The Most Dangerous Game Essay Research Paper free essay sample

The Most Dangerous Game Essay, Research Paper This paper will analyse the short narrative called? The Most Dangerous Game? by discoursing the four chief en vs. himself. Rainsford, despite the battle he faces with the environment, he besides faces the job of managing himself. He keeps on stating himself non to lose his nervus, here he is seeking to maintain himself on path, and his head on the undertaking at manus which is remaining alive. The idea that he is being hunted like all those animate beings he one time hunted is giving him a false feeling of security. He starts to understand what the animate being is experiencing. He is placed in the exact places as the pray. This paper will analyse the short narrative called? The Most Dangerous Game? by discoursing the four chief elements of a short narrative which are, puting, character, struggle, and subject. The narrative involves two chief characters, Rainsford and General Zaroff. We will write a custom essay sample on The Most Dangerous Game Essay Research Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Rainsford is a famed huntsman, who enjoys runing animate beings. He does non believe that runing animate beings is incorrect until he meets a certain General Zaroff. General Zaroff, is besides a adult male that loves to run, but over the old ages has grown dull with it. His changeless chase for bigger and smarter game has come to an terminal. General Zaroff is devastated because of this, and particularly after turning up his whole life with? rifle in manus? and the mark in his sights. He decides to take his runing to a higher degree, the Hunt for human life, Rainsfords life! This narrative takes topographic point in the Caribbean, on a privy island. The writer chose an ideal topographic point for his scene. The narrative consists of a war between the two chief characters, and what better topographic point so an island which has such first-class geographical characteristics to back up this battle. Some illustrations are the dense trees, trails, and some quicksand. This scene besides makes the two characters display all the accomplishments and fast ones they have learned over the old ages, and so pay war against each other. The scene plays a sufficient function in the narrative? s overall development. Without this puting the narrative would non uncover the game of? cat and mouse? which is traveling on. The scene holds the majority of the action in it, the narrative has characters concealing in trees, falling in quicksand, and by being led into traps. Not utilizing this scene in the narrative would do the narrative miss out on its exhilaration and suspense. The following few paragraphs will present the characters and will supply a psychological profile of them. Some observations will besides be made on the comparative importance of the component of character in the narrative? s development. Get downing with the characters which play a lesser function in the narrative. Whitney is a adult male who does non believe in runing and killing animate beings, he believe? s that animate beings understand that there being hunted down and killed. Whitney? s chief importance in the narrative is that the writer uses him as a? tool? , to assist us understand the personality and beliefs Rainsford has. Rainsford is the cardinal character in the narrative. Rainsford on the other manus, does non hold the same beliefs that Whitney has. He loves runing so much that he does non halt to believe whether or non the animate beings have any feelings or emotions. Bluffly he does non care if the animate beings feel anything. Rainsford doctrine is that universe is made up of two categories ? the huntsmans and the huntees. ? Rainsford has neer felt what it is like to be hunted, because he has ever been the marauder. That is certain to alter as the narrative unfolds and takes a authoritative turn, where in this instance the huntsman Rainsford becomes the hunted. Rainsford besides proves to be a underdeveloped character in the narrative. Rainsford does this by saying in th e latter portion of the narrative that he now understands how the animate beings feel when they are being hunted. The character General Zaroff is a really complex character, because he has two sides to himself. One side portrays a good educated, polite, hospitable adult male. On the other side General Zaroff portrays a really cunning cold blooded slayer. Killer in the sense that he hunts worlds for pleasance, and does non experience any compunction for them. Which is the consequence, as mentioned before, of his ennui towards runing merely animate beings . General Zaroff has the same views as Whitney, in the sense that humans and animals are equal. The difference being, General Zaroff believe?s killing an animal is the same as killing a man. The character Ivan, known as General Zaroffs servant, does not play a big part in the story. However, we know Ivan is General Zaroffs right-hand man. Ivan is considered a savage in the story, which would make it easy for someone like General Zaroff to control. Although, Ivan should be considered a main asset to General Zaroff, for he is the General?s alternative for captive?s who choose not to play the General?s lethal game. The major conflicts in the story are: Man vs. Man, Man vs. Environment, and Man vs. Himself. The conflict Man vs. Environment is portrayed when Rainsford is set out into the jungle to fend for himself while being hunted. His only defense is a hunting knife that General Zaroff supplied him with. With minimal fire power, Rainsford uses his environment to help him overcome the obstacle which lays ahead, (General Zaroff). By setting traps in the jungle he is able to show General Zaroff that he is not going to lay over and die. In the second part of conflict there is mant of conflict is man vs. man. It is the most important because Rainsford and General Zaroff battle one another through out the story. It all begins when Rainsford falls off his boat and swam to the nearest island, which was the island where General Zaroff was located. This is were the conflict begins. All of a sudden Rainsford starts to understand what Whitney was trying to get across to him at the beginning, which was to put yourself in the animals shoes before just speculating and guessing how they feel. The friendship which was started when the two men met, slowly evaporates. Rainsford starts to see that General Zaroff is psychotic, and that he plans to send him out as soon as possible. Obviously Rainsford does not want anything to do with Zaroff?s plan. This is when they ?bash heads? on ce again. General Zaroff leaves him no choice but to hit the jungle and survive the three days, without getting killed. His other alternative is too fight big bad Ivan. Don?t think so!! The battle of who is the best hunter is on. General Zaroff believes he is the best hunter, and wants to prove to himself that he can even hunt down and kill the well known Rainsford. He starts getting frustrated when Rainsford slowly kills off his assistant Ivan, one of his top dogs, and injures Zaroff. Right then you get the feeling that General Zaroff is starting to appear a little frightened, and that he is starting to run out of resources to track down Rainsford. After he loses the dog he becomes a coward and yells out into the jungle that he will be back with the rest of his hounds. Zaroff proves that he does not have the guts to take on Rainsford one on one. In the end Rainsford out smarts the General and ends up killing him. After Rainsford had thought that killing humans was crazy, he just do es it. It is justified in this case because of the situation that the General put him in. The element of conflict is huge in this story. Without the conflict, Rainford just lands on the Island and then just turns around and goes home. But the conflict restrains Rainsford to stay on the island and suffer like all the animals he has hunted in his lifetime. The theme of the story is essential, in the sense that it portrays many different aspects of human moral. The author shows us this by giving Whitney, Rainsford, and Zaroff totally different views on what is morally correct and incorrect. For example, the innocence of Whitney compared to the extreme madness of General Zaroff. And Rainsford who believes a little bit of both. The writer?s other purpose in the story is to show us that if you do not walk a mile in another man?s shoe?s, you cannot comprehend how they feel, you can only speculate. In conclusion I really enjoyed the story, and how Richard Connell guided us through the diffe rent levels of human moral of each character. I also liked how he displayed that if you put yourself in someone else?s shoe?s, it can change your whole outlook on a certain issue.

