Poetry Feet Flashcard

Poetry Feet

Spanish Expressions Using the Verb Estar

Spanish Expressions Using the Verb Estar As one of the verbs meaning to be, estar is used constantly in Spanish to refer to peoples emotions as well as the status of things and persons. Although there are many times estar isnt translated as to be, usually its use is straightforward for English speakers. Estar also finds its way into numerous idiomatic expressions whose meaning may not be obvious at first. Following are some of the most common and/or useful of them, along with sample sentences taken from contemporary writing. Appropriate translations can vary, depending on the context. Spanish Expressions Using Estar dà ³nde estamos (an expression of amazement or disgust at what is being witnessed).  ¿Dà ³nde estamos?  ¡No lo puedo creer! Whats going on here? I cant believe it! estar a gusto (to be comfortable). Estoy a gusto en mi trabajo. I am comfortable with my job. estar al caer (to be on the verge of arriving). El Nexus 5 est al caer, y podrà ­a costar 399 dà ³lares. The Nexus 5 is almost here, and it could cost $399. estar al loro (to be on top of things). Puedes hablar de todo, porque ests al loro de lo que sucede diariamente. You can talk about everything, because youre on top of everything that happens daily. estar a oscuras (to be ignorant or in the dark). Estoy a oscuras en estos temas. I am in the dark about these subjects. estar a punto de (to be on the verge of). Estaba a punto de llamarte. I was just about to call you. estar al corriente (to be up to date or current). No estoy al corriente en mis pagos. Im not up to date with my payments. estar al dà ­a (to be informed). Quiero estar al dà ­a con todo lo que pueda con mi bebà ©. I want to know about everything that can happen with my baby. estar al là ­mite (to be at ones limit in patience). En estos momentos estoy al là ­mite, y me hace daà ±o ver como mi novio se autodestruye. These days I am at my limit, and it pains me to see how my boyfriend is self-destructing. estar de buen nimo (to be in a good mood). Mariano explicà ³ que ayer su padre estuvo de buen nimo. Mariano explained that yesterday his father was in a good mood. estar de ms (to be excessive). La seguridad nunca est de ms durante la presencia del presidente. There is never too much security during the presence of the president. estar mal de (un à ³rgano del cuerpo) (to have a bad body part). Roger estaba mal de la espalda y no podà ­a jugar con toda su capacidad. Roger had a bad back and couldnt play to full capacity. estar por ver (to remain to be seen). Y est por ver la respuesta del Gobierno de Espaà ±a. The response of the Spanish government remains to be seen. estar sin un cobre, estar sin un duro (to be broke). Recuerdo una à ©poca que yo estaba sin un duro. I remember a time when I was flat broke. estar visto (to be obvious). Estaba visto que no era particularmente una buena opcià ³n. It was obvious that it wasnt particularly a good option. llegar a estar (to become).  ¿Cà ³mo llegaste a estar delgada tan rpido? How did you become thin so quickly? Sources: Sample sentences have been adapted from online sources that include es.Gizmodo.com, Carlos Soriano Gà ³mez, Fobiasocial.net, Foro de Ayuda Psicolà ³gica, Correo del Orinoco, es.Yahoo.com, ComoHacerPara.com, ElBebe.com, ElDà ­a.es, BioBioChile, D. Vzquez Molini and Informe21.com.

Critically discuss the nursing paradigms that you consider have the Essay

Critically discuss the nursing paradigms that you consider have the most relevance to nursing and to your own clinical practice - Essay Example to develop a strong interpersonal relationship with the patient and give quality and compassionate care for optimum positivism for the patient in particular. According to Polit and Hungler (2006) paradigm is a "way of looking at natural phenomena that encompasses a set of philosophical assumptions and that guides ones approach to inquiry" (pg. 183). Nurses naturally use this type of thinking in their practice to assist them in determining what the best care methods are going to be for a patient. Of course this thought moves into the usage of metaparadigms in the field as well, with both interlacing together to form a unified pattern in professional nursing. A Metaparadigm differs from a nursing paradigm as, â€Å"it is known as a group of statements identifying a relevant phenomena† (Fawcett 1984, pg. 84). The Metaparadigm model has four known concepts that directly affect the clinical practice of any nurse, regardless of this is in theater or outside on the surgical ward, or even on a basic ward. These four known central concepts that directly affect the discipline of nursing are as follows: Carper’s Pattern of Knowing (1995) intertwines with this mental train of thought in nursing because it moves beyond the technical aspects of the field and goes more into personal knowledge and experiences. This is explicably true in the area of understanding the patient’s direct needs and the environment from which they came from before ending up in the medical environment (Sorrell & Sorrell 1995, pg. 2). It is also true that this type of philosophy, while bringing many nursing ideas into a more unified spectrum has also brought in a paramount shift in the profession itself. According to how Sorrell & Sorrell (1995) analyzed this concept in their research, they show how Carper believes that every knowledgeable pattern in nursing must be fully understood so that a perfect type of congruence between all of the theorizations and concepts will develop and not be

Executive summary for a project Case Study Example | Topics and Well Written Essays - 250 words

Executive summary for a project - Case Study Example tified that the core weakness within the replenishment process is delay time where delays at the bottleneck are longer: the time taken in completing the critical activities such as assembling of the required merchandise to be taken to the stores, or ordering of the required merchandise from the suppliers to fulfil market demand (longer lead time). In most instances a FIFO discipline most likely have higher delay time and lower outflow rates even in the best case scenario where there is regularity in processing of the merchandise. Such impact constrains the output rate at the bottleneck. The core solutions derived from the problem analysis to develop a â€Å"To-Be† replenishment process aimed at increasing operational excellence includes: Optimising lead time through adoption of just in time technique; the selection of a few strategic and trusted suppliers for whom a strategic partnership is made and the company’s replenishment process is integrated into such supplierâ⠂¬â„¢s systems; Vendor managed Inventory system which give control to the suppliers and ensures effective flow of accurate information on the level of merchandise required, which can be enhanced through incorporation of radio frequency Identification (RFID) system in the products; and cross docking where products are transported directly from the suppliers to the stores with the merchandise undergoing little to nil handling. Attaining operational excellence is critical for any business as organisations cannot afford to have quality issues, high cost operations or even long market cycles (Oracle 3). Notably, one of the core advantages that businesses often attain to achieve is effective inventory management to not only ensure high quality fresh products but also lower costs. Optimal inventory management is vital for any business organisation. The core benefits of having a much leaner inventory includes reduction in operation costs, higher customer satisfaction, and increased sales. In deed Lee (1)

Week 4 Individual Assignment Essay Example | Topics and Well Written Essays - 1250 words

