Anything Essay Example | Topics and Well Written Essays - 500 words - 6

Anything - Essay Example On the other hand, the benefits derived from age-appropriate content amongst children range from staying connected to friends, developing and expressing your individual identity, sharing content of self-expression such as artwork and music and developing new social contacts amongst peers with similar interest. Firstly, I argue against by asserting that socials sites exposure is toxic to young minds. Children are gullible hence any material presented to them indeed provokes a feeling of interest. In this case, internet exposure takes a dramatic twists as most of these young minds are concentrated on experiences that are beyond their understanding (Warburton & Hatzipanagos, 2013). Time spent in social media must have been cut out from other useful activities such as school projects, help around with small household chores and cases of sleep deprivation. A child under the influence of such will showcase discomfort and reduced concentration capability. Children will likely attracted to the internet because of quick access to Information that may seem vulgar and inappropriate, keeping in mind that in such a situation no objection is involved. Accordingly, an anticipated outcome is the deterioration in class performance. On the other hand, I argue for by asserting that through proper restrictio n to ensure age-appropriate content amongst children presents an opportunity for children to benefit from social sites. Parents must monitor and ensure safety based on free discussion with the children and guiding them appropriately on the use of social sites. Parents must keep control of their information by access restriction to some sites, keep their full names, address, telephone number, social security number to themselves. Ensure the children only post information they are comfortable with everyone viewing and talk to their parents before considering

Information security management framework Research Paper

Information security management framework - Research Paper Example Frameworks are based on existing standards that have been accepted as well as guidelines and sets of practices that reflect the conduct of an initial community of organizations that perform highly(HrÃŒÅ'ebiÃŒ cÃŒÅ'ek, Schimak&Denzer, 2011). Governments along with business organizations have an ability to implement frameworks with the practices they prefer or are supposed to use for their market sectors and the entire country. Some of the benefits of possessing frameworks for information security management include the fact that they create a secure and well-arranged working environment while at the same time protecting information and information assets. Having frameworks for information security management also assists in the reduction of internal and external breaches in security, creating confidence among the employees and customers when dealing with the operations of the business and integrating recovery from disasters in order to ensure continuity of the business(Gantz&Philpott, 2013). Further benefits include prevention of information security incidences from taking place and detection of incidences from occurring. In the event that incidences take place, the frameworks for information security management are able to measure the impact of the incidences and respond to them in order to minimize the resulting damage. Additionally, they are able to embed continuous improvement in processes associated with information security while complying with rules and regulations. Information security frameworks are a sequence of standard procedures that are employed in defining policies and processes associated with the execution and continuous running of information security controls in an venture setting. The frameworks are essentially a plan for the creation of an information security plan with the aim of managing risks and reducing any vulnerability. Professionals in information security can employ

Short Story Playing With Fire English Literature Essay

Short Story Playing With Fire English Literature Essay Mental disorders I performed excellently in school, had relatively close connections with my family and kept a well-mannered group of friends; however, all of my thoughts, actions and emotions could be thrown into disarray with the sight of a single flame. Pyromania, it was called. It was also the reason why I was forced by my mother to come to this stupid group rehab centre. Everywhere I went, there was a thick atmosphere of tension between everyone that seemed impossible to break. Despite this environment, for the past month, I had been able to keep my composure each day with the company of one girl. From the very first day, she was the only person in the room who wore a smile the entire time. With long, brown hair, contrasting her fair skin, and a look of confidence on her face, I thought of no reason why she should be here. Until I saw something which deeply intrigued me: Her emerald green eyes, unlike the rest of her appearance, did not reflect the same warmth and zeal. Rather, they possessed a continuous melancholic gaze that would always give away her true emotions, so I had a tendency to avoid looking her in the eyes whenever I talked to her. Today, as I sat down along the curb of the sidewalk, from my back pocket, I took out a plastic container and flicked the small wheel, igniting a small, but strongly burning flame. You shouldnt be smoking at your age. It will only end with a long and painful death. I dont smoke, I said as I turned around to face the voice, pyromania is different from a nicotine addiction. Casey, I swear I explained this to you the other day. She sat down beside me, leaning in towards the flame. Ah, but its still based on the same principle isnt it? Fire, destruction, and death. She had a slightly pained expression on her face before she added, How you can find the flames beautiful? They only remind me of pain and misfortune. Dont play with fire, Parker. Youre only going to get burned. I think about that sometimes as well, I replied. What had caused this unhealthy affinity towards the flames? This powerful reliance towards fire? At first, it was just a fascination as a child, but there was a point in time where it completely took over my actions. The events of that night lingered with me even now. Every detail was inscribed deep into my memories; from the heat of the fire, to the very lighter I used to set the house ablazeà ¢Ã¢â€š ¬Ã‚ ¦ Stand aside kid, came the gruff voice of a police officer. Go find your parents. Its not safe to be here. I was roughly pushed behind the yellow police tape as the officer hurried back to his car, and the sound of sirens grew louder. From a safe distance, I stood still, mesmerized by the violent orange blaze that continued to engulf the house in front of me. Beads of sweat began forming above my brow from the searing heat emitted by the burning house. Twenty minutes: that was all it took for the house to be completely devoured by the burning flames, and for the entire structure to begin falling apart. Thick billows of smoke collected, making it more and more difficult to breathe as the fire consumed the oxygen close by. The crackling of the wooden beams grew louder, with the house on the edge of collapse. Without warning, a girl parted from the crowd and ran towards the flames, only to be held back by the same officer as before. My parents are still in there! Please! Someone, anyone, help them! I-I dont want them toà ¢Ã¢â€š ¬Ã‚ ¦ but her last words were cut off as the last of the supporting beams collapsed. Tears overflowed from her eyes as she fell to the ground, completely helpless and traumatized. Conversely, from amidst the panic of the crowd of onlookers, I remained completely calm, never breaking eye contact with the blaze for a single second. It was too beautiful a sight to look away from, as the flames continued their dance in the wind. It was like a giant bonfire, sending sparks flying everywhere. The night sky was illuminated with its bright orange glow, making it as bright as day. I reached forward, feeling the heat of the fire grow stronger against my palm, and for just a few moments, time seemed to stopà ¢Ã¢â€š ¬Ã‚ ¦ This was more than eight years ago; I was only ten years old. I remember hearing the following morning that the residents of the house did not survive the blaze from that night, but at that age, I couldnt distinguish between life and death, nor did I realize the severity of my actions. To this day, I still cannot recall the exact reason for starting the fire. All I could remember was the sight of the glowing flames in the night, regretting nothing. But for these eight years, I had been harbouring this memory to myself, refusing to tell a soul. Earlier on, I thought about telling Casey, but after seeing her pained expression towards the smallest flicker of a flame, I couldnt bring myself to do so. For the month that Ive known you, Ive noticed that you space out a lot, said Casey, demonstrating her point by waving her hand in front of my face. Smiling, she continued, the smell of the lighter fluid must be affecting your brain somehow. I returned to reality. Realizing she was right, I retorted, I can cure this problem just fine without your input. Anyways, why dont you ever talk about your problems for once? Its been a month, and I still know nothing about you. I dont even know why you checked into rehab in the first place. I mean, as far as I can tell, theres nothing wrong with you. It was my decision to make, Casey replied, watching the passing cars on the road. Still, why dont you do yourself a favour? Check out of this boring place and spend the remaining days of summer back home with your family. What do you know? Have you ever thought to consider that Im here for a reason? I cant return to my family even if I want to. She stood up abruptly, and started walking back towards the rehab centre. Out of impulse, I stood up as well, making eye contact. For the first time, I saw her grimace, but what was far more intimidating was the hostility in her gaze; even from a fair distance, I could sense it. My comment definitely hit a nerve. Before reaching the doorway, she looked back one last time and said, Its going to rain. You should head inside the facility soon, and she slammed the door behind her. Aggravated, I took out my lighter, trying to light a small flame to ease my tension, but it was no use. Out of lighter fluid, I sighed, so in the end, you got what you wanted, somewhat. Ill need to get a new one tomorrow. I sat back down along the curb of the sidewalk, when moments later, I felt a light shower of rain against my skin. What a perceptive person. For the rest of the week, I avoided Casey, until I saw her knitting something blue in the lobby. I decided not to start a conversation with her. Instead, I sat down in a chair across from her, staring intently at the repetitive motions she made as the fabric grew longer. After a while, she sighed and finally spoke to me. Im knitting a scarf to put on a teddy bear. Its for my baby brothers birthday. I havent seen him in a while thoughà ¢Ã¢â€š ¬Ã‚ ¦ Her voice was depressed, yet she continued, but I have a permit to go visit him and my family tomorrow. This is an awkward question, but do you mind coming with me? Ill understand if you cant, but youre one of the few people that I trust here. After a while of thinking, I managed to give a nod and everything was planned out for tomorrow. As she left the lobby, her smile had returned. Little did I know that there was so much more that she hid from me behind that smile. At exactly 10 AM, I returned to the same spot that I sat in yesterday, and I noticed how empty the entire lobby seemed without Casey there. At any rate, I was sure the mood would change when she arrived. Five minutes passed; fifteen minutes passed; forty five minutes passed, and I became unexpectedly worried. I contemplated going outside to light a flame with my lighter, but it would be terrible for her to see me like that. Instead, I decided to go find her. However, this was easier said than done, because the rehab centre had many rooms, and I had no idea where she was staying. Nevertheless, I ran around the building looking for her, searching through every corridor, checking the courtyard, knocking on doors to ask if anyone knew where she was staying, but to no avail. Out of breath, I paused and passed by the girls washroom, when I heard hushed crying coming from behind the door. Could that possibly be her? Pulling up closer, I called her name, but there was no answer. As awkward a s it was to enter, my concern for whoever was in there outweighed my embarrassment. However, I was horrified at what I found. It was Casey, but not how I expected. She was sitting on the floor, sobbing, her right arm covering her eyes, but not the tears from her face. From a distance, I could see the glint from the scarlet tinted blade on the tiled floor. Her left arm was filled with scars, with three fresh slashes running across them. A steady stream of blood flowed from them, enough to form a small puddle of crimson beside her. Impulsively, I ran towards her, took off my sweater to soak up the blood and I held her in my arms. Her crying just grew louder, but as she laid her head on my shoulder, I felt helpless, knowing this was all I could do for her. For what seemed like eternity, we stayed like that, her sobs eventually dying down to a slight whimper as I whispered Its okay over and over. Her voice shaky and in hushed tones, she said, My baby brother and my parents arent actually alive. They passed away eight years ago. There was a horrible fire that burned my house to the ground. I managed to escape safely, but my parents, they thought I was still inside. They went back inside for me, and they never came back out. They sacrificed themselves for nothing, and it was my fault! I wish I had died instead of them. Every day, I wish that Sometimes, I would even try to make that wish come true. Her voice started breaking into sobs again, and I came to a horrifying conclusion. Could it be? Eight years ago, from the fire I started, I killed her family and was the reason why harmed herself like this. The guilt I failed to feel from years ago rushed through me, as if it had been collecting for years. It was horrifying to make this connection, but it felt even worse to realize that I enjoyed every moment of the burning fire. Why did fire have to be so destructive? I wished I woul d never see another flame. I never wanted to see Casey suffer like this again. That evening, under an orange painted sky, Casey and I visited the cemetery, where I saw the gravestones of her parents and her little brother. She placed her birthday gift onto her brothers tombstone, and she closed her eyes in a short prayer. The whole time, I remained silent; I didnt feel like I had the right to speak. As we started to leave, I turned around and whispered a pathetic apology, even though it was useless. To this day, I havent told her that I was the one who started the fire; Im afraid of what her reaction might be if I do. But the guilt I feel each day is overwhelming, as I recall the image of Casey as a young girl, standing in front of her burning house, knowing her parents were burned alive in that fire and Casey covered in scars, cutting herself. These are the thoughts that come to mind whenever I re-ignite my lighter, and see the flickering flame, hoping that the guilt I feel from the memory of that night will one day miraculously cure this pyromania.

