Wednesday, October 2, 2019

The Farm Essay -- Personal Narrative Writing

The Farm In the summer, the creek bubbles and the leaves are in bloom. In the winter that same creek is frozen and everything around it is blank and barren. The memories for me in this part of the world are unforgettable, even though some are happier than others. I can still remember a particular dreadful event on the farm like it was yesterday. I was walking through the house on a hot summer day. I dare not go outside because I knew I'd die of heat exhaustion. In the house alone were my sister and I. My mother had run into town to do some errands, and my dad was out on the farm doing some chores. The phone rang and I casually picked it up. It was my dad. â€Å"Adam,† he said, sort of anxiously, â€Å"I need you to come down the lane and give me a hand.† My sister was listening in on the conversation as usual, and my Dad dared not to give me any specifics because he knew of this. As I apathetically told him yes, I went on to the porch, grabbed some shoes and wondered what on earth he could possibly need help with. I stepped outside and the burning sun immediately attacked me. I had no doubt that if my Dad needed a hand with some hard work it would be dreadful. Just two weeks earlier he needed me to help him put some barbed wire on some fence posts. It was an awful job, and may have been the worst two hours of my life. I had helped my Dad on the farm throughout my childhood, and I knew by the particularly terrible jobs I had to help him with before, that I should always fear when he asked for help. I hopped into my steaming hot truck and started back down the lane. As I drove down further back, I remembered the terrifying tornado that had struck our house, and had ripped an entire line of trees out of the ... ...m high school here. I had also spent times playing make-believe with my brother during my elementary years. I had even gone as far as attempting to raft down the little flooded creek. What a great place, how could I ever forget it? We dug a hole right under some old, dried up looking trees. We threw her down about three feet and buried her. The one animal that had been important throughout my entire childhood was now gone. The one place that was important my whole childhood, I was about to leave. The trees, the grass, the creek and the lane, so important, yet it was time to leave them. As I had left Patch, I had left the farm. I haven’t been on the farm behind my house for the two years since Patch’s death. I guess it was time for me to grow up. I miss my dog, and I miss being young. But life goes in circles, and it’s always time to start anew.

Tuesday, October 1, 2019

The Us Court System

The US Court System The courts are the overseers of the law. They administer it, they resolve disputes under it, and they ensure that it is and remains equal to and impartial for everyone. In the United States each state is served by the separate court systems, state and federal. Both systems are organized into three basic lev- – els of courts — trial courts, intermediate courts of appeal and a high court, or Supreme Court. The state courts are concerned essentially with cases arising under state law, and the federal courts with cases arising under federal law. Trial courts bear the main burden in the administration of justice.Cases begin there and in most instances are finally resolved there. The trial courts in each state include: common plelis courts, which have general civil and criminal jurisdiction and smaller in importance municipal courts, county courts and mayors’ courts. The common pleas court is the most important of the trial courts. It is the court o f general jurisdiction — almost any civil or criminal case, ’ serious or minor, may first be brought there, In criminal matters, the common pleas courts have exclusive jurisdiction over felonies (a felony is a serious crime for which the penalty is a penitentiary term or death).In civil matters it has exclusive jurisdiction in probate, domestic relations and juvenile matters. The probate division deals with wills and the administration of estates, adoptions, guardianships. It grants marriage licenses to perform marriages. The domestic division deals with divorce, alimony, child custody. The juvenile division has jurisdiction over delinquent, unruly or neglected children and over adults, who neglect, abuse or contribute to the delinquency of children. When a juvenile (any person under 18) is accused of an offence, whether serious, or minor, the juvenile division has exclusive jurisdiction over the case.The main job of courts of appeal is to review cases appealed from tr ial courts to determine if the law was correctly interpreted and applied. The supreme court of each state is primarily a court of appeal and the court of last resort. The federal court structure is similar to the structure of the state court system. The trial courts in the federal system are the United States district courts. The United States courts of appeal are intermediate courts of appeal between the district courts and the United States Supreme Court.The US Supreme Court is the highest court in the nation and the court of last resort. It consists of a chief justice and eight associate justices, all of whom are appointed for life by the President with the Advice and Consent of the Senate. The duty of the Supreme Court is to decide whether laws passed by Congress agree with the Constitution. The great legal issues facing the Supreme Court at present are Government involvement with religion, abortion and privacy rights, race and sex discrimination.

