Wednesday, November 27, 2019
Hiroshima1 essays
Hiroshima1 essays On August 6, 1945, a B-29 bomber named Enola Gay dropped an atomic bomb, "little boy" on Hiroshima, Japan. Hiroshima had been almost eradicated with an estimated 70-80,000 people killed. Three days later, a second, more powerful bomb was dropped on the Japanese city of Nagasaki, killing over 100,000 people. Since Japan was economically and militarily devastated by the late summer of 1945, the use of the atomic bombs on an already overcome Japan was unnecessary and unwarranted in bringing about a conclusion to the war in the Pacific. By the end of the war, the U.S. forces had pushed the Japanese far back into their country, leaving them no access to any resources from the Indies. Japanese cities and factories were being endlessly bombarded by American bombers. Louis Morton, an author on the situation felt that since ". . . The Pacific Fleet had driven the Imperial Navy from the ocean and planes of the fast carrier forces were striking Japanese naval bases in the Inland Sea. . . Clearly Japan was a defeated nation."1 The decision to use the atomic bomb was validated by the U.S., who said that the force was necessary to end the war, which, in turn, would save lives of both American and Japanese soldiers. However, many believe that since Japan was already of the verge of surrender when the bombs were dropped, this argument cannot be morally validated. If Japan was almost beaten by August 1945, many say that the reason the U.S. dropped the bomb was simply to test it on living humans. Aside from the ground test in the New Mexico desert, no one knew what destruction atomic weapons were capable of. Throughout the war, the city of Hiroshima had been left virtually untouched by U.S. attacks. It is inferable, then, that the United States government hoped to see the full effect of nuclear power by detonating the atomic bomb on this locality, as they could be sure that any damage was from the atomic bomb alone. A similar reasoning ...
Saturday, November 23, 2019
Menes - Legend of the First King of Egypt
Menes - Legend of the First King of Egypt In Egyptian legend, the first king of Egypt was Menes. At least, Menes is the form of the kings name that was used by the 3rd century B.C. historian Manetho. Two other first dynasty kings names are associated with Menes, Narmer (as in the Narmer Palette) and Aha. The Greek historian Herodotus calls Menes Min. The Jewish historian Josephus calls him Minaios and the Greek historian Diodorus Siculus refers to him as Manas. There are various etymologies for the name, including an attempt to connect Menes with the name of the city he founded, Memphis, which he reclaimed by means of dam construction. Diodorus Siculus refers to Manas as the first law-giver. Menes is credited with introducing papyrus and writing (Pliny), founding cities, building dikes and more. Manetho says Menes dynasty had 8 kings and that a hippopotamus carried off Menes at the end of his life. How Menes died is part of his legend, with the hippopotamus version being only one possibility. Pharaoh Menes death after an anaphylactic reaction - the end of a myth says Diodorus Siculus wrote he was chased by dogs, fell into a lake, and was rescued by crocodiles, leading scholars to think possibilities include death by dogs and crocodile. The article, as is fitting an article on the topic of allergy, explains why some think Menes was killed by an allergic reaction to a wasp sting. Source: Steve Vinson Menes The Oxford Encyclopedia of Ancient Egypt. Ed. Donald B. Redford, Oxford University Press, Inc., Pharaoh Menes death after an anaphylactic reaction - the end of a myth, by J. W. Krombach, S. Kampe, C. A. Keller, and P. M. Wright, [Allergy Volume 59, Issue 11, pages 1234-1235, November 2004] Go to Other Ancient / Classical History Glossary pages beginning with the letter a | b | c | d | e | f | g | h | i | j | k | l | m | n | o | p | q | r | s | t | u | v | wxyz
Thursday, November 21, 2019
Tesco Company Annual Report Coursework Example | Topics and Well Written Essays - 1250 words
Tesco Company Annual Report - Coursework Example It is evidently clear from the discussion that Tesco Company was started in the year 1919 from a market stall in East End England by Jack Cohen. The company experience growth and expansion to the Tesco known today, which operates in 12 countries in the world with a number of stores in these countries. It deals with a variety of products including household goods, freshly baked products, and groceries. The company also has a share in the service industry through Tesco bank. The diverse products and services contribute positively to the success of the company through diversifying investments so that when one sector is not performing very well another sector is making up for the difference. With a worldwide market through its various branches, Tesco has grown to be the leading retail outlet in the world. Not all information in a financial report of every company is financial; there are some theory and explanations giving an overview of the company without using the financial figures. Ke y performance indicators divert the attention from the profit earned and focus on the firmââ¬â¢s performance in terms of meeting their goals and objectives. These indicators measure the success of the firm and the potential of the firm to grow in future, this is very important to an investor interested in investing in the firm. They include customer satisfaction that is reflected through repeat purchases and referral of new customers to the store. Tesco is not an exception to this and it has measured the key performance indicators of the firm and availed the information in the annual financial report. Tesco has managed to retain 70% of their loyal customers from the previous year while acquiring 29.1% of the loyal customers in the previous year as new loyal customers. 