda is committed to bringing its full resources to bear on the effort to realize a low-carbon society by developing technologies for reducing CA while sharing Joy and excitement with its many customers and other stakeholders. Honda has led other companies in developing proprietary cosmologies for dealing with safety issues, in keeping with its Safety for Everyone philosophy. Honda strives to pursue safety initiatives by taking advantage of the uniqueness of these technologies. We have sought to live up to the principles of this philosophy by working to communicate the freedom and Joy of mobility to all the people of the world through our motorcycle, automobile, and power product businesses as well as through projects such as ASIMOV, Handset, and new mobility technologies such as Walking Assist. Creating products and technologies that offer new value and exceed the expectations of our customers and stakeholders worldwide, we are striving to be a company that society wants to exist. Honda associates are uniting worldwide, taking on the challenge of fulfilling our responsibility to society. Striving to realize a sustainable society through a Group-wide effort to provide new value The Honda Philosophy, which includes fundamental beliefs in terms of respect for the individual and the Three Joys, forms the basis for all corporate activities and serves as the standard for conduct and decision-making by Takeout Tit President and CEO 6

3 Tricks to Figure out the Authors Tone

3 Tricks to Figure out the Author's Tone Authors tone is simply an authors expressed attitude toward a particular written subject. It may not be his or her actual attitude as authors can certainly express an attitude other than their own. Its very different from the  authors purpose! The tone of the article, essay, story, poem, novel, screenplay, or any other written work can be described in many ways. The authors tone can be witty, dreary, warm, playful, outraged, neutral, polished, wistful, reserved, and on and on. Basically, if theres an attitude out there, an author can write with it. To better understand tone, you should practice. So, now that you know what it is, how can you determine the authors tone when you get to a reading comprehension test? Here are a few tricks to help you nail it every time. Read the Introductory Info On most major reading comprehension tests, the test makers will give you a little snippet of information along with the authors name prior to the text itself. Take these two examples from the ACT Reading test: Passage 1: This passage is adapted from the chapter â€Å"Personality Disorders† in  Introduction to Psychology, edited by Rita L. Atkinson and Richard C. Atkinson ( ©1981 by Harcourt Brace Jovanovich, Inc.). Passage 2: This passage is adapted from the novel The Men of Brewster Place  by Gloria Naylor ( ©1998 by Gloria Naylor). Without reading any portion of the text itself, you can already determine that the first text will have a more serious tone. The author writes in a scientific journal, so the tone will have to be more reserved. The second text could be anything at all, so when youre reading, youll need to use another trick to determine the authors tone. Watch Word Choice Word choice plays a major part in the tone of a piece. If you look at the examples given in the What is Authors Tone article, youll see how very different an identical situation can be by just the words an author chooses to use. Look at the following words and see how they reflect a different feeling, even though the words are similar in meaning. Sit in the sunshine and smile. Bask in the brilliant rays. Discover your giggle.Sit in the hot sun and smirk. Recline in the glaring rays. Hunt for that snicker.  Sit in the warm sun and grin. Relax in the warm rays. Look for a chuckle. Even though all three sentences are written almost identically, the tones are very different. One is more relaxing- you can picture a lazy afternoon by the pool. The other is more joyful- maybe playing in the park on a sunny day. The other is definitely more sarcastic and negative, even though its written about sitting in the sun. Go With Your Gut Often, a tone is tough to describe, but you know what it is. You get a particular feeling from the text- an urgency or a certain amount of sadness. You feel angry after reading it and can sense the author is angry, too. Or you find yourself chuckling throughout the text even though nothing comes right out and screams funny! So, on these kinds of texts, and the corresponding authors tone questions, trust your gut. And on the authors tone questions, hide the answers and make yourself come up with a guess before looking. Take this question for example: The author of the article would most likely describe ballet as... Before you get to the answer choices, try to finish the sentence. Put an adjective in there based on what youve read. Amusing? Essential? Cut-throat? Joyous? Then, when youve answered the question with a gut reaction, read the answer choices to see if your choice, or something similar, is there. More often than not, your brain knows the answer even if you doubt it!

