Thursday, October 31, 2019

Current Administrations Budget Essay Example | Topics and Well Written Essays - 1500 words

Current Administrations Budget - Essay Example a higher premium for Medicares prescription drug coverage, and increasing the amount of money drug manufacturers rebate to states for prescription drugs covered under Medicaid will comprise the proposal (â€Å"Obama 2010 budget highlights by agency,† 2009). Obamas budget indicated that the environment is a main concern by providing the largest increase for the Environmental Protection Agency in eight years. The proposal nearly triples — to $3.9 billion for funding states, local governments and tribes. They can use the money for the improvement of sewage treatment plants and drinking water systems and to protect drinking water sources. These programs already received $6 billion in the recently approved stimulus package. Starting in 2012, the budget proposes to invest $15 billion a year in clean energy — money created from auctioning permits to companies that emit the gases blamed for global warming. The rest of the climate cash will be returned to taxpayers. In another move that could increase energy prices, the EPA budget calls for reinstating taxes on petroleum products, chemical feedstocks and crude oil to pay for cleaning the countrys most harmful waste sites. These taxes expired in 1995. but would set up again in 2011 under Obamas budget (â€Å"Obama 2010 budget highlights by agency,† 2009). Proposed Budget on Energy and Climate Change: The Administration is extending a comprehensive energy and climate change plan to invest in safe and uncontaminated energy, terminate our addiction to oil, concentrate on the global climate crisis, and create new American jobs that cannot be outsourced. After enactment of the Budget, the Administration will work promptly with key stakeholders and the Congress will create an economy-wide emissions reduction program to lessen greenhouse gas emissions roughly 14 percent below 2005 levels by 2020, and approximately 83 percent below 2005 levels by 2050. The cap-and-trade system program will be implemented. This program

Tuesday, October 29, 2019

Summary Essay Example | Topics and Well Written Essays - 250 words - 166

Summary - Essay Example rganization needs to provide more information to the customers and teach them how to use the organization’s goods and services properly and this will decrease the cost of dealing with them. If the problem is not solved then the organization should change the way the organizations charges money from the customer. If the problem continues then the organization should try to cut its cost by changing their channel of distribution for the customer. If nothing works, the organization should resort to end their relationship. This article has been authored by Hanssens et al. and in this article the author states that it is quite difficult for organizations to measure how effectively their investments in their marketing function have proven to be (Hanssens 1). For this purpose the authors develop a model for measuring the effectiveness of their investments in marketing. The purpose of developing the model was to provide marketers in making decisions regarding the selection of their products marketing mix with the aim of enhancing customer equity. The outcome of developing the model was that the researchers were able to develop equations that helped identifying how different investment factors resulted in different outcomes. For example: the researchers identified and equation which helped them in identifying the impact of increasing television based advertising on the aim of acquiring

