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Medical School Secondary Essay Multiple With Same Topic
Thursday, August 27, 2020
Marriott International Business Analysis Essay
Marriott International Business Analysis Essay Marriott International Inc. Business Analysis Essay Marriott International Inc. Business Analysis Essay Marriott International, Inc. is a main worldwide housing organization headquartered in Bethesda, Maryland, USA. Marriott International, Inc. has more than 4,200 properties spread across 79 nations (ââ¬Å"About Marriott Internationalâ⬠). Plus, the organization possesses 19 brands that are assembled in five business portions, which incorporate the North American Full-Service Lodging, North American Limited-Service Lodging, International Lodging, and Luxury Lodging and Timeshare (Marriott Jr. 15). Other than diversifying and working the inns, Marriott International offers administrations to home and apartment suite proprietor relationship for ventures identified with one of its brands (Marriott Jr. 28). Marriott International uses one of a kind methodologies planned for accomplishing successful piece of the overall industry and great benefit. MARRIOT INTERNAL ENVIRONMENT The organization is guided by Marriott family for just about 90 years (ââ¬Å"About Marriott Internationalâ⬠). The underlying thought of the authors of Marriott International, Inc. was to open a root brew remain in Washington (Marriott Jr. 12). The companyââ¬â¢s first lodging, established in 1927, was a significant accomplishment for Marriott family. Marriott International has become a world driving business because of its fundamental spotlight is on client relationship, development proficiency, administration offering just as its ability to give successful client advancements to the inns. The paper targets breaking down the Marriott International Inc. also, its condition. Representatives Marriott International comprehends the significance of representatives for the achievement of the business. In this way, the organization gives a strong domain to enable its workers to develop in the present place of employment positions and construct an economical profession (Gallagher standard. 1). The organization follows the guideline of putting individuals first. The organization is known to offer serious remuneration and advantages to its workers. In Marriott International, there are more than 200,000 lodging workers. Along with those in the diversified properties, there are 361,000 (Gallagher standard. 6). The companyââ¬â¢s workers are not focused on a cool grounds, but instead dissipated everywhere throughout the world. Proprietors The originator of Marriott International was J. Willard Marriott. Today, the organization is driven by his child, Bill Marriott, the Executive Chairman, related to Arne Sorenson, the Chief Executive Officer (Marriott Jr. 12). The Marriott family possesses 30 percent of the organization. The organization has an Ownership Educational Summit two times a year to support inn proprietorship and teach possible proprietors on the cordiality and the travel industry just as the methods of achieving Marriotââ¬â¢s possession and the importance of contracting solid brands for the organization. Top managerial staff. The governing body of Marriott International comprises of qualified staff as talked about underneath (Aspen Publishers 56-77). Marriott Internationalââ¬â¢s Executive Chairman and Chairman of the Board is W. Marriott Jr., the child of the originator, Willard Marriott. Clients Marriott International has an expansive objective market (Marriott Jr. 44). Be that as it may, the companyââ¬â¢s most significant objective gathering are the business voyagers or individuals in the business world. The organization comprehends that individuals in the business need to go far and wide for business reasons. Accordingly, Marriott International offers such brands as Fairfield Inn Suites, Residence Inn, Courtyard, TownePlace Suites, and SpringHill Suites for its business customers (Marriott Jr. 47). Contenders Marriott International countenances solid rivalry both as a franchisor and as a housing administrator. There are around 872 housing the board organizations in the US, with 9 of them working more than 100 properties (Marriott Jr. 56). The administrators are for the most part private administration organizations, yet in addition incorporate some huge mainstream stores that work own inns and establishment own brands. Marriott International positions second in the piece of the overall industry (5.6 %) after Hilton Hotels Corporation (7.2%) (Marriott Jr. 57). Other significant opponents of Marriott International in the business incorporate Starwood Hotels, Resorts Worldwide, Inc., and Wyndham Worldwide Corporation, which have a similar piece of the pie (3.4%) (Marriott Jr. 57). Different contenders incorporate Accor at 1.7% and the Intercontinental Hotels Group PLC, whose piece of the overall industry is 0.8% (Marriott Jr. 57-58). In spite of the fact that all the inn properties offer comparable offices, the Hilton Hotels Corporation, the biggest rival in the business, joins more relaxation offices. Also, Hilton Company works its own faithfulness program. In addition, not at all like Marriott, Hilton has taken naturally neighborly endeavors to keep up its market position (Marriott Jr. 60). Providers. Marriott International keeps up solid relations with organizations possessed by minority bunches in the territories of its activity over the world, and these relations proceed to develop and reinforce (à «Marriott Enlists increasingly Diverse Suppliersâ⬠standard. 1). In the previous decade, the organization went through 4 billion dollars with various providers (à «Marriott Enlists increasingly Diverse Suppliersâ⬠standard. The companyââ¬â¢s providers from various ventures include: Berman Purchasing Inc., Jupiter, Fla. (furniture, apparatuses, and gear merchant); Carter Brothers, Atlanta, Ga. (security and alarms wholesaler); Falcons Koinonia Corporation, Brandon, Fla. (janitorial/cleaning administrations); Fairmont Designs Hospitality Group, Buena Park, Calif. (furniture plans); Garys Seafood, Orlando, Fla. (fish conveyance); Neighborliness Staffing Solutions, Marietta, Ga. (impermanent staffing); Land-Ron Inc., Orlando, Fla. (developments for the organization); Tronex, Parsippany, NJ. ( dispensable gloves and items); Ty, Ty, Ty Inc., Miami, Fla. (deals with the rooms/material); TG Constructors Inc., Orlando, Fla. (developments for the organization) (à «Marriott Enlists increasingly Diverse Suppliersâ⬠standard. 3). Merchants Marriott International has one of the most grounded dispersion frameworks in the business. The framework is coordinated with the income the executives, client dedication, web based business, worldwide dispersion frameworks, and property the board frameworks of the organization (Marriott Jr. 66). The companyââ¬â¢s foodservice wholesalers incorporate the Red Lobster eateries, Darden Restaurants Olive Garden, and Garys Seafood, Orlando, Florida (Marriott Jr. 66). Vital Allies Marriott International has entered various key collusions with solid world purchaser brands to build client mindfulness just as income and offer worth (Marriott Jr. 67). The companyââ¬â¢s key partners incorporate Visa USA, which entered a concurrence with the organization to create novel items for relaxation and business ventures, joint sponsorships, and shopper and exchange advancements. Next is the Rugby Football Union. The collusion with Marriott International was intended to upgrade the current connection between the two firms (Marriott Jr. 77). Associations and Employee Associations. Of the absolute number of representatives working for Marriott International, 11,000 of them are ensured by associations (Gallagher standard. 