English - Essay Example | Topics and Well Written Essays - 1000 words

English - - Essay Example Both papers agree that addictions are â€Å"rooted in unhappiness†, though Dr. Mate in his essay states this from the onset and Mr. Alexander takes two pages through various information in history to bring this point across. Nevertheless, they are agreed that one does not become addicted simply because one â€Å"wants† to be addicted to something; there must be some underlying cause within a person’s life to quite literally â€Å"force† them into addiction, whether it be drugs, alcohol, or anything else. Both essays state clearly that there must be some unhappiness or something on the whole that the person is lacking, that is then filled when the addiction is discovered. However, in reading both papers, while they present differing viewpoints on the issue of addiction, it is my belief that the more fair, just, and realistic attitude is expressed by Dr. Gabor Mate in his essay, â€Å"Embraced by the Needle†, because unlike Mr. Alexander, Dr. Mate end eavors to approach the issue of addiction by individual example with firsthand information, and not blaming society as a whole. The issue of addiction is thoroughly and repeatedly discussed from different viewpoints in both papers. Mr. Alexander tries to make the point that free-market societies are to blame for society’s ills and addictions, by treating them badly and displacing them, while Dr. Mate takes a more firsthand approach to the issue. Though Mr. Alexander cites many case histories throughout his essay, â€Å"Addiction in Free Markets†, they are always in the third person, and not one is backed by data or facts outside of his observations of the early 21st century and the historical nature of his work. Specifically discussed in â€Å"Addictions in Free Markets† are the plights of Native Americans to become easily addicted to alcohol, citing that society is to blame because it ‘dislocated’ them by making them leave their original tribal lan d. Mr. Alexander also states that before this â€Å"forced dislocation† had occurred, alcohol was rarely used or consumed by Native Americans, sometimes only in ceremonial purposes; therefore, the blame is on the free-market society that pushed the Native Americans from their land. In presenting this issue, Mr. Alexander does not quote one Native American, nor does he use scientific studies to back up his claims, thereby only presenting one issue and only one side of that issue. Though history sometimes speaks for itself, the voices of those living with the dislocation (even generations later) would have presented a more fair, and just, approach to the topic, as Dr. Mate presents in his paper by using firsthand quotes and case studies with his patients. Mr. Alexander also makes the point that â€Å"free-market societies universally dislocate their members, leading to mass addiction.† Can one action really doom a set of people? The answer is no. Each and every person is an individual, and therefore it is up to them how they deal with a set of circumstances. No two people are alike, and therefore cannot be expected to react or deal with a situation the same way. Much of Mr. Alexander’s essay focuses on the fact that because a certain group of people were dislocated or displaced, they were doomed from the outset, no matter what happened. While Dr. Mate agrees that there must be some underlying cause or issue in addiction, he prefers to present each person as a unique individual. While it is true that Dr. Mate uses group

Metadeta Essay Example | Topics and Well Written Essays - 500 words

Metadeta - Essay Example To be precise, metadata refers to the descriptive set of information, which is used to explain or clarify the meaning of a particular data resource. The presentation further clarifies that metadata provides information that defines when, how and by whom a specific set of computer was put together or collected. In addition to this, metadata further defines how that data is formatted. In this sense, it can deducted that metadata simply entails a well-designed set of computer data that explains or provides additional information about another data. This information is very important in aiding computer scientists, software engineer and other professionals in getting a thorough understanding of what the content of a particular data set is. A good example metadata is a set of information about an author, title and size of data contained in a particular file. Among the areas where metadata has been increasingly in use is in data warehouses. In addition, XML web applications have also been widely applying the use of metadata in their web content (Turner 88). Chen, Ruey-Shun and Yu, Shien-Chiang. â€Å"Developing an XML framework for metadata system†. ISICT 03 Proceedings of the 1st international symposium on Information and communication technologies (2003): 267-272 print.