Blasphemies and Discrimination in The Chrysalids :: The Chrysalids

John Wyrndham the author of The Chrysalids is an extraordinary writer who has created this book in the state of two totally different worlds. Wyrndham has based this book on the different views toward blasphemies and how the characters all have a different approach on the subject. The three greatest ranges in different reactions to Blasphemes would come from the characters: Joseph Strorm, Aunt Harriet, and Sophie Wender. Joseph Strorm is the character in the novel that has the greatest disliking toward Blasphemies. Joseph is the father of David Strorm. He is a strong believer in God and his life is based around his religion: "The Norm is the Image of God." (p.27) In the book the reader gets the idea that Joseph is not a very good father and is very strict: "I'll deal with this. The boy's is lying. Go to your room." (p.51) He is a cruel and inhumane person to anyone who has or is involved with a deviation. The reader would see this attitude when Aunt Harriet visits the Strorms and brings her deviant child with her: "Send her away. Tell her to leave the house - and take that with her." (p.71) Joseph did not show any sympathy at all toward his own sister in law. Aunt Harriet is the sister of David's mother Mrs. Strorm. She enters the story half way through the book, where she goes to Mrs. Strorm seeking help. Yet the help she is looking for is not something Mrs. Strorm agrees with: "Nothing much! You have the effrontery to bring your monster into my house, and tell me it's nothing much!" (p.70) Aunt Harriet is very loving, strong, and she fights for what she thinks is the right thing: "I shall pray God to send into this hideous world, and sympathy for the weak, and love for the unhappy and unfortunate." (p.73) Aunt Harriet is also the proof of what happens to people who have a deviation or are trying to protect someone with a deviation: "Aunt Harriet's body has been found in a river, no one mentioned a baby†¦." (p.74) She is a very will hearted woman who is one of the very few people in this time that has the will to speak her mind. Sophie Wender is also another female fighter in this book. David and Sophie are close childhood friends when she is separated from the community because she has a sixth toe.

Krogstad’s blackmailing of Nora in regards to Nora’s illegal

Henrik Ibsen's â€Å"A Doll's House† is the story of Nora Helmer and the events that led to her independence.   At the end of the play, Nora decides to leave her husband, Torvald.One central event ultimately led to her decision to leave: Krogstad's blackmailing of Nora in regards to Nora's illegal borrowing of money in order to travel with Torvald to Italy for a cure for his illness.   Nora's predicament led to a major life change.   Nora had to leave at the end of the play because she realized who her husband really was, and what her life actually turned out to be.Nora began her awakening when she started secretly working to pay back the money she borrowed illegally for her and Torvald's trip to Italy to cure Torvald of his illness.   This event led to her fully realizing that her life was not what it should be.   Toward the end of the play, when Nora had made up her mind to leave Torvald, she states, â€Å"I lived by doing tricks for you, Torvald.But that's the wa y you wanted it.   You and Daddy did me a great wrong.   It's your fault that I've never made anything of my life.†Ã‚   (Ibsen 1879/1998, act 3; 80).   From this statement, it is obvious that Nora finally realized the truth about her life.   She acted the part of a child, only living to please first her father, then her husband.Toward the end, however, she realized that those two men compelled her to behave in a certain way, and that this behavior had stunted her growth from child to adult.   She had existed only to please men, therefore making nothing of her life.   She decided to leave Torvald, not to punish him, but to make something of her life; to gain independence from other people.Nora had to leave Torvald because she realized that she did not know him like she thought she did.   When Torvald found out about her illegal dealings, Nora thought he would take the blame for her and risk his own honor.When this did not happen, the image of the good and noble hu sband she though Torvald was had been shattered.   Once this happened, a domino-effect was created; Nora's other illusions about her life, such as her having a happy marriage, were also shattered.   She began to see Torvald for who he really is, and this directly led to her leaving her husband.