6). These associations guarantee that laborers get the correct treatment at their work environments and are similarly redressed. A few instances of the associations is the International Labor Organization and Hotels, Restaurants Cafã ©s in Europe (Marriott Jr. 70). Nearby Communities As a perceived organization that works oversaw and diversified lodgings, Marriott International has different partner bunches that incorporate inn proprietors, investors, clients, providers, partners, industry affiliations, network associations just as administrative and non-governemntal offices (Marriot 92). The companyââ¬â¢s partners are assorted and work all inclusive. Marriott has an understanding that the partners are significant and that their assessments, wants and needs drive the companyââ¬â¢s stategy. In this way, the companyââ¬â¢s partners are profoundly esteemed and are agreed most extreme regard since they shape the supportability procedure (Marriot 92). Loan specialists Marriott International is financed by the nearby business banks in the US (Marriott Jr. 102). In any case, if there should arise an occurrence of a budgetary emergency in the nation of origin, the organization can obtain cash from a bank in the nation it wishes to work. Government Regulators The guidelines experienced by Marriott International are concerning the earth, expense, and representatives (Marriott Jr. 108). In each nation where Marriott International is executing its tasks, there are specific standards that direct its cooperations with administrative organizations and authorities. The standards essentially center around campaigning, political commitments, exchange limitations and so forth. Specific vested parties Specific vested parties are framed to empower individuals to share data identified with cordiality and the travel industry. Marriot International is an individual from specific vested parties (Marriott Jr. 103). In addition, one of the directors of the particular vested parties, Allan Tuttle, is the individual from the organization. Marriott International is an individual from the Hospitality and Sales (SIG) gathering (Marriott Jr. 103). Broad communications Marriot International uses broad communications to connect with its customer base (Marriot 36). The organization utilizes the internet based life, for example, Twitter and Facebook to make consciousness of any adjustments in the organization. In addition, it utilizes flyers to impart its projects to its clients. Finally, the organization utilizes service bills, for example, eGifts to improve its customersââ¬â¢ encounters (Marriot 36). GENERAL ENVIRONMENT Monetary Forces Marriot International is influenced by monetary factors, for example, downturn and ecomomic strife in Europe (Marriott Jr. 75). Occasions, for example, obligation emergency have diminished the purchasing intensity of clients and their abilit
Saturday, August 22, 2020
Sickle Cell Anemia Case Study
Sickle Cell Anemia Case Study A 20-year-old Africa-America lady visits her physical whining of scenes of outrageous torment and uneasiness in her legs and lower back. She has been encountering these intermittent scenes, joined by outrageous exhaustion, since she was a kid. On physical assessment, she seems embittered and has a hematocrit of 23% and a hemoglobin level of 7g/dL. She reports she has relatives who encountered a similar manifestation. Sickle cell weakness (sickle cell infection) is a turmoil of the blood brought about by an acquired strange hemoglobin (an oxygen-conveying protein inside the red platelets). The irregular hemoglobin causes twisted (sickled) red platelets. The sickled red platelets are delicate and inclined to break. At the point when the quantity of red platelets diminishes from break (hemolysis), iron deficiency is the outcome. This condition is alluded to as sickle cell frailty. The sporadic sickled cells can likewise square veins causing tissue and organ harm and torment. Sickle cell iron deficiency is one of the most widely recognized acquired blood anemias. The illness fundamentally influences Africans and African Americans. It is evaluated that in the United States, about 50,000 African Americans are burdened with the most extreme type of sickle cell pallor. By and large, current appraisals are that one out of 1,875 U.S. African American is influenced with sickle cell iron deficiency. Sickle cell frailty is brought about by a transformation in the Þ⠲-globin chain of hemoglobin, causing the hydrophilic amino corrosive glutamic corrosive to be supplanted with the hydrophobic amino corrosive valine at the 6th position. The Þ⠲-globin quality is found on the short arm of chromosome 11. The relationship of two wild-type Þ⠱-globin subunits with two freak Þ⠲-globin subunits structures hemoglobin S (HbS). Under low-oxygen conditions (being at high elevation, for instance), the nonappearance of a polar amino corrosive at position six of the Þ⠲-globin chain advances the non-covalent polymerisation (collection) of hemoglobin, which contorts red platelets into a sickle shape and diminishes their versatility. The loss of red platelet flexibility is key to the pathophysiology of sickle-cell sickness. Typical red platelets are very versatile, which permits the cells to misshape to go through vessels. In sickle-cell ailment, low-oxygen pressure advances red platelet sickling and rehashed scenes of sickling harm the cell layer and decline the cells versatility. These cells neglect to come back to typical shape when ordinary oxygen pressure is reestablished. As a result, these unbending platelets can't disfigure as they go through tight vessels, prompting vessel impediment and ischaemia. The real sickliness of the ailment is brought about by haemolysis, the pulverization of the red cells inside the spleen, on account of their deform. Despite the fact that the bone marrow endeavors to repay by making new red cells, it doesn't coordinate the pace of destruction.[17] Healthy red platelets regularly live 90-120 days, yet sickle cells just endure 10-20 days.[18] Regularly, people have Hemoglobin A, which comprises of two alpha and two beta chains, Hemoglobin A2, which comprises of two alpha and two delta chains and Hemoglobin F, comprising of two alpha and two gamma chains in their bodies. Of these, Hemoglobin A makes up around 96-97% of the ordinary hemoglobin in people. In ordinary Hemoglobin A, glutamic corrosive is on the sixth situation of the beta chain, while in sickle-cell ailment, this glutamic corrosive is supplanted by valine prompting the development of sickle cells. This occurs because of a one point transformation. This prompts polymerization of the two beta chains and along these lines their appearance as unique pieces (or lock and key); which implies they fit into one another shaping a longitudinal polymer that would prompt the cell turning out to be disfigured and extremely unbending prompting vessel impediment. This procedure of polymerization can be actuated by contaminations, hypoxia, acidosis, physical exercise, vasoocclusion because of cold just as hypertonic drying out. Finding Sickle cell paleness is analyzed through blood test, testing for hemoglobin S (the damaged type of hemoglobin unmistakable of the sickness), the nearness of other strange hemoglobin variations, assessing status and number of erythrocytes, and additionally assurance of one of increasingly modified hemoglobin quality duplicates. In the United States, this blood test is a piece of