Chief Joseph Essay Example

Chief Joseph Essay The person that I did myfirst quarter project on was Chief Joseph. Chief Joseph was born in 1840 in the Wallowa Valley (the Wallowa Valley is now northeastern Oregon). He was born into the tribe of the Nez Perce. The name that the tribe gave him was Hin-mah-too-yah-lat-kekt, the translation is Thunder Rolling Down the Mountain. He was also known as Joseph the younger because, Joseph was the name his father had taken Joseph the Elder (Josephs father) was thefirst Nez Perce to convert to Christianity. He also tried hard to keep peace between the tribe and the whites. In 1855 Josephs father helped Washingtons territorial governor set up a reservation for the Nez Perce, which ran from Oregon into Idaho. Only eight years later there was a gold rush in the Nez Perce territory. The government took back a lot of their land and they were left with only one-tenth of the land they had received. Josephs father was angry and destroyed his American flag and Bible, he then refused to move his tri be form the Wallowa valley or sign the treaty that would make the new reservation boundaries official. Eight years later Josephs father died leaving Joseph in charge. Joseph was left with his fathers name and the same problem. Whites kept coming to Wallowa Valley. Joseph kept fighting for his land and it looked like he would be able to keep it when in 1873 a federal order was written to move all white setters out of Wallowa Valley. But soon after, in 1877 General Oliver Otis Howard threatened to attack Josephs tribe if they didnt leave for another reservation in Idaho. Joseph did not want to fight the army so he started to lead his people to Idaho. But before they left, twenty Nez Perce warriors killed several nearby white settlers because they were angry about loosing their land. After that the U.S army went looking for Josephs tribe and find the ones

Odyssey The Relationship between the monstrous and the human

Odyssey The Relationship between the monstrous and the human Introduction When looking at the relationship between the monstrous and the human in Odyssey, it can be seen that monsters represent, in many instances, the darker side of humanity.Advertising We will write a custom essay sample on â€Å"Odyssey†: The Relationship between the monstrous and the human specifically for you for only $16.05 $11/page Learn More The Cyclops When looking at the instance where Odysseus encounters the Cyclops Polyphemus, it is often the case that people see a giant monster that is out to eat visitors. However, as it can be seen through the dialogue between Polyphemus and Odysseus, Polyphemus does have the capacity for reason and understanding yet continues to perform his actions anyway despite alternatives being present (i.e. he eats humans despite the fact that sheep are present). In this particular instance, Polyphemus and his one eye represent people who look at things through only one perspective. The end result is that the y neglect to see the end result of such actions and in turn this results in adverse consequences towards them (i.e. in this case Polyphemus had his eye gouged with a sharp stick). Calypso While the sea nymph may seem to be good in the sense that she took very good care of Odysseus on her island, in reality she actually symbolizes the aspect of complacency that exists within us all. Through the dialogue in the story we can see that while she has made Odysseus comfortable, he is not truly progressing in life despite his desire to do so. Such an aspect is present in us all wherein we become lured by the comfort of complacency that we find ourselves unable to move forward when we should have done so. Circe What Circe represents is harder to ascertain since she both turned the men into swine yet took good care of them afterwards. However, upon reading more of the dialogue it can be seen that Circe represents fear of moving forward which often results in loneliness and heartache later in life. In the story it is revealed that the reason that Circe turned the men into swine was due to bad experiences she had with men in the past.Advertising Looking for essay on literature languages? Let's see if we can help you! Get your first paper with 15% OFF Learn More Since she never moved forward from such a feeling she became stuck in the past and, as a result, became incredibly lonely. This is a behavior that we all experience all too often wherein we become so focused on what has happened to us that we become too afraid to move forward and experience new things. This can eat away at a person leaving them lonely and friendless with no one to talk to but the walls of their home. The Lotus Eaters The Lotus eaters in the story are very familiar since they represent the addictions that burden us in life. This can by anything such as junk food, television, sex, drugs or anything that causes to obsess over something so completely that we discard everything else to focus on such an addiction. This can often result in men or women turning in to monsters in order to get their â€Å"fix† and, as such, is an appropriate representation of the darker side of humanity that lurks within us all that is waiting to come out and drag us down just as addiction has entrapped the Lotus eaters in the story. Conclusion After examining the various characters that was encountered by Odysseus on his journey, it can be stated that when looking at the relationship between the monstrous and the human in Odyssey, monsters represent, in many instances, the darker side of humanity.