Epidural Catheterization In Cardiac Surgery Health And Social Care Essay

Introduction: Risk-benefit-ratio rating of extradural haematomas due to catheter arrangement in patients undergoing cardiac surgery is still controversial. The intent of this survey is to update to 2012 the per centum of catheter-related extradural haematoma hazard in cardiac surgery. Methods: Bracco and Hemmerling 2007 hazard appraisal was updated by seeking all reported instances of extradural arrangement for cardiac surgery, in web and in literature, from April 2007 to September 2012. Hazards of other medical and non-medical activities were retrieved from recent reappraisals or national statistic studies. Consequences: Hazard of catheter-related extradural haematoma is 1/5,493, with a 95 % CI of 1/970 to 1/31,114. It is similar to the hazard in the general surgery population of 1/6,628 ( 95 % CI 1/1,170 to 1/37,552 ) . Decisions: Hazard of catheter-related extradural haematoma should be considered acceptable, since it is comparable to the hazard of deceasing in a auto accident, which is a jeopardy widely accepted. Its usage should be encouraged, because extradural improves recovery in patients undergoing cardiac surgery.IntroductionIn cardiac surgery, the extradural anesthesia/analgesia technique has been performed for many old ages [ 1 ] ; however, its usage is frequently limited by the fright of increased hazard of extradural haematoma associated with anticoagulation therapy. The risk-benefit ratio of medical processs needs to be known in order to do the best pick in routinely clinical pattern. In peculiar, it is of import to better look into the hazard benefit-ratio of extradural catheter in cardiac surgery, since it is a controversial and strongly debated pattern. In a recent reappraisal [ 2 ] , Royse showed the benefits and hazards related to high pectoral extradural anaesthesia, and he concludes that & amp ; acirc ; ˆ?epidural usage in cardiac surgery is no more unsafe than in non cardiac surgery & A ; acirc ; ˆA? . Previously, Bracco and Hemmerling estimated hazard of catheter-related extradural haematoma, seeking databases from 1966 to March 2007 [ 3 ] . The deliberate hazard was 1 extradural haematoma out of 12,000 extradural catheterisation reported in literature. The purpose of this survey is to update to 2012 the per centum of catheter-related extradural haematoma hazard in cardiac surgery.MethodMedline, SciSearch Embase, Google and Google Scholar were searched to choose publications showing patients undergoing cardiac surgery who received extradural anesthesia/analgesia. The hunt standards were ( ( ( ( extradural anaesthesia ) OR extradural catheter ) OR locoregional anaesthesia ) OR extradural ) AND ( ( ( ( cardiac surgery ) OR coronary arteria beltway grafting ) OR aortal valve surgery ) OR mitral valve surgery ) . Databases were explored from April 2007 to September 2012. The compiled publication list includes: conference abstracts, randomized control tests, retrospective and prospective surveies, and meta-analysis. The figure of patients undergoing cardiac surgery who received extradural catheterisation was retrieved ; attending was paid to non number patients twice. After that, the entire figure of instances ( denominator ) was calcula ted summing instances from April 2007 to September 2012 with instances from 1966 to March 2007 ; the latters were already included in the appraisal hazard done by Bracco and Hemmerling [ 3 ] . The numerator was calculated adding instances of extradural haematoma after extradural catheterisation in cardiac surgery, occurred from 1966 to 2012. The hazard of catheter-related extradural haematoma was compared with several different hazards, such as: the hazard of catheter-related extradural haematoma in non cardiac surgery, the hazard of chest or prostate malignant neoplastic disease, and the hazard of route traffic hurt. The per centums of hazard used for comparing were extrapolated from big tests, meta-analysis or national statistics studies. As already done by Bracco and Hemmerling, the Wilson method [ 4 ] was used to cipher 95 % reversible assurance interval ( CI ) of a individual proportion. The comparing between 2 proportions was done utilizing the same method [ 5 ] .ConsequenceIn 2012, the hazard of catheter-related extradural haematoma in cardiac surgery is 3 instances out of 16,477 patients, or 1/5,493, with a 95 % CI of 1/970 to 1/31,114. From April 2007 to 2012, around 4,477 patients having merely extradural or extradural plus GA and undergoing cardiac surgery were found. This population besides includes some paediatric patients. Kind of surgery and figure of patients are shown in table 1. We summed our consequences with the one estimated by Bracco and Hemmerling ; hence, the denominator is 16,477 ( 12,000 + 4,477 ) . Merely two instances of catheter-related extradural haematoma are described in literature from April 2007 to 2012. The first one occurred in 2010 and is reported by the UK Medical Protection Society [ 6 ] . A 70-year-old adult female had to undergo alteration surgery after 6 old ages since she received a ternary coronary arteria beltway. The twenty-four hours of surgery extradural catheter was placed without incident, and so GA was induced. The twenty-four hours after surgery, in the forenoon, the patient showed initial neurological symptoms, noticed by a nurse. However, her spinal column was examined through a CT scan merely hours subsequently, after neurological scrutiny revealed an intense motor and centripetal bilaterally block at the T6 degree. A big haematoma in the extradural infinite was clearly seeable ; hence, an exigency laminectomy and emptying of haematoma were performed. This patient remained paraplegic. The 2nd instance of catheter-related extradural haematoma happened in 2011 [ 7 ] . On the twenty-four hours of surgery, after GA initiation an extradural catheter was placed. The patient was a 55-year-old adult male scheduled for mitral valve replacing and tricuspid annulate plasty, who had stopped warfarin 7 yearss earlier surgery. Preoperative blood test revealed a normal curdling profile and normal thrombocyte count. A flaccid paraplegia appeared 16 hours after the terminal of surgery ; at that clip his curdling profile was altered and he had besides thrombocytopenia. An exigency magnetic resonance imagination showed an extradural haematoma at the T5-T6 degree, hence a laminectomy, within 6 hours since symptoms onset, was instantly performed to take the haematoma. This patient had a good overall recovery, and presented merely a little dysuria 6 months after laminectomy. Bracco and Hemmerling identified merely one instance of catheter-related extradural haematoma occurred in 1995 and subsequently reported in 2004 [ 8 ] ; hence, this instance adds up to the 2 antecedently described, so the numerator for the hazard assessment up to 2012 is represented by 3 instances. Several instances of neurological complications happening in patients with an extradural catheter placed for cardiac surgery are described in literature. Arora et Al. reported a instance of pneumocephalus after extradural anaesthesia [ 9 ] . The patient was a 68-year-old hypertensive, diabetic and corpulent male admitted for a coronary arteria beltway surgery ( CABG ) . He had a moderate clogging pneumonic disease, so extradural anaesthesia was proposed, obtaining informed consent. After uneventful extradural catheter interpolation, the trial dosage was administered ( 2ml of 2 % Lidocaine ) . Immediately, the patient reported a terrible concern, and so generalized tonic clonic ictuss developed. The patient gained consciousness 10 proceedingss subsequently, after ictuss were controlled. The magnetic resonance imagination showed air in the basal cisterns and subarachnoid infinites. The patient got a full recovery and underwent surgery 2 yearss subsequently. Writers concluded that the c omplications were due to the puncture of the dura mater. The hazard of catheter-related extradural haematoma in cardiac surgery is comparable to the hazard of extradural haematoma after regional techniques for general surgery [ 10, 11 ] . Volk et Al. estimated an incidence of spinal haematoma of 1: 6,628 in general surgical population, in Germany, from 2008 to 2009. We calculated a comparative hazard decrease of 17 % prefering general surgery ( non important ) . The US mortality for bosom disease ( deaths per population ) [ 12 ] is 10 times higher the hazard of extradural haematoma after extradural anesthesia/analgesia for cardiac surgery. The hazard of catheter-related extradural haematoma in cardiac surgery is 100 times lower than both the incidence of acute nephritic failure after CABG [ 13 ] , and the incidence of sternal lesion infection after CABG [ 14 ] . The hazard of catheter-related extradural haematoma in cardiac surgery is besides a 1,000 times lower than the frequence of ordering mistakes in infirmaries ( errors/admissions ) [ 15 ] . Patients undergoing cardiac surgery with an extradural catheter in topographic point have a hazard to develop an extradural haematoma comparable to the hazard of developing chest malignant neoplastic disease ( women/year ) or prostatic malignant neoplastic disease ( men/year ) [ 16 ] , and to the hazard of deceasing by accident ( deaths/population ) [ 17 ] [ Fig.1 ] .DiscussionKnowing the hazard per centum related to medical processs is really of import in clinical pattern ; it permits to correctly measure the risk-benefit ratio and to explicate patients all is needed, in order to obtain an informed consent before executing processs. Two recent meta-analysis have shown, one time once more, that the usage of epidural over general anaesthesia in patients undergoing cardiac surgery improves recovery by diminishing: the incidence of acute nephritic failure, the incidence of postoperative supraventricular arrhythmias, the clip on mechanical airing and respiratory complications [ 18, 19 ] . Therefore, extradural anaesthesia is an of import intercession in the multimodal scheme that anesthesiologists actuate in order to vouch the best quality attention. Furthermore, wake up cardiac surgery is a new minimally invasive anaesthesia technique, and it is a cherished option for bad patients with terrible COPD ; because avoiding cannulation and mechanical airing is necessary to cut down the hazard of decease [ 20-25 ] . This survey demonstrates that the hazard of catheter related extradural haematoma in cardiac surgery is non zero, but it is a hazard that we consider to be acceptable, since it is comparable to the hazard of deceasing in a auto accident [ 26 ] , which is an jeopardy normally accepted [ Fig. 1 ] . Restrictions of the current hazard analysis are related to our determination of non sing differences among the surveies we used as beginning. Different times of catheter arrangement, different perioperative heparinization protocols and different puncture degrees are non taken into history. The increased hazard, compared to the 2007 appraisal by Bracco and Hemmerling, we believe is due to a lessening in the figure of instances we used to find the denominator, and non to a existent addition in instances of catheter-related extradural haematoma. We used as denominator the figure of patients who received an extradural catheterisation to undergo cardiac surgery. It is our sentiment, that the instances reported in literature in recent old ages are merely a little proportion of the figure of extradural catheter arrangement really performed. Furthermore, the attending paid to epidural-related jobs has increased over clip, and accordingly, the demand to describe incorrect events increased. In literature, instances of self-generated extradural haematoma without an extradural catheter after cardiac surgery are besides described. For case, Hayashi et Al. [ 27 ] reported about a 71-year-old adult females, who underwent mitral valve plasty with CPB. The surgery lasted around 4 hours uneventfully, and she was non antecedently treated with anticoagulant therapy neither with extradural. One hr after surgery, paraplegia was apparent, an extradural haematoma compacting spinal cord at the C7-T4 degree was revealed through magnetic resonance imagination. A conservative attack was chosen because the paraplegia was non progressive. The writers stated that the extradural haematoma etiology was non apparent. The adult female had good overall result. In decision, measuring the risk-benefit ratio of utilizing pectoral extradural anaesthesia in cardiac surgery should be easier, thank to this update hazard appraisal.

The Main Role of a Teacher is Education Essay Example

The Main Role of a Teacher is Education Essay Example The Main Role of a Teacher is Education Essay The Main Role of a Teacher is Education Essay It is the teachers responsibility to impart their knowledge across to the class before them. A programme/structure of the lesson, as in, organising your objectives into a logical and progressive order. To keep lessons flowing punctuality and discipline must be maintained. Persistent lateness or unruly students should be curtailed at the earliest opportunity as this is disruptive and unfair to the other students. When conducting lessons it is always better and more productive to use Plain English. Too much technical jargon or too many acronyms can leave some of the students all at sea and constant requests for clarification will slow the lesson up . It is also important to include the whole class. Not all students learn at the same rate so you must be sure that everyone has understood the meaning of what you have said. Make yourself presentable and approachable. A smart and tidy appearance will garner respect and put students at ease if they feel the need for a one to one chat. Make the venue/classroom user friendly. Arrange desks/furniture, where possible, in such a way that every student can see/hear what you are saying or demonstrating, and always leave the venue in a clean and tidy order for whoever uses it after. Put some time aside for any student who would like clarification of anything but would feel more comfortable doing this one to one. Starting a lesson with a quick re-cap of the previous session should ease the students into the continuation of the subject in question. Other teaching responsibilities include making sure attendance records are complete and kept up to date. Also keeping a record of each students progress and if needs be adapt to meet their individual needs. Attendance at staff meetings should be adhered to. This is where you can keep abreast of any changes in procedure and discuss with colleagues the best way to achieve the desired level of education. Make time in your schedule to mark/grade papers. Take part in any courses made available benefit and advance your own progress and professionalism in the teaching sector. Be aware of the people or authorities available in case any referral should be necessary. Roles. The role of a teacher is a touch different from their responsibilities. As a teacher your own personality will be under scrutiny from colleagues and students alike. With students you should be well presented, approachable and understanding, be willing to listen and help when possible, not only with subject matters but with other things that may be troubling them. The role of mediator will be called for at some point. As a mediator you must be able to listen to all sides of a discussion/argument without bias and somehow diffuse any tense situations, but be prepared to discipline when necessary. Make yourself available to any student that may need career advice. Some students would not only find this helpful but in some respects reassuring. Referral. At some time in a teachers career referring a student will be inevitable. Certain problems that may arise could be; Discipline. If discipline with a student becomes a problem such as persistent unruly/disruptive behaviour or time keeping lapses a quiet, informal non confrontational chat may resolve the situation. Failing that then referral may be necessary. Medical Problems. You may also encounter medical issues that a student might want to raise with you as an unrelated, unbiased third party. This could be anything from pregnancy, mental problems, physical or sexual abuse. Substance abuse. If you suspect, or are informed of any drink/drug abuse. You may notice differences in behaviour and/or mood swings. For instance, a student who usually likes to be the centre of attention comes to class quiet and withdrawn or vice versa could hint at some form of misuse. Bullying. If the bully is known to you then referral to a specialist councillor could be better than any confrontation. Educational Needs. If you find that a particular student is falling behind with their studies or they seem to be out of their depth you could try to find some time for a bit of one to one tuition to get them back on course. If this approach fails then relocation to another class might do the trick. Violence. Violence of any sort, whether against the teacher or another pupil, should not be tolerated in any way, shape or form and should be reported to the relevant authorities immediately. All of the above issues should be referred to the appropriate person, body, council, organisation or authority such as; Head/senior teacher, tutor, line manager, medical staff, student support groups, counciling teams, social workers, educational specialists and in extreme cases the Police. Legislation. Legislation is prevalent in normal day to day life, therefore common sense. The main pieces of legislation that you must be aware of include; Disability Discrimination. There must be suitable provision to allow the same access to be able to fully participate in all lessons/activities. The Race Relations Act. It is illegal to discriminate against anyone because of their nationality, race, colour, ethnic origins or religious beliefs. Sexual Discrimination. Treating men or women differently because of their gender or marital status is against the law. Protection of Children Act. Local authorities can enquire about anyone wishing to educate children. When going into teaching a Criminal Records Bureau (C.R.B.) will be carried out. Data Protection. Confidentiality of any records that you may have to keep. Depending on the organisation you work for and teaching subject other legislation may come into practice. These may include; The Health and Safety Executive, Control of Substances Hazardous to Health (C.O.S.H.H.). You must also be able to outline a risk assessment plan and take the necessary steps to safeguard yourself and others.

