Ticks, Suborder Ixodida

Ticks, Suborder Ixodida The parasitic arachnids we call ticks all belong to the suborder Ixodida. The name Ixodida derives from the Greek word ixÃ… dÄ“s, meaning sticky. All feed on blood, and many are vectors of diseases. Description: Most adult ticks are quite small, the largest reaching about 3mm in length at maturity. But when engorged with blood, an adult tick can easily expand to 10 times its normal size. As adults and nymphs, ticks have four pairs of legs, like all arachnids. Tick larvae have only three pairs of legs. The tick life cycle has four stages: egg, larva, nymph, and adult. The female lays her eggs where the emerging larva is likely to encounter a host for its first blood meal. Once fed, it molts into the nymph stage. The nymph also requires a blood meal, and may go through several instars before reaching adulthood. The adult must feed on blood a final time before producing eggs. Most ticks have a three-host life cycle, with each stage (larva, nymph, and adult) finding and feeding on a different host animal. Some ticks, however, remain on a single host animal for their entire life cycle, feeding repeatedly, and others require two hosts. Classification: Kingdom – Animalia Phylum – ArthropodaClass – ArachnidaOrder – AcariGroup - ParasitiformesSuborder - Ixodida Habitat and Distribution: Worldwide, there are nearly 900 species of ticks known and described. The vast majority (about 700) of these are hard ticks in the family Ixodidae. Approximately 90 species occur in the continental U.S. and Canada. Major Families in the Order: Ixodidae – hard ticks Argasidae – soft ticks Genera and Species of Interest: Both the blacklegged or deer tick (Ixodes scapularis) and the western blacklegged tick (Ixodes pacificus) can transmit the bacterium that causes Lyme disease.Proteins in the saliva of the Rocky Mountain wood tick, Dermacentor andersoni, can cause paralysis in its hosts, which include cattle, horses, dogs, sheep, and humans. Boophilus ticks are parasites of large hoofed mammals, and complete their life cycle on a single host. Amblyomma nuttali holds the record for the largest clutch of eggs produced by a single tick – over 22,000! Sources: Borror and DeLongs Introduction to the Study of Insects, 7th edition, by Charles A. Triplehorn and Norman F. Johnson.Synopsis Of The Described Arachnida Of The World, Texas AM University Entomology Dept. Accessed online December 31, 2013.The Encyclopedia of Entomology, 2nd edition, edited by John L. Capinera.The Distribution of Ticks, Centers for Disease Control. Accessed online December 31, 2013.Order Ixodida – Ticks, Bugguide.net. Accessed online December 31, 2013.Tick Biology, the Tick App, Texas AM University Entomology Dept. Accessed online December 31, 2013.

How the HUD Anti-Flipping Rule Protects Homebuyers

How the HUD Anti-Flipping Rule Protects Homebuyers In May 2003, the U.S. Department of Housing and Urban Development (HUD) issued a federal regulation intended to protect potential homebuyers from potentially predatory lending practices associated with the process of flipping home mortgages insured by the Federal Housing Administration (FHA). Thanks to the rule, homebuyers can â€Å"feel confident that they are protected from unscrupulous practices,† said then-HUD Secretary Mel Martinez. â€Å"This final rule represents a major step in our efforts to eliminate predatory lending practices,† he said in a press release. In essence, â€Å"flipping† is a type of real estate investment strategy in which an investor buys houses or property with the sole intent of reselling them for a profit. The investor’s profit is generated through increased future sale prices that occur as a result of a rising housing market, renovations and capital improvements made to the property, or both. Investors who employ the flipping strategy risk financial losses due to price depreciation during declines in the housing market. Home flipping becomes an abusive practice when a property is resold for a large profit at an artificially inflated price immediately after being acquired by the seller with little or no appreciable improvements to the property.  According to HUD, the predatory lending happens when unsuspecting homebuyers either pay a price far higher than its fair market value or commit to a mortgage at unjustly inflated interest rates, closing costs or both. Not to Be Confused With Legal Flipping The term â€Å"flipping† in this instance should not be confused with the completely legal and ethical practice of buying a financially distressed or rundown home, making extensive â€Å"sweat equity† improvements in order to truly raise its fair market value, and then selling it for a profit. What the Rule Does Under HUD’s regulation, FR-4615 Prohibition of Property Flipping in HUDs Single Family Mortgage Insurance Programs,† recently flipped homes are not allowed to qualify for FHA mortgage insurance. In addition, it allows FHA to require persons attempting to sell flipped homes to provide additional documentation proving that the home’s appraised fair market value had truly increased significantly. In other words, prove that their profit from the sale is justified. Key Provisions of the Rule Sale by Owner of Record Only the owner of record may sell a home to an individual who will obtain FHA mortgage insurance for the loan; it may not involve any sale or assignment of the sales contract, a procedure often observed when the homebuyer is determined to have been a victim of predatory practices. Time Restrictions on Resales Resales occurring 90 days or less following acquisition will not be eligible for a mortgage to be insured by FHA. FHAs analysis disclosed that among the most egregious examples of predatory lending was on flips that occurred within a very brief time span, often within days. Thus, the quick flips will be eliminated.Resales occurring between 91 and 180 days will be eligible provided that the lender obtains an additional appraisal from an independent appraiser based on a resale percentage threshold established by FHA; this threshold would be relatively high so as to not adversely affect legitimate rehabilitation efforts but still deter unscrupulous sellers, lenders, and appraisers from attempting to flip properties and defraud homebuyers. Lenders may also prove that the increased value is the result of rehabilitation of the property.Resales occurring between 90 days and one year will be subject to a requirement that the lender obtains additional documentation to support the value to add ress circumstances or locations where HUD identifies property flipping as a problem. This authority would supersede the higher expected threshold established for the above-mentioned 90 to 180 day period and will be invoked when FHA determines that substantial abuse may be occurring in a particular locality. Exceptions to the Anti-Flipping Rule The FHA will allow waivers to the property flipping restrictions for: properties acquired by an employer or relocation agency in connection with the relocation of an employee;resales of foreclosed, bank-owned property by HUD under its real estate owned (REO) program;sales of property by other U.S. government agencies;sales of properties by nonprofit organizations approved by HUD to buy single-family properties at a discount with resale restrictions;sales of properties that are acquired by the seller by inheritance;sales of properties by state and federally-chartered financial institutions and Government-Sponsored Enterprises;sales of properties by local and state government agencies; andsales of properties within Presidentially Declared Major Disaster Areas (PDMDA), only upon issuance of a notice of an exception from HUD. The above restrictions do not apply to builders selling a newly built house or building a house for a borrower planning to use FHA-insured financing.