Free Essays on Couple In Racoon Coats

Van Der Zee uses line in Couple in Raccoon Coats to create a portrait of African American dignity and prosperity. Thesis statement that names the author and the work and incorporates all the questions asked: line and how it’s used to create meaning. Horizontal and vertical lines predominate.Immediate narrowing of focus: tells the basic format of the lines in the work The central car provides the strongest horizontal statement. The implied lines of the car’s roof and running board echo the strong horizontal line of the chassis. The line of the man’s hat brim mimics that of the convertible top above it, as the line of the hem of the woman’s coat parallels that of the running board. This horizontal line repeats itself in the stairs, doors, and windows of the building behind the car. Several clear, focused observations about the horizontal lines, the first of the two types of line direction. Yet equally strong straight vertical lines balance this horizontality ; the lines of the building’s windows, doors, and banisters lead the eye up and down, as well as sideways. A transition sentence that moves smoothly from the last subject of discussion (horizontal lines) to the new subject of vertical lines. The car’s convertible top and windshield also project verticality, as does the edge of the open door. However, perhaps the strongest vertical lines can be located in the central figures, where the woman’s regal, upright posture is reflected in the confident lines of the seated man’s back. The heavy stripes of the raccoon coats also emphasize vertical line. Clear, focused observations about the vertical lines. Also, toward the end of the discussion, attention is drawn to the human figures, setting the stage for the narrowed focus of the next paragraph. Van Der Zee employs forceful lines to make the two figures the focal area; their placement in the intersection of the tranquil horizontal lines of the car and the dynamic vertical ... Free Essays on Couple In Racoon Coats Free Essays on Couple In Racoon Coats Van Der Zee uses line in Couple in Raccoon Coats to create a portrait of African American dignity and prosperity. Thesis statement that names the author and the work and incorporates all the questions asked: line and how it’s used to create meaning. Horizontal and vertical lines predominate.Immediate narrowing of focus: tells the basic format of the lines in the work The central car provides the strongest horizontal statement. The implied lines of the car’s roof and running board echo the strong horizontal line of the chassis. The line of the man’s hat brim mimics that of the convertible top above it, as the line of the hem of the woman’s coat parallels that of the running board. This horizontal line repeats itself in the stairs, doors, and windows of the building behind the car. Several clear, focused observations about the horizontal lines, the first of the two types of line direction. Yet equally strong straight vertical lines balance this horizontality ; the lines of the building’s windows, doors, and banisters lead the eye up and down, as well as sideways. A transition sentence that moves smoothly from the last subject of discussion (horizontal lines) to the new subject of vertical lines. The car’s convertible top and windshield also project verticality, as does the edge of the open door. However, perhaps the strongest vertical lines can be located in the central figures, where the woman’s regal, upright posture is reflected in the confident lines of the seated man’s back. The heavy stripes of the raccoon coats also emphasize vertical line. Clear, focused observations about the vertical lines. Also, toward the end of the discussion, attention is drawn to the human figures, setting the stage for the narrowed focus of the next paragraph. Van Der Zee employs forceful lines to make the two figures the focal area; their placement in the intersection of the tranquil horizontal lines of the car and the dynamic vertical ...

MANAGING IN A MIXED ECONOMY Essay Example | Topics and Well Written Essays - 3000 words

MANAGING IN A MIXED ECONOMY - Essay Example The LU provides transportation to over a billion individuals annually, a number almost equivalent to that, transported by the National Rail Network (NRN). LU’s land portfolio of more than 4,000 ha, a labour force of more than 19,000 individuals, and its coverage of most parts of London, Essex, Buckinghamshire and Hertfordshire, all serve to show the immense significance of this transport system. The Transport for London (TfL) is a public institution currently tasked with the responsibility of managing LU and other modes of transport throughout London. The principal strategy of the TfL is to ensure excellent performance of London’s transportation network, making it distinctive and more efficient in comparison to other cities around the world, while providing London dwellers with ample access to transportation. The TfL also strives to raise the performance standards of the LU in regard to environmental protection, hence making the system a global leader not only in addres sing the challenges of urban transportation, but also in environment conservation. Significant changes towards the better have already been attained in the mentioned efforts, but there are still prevalent challenges, especially in upgrading the Tube to modern standards. Background Based on historical analysis of the London Underground, major development inhibitors have been present, and particularly under investment. Poor financial backing, prior to alteration of managerial structure, had rendered the LU outdated and unreliable. The principal challenge of the body responsible for managing the LU is, therefore, attempting to continually develop a safe and reliable transport service (Great Britain Parliament House of Commons 2010, p. 42). It is, however, imperative to note that while safety and reliability are crucial attributes of an effective transport service, they should not be the sole focus of management. Other features should be accorded equal attention, and these include, time taken during travelling, as well as, quality of services offered in the course of the journey. This is because; most passengers require a fast mode of transportation, especially in the contemporary economic environment where time is a crucial resource. Quality should not be overlooked, since; if customers are granted comfort and proper service during the travel, there is a high likelihood of using the LU other than alternative means of transport. Quality of transportation and proper care of passengers are, clearly, features that London Underground’s members of staff hold with utmost regard. This is evident from the staff’s ease of accessibility and constant willingness to help passengers whenever need arises. The extensive consideration of quality is also apparent from the installation of high-tech security and information systems, which increase customers’ convenience when using the LU. Additionally, there are numerous and regular investments to increase the T ube’s accessibility for passengers (Dunwoody 2008, p. 102). Nevertheless, the management and effective running of the LU is not devoid of challenges. The primary challenge is to sustain constant transportation of passengers, while still trying to transform the

News paper summary Essay Example | Topics and Well Written Essays - 500 words - 5

News paper summary - Essay Example Halting the business discouraged government reform efforts but of late the Bank of China has been offering Yuan remittance services to limited loaded clients who have been researched on to determine their source of monies. Citigroup’s high earnings jump-started the stock market raising the market indexes. In spite of improved U.S. economic data, optimistic investors kept a view of other foreign stock markets and oversaw improved results in the second-quarter earnings. Big banks recorded an increase in their share earnings despite being hit by litigation costs, declined trade, and a frail mortgage market. Citigroup recorded the highest rise in shares up from $.42 to $48.42 followed by J.P. Morgan Chase 3% and Goldman Sachs 1.3%. Investors thus gained confidence from the report, and their reaction helped the Dollar gain against the Yen and ease on the euro. Hardly anyone thought capital would return to Australia after it flowed out but with the completion of the mining business; the Australian dollar has since been boosted, and government bonds have lowered. Investors will have a bumpy return in the market due to low-interest rates and low vitality. The dollar has highly been driven by the search for yield raising it from 8% to 15%. Japanese firms are the leading investors in the high-yielding Australian market whereby they sell their low-yielding Japanese investments in search for a high-yielding currency. Sluggish domestic economy brought about the drop in Australian bond yields and statements from the central bank that low-interest rates would carry on for long to back growth caused persistent low-interest rates. Despite growth from the financial crisis in 2008, the Australian government bond market is still small though demand for the bonds remains high. The article centers on incoming AIG chief executive, Peter Hancock’s salary, a former banker who succeeded Robert

FP (Iran) V. Secretary of State for the Home Department Case Study

FP (Iran) V. Secretary of State for the Home Department - Case Study Example The brief facts of the case, FP (Iran) V. Secretary of State for the Home Department (2007), is that the Appellant, an asylum seeker, had initially filed an appeal,through counsel, against the Home Office's rejection of her claim for asylumWith the advent of civilisation and the law making process, it has been the endeavour of man to ensure that Rule of Law prevails in all decisions made in disputes. Judges have accepted time and again that just as everybody has certain rights that are subject to prevailing laws, so also all officials upholding the law have a responsibility to ensure that they shall not commit any act without proper justification. Administrative Law is a set of governing principles that form a part of public law that ensures the fair and reasonable implementation of the laws enacted by the Parliament The main principle of Administrative Law is that all actions on the part of the Government must be legal and if it is not then the public must have a remedy against such illegal action (Kuttner, 2007).Prior to discussing the importance of the present case in the development of Administrative Law, it is important to understand the facts of the case. The brief facts of the case, FP (Iran) V. Secretary of State for the Home Department (2007), is that the Appellant, an asylum seeker, had initially filed an appeal, through counsel, against the Home Office's rejection of her claim for asylum, before the Asylum and Immigration Tribunal (henceforth referred to as AIT). The AIT held that the said appeal was not valid giving error of law as the reason for its decision. A rehearing was fixed and notice of the same was sent to the last known address of the Appellant. However, the Appellant having shifted residence did not get the notice and was not present during the hearing. From the perusal of the judgement, it is apparent that the Appellant had had informed her solicitors of this change and they had in turn informed the Home Office. However, neither the app ellant nor her solicitors had informed the AIT. The Judge on finding the Appellant absent went on to hear the appeal on the premise that the notice had indeed been properly served as per the rules. The appeal was dismissed on the grounds that there was discrepancy in the evidence presented by the Appellant, which has not been clarified. The Judge further held that the absence of the Appellant for the rehearing showed a lack of interest in the case and hence could not be upheld. The main question that the Judges in this present case faced was whether the Appellant can be held responsible for the actions or inactions of his or her lawyers. In this case, the Appellant had to pay the price for her lawyer's failure to inform the Asylum and Immigration Tribunal about the change of address, which resulted in the Appellant not being informed about the hearing leading to her absence and ultimately dismissal of appeal. Given this factual background, it is very clear that certain basic principles of law have been violated by the AIT while deciding this case. Rule of law implies that all decisions made by any Court should be fair, efficient and speedy. This concept has been taken in its literal meaning by the AIT even in the arena of rule making without any thought towards the conflict that could arise while implementing the rules. The judgement in the present case deals with the different aspects of administrative law as reflected in this case and how each aspect has been affected and the resulting judgement or opinion of the judges. Analysis and Assessment of Judgement 1.Fairness The first point that the judgement discusses is whether the provisions embodied in the Statute and rules there under are fair or not. According to the judgement, various changes are proposed in the law governing such cases based on the fact that the existing rules and principles are inadequate to fairly deal with such cases. Prior to understanding the