Sampling and Data Collection Essay Example for Free

Sampling and Data Collection Essay For Jose Cuervo to stay ahead of the game, qualitative and quantitative data must be collected to develop the new tequila line and stay ahead of the competition. Collecting quantitative data on the tequila is relatively easy, whereas collecting qualitative data, on the other hand taking a significantly larger and more meticulous effort. To collect such data a survey was conducted to determine whether or not Jose Cuervo should introduce a new tequila line specializing in the women market. A convenience method was used because the sample was made up of one hundred women who were easy to reach at various locations. A series of four questions regarding the likes and dislikes of tequila was made. From the data collected Jose has decided to analyze the data as follows. If, 65% of the individuals gave positive feedback then Jose Cuervo would accept and launch the new tequila line Reina de la Noche. According to the data the one of the highest scoring questions showed that 85% of the population surveyed likes to drink tequila. Furthermore, 95% of these individuals have confidence that they would drink tequila if it were fruity in flavor. It is also very important for Jose Cuervo when introducing a new product that the value and consumption of the current high quality tequila does not weaken. Jose Cuervo believes the high scores in these categories reinforces and confirms the hypothesis. However, there are a number of challenges as it relates to the validity and reliability of the research question, the data collected, and analysis. Challenges to validity and reliability The results from the survey help confirm the validity and reliability of the product. Because, each experiment will not generate the same results unless we have the same size population and sample size. The first survey question asked to the women was do they like tequila? 85 women said that they liked tequila, whereas the other 15 women that took the survey did not. The second question was as a woman would you drink tequila if it were more focused to what appeals to women? 95 women said that they would drink tequila if it were more appealing to drink than the original tequila, whereas 5 said they still would not drink tequila. The third question was what is your age? This question was divided into four categories: 21-25, 25-35, 35-45 and 45 plus. Out of the one hundred women that took the survey 45 were between the ages of 21-25. 30 women were between the ages of 25-35. 15 women were between the ages of 35-45 and ten women were age 45 and over. The challenges to gain the validity throughout the entire research were less. The research question has to be reworded to gain the specific answers the research need from the sample. This also did affect that data from which the sample may be miss lead or confuse by the miss wording. Jose Cuervo has to found the error without rewording parts of the research question. The fourth question was would women like this drink and how do they like the new low calorie tequila consume each week? This question was divided into three categories: zero-three, three-six and more than six. Out of one hundred women, 35 women drink zero-three drinks per week. 55 women drink three-six drinks per week and ten women drink more than six drinks per week. Steps to minimize challenges The first step would be to take a group of individuals to test the new liquor out. They will participate in the questionnaire with their given responses on the Jose Cuervo. The feedback will be what we need to get results from the gathered data according to what the individuals used to sample recorded. This will give us some accurate figures as to whether our line of Jose Cuervo will succeed or fail in the industry with the selected targeted individuals that we have chosen. We will then find another group of individuals to use for the test and give them the same information to receive their given responses. Their feedback will be compared to the Group A responses. This will give us even more accurate results that we can use to complete our intended targeted information. This is called the test and retest measure for accuracy to find out if what we are doing is the right thing. The results or findings are reinforced to ensure that the hypothesis will be accepted. Without this replication of results, the experiment and research will have not fulfilled the requirements to make this a testable event (Shuttleworth). Order of Power Once the surveys were collected, each category was assigned a numeric value. By sorting the data using numeric values, the responses could then be evaluated using a nominal scale. Furthermore, by using this method the data was able to be analyzed statistically and allowed for the sample to be projected to a broader population. Conclusion In conclusion, the information research and analysis is used so that Jose Cuervo can be assured that the investment of launching a new tequila line will be successful. Furthermore, this information will help with the marketing and product analysis for this new low calorie tequila beverage. Since, the results concluded that 85% of the women that took the survey liked tequila and 95% agreed that they would try tequila if the flavor changed, Jose Cuervo feels confident that the new tequila line Reina de la Noche would be successful. Reference Cooper, D.R. Schindler, P.S. (2011). Business research methods (11th ed.). New York, NY: McGraw-Hill/Irwin. Shuttleworth, M. Validity and Reliability. Retrieved from www.explorable.com