59.7% of the loyal customers have shopped through various channels, indicating customer loyalty to the firm and the importance of the various channels to customers. Demand for branded Tesco products is also increasi ng with 64.3% of the loyal customers shop for Tesco branded products. In general, all these clients show love for the firm indicating the bright future of the firm with a good customer base in currently and in the future.
Tuesday, November 19, 2019
Response Journal to the novel The Cashier by Gabrielle Roy Essay
Response Journal to the novel The Cashier by Gabrielle Roy - Essay Example People begin to anticipate and this anticipation, when added with a sprinkling of skepticism, results to overreaction. Overreaction is more than what Alexandre displayed. Even when he is supposed to be having a normal life, though not one that is grandeur, he reminds himself of the worse facets of life and disregards that he still lives and breathes. For him life is a constant reminder of how everyone in the world must be prepared in war. In fact, he has been informed through encyclopedias that the global community each has their own take on war and the armaments that go with it. Although this thought does not comfort him, he believes that everyone must feel the sameââ¬âthat everyone should have be prepared for the changes of life. The actor has the habit of spending most of his moments thinking about the most trivial things and then instantly shifts to another course that is entirely different. The randomness of his take on the things that are happening all over the world is a manifestation of the mantra that he believes has happened to him. As time goes by, life has taken the best of him. ââ¬Å"During his life he had lost a great number of things, and almost always the best things ââ¬â first his youth, and then his health, and now his sleep (Roy, 1954).â⬠Obviously, this included his sanity. Although it cannot be said that he is becoming insane, it can be concluded that his inability to focus on a specific matter without drifting to another stream of thoughts completely unrelated marks the beginning of his insanity. His thoughts begin with trivial, common thoughts characteristic of someone who lacks enough sleep and is distraught by how life has shown its cruel side. He has been under the roughest conditions, without decent clothes to live by and a partner who cannot think about important things. Indeed some of his thoughts are very profound, considering that he
Sunday, November 17, 2019
Nitrophenol Essay Example for Free
Nitrophenol Essay Abstract: Using a micro scale steam distillation we separated ortho and para-nitrophenol from a mixture that was already made. After the para and ortho were separated we measured their melting points and compared it to the literature values for purity. For ortho-nitrophenol we had 60% recovery and for para 160% recovery. Our melting point ranges were ortho: 45-46à °C and para 64-95à °C. Introduction:à Nitration: In phenols, -OH group strongly activates the ring system. As a result, phenols are susceptible to oxidation in the presence of concentrated nitric acid (HNO3). Thus, nitration of phenols is carried out with dilute nitric acid and results in the formation of o-nitrophenol and p-nitrophenol. The o-nitrophenol is steam volatile and the mixture of o-nitrophenol and p-nitrophenol is separated by steam distillation, in our case using micro scale measurements for safety and time consumption purposes. (Electrophilic aromatic substitution) We used steam distillation because we are distilling under 100à °C; above 100à °C is H2O. Looking at the volatility of o-nitrophenol compared to p-nitrophenol, the p-nitrophenol has intermolecular hydrogen bonding and it occurs due to a large number of molecules are associated together. This association in the p-isomer makes it less volatile. However in o-nitrophenol, intramolecular hydrogen bonding occurs and thus, it exists in a monomolecular state making it more volatile. Results/Discussion: Using a sand bath for transferring of heat through the distillation which was sitting on a hot plate. Using a small round bottom flask which was attached to Hickmanââ¬â¢s distillation head and then we attached water through the openings. Using 1.00g of the prepared mixture we placed it in the round bottom flask along with 1.00mL of ethanol and then filled it about 2/3 with water. We added a magnetic spin-vane to the flask as well. We collected the yellow waxy ortho-isomer from groove in Hickmanââ¬â¢s distillation head using a Pasteur pipette. We made sure that the solids did not accumulate as this would clog the condenser. If it did we would just turn off the cold water momentarily and the hot vapor would melt the solid. The distillation took about 45 minutes and even though this was the specified time period for distilling the mixture, we felt as though much of the ortho-isomer was left in the small round bottom flask along with the para-isomer and the spin valve. In order to characterize the 2- and 4-nitrophenols, we need to determine their melting points. We compared our results to those in the literature. Data:à *some ortho solidified in the Pasteur pipette so there might arise a percent error from this as some ortho was left in there. *we assumed that the starting mixture was about 50% each of o- and p-nitrophenol.
