5 Strategies for Writing University Assignment Within the Limited Time

5 Strategies for Writing University Assignment Within the Limited Time 5 Strategies for Writing University Assignment Within the Limited Time Time is an enemy for many students who study at college or university. It takes them a long time to make a report or write a coursework. What to say about exams when the time is limited? No educator will wait for the moment when a source of inspiration, time and the desire for an assignment will appear. It is supposed to be written and submitted to an instructor on a due date or within specific time. The question is how to succeed in performing successfully all of them and not to flunk out. It doesn’t matter whether you find yourself in such a situation because of huge tones of work on your shoulders or simply because of procrastination. What matters is how you use the limited time to tackle a college assignment effectively. 1.   Stay Calm According to the research study, anxiety during such stressful events as exams or tests is the main cause of students’ inability to achieve acceptable results. Don’t allow your fears to fail such an important stage in life to graduate from university. If you experience anxiety, mindfulness and relaxation strategies can help you improve low test performance and reduce anxious feelings. Don’t panic even if you feel the time pressure is too much. Stay calm and start working on assignments. 2.   Read Through Assignments Carefully Whether it’s a last minute assignment or an exam, reading through the questions helps you understand what is required. Even with the limited amount of time, don’t rush to answer a question. Use the first few minutes to read each question carefully without replying it. Look for keywords in each question and circle or underline them. There are words that should guide you on how you are supposed to answer questions. However, you should always have in mind that time is of the essence so don’t take too much time on this. This should only take up to a maximum of 5 minutes. The examples of some keywords that you should be on the lookout for include: outline; highlight; discuss; compare; contrast; illustrate; state; explain; elaborate. 3.   Start with Easy Questions The major reason why most students fail to complete their exams is simply due to the fact that they waste too much time thinking about what they don’t know rather than focusing on what they already know. Don’t run out of time whereas you have easy questions unanswered. According to BTPS Testing, a test preparation program, starting with easy question helps to: increase your chances of scoring higher in the assignment/exam; save time which is essential when you have limited time; help in boosting self-confidence; help you remember. 4.   Prioritize Your Tasks Take note of the marks awarded to each and every question and this will give you an idea of how many points you can earn. Needless to say, complex questions are assessed higher than simple ones. Besides, questions that assess special knowledge and skills are given higher points than questions that assess common knowledge. Try to concentrate on a task that guarantees you to get high marks. 5.   Plan Your Answers As the saying goes â€Å"Failing to plan is planning to fail†. When you have limited time to do an assignment you can save a lot of time if you plan your answers. At MyCollegeSuccess real students share their effective tips how to deal with college assignments. For example, Adrianne W. recommends that the main ideas should be outlined in a scratch of paper or jotted down with a faint pencil on the question paper. When it comes to writing down answers you you just need to spell out details. Save each minute that is essential when you are in the last minute rush. Whether it’s a heavy workload or simply your ignorance, you need to know several tricks so that you won’t succumb to the pressure of writing assignments within the limited time. One more effective way is to apply our custom assignment writing service to get high-quality paper samples from our qualified academic writers. We are open to you 24/7 so that you can achieve high results in writing even within short timeframes.

Aquinas and Hobbes

Aquinas and Hobbes In his writings on Early Christian Ethics, Thomas Aquinas proposed the existence of four distinct types of laws. These laws are eternal, natural, human, and divine. Aquinas defines eternal law as that which orders everything in the universe. It is a cosmos which issues from the will and wisdom of God. He defines natural law as a subset of eternal law. He states that the natural law is the location for the fundamental principles of morality, and we come to the natural law through conscience and reason. Essentially, Aquinas incorporates Aristotle's ideas of practical wisdom and reason, incorporates them into his natural law, and states that the natural law comes from God. This gives ethics a divine grounding. Aquinas explains human law as customary laws which vary from place to place based on customs or values. An example of this is the punishment for stealing which is different in some regions than others.20 pxAccording to Aquinas, divine law is that which we see not through reason, b ut through revelation. An example of divine law would be the existence of heaven and hell. Human's could not possibly reason the existence of heaven and hell, so they can only learn of it through God's revelations in the Bible.Vernon Bourke analyzes Aquinas' moral psychology because he believes that it is an important basis for the Aquinas' entire philosophy and that it was an essential component of Aquinas' bringing Aristotelian ideas to the Christian world view. Bourke states that Aquinas' moral psychology can be broken down to three distinct human functions. The first function is intelligence. Bourke defines Aquinas' view of intellect as the ability to comprehend "universal meanings" of the experience, and the capacity to reason conclusions from this experience. This concept is very similar to Aristotle's concept of practical knowledge which...