Impacts Of A Natural Or Man Made Disaster Tourism Essay

Impacts Of A Natural Or Man Made Disaster Tourism Essay Introduction Over the years the worlds poorest countries have become popular tourist destinations, drawing visitors with images of exotic environments and cultures (Harrison, 1995; WTO, 2004). Increasing cheap and easy travel has made long distance vacations a reality. Tourism countries is growing steadily in developing, urged by this governments, and by the international community, which includes the World Bank, as a means of encouraging economic diversi ¬Ã‚ cation, stimulating local incomes and earning most foreign exchange (Brohman, 1996; Christie, 2001; Harrison, 1995; Markandya et al., 2004; WTO, 2002, 2004, 2005; WTTC, 2005).But Tourism industry is prone to fluctuate and is a uncertain strategy which often strikes with minimal warning. Tourism promotion could be an economic relief to many developing and under developing countries but, if situations to become unfavourable; it could affect the ones engaged in a worse economic situation than they were before when introduced to tourism. The risks of over-concentration on a single sector of the economy can be high (Feenstra Hanson, 1996) and this is especially true in poor counties of the world where tourism domineers the economy. The island of Bali in Indonesia is one example, peace was wrecked by terrorist bombs in October 2002, and again in October 2005. The bombs which exploded in October 2002 killed 202 people this was only the beginning, the immediate impact on it was devastating. More than 18,700 scared tourists fled Bali in three days, which is three times as more than during a normal month. After the first two weeks after the attack, visitor arrivals dropped by 80%. And hotel occupancy plunged from 73% to just 14% after the attack. Within a week of the attack major tour operators promptly drew back their holiday programmes from Bali and resorts throughout Indonesia. This paper aims at proposing marketing strategies that could be adopted in Bali, to revoke Tourism after its terrorist attacks. They are Marketing Product, Promotion and distribution systems, Prices and retargeting. This paper will discuss all the strengths and weakness of these marketing strategies and also present a conclusion based on strategies which can be adopted to alleviate the impacts of terrorism in Bali. Marketing In Tourism: Industry dont `evolve . Instead time eager to overturn the present industry order challenge `accepted practise, redraw segment boundaries, set new price performance expectations and re-invent the product or service concept (Hamel and Prahalad,1994:303). Marketing and promotions are the key factors that should be considered when tourism industry has been shattered in a country that has suffered a crisis. Marketing Bali after terrorist attack is mainly bringing back economy to the country by the means of tourism since its economy majorly depends on tourism. There are several marketing strategies which can be implemented such as Promotion and distribution, Prices and Re targeting. Promotion and distribution systems Innovative techniques such as internet play a very important role in promotion and distribution channel in terms of volume and gathering information to choose trips and buy tourism services at the lowest possible price. A considerable increase in Internet sales has opened up a new way to improve and develop the management of distribution in the businesses. Systems integrate functions such as: marketing, information, sales and end-product integration by pulling together all the elements of a tourism trip. Due to its unique characteristics, growing number of countries are promoting their products through the Internet. Distribution no longer depends on traditional channels, that is, operators and travel agencies. The reduction or elimination of commissions on ticket sales and car hires is leading to the establishment of service fees, which is a fixed amount in many cases, and to a growing emphasis on the consulting or advisory function of travel agents. Virtual distribution channels are or tend to be interactive television, call centres, direct sales via the Internet, and websites of conventional travel agencies. The role of tour operators, traditionally associated with conventional sun-and-sand holidays, is being contained. There is a continuing trend towards consolidation and vertical integration among tour operators. In order to adapt to demand, they are also becoming more flexible and are segmenting their products to a greater degree. Among the objectives of this consolidation processes are: to better control operating costs, to make better use of their airplanes and to use their information systems more efficiently. Among travel agencies, cooperatives are gaining increased prominence using a model that has been successful in the United States, as well as the establishment of a mix of distribution channels that take advantage of new technologies. The management of the chain of production is geared towards profitability, with key strategies being: increasing the load factor of own planes, achieving economies of scale, reducing risk by diversifying into new markets and consolidating brands that cover various products in order to increase customer loyalty. The Internet has a growing role but has not yet displaced print publications, television and radio, especially coupled with direct marketing, the Internet itself, the specialized press and special promotions. A message to address safety concerns must be issued in order to let people know that the Bali has tightened up its security and it is now safe for the tourist. Bali tourism officials can plan to invite all their major travel agents check new safety measures which has been implemented. Travel agents provide bulk hotel bookings; it is very important to encourage them to take personal tours to make them aware of all new security measures implemented. This will create a good image of Bali to travel agents so they feel confident on promoting Bali as a tourist destination again. It can also invite important trade partners. Concerning security and safety, JATA (Japan Association of Travel Agents), China National Tourism Administration (CNTA), Singapore Travel Agencies expressesing their satisfaction with heightened security measures implemented in the aftermath blast which can help improve tourism form Japan, China and Singapore. Advertisements. Diplomatic and celebrity endorsement can be done to bring up the market. Advertisement about a new refreshing image of Bali introducing new ideas such as surfing, honeymoon vacation, religious tourism can be enhanced better. But advertisements have to be targeted carefully. For instance, Caribbean islands invested a massive US$16 million publicity campaign to attract US tourist and tourist were still diminishing, This campaign had been suspended until and after the congressional elections of 5th November 2002. Americans were clearly not in the mood for travel, and no amount of advertising seems to be able to change. Prices: Prices are strongly influence travel purchase decisions. Price strategies have varied from straight price reductions, discounts for accompanying persons or even free travel for accompanying children, to added services. Many small and medium-sized enterprises have been especially affected by the downward trend in the price of tourism services. According to the International Federation of Tour Operators, we have gone through a year of falling demand, which has been stimulated through pricing. The effect of this factor is to reduce business revenues. Destinations with the best prices and where tour operators have own accommodations have a certain advantage of others. Use price follow PR with attractive price-led offers: both Malaysia and Sri Lanka did this very successfully post September 11th. Domestic airlines, including the national flag carrier Garuda and its subsidiary Merpati airlines, are to offer special discounts for visitors coming to Bali for the Muslim holiday of Idul Fitri, and also for Christmas and the New Year. The Indonesian Tourism Ministry and the Bali Tourist Board will work with the industry to prepare special, affordable holiday packages. Retargeting Domestic the Chairman of the Bali Tourist Board has stated: For the time being it would be wiser to focus first on the domestic market. It is appreciated that the domestic market has far lower spending power that the international one, but it can at least serve to keep the product functioning even though profits will be low. Indonesias 1000 Steps to Bali domestic promotion campaign was launched on 2nd November. The Government has announced that it will rework the public holiday calendar to create more long weekends, thus boosting the domestic market. Intraregional Singapore, for example, will concentrate on India and China, both markets likely to be less affected by this type of event. Malaysians too are apparently unphased by the events in Bali, according to feedback from MATTA, the countrys biggest travel fair: they are responding avidly to good value offers. Indonesia is also aiming to promote more in the Middle East (currently only 0.8% of total visitors). The Government has instructed all state companies, as well as encouraging private ones, to hold their corporate functions in Bali. Experienced travellers, not first timers first timers are naturally more nervous. Individuals with a passion: special interest markets held up remarkably well post September 11th. Sport, culture, newlyweds anything which gives a distinctive impetus to a trip should be targeted. Co-operation The main lessons which the tourism industry learned post September 11th is the importance of working together. The type of co-operation which it can be so hard to achieve in normal circumstances like even persuading two resorts in the same country to advertise together starts to happen spontaneously in times of crisis. The Australian Tourism Task Forces immediate reaction to the attack in Bali was: This means getting our marketing agencies together so that we have a co-ordinated campaign to remind Australians about the advantages of travelling at home and to remind the rest of the world that Australia remains a safe place for a holiday. Good security also requires national co-operation between Ministers, police, local authorities and the private sector. But the emphasis on co-operation post September 11th went wider than this. Commercial organisations and Governments started to work together more closely, not only across sector groups, but also across geographical boundaries. For example, Australia, New Zealand and Fiji came together to do joint advertising. It is important that the WTO should keep encouraging this trend. ASEAN, which held their 8th Summit between the 4th and 7th of November in Phnom Penh, Cambodia, had signed an important new Tourism Cooperation and Promotion Agreement. Malaysian Tourism Minister Abdul Kadir Sheikh Fadzir said the decision to deepen tourism cooperation was made two years ago but the Bali tragedy had given it more urgency. The 10 member grouping (plus 3 affiliated countries China, Japan and Korea) aims to promote the area as a single tourism destination in the international market, launch joint marketing programmes, introduce thematic tour packages to specific areas of interest, and harmonise visa issuance to foreigners. But the core theme of the pact is to boost intra-regional movement by phasing out travel taxes and extending visa exemptions to ASEANs 500 million citizens. The pact also aims to establish an integrated network of tourism and travel services, to encourage commercial agreements among regional airlines and to promote cruising, travel by ferries and lei sure boats. ASEAN feels that if they stop visiting each other, the terrorists will have won. But, in an illustration of the complexity of the current situation, John Koldowski from PATA commented that it was the right move for ASEAN to turn inward to revive the industry but it must not compromise national security in its rush to facilitate movement within the region. Product: We can develop events as part of the recovery phase, for instance, Indonesia will on 15thNovember invite the families of the victims to a special service in Bali to pray together. This will reinforce in a respectful way the generic spiritual image of the destination. Tour operators, airlines and cruise lines, and strive to maintain capacity. Governments need to work closely with the industry in difficult times to ensure that there is not a damaging loss of product which could limit recovery when better times come. Conclusion Promotion and distributions, Co operation and Prices inter connecting play a vital part while marketing a tourist destination. Promotion and distributions is a huge channel of communication through various sources of media like television, radios, news and newspaper, internet etc We can make a renewed image on Bali with proper media sources which will create a positive impact for tourists or travel agents. Thus it has power to reach people and can make a good impression. Co operation also is a very key strategy in marketing a destination where its needs supports from various countries to develop tourism. Good security also requires national co-operation between Ministers, police, local authorities and the private sector. Commercial organisations and Governments can work closely in joint advertising which such as straight price reductions, discounts for accompanying persons or even free travel for accompanying children, to added services and other offers which can help redeem the econ omy of Bali.