Leadership in context 1 Essay Example | Topics and Well Written Essays - 1000 words

Leadership in context 1 - Essay Example Many incidents occur in management because of the misconception which arises between leaders in the organization where by they should understand that management is doing things right while leadership is dong the right things. Leadership is very interesting because it does not only have a concern with the management task, but it also explores sociological nature of mankind. Critical Analysis According to Burnes (2009) critical analysis of communication approaches applied in organizational change affects the implementation of organizational in the modern society. This is because the approach involved in change evaluates results to less attention. Change in leadership has always been a characteristic in organizational life though many of the people urge that frequency and magnitude are greater than ever before. Today businesses face an increased challenge of funds in competition in the markets for their inputs. According to Lewis (2011) organization must take in to consideration the dri ving forces and restraining forces for change whereby the driving forces must exceed the restraining forces. Regardless of the challenges and dynamics, the business environment organization must adopt their ethical behaviors and practices in real life time and external conditions. Basing argument with Conant and Ashby philosophy in implementation theory outlines that the research agenda in organizational changes towards contingency includes observing an organizational change initiative by using a different process of models. Again it focuses on identifying and diagnosing how and when to respond to break down changes in an organization. Therefore, ones model to fit in an organization results to strategic questioning in the research agenda by comparing the advantages of organizational model fitness (Wagner 2012). According to Burnes (2004), change has always been a characteristic of organizational life, although many argue that frequency and magnitude of change is now greater than eve r before. The implication of this statement with respect to contemporary understanding of the change process is that, management makes the system of the people and technology flow in a systematic way in day to day life thus making the organization technology to run effectively and efficiently. Basically, according to today’s life, change in leadership is much more in relation to putting more effort in order to change the whole process of management in the organization thus making it move faster and more efficiently (Burnes 2009). Change leadership is more about the people, and their decision making plans according to vision and mission in their project activities. Change in leadership has potential of controlling things in an organization; for example, in today’s world, the talks are always on the side of change in management hence the world does not do much about change in leadership since it is associated with the ways on how to make things move in an orderly manner. It maybe hindered by some the challenges, but the fact is that there is nobody who is perfect in doing the right thing, so it is obviously a big deal in most of the organizations. The goal is often set to minimize the distractions and the impact of change which concerns’ with the driving forces and visions in the organization. Models of Planned Change The models have been highly

Simone Martinis and Robert Campin's Annunciation Essay

Simone Martinis and Robert Campin's Annunciation - Essay Example Simone Martini is one of the second generation Sienese artists, being a student of Duccio di Buoninsegna. They both belong to the school of painting that flourished in Siena, Italy between the 13th and 15th centuries. The Sienese art has rivaled the Florentine art and its main figures are Duccio di Buoninsegna, Simone Martini and Pietro Lorenzetti among others. The Annunciation was created by Simone Martine in 1333 just a year before his death. The artist has had French influence since he spend time in the Avignon. The state at that time was enveloped with trouble, when the Great Schism was happening, with three men claiming to be pope at the same time. Simone Martini was undoubtedly influenced by the Northern artists as he met them when he was in service and the Avignon.On the other hand, Robert Campin is a Flemish artist during the fifteenth century when he was called the "Master of Flemalle†. â€Å"Flemish painting flourished from the early 15th century until the 17th centu ry† when â€Å"Flanders delivered the leading painters in Northern Europe and attracted many promising young painters from neighboring countries†. These artists had the experience of doing painting works in the foreign courts giving them a Europe-wide influence. He is considered the great Master of early Netherlandish painting in the Early Renaissance Period. The Sienese school of painting where Simone Martini was groomed was characterized by a more conservative art, inclined towards â€Å"the decorative beauty and elegant grace of late Gothic art†.

How the United States of America will respond to German Cars Essay Example for Free