Friday, November 15, 2019
Speech :: essays research papers
SMIC is extraordinary in many ways. The only school that comes to my mind that actually has a river running through it! The lunches are controversial. School is a just as much a learning experience for the teachers as apposed to the students, and things getting done three weeks, let alone three months, after promised deadlines are commemorated. All these exclusive factors make SMIC a memorable and (if you donââ¬â¢t mind me saying) quite exquisite. The thing that I love the most about SMIC is that colorful after school life that waits for me every school day after I am dismissed. SMIC has a great number of things to do after school mainly because of the early ending of school. Many schools end at a prolonged 3:55 pm, leaving students who live far from the school with nominal amounts of spare time to do things that they want or need to do, for usually itââ¬â¢s a long bus ride home and another day squandered. However SMIC frees the students an hour earlier than any school in Shanghai, combined with an absence of a long-commute-home, really just paves the way for an awesome afternoon ahead. The possibilities are endless. Activities range from curricular to extracurricular to the absolutely non-curricular. Those of you that are feeling the pressures of college surely feel that upcoming SAT breathing down you neck right? Have no fear. SMIC offers after school SAT prep classes for all that want to get into there dream schools. The SAT classes arenââ¬â¢t the only way you can enhance and improve your knowledge! Teachers are on stand by and because all the teachers in SMIC are just fabulous, are willing to assists you in any troubles you come across in your studies. Teachers will stay for hours on end for you if you have not a clue how to prove the Pythagorim theorem, or if you have a piece from the Iliad that absolutely makes no sense to you. There are lots of clubs and extracurricular after school for the students to get involved in. The community service club is an awesome example of what kind of opportunities SMIC offers its students. The students give back to the society that is desperately in need of these kidââ¬â¢s contributions. Cooking club is out there with the cause. They provide the food and drink to the kids. What would we do with out them? Think about it. Speech :: essays research papers SMIC is extraordinary in many ways. The only school that comes to my mind that actually has a river running through it! The lunches are controversial. School is a just as much a learning experience for the teachers as apposed to the students, and things getting done three weeks, let alone three months, after promised deadlines are commemorated. All these exclusive factors make SMIC a memorable and (if you donââ¬â¢t mind me saying) quite exquisite. The thing that I love the most about SMIC is that colorful after school life that waits for me every school day after I am dismissed. SMIC has a great number of things to do after school mainly because of the early ending of school. Many schools end at a prolonged 3:55 pm, leaving students who live far from the school with nominal amounts of spare time to do things that they want or need to do, for usually itââ¬â¢s a long bus ride home and another day squandered. However SMIC frees the students an hour earlier than any school in Shanghai, combined with an absence of a long-commute-home, really just paves the way for an awesome afternoon ahead. The possibilities are endless. Activities range from curricular to extracurricular to the absolutely non-curricular. Those of you that are feeling the pressures of college surely feel that upcoming SAT breathing down you neck right? Have no fear. SMIC offers after school SAT prep classes for all that want to get into there dream schools. The SAT classes arenââ¬â¢t the only way you can enhance and improve your knowledge! Teachers are on stand by and because all the teachers in SMIC are just fabulous, are willing to assists you in any troubles you come across in your studies. Teachers will stay for hours on end for you if you have not a clue how to prove the Pythagorim theorem, or if you have a piece from the Iliad that absolutely makes no sense to you. There are lots of clubs and extracurricular after school for the students to get involved in. The community service club is an awesome example of what kind of opportunities SMIC offers its students. The students give back to the society that is desperately in need of these kidââ¬â¢s contributions. Cooking club is out there with the cause. They provide the food and drink to the kids. What would we do with out them? Think about it.