A constitutional right? :: essays research papers fc

A constitutional Right?   Ã‚  Ã‚  Ã‚  Ã‚  Carl T Bogus, the author of a 1992 article, â€Å" The Strong Case for Gun Control†, explains to the reader of the importance and relevance of tougher and more strict gun control laws in local governments today. Bogus begins by telling of the recent rise in school shootings and violent crimes in the united states. He explains that in 1998, more than four thousand children were killed by guns, and it took a string of school related shootings to bring that fact to the attention of the public. 34 thousand people were killed in total, and over sixty thousand were held at gunpoint. In order to explain and prove his theories, Bogus goes on to compare two cities with similar crime rates, economies, nationalities, and entertainment values, but very different ways on controlling guns. Seattle Washington , and Vancouver British Columbia are only 140 mile apart, but they both have different views on how to control the way guns are used in there city. Seattle requires only a five day waiting period to purchase a hand gun, while Vancouver requires a permit and a VALID excuse to own a handgun. Due to the difference in laws, 41 percent of all Seattle’s population own handguns, while only 12 percent of Vancouver’s population own handguns. It isn’t hard to see that it would be harder for anybody who shouldn’t have a weapon to stumble across a handgun in Vancouver than in Seattle.   Ã‚  Ã‚  Ã‚  Ã‚  Bogus then goes on to explain a new law taken into effect in the District of Colombia not too long ago. Residents who currently lived in D.C. would have sixty days   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   to register there handguns, and after the time period was up, newly acquired handguns became illegal. But, rifles and shotguns could still be purchased and owned after the time period ran out. The result of the new law came out with results that surprised a lot of people. There was a 25 percent drop in gun related homicides and a 23 percent drop in gun related suicides. While D.C. experienced such a significant drop in gun related crimes, surrounding cities experienced no significant change in their rates. Just another reason to believe that even local gun laws can lead to safer cities and homes.   Ã‚  Ã‚  Ã‚  Ã‚  Daniel D. Polsby, the author of the article, â€Å" The False Promise of Gun Control† Focuses on how tougher gun control laws make it harder for regular people to defend themselves, and easier for criminals to get what they want.