Monday, September 30, 2019

Jurisprudence Assignment Essay

Answer the following questions by referring to the Nurse Practice Act from the Texas Board of Nurse’s website (www.bon. state.tx.us) & (www.tpapn,org) and other relevant source. Answers must be in APA format.(Question & Anwer). APA format means writing down the listed questions, using complete sentences, correct spelling, grammar & punctuation. In addition, a reference page & source(s) of information citations are required. (6 points) Q1 What is Impaired Nursing Practice? (5 points) Q2.Which group of nurses are most at risk? (8 points) Q3. What are the contributing factors that lead to chemical dependency in the nursing population? (8 points) Q4.List the warning signs of chemical dependency/abuse in the nurse? (8 points) Q5.Who does the nurse first report to when she/he finds a nurse impaired due to chemical dependency and/or mental illness? (5 points) Q6.What is the Board of Nurse’s responsibility following such report when an impaired nurse is in violation? (8 points) Q7.What are the methods of discipline imposed by the BON for intemperate use of alcohol or drugs or mental incompetency? (10 points) Q8. State the mission of Texas Peer Assistance Program for Nurses. (8 points) Q9. What are the functions of Texas Peer Assistance Program for Nurses? (8 points) Q10. List the guidelines the Board of Nurses by rule 301.4106 developed that the Peer Assistance Program must comply with. (8 points) Q11.Identify what would constitute grounds for disciplinary action for possible violation of the NPA 301.452 and Standard of Nursing Practice? (10 points) Q12. Discuss briefly your opinion on violation by a nurse of the NPA due to use/abuse of a chemical, drug or mental illness. (8 points)