Discussion Question Week 1 Damn Heels and the 4P's Assignment

Discussion Question Week 1 Damn Heels and the 4P's - Assignment Example 2). The information provided through case facts have assisted in identifying crucial information needed in identifying the 4P’s. The description of the product included the raw materials used, the sizes and color, as well as the packaging. Pricing strategies included the stipulated target prices ($20) and how it was priced in comparison with those pegged by the competitors (average of $25). Therefore, by pricing the product lower, it has potentials of attracting new and prospective buyers. Likewise, since the target buyers, from the conducted market survey were composed of post-secondary students within the age range of 20 to 22 years of age, then, the price set was just within their affordable budgets. The product was noted to be marketed through retailers (previously known business owners) and also eventually through the online medium. Finally, it was disclosed that promotions would be minimal given that no funds were immediately available. Thus, the product would rely on the s kills of the retailers. One strongly believes that the weakness in the strategy of Coleman falls in the lack of promotions or advertising campaign. Since this is a new product to be launched, it is crucial to enhance product awareness which could only be made through advertising and promotions. Likewise, since the target clients are potentially students, Coleman could actually approach schools or academic institutions as retailers; rather than relying on clubs or lounges. The online medium could also be pursued since most of the young adults use this medium for their purchase decisions. 2. From the scenario, specify the main ways in which the 4P’s of marketing can help the marketing intern offer suggestions to her manager for the new product launch. Provide specific examples that illustrate the relationship between of the 4Ps and the new product launch. The 4P’s of marketing can help the

The Great depression Essay Example | Topics and Well Written Essays - 500 words - 1

The Great depression - Essay Example People were still withdrawing money from banks which compelled other banks to close. This resulted in closing industry because capital was either with stock exchange or banks. Closure of business and industry left many people jobless. These homes were made of newspaper and cardboards (Watkins 46). Dust storm was named dust bawl that affected farmers and they were unable to feed themselves. Drought eliminated grass from the planes. Depression affected millions of people in America and they could not find jobs. Shantytown was housing made for people who could not afford house. It was free so many people moved to shantytown (McElvaine 34). Depression occurred during rule of president Hoover and he was made responsible by people for great depression in America. Roosevelt won the presidential elections of 1932 and became president of America. He brought major shift in policies to get the country out of immense crisis (Watkins 69). People had many expectations from Roosevelt and he introduced certain reforms to overcome depression. Banks were asked to reopen once they overcome the financial crisis. The policies and programs introduced by Roosevelt were known as the â€Å"New Deal†. These programs helped farmers including other programs like Agricultural Adjustment Administration and Works Progress Administration. People were hired for different projects for reducing unemployment (Watkins 73). After success of these programs, Roosevelt became hero and got fame in the masses. Roosevelt considered his efforts very important for ending great depression. However, it is still not clear that how much New Deal contributed towards ending great depression in America. Some ease was brought by the â€Å"New Deal† but economy was still struggling for revival by end of 1930s. Second World War was a turning point for American economy (McElvaine 51). Especially, the attack on Pearl Harbor and entering of country in World

Art Relationship Assignment Example | Topics and Well Written Essays - 250 words

Art Relationship - Assignment Example The Pont-Neuf also took about 10 years to create, The Umbrellas took about 7 years to create and the Running Fence took about 5 years to be realized (Adrian, 163). Christo and Jeanne-Claude were different from artists that hurriedly created their sculptures as the couple took their time to get the photographs of their intended sculptures, before eventually developing them. This shows the relationship between time, sculpture and photography in the work of Christo and Jeanne-Claude (Adrian, 163). Christo and Jeanne-Claude created great sculptures that took them years to plan and this is the importance of time in their work. The artists took photographs of the drafts of their intended sculpture and this usually took time. It should be noted that it was the amount of time that was devoted to their work that made the sculptures of Christo and Jeanne-Claude so great. Christo and Jeanne-Claude used the money they made from the drawings and photographs of their works to raise money to develo p their sculptures and this was one of the reasons that their work too time to be developed. This further shows the relationship between time, photography and sculpture in the works of Christo and Jeanne-Claude. Work Cited Adrian, Henri. Total Art. New York: Praeger, 1974