Week 4 Individual Assignment - Essay Example Clear Hear manufactures phones at its own facilities. One of the goals of the managers of the company is to optimize production in order to take advantage of idle capacity. The company has an unused production capacity of 70,000 units. The firm has to decide whether or not to take an order of 100,000 units. The current bid is a price of $15 per unit. The firm has to consider the variable and fixed cost of producing the model. Clear Hear produces two types of phone models. The Alpha model is sold at $20. The profit margin on this model is 15% due to the fact that total cost equal $17 per unit. The Beta model is sold at $30 and it has a net market of 26.66%. Due to the fact that the production cost are higher than the price bid of the proposal the company cannot take the order under normal circumstances. To take the order the firm has to outsource the order to produce the phones at $14. The company would make a profit of $100,000 on the transaction. In order to increase revenues Clear Hear can utilize several strategies. The firm can invest money in marketing in order to attract new customers. Advertising campaigns can ignite the demand of the product. Another way to improve revenues is by motivating the sales staff. Increasing commission incentives is a way to motivate the salespeople to produce more. A firm can increase its production capacity by investing in technology such as new machinery for the production line. Increasing the production capacity of the firm can enabled the company to shift its supply curve to the right. Greater production would enable the company to increase its revenues. Another simply solution to increase the demand for the product is to decrease the price of the phones. Due to the thin margin on the Alpha model the company has to be careful with its price decreases because it may hurt profitability. It is important to pay attention to the laws of diminishing return.