Capital Punishment Vs. Life Inprisonment essays

Capital Punishment Vs. Life Inprisonment essays What is more effective: capital punishment or life imprisonment? I chose the topic because from my list of options it appeared to be the most interesting and challenging. I also felt that it related well to current topics and controversies in todays society. It was very easy to find information on capital punishment, while it was a small challenge to find thorough information on life imprisonment. It seems as though, most critics are willing to express their views on capital punishment, but not on its alternatives. Before researching the backgrounds and uses of capital punishment and life imprisonment, I did not have a very strong opinion or viewpoint on the topic. I have never truly been for or against the use of capital punishment. Up to this point in time I have been unable to form a good opinion because I have never obtained enough knowledge of the subject. Recently, after my large study of both options, I have formed an opinion, I believe that capital punishment is more effective than life imprisonment as a permanent punishment for a criminal who has committed serious crimes. Capital punishment has a long history. The use of capital punishment dates all the way back to 2000 BC. People were put to death for crimes ranging all the way from murder down to petty theft. Today our society is said to have the most humane way of executing prisoners, lethal injection. Our countries past use of electrocution and gas chambers were even humane when compared to the methods of execution of the past. Which included being hanged, beheaded, stoned, stretched on racks, pressed to death with weights, cut into pieces, disemboweled, torn to pieces by horses, consumed by lions, burned alive, drowned, crucified and shot (Horwitz 13). In early civilizations punishment by death was used evenly at almost all times, therefore making it a good deterrent. Today however, the use of capital punishment is not meted out as evenly. Some...

The History of Miniature Golf

The History of Miniature Golf According to the American Heritage Dictionary, miniature golf is a novelty version of golf played with a putter and golf ball on a miniature course and featuring obstacles such as alleys, bridges, and tunnels. Garnet Carter was the first person to patent a game of miniature golf which he called Tom Thumb Golf in 1927. However, there were a few earlier unpatented versions of miniature golf type games. For example, in 1916, James Barber of Pinehurst, North Carolina had a miniature golf course on his estate called the Thistle Du. There were also patented processes that related to the game. Garnet Carter built his miniature golf course on Lookout Mountain in Tennessee to draw traffic to the hotel he owned. His wife, Frieda Carter did most of the designing of the courses obstacles which had a fairyland theme. Patented Cottonseed Hull Surface In 1922, Englishmen, Thomas McCulloch Fairborn who was living in Tlahualilo, Mexico built a miniature golf course with a surface made from crushed cottonseed hulls mixed with oil, dyed green, and rolled on top of a sand foundation. Fairborn also founded a company called the Miniature Golf Courses of America Inc. Fairborn patented his method of making a playing surface, which was an inexpensive method. In 1926, Drake Delanoy and John Ledbetter built New York City’s first outdoor miniature golf course on top of a skyscraper. Delanoy and Ledbetter copied Thomas Fairborns process of using crushed cottonseed hulls and infringed upon Fairborns patent. Eventually, a financial arrangement was arrived at between Delanoy and Ledbetter and Fairborn that let the cottonseed hull process be used over 150 roof top miniature courses in New York City. Garnet Carter also had to pay a royalty to Fairborn since he used the cottonseed hull surface on his miniature golf course. Carter founded the Fairyland Manufacturing Corporation, which by 1930 manufactured and sold over 3000 of his Tom Thumb miniature golf course franchises. Â   Continue The History of Golf or Photo Gallery

Federal agency Essay Example | Topics and Well Written Essays - 500 words

Federal agency - Essay Example This part of the paper explains the process and structure by which agency oversees or regulates its working and overall health management processes. There is an Audit Services Division, communal Secretariat Scientific, executive General of Agency, theses department are that is responsible for reporting in a straight line to the Chief Public Health Officer. The Public Health Agency of Canada (PHAC) interior Audit purpose gives the Chief Public Health Officer (CPHO), the Minister of Canada, and Agency executive with an autonomous ability to carry out audits that is dependable with agency and central agency strategies; to react to agency main concerns and to augment the effectiveness, efficiency, and financial system of operations. 2 Now paper gives answer of why it is important that this agency oversee or regulate these businesses? agency oversee or regulate these businesses because they are focused on additional effectual hard work to avert chronic diseases, such that HIV, hepatitis, cancer and heart disease, avoid injuries and take action to public health emergencies and communicable disease eruptions, the Public Health Agency of Canada workings intimately with all regions and provinces to keep Canadians strong, healthy and assist decrease pressures on the health care structure. The Agency will be division of the public service and will be leaded by the CPHO (told earlier) who will provide the continuous statement to the Minister of Health of Canada. Health Canada will as well provides details to the Minister of central Canada. 3 This part of the paper outlines the recent actions or ruling has the agency made. Recently the Federal Agency for Health Canada has issued a policy and coordination. It works together with analysts in all region of the Branch to expand eloquent and incorporate Branch policy and as well improve more awareness among the people about chronic diseases. By meeting and producing key

Cybercrime and Digital Evidence Assignment Example | Topics and Well Written Essays - 750 words

Cybercrime and Digital Evidence - Assignment Example Nonetheless, the internet users must adopt and apply all the necessary cyber privacy policies. The currently increasing modes of cybercrimes include encryption and anonymity that are growing to advance levels. Nonetheless, computer forensic has remained a vital tool in eliminated all cybercrimes as well as convicting such related criminals including sexual predators, terrorists, and murders. Terrorists may use the internet platform to recruit members and plan their terror acts, while the sexual predators are likely to use social media sites to lure potential victims. Most of these crimes usually go undetected especially when the criminal investigation team uses technologies that were implemented before some computer technological advancements (Maras 151). However, the criminal investors must note that none is lost and they can still pursue cyber criminals even if they delete the information that may be regarded as illegal data or information. Notably, when persons use computer, they often think that when they delete such information or data, all such is erased completely. On the contrary, such files and data usually remain in the hard disc; thus, providing platform of investigating and or tracking cyber related criminal activities. Deleted file and data usually remain in the in a binary form because of â€Å"data remanence† that is also considered as residual data presentation. Extraction of such data and files are avenues that cybercrime investigators should deploy to prosecute the criminals. In fact, deleting of the file and or data is just a mere renaming the data or file and hiding it from the user. This means that the original file can still be recovered in its original content; thus, can be used for prosecution (Maras 172). Therefore, the public or persons who have experienced cybercrime related activities must not serge on the pretext that the suspected criminal has deleted the information they used against them, but they should report the same si nce such information could be retrieved for further actions. Additionally, the global position systems (GPS) software is usually embedded in the satellite a smartphones navigation systems are also modes of prosecution since they can be used to track a suspect. The GPS related information can be traced from the form manufacturers since the companies that develop this software usually develop satellite navigators; therefore, using necessary tools and technologies the computer forensic experts should liaise with the GPS developer to obtain the information that they need for crime purposes. Notably, information usually travels through internet through the GPS systems and the same is distributed through satellite. However, the use of GPS to track criminal may be turn futile since GPS software is only limited to certain address listing. In fact, the current GPS software systems do not record time when the address was achieved; thus, using them will make it difficult to determine when the alleged crime was committed. Moreover, it may be difficult to ascertain whether the address recorded in the GPS software system was automatically generated or was a mere input to implicate a person. Therefore, it would be advisable for the computer fore

Lord Burlington and William Kent - Chiswick House near London Research Paper

Lord Burlington and William Kent - Chiswick House near London - Research Paper Example This can be seen in Chiswick House, which is plainer and simpler in style than a Baroque building. The new belief in order and reason caused architects to draw up â€Å"rules† for good architecture and search for â€Å"good taste† in design (Curl 37). Buildings were designed using ideal geometric shapes such as the cube, rectangle and circle (Curl 40). This can be seen from the plan of the rooms at Chiswick House: there is a hexagonal (six-sided) hall in the centre, which is surrounded by square or rectangular rooms, and the whole building is shaped like a cube (the room plan is reproduced in Curl, 30). The eighteenth century saw important social changes. The monarchy and the church were declining in importance while the importance of the middle classes and the aristocracy was increasing (Black 269). A good example is the Earl of Burlington, the architect and owner of Chiswick House, who was an important patron of the arts and a private individual, not a royal. Aristocr ats were often landowners, and the eighteenth century was the great age of landscape gardening (Black 270). Chiswick House is surrounded by gardens, which were planned by Burlington’s assistant, William Kent. There was an increasing trend for aristocrats to go on a Grand Tour to Italy, to learn about ancient history and to collect works of art for their country houses (Black 293). Lord Burlington first visited Italy in 1714 and returned to Italy in 1719 to study buildings designed by Palladio, a great Renaissance architect. Chiswick House is modelled on Palladio’s Villa Rotonda, though it is not an exact copy. Chiswick House is smaller than the Villa Rotonda and it has a portico (with classical columns) on only one side of the building, while the Rotonda has porticos on all four sides (Steenbergen 131). Palladio and Burlington were both trying to recreate the villas of the ancient Romans. This may have had a political significance for Burlington, since he was a member of the British aristocracy, who modelled themselves on the â€Å"patricians† (aristocrats) of ancient Rome. Burlington did not actually live at Chiswick House: he used the building to display his art collection, hold concerts of music, and entertain his guests. The Enlightenment’s love of order and reason can be seen when we look at the front exterior of Chiswick House. The general effect is formal, symmetrical, and elegant. The stonework is quite plain. The only decoration is to be found in the elaborate (Corinthian) tops to the columns and the triangular tops to the two large windows. Two cleverly designed flights of steps lead up to the portico. The columns and the dome are important features of classical architecture. The interior of the house is much more colorful and elaborate, perhaps as a deliberate contrast to the rather plain exterior. Outside the house, at the bottom of the steps, there are statues of Palladio and Inigo Jones, who was the first English archi tect to design buildings in the Palladian style. This kind of symbolism continues inside the house. For example, the entrance to the central hall contains a bust of Augustus, who was the first Roman emperor. On the ceiling of the Blue Velvet Room there is a depiction of the goddess of architecture, and on the ceiling of the Green Velvet Room there is Mercury, god of commerce and the arts. The Chiswick House website suggests that Mercury could symbolise Burlington himself, a great patron of the arts. The use of symbolism extends into the gardens. There are statues of