Sunday, September 29, 2019

British Petroleum (BP): SWOT and BP Porter Five Forces Analysis †Essay

SWOT and Porter Five Forces Analysis of British Petroleum (BP)our site Sample Essay – Need Help Writing an Essay Contact us Today. Student Submitted Essays!our site Sample Essay – AbstractBP Porter Five Forces – BP Plc is one of the leading oil and gas companies in the world operating in more than 80 countries and serving close to 13 million customers. The company was ranked third in the FTSE 100 all share index ranking as at the close of 31st August, 2014 with a market capitalization of 82,093.2, million US Dollars. BP’s major strengths include strong brand recognition, massive financial capability, excellent corporate strategy, and the ability to innovate. Global reduction in the production of crude oil and natural gas, poor disaster management and inability to implement long-term regulatory mechanisms are the company’s key weaknesses. The company has the opportunity to invest in alternative energy even though it faces significant competition from key rivals such as Royal Dutch Shell, Exxon Mobil and Chevron. BP Porters Five Forces Analysis of BP reveal low threat of new entrants and substitutes, medium bargaining power of both buyers and suppliers, and high rivalry among existing competitors. To remain competitive, the company should increase strategic investment in R&D, negotiate with governments and other firms to exploit emerging markets, rebuild its brand value and streamline its production and business operation.our site Sample Essay – IntroductionFounded in 1908, British Petroleum (BP) is one of the leading oil and gas companies in the world. The company operations in more than 80 countries, has over 83,900 employees and serves over 13 million customers globally (BP Plc, 2014). The company provides customers with oil and gas products, fuel for transportation, petrochemical products and energy for light and heat. With a market capitalization of 82,093.2, million US Dollars, BP was ranked third in the FTSE 100 al l share index ranking as at the close of 31st August, 2014 (Stock Challenge, 2012). BP’s interests and activities can be categorised into two core business segments: Refining and Marketing and Exploration and Production. The Exploration and Production segments cover upstream and midstream activities which include exploration, production, pipelining, and processing. Refining and Marketing segments cover downstream activities such as crude oil transportation, manufacturing, marketing and supply of both petrochemical and petroleum products and services (BP Plc. 2014).our site Sample Essay – BP SWOT AnalysisBP’s key strengths are its strong brand recognition and massive financial capability. Being the third largest energy company in the world, it is globally acknowledged for high quality petroleum products. Additionally, with an expected total operating cash flow of 2014 at $30 billion, the company’s strong financial position gives it the opportunity to introduce new products, develop alternative energy, and expand to new markets (Reuters, 20 14). Regarded as one of the best in the world, the company’s corporate strategy is also a notable strength. This, coupled with its strong brand loyalty, enabled it to emerge from the devastating deepwater horizon oil spill of 2010 (Reuters, 2014). The company’s ability to innovate and enter into strategic ventures with other governments and corporations in new markets is another key strength. In 2013, BP entered into a strategic alliance with both China and the US to provide alternative solar energy to a number of government agencies. A global reduction in the production of crude oil and natural gas is a key weakness of the company. Poor public image as a result of the North Alaska and deep-water oil spills also led to serious challenges for the company. Not only did it face criminal charges, it spent an estimated $42.2 billion in cleanup and compensation (Reuters, 2014). Another key weakness is its non-competitiveness in the alternative energy sector. Despite being a major player in the oil industry, majority of consumers are still unaware of the company’s involvement in alternative energy (Bamberg, 2000). The inability to implement long-term regulatory mechanism to cushion it from the highly volatile petroleum prices is also a key weakness of the company. BP’s profits and its current strong financial position present an opportunity for the company to initiate new projects. The company’s biggest opportunity is investing in alternative energy. The BP Solar Home Solutions initially introduced in New York can be expanded into other regions especially within the American and European markets. This will guarantee the company more customers who prefer the less costly solar energy. The company also has an opportunity to expand its export markets to Asia and South America. Discoveries of more oil wells and increasing prices of oil and gas are additional opportunities that the company can take advantage of (Smith, 2011). Major players in the oil and gas industry especially the Royal Dutch Shell, Exxon Mobil, and Chevron pose the greatest threat to BP. The implementation of environmentally unsound policy and poor management of natural disasters such as the toxic spills often disrupt the company’s operation (Bruland, 2003). Other threats include, corrosion in BP’s pipeline network, occasional refinery explosions, multiple lawsuits emanating from ecological disasters and the continued sale of BP’s corporate owned stations. Declining operations