Serum-hepatocyte Growth Factor (S-HGF) in Diagnosis of SPNs

Serum-hepatocyte Growth Factor (S-HGF) in Diagnosis of SPNs Value of hepatocyte growth factor in the differential diagnosis of solitary pulmonary nodules[F1] Haixin Yu, Yan Wang*, Wenduan Ma, Haixiang Yu, Shengtao Shang Abstract Purpose: To evaluate serum-hepatocyte growth factor (S-HGF) in the differentiation of solitary pulmonary nodules(SPNs)[F2].[F3] Methods: The study comprised 42 serum samples from SPN patients and 10 healthy samples as control. The HGF was measured by the commercially available immunoassay[F4].[F5] Serum levels of HGF of 42 patients with SPN was measured by ELISA kit, and compared with the control group of 10 normal subjects. The nodules were diagnosed by operation and pathology. Results: The median level of S-HGF was 180( range from 100 to 300) pg/ ml in the healthy control group, 165( range from 100 to 400) pg/ ml in benign SPNs group and while 395( range from 100 to 1550) pg/ ml in malignant SPNs group, The S-HGF mean level of malignant group was significantly higher than the with significant difference observed between the malignant group and control group(P. Moreover, the malignant group was also significantly higher than the , and between the malignant group and the benign group(Pwhile no significant difference between the benign , but not between the benign group and the control group(Pà ¯Ã‚ ¼Ã… ¾0.05). Furthermore, the S-HGF was also shown no statistically significant difference was observed(Pà ¯Ã‚ ¼Ã… ¾0.05) in different pathologic types of the limited number of lung cancer patients.In addition, when S-HGF in different pathologic types of the limited number of lung cancer patients were compared, no statistically significant difference was observed (Pà ¯Ã‚ ¼Ã… ¾0.05). Conclusion: S-HGF is valuable in the differential diagnosis of solitary pulmonary nodules. It was suggest that the patients with SPNs should consider an operation when the S-HGF level ≠¥250pg/ml, and malignant SPNs are highly suspected while S-HGF level ≠¥400pg/ml, surgical intervention should be taken immediately.S-HGF is valuable in the differential diagnosis of solitary pulmonary nodules. An elevated S-HGF level≠¥250pg/ml in patients with SPNs may strongly speak for malignant nodules and operation is suggested. If S-HGF level ≠¥400pg/ml, malignant SPNs are highly suspected, active surgical intervention should be taken. Key words: diagnosis, hepatocyte growth factor, solitary pulmonary nodule, NSCLClung cancer 1. Introduction The solitary pulmonary nodules (SPNs) is a single mass in the lung less than or equal to 3 cm in diameter, without concomitant pneumonia and atelectasis of involved lung segments and lobes [1]. In the general population, it’s reported that approximately 5% of SPN patients show lung cancer by radiology [2], which is considered one of the most common forms of cancer with a high death incidence ratio in the world [3]. Diagnoses of benign and malignant SPN has been concerned and become a challenge in these decades [4, 5]. Therefore, it is utmost important to improve the method in the characterization of SPNs[6].   With the development of modern medical science and technology, several detecting and monitoring method were used in screening the SPNs and lung cancer [2, 7, 8], Momen[9] et al. have compared three detection methods for identifying malignant SPNs for the sensitivity and specificity. The positron emission tomography (PET) imaging was consistently higher (80 to 100%) for its sensitivity, while was with lower specificity and larger variation (40 to 100%). Also, they found the similar results in dynamic CT with enhancement (sensitivity, 98 to 100%; specificity, 54 to 93%). In studies of CT-guided needle biopsy, sensitivity and specificity performed excellent, but nondiagnostic results were seen approximately 20%. Dalli[8] et al. also showed the similar result in 2013. While Carsten[10] et al. suggested that routine flexible bronchoscopy should be included in the pre-operative work-up of patients with SPNs in his study. Even so, it seems to find a better detection method of long cancer an d characterization of SPNs is still necessary. Serum-hepatocyte growth factor (S-HGF, Serum-HGF) is an important fibroblast-secreted protein that mediates development and progression of cancers[11]. Nagio et al. [12] gave the evidence that the S-HGF levels of patients with small cell lung cancer (SCLC) were significantly higher than those of patients with benign SPNs and healthy subjects. Ujiie et al[13] had proved that the levels of HGF in serum could be used as prognostic indicators of the patients with stage III non-small cell lung cancer (NSCLC) undergoing surgery and chemotherapy. Kasahara et al. [14] found that higher HGF levels were significantly associated with a shorter progression-free survival (PFS) and overall survival (OS) in patients with non-small cell lung adenocarcinoma. The expression level of S-HGF could be a sensitive indicator and an independent biomarker for evaluating the therapeutic effects and the prognosis in patients with lung cancer. Therefore, we give the hypothesis that S-HGF may be a potential targ et in diagnoses of benign and malignant SPNs associated with lung cancer. In our study, we used Enzyme linked immunospot assay (ELISA) method to detect the S-HGF levels between different serum samples from SPNs patients and healthy subjects. The solitary pulmonary nodule(SPN) is defined as a round opacity ≠¤3 cm in diameter surrounded by lung parenchyma[1].There should be no associated with hilar lymphadenopathy, atelectasis, pneumonia or chest wall pathologies. With more importance attached to physical examination and the development of medical imaging examination technology, the detection rate of SPN is on the increase. In the general population, approximately 5% of all SPNs shown by radiology are reported to be carcinomas[2]. In eight large trials of lung cancer screening, Momen et al[3] have compared the sensitivity and specificity in three detection methods for identifying malignant SPNs. The sensitivity of PET imaging was consistently high (80 to 100%), whereas specificity was lower and more variable (40 to 100%). They found similar results in dynamic CT with enhancement(sensitivity, 98 to 100%; specificity, 54 to 93%).In studies of CT-guided needle biopsy, sensitivity and specificity were excellent, but nondiagnostic results were seen approximately 20% of the time. Carsten et al[4], in a study of 225 patients with SPN of unknown origin, observed that the bronchoscopic biopsy results were positive in 84(46.5%) patients with lung cancer. The differential diagnosis between malignant and benign solitary pulmonary nodules (SPNs) is always a difficult point in clinical practice. In this study, we inv estigate the clinical significance of the serum level of hepatocyte growth factor(HGF) in patients with SPNs. 2. Methods 2.1. Patients According to the definition, inclusion criteria was setà ¯Ã‚ ¼Ã… ¡Ãƒ ¯Ã‚ ¼Ã‹â€ 1à ¯Ã‚ ¼Ã¢â‚¬ °On computed tomography (CT), SPN is a round opacity ≠¤3 cm in diameter surrounded by lung parenchyma.à ¯Ã‚ ¼Ã‹â€ 2à ¯Ã‚ ¼Ã¢â‚¬ °There should be no associated with hilar lymphadenopathy, atelectasis, pneumonia or chest wall pathologies.