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

Supplemets - Essay Example One of the most common misuses of statistics found regularly is that of an implied connection. Typically, this is found in advertisements for various kinds weight loss, hair regeneration etc products. The manner in which the error is made is that a success story of some person is cited, i.e., say Joe Smith lost 20 pounds of weight in 2 weeks by using product X. The claim is that or rather the implication is that if the product worked for Joe, it should for every consumer. Obviously, this is not true. If the statement in the small print of the results not being typical accompanies a weight loss product advertisement, this implies that the advertised effect is not typical. That is, whatever remarkable weight loss story is portrayed as proof of the effectiveness of the product, is not the expected impact of the product on the average person based on statistical tests. The kind of misuse this statement reflects is one of implied connection. An advertisement that demonstrates some immediate weight loss as a result of using the product refers to a situation where the product had such an impact on one individual. But, the advertisement implies that whoever uses the product will benefit in a similar fashion. However, the small print refers to the truth obtained through statistical sampling. It was found that the extent to which the product had an effect was not as spectacular on most people tested. Thus, for the typical, or average person, the product had little or no effect compared to what was being depicted in the advertisement. This is only perceivable to the person who is careful enough to take note of the footnote. Thus, this product is unlikely to have any significant impact on an average person. Because it had a spectacular effect on one individual as advertised, does not mean that it will have similar effects on all people. Further the small print implies that that effect observed on most people was actually

Research Proposal Essay Example | Topics and Well Written Essays - 2500 words

Research Proposal - Essay Example However there is still uncertainty as to whether the healthcare providers feel comfortable using the electronic medical records (EMRs). Their perceptions and attitudes as concerns the use EMRs are unknown and therefore also difficult to know whether they are adapting to the transition or not. There are very few studies if any on these issues of perceptions and adoption. THEORETICAL FRAMEWORK LOSCIN’S TECHNOLOGICAL COMPETENCE MODEL Locsin’s model of technological competency as caring in nursing is a model that specifically integrates who nurses are as professional, with the modern technology they encounter at their work places. Locsin’s central premise is that the competent use of technology demonstrates caring in nursing. Since the contemporary nursing is believed to be a call to practice in a technologically mediated profession (Casterline 2006). The ultimate purpose of the technological competency in nursing is to acknowledge that wholeness of persons is a focu s of nursing and that various technological means can and should be used in nursing in order for nursing to realize wholeness of person more fully (Locsin & Purnell 2009). ... The theory is highly linked to the various statements of the research questions. The theory as applied to the use of EMR’s, health care providers can show they care about their clients or patients through the use of the EMRs to better synthesize the important health information about their patients. For example the nurse’s knowledge of the person as a whole human being improves the nursing process and ultimately patient care. Therefore through great organization and efficiency of the EMRs the nurse is able to use this t his or her advantage to know the patients more completely and thus provide quality care. The theory is linked to attitudes and perceptions such that if the health care providers perceive the EMR’s positively it will lead to â€Å"knowing† of the patient as a â€Å"whole† and this is important in improving health care delivery. If they know the patients and feel that the use of EMRs is good it means that they will easily adopt it for their continued use and in so doing improve patient health. RESEARCH QUESTIONS The research aims to answer the question: What are the attitudes and perceptions of health care providers as concerns the use of electronic record keeping in medical practice? A qualitative research is a kind of systematic empirical inquiry into meaning. This is because the research is ordered or planned, following specific rules that are defined by members of a given community. The research is grounded in the world of experiences that members of a given community have gone through. The research therefore intends to find out what people make sense of these experiences (Yin 2011). Therefore qualitative research involves a qualitative and

Strategic Management Coursework Example | Topics and Well Written Essays - 500 words