Sunday, October 27, 2019

Reflection Diagram Of Gibbs Cycle

Reflection Diagram Of Gibbs Cycle From this whole course of PPD 2, Ive learnt and gained the skill by studying the entire learning model. The learning model that Im going to choose to write about is the Gibbs Learning Cycle. This is because Gibbs Learning Cycle is easy to understand, applicable on the study and effective on learning process. The Gibbs Learning Cycle is very popular among the learning model and it is good for reflection of study where it consists of six steps for the whole process. Model of reflection diagram of Gibbs Cycle(Queen Margaret University, 2011) This six steps or stages contain Description, Feelings, Evaluation, Analysis, Conclusion, and Action Plan. For the Description stage, it simply tells you to reflect and describe what youve learnt or what happened. In this step, you shouldnt make any conclusion or judgment as you need to understand the whole situation rather than simply draw a result. We can conclude as when a problem occurs, we should reflect or think back on what has happened. An example of it will be shown on the next line. When a new Professional Pitch task has been assigned, I will look carefully to the question in order to have a fully understanding in my mind for the task completion. When a new piece of note is given by the lecturer, I will have a rough scan just to have a basic overview on what is it all about? After that, when the lecturer is giving his/her lecture, I will listen carefully on what they talking about and write down the important notes and points. Besides that, I will ask them publically in the class or personally after the class if I have any question about that chapter. For the Feeling stage, a lot of feeling and thoughts were running inside my mind when the lecturer is giving their lecture, giving out task and having a discussion with us. When they are giving their lecture, I feel so curious about what they will teach and excited about the topic as Ive never been in touch with Personal and Professional Development 2. Other than the feeling of curious and excited, I will also afraid because I might not be able to follow the footsteps of the lecturer. Therefore, the complex feeling that I have it that time makes me concentrate more in the class and pay more attention on what the lecturer is teaching. While the lecturer is giving out task and assignments to us, I felt anxious as a lot of things need to be done and lastly we have to take our complete assignment for turnitin. At the same time Im happy as finally I can use the knowledge that Ive gained from the lecturer to do some work. The discussion part is an interesting part as all the students in th e class are participating for it and a lot of answer will pop up and I can learn from that. At the mean time, I will felt nervous as sometimes the question will be too hard and I might not be able to answer it if the lecturer points me to answer. The feeling changed after the event ends. The lecturer goes for a slow and smooth baby steps when they giving out lecture and it suits me very much as Im not a fast learner. Every single word that the lecturer said was memorable in my mind and I felt excited about that. The task given by the lecturer was finished by a week before the due date and my turnitin plagiarism rate was below 15%. This is the result that I aimed for and Im able to achieve that and it gives me confidence to do better. I felt happy and interesting after the discussion part as Ive learnt something new and I can even answer the hard question given by the lecturer. For the evaluation stage, Ive good and bad experiences throughout the course of PPD2. The positive thing is that I can communicate well with the lecturer whenever I need their help in the process of learning. This will not only help my communication skill but also courage and gaining of knowledge. This is because Im a person who doesnt have a strong courage to face stranger as Im afraid to talk with them. But as I know that the learning process requires student to communicate and talk with their lecturer when they faced problem. Thus, I made up my courage and the result of it didnt disappoint me. Besides that, I also have some bad experiences for the class of PPD2. Sometimes the lecture was too boring and it couldnt bring up my will to study. I considered it as a bad experiences because when I have no will to study, it wasted my time and effort and end up of learning nothing. The lecturer sometimes uses an old fashioned way to teach, that is read through the paper. Besides that, I ha ve some bad experiences in the class by my own behavior. Certain times, I might not concentrate when the class is boring therefore I will talk with my friends and end up wasting my own time and learned nothing. Eventually I know what I did is wrong and wasteful so Ive changed my behavior and get myself to back on track. In the analysis stage, I realized that I have a big interest on PPD2. This is because it helps me to build up the most important thing that is my personal skill, confidence, courage and learning skill. Every single thing that the lecturer teaches was so useful and there are a lot of things to be learned. I have found out that the learning model and the content of PPD2 are something fresh and things that are totally new to me. Thus, for a person that likes adventure, it suits me well. Everything and every chapter that the lecturer gives out attract my attention and I will always try my best to do it. For the conclusion stage, Ive learnt and gained lots of knowledge from my lecturer. Ive learnt how to do well in everything no matter by myself or with a team. Other than that, it also makes me understand more about the importance of personal skills and teamwork. Besides that, training and improvements are needed in order to make me concentrate more in specific time. This is because even if there are boring classes, I should not make any noise to disturb the rest of the class. Through this course, I know where my strength is and weakness and improvement will definitely takes it place. When the lecturer is giving out new chapter for the next classes, I will do my own revision on that chapter to give myself a rough idea on it. This will not only help my understanding but also speed up the process of learning in myself. For the action plan stage, I will absolutely do a lot better than current. Attitude will change as I know that my current attitude is not good enough for me to have a great success. I will work harder for my work and pay more concentration when its time for serious. Besides that, assignments and tasks that given by the lecturer will also are done earlier as the lecturer can have a check on it in order to increase the quality of my work. When the discussion part is going on, I will try to answer every single question. This is to make sure that I fully understand what the lecturer is talking about. Other than that, when I faced any problem or difficulties for my work, I will not only discuss with my lecturer but also my classmates. This will not only make me gained extra knowledge but it also improves my communication and social skills. I also found out that I must also learn how to approach people by making the first step. I must take initiative to deal with someone rather than hoping or dreaming for others to make their first step. Besides that, I also need to increase my ability to study more in order to have a good result for the final year. I hope to have a CGPA of 3.5 and above and I know to achieve this, lots of efforts are needed. To obtain this result, I will not only study hard for the school study material, but I will find my own research to have a deeper understanding and I will borrow some books or references from the library to have better understanding. The strength of Gibbs Reflective Cycle is to develop a questioning attitude and new perspectives, identify areas for change and improvement, respond effectively to new challenges, and generalize and apply what you have learned from one situation to other situation. (University of Reading, n.d.) The Gibbs Reflective Cycle makes me to have a manner of keeps on asking question for something that is new and unknown to me. Other than that, it also helps me to find out where is my strength and weakness in order to improve my skills. Besides that, it also makes me to be a good respondent. Every time a problem pops out, I managed to think carefully and analyze it to get the solution.