à ¯Ã‚ ¼Ã‹â€ 3à ¯Ã‚ ¼Ã¢â‚¬ °Regardless of age and gender. In consideration of some influences, exclusion criteria was setà ¯Ã‚ ¼Ã… ¡(1)Inflammation or infection within a month. (2)Surgery or trauma within 6 months. (3)Various liver diseases. (4)Chronic renal failure. (5)Arteriosclerosis. (6)Rheumatoid arthritis and osteoarthritis. (7)Diabetes mellitus. The case group included 42 patients with SPNs, mean age 60.7 years (range, 42 to 72). Besides, 10 healthy adult subjects were chosen as control. 2.2. Specimen collection The morning fasting venous blood of all subjects was collected in sterile polypropylene tubes, containing ethylenediamine tetraacetic acid (EDTA), and immediately centrifuged at 400rpm for 10min. Then, the plasma was stored at -70 °C until the assays were performed. 2.3. Assay for S-HGF We used Sandwich enzyme-linked immunosorbent assay(ELISA) to measure S-HGF. The HGF monoclonal antibody and standard substance for the assays were purchased from American RD systems. Goat-anti-human HGF polyclonal antibody as the primary antibody and donkey-anti-goat IgG polyclonal antibody labeled with horseradish peroxidase as the secondary antibody were both purchased from British biotech company Abcam. 2.4. Pathological diagnoses All the 42 patients with SPNs were pathological diagnosed postoperatively. 12 cases were benign nodules(4/12 were tuberculoma, 6/12 were inflammatory pseudotumor, 2/12 were hamartoma) and 30 cases were malignant nodules(17/30 were adenocarcinoma, 13/30 were squamous carcinoma). 2.5. Statistical methods All data were analyzed by SPSS 19.0. Because the measured data manifested as skewed distribution, geometrical mean Gà ¯Ã‚ ¼Ã‹â€ logG ±sà ¯Ã‚ ¼Ã¢â‚¬ °was calculated in each group after logarithmic transformation had been carried out on each datum. Then, Students t test was performed on both sides. Differences were considered statistically significant at Pà ¯Ã‚ ¼Ã…“0.05. 3. Result The S-HGF data measured of healthy control group, benign SPNs group and malignant SPNs group is shown in Table 1Table 1 are the measured S-HGF data of healthy control group, benign SPNs group and malignant SPNs group. All the data manifest as skewed distribution(All Pà ¯Ã‚ ¼Ã…“0.05). Geometrical mean Gà ¯Ã‚ ¼Ã‹â€ logG ±sà ¯Ã‚ ¼Ã¢â‚¬ °was calculated in each group after logarithmic transformation had been carried out on each datum(Table 2). TABLE 1 The S-HGF levelà ¯Ã‚ ¼Ã‹â€ pg/mlà ¯Ã‚ ¼Ã¢â‚¬ ° of healthy control group, benign SPNs group and malignant SPNs group. TABLE 2 The comparison of S-HGF level of each group after logarithmic transformation had been carried out on each datum. aBenign SPNs group vs healthy control group, Pà ¯Ã‚ ¼Ã… ¾0.05 bMalignant SPNs group vs healthy control group, Pà ¯Ã‚ ¼Ã…“0.05 cMalignant SPNs group vs benign SPNs group, Pà ¯Ã‚ ¼Ã…“0.05 The S-HGF level of benign SPNs group compared with the healthy control group, there were no significant differences (Pà ¯Ã‚ ¼Ã… ¾0.05). The S-HGF levels of malignant SPNs group were significantly higher than those of healthy control group(Psignificant differences (Pà ¯Ã‚ ¼Ã… ¾0.05, Table 3). TABLE 3 The comparison of S-HGF level of adenocarcinoma and squamous carcinoma aSquamous carcinoma vs adenocarcinoma, Pà ¯Ã‚ ¼Ã… ¾0.05 4. Discussion Hepatocyte growth factor/scatter factor (HGF/SF) from the serum of hepatectomized rats was first partially purified and described by Nakamura in 1984[15]. HGF receptor encoded by the c-met proto-oncogene is a member of the tyrosine kinase class of cell surface receptors. As a kind of cytokine, the hepatocyte growth factor(HGF) has widely biological activities, including regeneration, antifibrosis, cytoprotection, and differentiation[16]. Moreover, HGF is a predominant fibroblast-derived factor that stimulates mitogenesis, motogenesis, and the invasion and metastasis of human carcinoma cells [17]. The growth and metastasis of tumors depend on angiogenesis which is the result of the imbalance of promoters and inhibitors. The S-HGF levels in patients with acute hepatitis, chronic hepatitis and cirrhosis were found to be slightly higher than those in normal subjects[18]. So the patients with various liver and gall diseases were first excluded. So far, some studies showed the S-HGF levels were significantly increased in patients with Inflammation, infection, underwent surgery or trauma. Therefore, the patients with inflammation or infection within a month and the patients underwent surgery or trauma within 6 months were both excluded. Johanna et al. [19] had concluded that patients with chronic renal failure (CRF) have a systemic HGF profile reflecting a chronic inflammatory condition with high concentration, but low biological activity, of HGF. Therefore, the patient samples with CRF were also excluded. The S-HGF levels in patients with arteriosclerosis, rheumatoid arthritis, osteoarthritis, and diabetes mellitus were reported to be significantly higher than that in healthy population. So, the patients with these diseases were excluded as well. Tsao et al.[20] showed the HGF messenger RNA(mRNA) and protein were predominantly expressed by the tumor cells in a high percentage of primary NSCLC. Our study showed serum of the healthy control group contained trace amounts of S-HGF, the S-HGF levels of the patients with benign SPNs were nearly close to the healthy control group(PHGF levels of the patients with malignant SPNs were significantly higher than the healthy control group(Pà ¯Ã‚ ¼Ã… ¾0.05) and the benign SPNs group(Pà ¯Ã‚ ¼Ã… ¾0.05). It illustrated that the high level of S-HGF was associated with lung cancer. And it was further confirmed that S-HGF could be expressed by the carcinoma cells in NSCLC. The S-HGF levels of part of patients with squamous carcinoma in the malignant SPNs group were observed to be higher(à ¯Ã‚ ¼Ã… ¾700pg/ml) and the S-HGF statistical analysis by the statistical difference between the squamous carcinoma group and adenocarcinoma group, for the S-HGF, the median level of the squamous carcinoma group was 370(100-1500)pg/ml while the adenocarcinoma group was 420(100-1550)pg/ml, no statistically significant difference between the two groups(P>0.05). No further conclusions could be made, in case of the number limitation of the samples. The result confirmation should be amortized awaits further research. Further analysis of the 20 patients with high levels of S-HGF(≠¥250pg/ml), there are 3 patients(15%) with benign SPNs and 17 patients(85%) with malignant SPNs. Furthermore, for the 20 patients, the result shows that 1 patients (6.25%) with benign SPNs and 15 patients (93.75%) with malignant SPNs in the 16 patients with high levels of S-HGF(≠¥400pg/ml), It reveals that an elevated S-HGF level ≠¥250pg/ml in patients with SPNs are more likely to be malignant and when the S-HGF level ≠¥400pg/ml, malignant SPNs are highly suspected. Conclusion In conclusion, our study shows significant in the differential diagnosis between malignant and benign solitary pulmonary nodules (SPNs) for the S-FGF assay. The S-HGF levels of malignant SPNs group are significantly higher than the healthy control group(P SPNs group(Pà ¯Ã‚ ¼Ã…“0.05). The differences between benign SPNs group and healthy control group have no statistically significant(Pà ¯Ã‚ ¼Ã… ¾0.05). An elevated S-HGF level ≠¥250pg/ml in patients with SPNs are more likely to be malignant, surgical therapy should be considered. If S-HGF level ≠¥400pg/ml, malignant