Interpret and Draft DISA Completion Reports :: essays research papers fc

A completion report is one of three reports. The situation is based on conditions that exist at the time a TSO directs as to when a circuit, trunk, or link is expected to be available. The 3 types of reports are In-Effect Report, Exception Report, and Delayed Service Report. In-Effect Report (IER) – The facility or activity designated in the TSO (normally the CCO or CMO) will, within 72 duty hours (based on 24-hour workday not including weekends and holidays) of completion of action on the TSO, forward an in-effect report directly to the originator and all addressees of the TSO. If the service being ineffected has been assigned a TSP, the in-effect report, containing the applicable TSP Authorization Code, must be submitted to: "MGR NCSTSP WASHINGTON DC." This report will be submitted either when the service is provided end-to-end and accepted, meets all details of the TSO, and meets all technical parameters of the specified technical schedule, or to clear previously submitted exception or delayed service reports. One service will be covered by one in-effect report. In-effect reports will contain the following information: Subject: In-Effect Report, or Multiple In-Effect Report. (Submit multiple report only if TSO was multiple.) Reference: Identification of the message forwarding the TSO. Item 1: Complete TSO number. Item 2: TSR number from TSO paragraph 2N. Item 3: CCSD or trunk ID from TSO paragraph 2A. Item 4: Commercial carrier and commercial circuit number from TSO paragraph 3X2A or other sources, or enter NA. Item 5: Type action from TSO paragraph 2C. Item 6A: Date, time, month, and year of completion of action. Item 6B: Date, time, month, and year commercial service was provided, or enter NA when no commercial service has been requested. Item 7: Remarks. Note any administrative comments or minor changes authorized under DISAC 310-130-1, chapter 2, paragraphs 7.2.2 and 7.2.3. Item 8: Point of contact. Name, organization, and DSN/ commercial telephone number of person submitting the in-effect report. Item 9: NCS assigned TSP Authorization Code from item102 of the TSR and/or paragraph 2B of the TSO. Subject: In-Effect Report for XXXX Reference: MSG DTG XXXXXX mmm XX 1. TSO Number 2. TRS Number 3. 8 Digit CCSD 4. Commercial carrier circuit number or NA 5. Action (START, CHANGE, AMEND, DISCONTINUE) 6a. In-service DTG 6b. Commercial In-service DTG 7. Remarks 8. Point of Contact 9. TSP Authorization Number Exception Report – The facility or activity designated in the TSO (normally the CCO or CMO) will, within 72 duty hours (based on 24-hour workday not including weekends and holidays) of completion of action on the TSO, submit an exception report if end-to-end service is provided and accepted with some exceptions to, or deviations

Effectiveness of the Criminal Justice System in NSW

‘Evaluate the effectiveness of the criminal justice system in NSW'The NSW criminal justice system relates to all areas associated with the law and law enforcement, including those who are incarcerated, on probation, or suspected of committing a criminal offence. In evaluating the effectiveness of the criminal justice system in NSW there are three issues which can be considered; alternatives to gaol, charge negotiation and the role of the courts.These issues promote or demote the effectiveness of the NSW criminal justice system, especially when evaluated in terms of equality, accessibility, resource efficiency, and the balance of rights for victims, offenders and society. These issues are also discussed widely in the media, which presents a different perspective for many of these issues, and provides the necessary pressure required to initiate law reform on these issues. One of the most important issues in the NSW criminal justice system is the availability of alternatives in punishment, aside from incarceration. Apart from criminal infringement notices, there are many more serious alternatives to a prison sentence, including home detention. Home detention, created under the Home Detention Act 1996 (NSW), is applicable for certain offenders, who have committed non-violent crimes and have been sentenced to less than 18 months imprisonment. Home detention is likely to be controversial for more serious offences such as murder or sexual assault, as there is possible high risk of reoffending. Community service orders are also available as a means of shaming and punishing offenders, while facilitating rehabilitation by requiring a period of amending their wrongs towards the community. Diversionary programs are used to divert certain offenders from reoffending, through rehabilitation. Over 150 offenders a year complete The Drug Courts diversionary program. According to the NSW Crime Bureau analysis of the effectiveness of the Drug court, they found that; 37% of criminals were less likely to be reconvicted for any offence, 65% were less likely to be reconvicted for offences against the person and 57% were less likely to be reconvicted for a drug offence. The use of these alternatives are effective in terms of the aforementioned criteria as it provides a sense of equality between different members of society tried for the same crimes, as they each have the capacity to be given the same diversionary program, as long as they satisfy the necessary criteria. The diversionary programs are very resource efficient as they typically cost less per day than the $205 necessary for the average prison inmate. It also provides a balance of rights for the victims and the offenders, as well as society as they are all benefiting from these programs. Charge negotiation, including plea bargaining, is where charges are either dropped, or reduced in return for an early guilty plea, as set out in the Crimes (Sentencing Procedure) Act 1999. There are many issues associated with charge negotiation, as shown through ‘True Plea on Justice', a Daily Telegraph article published on October 11th 2010, which details the plight of victims of crime, who are not told of the charge negotiation taking place, until they attend the trial. Under new guidelines from the state government, prosecutors must now complete a certificate detailing the consultation with victims and their families. This reform of current guidelines shows the inadequacies when regarding the balance of rights for victims, although this issues is being rectified. Charge negotiation is also effective when assessed for resource efficiency, as the cost of a sometimes lengthy trial is avoided. The role of the courts is imperative to having an effective legal system. The role of the courts is to ensure a fair trial ensues. Equality within the court system is a major concept, and is exemplified through the necessary impartiality of magistrates, judges and juries. Once again to ensure equity judges and magistrates are bound to follow precedent, or follow sentencing guidelines according to the Criminal Procedure Amendment (Sentencing Guidelines) Act 1998. Many of the crimes prosecuted are outlined in the Crimes Act 1900 (NSW), which is accessible to all members of the public, under the rule of law. The courts attempt to use resources efficiently by using juries in all matters bar summary offences, and by requiring ‘leave to seek appeal' when appealing to the Supreme Court to ensure that court resources are not tied up in unsubstantiated appeals. The courts also provide a balance for victims, offenders and society, by providing necessary sentences the magistrate or judge feels is necessary to reflect the standards of society, ensure a fair outcome for victims and also to not be excessive to offenders. The criminal justice system in NSW is effective in the sense that it provides an equal, accessible and resource efficient system in which justice is achieved. It also provides an impartial field for offenders to be tried, and as such come to outcomes that benefit the victim and society as a whole. There have been recent developments to ensure this balance remains, as is the case of victims regarding charge negotiation, showing the development and thus effectiveness of the criminal justice system in reflecting societies beliefs and values.