in several potential locations and the tensions associated with operating in the oil business are also potential threats (Black, 2011).our site Sample Essay – BP Porter Five Forces – AnalysisPorter (1980, p. 80) outlines the five forces model to analyze an organization’s competitiveness. These include threats of entrants, bargaining power of suppliers, bargaining power of buyers, threats of substitutes and rivalry among e xisting competitors. The oil and gas industry in which BP operates traditionally require massive financial investments in very expensive infrastructure. Huge capital investment is necessary to cover expenses such as building pipelines, drilling wells, building access roads and acquiring land. BP has an asset value of $236.0 billion (Honnungar, 2011). Considering the cost of market entry and economies of scale in the industry, the threat of new entrance is low. There are a number of substitute products such as hydroelectricity, nuclear energy, coal, wind power and solar energy. However, most are still in the developmental phase, besides, the cost of production of substitute products is often extremely high. The importance of oil in fuelling cars, running industries and generating electricity makes it essential and useful to sectors of the economy (Ferrier, 2009). Threats of substitutes are therefore, low since alternative products are less competitive. The oil and gas industry have considerable number of suppliers ranging from private corporations to governments. There are also a number of potential buyers similar to BP. Besides, BP’s vertical integration in its operations is similar to that of its key competitors (Stiel, 2003). The bargaining power of suppliers is consequently rated as medium. The products offered by players in the oil and gas industry are often not much different from those offered by their competitors. As a result, buyers tend to choose products with either lower prices or that have better terms. On the flipside, buyers are many; hence even if a cross section chooses to use the products of their competitors, BP’s operations would not be greatly impacted. The bargaining power of buyers can therefore be regarded as medium. Finally, the oil and gas industry is dominated by huge corporations that produce a number of low differentiated products (Stiel, 2003). Key competitors such as Chevron, Total and Royal Dutch Shell have established well recognized brands with significant client base. This implies that BP and its competitors have all adapted a vertical integration of similar range of products. These factors coupled with low threats of both substitutes and new entrants make competitive rivalry high (Uph, 2010).our site Sample Essay – Conclusi on and RecommendationsBP is as a major corporation with significant financial backing that can be used to venture into alternative energy research to boost its manufacturing capacity and increase its global presence. The SWOT and Porter’s five forces analyses indicates that, the oil and gas industry’s major players are well established conglomerates with massive financial resources hence high level of competitive rivalry. The attractiveness of the industry makes both the powers of buyers and that of suppliers’ medium while the threat of substitute and new entrance low. BP should increase its strategic investment in R&D in order to maximize production and exploit new markets. It should also negotiate with governments and other firms in order to exploit emerging markets such as China. The company should also consider rebuilding its brand value thereby regaining its image adversely affected by the recent oil spill crisis (Honnungar, 2011). Finally, the company should streamline its business operations and production to gain competitive advantage over major rivals.ReferencesBamberg, J. H. (2000). British Petroleum and Global Oil: 1950-1975: The Challenge Of Nationalism. Cambridge: Cambridge University Press. Bruland, K. (2003). British technology and European industrialization: the Norwegian textile Industry in the mid-nineteenth century. Cambridge, Cambridge University Press. BP Plc. (2014). BP Statistical Review of World Energy June 2014. BP Plc. (2014). BP at a Glance. [Online] 3 September, 2017. Available From Black, E. (2011). British petroleum and the redline agreement. Washington, DC: Dialog Press. Ferrier, R. W. (2009). The history of the British Petroleum Company. Cambridge, Cambridge University Press. Honnungar, V. (2011). British Petroleum Oil Spill Crisis and Aftermath Corporate Governance and Communication at BP during the disaster. Munich: GRIN Verlag Porter, M.E. (1980) Competitive Strategy, New York: Free Press. Stiel, P. (2003). British Petroleum: A Global Company in a Global World. [Online] 3 September, 2017. Available From: http://www.pstiel.de/fileadmin/pstiel.de/Download/english_globalisation.pdf Smith, N. J. (2011).The Sea of Lost Opportunity: North Sea Oil and Gas, British Industry and The Offshore Supplies Office. New York: Elsevier. Stock Challenge, (2012). FTSE All-Share Index Ranking as at Close on Fri, 31 October 2014. [Online] 3 September, 2017. Available From http://www.stockchallenge.co.uk/ftse.php Uph, C. (2010). PR Analysis of British Petroleum. New York: GRIN Verlag. Also, checkout related Essays: BHP Billiton SWOT Analysis and Porter Five Force Analysis SWOT analysis of Sainsbury’s Plc Strategic Analysis (SWOT, PESTEL, Porter) of Premier Inn (Whitbread Plc) Summary Reviewer John Review Date 2017-09-06 Reviewed Item Essay – BP SWOT and Porter Five Forces Author Rating 5