SPNs are highly suspected, surgical intervention is recommended without delay. Hepatocyte growth factor/scatter factor (HGF/SF) from the serum of hepatectomized rats was partially purified and described by Nakamura for the first time in 1984. HGF receptor encoded by the c-met proto-oncogene is a member of the tyrosine kinase class of cell surface receptors. As a kind of cytokine, the hepatocyte growth factor( HGF) has widely biological activities, including regeneration, antifibrosis, cytoprotection, and differentiation[5]. Moreover, HGF is a predominant fibroblast-derived factor that stimulates mitogenesis, motogenesis, and the invasion and metastasis of human carcinoma cells[6]. The growth and metastasis of tumors depend on angiogenesis which is the result of the imbalance of promoters and inhibitors. Sengupta et al[7] had demonstrated that HGF/SF could induce angiogenesis independently of VEGF, possibly through the direct activation of the Akt and ERKs. The S-HGF levels in patients with acute hepatitis, chronic hepatitis and cirrhosis were found to be slightly higher than those in normal subjects[8]. So the patients with various liver and gall diseases were first excluded. So far, some studies have found the S-HGF levels were significantly increased in patients with Inflammation or infection, or underwent surgery or trauma. Therefore, the patients with inflammation or infection within a month and the patients underwent surgery or trauma within 6 months were both excluded. Johanna et al[9] had concluded that patients with CRF have a systemic HGF profile reflecting a chronic inflammatory condition with high concentration, but low biological activity, of HGF. Therefore, the patients with CRF were also excluded. The S-HGF levels in patients with arteriosclerosis, rheumatoid arthritis, osteoarthritis, and diabetes mellitus were reported to be significantly higher than that in healthy population. So, the patients with these diseases were all excluded. Tsao et al[10] had showed that HGF messenger RNA(mRNA) and protein were predominantly expressed by the tumor cells in a high percentage of primary NSCLC. It indicated in our research that the serum of the healthy control group only contained trace amounts of S-HGF, the levels of S-HGF of the patients with benign SPNs were close to those of the healthy control group(Pà ¯Ã‚ ¼Ã… ¾0.05) and the benign SPNs group(Pà ¯Ã‚ ¼Ã… ¾0.05). It illustrated the fact that high level of S-HGF was associated with lung cancer. And, it was further confirmed that S-HGF could be expressed by the carcinoma cells in NSCLC. In addition, Nagio et al[11] had proved that the levels of S-HGF of patients with SCLC were significantly higher than those of patients with benign SPNs and healthy subjects. The levels of S-HGF of a portion of patients with squamous carcinoma in the malignant SPNs group were observed to be higher(à ¯Ã‚ ¼Ã… ¾700pg/ml) and statistical analysis was conducted to fond the statistical difference of S-HGF between the squamous carcinoma group and the adenocarcinoma group. The S-HGF median of the squamous carcinoma group was 370(100-1500)pg/ml and the adenocarcinoma group was 420(100-1550)pg/ml, no statistically significant difference was found between the two groups(P>0.05). No firm conclusions could be made, possibly due to the limited number of cases. It is of concern and remains to be further studied. Further analysis was taken in 20 patients with high levels of S-HGF(≠¥250pg/ml), 3 patients(15%) had benign SPNs and 17 patients(85%) had malignant SPNs. Further observation was made, among the 20 patients, there were 16 patients with high levels of S-HGF(≠¥400pg/ml), 1 patients(6.25%) had benign SPNs and 15 patients(93.75%) had malignant SPNs. It reveals that an elevated S-HGF level ≠¥250pg/ml in patients with SPNs are more likely to be malignant and if S-HGF level ≠¥400pg/ml, malignant SPNs are highly suspected. Ujiie et al[11] had proved that the levels of HGF in serum could be useful prognostic indicators of the survival of patients with stage III NSCLC undergoing surgery and chemotherapy. Kasahara et al[12] had shown that higher HGF levels were significantly associated with a shorter progression-free survival (PFS) and overall survival (OS) in patients with non-small cell lung adenocarcinoma. The expression level of S-HGF could be a sensitive indicator and an independent judgement standard for evaluating the therapeutic effects and the prognosis in patients with lung cancer. Furthermore, understanding the role of HGF in the tumor progression may help in designing new therapeutic strategies for lung cancer. In conclusion, the assay for S-HGF may be of some significance in the differential diagnosis between malignant and benign solitary pulmonary nodules(SPNs). The S-HGF levels of malignant SPNs group were significantly higher than those of healthy control group(Pà ¯Ã‚ ¼Ã…“0.05). The differences between benign SPNs group and healthy control group had no statistically significant(Pà ¯Ã‚ ¼Ã… ¾0.05). An elevated S-HGF level ≠¥250pg/ml in patients with SPNs are more likely to be malignant, surgical therapy should be suggested. If S-HGF level ≠¥400pg/ml, malignant SPNs are highly suspected, active surgical intervention should be taken. References 1.  Hansell, D.M., et al., Fleischner Society: glossary of terms for thoracic imaging. Radiology, 2008. 246(3): p. 697-722[à ¥Ã‚ ¼Ã‚  Ãƒ ¨Ã¢â‚¬ ¹Ã‚ ±Ãƒ ¥Ã‚ ½Ã‚ ª13]. 2.  Klein, J.S. and M.A. Zarka, Transthoracic needle biopsy: an overview. J Thorac Imaging, 1997. 12(4): p. 232-49. 3.  Siegel, R., D. Naishadham, and A. Jemal, Cancer statistics. CA Cancer J Clin, 2012. 62(1): p. 10-29. 4.  Cao, C., et al., A meta-analysis of unmatched and matched patients comparing video-assisted thoracoscopic lobectomy and conventional open lobectomy. Ann Cardiothorac Surg,2012. 1(1): p. 16-23. 5.  Zhan, P., Q. Qian, and L.K. Yu, Prognostic value of COX-2 expression in patients with non-small cell lung cancer: a systematic review and meta-analysis. J Thorac Dis, 2013. 5(1): p. 40-7. 6.  Tong, X., et al., [Clinical experience of the treatment of solitary pulmonary nodules with da vinci surgical system]. Zhongguo Fei Ai Za Zhi, 2014. 17(7): p. 541-4. 7.  Aberle, D.R., et al., Results of the two incidence screenings in the National Lung Screening Trial. N Engl J Med, 2013. 369(10): p. 920-31. 8.  Dalli, A., et al., Diagnostic value of PET/CT in differentiating benign from malignant solitary pulmonary nodules. J BUON, 2013. 18(4): p. 935-41. 9.  Wahidi, M.M., et al., Evidence for the treatment of patients with pulmonary nodules: when is it lung cancer?: ACCP evidence-based clinical practice guidelines (2nd edition). Chest, 2007. 132(3 Suppl): p. 94S-107S. 10.  Schwarz, C., et al., Value of flexible bronchoscopy in the pre-operative work-up of solitary pulmonary nodules. Eur Respir J, 2012. 41(1): p. 177-82. 11.  Ma, D.C., et al., [Hepatocyte growth factor did not enhance the effects of bone marrow-derived mesenchymal stem cells transplantation on cardiac repair in a porcine acute myocardial infarction model]. Zhonghua Xin Xue Guan Bing Za Zhi, 2006. 34(2): p. 119-22. 12.  Takigawa, N., et al., Serum hepatocyte growth factor/scatter factor levels in small cell lung cancer patients. Lung Cancer, 1997. 17(2-3): p. 211-8. 13.  Ujiie, H., et al., Serum hepatocyte growth f