Intimate partner violence

Intimate partner violence Abstract Using four published articles this paper takes a look at gender differences in addressing intimate partner violence (IPV), the causes, whos at risk and what can prevent revictimization. Not only will this paper explore intimate partner violence (IPV) and the motives behind it, it will also discuss the court system, public policies, and the gender bias it holds. A portion of the studies analyzed in this paper used the National Crime Victimization Survey (NCVS) to gain research. This study is the largest annual crime victimization survey worldwide. The information used for analysis in these particular journals was gathered from 1987 to 2003, and participants in the study were interviewed once every six months for three years.   Ã‚  Ã‚  Ã‚  Ã‚  This paper attempts to evaluate Intimate Partner Violence and compare the severity and frequency of male perpetrators and female perpetrators. IPV is defined by Cho and Wilke as â€Å"a violent crime, including rape, sexual assault, aggravated assault, and simple assault, committed by a current of former spouse or boy or girl friend†. This topic is important to study in order to reduce the prevalence of IPV and to be able to better help victims of IPV.   Ã‚  Ã‚  Ã‚  Ã‚  In a 2004 study, Henning and Feder compared the demographic characteristics, severity of intimate partner violence and criminal histories of men and women arrested for assaulting an intimate partner in order to analyze the increase in female arrestees due to IPV. The study will evaluate if women offend as often and as seriously as men.   Ã‚  Ã‚  Ã‚  Ã‚  The study analyzed 16,200 men and women from 1997-2001 that were arrested for misdemeanor or felony domestic violence assaults. Henning and Feder (2004) found 16.8% of people arrested during the four year period were women. It was found that females that were arrested were younger than male arrestees and were also young than the victim. In addition to this, the majority of men and women were African American. Additionally, female offenders were more likely to get arrested with their partner and also more likely than men to be charged with a felony assault and to have used a weapon. Contrary to this however, women were not more like to have injured their partner during the dispute. Males in the study were more likely to have had the police involved in a previous domestic abuse incident and also more than twice as likely to have prior arrests.   Ã‚  Ã‚  Ã‚  Ã‚  The study shows that while women do have a fairly high level of intimate partner violence, it was concluded that risk assessments associated with men that were arrested were much greater than risk assessments associated with women that were arrested. Furthermore, the criminal history of men that had been arrested previously for domestic violence and nonviolence charges may be more likely to continually be arrested for domestic violence, while women in the study â€Å"appear to be at low risk to engage in continued aggression or criminality† (Henning and Feder, 2004).   Ã‚  Ã‚  Ã‚  Ã‚  A significant weakness in this study is that it fails to take into account self defense from women. For example, if a woman was using violence as a form of self defense, she would still be included in the study. A major limitation of this study is that it only analyzes men and women in Shelby County, TN and may not be an accurate representation of all men and women.   Ã‚  Ã‚  Ã‚  Ã‚  In research acquired by Muller, Desmarais Hamel (2009) it shows that women initiate physical aggression as often, or more often than men, rarely in self defense, and motivated for similar reasons, typically for the purpose of expressing frustration, to communicate or to control, our out of desire to retaliate. Our public policy focuses primarily on male- perpetrated domestic violence and the needs of female victims and their children (Muller et al., 2009). There are close to 2,000 shelters nationwide and only a handful offer beds or services to battered men and their children (Muller et al, 2009).   Ã‚  Ã‚  Ã‚  Ã‚  Muller et al. (2009) research reveals that women are significantly more likely to have their abuse protection request granted than men, with an approval rate of 91% versus men at 66%. Currently there are 227,941 active restraining orders against adults; almost all of them are domestic violence cases (Muller et al.,2009) Approximately 72% were protecting a woman from a restrained man, 19% restrained a same-sex partner, and 9% restrained a woman from a protected man according to Muller et al (2009). Female defendants were much more likely to use a dangerous weapon when attacking their victims and were also more likely to scratch or gouge their victims (Muller et al., 2009) In Hambys summary article she brings to light the fact that women perpetrate physical abuse against their children in roughly equal numbers, if not more than men. Along with Muller et al. (2009), Hamby research also complies that women report more victimization crimes with the police. Interestingly enough once the police were called they were more likely to arrest assailants of females (36%) versus males (12%) (Hamby, 2005).   