Any article related to human resources development Annotated Bibliography

Any article related to human resources development - Annotated Bibliography Example Although HRD governs a wide range of concepts, this paper mainly focuses on education and training of manpower. The author regards investment in these two areas as the key to move from one level of economic progress to the next. A lot of emphasis has been laid on the importance of â€Å"knowledge work† as being an important step in HRD. Knowledge work comes from formal and specialized education of work-force and workers having specialized knowledge can perform way better than unspecialized traditional workers. Some other factors like technological advancement, information revolution and globalization also exert important influences on HRD. These factors are interlinked and through proper training and education of human resource, these factors can help a lot in climbing the ladder of economic progress. Education of employees is regarded as being extremely important in this paper. Formal education along with specialized skilled training can contribute a lot towards economic progress. To address the idea of educating the work-force, a practical action is proposed in which technologically advanced training and education is considered a responsibility that is divided among three stake holders to make it easier to attain. The state, employers and trade-unions can work in close collaboration to accomplish the task of training the work force effectively. The paper therefore provides a very general but effective roadmap to improve the education and training of human workforce which is essential for economic progress at the national level. De Silva, Sriyan. "Human resources development for competitiveness: a priority for employers."  ILO workshop on employers’ organizations in Asia-Pasific in The Twenty-First Century, Turin, Italy.

Assignment 10 Chapter 9 Example | Topics and Well Written Essays - 250 words

10 Chapter 9 - Assignment Example Resource loading gives a project planner a rough estimate of the resources that are required for a given project. Resource loading is determined to a large extent by the time to be taken by each project activity. Resource loading differs from resource leveling in that resource leveling aims at appropriate resource allocation such that the activity is not over-allocated any resource. It also reduces any chances of under-allocation of resources. Resource leveling can be done by delaying or splitting an activity until when the required resource is available. Critical chain concept was developed to solve the problem of time wastage in project implementation. Critical chain is explained as the longest chain of project tasks that are logically dependent. Since the planner cannot be sure of the critical chain timeline, buffers are used manage and control any variations that might occur. Buffers ensure that the project finish date is not

Gender Roles In The Second World War (UK) Essay

Gender Roles In The Second World War (UK) - Essay Example The term begins to take new meaning at the beginning of feminist’s movement who asked for equal rights, so it was called the first wave of feminism. The movement was briefly forgotten during the war upon which, feminism took a new meaning for them, that of leaving the patriarchal society to become members of the men’s world. The study of Ziegler, Kathryn, refers to two kinds of feminity, one is conventional and the other is the formidable femininity. To her, conventional roles are those associated with docility, passivity, and weakness. A formidable feminity has a redefined role in that they use their bodies to enact manly techniques. Their femininity is redefined as their performances are constituted with fighting, feminine fashions, and sexiness. Thus Kathryn, Ziegler, said, formidable femininity â€Å"diminish their dependence on men, maintain their femininity. She concludes that women can be both feminine and formidable at the same time. They can learn to protect t hemselves by learning techniques for fighting.Feminity is also defined by Brownmiller, Susan, as â€Å"making oneself as harmless, and that the feminine principle is composed of compliance and conflict†. Brownmiller argues that femininity merges female weaknesses with conflict avoidance. Brownmiller is a controversial writer because of her assertion that â€Å"rape is a process of intimidation in which all men keep women in a state of fear† She said rape is a tool used by men ever since as a form of oppression to women.

Assignment 10 Chapter 9 Example | Topics and Well Written Essays - 250 words

10 Chapter 9 - Assignment Example Resource loading gives a project planner a rough estimate of the resources that are required for a given project. Resource loading is determined to a large extent by the time to be taken by each project activity. Resource loading differs from resource leveling in that resource leveling aims at appropriate resource allocation such that the activity is not over-allocated any resource. It also reduces any chances of under-allocation of resources. Resource leveling can be done by delaying or splitting an activity until when the required resource is available. Critical chain concept was developed to solve the problem of time wastage in project implementation. Critical chain is explained as the longest chain of project tasks that are logically dependent. Since the planner cannot be sure of the critical chain timeline, buffers are used manage and control any variations that might occur. Buffers ensure that the project finish date is not

Philosophy of Nursing Essay Example for Free

Philosophy of Nursing Essay One cannot achieve overall health unless they are physically, mentally, emotionally, and socially well. All of these aspects must be at optimal best allowing one to function well in life. Physical health is obtained by following a healthy diet, exercising regularly, and limiting exposure to toxins (drugs, alcohol, pollution). It is also important to have oral and physical examinations at regular intervals and to practice preventative measures to combat possible illnesses. Mental and emotional health can be referenced interchangeably. They are different in theory but encompass some of the same factors. Managing daily stressors such as work, relationships, and finances can prevent the occurrence of stress induced mental health issues such as depression and anxiety. A socially healthy individual is able to coexist among different types of people without experiencing harmful conflict. It involves the ability to compromise and contribute to meaningful relationships. Social well being is also exemplified through good communications skills, maintaining meaningful relationships, respecting oneself and others, and creating a support system that includes family members and friends. Illness has a physical or mental effect. If a person is diagnosed with a physiological ailment or disease, that person is physically ill. If a person suffers from a mental disorder or disease such as depression, anxiety, or substance abuse, that person is mentally ill. When a person is ill it can simply be described as the opposite of the above mentioned states of well being, however, illness can occur (even if an individual takes all the necessary preventative measures) simply as a result of genetic predisposition. Person There is a broad range of nursing patients. The commonality of most nursing care recipients is they are ill or have been altered from their mental or physical normalcy. The most common nursing client is a patient in a doctor’s office. Individuals with previous hospitalizations and those who have never been hospitalized most likely have had visits to their doctors office which involves contact with a nurse. Characteristics or traits that most patients have in common are fear, anger, powerlessness, humility, and appreciation. Often patients are uneducated of the nursing process, thus not able to identify the purpose of the nurse and how influential nurses are to the healing process. If and when the patient has the capacity and willingness to learn, care plans are the most effective method to inform the patient of what is going to happen and the contributions expected of them during their hospitalization. Environment There is a wide variety of environments where nursing is practiced. Hospitals are most populated by patients receiving skilled nursing care. The environment is usually conducive to providing care while focusing primarily on patient satisfaction. While some hospitals strive to implement magnet programs, few have achieved magnet status. Magnet status is the staple of excellent nursing care. An increasing number of patients are familiarizing themselves with the term â€Å"Magnet† and broadening their expectations. Hospitals are usually fast paced as nurses collaborate with other nurses, physicians and case managers to implement an individualized care plan upon admission. Home care is of growing interest for many nurses mainly in response to the autonomy this field offers. Nurses are able to generally schedule their visits around demands of their private lives. Patients’ homes differ greatly.  Cleanliness or lack there of, many family members present or the patient lives alone with no support system, safe neighborhoods or high crime areas are some factors that contribute to the environment, influencing nursing care in the home. Some home health agencies provide the nurse an abundance of supplies to deliver patient care, however some agencies do not have the same budget capabilities. In this case the patients’ care can be compromised or postponed until the nurse is provided necessary items. A negative connotation is primarily given to skilled nursing facilities (or SNF’s) by patients and their families. This is mainly due to expectations of receiving an abundance or RN level care. Patients are not aware that SNF’s are usually staffed with mostly LVN’s and CNA’s with one or two RN’s to manage the facility through communication with physicians, delegating tasks to nursing staff, and utilizing critical thinking skills in emergent situations. Nursing During nursing school interviews, nurses are posed the most commonly asked question, â€Å"Why do you want to become a nurse? † The usual response, â€Å"Because i like helping people†, is often given without hesitance. This is the easy, less thought provoking answer to this question and usually from an inexperienced nurse. Helping people is what nurses do, however it is a result of carrying out the many tasks required throughout a day of nurse duties. Nursing is not just about helping people, it is not just about being a caring and nice person. Nurses are highly intelligent individuals who encompass and apply an abundance of knowledge throughout their day of work while perfecting the art of prioritizing. Engaging in â€Å"dirty work† while understanding multi system failure is among the many gifts of nurses. The stereotype of nurses is a woman who almost fearfully respects and answers to doctors; carrying out doctors orders with the mannerisms of servants. Actually, nursing is the contrary of that belief. Nurses are trained to question physicians when in doubt of the accuracy of their orders. Nurses are trained to be concerned with the patient as a whole and to address all of their needs, promoting wellness throughout all realms of life and not just the physical illness. An excellent nurse understands that a patient needs to be well physically, mentally, and socially in order to be considered healthy. The nurse will attempt to address and settle theses issues before nursing care ceases. Communication plays a big role in nursing and is one major difference between nursing and medicine. Nurses generally spend more time with patients than doctors, either during a shift or frequent visits, thus increasing communication and familiarity with patients. While there are many different theories of nursing, all nurses must have one thing in common. Nurses must greatly enjoy helping others to deliver excellent nursing care.