How the United States of America will respond to German Cars Essay German cars are famous worldwide for their luxury, durability, innovation, exoticism and sophistication in terms of design and production. Whatever they make is perceived of high value in terms of money and exhibits high cultural values of the Germans. Over the decades the German philosophy of management is structured in such a way that it bring out an element of extremely reliable quality and focuses on the aspects of giving something new to the world. Their cars are known to the world and most preferred by their target market because of the reputations that have been able to maintain over the decades. The German apply the concept of high level engineering in the manufacturing of the product add extreme level quality management is applied. In order to explain the German concept let us take the example of Mercedes, a German car manufacturer. The brain child of Karl Benz, this company has grown up to the limits of providing high value cars to the market it caters. Mercedes is a brand that has attached its values with luxury and comfort which encompasses extreme engineering that focuses on precision engineering. The target market of Mercedes is the highest socioeconomic group given in any country in terms of income. The target market includes people who have a sophisticated life style and prefer luxury of any of the factor. Mercedes goes by the philosophy of providing more for much more. Obviously high and reliable product offerings are then associated with higher cost which the customers of Mercedes are ready to pay. Mercedes has always been known to come up with innovation in its products which are always shown in the new model which Mercedes launches. The values that are attached to the brand are always taken care of by the manufacturer and as a result, reflected on the end product. Mercedes philosophy is based on providing the best of what is required. Its product has now become a prestige for its owners who stand out from the rest of the population. Mercedes has a reputation of maintaining customer retentions and high customer satisfaction. This is done in terms through the medium of providing high quality cars and much better customer service that comes in the form of car maintenance and part a service supply. The customers enjoy the convenience of getting better maintenance because they become a part of the Mercedes family. The reputation has become a part of the brand that lives up to its value. The German car manufacturer on which we will be focusing has a product that caters to the higher class of customer as they would be differentiated on the basis of their income. Our customer is a person of age around 25-35 years, a person who is lively, energetic and more fun loving. He prefers luxury and comfort over economy of the product and would mind spend money that gives him satisfaction. If we classify our target market’s need on the Maslow’s chart of hierarchy of needs, we would place it on the end that is self-actualization. The personality of our customer is a healthy and active individual, who is also very classy and has a good taste of products. He prefers to go to clubs rather than normal bars and would celebrate his success with wine rather than a glass of champagne. Our customer is a winner and would never settle for something low. If we were to diagnose of how reactant our consumer is then we would rate it as an early adopter who is highly informative about the newly arriving product and is a connoisseur for fine products. Our aim is to target the higher class of people and also the younger segment because of the sustenance of our business. To make thing more specific, our cars that are luxurious and we are not willing to expand our product line. The whole concept to cater to this segment of the target market is because of the rich tradition and culture attached to German products. German philosophy in the car manufacturing industry is to provide something innovative and high-tech. So this target market is chosen to order to align with what are philosophy is. And the whole objective to expand our domain to other countries is solely based on the feasibility of the plan which includes profits and sustainable development of the expansion. These things will be emphasized upon when giving analysis of the expansion plan of the company in the following countries. Plus we will also look in to business and operations process reengineering which will be needed in different countries in order to align with the consumers of the country and their traditions also. United States of America: USA is a country that has a blend of people living in it. They include Caucasians, Latin Americans, Mexicans, Afro-Americans, Asian and many more. The majority of the population that lives in the U.  S is Caucasian or white Americans . However this majority is in terms of the relative ratio to the different races. The American culture includes a variety of aspects in it and is a very complex system in itself to analyze it. If we analyze the country as a whole then we will have to analyze the geographical, economical cultural, demographical, and social concepts of people living there. The geographical design of U. S is divided in to two categories which further have been divided for other studies. These categories are defined as cities and country side. An important thing to note is that the lifestyle of people who live in the two different categories is extremely different to each other. The city life is perceived as fast paced and more inclined towards professional environment. The residential areas are either near the business hubs which are expensive and are in the form of apartment and penthouses or separated from the city center and are located in the outskirts of the city. These places are residential areas that have houses, bungalows, schools, supermarkets etc. The standard of living in the United States is high which is also reflected in the lives in people living in cities. However people who live in the out skirts are usually those who have their own family and own a house in those places. The people who live near the city center usually reside in apartment and are singles. The people who live in the outskirt residential areas have their own cars for traveling, while those who live near the business hub are the ones who not use cars to travel to office and use public transport like buses, subways and taxis also. So the business should emphasize on catering to the segment that lives in the residential area. People can afford the car because of higher income status and because of the lifestyle that aligns with the product’s positioning. More over its customers live in expensive areas that prefer big luxurious cars. Right now the personal transportation mode of the American is automobiles. It is estimated to be 80% of the land transport. This mean that out of 100 American, 80 of them have their own car; which in the European countries is approximately 51%. This is an added benefit for the automobile manufacturers. The market which will be focused upon are mostly cities like New York (population of 20,000,000 approximately), Washington D. C. 6,000,000 approximately), Los Angeles (12,500,000 approximately), Chicago (9,600,000 approximately), Miami (5,500,000 approximately) and other cities. The political system of the country is based on the democratic system of government. Everyone has certain rights that are stated in the charter of democracy. Everyone one has a right to vote in the elections which determine who will lead the country for the next four years. The country has had an advantage of having wise president and a clever and socially binding congress which has the responsibility of passing laws for the better of the people as well as to contribute to the world. U. S. A has been lucky to not to face political turmoil and the law and order situation in the country is very good. The crime rates even though high do not majorly affect the economic functioning and are able to withstand any sudden disruption. After the terrorist attack on the World Trade Center the government has increased its budget on social security in order to prevent any further assault on the US soil and has been able to achieve its objective of maintaining peace in the country. This is also proven by the fact that the country has until now not encountered another attack since the last nine years. The government gives very much importance to the social expenditure which is aimed at improving the socioeconomic aspect (education, medical etc). This in turn increases the standard of living if the people who further help in maintaining a sustainable economy by creating opportunities for new entrant in the market. U. S. A has high investment opportunity. It is because the economy is capitalist economy which means that it is based on the free market trade and that there is no government intervention. Due to this, there is high investment on other businesses and the high growth opportunities. The tax rate in the U.  S is high, which is a symbol for a developed economy. The taxes given by the people to the government further help the government to contribute to the social expenditure it incurs. The tax rate, even though; are cost are outweighed by the profitability of the companies operating in the U. S. USA is a huge market for potential businesses to enter. This can be seen from the fact that it has a GDP of $14. 4 trillion. This shows that how big an economy US is. The private sector contribution to the economy is 55. 3%, which is a majority and it shows the strength of the private sector. This means that U.  S has high private investment firms who are also high tax payers. The United States of America also has the privilege of having the world’s largest stock exchange in terms of volume which is the New York Stock Exchange (NYSE). More over as it is a country that has diverse group of people living in it; the chances of success are very high. Secondly the country has started to come out of recession which hit back in 2008. This means that the dark period for the US economy will in very short time become a thing of the past and the only thing which is anticipated now is the economic growth of the country. Another thing which will add to the benefit of the transfer is that the interest rates in the US are all time low. Which means that cheap financing is available to people and due to this there will be an increase in consumerism which will further add up to the advantage of sales in the automobile manufacturing. Moreover the competition in the automobile industry is low in the US because of the bankruptcy of the automobile company due to the recession. These companies have either packed up or either been bought by Chinese or Japanese companies. Now the competition remains with only the Chinese or the Japanese manufacturers. German cars comparatively have more edge to other manufacturers because of the higher quality and a very good reputation. Then to add further USA ranks third in the oil production industry. It is also the largest importer of oil. This means that there is no problem of availability of fuel for those who can afford it. The culture of a country is defined by the people living in it. It is the representation of the behavior and practices of the people in their daily lives. Everything what people feel, think and learn is a part of learning that comes from culture. The culture of U. S is a blend of people living in it. As described above there are many races in the United States. And since it is known that culture is adaptive and changes according to time, the mixture of their cultural values has evolved to form what is called the American way of life. U. S is also a house for people who belong to different religion and practices. The majority of the population living in U. S belongs to Christianity. There are also Muslims, Jew, Buddhists, Hindus and people of other religions living in America. What is unique about the people is that even though they consider themselves as American, they do not necessarily share a common set of ideas and beliefs. This is because even though they live in America that adds up to their social learning that comes through interacting with other people, their parenting and inherited learning is different from one another. This means that people belonging to different groups may have different behavior in different situations. This adds to the out benefit since the values related to luxury and satisfaction is espoused value that all the people of different races tend to share. Humans have always had the tendency to develop. People strive to in order to increase their standard of living. This means that with the growth of economy and socio-political environment people develop the tendency to get to the next level of their needs which are then changed into their wants and they demand for thing that gives them satisfaction. The change in the wants of people is reflected by their demand for a particular thing. So it won’t be wrong to say that growth in the economy is directly proportional to the demand of products which is an added benefit to the businesses. During the nineteenth century, the American philosophy was of working hard to become well off evolved into the increase in the social status. This is was the belief that was prevalent among the whites. This philosophy has now shifted to the Asians.