Ã‚  Ã‚  Ã‚  Ã‚  The findings were parallel in both Muller et al. (2009) and Hamby (2005) articles, concluding that due to the size differential injury rates are much higher in assaults against women. Research demonstrates that men far more hesitant to report domestic violence than women, even in the more severe cases (Muller et al., 2009). Muller et al (2009) also showed that male plaintiffs are more likely to drop a case given the decreased likelihood that they will report their abuse. This can be due to prevailing norms regarding masculinity, men may be opposed to convey their fear or to call the police even when they have every reason to do so (Muller et al.., 2009).   Ã‚  Ã‚  Ã‚  Ã‚  Cho and Wilke (2010) examined the effects an arrest has on a domestic violence offended and revictimization. Cho and Wilke analyzed men 18 and over who reported being a victim of IPV from a female perpetrator (female victims were also analyzed for sake of comparison).   Ã‚  Ã‚  Ã‚  Ã‚  In the study, Cho and Wilkes found, there are 8 times as many female IPV victims as male IPV victims, which highly contrasted with Hambys findings. Female victims in this study were younger than male victims. Similarly to Henning and Feders 2004 study, female victims reported more minor injuries while male victims endured more aggravated assaults (Cho and Wilkes, 2010). Also, as Henning and Feder reported, Cho and Wilke found â€Å"more female perpetrators used severe violence and weapons than did male perpetrators†. Male victims were revictimized less frequently than female victims; which may be in part due to what was suggested in Henning and Feders 2004 study, that women are less likely to be repeat offenders, and also with Hambys research that women report more victimization.   Ã‚  Ã‚  Ã‚  Ã‚  In the study, there appeared to be no significant relationship between perpetrator arrest and reducing revictimization of males. However, perpetrator arrest reduced the odds of female revictimization by 45% (Cho and Wilkes, 2010). Also, while Cho and Wilke found there was no difference in revictimization in cases with or without weapons, it was found that victims of rape/sexual assault were three times more likely than victims of simple assault to be assaulted again. Like Henning and Feder, Cho and Wilke concluded that men are IPV victims much less frequently and they confirmed that IPV is mainly male violence.   Ã‚  Ã‚  Ã‚  Ã‚  A significant limitation in this study is that only 33 of the 298 men study were revictimized, and out of those 33 men, only 7 had perpetrators that were arrested (Cho and Wilkes, 2010). Since this number is so small, it would be hard to link arrests to the reduction of revictimization. Another limitation is that the study did not take into account the context of the violence, or what â€Å"type† of violence it was, much like Henning and Feders 2004 study.   Ã‚  Ã‚  Ã‚  Ã‚  A more conclusive study of IPV would provide a better insight to the understand of male vs. female perpetrators. However, based on the studies analyzed, one can assume that women are much more likely to be the victim of IPV than men. Muller et al. 2009 research deviates from these findings, but it is in the minority. This was the main concern in comparing the four studies, as it seemed like it would be very clear as to which were more likely to be perpetrators men or women. For the reason that only one of the four studies found that women perpetrate more than men, it is safe to assume that women are more frequently victims of IPV.   Ã‚  Ã‚  Ã‚  Ã‚  As suggested, services and after care for victims of domestic violence is much more geared toward women. Research in the studies proposes men may be less apt to look for help after IPV as well as less likely to report IPV, which can be a severe factor in the skewing of information. Although research suggests that men are more capable of hurting women in IPV disputes, women and men both need to be held to the same standards when it comes to arrests and seriousness of the offenses. In order to more accurately assess the prevalence of IPV against men vs. against women the same action must be taken to each offender. References Cho, H, Wilke, D. (2010). Gender differences in the nature of the intimate partner violence and effects of perpetrator arrest on revictimization. Journal of Family Violence, 25. Retrieved from http://www.springerlink.com.proxy.library.oregonstate.edu/content/g66p6m7l17h04783 Hamby, S. (2005). Measuring gender differences in partner violence: implications from research on other forms of violence and socially undesirable behavior. Sex Roles, 52(11), Retrieved from http://www.springerlink.com.proxy.library.oregonstate.edu/content/n73725h872gn7564/fulltext.pdf Henning, K, Feder, L. (2004). A Comparison of men and women arrested for domestic violence: who presents the greater threat?. Journal of Family Violence, 19(2), Retrieved from http://www.springerlink.com.proxy.library.oregonstate.edu/content/mju9703751346711 Muller, H, Desmarais, S, Hamel, J. (2009). Do judicial responses to restraining order requests discriminate against male victims of domestic violence?. Journal of Family Violence, 24(8), Retrieved from http://www.springerlink.com.proxy.library.oregonstate.edu/content/r8j8u66319rl13j7/