The Worst Jobs in the World :: essays research papers

The Worst Jobs in the World TURD DIVER - cleans the grate at the sewer treatment plant HOG SLAUGHTERHOUSE PROCESSOR - I work in a slaughterhouse where we process hogs. They come in by the truckload and sometimes I have to lead them to the killing pen and kill them with a bullet in the head. Usually this job means that the technician ends up covered with blood. The hog is then placed upon meat hooks by its hind legs. After the hog is lifted into position, its neck is slit so that blood can drain into a large vat. Sometimes it seems that gallons of blood pours out. One benefit, though, is cheap hams and bacon. We get to buy meat at very low cost. Too bad we don't make enough money to buy very much. $9.00 as processor. It's a living. BURNT POTATO CHIP PICKER - For minimum wage you get to watch cooked potato chips quickly fly by on a conveyor belt and you have to pick out the burnt ones. This is done in 90+ degree temperature, with a thick coating of oil in the air. With these three ingredients, it isn't long before motion sickness (watching the chips fly by) increases with the smell and temperature causing you to want to barf. And you know how it is having a minimum wage job, you don't get a break and have to keep your nose to the grindstone. Needless to say I turned down overtime. GAY BAR JANITOR - Think about it . . . Cleaning a bar is a bad enough thought. In a gay bar some of the things you see, hear and find can be very confusing and leave you not wanting to touch anything! Ever!!! ARMPIT SNIFFER in a deodorant factory. The World's Worst Jobs - Nuclear Warhead Sensitivity Technician - Circus Elephant Clean Up Specialist - Rotten Sardine Taste Detector - Assistant To The Boss's Nephew - Shark Baiter - Hurricane Photographer - Director Of Public Relations, Chernobyl Nuclear Facility - Prison Glee Club President - Road Kill Removal Crew Worst Jobs 1.Lumberjack 2.Fisherman 3.Cowboy 4.Ironworker 5.Seaman 6.Taxi driver 7.Construction worker 8.Farmer 9.Roofer 10.Stevedore World's Worst Jobs Do you think your job stinks? You could be a Flatus Odor Judge. That's just one of several of the Worst Jobs in Science according to the editors of "Popular Science" magazine, who just compiled the list for the latest issue. Topping the chart for worst jobs are the odor judges at a Minneapolis gastroenterologist -- they're are paid to smell people's farts to determine potentially critical medical symptoms.