routine screening for babies done in the emergency clinic. Be that as it may, more seasoned kids and grown-ups can be tried moreover. In grown-ups, the blood test is removed from a vein in the arm. In little youngsters and infants, blood is taken from a finger or heel. The testing itself is ordinarily performed on a smear of blood using a unique low-oxygen planning, known as sickle prep. Other prep tests can be used, including however not restricted to dissolvability tests. [4,6] Another screening testing is the Hb S solvency test. In this system, a substance is added to the blood test which diminishes the measure of its oxygen conveying limit. In people conveying even one sickle quality, some hemoglobin S will be available. The decreased measure of oxygen will cause S-related polymers to frame and influenced erythrocytes will sickle. This test, generally, distinguishes for the nearness of Hb S alone. Be that as it may, this test ought not be performed on newborn children until age a half year, as infants with sickle cell won't produce critical measures of Hb S until a while after birth. [6] To affirm the conclusion, DNA investigation can be used. This test is utilized to recognize modifications and changes in the qualities delivering hemoglobin segments. DNA investigation uncovers one duplicate or two duplicates of the hemoglobin S quality, or duplicates of various hemoglobin variations. DNA investigation can be performed on the creating baby in fourteen to about four months developments by means of amniocentesis or through chorionic villus sampling.[6] Treatment Treatment of sickle cell weakness is finished by obstructing the red platelets from stacking together. the wellbeing proficient support encourages the patients in the first place early analysis of the turmoil, ideally during the infant time frame. Penicillin prophylaxis, immunization against pneumococcus microscopic organisms, and folic corrosive supplementation is standard. [2] Treatment of sickle cell difficulties incorporates ,nutrient supplementation, intravenous liquids, blood transfusion, supplemental oxygen, medical procedure (splenectomy) and psychosocial support. The executives is best practiced by means of multidisciplinary program of care. [2,3,5] Blood transfusions advantage by diminishing repeating torment emergencies, danger of stroke, and different difficulties. Blood transfusions increment the measure of normocytic erythrocytes available for use, calming the iron deficient state. In any case, since erythrocytes contain iron and the body doesn't have a characteristic procedure for its end, patients can gather iron in the blood. In this manner, conceivable iron harmfulness must be firmly screened and strategies to expel abundance must be executed. Overabundance iron is evacuated falsely through organization of the medication Deferasirox (Exjade Ãââ ®) orally in patients two years old and more seasoned. On the off chance that this isn't checked, the inordinate iron can aggregate in the heart, liver, and different organs causing organ harm. [3] Different medicines for this ailment incorporate finding a substance that keeps erythrocytes from sickling without creating pernicious impacts to other body territories. The prescription hydroxyurea has been found to lessen the recurrence and seriousness of agony, intense chest disorder, and decline the requirement for blood transfusions in grown-up patients. Droxia Ãââ ® (remedy name brand definition of hydroxyurea) was endorsed by the Food and Drug Administration in 1998 and is presently accessible for grown-up patients. Studies are presently being directed to decide the correct dose in pediatric patients. Nonetheless, there is worry in this medicine ceaseless use may encourage tumor development or leukemia in specific people. [5] Other pharmacological treatments incorporate anti-toxins and torment relievers. As to and previously mentioned before, youngsters profit by penicillin at age two months and for the most part proceed with drug until age five. Prophylactic anti-microbial treatment helps in forestalling pneumonia. For grown-ups, prophylactic anti-infection treatment can assistant in battling certain diseases that they would typically battle gave they had ordinary erythrocytes. [2,3,5] Non-pharmacotherapy medications are bone marrow transplant and supplemental oxygen treatment. Bone marrow transplant method offers the main potential solution for sickle cell paleness. Supplanting the framework with unaffected bone marrow helps the body in creating normocytic erythrocytes. Be that as it may, finding a contributor gives troublesome even the coming of vaults. Likewise, the extraction of bone marrow has genuine hazard, including passing. After the system, an obligatory long emergency clinic stay is required. In the clinic and after leaving, the patient will be regulated prescriptions to help forestall dismissal of the gave marrow. The strategy is right now just utilized for those having genuine manifestations and issues with sickle cell frailty. As to oxygen treatment, this demonstrates gainful by commandingly expanding oxygen content in the blood through breathing apparatus. Supplemental oxygen can be useful in intense chest condition or sickle cell crisis.[2,3,5] Careful treatment include splenectomy to expel a potential harmed spleen from the sickle cells or eye medical procedure for vision issues related with sickled cell harm. New sickle cell medications not too far off incorporate quality treatment, the pharmacological medicines of butyric corrosive, clotrimazole, nitric oxide, and nicosan. [3] Since sickle cell frailty is brought about by a deficient quality, scientists conjecture that inclusion of an ordinary quality into bone marrow of individuals with sickle cell weakness will bring about the creation of typical hemoglobin. Another quality treatment pos
Friday, August 21, 2020
Want to Avoid No Credit Check Loans Build an Emergency Fund
Want to Avoid No Credit Check Loans Build an Emergency Fund Want to Avoid No Credit Check Loans? Build an Emergency Fund Want to Avoid No Credit Check Loans? Build an Emergency FundWhen an unexpected bill rears its ugly head, an emergency fund will help you make ends meet without turning to high-interest predatory loans.When youâre faced with a sudden and unexpected expense, itâs easy to throw your money smarts out the window. When your car wonât start and itâs the only way you can get to work, or your kid breaks her arm and you need to take her to the emergency room, the last thing you want is for concerns about cost to get in the way.But its also a fact that 6 in 10 Americans have less than $500 in savings. Without money in the bank to handle these kinds of emergency expenses, lots of people turn to no credit check loans to make ends meet. And this is especially true for folks who have less than stellar a credit; a payday loan or a title loan might seem like the only way they can afford to pay off those extra bills. Sure, it means paying a lot of extra money in interest, but thatâ s not whatâs important â¦. Right?Not exactly. While there are certainly safe, affordable bad credit loans out there, there are others that are, well, not-so-safe and not-at-all-affordable. While you might do well with an installment loan or an online loan from a reputable lender, there are far more predatory loan and dangerous cash advance traps out there waiting to snare you.And resorting to one of these dangerous loans during a time of crisis can lead to a massive financial hangover that will take you months or even years to get over. A busted car or a kid in the ER are both emergencies, but so is being trapped in a continuous cycle of debt.The best way to avoid turning to a payday or title loan for emergency expenses is to not need one in the first place. And the best way to do that is to have an emergency fund.What is an emergency fund?When you were growing up, did your parents ever talk about saving money âfor a rainy day?