Saturday, September 28, 2019

Case Study of Kathleen Johnson Samples

The report reviews the case study of Kathleen Johnson, a 45 year old woman with obesity and Type 2 diabetes. Due to the problem of overweight and challenges in managing appearance, she was admitted to the hospital for sleeve gastrectomy surgery. The report discusses about the etiology and pathophysiology of patient’s presenting condition (obesity) and then reviews her observation after 2 hours in post-anesthetic recovery room (PARU) to detect deterioration and the pathophysiology behind the deteriorating symptoms. Based on this justification, appropriate nursing management and role of interdisciplinary health care team to manage patient’s condition is provided. Since Kathleen has been admitted to the hospital for sleeve gastrectomy surgery, it is evident that obesity is main presenting condition in patient. Her BMI is 40kg/m 2 and due to weight gain and appearance issue, she had to undergo sleeve gastrectomy surgery. Obesity is a clinical condition leading to excessive deposition of fat or adipose tissue in the body of a person. Any person having a BMI of over 30 kg/m 2 is regarded as obese (Cummings & Cohen, 2016). The etiology of obesity involved multiple factors. For instance, metabolic factors, diet, genetic factor and physical activity level play a role in regulation of body weight. Although genetic factor also plays a role in risk of obesity, however behavioral, environmental, physiological and socio-cultural factors also increase energy balance and contribute to obesity. The most common behavioral and environmental risk factor obesity includes sedentary lifestyle, excess energy intake and poor physical activity (Saunders, Chaput & Tremblay, 2014). Social link to increase in weight includes impact of parent lifestyle and food habits on health behavior of children and youths Increase in weight is associated with other comorbidities such as insulin resistance, type 2 diabetes and cardiovascular disease (Bray 2014). Kathleen is a patient with type 2 diabetes and struggling to control her diet and blood sugar level. To prevent risk of other complication, weight loss surgery was important for her. From the etiology of obesity, it is understood that genetic as well behavioral factors increase the risk of excess fat deposit in patient. The adipocyte is the main cellular basis for obesity and increased in size or number of these cells contributes to obesity. Although in normal condition, fat is stored in the body for survival during starved state. However, when a person takes high energy food in large amount, it results in excessive storage of fat and the end result for which is obesity (Goossens & Blaak, 2015). Hence, the cause begin obesity is high calorie food and the cellular basis for obesity is the adipocyte. In case of Kathleen, her obesity was untreated before the surgery. Although she was gaining weight, she had not taken any preventive steps to control the condition. For this reason, opting for sleeve gastrectomy was a necessary option for her to manage her condition. Obesity mainly contributes to metabolic dysfunction and damages the function of cardiac, liver, endocri ne and intestinal gland if it left untreated (Saltiel & Olefsky, 2017). Hence, bariatric surgery is the best option for obesity management. Evidence has shown that bariatric surgery leads to weight loss and contributes to improvement in metabolic disorders like diabetes too (Reges et al., 2018). Sleeve gastrectomy is also one of the bariatric surgeries that promotes weight loss and improved gyclemic control in patient (Fuchs et al., 2017).   Therefore, by opting for surgical option, Kathleen can improve her symptoms related to diabetes too. Pathophysiology of patient’s post-operative deterioration Kathleen observation after two hours in the PARU revealed several deteriorating signs and symptoms. For instance, Kathleen respiratory rate was 28 breaths per minute whereas pulse rate was 130 beats per minute. By comparing these vitals signs with normal parameters, it can be said that respiratory rate of patient is abnormally high as normal respiratory rate is 12-20 breaths/min. His pulse rate is also an area of concern as it is above the normal value of 60-100 beats/min. Such abnormalities in Kathleen’s respiratory and pulse rate might have occurred due to the effect of obesity, smoking and alcohol consumption in patient. Obesity is highly associated with respiratory complication in obese patient. Obese patients tend to have higher respiratory rate because of the impact on lung function (Pepin et al, 2016). Abdominal obesity and lung dysnfunction affects systemic inflammation thus leading to respiratory disorder in patient (Oppenheimer et al., 2014). The review of Kathleenâ €™s history revealed that he was heavy smoker and consumed four bottles bear every night. Cigarette smoking is one factor that has an impact on pulse rate, breathing rate and oxygen consumption of an individual. This occurs because the chemical found in cigarette aggravates the cilia, leads to the deposition of tar and narrows the air passage. Such change in the lung is reason for abnormal