Ncm 104 Lecture Notes

NCM 104 DERMATOLOGIC DISORDERS I. REVIEW OF THE INTEGUMENTARY SYSTEM SKIN – also known as the integument which means covering – largest organ system – barrier between external and internal environment FUNCTIONS OF THE SKIN 1) Protection – protects from trauma (Mechanical, Radiation, Thermal) – thickened skin on palms and soles provides additional covering against trauma r/t constant use – Intact skin – primary defense (prevents invasion of microorganisms) – secretions(from sebaceous gland) are oily and slightly acidic (prevents/limits the mult. of mcgs) 2) Maintenance of Homeostasis prevents excessive loss of water and electrolytes 3) Thermoregulation – affected by: > production of perspiration (dehydration fever) > activity > constriction (v dissipation of heat) and dilation of blood vessels > external BT -body’s core temperature 4) Reception of stimuli – area in the brain – SOMATOSENSORY CORTEX â₠¬â€œ abundance of free nerve endings and receptors * NOCICEPTOR – pain * END-ORGAN OF RUFFINI/PACINIAN CORPUSCLE – pressure * MECHANORECEPTOR – machanical * MEISSNER’S CORPUCLES (MERKEL DISCS/CELLS) – touch 5) Synthesis of vitamin D – helps the uptake of Ca2+ and PO4 in intracellular level with the aid of sunlight activates Vitamin D to D3 (Cholecalciferol) 6) Immunity/processing of antigenic substances – immunologically mediated defenses against microorganisms Ex. Langerhans cells Keratinocytes 7) Provide an outward appearance or cosmetic adornment – acceptance of the appearance of the skin, hair, or nail is critical to psychosocial being 8) Excretion – skin has a vital role in elimination of Na+ and H2O for homeostasis (maintaining balance in the internal environment) STRUCTURES OF THE SKIN LAYERS OF THE SKIN 1) EPIDERMIS – avascular in nature – Thickness: 0. 04 mm (eyelids- thinnest) to 1. mm (palms and soles- thickest) 4 Cell types of the Epidermis a) Keratinocytes – 95% – Produces Keratin – insoluble protein – helps create a waterproof barrier – function in immunity – control water loss b) Melanocytes – located at the base of the epidermis – Produces Melanin – responsible for skin color and absorption of UV light – the darker you are, the more protection against cancer – acts as an umbrella covering that shields DNA from UV c) Merkel’s cell – It is located at the basal layer of the epidermis but can usually be located only with the use of an electron microscope – one of the receptors scarcely located in the palms, soles, oral and genital epithelium d) Langerhan’s cell – play a role in cell-mediated immune responses in coordination with T cell – originates in the bone marrow and migrates into the epidermis Layers of the Epidermis a) Stratum Germinativum/Basale â⠂¬â€œ innermost – cells are columnar in shape – where melanin is found in greatest amount – lies close to the dermis layer – cells at the basale layer receives nutrition from the dermis via diffusion and undergo mitosis every 19 days and older cells are pushed upward undergoing changes in shape and chemical composition through a process known as keratinization ) Stratum Spinosum – cells are irregularly-shaped known as prickle cells (have sharp cytoplasmic projection at the covering) c) Stratum Granulosum – cells are nucleated granular cells which contain keratohyalin granules (contain lipids with desmosomal connections which helps to form waterproof barrier) water loss from the body *not responsible for water loss in the pores d) Stratum Lucidum – thin transparent layer Skin moisture-can only be seen in thick skin like the palms and soles immunity e) Stratum Corneum – composed of dead keratinized cells (contain keratin -acidic in nature) – serves as a durable overcoat of the body DESQUAMATION – natural process of breaking apart of dead skin cells; for every 35-35 days, an individual will have a new epidermal skin Epidermal Appendages a) Eccrine glands – sweat-producing gland – thermoregulation – can be found throughout the skin but with some exemptions – numerous on palms, soles, axilla and forehead – not found in: Vermillion border(junction of the pink area of lips surrounding skin) Lips, Ears, Nailbeds, Glans penis,Labia minora b) Apocrine glands – function is not clearly known – abundant in the axilla, breast, areola, anoogenital area, ear canal, and eyelids c) Sebaceous glands release of sebum (has lubricating and bactericidal effect) – can be found all throughout the skin except on the palms, soles, and axilla d) Hair – a non-viable protein end-product – found in all skin surfaces except palms and soles e) Nails †“ horny scales of the epidermis 2) DERMIS – a dense-layer of tissue beneath the epidermis – gives the skin most of its substances and structures – 1—4 mm (thickest dermis is found in the back) – has characteristics for: ->WOUND HEALING: because it contains fibroblast, macrophages, mast cells, lymphocytes -> MAINTENANCE OF EQUILIBRIUM: because it contains lymphatic, vascular, and nerve supply Layers of the Dermis a) Papillary Layer -upper dermal region with finger-like projections -contains: >papillary loops (provide nutrients to the epidermis) >Pain receptors b) Reticular Layer – deepest skin layer – contains BV, sweat glands, and deep pressure receptor (Pacinian corpuscles) – abundant phagocytes are located – as one ages, depleted collagen and elastic fibers -collagen for TOUGHNESS OF EPIDERMIS – Elastic fiber for SKIN ELASTICITY 3) SUBCUTANEOUS FAT/ HYPODERMIS – AKA adipose layer – Functions: * S ource of energy * Hormone metabolism * Insulation from extreme hot and cold Cushion to trauma -specialized layer of connective tissue -absent in the: eyelids, scrotum, areola, tibia ASSESSMENT OF CLIENTS WITH INTEGUMENTARY DISORDERS A) SUBECTIVE DATA HISTORY TAKING – assess for pre-existing factors 1) Chief complaint (if Derma conditions already exists) – Assessment on itchiness, dryness, rashes, lesions, ecchymosis, lumps & mass – Changes in skin, hair, and nails – Onset of the condition – Other accompanying symptoms with known cause (pain, fever, swelling, redness) – Alleviating factor such as cold weather 2) Past Health History – Hx of previous derma disease Previous trauma and symptoms; interventions – Other systemic illnesses relevant to the skin such as immunologic, endocrine, vascular, renal, or hepatic conditions – Age of onset – Particular season/month of the year – Treatment done – Immuniza tion status – Recent exposure to insects/childhood diseases 3) Known exposure to communicable disease (school, neighbourhood) 4) Travel to foreign countries/places – possible environmental factors that the patient is exposed to Ex. Poison ivy 5) Medications currently being taken/ has recently finished – Photosensitivity drugs- causes sunburn-like rashes in areas of exposureEx. Phenothiazides Tetracyclines Diuretics Sulfonamides – topical preparations containing derivatives of ingredients which are known as sensitizing Ex. Neomycin Ethylaminobenzoate/ benzocaine Diphenhydramine HCl 6) Occupation and recreational activities – exposure to irritants and chemicals either in the home or environment Ex. Prolonged exposure to the sun Unusual cold exposure 7) Allergies – medications or foods – assess if after ingestion, complains of itchiness, burning, or eruption of rashes – substances that cause local, skin irritations/lesions with di rect contact Ex. Textile, Metal (Ni), Wool Allergic reaction could trigger skin discoloration & eruption of rashes, skin irritation *oral corticosteroids which may cause Acne breakouts, Thinning of the skin, Stretch marks, and Other systemic manifestations if this is used at high dose or routinely 8) Family health history – Family lifestyle and living environment – Genetically transmitted Derma conditions such as: * Alopecia * Psoriasis * Atopic dermatitis – Systemic diseases with derma manifestations such as: * DM * LE * Blood dyscrasia 9) Habits (the patient as an individual) – hygiene practices – products/cosmetics use – changes in clothing or bedding diet (sufficient intake of nutrients like H2O, vitamins and dietary fats) -Exercise -Sleep patterns which affect circulation, nourishment, and repair of the skin B) OBECTIVE DATA – appraise the entire skin surface on head-to-toe including oral mucosa – appraise thoroughly †“ use INSPECTION, PALPATION, OLFACTION PHYSICAL APPRAISAL 1) Color – areas of irregular pigmentation (hypo/hyperpigmentation) – Paleness/pallor – Cyanosis – Jaundice – Assess sclera for a very dark person 2) Texture – palpation (stroke the patient with the fingertips lightly to assess texture) – NORMAL: Smooth, Soft, Resilient, No areas of lumps, No unusual hickening/thinning 3) Moisture – hydration level of the skin for both wetness(Fluidity) and oiliness(Sebum) – assess INTERTRIGINOUS AREAS (parts which have skin-to-skin contact like axilla & groin) – NORMAL: Well-hydrated but not excessively moist 4) Temperature – use the dorsum of the hand – compare hypothermia/hyperthermia with the area on the opposite side – NORMAL: uniformly warm 5) Turgor – skin’s elasticity – the time it takes for the skin and underlying tissue to return to its original contour after being pinch ed up (usually on the abdominal area) -older individuals: v skin turgor – NORMAL: 3 sec ) Odor – NORMAL: free from pungent odors – usually present in the axilla, skin folds, open wounds related to presence of bacteria in the skin 7) Presence and characteristics of Lesions MANIFESTATIONS OF SKIN DISORDERS 1) LESIONS PRIMARY LESIONS– first lesions to appear on the skin and has a recognizable structure in response to some changes in the external and internal environment A. Erythema – redness and inflammation (skin/mucous membrane) – result of dilation and congestion of superficial capillaries – Ex. Nervous blush, Sunburn B. Macule – unelevated change in color – flat – 1mm-1cm – circumscribed Ex. Freckles, measles, petechiae, flat moles PATCHES – larger than 1 cm and may have irregular shape – Portwine birthmarks, Vitiligo (White Patches) C. Papule – small, circumscribed, solid elevation, 1 mm-1cm – Ex. Warts, Acne, Pimple, Elevated moles D. Vesicle – circumscribed round or oval – thin translucent mass – filled with serous fluid or blood – 1mm-1cm – Ex. Herpes simplex, Early chicken pox, Small burn blisters E. Bullae – Large blisters (larger than vesicle) – Ex. 2nd degree burn, Herpes simplex (Big) F. Pustule – Vesicle or bullae filled with pus – Ex. Acne vulgaris, Impetigo G. Nodule elevated solid hard mass that extends deeper into the dermis than a papule – have a circumscribed border – 2cm – irregular border – Ex. Malignant melanoma, Hemangioma I. Wheal – reddened localize collection of edema fluid – irregular in shape – varies in size – Ex. Hives, Mosquito bites J. Plaque – raised lesion formed from merging of papules and nodules – >1cm – Ex. Psoriasis, Rubeolla K. Cyst – elevated, encapsulated, fluid-filled mass arising from SC tissues – 1cm or larger – Ex. Sebaceous cyst, Epidermoid cyst L. Comedo – accumulation of sebum and keratin within a hair follicle – occurs due to clogging 2 types: Open comedo (black head) Closed comedo (white head) M. Telangiectasia – permanent dilation of capillaries in the skin SECONDARY LESIONS – develop/occur if changes occur in the primary lesions – relate to client’s health status, environment, & status of the epidermal layer – possible causes: Scratching, Rubbing, Medications, Natural disease progression, Process of involution or Healing A. Crust (SCAB) – a rough dry area formed by the coagulation of drying plasma or exudates – could be a dried sebum, serum, blood, or pus on skin surface producing a temporary barrier to the environment – Ex. Impetigo, Eczema, Healing of burns/LesionsB. Scales – dried fragments of sloughed epidermal cells – irregular in shape an d size – colors vary from White, Tan, Yellow, to Silver -Ex. Dandruff, Dry skin, Psoriasis C. Ulcer – depressed lesion in which entire epidermis and upper layer of dermis are lost – could be due to trauma or tissue destruction – irregular in shape and exudative – Ex. Stasis ulcer D. Fissure – deep linear split through epidermis into dermis – Ex. Tinea pedis E. Scar – Mark left on skin after healing F. Hyperkeratotic Plaque (Callus/ â€Å"Kalyo†) – excessive thickness of the epidermal layer caused by chronic friction or pressure ) PRURITUS – unpleasant skin sensation that provoke the desire to scratch – Skin, Certain MM, Eyes, Perineum, Nostril, External ear canal – r/t mechanical stimulation of chemical mediator – r/t systemic disease – Chicken pox, Severe liver disease, DM , Uremia 3) PAIN – stimulation of