Case Study on Calculous Cholecystitis Essay

I.Introduction A. Concepts in nutrition, medical nutrition therapy, and organ systems concerned Nutrition is the study of food in relation to health. The Food and Nutrition Council of the American Medical Association defined nutrition as the â€Å"science of food, the nutrients and other substances therein, their action, interaction and balance in relation to health and disease, and the processes by which the organism ingests, digests, absorbs, transports, utilizes and excrete food substances.† Nutrition is also concerned with the physiologic needs of the body in terms of specific nutrients, the means of supplying these nutrients through adequate diets, and the effects of failure to meet nutrient needs. In this similar viewpoint, nutrition is also concerned with the social, economic, cultural, and psychological implications of food and eating. Nutrition follows the four basics concepts, namely: 1.) Adequate nutrition is essential for health. 2.) Food items are classified according to content in terms of majority of nutrients, broadly classified as carbohydrates, proteins, fats, minerals, vitamins and water and are needed daily in the diet of humans. 3.) An adequate diet is the foundation of good nutrition, and it should consist of a wide variety of natural foods. 4.) Nutrients should be provided preformed in food, whereas a few may be synthesized within the body. 5.) Nutrients are interrelated and there should be metabolic balance in the body. 6.) The body constituents are in a dynamic state of equilibrium. 7.) Human requirements for certain nutrients are known quantitatively within certain limits. 8.) The effects of nutritional inadequacy are more than physical; behavioral patterns and mental performance are also compromised, and; 10.) Proper education, technical expertise in addition to the use of all resources available in the practice of nutrition will help upgrade the nutritional status of people. (Lagua, Claudio and Ruiz, 2004) Race has been a predisposing factor in developing gallstones. Westerners usually develop cholesterol stones, while Asians tend to have pigment or mixed stones. There has been an increasing prevalence of calculous cholecystitis in the Philippines. Whatever the type, size or origin of these stones, they can present with a variety of signs and symptoms. Stones develop in a sluggish, diseased gallbladder. Formation of stones may be due to infection, stagnation of the bile or changes in the chemical composition of the bile, overeating or poor eating habits. Obesity is highly associated with prevalence of gallstones. Prevalence increases with age, history of diabetes mellitus and elevated serum triglycerides ( Lagua, Claudio, 2011) The gallbladder may contain one large stone or many small ones. Infection accompanied by formation of gallstones is referred as calculous cholecystitis. Often times, people with gallstones must have their gallbladder removed through a process called cholecystectomy. Transition diets are given accordingly after surgery and if the patient advances to an oral diet post-surgery, intake of fat is allowed as tolerated. As an accessory organ, the gallbladder is fairly easy to live without. Once it is removed, bile travels from the liver directly into the small intestine. B. IMPORTANCE/ SIGNIFICANCE OF THE STUDY Disorder of the accessory organs present a significant impact on the absorption and nutritional status of an individual. Failure to give immediate treatment could bring about complications which are more difficult to manage. These complications may or may not possibly lead to death of an individual. This study was conducted to enable the students to practice his/ her skills on Diet Therapy I. It may help the students to understand better the disease condition, the actions and interactions of food and medications to the body and the rationale for the diet prescription for the case patient. Moreover, it would help the students, as well as the readers to draft a nutritional care plan for patients with calculous cholecystitis upon acquiring information about the disease through data collection. C. Objectives (General and Specific) The study generally aims to analyze, assess and give proper recommendations to a patient diagnosed with calculous cholecystitis. This study was also conducted to allow students to apply the knowledge gained in the lecture and laboratory class of Diet Therapy I. The study specifically aims to: 1) Gather all the necessary information from the patient’s medical records and the interview 2) Assess the patient’s nutritional status and disease condition base from the information obtained 3) Know the causes, signs and symptoms of the disease condition and its complications 4) Determine and relate the factors and causality for the formation of the patient’s disease 5) Interpret and relate the findings to the patient’s disease condition 6) Formulate a nutritional care plan for the patient 7) Provide a diet prescription appropriate for the condition of the patient 8) Provide short and long term intervention for the patient and other recommendation that could help the prevent disease condition of the patient. D. Limitations of the Study The case study is only limited to the disease condition of the patient with calculous cholecystitis and its possible complications if not given immediate intervention. Due to time constraints, the attending physician and nurse were not interviewed for further understanding of the disease. There was also no diet prescription written on the patient’s medical chart, thus, the hospital’s cycle menu was used as a basis for some computations and analysis. II. Methodology Students of Diet Therapy I were grouped into pairs and were asked to get a patient for the case study. Approved letters provided by instructors of Diet Therapy II, requesting for a case patient with infections, burns, surgery, allergies and diseases of the gastro-intestinal tract were personally submitted to different hospitals in Laguna. Laguna Provincial Hospital in Sta. Cruz Laguna accommodated the request, with the approval of the medical director and assistance of the attending physician, nurse and head nutritionist-dietitian. In the nurses’ station, the necessary information was gathered on the selected case patient and the medical records were copied as data for the study. An interview with the case patient followed afterwards. The patient, together with her aunt, was interviewed to collect necessary data such as personal information, nutritional and dietary history and the 24hr. food recall. Before the said