competition :: essays research papers fc

Examine the concept of competition. Explain how it works in market economies. In what way is it a crucial part of the business environment? 1000 words In this essay I have analysed the different types of competition and market structures, and linked this to a current world example. I’ve discussed the neo-classical and dynamic approaches to competition and have studied Michael Porter’s Five Force model. Systemic and structural competitiveness has been mentioned, and market economies are examined including technical and allocative efficiency. I have assessed the relationship between competition and the business environment, and finally given personal views and come to an argued conclusion. Competition is the process by which two or more firms compete in the same market for a larger market share. This rivalry that exists is very beneficial to firms as is leads to increased efficiency and higher output at given cost levels. The amount of competition in a market is measured using concentration ratios (e.g. the five firm concentration ratio). There are two different types of competition which firms may undertake, price competition and non-price competition. In price competition, firms compete on the basis of price, for example by increasing the price of a good or service, the demand will either increase or decrease accordingly depending on its price elasticity of demand. In non-price competition firms compete in less risky forms of competition other than price, such as advertising and branding. Non-price competition exists in imperfect competition (usually oligopolies). Imperfect competition occurs in situations when there are a number of competing firms (with market power), but the market is without some or all features of perfect competition. The three types of imperfect competition are duopoly, oligopoly and monopolistic competition. Perfect competition on the other hand exists when a market has a large number of small firms, with no one firm influencing price (firms are price takers, not price makers). These firms all sell identical products, with perfect knowledge of the market, which has no barriers to entry. This represents one end of the competition spectrum (see Appendix 1). There are two main views to the concept of competition, the dynamic approach and the static approach (Neo-Classical approach). The first is based on the behaviour of firms and their constant interactions with market structure, which involves change and innovation. The second involves classifying market structure, and the type and amount of competition (mainly on number of firms within the market), to determine the firm’s behaviour.