Nociceptor 4) SWELLING – due to release of chemical mediato rs 5) REDNESS – due to hyperemia 6) SYSTEMIC ss – fever (release of pseudothermoregulators), leucocytosis (^WBC) DIAGNOSTIC TESTS 1) LAB TEST a. Tzanck smear – Named after Arnault Tzanck – Aka Chickenpox test/ Herpes skin test A microscopic assessment of fluid and cells from vesicles or bullae – Top of vesicle is cut with the use of scalpel then a smear is taken from the base of vesicle using the scalpel – Differentiates vesicular disorders – may identify a virus (-) reaction – vesicle from burns (+) H. Simplex or Acantholytic cells; varicella virus; multinucleated giant cells b. KOH test – done if the causative agent is suspected to be a fungus – the specimen (smear) is treated with 10-20% of KOH before microscopic study Normal or (-) result shows no Fungi (No dermatophytes/yeast) c. Culture – done to identify the specific microorganisms to determine specific antibiotic treatment 2) SKIN BIOPSY – ex . Dermal punch biopsy – a sample of skin tissue is removed, processed, & examined under a microscope – 4 types: 1. Excision Biopsy – entire skin area is cut 2. Punch Biopsy – a small cylinder of skin is removed 3. Shave biopsy – outermost part of a lesion is shaved off with a scalpel 4. Aspiration biopsy – indicated for fluid-filled lesion 3) WOOD’S LIGHT EXAMINATION – Skin is viewed under UV light through a special glass (Wood’s glass ) to identify superficial infections of the skin – Place the patient in a dark room before examination 4) SKIN TESTING used to identify substances causing the allergy – 3 ways: 1. Scratch test – aka Puncture/Prick test – Pricking the skin 2. Intradermal test – Similar to Tuberculin test *DURATION OF TEST FOR BOTH SCRATCH AND INTRADERMAL TEST IS 5-10 MINS OR 15 MINS 3. Patch Test – the allergen is placed on a patch then placed on the skin – D uration: 48 hours (2 days) 4 TYPES OF HYPERSENSITIVITY REACTIONS TYPE I (ANAPHYLACTIC/IMMEDIATE HYPERSENSITIVITY) – may involve the skin (disorders such as urticarial or eczema), eyes (conjunctivitis), nasopharynx (rhinorrhea/ rhinitis), bronchopulmonary tissues (asthma), GIT (gastroenteritits) rxn may range from minor inconveniences to death (r/t bronchopulmonary constriction-vO2) – takes 15 to 30 minutes from the time of exposure – delayed onset of type I = 10 to 12 hours – mediated by Ig E – primary cell components : Mast cell and Basophil TYPE II (CYTOTOXIC HYPERSENSITIVITY) – may affect variety of organs and tissues – reaction time: minutes to hour after exposure – mediated by Ig G and Ig M – ex. Drug-induced haemolytic anemia Granulocytopenia Thrombocytopenia TYPE III (IMMUNE-COMPLEX HYPERSENSITIVITY) – the type of reaction is considered as GENERAL – ex. Serum sickness may involve individual organ suc h as the skin (SLE and Arthus reaction), kidneys, lungs, blood vessels and joints – reaction time: 3 to 10 hours – mediated by soluble immune complexes particularly Ig G TYPE IV (CELL-MEDIATED/ DELAYED TYPE) – ex. Mantoux test (PTB test), PPV test, tuberculin test – 48 to 72 hours (2 to 3 days) II. SKIN DISORDERS A. DERMATITIS/ECZEMA – Inflammation of the epidermal layer – Rashes are characterized by itching and redness Types: I. Contact Dermatitis – Inflammatory reaction either caused by Allergens or Irritants – utilize PATCH TEST to identify the cause – 2 TYPES BASED ON ETIOLOGY: Irritant Contact Dermatitis – Most common – There is no allergic reaction but there is inflammation that occurs because of either a PHYSICAL or CHEMICAL IRRITANTS – Manifestations: > Lesions appear sooner > Appear on exposed areas – Ex. Mechanical (glass fiber, wool) Chemical (cleaning compounds, perfume) Physical ( clothing, stuff toy) * Allergic Contact Dermatitis – A Delayed type (TYPE 4) of hypersensitivity rxn from contact with allergens – Immune-mediated response by previously sensitized Lymphocytes to specific antigen (allergen) – Ex. Drugs (Penicillin, Sulfonylamides) Metals (Nickel)Spandex Rubber Bra – MANAGEMENT OF CONTACT DERMATITIS: 1. Topical corticosteroids – use BID for 2 weeks – causes thinning of the skin 2. Oral Antibiotics – if lesions develop into 2’ lesion or if 2’ infection sets in 3. Oral Antihistamines, Topical Antipruritic agents, Colloid oatmeal baths – to control itching – NURSING INTERVENTIONS 1. Avoiding irritants and sensitizing substances 2. Wear appropriate clothing 3. Wear gloves 4. Use mild soap products II. Atopic Dermatitis – Genetically-based skin disorder that is both chronic and relapsing ( bec. it involves type 1 rxn) – Strongly linked with asthma and hay fever Most common in children Immunologic irregularity (Cytokines and inflammatory mediators) v Vasoconstriction of Superficial vessel v vProtective barrier function of the skin – FOCUS OF NURSING CARE in managing atopic dermatitis is geared toward addressing the social and emotional disturbances and sleep pattern disturbance – EXACERBATING FACTORS: * Change in temperature COLD – Dry skin HOT – Vasodilation > Inflammation> Itching & Redness * Other irritants * Physiologic Stress – direct stress to the area * Exercise – loss of H2O > Dryness – MANAGEMENT OF ATOPIC DERMATITIS (SYMPTOMATIC ONLY; NO CURE): 1. Hydrating the Skin Cornerstone of management – Apply moisturizer 3-4x a day to reestablish hydration of the S. corneum 2. Corticosteroid a. Systemic b. Topical * – Educate on: * Proper Application (Only apply to area being affected) * Duration of Use (BID X 2 weeks) * Side effects: Thinning of the skin Jeopardizing the immune sys tem – Application of WET WRAPPINGS – To enhance absorption and – Helps decrease pruritus 3. Protopic ointment (tacrolimus); pimecrolimus (Elidel) – IMMUNOMODULATORS (block T cell activation) – Indication: Moderate to Severe atopic dermatitis – Side effects: Itching, Burning, Irritation for few days Avoid sunlight/ artificial sunlight for prolonged periods (photosensitivity rxn) 4. Antihistamines – for itchiness 5. Antibiotic – if secondary infection sets in III. Seborrheic Dermatitis – Eczematous eruptions typically occur in hairy areas – Sebaceous gland in which there is an increase amount and alteration in the quality of sebum/serum – Usually occurs on Scalp, Eyebrow, Central chest, Face, Genital skin fold – PREDISPOSING FACTORS: 1. Family history of skin diseases 2. Winter months – symptoms usually worsen (drying effect) 3. Over growth of yeast organisms ( secondary to fungal infection) Inf lammatory changes Around sebaceous glands and hair follicles) v Red, greasy scales (Characteristic symptom > scale) – MANAGEMENT: 1. Mild – Tar, Selenium, Zinc, or Ketoconazole shampoo preparations > Have antibacterial effect on the normal flora found at the hair follicles 2. Chronic – Topical corticosteroids > To flatten thick, scaly plaques (SCALP) – Low potency topical steroids/ topical antifungal agents (FACIAL) IV. Stasis Dermatitis – Eczematous eruption common in lower extremities occurring in older persons – PREDISPOSING FACTORS: 1. Varicosities (venous insufficiency) 2. Poor circulation vVenous return (From legs) Substances remain in the tissues v Irritation, brawny colored skin associated with edema v Itching (May or May not occur) v Scratches v Break in the epidermis (Stasis ulcer) v 2’ infection – MANAGEMENT (prevention of predisposing factors): 1. Treatment of peripheral vascular conditions 2. Prevent constriction o f the circulation 3. Treat lower extremity edema * Elevate lower extremity (CI: Cardio/Pulmonary problems) * Compression stockings * Unna boots (bandage application on the lower extremities) 4. Topical corticosteroids – To address itching and scratches V. Lichen Simplex Chronicus Usually occurs in the Wrist, Ankles, and Back of the skull (Easily reached) – A localized, well-circumscribed eczematous eruption caused by repeated rubbing and scratching – Aka ITCH-SCRATCH CYCLE – PREDISPOSING FACTOR: Stress where scratching becomes habitual and worse at NIGHT – elephant skin B. ACNE – An inflammatory disease of sebaceous follicle marked with comedone, macules, and papules TYPES: I. Acne Vulgaris – Occurs on the Face, Neck, Upper chest, & Buttocks – Common among adolescents (80%) & may occur in adults – PREDISPOSING FACTORS: 1. Stress (activation of hormone production) 2.Heredity (familial tendency of androgen imbalance) 3. En docrine (hormonal imbalances) 4. Diet (free fatty acids) Puberty [^Androgen] (Sebaceous glands undergo enlargement) v Produce sebum v Binds with debris (Keratin, Bacteria, Cell fragments) v Plug hair follicle v Comedo (open/close) v Inflammation (Papules, Pustules, Nodules, Cyst) – MANAGEMENT: 1. Topical Benzoyl Peroxide Retinoids Retinoid-like drugs such as Adapaline, Tretinoids, Azeleic acid Antibiotics such as Clindamycin, Erythromycin, & Sulfa-based agents *Don’t self-medicate 2. Systemic Antibiotic – indicated for inflammatory acne lesionsIsotretinoin (Accutane) – vitamin A analog – Side effx: Dry lips & conjunctiva, and skin hairloss, muscle ache, photosensitivity, mood disturbance – prevents pregnancy, ^Risk of birth defects 3. Intralesional therapy – NURSING CARE: 1. Keep hands and hair away from face 2. Avoid exposure to oil and greases a. Eat well-balanced diet b. Wash face 2 or 3X a day with mild cleanser c. Use only water- based cosmetics II. Acne Rosacea – Characterized as a RED facial rash which mostly affect 30-60 y/o – It has both vascular and acne component – Chronic, localized eruption with vascular and acne characteristic – PREDISPOSITION: . Affects women more than men ( S/S is more severe in female) 2. Fair complexion individuals are more inclined 3. Familial predisposition – CHARACTERISTICS: 1. Red papules (sometimes pustules) – usually located on nose, forehead, cheeks, chin, rarely involves trunk and upper limbs 2. Blushing or flushing (â€Å"Red face†) – telangiectasia 3. Dry and flaky facial skin 4. Enlarged unshapely nose with sebaceous hyperplasia (the pores will become prominent) and rhinophyma (fibrous thickening) 5. Eye symptoms – eyelid inflammation/ conjunctivitis *Appearance of Lesion: DOME-SHAPED (no black/white heads; no deep cyst/lumps) MANAGEMENTS: 1. Antibiotics (Tetracycline) including doxycycline and minocycline – Duration : 6-12 weeks – to reduce inflammation (redness, papules, pustules and eye symptoms) 2. Topical: metronidazole/ Azeleic acid cream or lotion – applied 2x a day directly to the affected area 3. Nutraceuticals / clonidine – ? -2 recepto agonists > reduce vasodilation > vflushing/redness in the area 4. Anti-inflammatory drugs (diclofenac) – to reduce discomfort and redness on the affected skin – NURSING INTERVENTIONS: 1. Avoid oil-based facial creams 2. Use water-based make-up 3. Never apply a topical steroid (to the rosacea) . Protect yourself from the sun. (Use light oil-free facial sunscreens) 5. Keep your face cool: minimize your exposure to hot or spicy foods, alcohol, hot showers and baths and warm rooms. C. PSORIASIS – A genetically determined, chronic, epidermal, proliferative, not curable dse *control fast cellular proliferation – aka PAPULO-SQUAMOUS LESION > scaly in characteristic – a chronic, recurren t, erythematous inflammatory disorder involving keratin synthesis – History: 1841 – Viennese dermatologist known as Ferdinand von Hebra coined the term psoriasis from Greek word â€Å"psora† which means â€Å"to itch† – INCIDENCE:Men and women are equally affected Occurs in all ages but is less common among children and elderly Commence at early adulthood (18-24) Increased incidence among Whites Decreased among Japanese, American Indians, West African origin – exacerbated by several factors – manifestations usually appear between 15 and 35 years old – CAUSE: unknown But with high link to alteration in cyclic nucleotide and possible immunologic abnormality – CONTRIBUTORY FACTORS: 1. Immune-mediated condition – The condition is believed to be caused by faulty signals in the body’s immune system – the body tends to overreact and accelerate the growth of skin cells the T cells abnormally trigger inflamma tion in the skin (accelerates skin cells to grow faster and to pile up on the outer surface of the skin> the skin does not desquamate but piles up) *Normally, skin cells mature and sheds off every 28-30 days Cytokines (Lymphokines) v ^Platelet, Neutrophils, Basophils v Release of Histamine v Inflammation 2. Genetic – It has been appreciated by physicians that it occurs in families – high rates among monozygotic twins – known to be linked with inherited genes or other immune-mediated conditions – when both parents have psoriasis, a child may have 40% probability of developing the disease