interview, a questionnaire was formulated to systematically and completely obtain all the essential information for a better further analysis. Questions include the 24-hour food recall of the patient food intake (prior to admission and during confinement), personal data, signs and symptoms experienced, patient’s tolerance and acceptance to the food given in the hospital, and some other information that would be beneficial to the study. After data gathering, the case was analyzed and a case study was then formulated. This was done through evaluation of the disease condition of the patient and correlating the symptoms experienced by the patient with the clinical manifestation of the disease. The dietary and the medical intervention given to the patient were also analyzed. This included correlating the principle and rationale of the diet with the patients’ actual illness. The possible nutrient-drug interaction that can happen due to the prescribed medication to the patient was also analyzed. The result of the laboratory and biochemical findings of the patient was also interpreted. After this, the diet of the patient PTA and DC were analyzed quantitatively and qualitatively. The diet was evaluated quantitatively by computing the CPF of the patient’s food intake and computing the adequacy of that diet. Qualitative evaluation, on the other hand, was used using RDA. After analyzing the recommendations given to the patient, short-term and long-term diet plan was prepared for the patient. In computing the desirable body weight (DBW), the Tanhausser’s Method. The WHO standards for body mass index served as the basis in determining whether the client’s nutritional status. Method I was used to determine the patient’s total energy requirement (TER) for long term intervention and the carbohydrates-protein-fat distribution was distributed using the non-protein calorie method. III. Theoretical Considerations A. Disease Condition Calculous cholecystitis or cholecystolithiasis, is caused by the precipitation of the substances contained in the bile, mainly cholesterol and bilirubin with accompanying inflammation. The bile is consisted of bile salts, cholesterol, bilirubin, lecithin, fatty acids, electrolytes and water usually found in the plasma. The cholesterol formed in the bile has no function; it is only a by-product of bile salt formation and the presence is only linked in the excretion of bile. Cholesterol is normally insoluble in water and this is where lecithin and bile salts combine with it to form micelles. Inside the gallbladder, water and electrolytes are absorbed in the liver bile, causing it to be more concentrated. Lecithin and bile salts are not absorbed in the gallbladder, their concentrations increases alongside cholesterol’s. This is the mechanism of maintaining the solubility of cholesterol. B. Definitions and Classifications Cholecystitis – inflammation of the gallbladder. There has been an association of cholecystitis with cholelithiasis. There is almost always a close association with complete or partial obstruction of the stones formed inside the gallbladder. Cholelithiasis – gallstones that precipitated from bile, cholesterol or bilirubin due to impaired gallbladder function or excessive production of by-products from fat digestion. C. Etiology Gallstone formation is due to bile salt, pigments and cholesterol salt accumulation. The stones rub off on the walls of the gallbladder, causing pain and inflammation in the subsequent internal structures. There is also a link between elevated or abnormal estrogen levels with gallstone formation. D. Incidence/ Prevalence There is a 10% incidence of adults getting gallstones. Approximately, there are twice as many women who develop this disease and it increases with age: after 60 years old, there is a 10-15% prevalence in men while a 20-40% prevalence in women was noted. E. Pathology Gallstones obstruct bile flow and causes reflux and subsequent inflammation in the gallbladder. The inflammation is caused by chemical irritation from the concentrated bile, along with the swelling of the mucosal area and ischemia from venous congestion and stasis. Bacterial infections may be a complication and this could account for the infection and could reach the adjacent gallbladder through the circulation. Staphylococci and enterococci are the most common pathogens. Perforation of the gallbladder could lead to gangrene. F. Clinical Manifestations and Underlying Mechanisms Pain is evident in early cholecystolithiasis. There is similarity in the pain experienced with biliary colic and is usually felt after a fatty meal. Pain is experienced in the right upper quadrant and there is spasm in the right, subcostal region. There is elevation in total serum bilirubin, amino transferase and alkaline phosphatase. G. Prognosis After cholecystectomy, patients can return to work in a span of 1-6 weeks. IV. The Patient A. Personal Data The patient is Chastine Salazar, 28 years old, female admitted on January 3, 2013 at Laguna Provincial Hospital in Sta Cruz, Laguna. Her physician is Dr. Flores. B. Socio-Economic History The patient works as a registrar in the Head Office of AMA in Quezon City, Philippines. Due to her sedentary lifestyle, she and her husband jogs for 2 hours every weekend. Her middle-class income allows her to select food items of higher market value, thus chocolate is always present after every meal. The patient does not smoke nor drink but based on the interview, it was found out that she uses laxatives due to constipation problems. C. Present illness and chief complaint Patient has cholecystolithiasis with cholecystectomy as the surgical procedure of which 8 marble-sized gallstones were removed. Pain and vomiting was experienced by the patient and was immediately rushed to the hospital on January 3, 2013. D. Past Illnesses and surgery, allergies, hospitalization There were no family history of predisposing risk factors to cholecystolithiasis but it was found out from the interview that the patient has allergic reaction to sea foods and patient has allergic rhinitis of which she has treated before with steroids. E. Physical State of Health Patient has allergy to sea foods and has allergic rhinitis. Patient also has constipation of which she self-medicates with laxatives. G. Nutritional and Dietary History It was observed from the 24-hr food recall that the patient has frequent consumption of chocolates and carbonated beverages. There was also a high intake of fatty and fried food and dishes every day. Snacking patterns are also noted as the patient tends to overeat every 3 hours.