Friday, October 25, 2019

Watching the Game at Neyland Stadium Essay -- Argumentative Persuasive

Watching the Game at Neyland Stadium Neyland Stadium provides a gathering place where over one hundred thousand people come to cheer for the Tennessee Vols. The stadium, located in the middle of the UT campus, ranks as America’s third largest collegiate stadium with a capacity of 104,079; since people began recording attendance, more than 22.89 million fans have watched Tennessee football in the stadium, and the record attendance was reached when the Vols played the Gators in September 2000(UTsports.com). If you think all you can do is watch the games at home on the couch, think again. You can actually be part of these games and fulfill all your football fan needs. If you come watch a game, it will be well worth your time. For someone who has never been to a game, there may be some things you might want to know. To get to the stadium, you travel I 26, when leaving from Johnson City, for around two hours. The exit to go downtown will take you right to the campus. Arriving about two hours before the game can be helpful when finding a parking place. If you have a hard time being on your feet a lot or get tired easily, going later might be for you. Since the stadium is outdoors, it may be a smart thing to take along ponchos, coats, and anything needed to make you comfortable. The stadium brings out people of all ages. A lot of families come down together. The trip will definitely involve having fun, so carry along some things to help you go crazy for your team. The ushers at all the gates allow pom poms, signs, face painting, noise makers, and anything else you can think of. The first thing you do when you reach the stadium is search for a parking place. Although the price to park at the Hilton motel is fifteen dollars, yo... ... buy on a fun, lazy night. Amazingly, when I am at the stadium, I also see a lot of people I know even though I am two hours away from home. Everyone loves Neyland Stadium. I love the fact that everyone comes together to cheer for one team and act excited to attend. This makes the game intense because when the game takes a bad turn, everyone joins in a giant roar against the referees. After you become a true fan, you begin to take those bad calls personally. You can thing of your trip as an adventure into a land which normally can only be seen on TV. You leave the stadium with a warm tingle in the pit of your stomach, of course if they win. You can feel good about yourself knowing that you played a part in the team achieving their victory. Works Cited Tennessee. UT Athletics. 2003. http://utsports.ocsn.com/genrel/081001aaa.html. Consulted Oct. 1, 2003.