Impact of Society of Charlotte Brontes Jane Eyre Essay -- Jane Eyre E

Impact of Society on Jane Eyre  Ã‚        Ã‚   For the middle classes, the years preceding the publication of Jane Eyre were a time of turbulence and change from which the family provided a haven of stability and security. At the center of the family stood the "Angel at the hearth" - a Madonna-like wife and mother from whom all morality sprang. Not everyone agreed but the conception was supported by mainstream political and religious beliefs, and girls were taught that they should aspire not [to] self will, and government by self control, but submission, and yielding to the control of others, to live for others; to make complete abnegation of themselves, and to have no life but in their affections. Despite some social reforms and widespread debate about the role of women, the idea was tenacious. Soon after Jane Eyre was published, while John Stuart Mill wrote of "a principal of perfect equality" for men and women, Mrs Lynne Linton complained that the Girl of the Period was excessively forward and independent, comparing badly with the "simple and genuine girl of the past". Many of the middle classes agreed, but not all, and by the end of the century the Girl of the Period had matured into the "New Woman", a predatory figure who rejected marriage, advocated contraception and wanted independence through paid work. To those like Mrs Linton who supported the status quo this represented a state of anarchy. If society was built upon the family, which in turn depended upon a particular role for woman, to change that role was to threaten the whole structure of society. Novels and periodicals, widely read at the time, offered a good medium in which to debate the "women's question", since the fate meted to characters... ...: Linton, E Lynn, "The Girl of the Period", Saturday Review, 14 March 1868 Mill, John Stuart, The subjection of women, (Everyman edition, 1965) Lerner, Laurence (ed), The context of English Literature; the Victorians, (Methuen and Co Ltd, 1978) Miles, Rosalind, The fiction of sex, (Vision Press Ltd, 1974) Stoker, Bram, Dracula, (Pan books, 1992) Internet articles: Jackson, Mark, The position of middle class women as a context for Bronte's Jane Eyre, (http://www.stg.brown.edu/projects/hypertext/landow/victorian/cbronte/73cbwomen.htm) Landow, George P, In what sense is Jane Eyre a feminist novel? (http://www.stg.brown.edu/projects/hypertext/landow/victorian/cbronte/brontel.html) Steyer, PJ, Jane Eyre, Protofeminist, versus the "third person man" (http://www.stg.brown.edu/projects/hypertext/landow/victorian/cbronte/steyer7.html