Nursing Care Plan for Post Operative Knee Pain

Nursing Care Plan for Post Operative Knee Pain EMORY UNIVERSITY NELL HODGSON WOODRUFF SCHOOL OF NURSING NRSG 360 Clinical Nursing I Clinical Work Sheet for Weekly Clinicals OVERVIEW: (Preparation for clinical week 2) Client’s Initials__L.W________ Age 74YRS___Admit Date_11/17/2014____ and/or Procedure Date _11/17/2014________ Today’s Date_11/20/2014________ Medical Diagnosis/Reason for Admission __Post-operative _pain____ Admitting Diagnosis: RIGHT KNEE REVISION Describe (Brief Pathophysiology in your own words, including HPI)__Patient is a 74 years female with right knee revision due to acute post-operative pain came in for surgical consultation due to continued pain and a valgus deformity after having cast removed. She is on hinged knee brace for stability. Allergies: Ancef, Tolectin 600, Cephalosporins Social Hx Patient is a retired pharmacist, married with children. She is alert and oriented x4; uses tobacco before but quitted 20years ago.__________________________________________________________ HOW ARE THE ABOVE ITEMS RELATED? (Preparation Add on by Clinical week 3) Treatments (Accuchecks, dressing changes, PT, OT, RT, activity order, diet, Isolation, I/O) Medications (See Medication Summary) Systematic Concise Summary of Physical Assessment findings (See Checklist for Routine Bedside Assessment) General: (includes vital signs) BP: 119/69, P: 93, T: 73.3, R: 18, SaO2: 95, Pain: 8/10 Neuro: Alert and oriented x4, Pupils dilated and face expression is symmetry. Cardiac: Clear on S1 and S2. No extra heart sounds, murmurs, or ribs. Respiratory: Breathing is unlabored, chest movement is symmetric. Integumentary: (include wounds) Skin is normal, warm and moist, no skin discoloration. Wound dressing on the right knee and right femur edema. GI: Normal bowel sounds hyperactive in all quadrants. GU: Clear yellow urine Musculoskeletal: Active range of motion on upper extremities, impaired range of motion on lower extremities with brace on right leg. Right foot is dissented. Safety Concerns Fall risk, Pressure sore risk. ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ DIAGNOSIS: *Radiology results; lab; micro; orders Pertinent Diagnostic Tests This includes abnormal and significant normal. Test Date Findings/Results Implications/Nursing care X-RAY knee 1or 2 view right 11/17/2014 Degeneration joint disease Revision of the tibia and femoral X-ray chest 1or 2 view 11/12/2014 Cardiomegaly, Tortuous descending aorta, left basilar atelectasis. Surgery Lab Tests with Rationale for Abnormals and Implication of Findings: Name of lab Reference Range Level at Admit Level on Last Lab Nursing Implications Reason for level SS Date Level Date Level Red blood cell count 3.93- 5.22mmol/L 11/17/2014 2.8210E6/mcl 11/20/2014 2.6410E6/mcl Due to Surgery Hemoglobin 11.4-14.4 mmol/L 11/17/2014 7.9gm/dl 11/20/2014 7.4gm/dl Due to Surgery Hematocrit 33.3-41.4 mEq/L 11/17/2014 25.0% 11/20/2014 24.4% Due to Surgery mEq/L mg/dL Nursing Plan of Care Nursing Plan of Care NANDA NURSING DIAGNOSTIC LABEL (Choose #1 priority problem for patient) RELATED FACTORS Secondary to a Disease or Condition DEFINING CHARACTERISTICS* (As evidenced by signs or symptoms) * Remember â€Å"Risk For† Diagnoses do not yet have defining characteristics! Acute pain Related to knee replacement surgery Subjective: As evidence by pain rate of 10/10 Objective: Lower extremity weakness. Nursing Diagnosis Statement: Acute Pain______________________________________________ PATIENT EXPECTED OUTCOMES/GOALS (Specific, Measurable, Achievable, Realistic, Timely) PLANNED NURSING INTERVENTIONS RATIONALE EVALUATION (Not Met, Partially Met or Met) Patient Goal Patient will indicate pain level decrease to less than 5/10 Your Intervention: Administer pain medication Evaluation of Goal Goal partially met, Patient pain level was managed to a level of 6/10. Your Intervention: Facilitate Rest Your Intervention: Provide relaxation and guided imagery. Nursing Plan of Care Nursing Diagnosis Statement_____Ineffective coping ______________________________________________ NANDA NURSING DIAGNOSTIC LABEL (Choose #1 priority problem for patient) RELATED FACTORS Secondary to a Disease or Condition DEFINING CHARACTERISTICS* (As evidenced by signs or symptoms) Ineffective coping Related to pain due to ineffective function Subjective: patient report of anxiety Objective: patient appears withdrawn PATIENT EXPECTED OUTCOMES/GOALS (Specific, Measurable, Achievable, Realistic, Timely) PLANNED NURSING INTERVENTIONS RATIONALE EVALUATION (Not Met, Partially Met or Met) In patient terms only, summarize response to intervention Patient Goal (may have several) Patient will learn two coping skills Your Intervention: Encourage family support Evaluation of Goal Goal met, patient was able to relax by listening to , and daughter was there to give a moral support Your Intervention: Administer antidepressant /antianxiety medication Your Intervention: Involve relaxation therapy Nursing Plan of Care Nursing Diagnosis Statement: Risk for ineffective peripheral tissue perfusion. NANDA NURSING DIAGNOSTIC LABEL (Choose #1 priority problem for patient) RELATED FACTORS Secondary to a Disease or Condition DEFINING CHARACTERISTICS* (As evidenced by signs or symptoms) Risk for ineffective peripheral tissue perfusion. Related to coagulating factors released by bone during surgery. Subjective: Objective: PATIENT EXPECTED OUTCOMES/GOALS (Specific, Measurable, Achievable, Realistic, Timely) PLANNED NURSING INTERVENTIONS RATIONALE EVALUATION (Not Met, Partially Met or Met) In patient terms only, summarize response to intervention Patient Goal (may have several) Prevent clotting Your Intervention: Give anticoagulant medication Evaluation of Goal Goal met, Your Intervention: Encourage ambulation Your Intervention: Give compression stockings Nursing Plan of Care Nursing Diagnosis Statement: Risk for fall _________________________________________________ NANDA NURSING DIAGNOSTIC LABEL (Choose #1 priority problem for patient) RELATED FACTORS Secondary to a Disease or Condition DEFINING CHARACTERISTICS* (As evidenced by signs or symptoms) Risk for fall Related to lower extremity weakness Subjective: Objective: PATIENT EXPECTED OUTCOMES/GOALS (Specific, Measurable, Achievable, Realistic, Timely) PLANNED NURSING INTERVENTIONS RATIONALE EVALUATION (Not Met, Partially Met or Met) In patient terms only, summarize response to intervention Patient Goal (may have several) Prevent patient from falling Your Intervention: Assist with ambulation Evaluation of Goal Met, patient was able to ambulate to bedside Commode. Your Intervention: Make sure bed is in low position with the rails at the top of the bed up Your Intervention: Involve physical therapy References for your entire clinical worksheet: Ruth F. Craven, Constance J. Hirnle, Sharon Jensen, (2013) Fundamental of nursing: human health and function, (7th Ed). Philadelphia, PA: Lippincott Williams Wilkins Inc. Gulianick, M. and Myers, J. (2003). Nursing Care Plans: Nursing Diagnosis and Interventions. Mosby: St Louis Pearson Education http://wps.prenhall.com/ Nursing Central (200-2014) Using web sources in writing, Retrieved from http://www.unboundmedicine.com/ Schedule: *Pt Care Summary; Med list; Pt schedule; task list 7am Visit with patient and getting report from night shift staff. 8am Perform vital signs 9am Giving medication 10am Assist with morning care, mouth care, assist with bath. 11am Head to toe Assessment 12pm Assist to bathroom, Accu-check. State1 personal learning goal for this clinical day: ________Be able to give IV push and make my patient more comfortable. _________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ Did you meet your personal goal for the day? _____________________________________________Goal Met, I was able to give IV push of 5% dextrose to my patient after noticing low level of glucose. _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Checklist for Routine Bedside Nursing Assessment Mental/Neuro Status LOC Alertness/Orientation PERRLA Mood Behavior Check Patient ID Band Cardiopulmonary Heart Sounds Apical Rate/rhythm Lung sounds Breathing pattern Peripheral pulses Edema Capillary refill Hemodialysis Access – Graft/Fistula – bruit/thrill Oxygen Equipment Vital Signs BP P R Temp Pain SaO2 Gastrointestinal Bowel sounds Abdominal palpation Degree of ABD distension Bowel elimination problems (diarrhea/constipation/flatulence) Nausea/vomiting Genitourinary I O (quantity) Quality (color, clarity, burning) Continence/incontinence (Assistive devices) Reproductive problems/sexual concerns Motor Sensory Function ROM Paralysis Weakness_______________________________________________________________________________________________________________________________/Numbness/Tingling Assistive Devices Ambulation Wound Cleanliness Swelling/redness.infection Drainage Bandage dressing Integumentary Color Temp Turgor Moisture Integrity Braden Scale Score (Mon, Thurs: rescore at EUH) Invasive Tubes (IV’s, NGT, Wound drains, Catheters, etc..) Device and location IV Line(s): Fluids, Meds, Date of insertion/dressing/tubing Patency and position Redness, swelling, tenderness at site Drainage/Infusion rate Modified by Erin Poe Ferranti, 2005, 2007; Corrine Abraham, 2007 Adapted From: Elkin, Potter Perry (2004) Nursing Interventions Clinical Skills (3rd ed.) Mosby: St. Louis Medications MAR; MAR Summary: Medication Profile* Medication: Name/Dose/Route Time Classification Purpose Side Effects/Nursing Considerations OxyCODONE(10mg=1tab) 1 tablet PO 9:00 am Opioid analgesics Reduce pain Respiratory Depression May cause drowsiness Exenatide (10mcg injection) 1 each BID PRN Antidiabetics Lower blood sugar Pancreatitis, weakness Insulin aspart (BG > 150) (BG -100) /40= unit Antidiabetics Lower blood sugar Anaphylaxis, hypoglycemia Atorvastin (liptor) 20mg=1 tab, 1 tablet PO 9:00 am Antilipidemia Reduce Cholesterol level Chest pain, Rhabdomyolysis BuPRion 300mg=1tab 1tablet PO 9:00 am Antidepressant Treatment for depression Seizure, anxiety, dry mouth, depression ClonazePAM (0.5mg=1tab) 1mg=2tablets PO 9:00 am Anticonvulsant Prevention of seizure Fatigue, constipation, suicidal thought Docusate sodium (100mg=1cap) 1capsule PO 9:00 am laxative Prevent constipation Mild cramps, diarrhea, rashes Enoxaparin 30mg =0.3ml subq 9:00 am anticoagulant Blood thinner Constipation, urinary retention Levothyroxine (25mcg=1tab) 1tablet PO 7:00 am hormonal Treatment for hypothyroidism Tachycardia. Abdominal cramps Alprazolam (0.25mg=1tab) 9:00 am antianxiety Relief of anxiety Constipation, blurred vision Venlafaxine (75mg=1cap )150mg= 2capsule PRN Antidepressant antianxiety Decrease depression, anxiety and panic attack Chest pain, anorexia, itching, epistaxis Hydrocodone (10mg-1tab) 1tablet PO 9:00 am opioid Decrease pain Respiratory depression, apnea, anaphylaxis