respiratory rate in patient (Papathanasio et al., 2013). Hence, patient’s presenting condition exacerbated his vital signs post operation. The review of other vital signs in patient included blood pressure of 190/100 min. This clearly indicates that Kathleen was hypertensive. The likelihood of hypertension might have increased in patient due to the effect of surgery as well as due to obesity. Overweight and obese patients are more likely to suffer from hypertension. Such association between obesity and hypertension is seen due to the impact of obesity on metabolic functions. Other mechanisms linking obesity to hypertension includes endothelial and vascular impairment, neuro-endocrine imbalance, maladaptive immune response and dietary factors (DeMarco, Aroor & Sowers, 2014). This explanation confirms that obesity is the reason for deteriorating post-operative sign for Kathleen. Other factors that might have contributed to high blood pressure for patient includes smoking and diabetes. The link between diabetes and hypertension has been established because both have common pathways such as inflammation, oxidative stress an d insulin resistance. Low-grade inflammatory response and insulin resistant increased in type 2 diabetes patient thus contributing to hypertension (Lingam et al., 2018). As Kathleen had undergone sleeve gastrectomy surgery and effect of anesthesia and surgery might have also lead to hypertension in patient (Brethauer et al., 2015). Another sign of post operative deterioration found in Kathleen was low urine output and pain score in patient. Kathleen’s indwelling urinary catheter (IDC) volume was 5mls in the last hour, although the normal urine output per hour is 50-60 mL. Surgery is one of the reasons for low urine output. Surgical blood loss and dehydration in patient decreases urine output and lead to acute kidney injury on surgery patients. Poor renal perfusion and decreased urine output are common complication seen in the post anesthesia care unit (Canales & Hatch, 2014). Hence, the reason for such clinical deterioration in patient is clear. Another parameter that was affected for patient post operatively was her pain score. Kathleen’s pain score was 7/10 and the severity of the pain might also be the reason for presence of abnormal BP and respiratory rate. Blood pressure of Kathleen might have increased due to effect of pain. Pain promotes sympathetic activity thus leading to high blood press ure (Laquian et al., 2018).   Hence, while deciding treatment for patient, the effect of pain on other vital signs must be carefully examined. Based on analysis of post-operative deterioration in patient, the main care priorities for patient are management of abnormal vital signs of patient hypertension, pain score and respiratory rate and low urine output). Since Kathleen is obese and has diabetes, hence it is necessary to improve respiratory and vascular function as leaving these sign untreated may further complicate his condition (Mahajan, Lau & Sanders, 2015). The management of hypertension can be done by providing hypertensive medication to patient. After consultation with physician, the nurse can provide beta-blockers or angiotensive converting enzyme inhibitors to control his blood pressure (Wolf et al., 2016). To promote recovery in patient, the nurse also need to focus on dietary changes so that blood sugar level is maintained. Due to high pulse rate and respiratory rate, the patient may have ineffective breathing pattern. Hence, the care priority will be to assess respiratory rate and monitor ventilation status of Kathleen regularly. The rate and depth of respiration and need for oxygenation can also be examined. To provide comfort to patient, proper body alignment should be maintained too (Gordon, 2014). To address the issue of low urine output, there is a need to provide both fluid and drug therapy to prevent dehydration. During gastrectomy, some parts of her stomach were removed. Hence, it will be necessary to monitor wound healing and prevent signs of infection in patient. Apart from clinical intervention for management of vital signs, another care priority is to provide health education to patient so that Kathleen could be motivated to make changes in her lifestyle and eating habits. Since she is a smoker and consumer, making her quit both is necessary to maintain her health in the long term. Smoking has deleterious impact on obese patient and those with obesity (Lycett et al., 2015). Hence, the nurse needs to make Kathleen aware about the harmful effect of smoking on alcohol consumption on her metabolic and respiratory function. After this education, the patient can be supported to quit smoking by means of nicotine replacement therapy. Apart from nurses and medical team, the contribution of dietician is necessary to help Kathleen take low calorie foods and avoid food containing high amount of salt and sugar. Dietary intervention can reduce risk of diabetes related complication and prevent patient from gaining weight. Secondly, the involvement of physiotherapist is necessary as due to surgery, her mobility is affected. By collaborating with physiotherapist, Kathleen can learn to