Thursday, October 24, 2019

Reaction Paper on Global Warming Essay

How many among us have proclaimed at least once, in a rather self-righteous manner, that we are someone who is environment-friendly or someone who is eco-conscious? Almost all of us have been guilty of making such a grand statement without fully knowing what it really means. After all, being earth-friendly is very much in fashion nowadays. No one will last an hour inside a mall without seeing fashionable ladies toting a canvass bag or wearing shirts that allude to their propensity to recycle or to plant trees. It makes one wonder though how many of these canvass-toting individuals know how many years does our planet has left before it reaches an environmental tipping point or in what year was the hottest earth temperature recorded. I admit that I am one of those individuals who proclaimed and believed that I am a friend of the earth. After all, I try to conserve water as much as I can and I segregate garbage whenever I have the chance. But like many individuals out there, I was ignorant about the real issue concerning our environment, that is until I have seen the documentary An Inconvenient Truth. Directed by Davis Guggenheim and featuring former United States vice president Al Gore, the documentary zeros in on the subject of global warming and how it is affecting and will affect the planet Earth. The Effectiveness of Al Gore Technical and cinematic achievements aside, I believe the best contribution of this film is that it has made the issue of global warming accessible to ordinary individuals. Gore plays the role of environmental spokesperson well. He provides a believable and authoritative personality to the documentary and to the issues it is trying to expose. Much of the popularity that the film has enjoyed it owes to Gore’s ability to act as an expert and a fellow observer at the same time. When this film was released, not a few have surmised that it is nothing but a gimmick to catapult Al Gore back into the White House. After watching the film though, many of Gore’s detractors have been transformed into followers. The fact that there is now a different person in the Palace is a vindication for Gore and a proof of his sincerity and lack of political agenda. The strongest point of Gore lies in his ability to convey urgency while at the same time maintaining a hopeful attitude and optimistic outlook which is not an easy feat to achieve when you are talking about the current state of the environment. The Message of the Film The message of this film is very clear: that global warming is real and we must do something about it or we will suffer the consequences. According to Gore, the planet has about ten more years before it reaches a â€Å"tipping point† at which instance there would be little that we can do already. The best part about Gore’s message is that they are presented not without scientific evidence and proofs. The following scientific phenomena and materials are used to support the film’s main thesis: †¢ before and after photographs of melting ice glaciers; †¢ temperature records from the 1980s that show that the ten hottest years have occurred in the last three decades; †¢ the Keeling curve which measures the rising level of CO2; †¢ a study that shows that carbon dioxide concentrations are higher now than at any point in history. The presentation of these pieces of evidence are essential to lending veracity to the film’s core message. Without them, Al Gore would simply appear as a preacher pointing to some distant doomsday. Visually Engaging One of the first things that you will realize while watching An Inconvenient Truth is how engaging and enjoyable the experience is and this is largely because of the visuals that were used in the film. From the opening scene, when we were shown the now famous photograph of the earth taken by the first Americans who went to space , the audience were being foretold that the film is going to be one visual treat. Throughout the film, beautiful and terrible images were precisely interwoven to help achieve the film’s goal of sending out the dual message of making people realize how beautiful our planet is and making us see the extent of the destruction that has already been done. Not a few individuals were turned off when they learned that this film is a documentary. But if only these individuals gave the film a chance then they would have been amazed at the fact that it is one such visual achievement. Documentaries – especially those that deal with subjects relating to the environment – have a reputation of being boring and uninteresting. The â€Å"An Inconvenient Truth† may just change people’s impression about environmental films and even documentaries as a whole with its engaging style and arresting elements. Conclusion  An Inconvenient Truth is a film that should be seen by anyone who cares for the environment and for the future of humanity and our planet. It is one of the most accessible materials that has ever been produced about the subject of global warming. It is easy to dismiss the criticism that the movie is plain propaganda because of the many sound scientific pieces of evidence that the film present. The â€Å" An Inconvenient Truth â€Å" actually is a well presented and entertaining thesis on the reality of the global warming phenomenon and the things that we can do to stop it to avoid a total disaster that is looming to happen in the near future.