â Because thatâs basically what an emergency fund is. Itâs money that you put aside for a time when you really, really need it.An emergency fund is different from your regular savings. When youâre putting something in your savings, youâre thinking about the long-term. Thatâs money youâre saving for a down payment on a house, or to put your kid through college, or for your retirement. Funds that youâre putting into âsavingsâ is usually money that youâre sticking in a 401k or other kind of investment account. Itâs earning interest and growing over time.Your emergency fund, on the other hand, should probably be in cash, on a prepaid debit card, or in a basic savings account that you can easily access. Itâs not designed to grow your overall âwealth portfolio.â (Sorry, we typed the words wealth portfolio and now were coverd in monocles.) An emergency fund is designed for you to take money out when you need it. The quicker you can get to that money during an emergency, the better.You know in spy movies or tv shows where operatives will have a âgo bagâ filled with money and passports and tactical gadgets that they can grab instantly and disappear into a crowd? Think about it like that. (Especially if youâre having a hard time getting excited about it. An emergency fund sounds boring. But a financial âgo bag?â Heck yeah.)How much money do you need in your emergency fund?âListening to experts on this topic is like owning a Cadillac, a Honda, and a Kia,â says Howard Dvorkin (@HowardDvorkin), CPA and Chairman of Debt.com (@debtcom). âYouâll get different mileage even while you head to the same destination.âThink about the different kinds of financial emergencies in your life. Repairs to your car could run you a few hundred dollars, while a surprise hospital visitâ"even with insuranceâ"could run you a couple thousand. And what about losing a job? Depending on how long youâre out of work and how expensive your lifestyle is, you could be looking at tens of thousa nds of dollars in bills that would need to be covered.âSome experts insist you need a years worth of expenses in an emergency fund,â says Dvorkin. âOthers say three months or six months. I say even a week is progress. I never want to give a hard number, because that might discourage people from even starting.âStart with an achievable goal, like $1,000. Save up $1,000 and stick it in a safe or in a sock drawer with a âNo Trespassingâ sign hanging from the knob. Once you have that $1,000 saved, you can start working towards a higher goal. As long as youâre putting money away on a regular basis, youâre doing well.Whatâs the best way to build an emergency fund?There is no âright wayâ to save, just like thereâs no âright wayâ to eat an Oreo. Itâs all about doing what works best for you.However, there are some basic principles that apply to any savings strategy:Have a Plan. If you want to get serious about saving, then you canât just âfigure it out as yo u go.â You need to make a plan and then you need to stick to it.Be Consistent. When youâre creating your savings plan, you should avoid saying stuff like âIâll just save whatever I have left over at the end of the week.â Decide on a specific amount that youâll save every week, every month, or even every day!Pay Yourself First. This goes back to the idea that you shouldnât put aside âwhatever money is left over.â Make building this emergency fund a priority. Decide the amount you want to put away and then build the rest of your budget around that.Okay so maybe we lied. There is definitely a âright wayâ to save.Hereâs what Dvorkin has to say on the subject:âSaving is like dieting. If you dont make it part of your lifestyle, youll eventually cheat and fail. So saving on a regular basis means saving very little all the time, instead of a lot every paycheck. Were talking one more brown bag lunch, and those few bucks going into a savings account.âSaving a littl e bit all the time is a great strategy for another reason as well: If you end up cheating and splurging on something you donât need, itâs not a big deal. Saving small means failing small. And failing small makes it all the easier for you to get back on the horse and keep going.One more piece of advice: As youâre creating your savings strategy, take a good long look at your monthly budget. Maybe, as you try and save for six months or a years worth of expenses, youâll notice places where you can cut back. Itâll give you more money to save all the while making your eventual goals more achievable!Is it wise to build an emergency fund if youâre in debt?Yes, it is. Paying down debt is super important to your financial wellbeingâ"not in the least because it will help raise your credit scoreâ"but not having an emergency fund means youâre leaving the door open for future debt.Still, itâs not like you should stop all your debt repayment efforts to build an emergency fund. Do ing so is going to cost you a lot of money in the long run.âPaying off debt is more important, purely for the numbers,â says Dvorkin. Youll earn only one percent interest on your savingsâ"if youre lucky. Meanwhile, your credit cards are charging you 16 percent and up.âReally, itâs a matter of balance. Donât let building your emergency fund set you too far back in paying off your personal loans and credit cards, and donât let zeroing out your debt leave you with no money to put towards savings.Besides, the kinds of discipline that building an emergency fund requires of you might come in handy with debt repayment as well. Dvorkin likes to say that âSaving when youre in debt might seem like drinking bottled water when the boat youre in is sinking.ââBut if you save small amounts constantly,â he adds, âit might also help you focus on paying down your debts.âWhen should you start building your emergency fund?If you donât have an emergency fund right now, youâr e running behind schedule,â says Dvorkin. Everyone whoâs graduated from high school needs one, because everyone can suffer an accident or an illness.âYou heard the man! Start building your emergency fund right now. Seriously. Reach into your wallet, grab a dollar, and shove it under your mattress. Congratulations, you now have an emergency fund.That wasnât so hard, was it? Now all you need to do is keep going!To learn more about the ins and outs of saving money and handling emergency expenses, check out these related posts and articles from OppLoans:How to Save $2,018 in 2018Couponeering in 7 Easy StepsHow to Save Money on Spring CleaningHow to Finance a Medical Emergency: An OppLoans eBookDo you have an emergency fund? We want to hear from you! You can email us or you can find us on Facebook and Twitter.Visit OppLoans on YouTube | Facebook | Twitter | LinkedINContributorsHoward S. Dvorkin (@HowardDvorkin) is a two-time author, personal finance expert, co mmunity service champion and Chairman of Debt.com. As one of the most highly regarded debt and credit expert in the United States and has played an instrumental role in drafting both State and Federal Legislation. Howardâs latest book âPower Up: Taking Charge of Your Financial Destinyâ provides consumers with the detailed tools that they need to live debt free and regain their financial freedom. Howard has appeared as a finance expert on CBS Nightly News, ABC World News Tonight, The Early Show, Fox News, and CNN.