The Legacy of Thomas Jefferson essays

The Legacy of Thomas Jefferson essays On March 04, 1801, Thomas Jefferson was inaugurated president of the United States of America in the new capital of Washington D.C. He was a simple, frugal, and unconventional president. He started the precedent of sending messages to Congress to be ready by a clerk, and some believe that it was he who truly set the two-term precedent for the presidency. Thomas Jefferson instilled his democratic ideals and liberal principles into the forming of the United States of America, and he served Her extensively and faithfully. Through his faithful terms as President of the United States of America he added on to the list of legacies that would survive him through history. His three most important legacies during his presidency were: The peaceful Revolution that took place during his first term; the purchase of the Louisiana Territory; and authorization of the Lewis and Clark expedition. Jefferson won the 1800 presidential election after the House of Representatives settled the electoral-vote tie with his Federalist opponent, Aaron Burr. During his first term, Jefferson attempted to win the allegiance and trust of Federalists by maintaining the national debt and debt-repayment plan of Hamilton, as well as carrying on neutrality policies. He retained the loyalty of republicans by adhering to their guiding principle of limited central government (reduced military size, eliminated the number of federal jobs, repealed excise taxes, and lowered national debt). He also pardoned those serving time under the Sedition Act and enacted a new naturalization law that returned the years needed for immigrants to gain citizenship from fourteen to five. Most importantly, however, Jefferson led a revolution with the peaceful transfer of power from Federalists to Democratic-Republicans, which showed that a change of administration did not have to involve a disastrous outcome. In 1802 the Spaniards at New Orleans ...