Wednesday, October 23, 2019

The Spontaneous Vaginal Delivery Health And Social Care Essay

Intrapartum cervical lesions are frequent, but merely a minority of them is clinically important and conditions future gestations and/or bringings. We report one such instance in which cervical lacrimation occurred upon the initiation of labour, without cervical os distension, ensuing in vaginal bringing of the foetus and sever postpartum bleeding. Case: A 39 year-old G2P0 adult female, with a history of a voluntary break of gestation by cervical distension and curettement 13 old ages ago and no implicative symptom of attendant cervical stricture, was admitted for labour initiation at 41 hebdomads of gestation. Attesting a posteriorly oriented and closed neck, we gave vaginally 2.5 milligram of prostaglandin E2. In the absence of important cervical alterations, 50 microgram of misoprostol were vaginally applied the following twenty-four hours. The patient initiated contractions with neck shorting, but the cervical os remained closed. Two hours subsequently, a healthy male neonate was vaginally delivered and the placenta was removed spontaneously. Showing an intense postpartum hemorrhage, the patient was observed when a big posterior cervical tear was visualized while the original cervical os remained unopened. The haemostasis was achieved by lesion fix utilizing a uninterrupted sutura. Decision: The instance supports that the adult females with a history of cervical intercession should be carefully approached in the instance of labour initiation, even when the process is non associated with evident complications. In this scenario, relentless rigidness of the cervical os in malice of cervical shorting may bespeak the hazard of cervical lacrimation.IntroductionCervical hurts represent important morbidities associated with vaginal bringings [ 1 ] , peculiarly in the instances of nulliparity, hasty labour, operative vaginal bringing and cervical surgical intercessions such as cervical cerclage during gestation [ 2 ] . Initiation of labour has besides been associate d with an addition in the rate of cervical harm [ 3 ] . We report a instance of intrapartum cervical lacrimation without cervical os distension that occurred upon prostaglandin initiation of labour in a adult female with a history of voluntary break of gestation by cervical distension and uterine curettement. The cervical tear resulted in self-generated bringing of the foetus through the lesion and postpartum bleeding successfully treated by the lesion sutura.CASE PRESENTATIONA 39 year-old Portuguese adult female, G2P0, with a singleton and uneventful gestation was admitted to our establishment at 41 hebdomads of gestation for labour initiation. Her past obstetric history revealed a voluntary break of gestation at 6 hebdomads, realized by cervical distension and curettement, without complications, 13 old ages ago. There was no implicative symptom of attendant cervical stricture since the patient?s catamenial rhythms were regular with normal catamenial hemorrhage after the process. A dditionally, the current gestation was spontaneously conceived. Neither relevant medical conditions nor abdominopelvic surgical intercessions were reported. Cervical appraisal on admittance revealed a 15 millimeter long, posteriorly indicating neck of stiff consistence with a 5 millimeter broad external os and cephalic presentation at S-1. Due to unfavourable cervical features, 2.5 milligram of prostaglandin E2 ( PGE2 ) were vaginally given for cervical maturation. In the absence of important cervical alterations and detecting normal CTG records, 50 microgram of misoprostol were vaginally applied the following twenty-four hours. The patient initiated labour 4h subsequently, co-occuring with self-generated rupture of membranes, cervical shortening, while the external os remained 5 millimeter dilated. The patient received consecutive anaesthesia. Two hours subsequently, a healthy male neonate was vaginally delivered deliberation 3355 g, with Apgar score 10/10. After the self-generated placental remotion, an intense vaginal hemorrhage drew attending. The scrutiny demonstrated that original cervical os remained closed and a 4 centimeter deep , posterior cervical tear was observed ( from 9 to 4 o'clock, Figure 1 ) , without extension to the vaginal fornix. The lesion had provided a gate out to the foetus and gave the beginning to the bleeding. The intuition of a important lesion of the uterine principal was rejected by the designation of the tear boundary lines, no clinical marks of peritoneal annoyance and ultrasonographic verification of the absence of free fluid in the abdominopelvic pit. The cervical tear was repaired utilizing uninterrupted vicryl suturas. After the intercession, the drainage of uterine discharge through the natural os was verified. The patent received oxytocin perfusion ( 20U ) and 2g of cefazolin. The bleeding resulted in a decrease of the hemoglobin degree from 12.9 to 10.7 g/dL, therefore the patient was besides medicated with day-to-day Fe addendum p.o. Having an uneventful postoperative class, the patient was discharged on twenty-four hours 3 postpartum and referenced to the hospital?s units f or puerperal alteration and household planning. Degree centigrades: UsersDusanDesktopDelivery through a Cervical TearDiapositivo1.JPGDISCUSSION AND CONCLUSIONClinically important lesions of the neck occur in 0.2 – 1.7 % of vaginal bringings ( R ) . Cervical cryings have been often reported with instrumental bringing, peculiarly when forceps was engaged. However, big cryings, such as the lesion that we witnessed, developed under the consequence of induced uterine contractions, miming a full distension and taking to fetus bringing beside an unopened cervical os, are ultimate rareness. A self-generated bringing through a cervical tear with an integral cervical os was antecedently reported in a patient with a history of cervical intraepithelial neoplasia treated with a loop electrosurgical deletion process ( LEEP ) and upon the labour initiation with PGE2 [ 4 ] . Differently, in other reported instances, big cervical cryings coexisted with partly [ 5 ] or to the full dilated necks [ 6 ] . In our patient, prostaglandins were besides used for cervical readying as a standard method. Although no old cervical injury was documented, the history of cervical distension and curettement used for the expiration of predating gestation opens up possibility of subclinical cervical hurt. Despite the fact that a high per centum of patients with a history of cervical distension and curettement have a favourable result of future pregnancies/deliveries, the process is associated with an increased rate of postpartum bleedings [ 7 ] . We believe that old cervical hurt, although clinical ly soundless, should be considered, since the initiation drugs were applied in a accustomed and safe mode while no other obvious predisposing factors existed. Similarly to the instance of patient submitted to LEEP, presumptive cervical tissue change did non let distension of the external os due to fibrosis and indirectly weakened the nearby cervical section when exposed to prostaglandin-induced contractions. Alternatively, the intrinsic cervical os stiffness in our patient can be taken into history, doing the above tissue prone to rupture. Regardless of etiology, the realisation of a cesarian subdivision after the initial and unsuccessful tentative of labour could forestall this complication. Nevertheless, the diseased significance of ascertained cervical response, de facto, is non recognizable in the clinical pattern every bit easy as in the theory. In decision, the adult females with a history of cervical intercession necessitate a particular moderateness in the instance of labour initiation, even when the process is minimally invasive, like cervical distension, and non associated with evident complications. The instance shows that in such a parturient, cervical shorting with relentless rigidness of the cervical os should be peculiarly valorized and carefully approached since it may bespeak the imminency of cervical rupturing aside a closed os. At the visible radiation of comparatively high rates of both instrumental gestation break and subsequent labour initiation, the possibility of this rare event should non be overlooked due to the serious maternofetal effects that it can condition. Conflict of Interests: The writers declare no struggle of involvements. Consent: Patient has given her consent for the instance study to be published.