Effects of Endosulfan

Pre-Induction Work. How To Ensure The Success Of Your Every Induction and Suggestion Before You Even Begin By William May Click Here To Become A Master Of Covert Hypnotic Influence In the study of hypnosis there are many elements that have been covered thoroughly. Certainly, any well informed student will be familiar with the need for a good pre-talk and the establishment of rapport, will have to be quite familiar with the process of inducing and deepening a trance, and, undoubtedly, with the deployment of the suggestions and commands that are, perhaps, the ultimate purpose for the creation of the trance state.Of course, the focus on the experience of trance itself, on creating, deepening, maintaining and utilizing that state, is the essence of our field, but to truly master this art, one must also understand far more about the creation of trance, and just how our interactions with a subject, even before any formal trance work begins. Our focus here, then, is on this initial phase of the hypnotic relationship. Now, clearly the pre-talk and rapport development fall into this stage, which we can call the pre-induction phase, but they are only one aspect of the work that can be done within this realm.Even before any mention of hypnosis is made, an informal preparation can begin. The subject can be conditioned towards responsiveness, while we can surreptitiously begin to calibrate to determine the style of hypnosis that will be most productive, and, of course, begin to establish the relationship that will allow this work to be done. Additionally, we might also utilize some basic covert hypnotic techniques to truly pre-induce the subject, such that by the time formal trance work begins, they are already in a light trance state and can easily be lead into a deep trance with minimal resistance.There are many possibilities that a competent hypnotist will utilize at this point in there interaction with a subject, and we cannot, certainly, discuss all of them here, but w e shall explore, and in so doing might raise new thoughts to lead us towards discovering further potentialities for just how the pre-induction phase might be utilized to enhance the hypnotic interaction for our subject, while making our job as hypnotist even easier.  © William May. www. masterhypnoticlanguage. com Let us begin with some minor points on what happens when a subject is first greeted and welcomed to our hypnotic arena.While my focus here is on therapeutic interactions, one can easily see how these same notions might translate to other contexts, whether it be on the street, in a theatre, or any other context. So, let us imagine that a client walks into the office for their first session. My preference is to meet them in the waiting room. This may seem, and indeed is, a minor point, but there is a reason for this. First, it does create a cordiality, as I can walk out, meet them with a warm smile and handshake, and then welcome them to come into my office.Additionally, I might find out a bit about the subject, whether they arrived alone, and if not, just who is with them; how they occupy their time whilst sitting in the waiting room, and their general demeanor. Many small details can be obtained through this simple gesture, whereas a subject might easily disguise some of their feelings upon entering the actual office, or, conversely, might feel an unease that they did not have as they waited. Such minor observations can be of extreme import. As an example, consider just how you might find it useful to know that your subject was reading a textbook on nursing versus a pulp novel.What might it say if they were, instead, playing a video game on there cell phone? These may be small details, but the awareness of such things can offer opportunities for metaphor(if your subject seems to be engrossed in a magazine on sports, for instance, you might weave a story that uses a sporting event as it’s focus), a point upon which to create rapport (â€Å"I couldn’t help but notice you are reading the new book by so-and-so, I’ve not read that, but I really enjoyed his XYZ, have you read that as well? †).Consider, also, the middle aged man who arrives at the office in company of his Mother, or the subject who sits alone in the corner of the office, not doing anything but purposefully avoiding interaction with anyone else in the waiting room. Another reason for stepping out of the office to meet the client is that it provides a small opportunity for getting the subject acclimated to following instructions. Even the simple gestures of asking subject to follow you into the office and of telling them to take a seat offer an opportunity to establish a pattern of compliance in an extremely non-threatening way.Again, these are minor points, but by creating a directive aspect in the relationship at this point, we are laying the groundwork for compliance that will be built upon as we move into hypnosis.  © William May. www . masterhypnoticlanguage. com At this point, of course, we have our initial interview with the subject, and the main point that I would make in this portion is to discover and accept the client’s frame. This is extremely Ericksonian, but accepting the frame, no matter its ridiculousness, is an extremely powerful stance to take as a hypnotist.To offer the most extreme example, let us suppose that a subject walks in and speaks immediately of how they have studied hypnosis, know that many hypnotists themselves acknowledge that the state does not exist, and are certain that they cannot be hypnotized. My response would be to say, â€Å"yes, you are quite right. Knowing as much as you do, you certainly are aware that some people have deficiencies that make it impossible for them to enter trance, and it is possible that you may be one of those people who just can’t relax enough to experience the wonderful possibilities of a hypnotic trance.Some people do have that problem, s adly, and it might just be so for you. Of course, until we do begin hypnosis, we won’t really know if you are one of those unfortunate people who just can’t experience this†¦Ã¢â‚¬  Thus, without arguing the point, we’ve established a viewpoint that not being able to enter trance is a deficiency, while creating the possibility that they might be wrong. At this point, we can immediately change the subject to some other matter, letting that idea sink in even deeper.In this work through the frame rather than against it, and the subject will want to disagree with our viewpoint that they can’t enter trance, since it has been connected to â€Å"deficiency† and â€Å"problems†, and will only be capable of resisting that suggestion through entering trance and changing the frame they entered with. At this point in the interaction, it can also be quite useful to begin using some minor suggestions, both to prime the subject for trance and, perhaps more importantly, to determine just how easily they respond.Simple comments can serve well to do this. For example, while gesturing towards a chair, you might comment, â€Å"that is a very comfortable seat, it’s easy to just sit back in it, take a nice deep breath, and relax. † The comment can be tossed out offhandedly, and you merely have to note whether the subject does respond or not. This is not intended to create the trance state (though with some subjects it is a good beginning), but it does allow us to begin noting how they respond.This can, for example, alert a savvy hypnotist to the potential for a polarity responder, when the subject responds in a way that is directly oppositional to the suggestion, or, conversely, to the suggestible and responsive subject who will easily respond by relaxing into that chair with a nice deep breath. Now, it should be noted that the suggestions can be far more subtle than this, but, as well, it’s important to recall  © William May. www. masterhypnoticlanguage. com hat the subject often is not aware enough of these techniques to notice even a somewhat overt comment of this sort. However, if you are wary of putting the subject on edge with a comment of this sort, one might use a suggestion that is not directed at relaxation, or by making an indirect suggestion by discussing how some of your other patients find it very easy to relax in that chair. The nature of the suggestion itself is not overly important here, the purpose is, as stated above, to establish a base line for responsiveness, as well as to develop that aspect of the interaction.This process of using small suggestions can be continued while progressing through the initial interview and pre-talk, allowing for calibration towards the type of suggestion that seems most effective. Some subjects will respond best to direct suggestions, while others seem more compliant when the suggestions are indirect. Learning this before hypnosis actually begins makes it possible for the savvy hypnotist to be far more effective and efficient.Instead of merely following a generic approach and tailoring it to the client during the hypnotic interaction itself, you already have much of the knowledge necessary for creating an impactful hypnotic pattern. Of course, this does not take the place of calibration during the actual hypnosis session, but it can allow the work to begin in a more practical and comfortable way for the subject. Additionally, one might, indeed, begin seeding useful suggestions at this point, a consideration that shall be discussed in more detail as we continue. At this point in the interaction, other forms of calibration can of course begin.For example, one might inquire about when a problem first emerged and make note of where the subject seems to look when referencing the past, and similarly asking questions about the present and future, can gain a notion of the overall timeline; one can determine, of course, submod al preferences, to best determine what type of imagery will be most impactful; indeed, depending upon the nature of your style and preferred techniques, it is possible to craft opportunities for noting various aspects of the clients behavior and perceptual maps which might be useful in cultivating a hypnotic response.In many cases all this requires is asking a question that accesses a certain process, and noting the client’s response. Additionally, we might find opportunities for creating anchors. The simple suggestion offered above, connecting relaxation to the client’s chair can serve, for instance, to connect the notion of relaxation with sitting in  © William May. www. masterhypnoticlanguage. com that position.Additionally, we might notice a certain response during questions about the client’s problem, a response that we feel could be useful to access again, and anchor this in whatever way seems appropriate so that we might recall it while the client is in trance. For instance, with a subject who suffers panic attacks, it might be that during the interview we share a small laugh, and might choose to anchor this, perhaps by leaning forward and touching the client’s knee.Later, during the trance process, we might fire that anchor while having the client recall a recent panic attack, triggering a response to the experience that can help to move them past the problem. Even anchoring the problem state, so that we can access it in conjunction with other resources can be quite useful. For example, we might anchor the panic response described above, and later build an anchor for peaceful relaxation, then collapse the two anchors to help move past the problem.Thus, we can utilize pre-induction experiences as opportunities for the development of potentially useful knowledge and resources that can easily lead towards success when we do foray into more overtly hypnotic processes. Now, moving towards some of the more direct tactics, letâ⠂¬â„¢s consider the pre-talk itself. The purposes of a pre-talk are many, and certainly we should all be familiar with the most basic of these, namely to inform our subject and to develop a level of comfort with the prospect of entering a hypnotic trance.Of course, the pre-talk, when handled properly, offers other opportunities, and can actually allow us to bridge into an initial hypnotic experience. What we are discussing here is a step beyond the generic use of various hypnotic tests, but instead a more directed approach designed to do precisely what the hypnotic pre-talk is intended for, by actually using the subjects own perceptions of hypnosis to create a light experience of trance. We are essentially going to ask just what the subject imagines trance will feel like, and what they will experience that will make them certain they are entranced.In asking these questions, however, we need to direct the subject’s answers so that they are most useful. Many times, a subject wi ll answer by imagining the responses they imagine they will experience, whether it be arm levitation or some other phenomenon they may have seen performed. This is not the type of answer we are seeking; instead the goal is to direct their imagination towards the sensory experience of what they imagine trance will be like.As you might already guess, this can easily transition into a full trance experience, simply by applying some revivification type techniques, amplifying that sensation that they have already imagined. Even more  © William May. www. masterhypnoticlanguage. com significantly, you are helping to establish a set of criteria that will make them certain that what they are experiencing really is trance. So many hypnotists forget at times that trance experiences are so normal to the uninitiated, so familiar to us all, that we can easily overlook them unless we have some type of deep hypnotic phenomenon.By using this type of technique, you establish a sense of what hypnosi s will feel like, so the subject will be setting up the criteria that guarantee they will recognize trance when it happens, and in so doing will begin to experience that feeling for the first time. At this point, you might just choose to let the subject go into a deeper trance directly, by merely amplifying the experience and allowing that sensation to build until it reaches the desired depth, or you can let them come back out, knowing that when you put them ack into trance it will be even deeper. They don’t even need to recognize that this first experience is a trance, and at times you might even let them stay in a minor level of trance as you continue. Thus, you have many options for how you continue your work. Indeed, if there is one thing that pre-induction work allows, it is the development of new options you might not have considered, and it is this aspect that is most important.So many times you’ll meet a hypnotist who has a way of dealing with this problem, and a tactic for that problem, but when you begin to really explore the possibilities in the way that you can before you ever use any type of formal hypnosis, you allow yourself to learn more about what will really help this individual person. Ultimately, the goal is to discover the structure of a problem, the frames and beliefs that shape it, so that as you approach the real issue, you can do so in a way that will truly impact this subject.To offer an entertaining example, a young man of my acquaintance and I had corresponded for some time online, but had not spoken directly. When we did have our first conversation, he noted all the patterns I use in my speech, and was certain that I was trying to hypnotize him. No amount of argument on my part, or on the part of others present would dissuade him. He was convinced that my using language patterns was proof that I was hypnotizing him, and that he needed to keep his guard up or he would drop into trance.Now, this was his frame, and whene ver I argued contrary to it, he found evidence supporting his belief. So, instead of disagreeing with him, I chose to accept his belief, and said â€Å"okay, since you insist that I am already doing so, I will hypnotize you now. †  © William May. www. masterhypnoticlanguage. com His response was that he could not be hypnotized as long as he kept his guard up. At this point, my response was again to accept his frame, but to add to it, saying â€Å"yes, you have your guard up, but at some point you will relax, and these suggestions are already waiting inside your mind. Thus, the subject was given the choice to accept the suggestions now, or to do so later, and chose to go into trance straight away. While this example does deal more directly with getting a subject into trance, it points out many aspects that can offer great insight in this process. First, it reinforced how much more can be done when we do accept a subject’s beliefs. If we argue with those beliefs, we d emonstrate a lack of understanding that can strain trust within the relationship.When we accept a frame, even a negative frame, we can work to move the subject out of it, or find a way, as in this example, to make that frame useful for moving forward. Thus, it is important, when doing your initial interview with the subject, to become aware of the beliefs they hold about the issue’s being dealt with, hypnosis, and various other factors you deem relevant to the creation of a successful experience for your client. Listen to your subject closely, noting presuppositions, as well as direct statements about belief.For example, if a person makes a comment â€Å"oh, even I can do that,† it clearly illustrates a limiting belief. Often it is not in the direct statements of beliefs that we uncover the frame from which the subject is operating, but in the implications of what they say that we truly get a glimpse at the client’s belief structure. Knowing a client’s re ality, it becomes much simpler to devise a therapeutic intervention that will have success. As mentioned above, my preference is to accept that frame and work within it to create change.Often we can add conditions to that frame, as with the client who has difficulty with giving up cigarettes who acknowledges that they will have difficulty with that process. We can acknowledge that this is true, while still adding stipulations that will make it easier: â€Å"Yes, a person can have difficulty with quitting cigarettes, until they are taught the right resources for that process. † Thus, we frame that our interaction will teach the subject resources to make that quitting process easier, without conflicting the knowledge the client has of their current experience.In the end, the real truth is that we need to view the work we do with a client before formal trance as having just as much complexity (and often, just as many hypnotic components) as in the more formal aspects of  © Wil liam May. www. masterhypnoticlanguage. com our work. By recognizing the client’s resources, apprehensions, beliefs, and goals, we are far better equipped to create a positive experience for them, while, as well, we can also take advantage of the pre-induction period to frame our interaction, build resources that we will later use, and even egin the use of suggestion. We can take this even further, by creating mild trance states through informal techniques, and continuing our work with the client already beginning to experience trance as an organic response. When you truly listen to the subject, and pay attention to all the things which occur before the induction, the options that are available expand in ways you might already imagine, and your accuracy in selecting the proper course of action will increase greatly with this new found information and the flexibility it promotes.