do exercise so that she can build her muscle strength. The role of a bariatric consultant is also necessary to educate Kathleen about her care needs and ways to manage her wound after discharged (Torti et al., 2017). The report discussed about the process of planning care for Kathleen by examining her medical history and discussing about the pathophysiology of obesity. The etiology and pathophysiology of obesity gives the insight that presence of various risk factors predisposed patient to obesity. The review of deterioration in vital signs and justifying them with the path physiology also helped to understand the mechanism by which Kathleen faced such clinical deterioration in patient. To enhance recovery in patient, proper collaboration between inter-professional team is necessary too. Bray, G. A. (2014). Obesity in adults: Etiology and natural history.  Pi-Sunyer FX, Mulder JE (eds). Brethauer, S. A., Kim, J., El Chaar, M., Papasavas, P., Eisenberg, D., Rogers, A., ... & Kothari, S. (2015). Standardized outcomes reporting in metabolic and bariatric surgery.  Surgery for Obesity and Related Diseases,  11(3), 489-506. Canales, B. K., & Hatch, M. (2014). Kidney stone incidence and metabolic urinary changes after modern bariatric surgery: review of clinical studies, experimental models, and prevention strategies.  Surgery for Obesity and Related Diseases,  10(4), 734-742. Cummings, D. E., & Cohen, R. V. (2016). Bariatric/metabolic surgery to treat type 2 diabetes in patients with a BMI< 35 kg/m2.  Diabetes Care,  39(6), 924-933. DeMarco, V. G., Aroor, A. R., & Sowers, J. R. (2014). The pathophysiology of hypertension in patients with obesity.  Nature Reviews Endocrinology,  10(6), 364. Fuchs, T., Loureiro, M., Both, G. H., skraba, H. H., & Costa-casagrande, T. A. (2017). The role of the sleeve gastrectomy and the management of type 2 diabetes.  ABCD. Arquivos Brasileiros de Cirurgia Digestiva (Sà £o Paulo),  30(4), 283-286. Goossens, G. H., & Blaak, E. E. (2015). Adipose tissue dysfunction and impaired metabolic health in human obesity: a matter of oxygen?.  Frontiers in endocrinology,  6, 55. Gordon, M. (2014).  Manual of nursing diagnosis. Jones & Bartlett Publishers. Laquian, L., Scali, S. T., Beaver, T. M., Kubilis, P., Beck, A. W., Giles, K., ... & Feezor, R. J. (2018). Outcomes of Thoracic Endovascular Aortic Repair for Acute Type B Dissection in Patients With Intractable Pain or Refractory Hypertension.  Journal of Endovascular Therapy,  25(2), 220-229. Lingam, S., Rani, P., Sheeladevi, S., Kotapati, V., & Das, T. (2018). Knowledge, attitude and practices on diabetes, hypertension and diabetic retinopathy and the factors that motivate screening for diabetes and diabetic retinopathy in a pyramidal model of eye health care.  Rural and remote health,  18(1), 4304-4304. Lycett, D., Nichols, L., Ryan, R., Farley, A., Roalfe, A., Mohammed, M. A., ... & Aveyard, P. (2015). The association between smoking cessation and glycaemic control in patients with type 2 diabetes: a THIN database cohort study.  The Lancet Diabetes & Endocrinology,  3(6), 423-430. Mahajan, R., Lau, D. H., & Sanders, P. (2015). Impact of obesity on cardiac metabolism, fibrosis, and function.  Trends in cardiovascular medicine,  25(2), 119-126. Oppenheimer, B. W., Berger, K. I., Segal, L. N., Stabile, A., Coles, K. D., Parikh, M., & Goldring, R. M. (2014). Airway dysfunction in obesity: response to voluntary restoration of end expiratory lung volume.  PLOS one,  9(2), e88015. Papathanasiou, G., Georgakopoulos, D., Papageorgiou, E., Zerva, E., Michalis, L., Kalfakakou, V., & Evangelou, A. (2013). Effects of smoking on heart rate at rest and during exercise, and on heart rate recovery, in young adults.  Hellenic J Cardiol,  54(3), 168-177. Pà ©pin, J. L., Timsit, J. F., Tamisier, R., Borel, J. C., Là ©vy, P., & Jaber, S. (2016). Prevention and care of respiratory failure in obese patients.  The Lancet Respiratory medicine,  4(5), 407-418. Reges, O., Greenland, P., Dicker, D., Leibowitz, M., Hoshen, M., Gofer, I., ... & Balicer, R. D. (2018). Association of Bariatric Surgery Using Laparoscopic Banding, Roux-en-Y Gastric Bypass, or Laparoscopic Sleeve Gastrectomy vs Usual Care Obesity Management With All-Cause Mortality.  Jama,  319(3), 279-290. Saltiel, A. R., & Olefsky, J. M. (2017). Inflammatory mechanisms linking obesity and metabolic disease.  The Journal of clinical investigation,  127(1), 1-4. Saunders, T. J., Chaput, J. P., & Tremblay, M. S. (2014). Sedentary behaviour as an emerging risk factor for cardiometabolic diseases in children and youth.  Canadian journal of diabetes,  38(1), 53-61. Torti, J., Luig, T., Borowitz, M., Johnson, J. A., Sharma, A. M., & Campbell-Scherer, D. L. (2017). The 5As team patient study: patient perspectives on the role of primary care in obesity management.  BMC family practice,  18(1), 19. Wolf, J., Drozdowski, J., Czechowicz, K., Winklewski, P. J., Jassem, E., Kara, T., ... & Narkiewicz, K. (2016). Effect of beta-blocker therapy on heart rate response in patients with hypertension and newly diagnosed untreated obstructive sleep apnea syndrome.  International journal of cardiology,  202, 67-72.