Strategic Management - Coursework Example Coca Cola itself has stated growth rates with the gradual diversification policy. According to its reports for the year 2013 and third quarter, the overall sales rose by a figure of 2 percent and this was largely attributed to the policies in context of diversification (Trefis, 2013). This in turn brought about a balance to the company’s standing and performance with regard to the previous quarter’s performance.. Diversification is a process when the given company changes its focus from one particular product or item to multiple items and services. This brings along various considerations, challenges and questions with regard to future trends, policies, and actions along with marketing patterns that are needed to be kept intact. This scrapbook looks into these dimensions in case of two globally recognized brands of beverages namely Pepsi Co and Coca Cola. Each has over period of time moved from single item to diversified product and service delivery. Coca Cola’s diversification plan and products delivery came about in the form of Coke Diet, Fanta, Sprite, Mineral water and various other side products that have given Coca Cola an impetus in the market in terms of sales (Volkman, 2014) Such a process of diversification brings along strategic management principles and actions with itself. These include the concept of layout, feasibility against the new product and the communication, promotion and marketing strategy against the given items that are aimed at for expansion. Coca Cola’s diversification plan and products delivery came about in the form of Coke Diet, Fanta, Sprite, Mineral water and various other side products that have given Coca Cola an impetus in the market in terms of sales (Volkman, 2014) The process of diversification opens with itself the new horizons of expanded market. The expanded market in turn leads to increased demand, expanded supply chain network and insuring the timely delivery of products and services.