Tuesday, October 22, 2019

Child support essays

Child support essays How many women do you know pay child support? Ill tell you, probably a few but not many. The rest are off spending the hard earned money of some poor guy who works two jobs just to be broke. Yeah two jobs, and in some cases three; why because some cold hearted Circuit Court Judge ordered him to pay an outrageous amount of money for his child. I personally believe both men and women should be court ordered to pay child support. Kentucky Child Support guidelines states that child support will be based upon gross income. Gross income can be from any source, to include SSI benefits and welfare payments. And by the way just because the father is not employed, they impute income based upon what it would be if he was working. Also in some cases it helps if the father pays alimony or pays child support for other children; the support or alimony he pays is deducted from the overall calculation. We as men are the victims of Child support agencies and federal legislation. Yeah child support sounds good doesnt it? The court orders the father to pay a certain amount based on state guidelines that they believe should be spent on the child. Its nice to see the Government is so concerned about the children; it took a damn bureaucrat to tell us how much to spend on our children. If my memory serves me correctly it takes two to make a child, but yet these government bureaucrats feel they must do something about all these deadbeat daddies running around. Well ladies and gentlemen there our some deadbeat fathers out there, but on the other hand there are some vindictive and down right dishonest women out here. Theyll quit there jobs just get more child support out of the father, never mind if he can afford it. Bureaucrats have tainted women into believing it takes a certain amount of money to provide for a child. Does anyone remember the Womens Rights Movement? Of course you do in 1848 Seneca Falls, New York sixty ...