Battle of Castillon in the Hundred Years War

Battle of Castillon in the Hundred Years' War Battle of Castillon - Conflict Date: The Battle of Castillon was fought on July 17, 1453, during the Hundred Years War. Armies Commanders: English John Talbot, Earl of Shrewsbury6,000 men French Jean Bureau7,000-10,000 men Battle of Castillon - Background: In 1451, with the tide of the Hundred Years War favoring the French, King Charles VII marched south and succeeded in capturing Bordeaux. Long an English possession, the residents resented their new French overlords and soon were secretly dispatching agents to London asking for an army to liberate their territory. While the government in London was in turmoil as King Henry VI dealt with bouts of insanity and the Duke of York and Earl of Somerset vied for power, efforts were made to raise an army under the leadership of veteran commander John Talbot, Earl of Shrewsbury. On October 17, 1452, Shrewsbury landed near Bordeaux with 3,000 men. As promised, the citys populace expelled the French garrison and welcomed Shrewsburys men. As the English liberated much of the area around the Bordeaux, Charles spent the winter raising a large army to invade the region. Though reinforced by his son, Lord Lisle, and a number of local troops, Shrewsbury possessed only around 6,000 men and was badly outnumbered by the approaching French. Advancing along three different routes, Charles men soon spread out to attack numerous towns and villages in the area. Battle of Castillon - French Preparations: At Castillon on the Dordogne River, around 7,000-10,000 men, under the artillery master Jean Bureau, constructed a fortified camp in preparation for besieging the town. Seeking to relieve Castillon and win a victory over this detached French force, Shrewsbury marched out of Bordeaux in early July. Arriving early on July 17, Shrewsbury succeeded in driving back a detachment of French archers. Alerted to the English approach, Bureau shifted 300 guns of various types from firing positions near the town to defend the camp. With his men stationed behind strong entrenchment, he awaited Shrewsburys attack. Battle of Castillon - Shrewsbury Arrives: As his army arrived on the field, a scout informed Shrewsbury that the French were fleeing the area and that a large cloud of dust could be seen in the direction Castillon. In actuality, this was caused by the departure of the French camp followers which had been instructed to leave by Bureau. Seeking to strike a decisive blow, Shrewsbury immediately ordered his men to form for battle and sent them forward without scouting the French position. Surging towards the French camp, the English were stunned to find the enemys lines manned. Battle of Castillon - The English Attack: Undeterred, Shrewsbury sent his men forward into a hail storm of arrows and artillery fire. Unable to personally take part in the fighting as he had been previously captured by the French and paroled, Shrewsbury charged across the battlefield pushing his men forward. Unable to break through Bureaus fortifications, the English were slaughtered en masse. With the assault faltering, French troops appeared on Shrewsburys flank and began attacking. With the situation rapidly deteriorating, Shrewsburys horse was hit by a cannonball. Falling, it broke the English commanders leg, pinning him to the ground. Sallying out from their works a number of French soldiers overwhelmed Shrewsburys guards and killed him. Elsewhere on the field, Lord Lisle also had been struck down. With both of their commanders dead, the English began falling back. Attempting to make a stand along the banks of the Dordogne, they were soon routed and forced to flee back to Bordeaux. Battle of Castillon - Aftermath: The last major battle of the Hundred Years War, Castillon cost the English around 4,000 killed, wounded, and captured as well as one of their most notable field commanders. For the French, losses were only around 100. Advancing to Bordeaux, Charles captured the city on October 19 after a three-month siege. With Henrys failing mental health and the resulting War of the Roses, England was no longer in a position to effectively pursue its claim to the French throne. Selected Sources Hundred Years War: Battle of CastillonHistory of War: Battle of Castillon