Chylothorax and Superior Vena Cava Syndrome Case Study

Chylothorax and Superior Vena Cava Syndrome Case Study Title: Chylothorax and Superior Vena Cava Syndrome as the Initial Presentation of Non small Cell Lung Cancer, which was Successfully Resolved by Systemic Chemotherapy We define a case report of 35 year old male presented with shortness of breath, dyspnea, heaviness of left chest wall, engorgement of vein in left side chest wall and upper left neck, swelling in left side of the neck, chest pain and cough. At the time of admission, an abnormal round opacity presented in left upper lung lobe and histology shows non-small cell carcinoma with superior vena cava syndrome was diagnosed. MSCT scan report heterogeneous enhancing large soft tissue density mass lesion of size approximately 96 100 mm seen in left upper lobe extending in to whole mediastinum encasing all major vessel including arch of aorta, descending aorta, trachea, esophagus, pulmonary trunk,M PA and all major neck vessels origin. Lesion causing significant luminal narrowing of left main bronchus. Lesion causing obliteration of left brachio-cephalic.Left moderate pleural effusion seen. Heterogeneous attenuated right lung field is seen due to mosaic perfusion. Left sided thoracocentesis done milky white fluid drained from pleural cavity. Ultrasonography guided FNAC left lung done is suggestive of non-small cell carcinoma. Superior vena cava syndrome associated with lung carcinoma with massive chylothorax. Patient received cisplatin and gemcitabine chemotherapy. After chemotherapy taken chylothorax resolution almost completely. Key words: Lung cancer; squamous cell carcinoma; chylothorax; superior vena cava syndrome INTRODUCTION Lung cancer in India commonly accounts 80-85% of non-small cell carcinoma. In Acharya tulsi regional cancer treatment and research institute Bikaner hospital squamous cell carcinoma interpretation for 15% of all cases of NSCLC according to registry. In advanced lung cancer chemotherapy play main role in quality of life and survival. Chylothorax initial symptom of NSCLC is rare but pleural effusion is commonly seen. Chylothorax is mostly seen after complication of lung surgery. But in this case chylothorax is initial presentation with NSCLC with SVC. Incidence of chylothorax is .3-2.4%.[3-5]. Few report of this disorder in current year[2]. We report this case of NSCLC with initial appearance with SVC and chylothorax which resolved almost entirely with chemotherapy CASE REPORT A case report of 35 year old male presented with shortness of breath, dyspnea, heaviness of left chest wall, engorgement of vein in left side chest wall and upper left neck, swelling in left side of the neck, chest pain and cough. He is heavy smoker for 13 year and also chronic alcohol drinker. Patient vital signs at the time of admission pulse rate is 88 per minute, respiratory rate is 26 per minute, BP is 128/84 and temperature in normal limit. On auscultation breathe sound decreased in left side of chest. At the time of admission, an abnormal round opacity presented in left upper lung lobe and histology shows non-small cell carcinoma with superior vena cava syndrome was diagnosed. MSCT scan report heterogeneous enhancing large soft tissue density mass lesion of size approximately 96 100 mm seen in left upper lobe extending in to whole mediastinum encasing all major vessel including arch of aorta,descending aorta, trachea, esophagus, pulmonary trunk,M PA and all major neck vessels origin. Lesion causing significant luminal narrowing of left main bronchus. Lesion causing obliteration of left brachio-cephalic. Left moderate pleural effusion seen.Heterogeneous attenuated right lung field is seen due to mosaic perfusion. Multiple para-esophageal,perigastric, supra-clavicular,superior mediastinum, pre, paratracheal, subcarinal AP window lymphadenopathy are seen,larger measuring approx. 18 mm size. Left sided thoracocentesis done milky white fluid drained from pleural cavity. Ultrasonography guided FNAC left lung done is suggestive of non-small cell carcinoma. Superior vena cava syndrome associated with lung carcinoma with massive chylothorax. Patient received cisplatin and paclitaxil chemotherapy. cisplatin given D1 and D2 schedule. After two cycle chemotherapy taken chylothorax resolve almost completely.Laboratory investigation shows serum creatinine e 1.1 mg /dl, albumin 3.2 mg/dl, total cholesterol 193 mg/dl, serum; triglyceride, 93 mg/dl, LDH is 425 IU/l. thoracocentesis done and 2000 ml milky white coloured fluid drained. Milky fluid biochemistry done and shows triglyceride, 867 mg/dl; l actate dehydrogenase, 332 IU/l; and carcinoembryonic antigen, 6.16 ng/ml.The cytological analysis of fluid revealed no malignant cells. Intercostal tube inserted and fluid is drained and symptom is improved. The clinical stage was T3N2aM0 stage IIIb. Therefore, SCC of the lung complicated by chylothorax and SVCS was diagnosed. . Chemotherapy with paclitaxel (175 mg/m2) and cisplatin (75 mg/m2) was administered on days 1, and cisplatin give in two days in divided dose respectively of six cycle repeat 21-day. The dyspnea and shortness of breath improved after two cycle of chemotherapy and amount of milky fluid drained is gradually tapered in intercostal tube after chemotherapy given. After five cycles chemotherapy patient symptoms improved and neck swelling is disappear and intercostal drained is 230 ml/day so intercostal tube come out and remaining one cycles is given. After 6 cycle complete again CECT chest revealed tumor size significantly decreases and also pleural fluid almost di sappear but superior vena cava symptoms is minimally improved . Then subsequently, the patient put another chemotherapy with gemcitabine and carboplatin, and radiotherapy is given to chest wall 30 gy 300cGy per fraction total 10 fraction in 2 weeks, but the tumor eventually progressed. Discussion The relationship between lung cancer and chylothorax may occur after compression of tumor to thoracic duct so increase pressure to duct and ruptured [6]. Secondly in obstruction in superior vena cava so venous pressure is increased significantly so leakage of chyle from thoracic duct to pleural cavity [7-9]. Another Couse of chylothorax is side effect of radiotherapy because after radiotherapy fibrosis is there and diminishing of lymph circulation [10-13]. This complication of radiation treatment is also observed in many disease like Hodgkin lymphoma (mantle field technique), squamous cell carcinoma in esophagus, breast carcinoma and also lung carcinoma[ 10,11, 12, 13, ]. With out lung surgery chylothorax is rare but this case present chylothorax without surgery. In current year 3 case reported with non small cell carcinoma[2,10,14-16].table 1 shows patient have chylothorax with clinical manifestation and resolve after management. In this table include our case report. The three case report series have 2 male and one female and median age af all three case was 47 yrs. All case non small cell carcinoma sub group is squamous cell carcinoma. Dahlbalk et al.[17] shows squamous cell carcinoma of lung cancer present with thorasic duct fluid in pleural cavity and nodular depositation. All case presented with right side lung carcinoma. Pleural fluid cytology present wih malignant cell. Main dominant feature in case is chylothorax and its present in mainly right pleural space. Treatment of chylothorax is mainly frequently repeated aspiration of pleural fluid, low fatty diet, intercostal tube drainage, and pleurodesis with chemical substance. [6,18] surgical management of chylothorax is thorasic duct ligation and pieuroperitonial shunt are mainly used in when milky coulred fluid is more than 550 ml or more then continues 14 days. In Dahlbalk et al study mainly two case successfully treated with chemical pleurodesis. One patient any intervention not done because general condition is very poor give only paliiative treatment. If chylothorax associated with cloot in brachiocephalic vein or subclavian and jugular vein is treated with anticoagulant therapy. Beghetti et al[8]. studied resistant case of chylothorax associated with superior vena cava syndrome manage with chemotherapy. Our case usual taken four cycle chemotherapy and mostly resoved chylothorax . Thrombus in superior vena cava are correct with treatment of underlying couse. Symptoms of superior vena cava syndrome is extremlly improved with two cycle chemotherapy. It is revealing of a promising response to chemotherapy Table 1 three patients of non-small cell lung cancer presented with Chylothorax Abbreviations: SCC=squamous cell carcinoma; ; RML=right middle lung; RT= radiotherapy; C/T=chemotherapy; NA=not available