Monday, May 25, 2020
The Child I Had Worked With Mp - 1352 Words
The child I had worked with, MP, is a nine-year-old struggling student currently performing below grade level in math. I interviewed her mother to gather information for her eco-map. She is an only child living with both parents. Her maternal grandmother is involved in her life and often takes care of MP after school while her parents are at work. Her mother works at a fast food restaurant and her father is a gardener. The family often visits extended family in Mexico. MP is an English learner with a language level of Intermediate proficiency. Her mother can communicate in English and her father speaks minimal English. MP has a learning disability that affects her capability to understand numbers and learn math facts. She has poor comprehension of math symbols and has difficulty memorizing and organizing numbers. Evidence to support that she has this challenge consists of MP still counting on her fingers every single time she attempts a math problem and consistently confuses the math symbols (unsure what they are called or guesses as to what math operation would be used). This particular LD is referred to as dyscalculia, and is documented in her cumulative file. Annotated List of Evidence-Based Educational Tools/Resources for Dyscalculia 1. Provide peer-assisted instruction This tool would address MPââ¬â¢s LD because peer instruction allows students to discuss problems in a low-risk setting, thus relieving the studentââ¬â¢s anxiety. 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He also enjoyed many normal manly things as a child including riding, swimming, shooting, fort-building, and ââ¬Å"catapulting vegetables at passersbyâ⬠(Lt. Churchill: 4th Queen s Own Hussars). He was educated at a very prominent prep school from a young age but did not perform well so could not go toRead MoreThe Founder Of Steve Jobs1980 Words à |à 8 PagesIntroduction Apple Inc. had very small beginnings. The co-founder, Steve Jobs, was born in San Francisco, California in 1955. He was adopted by Clara and Paul Jobs, where he was given the names Steven Paul Jobs. The family loved in what is now known as Silicon Valley. As a child, Steve and his father worked on electronics in their garage. Here Steve was taught how to take a part and put back together gadgets and that became a hobby if his throughout his childhood. Jobs was an innovative and intelligentRead MoreSocial Issues Within The New Zealand Essay2545 Words à |à 11 Pagespolitical campaigns during the 2014 New Zealand general election, I found myself getting into slightly more political discussions. Through these discussions I was opened up to how much inequity there was in New Zealand and also, realising how many different perspectives there were on social issues. For the past 20 years Pakuranga has been considered as a safe National seat, along with the infamous MP Maurice Williamson. In this investigation, I have explored the social issues within the surrounding areasRead MoreHistorical Drama Film 12 Years A Slave 3107 Words à |à 13 Pagesthe pastoral stations. It was a crime to leave the station you were made to work at. The second distinction between slavery and slave like conditions is off course the issue that aboriginal people were very rarely paid for almost two centuries and worked relentless hours in a harsh environment. This economic enslaving perpetually trapped many aboriginal people in poverty and continues to have an effect on Aboriginal people today. These two main distinctions essentially made the aboriginal people at
Thursday, May 14, 2020
Basic Information About Maps
We see them every day, we use them when we travel, and we refer to them often, but what is a map? Map Defined A map is defined as a representation, usually on a flat surface, of a whole or part of an area. The job of a map is to describe spatial relationships of specific features that the map aims to represent. There are many different types of maps that attempt to represent specific things. Maps can display political boundaries, population, physical features, natural resources, roads, climates, elevation (topography), and economic activities. Maps are produced by cartographers. Cartography refers both the study of maps and the process of map-making. It has evolved from basic drawings of maps to the use of computers and other technologies to assist in making and mass producing maps. Is a Globe a Map? A globe is a map. Globes are some of the most accurate maps that exist. This is because the earth is a three-dimensional object that is close to spherical. A globe is an accurate representation of the spherical shape of the world. Maps lose their accuracy because they are actually projections of a part of or the entire Earth. Map Projections There are several types of map projections, as well as several methods used to achieve these projections. Each projection is most accurate at its center point and becomes more distorted the further away from the center that it gets. The projections are generally named after either the person who first used it, the method used to produce it, or a combination of the two. Some common types of map projections include: MercatorTransverse MercatorRobinsonLambert Azimuthal Equal AreaMiller CylindricalSinusoidal Equal AreaOrthographicStereographicGnomonicAlbers Equal Area Conic In-depth explanations of how the most common map projections are made can be found on this USGS website, complete with diagrams and explanations of uses and advantages to each. Mental Maps The term mental map refers to the maps that arent actually produced and just exist in our minds. These maps are what allow us to remember the routes that we take to get somewhere. They exist because people think in terms of spatial relationships and vary from person to person because they are based on ones own perception of the world. Evolution of Maps Maps have changed in many ways since maps were first used. The earliest maps that have withstood the test of time were made on clay tablets. Maps were produced on leather, stone, and wood. The most common medium for producing maps on is, of course, paper. Today, however, maps are produced on computers, using software such as GIS or Geographic Information Systems. The way maps are made has also changed. Originally, maps were produced using land surveying, triangulation, and observation. As technology advanced, mapsà were made using aerial photography, and then eventually remote sensing, which is the process used today. The appearance of maps has evolved along with their accuracy. Maps have changed from basic expressions of locationsà to works of art, extremely accurate, mathematically produced maps. Map of the World Maps are generally accepted as precise and accurate, which is trueà but only to a point. A map of the entire world, without distortion of any kind, has yet to be produced; therefore it is vital that one questions where that distortion is on the map that they are using.