Business Model Product Statement Health And Social Care Essay

The respiratory system consists of the respiratory musculuss, carry oning air passages, lungs, pneumonic vasculature, and environing tissues and constructions ( Fig. 1 ) . Each plays an of import function in act uponing respiratory responses. Figure 1. Respiratory Anatomy ( 1 )LungsThere are two lungs in the human thorax ; the right lung is composed of three uncomplete divisions called lobes, and the left lung has two, go forthing room for the bosom. The right lung histories for 55 % of entire gas volume and the left lung for 45 % . Lung tissue is squashy due to really little ( 200 to 300 – 10-6 m diameter in normal lungs at remainder ) gas-filled pits called air sac, which are the ultimate constructions for gas exchange. There are 250 million to 350 million air sac in the grownup lung, with a entire alveolar surface country of 50 to 100 M2s depending on the grade of lung rising prices ( 2 ) .Conducting Air passagesAir is transported from the ambiance to the air sac get downing with the unwritten and rhinal pits, through the throat ( in the pharynx ) , past the glottal gap, and into the windpipe or trachea. Conduction of air Begins at the voice box, or voice box, at the entryway to the windpipe, which is a fibromus cular tubing 10 to 12 centimeter in length and 1.4 to 2.0 centimeter in diameter. At a location called the Carina, the windpipe terminates and divides into the left and right bronchial tube. Each bronchial tube has a discontinuous cartilaginous support in its wall. Muscle fibres capable of commanding air passage diameter are incorporated into the walls of the bronchial tube, every bit good as in those of air transitions closer to the air sac. Smooth musculus is present throughout the respiratory bronchiolus and alveolar canals but is absent in the last alveolar canal, which terminates in one to several air sacs. The alveolar walls are shared by other air sacs and are composed of extremely fictile and collapsable squamous epithelial tissue cells. The bronchial tube subdivide into subbronchi, which farther subdivide into bronchioli, which further subdivide, and so on, until eventually making the alveolar degree. Each air passage is considered to ramify into two subairways. In the grownup homo there are considered to be 23 such ramifications, or coevalss, get downing at the windpipe and stoping in the air sac. Motion of gases in the respiratory airways occurs chiefly by majority flow ( convection ) throughout the part from the oral cavity to the olfactory organ to the 15th coevals. Beyond the 15th coevals, gas diffusion is comparatively more of import. With the low gas speeds that occur in diffusion, dimensions of the infinite over which diffusion occurs ( alveolar infinite ) must be little for equal O bringing into the walls ; smaller air sac are more efficient in the transportation of gas than are larger 1s ( 2 ) .AlveolussAlveoluss are the constructions through which gases diffuse to and from the organic structure. To guaran tee gas exchange occurs expeditiously, alveolar walls are highly thin. For illustration, the entire tissue thickness between the interior of the air sac to pneumonic capillary blood plasma is merely approximately 0.4 – 10-6 m. Consequently, the chief barrier to diffusion occurs at the plasma and ruddy blood cell degree, non at the alveolar membrane ( 2 ) .Motion of Air In and Out of the Lungs and the Pressures That Cause the MotionPleural PressureIs the force per unit area of the fluid in the thin infinite between the lung pleura and the chest wall pleura.Alveolar force per unit areaIs the force per unit area of the air inside the lung air sac. To do inward flow of air into the air sac during inspiration, the force per unit area in the air sac must fall to a value somewhat below atmospheric force per unit area.Transpulmonary force per unit areaIt is the force per unit area difference between that in the air sac and that on the outer surfaces of the lungs, and it is a step of the elastic forces in the lungs that tend to fall in the lungs at each blink of an eye of espiration, called the kick force per unit area.Conformity of the LungsThe extent to which the lungs will spread out for each unit addition in transpulmonary force per unit area ( if adequate clip is allowed to make equilibrium ) is called the lung conformity. The entire conformity of both lungs together in the normal grownup human being norms about 200 millilitres of air per centimetre of H2O transpulmonary force per unit area ( 3 ) . Figure 2. Conformity diagram of lungs in a healthy individual ( 3 ) .Pathophysiology of Weaning FailureReversible aetiologies for ablactating failure can be categorized in: Respiratory burden, cardiac burden, neuromuscular competency, critical unwellness neuromuscular abnormalcies ( CIMMA ) , neuropsychological factors, and metabolic and endocrinal upsets.Respiratory burdenThe determination to try discontinuance of mechanical airing has mostly been based on the clinician ‘s appraisal that the patient is haemodynamically stable, wake up, the disease procedure has been treated adequately and that indices of minimum ventilator dependence are present. The success of ablactating will be dependent on the ability of the respiratory musculus pump to digest the burden placed upon it. This respiratory burden is a map of the opposition and conformity of the ventilator pump. Excess work of take a breathing ( WOB ) may be imposed by inappropriate ventilator scenes ensuing in ventilator dysynchrony ( 4 ) . Reduced pneumonic conformity may be secondary to pneumonia, cardiogenic or noncardiogenic pneumonic hydrops, pneumonic