Cerebro Vascular Accident Health And Social Care Essay

IntroductionStroke or Cerebro Vascular Accident is the rapid loss of encephalon map ( s ) due to the perturbation in the blood supply. This is caused by ischaemia resulted from the obstruction of blood supply or a bleeding. The obstruction can be due to any thrombosis or arterial intercalation which consequences in deficiency of O and glucose to the encephalon country and it can take to decease of encephalon cells and encephalon harm. This frequently consequences in an inability to travel one or more limbs on one side of the organic structure, inability to understand or explicate address, inability to see one side of the ocular field etc. Stroke is a medical exigency as it causes lasting neurological harm, complications and even decease. ( WHO, 2008 ) Stroke is a life altering event that non merely affects the handicapped individual but besides their household and attention givers. Effective showing, rating and direction schemes for shot are good established in good developed states, but these schemes have non been to the full implemented in India. ( American Health Association, 2009 ) Stroke incidence and prevalence are indispensable for ciphering the load of disease and for be aftering the bar and intervention of shot patients. WHO estimates the figure of stroke events in some selected European states such as, Iceland, Norway, and Switzerland is likely to increase from 1.1A million per twelvemonth in 2000 to more than 1.5A million per twelvemonth in 2025 entirely because of the demographic alterations. ( Truelsen et al. , 2006 ) The prevalence rate of shot is higher among the Asians. In India it is about 250-300/10000 population per twelvemonth. The National Commission on Macro-economic and Health estimated that, in India the figure of shot rate will increases from 1,081,480 in 2000 to 1,667,372 in 2015. In 1998, the overall age adjusted prevalence rate for shot is estimated to lie between 84-262/100,000 population in rural and between 334-424/100,000 populations in urban countries. The Global Burden of Disease Study estimated that the one-year shot incidence of India will increase from 91/100,000 in 2015 to 98/100,000 in 2030. ( Ezzati et al 2004 ) It has been estimated that by 2021 the shot related disablement counts in 61 million, and 52 million of which would be in developing states. Harmonizing to recent surveies, 55 % to 70 % of shot subsisters become to the full independent by 1 twelvemonth and 7 % to 15.7 % remained wholly disabled. Among those who had speech disfunction, complete recovery was reported in 47 % of instances, and there was no betterment in 12 % . Dysarthria was commoner than dysphasia. Post Stroke ictus was observed in about 2 % of instances. ( Banerjee & A ; Das, 2008 ) In 2005, 400 to 800 shots per 100,000 populations in globally. 5.7 million Deaths and 15 million new acute shot instances are reported yearly. Globally, over the past four decennaries, the one-year age- standardised shot incidence rate has decreased by1.1 % in high income states but it has been increased by 5.3 % in low to middle income states. ( Feigin 2009 ) The mortality rate of shot is decreasing or stabilising in developed states. It was estimated in 2000 that, the shot accounted for 0.9-4.5 % of entire medical admittances and 9.2-30 % admittances in neurological wards. 12 % of all shots occur in people less than 40 old ages. Previous shot is the major ground for the shot in those who aged more than 65 old ages. It is estimated that 2 % decreases in overall shot mortality in India will ensue in 6.4 million fewer deceases over 10 twelvemonth period. ( Dalal et al. , 2007 ) There are chiefly two types of shot comprises ischaemic and haemorrhagic shot. Ischemic stroke histories for approximately 75 % of all shots which occurs due to thrombus that blocks or diminishes the blood flow to the portion of the encephalon. A haemorrhagic shot occurs when a blood vas on the encephalon surface ruptures and fills the infinite between the encephalon and skull with blood ( subarachnoid bleeding ) or when faulty arteria in the encephalon explosions and fills the environing tissue with blood ( intellectual bleeding ) . Both consequence in deficiency of blood flow to the encephalon and a buildup of blood that put excessively much of force per unit area on the encephalon. ( Swadron, 2010 ) The clinical effects of shot can be named based on the arteria involved. This includes infarct in the anterior intellectual arteria ( ACA ) , in-between intellectual arteria ( MCA ) , posterior intellectual arteria ( PCA ) and basilar/vertebral arteria. Middle intellectual arteria and basilar arteria are most frequently involved in shot. Entire Anterior Circulation Infarcts ( TACI ) had 100 % incidence of Dysphagia, followed by Partial Anterior Circulation Infarcts ( PACI-36 % ) , Posterior Circulation infarcts ( POCI-33 % ) , and Lacunar infarcts ( LACI-18 % ) . 67 % of bleedings had post-stroke Dysphagia. ( Sundar et al. , 2008 ) Dysphagia ( trouble in get downing ) is resulted if the shots occur in the in-between intellectual arteria or internal carotid arteria or vertebral or basilar arteria. Dysphagia can be seen in 65 % of the patients with shot. If non identified and managed it can take to hapless nutrition, pneumonia and increased disablement. Aspiration is the major job associated with Dysphagia. ( Stroke connexion magazine July/august 2003 ) Approximately 30 % of the patients who had one-sided shot have dysphagic symptoms and a similar per centum have been reported in encephalon hurt patients. It is estimated that between 29 and 50 % of acute shot subsisters are dysphagic. Early bedside appraisal of Dysphagia is indispensable to forestall aspiration hazard in shot patients. ( Smithard et al. , 2003 ) Asiatics were more likely to develop Dysphagia after shot. InA theA strokeA group, the adjusted odds ratio ( OR ) with 95 % assurance interval ( CI ) forA DysphagiaA was significantly higher for Asians than whitesA inA New York ( OR=1.64 ; 95 % CI, 1.50-1.79 ) and California ( OR=1.69 ; 95 % CI, 1.34-2.13 ) . The adjusted OR was somewhat but significantly higher for inkinesss than whitesA inA New York ( OR=1.15 ; 95 % CI, 1.03-1.28 ) . ( Fernandez et al. , 2008 ) The relentless dysphagia can take to malnutrition in the shot patients. The presence of malnutrition in station shot Dysphagia is runing high. The overall odds of being malnourished were higher among topics who were dysphagic compared with topics with integral get downing ( odds ratio: 2.425 ; 95 % assurance interval: 1.264-4.649, A P & lt ; 0.008 ) . ( Foley et al. , 2009 ) The higher incidence of Dysphagia increases the hazard of aspiration. In a prospective survey 60 patients were assessed clinically and underwent a bedside water-swallowing trial and videofluoroscopy within 72 hours of shot. Twenty-five patients ( 42 % ) were seen to draw out in the videofluoroscopy ; of these 20 % did non hold open Dysphagia as detected by a simple water-swallowing trial. Aspiration is most common in the early period following acute shot as a consequence of Dysphagia. ( Kidd et al. , 1993 ) Harmonizing to American Health Association ( 2006 ) , the primary bar of shot is of import because more than 70 % of shots are primary events. This includes behaviour alteration such as decreased smoke, intoxicant and salt ingestion forms, increasing fruits and vegetable ingestion and physical activity. ( Gupta et al, 2008 )Need FOR THE STUDYStroke is one of the prima causes of decease and disablement in the universe. Approximately 20 million people in each twelvemonth will endure from shot and 5 million of these will non be survive. Community surveys from many parts show rough prevalence rates for shot in the scope of 90-222 per 100,000 individuals. The Global Burden of Disease ( GBD ) Study, in 1990, reported 9.4 million deceases in India, of which 619,000 deceases were due to stroke, proposing a mortality rate of 73 per 100,000 individuals. The worldwide incidence has been quoted as 2 per 1000 population per twelvemonth, and about 4 per 1000 population in the people aged 45-84 old ages. The developing states histories for 85 % of planetary deceases from shot. With mention to the functional damages, 20 % of the people will necessitate institutional attention after 3 months and 15 to 30 % being for good disabled. ( Bhat et al. , 2007 ) Analysis of early deceases after shot is of import, as some deceases may be preventable. A survey on 1073 back-to-back shot patients showed 212 deceases within the first 30 yearss, leads to a mortality rate of 20 % . Early mortality after shot exhibits a bimodal distribution. One extremum occurs during the first hebdomad, and a 2nd during the 2nd and 3rd hebdomads. The