Tuesday, November 12, 2019
Cholecystits/Cholelithiasis
PATHOPHYSIOLOGY Medical Diagnosis: Cholecystitis/Cholelithiasis Nursing Diagnosis: Activity intolerance r/t laparoscopic abdominal incisions AEB SOB during ambulation, increased respirations at 38, O2 sat 80% room air after walking 50 ft. Normal Physiology: The gallbladder is situated inferior to the liver. The gallbladder is a structure that functions as a storage space for bile that is produced in the liver. The liver produces and secretes bile into the gallbladder from the right and left hepatic duct join together to become the common hepatic duct then into the gallbladder via the cystic duct. During the digestion of fatty food, the gallbladder releases bile that passes through the common bile duct and into the duodenum through the Sphincter of Oddi to break down fat into fatty acids to be absorbed by the small intestine to be used as energy and storage of energy for metabolic needs of the body. Pathophysiology: Cholecystitis, and inflammation of the gallbladder, is a condition which can be caused by cholelithiasis, the formation of gallstones. Most stones are formed of cholesterol. Excess cholesterol in bile is associated with obesity, high cholesterol diet and drugs that are prescribed to lower cholesterol levels. The excess saturation of cholesterol can lead to the formation of stones. This client had an elevated LDL and low HDL levels that do state the client had excess cholesterol. Biliary stasis, which is slow emptying of the gallbladder, can also cause the formation of stones. An inflammation of the gallbladder allows for excess water and bile salt reabsorption which call also lead to the formation of stones. This client did have wall thickening and distention of the gallbladder that indicates a inflammation of the gallbladder over a period of time. This is the second time the client came to the ER with pain in a 6 week period. Potential Complications: If a gallstone migrates out of the gallbladder into the ducts, it can lead to cholangitis which is an inflammation of the duct. Obstruction of the common bile duct may cause bile reflux into the liver causing pain, jaundice, and liver damage. The clients ALT, liver function test was elevated indicating liver disease process and in this clients case it is due to the back-up of bile into the liver from obstruction in the common bile duct. The client can also have pancreatitis due to the inability of the pancreas to secrete digestive enzymes through the pancreatic duct. The client had mild pancreatitis confirmed by CT scan. Complications of the cholecystitis/cholelithiasis can lead to a collection of infected fluid within the gallbladder, gangrene, and perforation resulting in peritonitis or abscess formation. A fistula into adjacent organs can for such as in the duodenum the colon or stomach. During the laparoscopic cholecystectomy, the clientââ¬â¢s gallbladder was noted with gangrene but no perforation, peritonitis, fistula or abscess formation was noted. If this condition goes untreated, death can result from hemorrhage, peritonitis, hypovolemic shock, septicemia and septic shock. The client did not die because treatment and surgery was performed. Nursing Interventions & Rationales: Independent: 1. Ambulate with client 1:1 assist. The client should not ambulate alone. The client is at risk for falls for injury to do her activity intolerance for SOB and decreased O2 sats. This will ensure the client does not fall and if she does become weak or unstable it will reduce the injury. . Place the client in semi-fowler during resting time in bed. This will decrease orthopnea and help the client breath better by decreasing pressure on the diaphragm allowing for better expansion of the lungs. 