fibrosis, pneumonic bleeding or other diseases doing diffuse pneumonic infiltrates ( 5 ) .Cardiac burdenMany patients have identified ischemic bosom disease, valvular bosom disease, systolic or diastolic disfunction prior to, or identified during, their critical unwellness. More elusive and less easy recognized are those patients with myocardial disfunction, which is merely evident when exposed to the work load of ablactating ( 5 ) .Neuromuscular competencyLiberation from mechanical airing requires the recommencement of neuromuscular activity to get the better of the electric resistance of the respiratory system, to run into metabolic demands and to keep C dioxide homeostasis. This requires an equal signal coevals in the cardinal nervous system, integral transmittal to spinal respiratory motor nerve cells, respiratory musculuss and neuromuscular junctions. Disruption of any part of this transmittal may lend to ablactating failure ( 5 ) .Critical unwellness neuromuscular abnormalciesCINMA are the most common peripheral neuromuscular upsets encountered in the ICU scene and normally affect both musculus and nervus ( 6 ) .Psychological disfunctionCraze, or acute encephalon disfunction: Is a perturbation of the degree of knowledge and rousing and, in ICU patients, has been associated with many modifiable hazard factors, including: usage of psychotropic drugs ; untreated hurting ; drawn-out immobilization ; hypoxaemia ; anemia ; sepsis ; and kip want ( 7 ) . Anxiety and depression: Many patients suffer important anxiousness during their ICU stay and the procedure of ablactating from mechanical airing. These memories of hurt may stay for old ages ( 8 ) .Metabolic perturbationsHypophosphataemia, hypomagnesaemia and hypokalaemia all cause musculus failing. Hypothyroidism and Addison's disease may besides lend to difficulty ablactating ( 5 ) .NutritionCorpulence: The mechanical effects of fleshiness with reduced respiratory conformity, high shutting volume/functional residuary capacity ratio and elevated WOB might be expected to impact on the continuance of mechanical airing ( 5 ) .Ventilator-induced stop disfunction and critical unwellness oxidative emphasisVentilator-induced stop disfunction and critical unwellness oxidative emphasis is defined as loss of diaphragm force-generating capacity that is specifically related to utilize of controlled mechanical airing ( 9 ) .Clinical Presentation of PatientsPatients can be classified into three g roups harmonizing to the trouble and length of the ablactation procedure. The simple ablactation, group 1, includes patients who successfully pass the initial self-generated take a breathing test ( SBT ) and are successfully extubated on the first effort. Group 2, hard ablactation, includes patients who require up to three SBT or every bit long as 7 yearss from the first SBT to accomplish successful ablactation. Group 3, prolonged ablactation, includes patients who require more than three SBT or more than 7 yearss of ablactation after the first SBT ( 5 ) .Clinical Outcomes and EpidemiologyThere is much grounds that ablactating tends to be delayed, exposing the patient to unneeded uncomfortableness and increased hazard of complications ( 5 ) . Time spent in the ablactation procedure represents 40-50 % of the entire continuance of mechanical airing ( 10 ) ( 11 ) . ESTEBAN et Al. ( 10 ) demonstrated that mortality additions with increasing continuance of mechanical airing, in portion because of complications of drawn-out mechanical airing, particularly ventil ator-associated pneumonia and airway injury ( 12 ) . The incidence of unplanned extubation ranges 0.3-16 % . In most instances ( 83 % ) , the unplanned extubation is initiated by the patient, while 17 % are inadvertent. Almost half of patients with self-extubation during the weaning period do non necessitate reintubation, proposing that many patients are maintained on mechanical airing longer than is necessary ( 5 ) . Addition in the extubation hold between readiness twenty-four hours and effectual extubation significantly increases mortality. In the survey by COPLIN et Al. ( 13 ) , mortality was 12 % if there was no hold in extubation and 27 % when extubation was delayed. Failure of extubation is associated with high mortality rate, either by choosing for bad patients or by bring oning hurtful effects such as aspiration, atelectasis and pneumonia ( 5 ) . Rate of ablactating failure after a individual SBT is reported to be 26- 42 % . Variation in the rate of ablactating failure among surveies is due to differences in the definition of ablactating failure. VALLVERDU et Al. ( 14 ) reported that ablactating failure occurred in every bit many as 61 % of COPD patients, in 41 % of neurological patients and in 38 % of hypoxaemic patients. Contradictory consequences exist sing the rate of ablactating success among neurological patients. The survey by COPLIN et Al. ( 13 ) demonstrated that 80 % of patients with a Glasgow coma mark of more than 8 and 91 % of patients with a Glasgow coma mark less than 4 were successfully extubated. In 2,486 patients from six surveies, 524 patients failed SBT and 252 failed extubation after go throughing SBT, taking to a entire w eaning failure rate of 31.2 % ( 5 ) . The huge bulk of patients who fail a SBT do so because of an instability between respiratory musculus capacity and the burden placed on the respiratory system. High air passage opposition and low respiratory system conformity contribute to the increased work of take a breathing necessary to take a breath and can take to unsuccessful release from mechanical airing ( 15 ) .Economic ImpactMechanical airing is largely