Wednesday, May 6, 2020
John Steinbeck s Grapes Of Wrath Essay - 1006 Words
Identify one of John Steinbeckââ¬â¢s themes in Grapes of Wrath. Using in-text citations, analyze how three scenes clearly convey this theme. One of John Steinbeckââ¬â¢s themes in the novel Grapes of Wrath is the irresistible need for familial replacement. Whenever a family member of the Joads dies or departs from the family, they are not able to compensate emotionally and therefore resort to replacing the family member with a stranger from the road. He first conveys this theme when the Joads pick up the Wilsons in Chapter 13, when Grampa dies. As he dies, the Joads feel an almost primal urge to replace him, to help others in payment for his death. And so, on page 148, they decide to pick up the Wilsons and bring them to California: ââ¬Å"Joads and Wilsons crawled westward together as a unitâ⬠(page 163). However, when the Wilsons are no longer able to carry on, the family also suffers another two losses. Granma dies and Noah stays behind, convinced he can make a living by himself. The family is crushed, but since they are unable to mourn, they seek out emotional compensation from strangers. On page 243, the Joads land in Hooverville, a small town with many camping families seeking a new life in California. Al finds a friend in Floyd Knowles, who lends the Joads a tip about work up in Santa Clara valley. Before the family can decide whether or not to travel 200 miles, Floyd aggravates a police officer for existing. Casy takes the blame, and the preacher is carted away from the Joads. FloydShow MoreRelatedThe Steinbeck s The Grapes Of Wrath By John Steinbeck4043 Words à |à 17 PagesSet in the swallowing depression of the 1920ââ¬â¢s, The Grapes of Wrath by John Steinbeck provides a hallowing, realistic view into the plight of the proletariat farmer and the exploitation that was all too common during the Great Depression by major corporations. Steinbeckââ¬â¢s literary work serves as a window into the world of the great depression by not only providing a narrative history of the era, but also giving faces to the nameless victims through the characters of Tom Joad, the lead protagonistRe ad MoreJohn Steinbeck s The Grapes Of Wrath1414 Words à |à 6 Pagesâ⬠¢ John Steinbeckââ¬â¢s The Grapes of Wrath (1939) contains anticapitalistic sentiments which force the reader to question whether capitalism is responsible for the death of the American Dream, even questioning if that dream in fact exists. To explore this further, this essay will examine a number of John Steinbeckââ¬â¢s works in addition to the primary text. To gain a better understanding of a capitalist society, the essay will focus on how society was affected by the economy, industrialisation, and KarlRead MoreAnalysis Of John Steinbeck s The Grapes Of Wrath 1594 Words à |à 7 Pages John Steinbeck was born in 1902 in Salinas, California. After he graduated high school, he attended Stanford University, but never graduated. In 1925 Steinbeck went to New York to establish himself as a free-lance writer for a little while, but it didnââ¬â¢t work out so he went back to California. He published a few short stories and novels for a while. Then in 1935 he was discovered with Tortilla Flat, a series of humorous stories. Steinbeckââ¬â¢s novels are based on economic problems of labor. AfterRead MoreJohn Steinbeck s The Grapes Of Wrath And Jeannette Walls954 Words à |à 4 PagesFamily Matters Different circumstances shape people into who they will become. This is relevant in both books, John Steinbeckââ¬â¢s The Grapes of Wrath and Jeannette Wallsââ¬â¢ The Glass Castle. Both the Joad and Walls families faced adversities but makes it through them stronger. The two families move from place to place and greatly struggle financially. The value of family and lessons that can be learned from them is prevalent in both novels. The attributes that enable both the Joad and Walls familiesRead MoreJohn Steinbeck s The Grapes Of Wrath And Jeannette Walls951 Words à |à 4 PagesFamily Matters Different circumstances shape people into who they will become. This is relevant in both books, John Steinbeckââ¬â¢s The Grapes of Wrath and Jeannette Wallsââ¬â¢ The Glass Castle. Both the Joad and Walls families faced adversities but made it through them stronger. The two families move from place to place and greatly struggled financially. The value of family and lessons that can be learned from them is prevalent in both novels. The attributes that enabled both the Joad and Walls familiesRead MoreAlienation, A Theme in John Steinbeckà ´s The Grapes of Wrath625 Words à |à 3 Pages Grapes of Wrath: Alienation In Grapes of Wrath, John Steinbeck reveals the assumptions and moral values of Californian society in the 1930s by narrating the tale through the eyes of Tom Joad. Tom and his family are evicted from their homes by the bank because the drought had diminished the profitability of the land. They join numerous other migrants on Route 66, hoping for a better life in California. Both the rich Californian landowners and the Californian workers alienate the migrant familiesRead MoreJohn Steinbeck s Of Mice And Men And The Grapes Of Wrath 2124 Words à |à 9 Pagesfind a better life. John Steinbeck traveled around the country and worked as an unskilled laborer, working in the shoes of those he would later write about. Although Steinbeck grew up in a middle-class family in Salinas, California, he came to recognize the toils and hardships of laborers when he was a high school student, as he worked on a sugar beet farm alongside migrant workers. The bleak human condition of loneliness a nd the importance of community is shown throughout John Steinbeckââ¬â¢s novelsRead MoreAnalysis Of John Steinbeck s The Grapes Of Wrath And Of Mice And Men 1433 Words à |à 6 Pagesimportant things in life are love and beauty, which bring joy to the process of living. These answers are the philosophy of John Steinbeck â⬠(Benson 555). John Steinbeck was a major American writer who has written many books, which have come to be known as classic American stories. Examples of these classic stories are The Grapes of Wrath, The Red Pony, and Of Mice and Men. John Steinbeck is worthy of the praise he has received for his contributions to American literature because he added a new genre asRead MoreAnalysis Of John Steinbeck s The Grapes Of Wrath 1554 Words à |à 7 Pagescontrast the novel and the movie to show how the messages can be changed when they are put into different medium. After finishing the novel and the movie I would point out that The Grapes of Wrath Novel by John Steinbeck is does a better job capturing an image plus showing messages from back then than the movie by John Ford in many ways. The novel demonstrated various significant rhetorical messages that can be found that were not in the movie, although the novel and the movie had many significantRead MoreComparing John Steinbeck s Mice And Men And The Grapes Of Wrath1126 Words à |à 5 PagesComparing and Contrasting Steinbeck John Steinbeck is a famous author known for many of his short stories, as well as the books Of Mice and Men and The Grapes of Wrath. His works have been studied and analyzed often because of his unique ability to create symbolism from small amounts of text. ââ¬Å"The Chrysanthemumsâ⬠is a short story written by John Steinbeck, and was first published in 1939. It tells the story of a woman who feels she is capable of completing any task a man can, but is set back by