Individual Memo Essays

Individual Memo Essays Individual Memo Essay Individual Memo Essay It allows for virtually any format for the paper rivers as well as processing government compliant CHAPS variations of the surveys that are being implemented in healthcare organizations nation-wide. The new system will provide user-centered experience and intuitive design to allow every branch of the business to operate effectively and efficiently. QPS system provides company-wide synergy and interoperability between the segments of the process from outbound production, to inbound processing to analysis and presentation of results to our clients. In order for the success of the project it is required for every business manager to undergo at least 1 0 ours of training to use the new system and to get familiar with host of new compliance policies. Stakeholders Executive Sponsors CEO CIO Users Analysts Outbound Production Inbound Production Development Project Managers Developers Objectives and Outcomes The main objective of this project is to streamline the production, processing, and analysis of medical satisfaction surveys across the company wide continuum while adhering to the government standards, privacy laws, and new compliance policies. The outcomes of this project include a accompanied roll of the new Qualifies Survey Processing System and end- seer training in order to effectively and efficiently utilize the new system to its full potential. Success Measurement Since National Research Corporation has chosen a value based approach to this project it will be measured by its efficiency, effectiveness, and ease of use. The value this new system provides to the company is measured in reduced costs of production, increased speed and volume of production, increased speed of processing, increased efficiency of processing and analysis of data, as well as increase in speed of end result delivery to our clients. The reject is aiming at impacting operational area of the company. The new system will increase effectiveness and efficiency all across the process. The new system will be faster, more dynamic and easier to use. The new process will increase the productivity by about 1 5%, processing and analysis time by 19%, end-result presentation speed by 17%. All around these numbers will have a huge impact on quality and speed of our service. This in turn will allow to increase the production and provide the ability to attain a larger number of big clients than we currently can handle.

Summary of English Essay Source With thesis †English 200 Course

Summary of English Essay Source With thesis – English 200 Course Free Online Research Papers Summary of English Essay Source With thesis English 200 Course In his article â€Å"So That Nobody Has To Go To School,† Roger Sipher blames students that have no will to learn for the declining quality of American students and the education system. As a solution to this problem, he offers the notion of abolishing all mandatory-attendance laws in order to allow students to drop out if they feel like doing so. Also, teachers would be able to dismiss students with academic or behavioral problems, much like private school teachers. Once schools are rid of students that hamper the progress of classrooms, schools would be able to focus on maintaining high standards of education, instead of babysitting. In addition, he thinks that the money saved from not having to enforce mandatory-attendance laws could be used to help out the students who drop out of school. Analysis Sipher says that economists find no benefits of mandatory-attendance laws, and schools usually don’t have enough resources to enforce these laws anyway. He implies that school officials are trying to do something about students that don’t come to school or are a hindrance to classes, resulting in shoddy education. He continues to say that without mandatory-attendance laws, school officials can dismiss students much like private schools, or students can drop out if they want to. He says we have tried long enough to deal with these types of students, and tries to support his notions with the idiom â€Å"You can lead a horse to water, but you can’t make him drink.† Sipher includes six of what he calls â€Å"enormous dividends† that we can have if we abolish compulsory attendance laws. Essentially, he wants schools to educate, and educate only- not â€Å"trying to be all things to all people.† My point of view I disagree with Sipher on his general view, because I feel all American children should be in school, or at a chance to try to go to school. He does not show evidence for the decline in test scores, which I think is an important part of education, but it’s not everything. True, that the general quality of education will probably improve, but what about the quality of the general population? Without mandatory-attendance laws, I’m sure that a good part of the students will drop out of school. Sure, the students that stayed in school will have a better education, but the general population will become mostly illiterate. His idea for using the money saved from not having to enforce attendance laws also sounds a little weird. It’s almost like a welfare program for the less apt students, and is demeaning to them. I think it’s unethical, because it makes them outcasts. Remedial classes are a lot better than that. Research Papers on Summary of English Essay Source With thesis - English 200 CourseStandardized TestingHip-Hop is ArtPersonal Experience with Teen PregnancyComparison: Letter from Birmingham and CritoPETSTEL analysis of IndiaEffects of Television Violence on ChildrenResearch Process Part One19 Century Society: A Deeply Divided EraQuebec and CanadaInfluences of Socio-Economic Status of Married Males

Discussion 8 Assignment Example | Topics and Well Written Essays - 500 words

Discussion 8 - Assignment Example This can be accomplished through a variety of incentives as well as implementing new requirements for the landscaping of any new housing development. The outright legislation of what type of plants that an individual is allowed to plant in their own yard may seem a bit draconian, especially to those that have lived in the LA area for many years. As such, a good remedy to this would be to require that any new housing developments and or landscaping projects must adhere to some minimum drought hardy requirements. Simply having a green lawn is not reason for a fine; however, if water records can substantiate that the individual is wastefully using public resources solely for beautification purposes, that individual should be forced to pay a penalty for this luxury because the aforementioned individual is taking the resources of the entire public. It is a part of the American societal norm. We are constantly shown perfect, green, beautifully manicured lawns in movies, television, advertisements, and other forms of marketing. We are told that this is what we should all ascribe to and in so doing we will be able to further delineate ourselves from the rest of the neighborhood as the person who has the best grass – as if that really matters. In the first article that was assigned, it stated that the lawn business was a several hundred billion dollar a year money making machine; as such, the firms that benefit from this infusion of money will continue to lobby and advertise and market this form of â€Å"happiness† to an unwitting public. It depends on how severe the drought is or if the water system has reached or is near reaching absolute capacity. Going so far at this juncture as tearing out non-native plants would be a bit severe especially since such a broad ranging edict would have many negative effects on the local environment including

Human resource planning and recruitment strategies Research Paper

Human resource planning and recruitment strategies - Research Paper Example Also, the flexibility changes that have been made have also been discussed. Lastly, the recruitment decisions and the changes that are made have also been included. An attempt to provide examples for each of these situations has also been made to gain a better perspective of the situation and to understand how recession has impacted the companies. Human resource planning is the process of ensuring that the right person is at the right job at the right time. According to Vetter, 1967, ‘the process by which management determines how the organization should move from its current manpower position to its desired position. Through planning, management strives to have the right number and the right kinds of people, at the right places, at the right time, doing things which result in both the organization and the individual receiving maximum long-run benefits’ (Jackson & Schuler, 1990). There have been several businesses in the current economic environment who have made several changes in the human resources being used within the company to ensure that there is no wastage of resources and better levels of cost cutting as well. In the current economic condition with the level of recession increasing steadily, there are two main view points, a) viewpoint of the employees, and their salaries, and b) viewpoint of the employers and ‘loaded’ labour costs. Two of the companies that have used the recession as a basis for lay off include, Citigroup, which has laid off a total of 52,175 people, and General Motors which lay off a total of 75,658 people (Kneale & Turchioe, 2009). The companies did so due to the increasing expenses and need for cost cutting. However in the long term the companies do not consider how much of these lay offs could cost them. In the hustle bustle of reducing the costs, the companies, i.e. Citigroup and General Motors have also laid off several good employees who bring the company a high level of profit. In the long run this could prove to