3. Monitor respiratory status and auscultate lung sound every 4 hours. This will help assess interventions and any changes needed for their respiratory status. Dependent: 4. Monitor and assess clients clientââ¬â¢s O2 sat level and administer O2 at 2L N C per physicianââ¬â¢s orders. The clients O2 Sat had been at 80% room air nd after activity with O2. This will help monitor client needs and evaluate the need for any changes this client may need for a decrease or increase in O2 delivery. 5. Administer morphine sulfate 1-5 mg IV push prn q2h over 2 minutes. Administering pain meds can help decrease pain associated with the client needing to cough and deep breath and will help the client ambulate. Although the client has not indicated much pain, giving prior to activity will help the client tolerate ambulation, cough and deep breath and spirometer. 6. Administer Cefoxitin 1 gm in 100mg/NaCl 0. 9% over 1 hr q8h per physicianââ¬â¢s orders. The administration of antibiotics will reduce the client risk for peritonitis from gangrene of the gallbladder and risk of infection form the surgery. This will also help with healing of the clients mild pancreatitis noted on CT scan Interdependent: 7. Collaborate with dietician to meet with the client regarding diet. In a client with the removal of the gallbladder, the client needs to be educated on the types of food to avoid after surgery. This will help identify what types of foods the client can continue to enjoy and those that will facilitate abdominal problems post cholecystectomy. Ensuring the family is also involved when the dietician is present will help increase the likelihood of adhering to a new diet holding the client accountable for food choices. 8. Collaborate with respiratory therapy to assess the need for respiratory assistance such as the need for nebulizer treatment or the need for portable O2 for ambulatory purposes. The clientââ¬â¢s O2 quickly drops after taking D/C of O2. 9. Collaborate with occupational therapy to assess the ability for the client to go home. The client is an elderly lady and may need to be evaluated prior to discharge to assess ADLââ¬â¢s since she lives on her own. This will ensure the client can safely return home or may need to be transferred to rehab prior to going home and educate the client on throw rugs, shower use and other in home dangers that elderly clients are at risk for. Client Teaching: Instruct the client on the need to cough and deep breath and spirometry. The client has had SOB post op and decreased O2 saturation. The client has atelectasis in her right upper lobe with diminished lung sounds throughout with decreased expiratory effort. I educated the client on coughing and deep breathing every hour x10 and how to use the pillow for splinting her abdomen due to abdominal pain post operatively. Client understood and demonstrated this very well and prior to end of shift I assessed the client and had her demonstrate what I had taught her prior to leaving and she performed properly and also stated she had been doing it every hour as instructed. Textbook Signs & Symptoms . Pain, abrupt onset, severe and steady 2. Pain radiate to the back, right scapula and shoulder lasting from 12-18 hours 3. Nausea, vomiting and anorexia 4. Chills and fever 5. Abdominal guarding Risk Factors 1. Female over age of 65 2. Family history 3. Native American; northern European heritage 4. Obesity 5. Hyperlipidemia 6. Use of oral contraceptives 7. Biliary stasis: pregnancy, fasting or prolonged parenteral nutrition 8. Dis eases or condition: DM; cirrhosis; ileal disease or resection; sickle cell anemiaReferences: Domino, F. n. d. ). 5-minute clinical consult Powered by Skyscape (Ipod). Lippincott, WIlliams & Wilkins. LeMone, P. , Burke, K. , & Bauldoff, G. (2011). Medical-surgical nursing care critical thinking in patient care (5th ed. ed. ). Upper Sadle River, NJ: Pearson Education. Martini, F. H. , & Neth, J. L. (2009). Fundamentals of anatomy and physiology (Eight ed. ). San Fransisco: Pearson Benjamin Cummings. Pagana, K. , & Pagana, T. (2009). Mosby's diagnostic and laboratory test reference (Ninth ed. ). St. Louis, Missouri, United States: Mosby Elsevier.
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