high proportion of deceases in the first hebdomad is due to transtentorial herniation. After that, deceases are due to comparative stationariness ( pneumonia, pneumonic intercalation and sepsis ) predominate, striking towards the terminal of the 2nd hebdomad. ( Silver et al. , 1984 ) Dysphagia is common after shot. The appraisal of Dysphagia was made by utilizing standardised clinical methods in patients with acute shot. Dysphagia was more frequent in patients with haemorrhagic shot ( 31/63 vs. 110/343 ; P = 0.01 ) . In patients with ischaemic shot, the engagement of the arterial district of the entire in-between intellectual arteria was more often associated with Dysphagia ( 28.2 vs. 2.2 % ; p & lt ; 0.0001 ) . Multivariate analysis disclosed that shot mortality and disablement were independently associated with Dysphagia ( P & lt ; 0.0001 ) . The frequence of Dysphagia was comparatively high. Dysphagia assessed clinically was a important variable foretelling decease and disablement at 90 yearss. ( Paciaroni et al. , 2004 ) In acute ischaemic stroke the Dysphagia occurred within 48 hours after the oncoming of the first symptoms. After exigency infirmary admittance, three patients underwent neurological clinical rating and clinical appraisal of get downing. One of the patients presented functional swallowing, while the other two had mild and moderate oropharyngeal Dysphagia. The findings substantiate the literature informations sing the badness of the neurological status and the manifestation of Dysphagia. ( Favero et al. , 2011 ) Dysphagia and hapless nutritionary position occur often after shot. On clinical scrutiny 52.6 % of survey patients ‘ demonstrated Dysphagia and 26.3 % were identified with hapless nutritionary position. Dysphagia, based on clinical appraisal, was associated with shot badness ( National Institutes of Health Stroke Scale, OR 4.6, 95 % CI 1.6-13.1 ; modified Rankin Scale, OR 12.3, 95 % CI 3.2-47.4 ) and with functional unwritten consumption ( OR 29.2, 95 % CI 8.4-101.8 ) , but non with steps of nutritionary position ( Mini Nutritional Assessment, OR 1.0, 95 % CI 0.4-2.8 ) . Nutritional steps did non correlate with swallowing or shot badness steps. It confirms that dysphagia and hapless nutritionary position are prevalent in patients with acute ischaemic shot. ( Crary et al. , 2006 ) A population based long term follow up survey was conducted to find the Dysphagia nowadays in the first hebdomad of acute shot associated with long term result. Dysphagia was assessed within 1 hebdomad in the shot patients and they were followed up annually at 3 months for 5 old ages. And they found that the presence of Dysphagia during the acute stage of shot associated with hapless result during the undermentioned old ages, particularly at 3 months. The survey related the dysphagia with increased institutionalization rate. ( Smithard et al. , 1997 ) An experimental prospective survey on 87 patients admitted with acute shot in the University infirmary of South Manchester to happen out the relationship between the side of shot and the presence of aspiration on videofluoroscopy. They undertook the patients for encephalon CT scanning and repeated videofluoroscopy. The survey concluded that the go oning aspiration might be related to the side of intellectual lesion. ( O'Neill, 2000 ) A survey conducted to happen out the incidence of Dysphagia in shot patients who were admitted in neuro rehabilitation unit. The survey compared the clinical bedside appraisal and videofluoroscopy to specify any correlativity between Dysphagia and clinical features of the patients. They enrolled both ischaemic and haemorrhagic shot. They concluded that Dysphagia is seen in one tierce of the shot patients who admitted in nuero rehabilitation unit. The class of Dysphagia correlated with the dysarthria, aphasia, low FIM and degree of cognitive operation. They found that the big cortical shots of non dominant side were associated with Dysphagia. ( Caterina 2009 ) A prospective survey in 121 patients utilizing standardised bedside appraisal and videofluoroscopic scrutiny was done to foretell the relationship between Dysphagia with the result and complications after shot. The presence of aspiration, mortality, functional result, length of stay, topographic point of discharge, happening of chest infection, nutritionary position and hydration were the chief result steps. It was found that the unnatural sup on appraisal had a higher hazard of aspiration and hapless nutritionary position. The presence of Dysphagia was associated with an increased hazard of decease, disablement, length of infirmary stay and institutional attention. ( Morris, 2000 ) Assorted get downing techniques have consequence on the nutritionary result of the shot patients. The interventions such as unwritten motor exercising, different get downing techniques, placement, and diet alteration aid to better the nutritionary form depend on the patient status. About 38 shot patients between 53 to 89 old ages of age with subjective ailments of Dysphagia and oral/pharyngeal disfunction were underwent swallowing intervention. The consequence revealed that the betterment in get downing map was associated with betterment in nutritionary parametric quantities. ( Elmstahl et al.,1999 ) Exercise based Dysphagia therapy can better the functional and physiological alterations in get downing public presentation of the grownup with chronic Dysphagia. After 3 hebdomads of intense exercising based Dysphagia therapy swallowing was improved. Physiological alterations after therapy imply an improved neuromuscular operation within the swallow mechanism. ( Carnaby et al. , 2012 ) The progressive linguistic exercising plan helps to better the swallowing map. A prospective cohort interventional survey suggested that the linguistic exercising plan helps to better the swallowing in patients with linguistic failing and get downing disablement. ( Robbins et al. , 2007 ) The clinical poster of the research worker leads to detect the shot patients. Investigator observed that one tierce of the patients who are holding shot developed get downing and feeding troubles which later result in aspiration pneumonia and add hazard to their life. All of them require dietetic alteration and half of them in demand of nasogastric or gastrostomy tubing for feeding support. This affect the nutritionary position and increase the length of infirmary stay and later affect the patient ‘s quality of life. This induce an involvement in the research worker over the peculiar country, â€Å" Post Stroke Dysphagia † . It gives a strong thrust to seek for the direction of Dysphagia in Post Stroke patients from diaries and besides from the life experience in the wards.STATEMENT OF THE PROBLEMEffectiveness of Selected Nursing Interventions on Swallowing and Feeding Performance among patients with Post Stroke Dysphagia at KMCH, Coimbatore-14AimThe aims of the survey a re to, Assess the Swallowing and Feeding Performance of patients with Post Stroke Dysphagia. Determine the effectivity of Selected Nursing Interventions on Swallowing and Feeding Performance in patients with Post Stroke Dysphagia. Associate the Swallowing and Feeding Performance with selected demographic and clinical variables.OPERATIONAL DEFINITIONSPOST STROKE DYSPHAGIA It refers to the trouble in get downing irrespective of the country of encephalon harm, ischaemic or haemorrhagic shots among the station shot patients. SWALLOWING Performance It refers to the ability of station shot dysphagic patients to get down, which is assessed by utilizing Gugging Swallowing Screen ( GUSS ) graduated table and the patients are graded as mild, moderate, terrible and no dysphagic based on the mark obtained. Eating Performance Feeding public presentation implies the capableness of the station stroke dysphagic patients to go through the liquids, semisolids and solid nutrients from the oral cavity to the throat, and so into the tummy and it can be assessed by the Functional Oral Intake Scale ( FOIS ) to categorise the patients as either tubing dependant or entire unwritten consumption. SELECTED Nursing INTERVENTIONS Selected nursing intercessions refer to the nursing activities which include get downing exercisings such as Shaker exercising and Hyoid lift manoeuvre and Positioning during the swallowing to better the swallowing and feeding public presentation of the patients with station shot dysphagia.Hypothesis:H1: There is a important difference in the Swallowing and Feeding Performance before and after the execution of Selected Nursing Interventions in Post Stroke Patients with dysphagia.Premise:Patients with cerebrovascular accident suffer with changing grade of Dysphagia. Swallowing exercisings strengthen the swallowing musculuss.