Tuesday, May 5, 2020
Foundation of Nursing Kidney Diseases
Question: Discuss about theFoundation of Nursingfor Kidney Diseases. Answer: Introduction In the current times, there have emerged various communicable and non-communicable diseases. Most of the non-communicable diseases such as cancer, kidney diseases, and diabetes among others are associated largely with the lifestyle of the affected individuals. In this era of modernization and globalization, people engage in less vigorous activities or exercise a factor that leads to weight gain and obesity in the majority of the people. The healthy weight of an individual can be classified depending on their body mass index (BMI). The normal ranges of BMI are between 17.5 and 24.9 kg/m2 (Rippe Angelopoulos, 2012). Body mass indexes above these ranges indicate that a person is either overweight or obese. According to Haslam and Wittert (2014), obesity has increased significantly by more than 100% since 1980 globally. It is stipulated that by 2014, more than 1.9 billion adults were overweight worldwide. Among these, more than a third of them were obese. Obesity is associated with a nu mber of diseases that majorly include cardiovascular disorders and type 2 diabetes. Moreover, obesity may lead to loss of self-esteem, self-confidence and general productivity of an individual due to reduced mobility and inactivity (Rippe Angelopoulos, 2012). However, management through lifestyle modification can aide in the prevention of obesity and other related diseases. Lifestyle change can be achieved through health education provision to the affected individuals by health care providers. Notably, the effectiveness of the training offered depends on the clients developmental stage (Murtagh, 2013). Therefore this writing focuses on how various developmental and learning theories can be utilized by health care providers to effectively manage lifestyle conditions such as obesity while considering the developmental stage of an individual, through assessment, diagnosis, planning, implementation and evaluation of a teaching plan. Assessment According to Piagets cognitive developmental theory, Grace who has an age of 44 years is at the sixth stage, formal operational stage. In this stage she has abstract reasoning, a factor that has helped in her associating obesity with detrimental effects on her health (LeCroy Anthony, 2015). Additionally, in this cognitive developmental stage, she can consider the possible outcomes of actions on her health, and therefore it contributes to the shaping of her health seeking behaviors. Health seeking behaviors have a significant impact on the health of an individual as it determines the time of seeking health services, duration and adherence to prescribed therapies. Moreover, at this stage, one can analyze a health risk or problem and solve it in a logical and systematic manner. Therefore, this helps a nurse to work collaboratively with the client in solving the primary problem and thus contributing to improved health. However, it is the responsibility of the nurse to assess the cogniti ve developmental stage of an individual not only based on age but also on other factors as some people never reach formal operational stage regardless of their advanced age (Romano, 2015). As mentioned, it is imperative for the nurse to assess the client based on their developmental stage to identify the specific needs. According to Erik Eriksons psychosocial theory, Grace is at the stage of generativity versus stagnation in which people aged between 40 and 64 years exhibit the same needs that are supposed to be achieved for a person to successfully move to the next stage without stagnation (Newman Newman, 2016). Stagnation is an indication of poor health that may affect emotional, social, mental and physical aspects of an individual. A sense of productivity, achievement, and satisfaction can only ensue in Graces case if she can successfully contribute positively to self, family, and community, a phenomenon that makes her life count. Thus the primary focus her health is in her family, work, relationships with others and society. Some conditions can prevent a person from meeting the central tasks of this middle adulthood. Obesity can deter Grace from moving through thi s stage successfully as it limits ones movement from one place to another, reduces productivity and affects the social relationships due to reduced self-esteem (Zhang, Juan, Middlestadt, Susan Cheng-Ye, 2011). Firstly, obesity as the primary concern of Grace may not enable her to express love to her school age children through guiding them to perform certain activities such as household chores and sports among others. Consequently, the children may not develop to be responsible adults as required from their developmental level that requires them to learn various skills and gain academic and social competencies like their peers (Sa?enz, 2015). Secondly, she is supposed to maintain health patterns to successfully move though her current stage of which she may stagnate if she develops chronic diseases whose etiology is obesity such as type 2 diabetes and hypertension. Thirdly, she may not develop a sense of unity with family, friends and other relatives as it may experience reduced mo bility and therefore preventing her from attending social functions and interacting with others. In the same way, she may not effectively perform required activities to make a comfortable home and in her working environment, factors that can lead to lack of pride in self-accomplishments. She may also not use her leisure time in a creative manner due to the physical and emotional health limitations that are attributed to obesity and reduced self-esteem. Lastly, at this stage, she is expected to reverse roles with aging parents if any, but in Graces case it may be difficult to achieve this as she is equally faced with challenges that may deter her from achieving the roles she is supposed to perform. Thus she cannot establish balance between