Betrayed by Constanin Costa-Gavras :: Movie, Film

The opening lyrics to America the Beautiful, ï ¿ ½O beautiful for spacious skies, for amber waves of grain,ï ¿ ½ demonstrate how agriculture and wheat farming have been ingrained, to almost mythical proportions, as quintessentially ï ¿ ½Americanï ¿ ½ amongst citizens in the United States. As the Great Plains of the Midwest helped establish the U.S. as a major economic superpower throughout the twentieth century, the nation grew by distributing vast amounts of grain across the globe, providing those farming in the region both a secure and profitable existence. But with the proliferation of farming technologies enabling foreign nations to establish a foothold in a new global economy, the U.S. and its farmers faced increased competition, and their stranglehold on grain exportation waned. ï ¿ ½You just canï ¿ ½t make a living growing wheat anymore,ï ¿ ½ says Greg Grenz, a farmer in Eureka South Dakota, as many ï ¿ ½U.S. farmers are increasingly under pressure as Americaï ¿ ½s ru n as a wheat powerhouse, and the dominant player in global agriculture, is under attack from a crop of newly emboldened, low-cost international rivals who are striking at one of the main pillars of American economic might: food exportsï ¿ ½ (Roger Thurow, 2004). Security and prosperity it seems are dwindling in the nationï ¿ ½s fertile plains. In most cases, with little recourse available, todayï ¿ ½s farmers are faced with a frightening decision: change their farming practices, via planting new crops or utilizing new techniques, or quit farming outright, forfeiting lands that may have been in families for generations and, more importantly, losing an identity that many consider to be most ï ¿ ½American.ï ¿ ½ ï ¿ ½Constanin Costa-Gavras, in his film Betrayed (1988), uses this framework of economic hardships caused by a declining farming industry to present his audience with some farmers who have decided on another option, lashing out violently at people who they believe are responsible for their plight. The film about ï ¿ ½star-crossed love [and] death and danger in white-picket-fence Americaï ¿ ½ (Kemply, 1988), involves a fictional community that employs white supremacist ideology to spread hate and intolerance as they blame Jews, non-whites, and the government for the economic conditions which they endure. The film also demonstrates the early use of the computer to branch out and connect these hate mongers, forecasting the use and proliferation of the internet to recruit new white supremacists around the country. As Randy Blazack, sociologist from Portland State University, elaborates in American Skinheads (2007), ï ¿ ½whether youï ¿ ½re recruiting people to be suicide bombers or recruiting foot soldiers in the racial holy war, youï ¿ ½re going after the same set of people, youï ¿ ½re going after people who feel like theyï ¿ ½re at the end of their rope, and the only recourse left is one of violenceï ¿ ½ (Geographic, 2007).

Harriet Powers :: biographies bio biography

Harriet Powers was born as a slave in 1837 in the state of Georgia. Powers was the creator of two specific quilts which are the most famous and well preserved examples of Southern American quilting tradition still in existence. Powers used the traditional African appliquà © technique coupled with the European record keeping and biblical reference traditions. Using these techniques, Powers was able to capture historical legends and Biblical stories in her quilts. Harriet Powers’ quilts were first seen at a crafts fair by an artist, a Southern white woman named Jennie Smith. Ms. Smith, who kept a diary and upon first meeting Harriet, recalls -- "I found the owner, a negro woman, who lived in the country on a little farm whereon she and her husband made a respectable living. She is about sixty five years old, of a clear ginger cake color, and is a very clean and interesting woman who loves to talk of her 'old miss' and life 'befo de wah.' " At first Harriet Powers was unwilling to sell her quilts to Ms. Smith. Yet when she and her family came into financial difficulty she agreed to sell them. Ms Smith writes -- " Last year I sent her word that I would buy it if she still wanted to dispose of it. She arrived one afternoon in front of my door in an ox-cart with the precious burden in her lap encased in a clean flour sack, which was still enveloped in a crocus sack. She offered it for ten dollars, but I told her I only had five to give. After going out consulting with her husband she returned and said 'Owin to de hardness of de times, my ole man lows I'd better tech hit.' Not being a new woman she obeyed. After giving me a full description of each scene with great earnestness, she departed but has been back several times to visit the darling offspring of her brain.

Odyssey- Odysseus’s Behavior Essay

Odysseus’s behavior was ironic when he deliberately concealed part of Circe’s prophecy from his men because when Odysseus and his men went through Scylla, all of the men were scared and some of the men were killed. In the Odyssey it said that: â€Å"My men all blanched against the gloom our eyes were fixed upon that yawning mouth in fear of being devoured† (Homer886) This quote showed that Odysseus’s behavior was ironic because since he did not tell his men that they were going through Scylla so they were terrified. The men just saw this huge whirlpool in the middle of the sea and were not really pleased to hear that they were going through that and not knowing the outcome. They were very scared because the outcome could result in them dying. When the Odyssey was talking about when Odysseus’ men were getting killed The Odyssey said: â€Å"Then Scylla made her strike, whisking six of my best men from the shop. It happened to glace aft at ship and oarsmen and caught sight of their arms and legs, dangling high overhead† (Homer886). This quote is showing that Scylla ate six of Odysseus’ best men while they were traveling by her. This was the aftershock of Odysseus not telling his men that they were going to see Scylla in this journey and most likely get eaten. Yet again all of the me were ate only because Odysseus did not tell his men about the ending that they could of all been dead in the end. In conclusion, Odysseus’ behavior was ironic when he deliberately concealed part of Circe’s prophecy from his men because Odysseus did not tell his men that they would travel though her and get scared and eaten.

How illiteracy influences people’s life Essay

In the movie, â€Å"The Reader,† Kate Winslet played the role of Hanna Schmitz, an illiterate train conductor who was sent to jail without even understanding what she has done wrong. When Hanna said the line, â€Å"I would rather listen to you†¦ ,† I was moved because these few words allowed me to empathize with people who are illiterate. It gave me a glimpse of the feelings of helplessness and frustration they must encounter in their everyday life. The movie also showed me how illiteracy can affect a person’s life. Because of the fact that they do not have access to the information the rest of the world has, they end up being enslaved by the opinions of the literate. It is impossible for them to construct opinions as they do lack the details needed to create one. At the same time, they are forced to be dependent on people who can provide them with this information. They are also under the mercy of people who have knowledge in the written law. The movie also showed me how humbling it must be not to be able to read or write. At the start of the movie, she had an affair with a man half her age. And, whenever the man would read for her, her seniority faded away because of the way she would act like a child waiting for her father to read her a bed time story. Hanna’s story shows how important being literate is. It plays an important role in a person’s life as it can change his or her destiny. In this essay, I would like to talk about the changes and effects of literacy to a person’s mind and life. I would like to show how literacy can give intellect and power to a person by going through the works of Staple, Douglass and Kozel which they created in order to emphasize the importance of literacy in the democratic world. Brent Staple, an author and editorial writer for the New York Times, recounted the way his grandfather changed his life by learning how to read. In one of his articles, he wrote: Name of Author – 2- â€Å"Nevertheless, the ability to read and write gave them a vantage point on their circumstances and protected them from swindlers who regularly stripped illiterate people of land and other assets. † (p. 1) Staple’s grandfather was able to gain his independence by learning how to read and write. He also learned how to distinguish what is good from what is bad, what can benefit him and what can ruin his life. He also found himself with the power to think and give his opinion as he now has a better grasp of the issues around him. Armed with the knowledge he was able to acquire from reading, he found the power to make his own decisions and fight for his rights. He was able to free himself from the prison of other people’s thoughts. Another writer, Frederick Douglass, who is famous for his line: â€Å"I would unite with anybody to do right and with nobody to do wrong,† wrote an article that is parallel to Staple’s article in the way that he talked about the way literacy influenced his life and his thinking. Douglass’ story, however, is quite different from that of Staple’s grandfather. In his story, he recounted that he learned how to read in secret with the fear of being beaten. Being born a slave, Douglass was passed on from one owner to another. The wife of one his owners taught him the alphabet even though she knew that there was a law against teaching slaves how to read. Her husband obviously disapproved about this when he found out. He believed that a slave who gains literacy will be unsatisfied with his condition and yearn for freedom. Even with the threat of being caught and beaten up, Douglass learned how to read with the help of the white children in the neighborhood. He also did his best to observe the way the order white men would write. His perspective changed after he has attained literacy. Douglas realized that black men are not brutes or savages who should be limited to working as a slave, Name of Author – 3 – they have the right to be educated and respected. As his master predicted, he yearned for the freedom that the white people have. As he continues to learn how to read and write, Douglass’ attitude to life is gradually transformed by literacy. Douglass mentions in the article: â€Å"I read them over and over again with unabated interest. They give tongue to interesting thought of my own soul†¦. The moral which I gained from the dialogue was the power of truth over the conscience of even a slaveholder. † (p. 45) By learning how to read and write, Douglass learned not only the meaning of words and sentences, but the power of knowledge. He slowly became aware of his rights as a human being and how unfairly the black people have been treated. He also realized that illiteracy is the reason why the white people were able to enslave his race for so long. Not only did illiteracy keep them unaware of their rights, it also made them unable to think for themselves, to distinguish from right and wrong, what is harmful and what is not. It also stopped them from acquiring the knowledge that they need to pursue their freedom. Hence, they were influenced by the white people to believe that their only purpose in life was to work for them. With his newfound knowledge, he was able to change his life and gain his freedom. At the same time, having appreciated the value of literacy, he passed on the knowledge to other slaves, giving them the opportunity to change their own lives. In Kozol’s article, he focuses on how illiteracy can threaten a person’s way of life and thinking. He believes that one will never really have ability to protect himself if he is illiterate because he is always unaware of what’s going on. He can’t read the strange signs on the street that warns him of danger or tells him that he is breaking the law. Neither can he read legal documents, making him vulnerable to being swindled. He is also unaware of his rights. Kozol Name of Author – 4 – says, â€Å" They do not know what rights they have, what deadlines and requirements they face, what option they might choose to exercise. They are half-citizens. Their right exist I print but not in fact. † (52-53) They cannot protect their own rights since they don’t know what their rights are. Neither can they apply their rights or make a choice because they do not know what their options are. The same points were tackled by Douglas in his article when he said that black people were treated like slaves because they were not literate and were not given the chance to know that they do not have to limit themselves to such a status. They just thought that would go through this nightmare for the rest of their lives because no one could save them. What they didn’t know was they could’ve saved themselves had they known that they had rights to fight for. If they had been literate, they would have realized that they are not slaves and they have right to be educated and respected because they are humans. Illiteracy, however, has exiled them to such an nightmarish existence where their destiny is dictated by their masters. Now literacy still plays the most important role in society. If you are not able to read and write, it would be really hard for you to live. You wouldn’t know how to deal with a lot of things. You wouldn’t know what is right or wrong, what would benefit you and what would harm you. Because of the numerous things that you do not know, your lack of knowledge can bring you harm. At the same time, your lack of knowledge, stops you from having your own beliefs or opinions. And, since you have know access to the options you can choose from, you end up believing that there are none and the only thing you can do is follow what the other people are doing or to have the same opinion as they do. Without literacy, all the people can do is follow and obey, allowing other people to take charge of their own lives. If a country is filled with illiterate people then democracy is useless since the mindless majority can be controlled by the Name of Author – 5- government and the votes of those who are literate and have their own minds can be surpassed by those who aren’t. If that is the case, then the government can become a dictator in the guise of democracy. Hence, it is safe to say that without the presence of literacy, there is no knowledge. Without knowledge, there are no choices. And, without knowledge, there is no freedom which is the very essence of democracy.