A Synopsis of the Movie I, Robot Essay

I always asked myself if those stories about robots overcoming humankind will become real. Sci-Fi books are being my favorites since I was a kid and I watched every major movie about this subject. My favorites is â€Å"I, robot† that tells the story of a society in the future that relies on robots for all its domestic activities, but somehow one of those robots became aware of his own self and started to develop a mind, but most important, a soul. The robot started to develop a sense of what is right and wrong, and not because some program installed in its memory or an algorithm protocol of orders, it begun making decisions not based on instructions or learning by mistake process, but by searching deep on its â€Å"heart† what was the right thing to do. The robot’s name is Calvin and the movie, starred by Will Smith, is based on a set of short stories by Isaac Asimov, prolific writer considered a master in hard science fiction. On his â€Å"I, robot† short stories, one of them titled â€Å"Three Law of Robotic†, and which he considered his maximum contribution to human kind of the future (Asimov wrote the book on 1950), he came up with three laws that he thought a future society must input on robots in order to coexist with them as part of their day by day living. Those laws are: 1. A robot may not injure a human being or, through inaction, allow a human being to come to harm. 2. A robot must obey the orders given to it by human beings, except where such orders would conflict with the First Law. 3. A robot must protect its own existence as long as such protection does not conflict with the First or Second Laws. These laws seem to be really basic, but their logic really doesn’t have any gaps, at least at first impression. When Calvin (the robot) encounters a conflict with those commands, he started to develop its artificial intelligence and becoming more human. When Calvin is in a situation that its deactivation will be harmful for his two human friends, he decided to fight for his existence, and a new era of robots was born. Like Asimov there are several authors and scientists that predicted a future where robots and artificial intelligence are a big part of society. And they have reasons to believe on this. After the Industrial Revolution took place, we have being searching for more productive ways to increase manufacture. Industrialization and mass production levels demand better, faster and smarter ideas to satisfy the greater demand of consume based societies. To achieve those exigent goals, technology and specially robotics is used more and more often. Some factories are made only on robots that build equipment parts or process food in a way no human can do. Major companies know where we are heading and invest more and more in robotic technology and artificial intelligence, like we read in the following citation of the article of Nicholas Carr â€Å"Is Google Making us Stupid?†: â€Å"Where does it end? Sergey Brin and Larry Page, the gifted young men who founded Google while pursuing doctoral degrees in computer science at Stanford, speak frequently of their desire to turn their search engine into an artificial intelligence, a HAL-like machine that might be connected direct ly to our brains. â€Å"The ultimate search engine is something as smart as people—or smarter,† Page said in a speech a few years back. â€Å"For us, working on search is a way to work on artificial intelligence.† In a 2004 interview with Newsweek, Brin said, â€Å"Certainly if you had all the world’s information directly attached to your brain, or an artificial brain that was smarter than your brain, you’d be better off.† Last year, Page told a convention of scientists that Google is â€Å"really trying to build artificial intelligence and to do it on a large scale.†Ã¢â‚¬  There is no doubt for me that there is a future where robots will be everywhere: Some robots might be performing precise heart surgeries, controlling traffic and overseen proper transit on the streets, cleaning our houses as domestic service or maybe even teaching English Composition at the local Community College (no offense to Ms. Patrice Fleck), but let’s be ready if some day they become aware of their own existence, giving the next step on their evolution as metallic beings. Let’s hope that their intentions towards us are attached to the Three Laws of Robotic stipulated by Asimov, they could be the difference between our survival and coexistence, or our total annihilation.