Dirt bike # 10 :: essays research papers

1. Two possible fuel tank suppliers for Dirt Bike are J&P Cycles and Hot Rods USA. Both companies supply numerous designs of fuel tanks that can be used for motorcycles. J & P Cycles is a US company that ships within the US and their prices for a listed below for ground transportation: SHIPPING RATES WITHIN THE CONTINENTAL U.S. & TO APO/FPO ADDRESSES GROUND SHIPPING RATES Invoice Total   Ã‚  Ã‚  Ã‚  Ã‚  Rate 0-$49.99   Ã‚  Ã‚  Ã‚  Ã‚  $6.99 $50-$99.99   Ã‚  Ã‚  Ã‚  Ã‚  $7.99 $100-$149.99   Ã‚  Ã‚  Ã‚  Ã‚  $12.99 $150-$199.99   Ã‚  Ã‚  Ã‚  Ã‚  $16.99 $200-$299.99   Ã‚  Ã‚  Ã‚  Ã‚  $18.99 Over $299.99   Ã‚  Ã‚  Ã‚  Ã‚  FREE Bike Lifts   Ã‚  Ã‚  Ã‚  Ã‚  $25.00 Extra Wide Bike Ramp   Ã‚  Ã‚  Ã‚  Ã‚  $50.00 Complete Motors   Ã‚  Ã‚  Ã‚  Ã‚  $100.00 Rolling Chassis Kits   Ã‚  Ã‚  Ã‚  Ã‚  $175.00 Trailers   Ã‚  Ã‚  Ã‚  Ã‚  $300.00 C.O.D.   Ã‚  Ã‚  Ã‚  Ã‚  Add $7.00 For this company however, if the package is 5 lbs and under $150 in value the package will be shipped Priority Mail. For Ground Transportation the predicted time is 7 – 10 days not including Saturday or Sunday. For Hot Rods USA is another US company so shipping within the US the shipping time is very similar to J & P Cycles. All of the shipping within the US is free for over $500. It will take between 7 -10 days. J & P Cycles would probably be the best out of the two. For them the price of shipping is free at a lower buying price. This way if Dirt Bike was to buy in a low bulk they would receive free shipping. The only problem that might arise would be when it come to just buying one. Dirt Bike would have to pay for the Priority mailing price because it is small and under a certain price. This almost focuses Dirt Bike to constantly buy in Bulk. Both will take the same amount of time when shipping. 2. There is great supply chain management software that Dirt Bike can use. Two software packages are Microsoft Business Solutions for Supply Chain Management and IFS Applications – Supply Chain Management. Both are delivered in package form of other CDs that are geared towards certain steps in the Supply Chain. Microsoft Business Solutions for Supply Chain Management This software can be used to optimize the supply chain cycles and warehouse management according to the company’s unique needs. The software packages contains stuff to better handle the supply chain management, purchasing, requisitioning and procurement, inventory management, and order entry and processing management. This software package allows Dirt Bike the ability to integrate all of their sales and purchasing systems to make the process go faster.