Analysis of Public Celebrity Apologies in America

Analysis of Public Celebrity Apologies in America Devin Black Julia TofantÃ… ¡uk Their circumstances and effects via analyzing specific cases Introduction Recently, I have become aware of a trend that has been sweeping across America – the celebrity apology, or precisely, the non-apology. I think I have always been aware of the constant apologies made by celebrities, but it has only been in the past year when I have actually paid attention to the words they were using to apologize, and under what circumstances they were apologizing. In fact, the exact moment when I became infatuated with the celebrity apology was when I was listening to a broadcast of the Opie and Anthony Radio Show in March 2014 and the hosts were discussing the numerous celebrity apologies that had been made during the previous week. Their discussion about celebrity apologies began to consume the show daily, until they officially established an â€Å"Apology Clock† on June 5, 2014 (Apology Clock, 2014). The experiment was to see if they could go t en days without a celebrity apology. The results showed that they could not, as there was at least one new apology a day and more often than not there were apologies from multiple celebrities. Their research ended unexpectedly one month later when one of the hosts became a victim of the celebrity apology. I will discuss more about this later in the paper. For the purposes of this paper, I will begin by defining the terms and scope the paper covers. Secondly, I will present some cases from a wide range of circumstances which celebrities apologized, and the results of their apology. Finally, I will discuss Americans’ reaction to the celebrity apology. Definitions According to the Merriam-Webster Online Dictionary , a celebrity is defined as â€Å"a person who is famous.† For this paper, the definition will be narrowed to only a person who is recognizable in North America and broadened to include corporations, as these are considered individuals under the law. An apol ogy is defined as â€Å"an expression of regret for having done or said something wrong.† For this paper, we also need to consider the definition of a non-apology apology , which is defined as â€Å"a statement that has the form of an apology but does not express the expected contrition.† An example of a non-apology apology would be saying â€Å"I’m sorry that you feel that way† to someone who has been offended by a statement. This apology does not admit that there was anything wrong with the remarks made, and additionally, it may be taken as insinuating that the person taking offense was excessively thin-skinned or irrational in taking offense at the remarks in the first place (Lazare, 2005). Case Studies of celebrity apologies and the results of the apology There are hundreds, if not thousands of examples of celebrity apologies. For this paper, the time frame of the case studies of celebrity apologies examined will begin in 1998, well after the advent of the Internet. This starting point was chosen because the Internet disseminates information almost effortlessly, therefore more people would be aware of the apologies given by celebrities.

The Management of The Hotel Olympia Essay Example | Topics and Well Written Essays - 1750 words

The Management of The Hotel Olympia - Essay Example It is evidently clear from the discussion that the management in the hotel will improve on the existing accounting systems as well as be coming up with a work breakdown structure (WBS) in order to define the employees discrete work elements in such a way that it will help organize as well as define the total work scope of the project. The management as part of the project will also apply the top-down strategic planning to ensure that the hotel can compete effectively in the global market. The hotels back office accounting systems had been computerized years ago for the effective functioning of the business and this needs a number of improvements. The front desk functions like the reservations check in and check outs are a mixture of word processor template to produce bills as well as spreadsheets for room bookings and they are usually printed manually every day. The management, therefore, feels important to integrate more systems to avoid manual work and increase efficiency. When ord ering food from the restaurant and drinks from the bar and restaurant, it becomes quite unreliable. With advanced knowledge of bookings would try to ease ordering and booking and with a computerized ordering system which would allow stocks of food to be minimized would reduce food wastage and allow for considerable savings. The Olympia games will be held in the region in three months time and we should take advantage of this great opportunity to expand the ordering and bookings systems since most of the customers would like to book for our services online. The hotel will triple its residency for the period of the games and for several months afterward. Extensive marketing will also be done and the following include the marketing strategies the management will apply.