mbar to atm - Converting Millibars to Atmospheres

mbar to atm - Converting Millibars to Atmospheres This example problem demonstrates how to convert the pressure units millibar (mbar) to atmospheres (atm). Atmosphere originally was a unit related to the air pressure at sea level. It was later defined as 1.01325 x 105 pascals. A bar is a pressure unit defined as 100 kilopascals and 1 millibar is 1/1000 bar. Combining these factors gives a conversion factor of 1 atm 1013.25 mbar. Key Takeaways: Millibars to Atmospheres Pressure Conversion Millibars (mbar) and atmospheres (atm) are two common units of pressure.You can use either of two conversion formulas to convert between millibars and atmospheres.1 millibar 9.869x10-4 atm1 atm 1013.25 mbarRemember, the number in mbar will be about a thousand times larger than the equivalent value in atm. Alternatively, converting from mbar to atm will yield a number about a thousand times smaller.When performing unit conversions, check your answer to make sure it makes sense, convert it to scientific notation if practical, and use the same number of significant digits as the original value. mbar to atm Conversion Problem #1 The air pressure outside a cruising jetliner is approximately 230 mbar. What is this pressure in atmospheres? Solution: 1 atm 1013.25 mbarSet up the conversion so the desired unit will be canceled out. In this case, we want atm to be the remaining unit.pressure in atm (pressure in mbar) x (1 atm/1013.25 mbar)pressure in atm (230/1013.25) atmpressure in atm 0.227 atmAnswer: The air pressure at cruising altitude is 0.227 atm. mbar to atm Conversion Problem #2 A gauge reads 4500 mbar. Convert this pressure into atm. Solution: Again, use the conversion: 1 atm 1013.25 mbar Set up the equation to cancel out the mbar units, leaving atm: pressure in atm (pressure in mbar) x (1 atm/1013.25 mbar)pressure in atm (4500/1013.25) atmpressure 4.44 atm mbar to atm Conversion Problem #3 Of course, you can use the millibar to atmosphere conversion, too: 1 mbar 0.000986923267 atm This may also be written using scientific notation: 1 mbar 9.869 x 10-4 atm Convert 3.98 x 105 mbar into atm. Solution: Set up the problem to cancel out the millibar units, leaving the answer in atmospheres: pressure in atm pressure in mbar x 9.869 x 10-4 atm/mbarpressure in atm 3.98 x 105  mbar x 9.869 x 10-4 atm/mbarpressure in atm 3.9279 x 102 atmpressure in atm 39.28 atm or pressure in atm pressure in mbar x 0.000986923267  atm/mbarpressure in atm 398000 x 0.000986923267 atm/mbarpressure in atm 39.28 atm Need to work the conversion the other way? Here is how to convert atm to mbar About Pressure Conversions Pressure unit conversions are one of the most common types of conversions because barometers (the instruments used to measure pressure) use any of a number of units, depending on their country of manufacture, the  method used to measure pressure, and intended use. Beside mbar and atm, units you may encounter include torr (1/760 atm), millimeters of mercury (mm Hg), centimeters of water (cm H2O), bars, foot sea water (FSW), meter sea water (MSW), Pascal (Pa), newtons per square meter (which is also a Pascal), hectopascal (hPa), ounce-force, pound-force, and pounds per square inch (PSI). A system that is under pressure has the ability to do work, so another way to express pressure is in terms of stored potential energy per unit volume. Thus, there are also units of pressure relating to energy density, such as joules per cubic meter. The formula for pressure is force per area: P F/A where P is pressure, F is force, and A is area. Pressure is a scalar quantity, meaning it has a magnitude, but not a direction. Make Your Own Homemade Barometer Sources Giancoli, Douglas G. (2004). Physics: principles with applications. Upper Saddle River, N.J.: Pearson Education. ISBN 978-0-13-060620-4.International Bureau of Weights and Measures (2006). The International System of Units (SI), 8th ed. p. 127. ISBN 92-822-2213-6.Klein, Herbert Arthur. (1988).  The Science of Measurement: a Historical Survey. Mineola, NY: Dover Publications 0-4862-5839-4.McNaught, A. D.; Wilkinson, A.; Nic, M.; Jirat, J.; Kosata, B.; Jenkins, A. (2014). IUPAC. Compendium of Chemical Terminology, 2nd ed. (the Gold Book). 2.3.3. Oxford: Blackwell Scientific Publications. doi:10.1351/goldbook.P04819Resnick, Robert; Halliday, David (1960).  Physics for Students of Science and Engineering Part 1. New York: Wiley. p.  364.

International Business Practices - cultural differences Essay

International Business Practices - cultural differences - Essay Example The best method is to wait until Australian partner brings these subjects and not to be afraid to express the opinion even if it completely different. Similar to Australians, South African partners might discuss social issues as well, including race policies. The concept of political correctness is very important - it is acceptable to talk about race without imposing the personal views. Interestingly, South African business partners tend to talk about anything except for business. For example, the common interest in sports can solidify the personal side of the business relations (South Africa Business Etiquette, 2003). If the sales manager expresses the desire to see a cricket match or any other national sport, the further business communication will much improve and be beneficial for both sides. Knowledge of this business ethics can help the PM company to do business more effectively in South Africa. The culture in Britain is very unlike to Australia and South Africa. British partner will never discuss social issues or common sports interests with the stranger. British are more reserved and value personal distance in business relations (United Kingdom Business Etiquette, 2003).

Violence in the Workplace Essay Example | Topics and Well Written Essays - 750 words

Violence in the Workplace - Essay Example In 2008, Roy observed that workplace violence was assuming great importance for modern businesses. Quoting the U.S. National Institute for Occupational Safety and Health, he observes that on an average working day, 3 people are murdered on the job, 1000000 workers are assaulted and more than 1,000 are murdered every year in the U.S. According to the Labor Department, killing at the work place is the second major contributor to death on the job after road accidents. Statistics show that 111,000 incidents of work-place violence cost employers and others an estimated 6.2 million in 1992. With the issue of violence at the workplace gaining higher attention, many state bodies are coming together to combat this social threat. The 9/11 attacks gave a completely new perspective to violence at the workplace. The incident made the world wake up to the fact that a threat need not be limited to workers only, but could also be in the form of terrorists attacks from outside the workplace. The FBI's National Center for the Analysis of Violence Crime (NCAVC), Critical Incident Response Group (CIRG), coordinated with a select group of experts from law enforcement, private industry, government, law, labor, professional organizations, victim services, the military, academia, mental health, and CIRG's Crisis Negotiations Unit in 2004 and discussed the problem at length. "Workplace Violence: Issues in Response," a document detailing the duties of an employer, employee, the role of the state has been the written outcome of this effort. While there are no written rules about hiring or verifying the credentials of a prospective employee, the agencies have advised employers to exert utmost care in recruiting new people. Also, while businesses are bound by law to safeguard the employees' welfare and security under the Occupational Safety and Health Act, they can in no way guarantee complete safety for the employees from external threats. They can at most ensure that the workplace is "free from recognized hazards " in accordance with the "General Duty Clause." . To properly implement the civil rights requiring employers to protect employees from various forms of violence, it becomes essential fro the employers to pay extra attention to each employee's activities within and outside of the workplace. However, keeping a tab on such activities might lead to issues of privacy, defamation and discrimination against some employees. Not only while hiring, but also while firing employees, organizations have to be very careful th at the disgruntled employee doesn't become a threat to the company. As discussed in the paper, sometimes laws meant to protect an employee's rights become an obstacle in ensuring the employer's rights. The American Disabilities Act might prove a hurdle for an employer if the concerned person shows signs of being a threat to the company, but is not ready for counseling. Thus, while we can safely conclude that instances of violence at the workplace are increasing at a rapid rate, organizations have to be prepared for any kind of emergency. While hiring new people, they should also keep in mind the past records of the employee and take hints