various life aspects as required in the genital stage of Sigmund Freuds psychosexual development (Weber Kelley, 2014). Notably, she has enough motivation for wellness as well as having enough time to practice lifestyle changes since she is working on part time basis. In the same way, she has access to a park that can be used for recreational activities including those that can assist in the adoption of healthy lifestyle such as exercises. Nursing Diagnosis Graces health needs require preventive measures because they are primarily, risk for diagnoses.' Based on the assessment data, she has some learning needs. Firstly, she has a risk for overweight related to unhealthy lifestyle practices. Secondly, she has a risk for chronic low self-esteem related to being overweight as evidenced by her verbalization on losing self-esteem and concern about weight. Thirdly, she has a risk for Disturbed body image related to obesity as evidenced by concern about weight gain. Fourthly, she has a risk for ineffective role performance and social interactions related to reduced mobility and lack of attending social functions due to excessive weight gain and low self-esteem. Fifthly, she has a risk for impaired parenting related to activity intolerance as evidenced by progressive weight gain. Lastly and most importantly she has a nursing diagnosis of readiness for enhanced self-health management. Plan By the end of the health education, the client will be able to demonstrate her understanding of the various ways in which she can enhance and sustain her self-esteem by providing a brief summary of the learning session. Secondly, the client should demonstrate progress and improved health over a period of one month by losing weight of at least one kilogram through modification of lifestyle. Implementation As stipulated by Ausubel and Blooms learning theories, learning should start from the known to the unknown and from simple to complex. He noted that new information fits into existing knowledge like key fits into a lock (Aliakbari, Parvin, Heidari Haghani, 2015). Therefore, during the implementation of client teaching and learning, the plan should be considerate of the existing knowledge of the client on the subject matter. Another significant approach that can be used is according to Skinners theory which suggests that learning can be shaped in the desired direction if the behavior is rewarded positively, continuously and immediately. This can be done through motivation, encouragement, praise and being supportive emotionally and psychologically by sharing success stories. A conducive environment that encourages active participation, that accepts the difference in desire, allows people to make mistakes and learn from them should be provided. The client should feel respected and acce pted to facilitate self-discovery and evaluation as well as cooperation. The most appropriate instruction methods to be utilized are verbal explanations which are equivalent to lecture as well as demonstrations (Friedman, Cosby, Boyko, Hatton-Bauer Turnbull, 2011). These are economical and easy to use methods that can be utilized at any given time. Since the interventions entail lifestyle changes that include exercise and nutritional modifications, they can effectively serve the purpose. The client can understand the subject matter better by explanation and observation during demonstration hence allowing the provision of a wide range of knowledge in a limited time. Moreover, it can be used to pace the learners way of learning and make adjustments as necessary. However, before the teaching session, a lesson plan should be prepared collaboratively to set the goals, identify available interventions such as cognitive behavioral therapy (CBT), teaching and learning aids and ways to eval uate the learning (Friedman, Cosby, Boyko, Hatton-Bauer Turnbull, 2011). Evaluation Learning outcomes of the learner/client can be determined through evaluation in some ways. According to Friedman et al. (2011), the effectiveness of teaching process can be noted through questioning during and after the learning session. Similarly, return demonstration can be used instantly to evaluate understanding of the client on the subject matter. The learner can also be asked to provide a summary of the whole learning session by providing the key points learned. This way the nurse can help the learner to understand herself, assist in the retention and transfer of knowledge, provide motivation and judge the learners achievements. Furthermore, the effectiveness of teaching can be determined and provide feedback. In conclusion, learning can be achieved through health education provided based on the developmental and age of an individual. Developmental theories as well as learning theories can be used to adequately assess, diagnose, plan for, implement, and evaluate a teaching and learning education. Teaching approaches methods can also be selected while considering the needs of the client and their level of cognitive, psychosexual and psychosocial development. Therefore, it is imperative that all nurses have knowledge of these essential theorise in an effort to uphold evidence-based practice (EBP). References Aliakbari, F., Parvin, N., Heidari, M., Haghani, F. (January 01, 2015). Learning theories application in nursing education.Journal of Education and Health Promotion,4, 2-27. Friedman, A. J., Cosby, R., Boyko, S., Hatton-Bauer, J., Turnbull, G. (January 01, 2011). Effective Teaching Strategies and Methods of Delivery for Patient Education: A Systematic Review and Practice Guideline Recommendations.Journal of Cancer Education,26,1, 12-21. Haslam, D., Wittert, G. (2014).Fast facts: Obesity. Oxford, England: Health Press LeCroy, C. W., Anthony, E. K. (2015).Case studies in a child, adolescent, and family treatment. Hoboken, New Jersey: John Wiley Sons Murtagh, J. (2013).Murtagh's patient education. North Ryde, New South Wales: McGraw-Hill Newman, B. M., Newman, P. R. (2016).Theories of human development. New York, Psychology Press, Taylor Francis Group Rippe, J. M., Angelopoulos, T. J. (2012).Obesity: Prevention and treatment. Boca Raton: CRC Press. Romano, J. L. (2015).Prevention Psychology: Enhancing Personal and Social Well-Being. Washington, D.C: American Psychological Association. Sa?enz, H. M. (2015).Psychopathology in women: Incorporating gender perspective into descriptive psychopathology. Cham : Springer Weber, J., Kelley, J. (2014).Health assessment in nursing. Philadelphia: Wolters Kluwer Health/Lippincott Williams Wilkins Zhang, Juan, Middlestadt, Susan E, Ji, Cheng-Ye. (2011).Psychosocial factors underlying physical activity. (BioMed Central Ltd.) BioMed Central Ltd.
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