General Aspects Of Calcium Looping Environmental Sciences Essay

The extenuation of CO2 emanations by power workss is without a uncertainty a precedence, nevertheless some of the engineerings available impose important energy punishments [ 1 ] . Calcium iteration is engineering for the phase of CO2 gaining control, which is usually the most dearly-won phase in the CSS procedure [ 2 ] . This engineering has the potency to extinguish up to 90 per centum of the emanations generated by coal-burning power Stationss, which could farther be improved by combination with biomass-fired power Stationss [ 2 ] . It has gained great attending due to the comparatively little extra energy that requires to run ( estimated at 6 to 8 per centum ) compared to other CO2 gaining control engineerings and the usage of crushed limestone as a sorbent which is unusually inexpensive [ 1 ] .General facets of calcium-loopingThe engineering is based on the reversible gas-solid reaction of Ca oxide ( CaO ) and C dioxide ( CO2 ) to bring forth Ca carbonate ( CaCO3 ) [ 3 ] . This is used to bring forth a pure watercourse of CO2 available for geological segregation [ 1 ] . Calcium iteration has a figure of advantages compared to closer to-market gaining control strategies, including: the usage of go arounding fluidized bed reactors ( a mature engineering at big graduated table ) ; sorbent derived from abundant and environmentally benign limestone and dolomite precursors [ 2 ] . Another cardinal advantage is the synergism with the cement industry which allows potentially to decarbonise both cement production and electricity coevals [ 2 ] . A low punishment is achieved partly because portion of the energy is recovered in the signifier of hot sorbent stuff and the hot CO2 can besides be used to power an extra steam rhythm [ 3 ] . The reversible reaction once described can be expressed as it follows: CaO ( s ) + CO2 ( g ) a† Ã¢â‚¬  CaCO3 ( s ) I†Hr,298K = – 178 kJ/mol One of the cardinal restrictions is the ability of the limestone to respond lessenings with the figure of rhythms and hence much of the research for this engineering is aimed at methods to optimise the long-run responsiveness or to reactivate it [ 1 ] . There are important similarities between the post-combustion and pre-combustion procedures ; since both use CaO ( calcium oxide ) as a sorbent and this non entirely, but normally derived from limestone [ 1 ] . This sorbent is repeatedly cycled between two vass: in one of them the carbonation of CaO occurs by depriving the fluke gas from the CO2 it contains, the first vas is called the carbonator [ 1 ] . At this point Ca carbonate ( CaCO3 ) is formed and it is transferred to the 2nd vas ( calciner ) in which calcination takes topographic point [ 1 ] . The CaO is transferred back to the carbonator vas go forthing pure CO2 available for segregation [ 1 ] .Pre-combustionThe overall reaction that takes topographic point in the gasifier can be described by the undermentioned equation: CO ( g ) + H2O ( g ) + CaO ( s ) = CaCO3 + H2 ( g ) I†Hr,298K = -219 kJ/mol In the gasifier, it is desired to utilize calcium oxide as a sorbent for CO2 since it removes CO2, generates H2 as a merchandise and the carbonation of calcium hydroxide generates utile heat that can be used to drive farther reactions. A extremely promising procedure has been developed by the ZECA ( Zero Emission Coal Alliance ) that involves the usage of Solid Oxide Fuel Cells ( SOFC ) . Pre-combustion applications of calcium-looping are particularly assuring for H2 production. There are nevertheless, important barriers that are yet to be resolved [ 1 ] . Most of the restrictions are derived from the fuel cell itself, since it must be able to work at temperatures over 1370 K and digest sulfur compounds. The procedure is described by figure 2 and the reactions that take topographic point in each measure of the procedure can be found in table 1. Figure 1. Flow diagram of the ZEC procedure [ 6 ] Figure 1. Flow diagram of the ZEC procedure [ 6 ] . Gasification vas C ( s ) A +A 2H2 ( g ) A a† Ã¢â‚¬â„¢A CH4 ( g ) C ( s ) A +A 2H2O ( g ) A a† Ã¢â‚¬â„¢A CO ( g ) A +A H2 ( g ) A +A H2O ( g ) A a† Ã¢â‚¬â„¢A CO2 ( g ) A +A 2H2 ( g ) Carbonation and reforming vas ( s ) ( integrated heat transportation ) CH4 ( g ) A +A 2H2O ( g ) A a† Ã¢â‚¬â„¢A CO2 ( g ) A +A 4H2 ( g ) CaO ( s ) A +A CO2 ( g ) A a† Ã¢â‚¬â„¢A CaCO3 ( s ) Calcination vas CaCO3 ( s ) A a† Ã¢â‚¬â„¢A CaO ( s ) A +A CO2 ( g ) Fuel cell 2H2 ( g ) A +A O2 ( g ) A a† Ã¢â‚¬â„¢A 2H2O ( g ) Table 1.A Reactions involved in the ZEC procedure.Post-combustionPost burning calcium-looping is a extremely promising engineering since it offers an obvious chemical compatibility with cement production that will be discussed farther. There is a figure of procedures that are presently traveling from pilot to demonstration scale [ 1 ] , nevertheless for a general overview a general procedure will be described ; in this instance the one used by Shimizu et al [ 4 ] . For this procedure, a sorbent derived from limestone is used to capture the CO2 contained in the fluke gas produced by an bing power works [ 1 ] . The fluke gas is passed through a fluidised bed carbonator runing at temperatures between 873 and 923 K [ 1 ] . The limestone-derived dissolver is so inserted into the calciner ; a 2nd fluidised bed that operates at temperatures between 1173 and 1223K [ 1 ] . Coal is one time more burnt in the calciner to supply extra heat for calcination, but coal at this phase is burnt in a O2 and CO2 atmosphere in order to keep concentrations of CO2 every bit high as possible [ 1 ] . Most of the heat produced at this phase can be used to run a hi-efficiency steam rhythm. Abanades et Al. [ 5 ] estimations an overall energy punishment that ranges from 6 to 8 per centum for the overall procedure. Figure 2: Potential burning procedure utilizing Ca iteration ( post burning ) [ 1 ] . Although Post-combustion gaining control has become a precedence merely late, it has been used for a considerable sum of clip for H production, in this manner it can still be used as an extra beginning of energy that can add considerable advantages to the overall procedure.Synergy with cement industryThe high environmental impact of cement fabrication has for a long clip been capable of concern, furthermore, calcination of CaCO3 histories for about 50 per centum of the CO2 emanations of cement industry [ 1 ] . If the engineering were to be applied at a really big graduated table, the purging rate could and should be optimised to guarantee that disposal of the waste merchandises are non debatable [ 1 ] . Since the sorbent used in Ca iteration can merely be used for a limited figure of rhythms, it has been proposed that it could be used for cement industry alternatively of CaCO3 that is usually used [ 7 ] . The cement industry can avoid CaCO3 calcification and hence the antecedently me ntioned emanations can be avoided. In this manner the â€Å" waste † sorbent that would be otherwise wasted by the gaining control of CO2 utilizing calcium-looping, can be used by the cement industry. While this is in rule true, there is a demand to carry on farther experiments in order to specify how other constituents introduced into the CaO behave during the cement fabrication procedure, prior to continue to large-scale operations [ 7 ] .Figure 3: Main flows of the proposed system incorporating a CO2-intensive industrial procedure ( e.g. power coevals ) , calcium-looping CO2 gaining control and cement industry. The flecked line represents the watercourse of involvement in this work [ 1 ] .Sorbent ResponsivenessAs discussed before the decrease of the responsiveness in the sorbent is one of the chief restrictions that is presently under extended research. It is likely that for different types of limestone there will be different optimum solutions, since each type of stone ha ve different grain sizes, drosss, construction and other features [ 1 ] . Thermal pre-activation is a solution based on the premiss that a stone will non needfully go more reactive compared to an untreated one, but over a figure of rhythms it remains reactive for a longer period of clip [ 8 ] . The experiments were conducted by Manovic and Anthony [ 1 ] by heating the sorbent at a temperature of 1273 K repeatedly [ 1 ] . Hydration of the sorbent is presently another assuring method of keeping responsiveness, which is frequently used in SO4 gaining control, nevertheless the force per unit area in the vas is required to increase in order for the hydration to take topographic point [ 1 ] . Experiments by Manovic and Anthony [ 9 ] and Fennel et Al were conducted under different temperatures and force per unit areas, but both concluded that responsiveness for sorbents can be doubled by agencies of hydration. Biamey et Al. provinces that if hydration is to be used as a reactivation scheme for CO2 gaining control, lessons should be learned from its application to SO2 gaining control [ 1 ] .