Friday, September 27, 2019

Energy Harvesting Dissertation Example | Topics and Well Written Essays - 2000 words

Energy Harvesting - Dissertation Example Energy harvesting, therefore, can be defined as â€Å"The process in which energy is captured from a system’s environment and converted into usable electric power† (Maxim, 2011). The law of conservation of energy is the basis for energy harvesting. Energy can be converted from one form to another and the total amount of energy in an isolated system remains the same (Clark, 2004). Therefore, energy whether in form of wind, kinetic, chemical and others can be converted to electrical energy. 2. METHODS OF HARVESTING ENERGY Energy harvesting produces electric energy from ambient energy sources, present in large and small systems. Recovering a fraction of this energy can have a significant economic and environmental impact. These systems widely vary in sizes. On the macro scale, hydro electricity, tidal power, solar panels and wind turbines can produce MegaWatts. On a smaller scale, immediately available energy such as vibration, heat and light energy can be used to produce milliWatts. A typical energy harvesting system converts energy from the source and stores that energy. Capacitors are used in large scale systems, whereas, batteries are used in small scale systems for storage of energy. ... Photovoltaic cells, which are made up of silicon are used to convert solar energy into electricity. Most of these photovoltaic cells operate at an efficiency of less than 15 % (Asimov, 1969). The maximum theoretical efficiency attainable, however, is only 32.3 % (Clark, 1974). Solar energy is also indirectly used to produce electricity by concentrated solar power plants. The solar collectors are used to concentrate or focus sunlight onto a receiver that heats a liquid to produce steam, which in turn is used to produce electricity in the same way coal or fossil fuel plants do. 2.2 Wind Energy Wind turbines are used to harvest electrical energy from the wind. The wind passes over the blades of wind turbines, which in turn produces a turning force. The rotating blades turn the shaft which passes through the gearbox. The gearbox increases the rotational speed for the generator. The generator uses magnetic fields to convert the rotational energy harvested from the wind into electrical ene rgy. Wind farms, which are clusters of wind turbines, are used to harvest electrical energy from wind. The minimum wind speed for generating electricity is 4-5 m/s and the theoretical maximum power that can be extracted from the wind is 59.3 %. In reality this figure is usually around 45 % maximum for a large turbine. Wind energy has great potential for energy harvesting in the future and even smaller turbines (50-150 watts) are available for household connection (Golding, 1976). Energy harvested from the wind largely depends on siting of the wind farm. 2.3 Hydroelectric Hydroelectric systems create energy by harvesting energy by force of water. Water is collected in a dam or a reservoir. The water near the bottom of the reservoir is forced by the pressure of the water above it to be

Thursday, September 26, 2019

ASPECT OF CONTRACT AND NEGLIGENCE Assignment Example | Topics and Well Written Essays - 750 words

ASPECT OF CONTRACT AND NEGLIGENCE - Assignment Example The breach of these essential elements of a contract makes the contract void. The essentials of a valid contract include  "offer and acceptance, Intention to create a legal relationship, lawful consideration, capacity of parties, free consent, the lawful object, certainty of meaning, possibility of performance, not declared to be void or illegal and legal formalities". In the given case, the elements are same, and breach of these essential elements of a valid contract makes the contract void (Collins, 2003). c) In any contract offer, acceptance, consideration and intention are very important as these are the basic element required to make a contract legally enforceable. Offer is important because if a person does not offer to another person to do something the other person cannot perform that task. Acceptance is necessary because a person should signify his assent that he has accepted his offer to do the task. Offer and acceptance makes a contract, and there should be a consideration (monetary value) to perform the task. There should be an intention to perform the contract otherwise there is no contract. a) Contents of standard business form are the terms of the contract. Every contract consists of terms and condition, which should be fulfilled by both the parties competent to contract. These terms are set by both the parties and must perform in order to finish the contract (Jones, 2013). These terms can be written or communicated with conversation at the time of entering a contract. The terms and conditions can include the price, which will be given on performance, mode of payment and the way to perform the task. All  terms and conditions must be fulfilled and must be performed in the agreed manner as they are essentials to the contract (Austen-Baker, 2011). b) The terms identified in the contract between Lady Gaga and owner of the Opera is the performance of the artist for several days.