Farewell To Manzanar Essays - Internment Camps, Free Essays

Farewell To Manzanar Essays - Internment Camps, Free Essays Farewell To Manzanar I decided to read, Farewell to Manzanar by Jeanne Wakatsuki Houston and James D. Houston. This book is about the Japanese internment camps that were set up in America during World War II, and how it affected this particular family. It tells the story of the separation of the family members, hardships, and hatred that they had to live with during this time period. It also helps to open our eyes to the irony of the whole situation, and how our government can contradict themselves over some of the issues we were fighting for. The book tells the story from Jeanne Wakatsuki, the main character, point of view, and how she and her family struggled to make it through this time period in American History. The book is told from Jeannes own experiences in her own town, how her peers at school treated her, and what it was like being uprooted from their home and being put into the Japanese internment camp of Manzanar. The book with the news of Pearl Harbor, and the reactions from the Wakatsuki family. It also begins with her father being taken away for supposedly supplying oil to Japanese submarines of the coast while he was fishing. It also goes into some detail on how their neighbors, and people throughout their town treated them after the news of the bombing of Pearl Harbor. It helps to kind of shed some light on one particular girls point of view, and how she is confused on why people are being so mean to her and her family. the book also goes into some detail on how it felt to be split up from her father and how they felt like prisoners in a country they called home. The book also gives great detail of life in these camps. This particular book focused only on Manzanar, a Japanese internment camp near Mammoth. It gives good details on their cramped living situations, and how that there was no privacy, and how uncomfortable it was in the beginning. It describes that women used to put boxes over their heads in the restroom, so they didnt have to look at anyone, and it thought it would offer them a little privacy also. It talks about the games, activities, and chores that the children would play to pass the time also. It also described the mess hall, and the meals that they had to eat over and over. Another thing that really was amazing to me, is that the government tried to tell them that these camps were for their own protection, yet they were surrounded by barbed wire, and guard towers. During the final chapters of this book, the author does a great job on describing the tough time the Japanese had returning into society. After the Japanese were released from these camps and allowed to return to their homes, America still held a fear and hatred towards these people. She does a great job describing how hard it was for her to return back into society, and how the people she had known growing up looked at her, and viewed her, and all the comments and reactions that she had to listen to and take form people that she didnt even know. These camps only stopped the bleeding during the war, the after the war their release was like opening the wound again. Executive Order 9066 that President Franklin Rossevelt passed, was probably one of America darkest moments. Here is America, fighting a war in Europe, against a German government who has put Jews, and other minorities into similar camps. Grant it, these American camps were not death camps, but they made Japanese Americans live in harsh living conditions because America was afraid of these people. The government divided families, removed them from their homes and lives, and forced them to enter these camps, so that we could sleep better at night. These camps really illustrated the type of atmosphere there was in America during this time period. Most of the Japanese who were put into these camps, were Japanese Americans, and had never been to Japan, but knew about it from what they had heard from others about the country and had some of the traditions passed on to them from other generations. We segregated these people from our society out of fear and hate, from what had happened to Pearl Harbor. In this time period, America had a lot going on, and were fighting a war in both the east and

Comma After Introductory Phrases

Comma After Introductory Phrases Comma After Introductory Phrases Comma After Introductory Phrases By Maeve Maddox A reader asks why there is no comma after the introductory phrase in the following sentence from one of my recent posts: At a recent writers’ conference I heard a successful self-published author say, â€Å"Readers are not looking for great writing; they’re looking for a great story.† I formerly put a comma after every introductory word or adverb phrase of any length, but I’ve begun leaving it out unless I think its absence will create reader double take, as in the following: Before eating the members held the business portion of the meeting. Below the cars covered the lawn. Until the morning fishing is out of the question. These introductory phrases demand to be set off: Before eating, the members held the business portion of the meeting. Below, the cars covered the lawn. Until the morning, fishing is out of the question. Authoritative recommendations vary. An online grammar site sponsored by Capital Community College in Hartford, Connecticut states: It is permissible, even commonplace, to omit a comma after most brief introductory elements - a prepositional phrase, an adverb, or a noun phrase. The Chicago Manual of Style also indicates that the comma after an introductory adverb phrase may be left out: An introductory adverbial phrase is often set off by a comma but need not be unless misreading is likely. Shorter adverbial phrases are less likely to merit a comma than longer ones. The Purdue Owl also advises that the comma after some introductory elements, such as â€Å"a brief prepositional phrase,† may be left out. Unlike some of the other sources, the OWL gives us a clue as to what we may consider â€Å"brief†: â€Å"a single phrase of fewer than five words.† But while some authorities condone leaving out the comma if no confusion can result, others caution discretion as the better part of valor: The Longman Handbook: Sometimes the comma after an introductory word or word group is required; sometimes it is optional. When you are uncertain, stay on the safe side: use a comma. Penguin Writer’s Manual: Even where there is no real danger of confusion or absurdity, it is usually better to insert a comma than not. And our own Precise Edit: Use commas even after short introductory descriptions for consistency. As with whether to use the serial comma in a list of adjectives, writers have a choice regarding the use of a comma to set off an introductory phrase. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Punctuation category, check our popular posts, or choose a related post below:85 Synonyms for â€Å"Help†Deck the HallsThe Difference Between "Un-" and "Dis-"

Tax planning clients Case Study Example | Topics and Well Written Essays - 1000 words

Tax planning clients - Case Study Example The earnings set aside would be deposited in the flexible spending account and would be free of tax. That is, the funds deposited in the flexible spending account are not subject to taxation. According to the FSA provisions, the whole amount deposited in the flexible spending account should be spent within the coverage period specified otherwise; the non-spent amount is forfeited or subjected to taxation. According to the case, the couple never funded their flexible spending account; therefore, all their transactions are subject to tax. Below are questions and answers in reference to tax provisions. Q1: in general, if the insurance benefit is to be paid to the beneficiary at once, the amount is not subject to tax. However, if the insurance benefit is paid in monthly instalments, any interest that accumulates on top of the face value is taxable. By general law, life insurance benefits are excluded from tax. If, at the time of death, the owner of the insurance policy is the deceased, the insurance benefits are subject to tax (estate tax). However, if the deceased is not the owner of the insurance policy, at the time of death, the benefits are not subject to tax. With respect to the case in consideration, Tom was the owner of the life insurance policy at the time of his death. Therefore, Josephine would be required by the IRS to claim the face value of the life insurance for both federal and state tax purposes (Lal & Lal 56-120). Q 2: any amount spent by an individual on medical services is supposed to be reimbursed provided there is a scheme to that effect. In general, unreimbursed medical expenses are tax deductible. That is, the monetary worth of the medical service should be deducted from the gross income. If the amount spent by the Marchs on medical services is 10% of their adjusted gross income, they should deduct the unreimbursed medical expense from their gross profit. This move will reduce their gross