used in the intensive attention units ( ICU ) of infirmaries. ICUs typically consume more than 20 % of the fiscal resources of a infirmary ( 16 ) . A survey that analyzed the incidence, cost, and payment of the Medicare intensive attention unit usage in the United States ( US ) reveled that mechanical airing costs a amount stopping point to US $ 2,200 per twenty-four hours ( 17 ) . One survey shows that patients in the ICUs having drawn-out mechanical airing represents 6 % of all ventilated patients but consume 37 % of intensive attent ion unit ( ICU ) resources ( 18 ) . Another survey corroborates this Numberss besides demoing that 5 % to 10 % of ICU patients require drawn-out mechanical airing, and this patient group consumes more than or every bit much as 50 % of ICU patient yearss and ICU resources. Prolonged ventilatory support and chronic ventilator dependence, both in the ICU and non-ICU scenes, have a important and turning impact on health care economic sciences ( 19 ) .DrumheadTreatment OptionWeaning FailureOverviewThe procedure of initial ablactating from the ventilator begins with an appraisal sing preparedness for ablactating. It is so followed by SBT as a diagnostic trial to find the possibility of a successful extubation. For the bulk of patients, the full ablactation procedure involves verification that the patient is ready for extubation. Patients who meet the standards in table 2 should be considered as being ready to ablactate from mechanical airing. These standards are cardinal to gauge the like liness of a successful SBT in order to avoid tests in patients with a high chance of failure ( 5 ) . Table 2 Standards for Measuring Readiness to Wean Clinical Appraisal Adequate cough Absence of inordinate tracheobronchial secernment Resolution of disease acute stage for which the patient was intubated Objective measurings Clinical stableness Stable cardiovascular position ( i.e. fC ?140 beats*min-1, systolic BP 90-160 mmHg, no or minimum vasopressors ) Stable metabolic position Adequate oxygenation Sa, O2 & A ; gt ; 90 % on ?FI, O2 0.4 ( or Pa, O2/FI, O2 ?150 mmHg ) PEEP ?8 cmH2O Adequate pneumonic map f ?35 breaths*min-1 PImax ?-20- -25 cmH2O Ve & A ; lt ; 10 l*min-1 P0.1/PImax & A ; lt ; 0.3 VT & A ; gt ; 5 mL*kg-1 VC & A ; gt ; 10 mL*kg-1 f/VT & A ; lt ; 105 breaths*min-1*L-1 CROP & A ; gt ; 13 ml*breaths-1*min-1 No important respiratory acidosis Adequate thinking No sedation or equal thinking on sedation ( or stable neurologic patient ) Taken from ( 5 ) and ( 15 ) . fC: cardiac frequence ; BP: blood force per unit area ; Sa, O2: arterial O impregnation ; FI, O2: inspiratory O fraction ; Pa, O2: arterial O tenseness ; PEEP: positive end-expiratory force per unit area ; degree Fahrenheit: respiratory frequence ; PImax: maximum inspiratory force per unit area ; VT: tidal volume ; VC: critical capacity ; CROP: integrative index of conformity. 1 mmHg=0.133 kPa. Harmonizing to an adept panel, among these standards merely seven variables have some prognostic potency: minute airing ( VE ) , maximal inspiratory force per unit area ( PImax ) , tidal volume ( VT ) , take a breathing frequence ( degree Fahrenheit ) , the ratio of take a breathing frequence to tidal volume ( f/VT ) , P0.1/PImax ( ratio of airway occlusion force per unit area 0.1 s after the oncoming of inspiratory attempt to maximal inspiratory force per unit area ) , and CROP ( integrative index of conformity, rate, oxygenation, and force per unit area ) ( 20 ) .Minute VentilationMinute airing is the entire lung airing per minute, the merchandise of tidal volume and respiration rate ( 21 ) . It is step by measuring the sum of gas expired by the patients lungs. Mathematicly, minute airing can be calculated after this expression: It is reported that a VE less than 10 litres/minute is associated with ablactating success ( 22 ) . Other surveies found that VE values more than 15-20 litres/minute are helpful in placing if a patient is improbable to be liberated from mechanical airing but lower values were non helpful in foretelling successful release ( 15 ) . A more recent survey concluded that short VE recovery times ( 3-4 proceedingss ) after a 2-hour SBT can assist in finding respiratory modesty and predict the success of extubation ( 23 ) . When mechanical airing takes topographic point, this parametric quantity is calculated monitoring flow and force per unit area by the ventilator in usage itself or by an independent device attached to the air passage circulation system such as the Respironics NM3Â ® by Phillips Medical. Other ways to find minute airing are by mensurating the electric resistance across the thoracic pit ( 24 ) . This method though, is invasive and requires deep-rooted electrodes.Maximal Inspiratory PressureMaximal inspiration force per unit area is the maximal force per unit area within the air sac of the lungs that occurs during a full inspiration ( 21 ) . Is it normally used to prove respiratory musculus strength. On patients in the ICU or those non capable to collaborate, the PImax is measured by obstructing the terminal of the endotracheal tubing for a period of clip close to 22 seconds with a one-way valve that merely allows the patient to expire. This constellation leads to increasing inspirator y attempt mensurating PImax towards the terminal of the occlusion period. However PImax is non plenty to foretell faithfully the likelihood of successful ablactating due to low specifity ( 15 ) . The measuring of PImax can be performed by devices equipped with force per unit area detectors.Tidal VolumeTidal volume is the sum of air inhaled and exhaled during normal airing ( 21 ) . Spontaneous tidal volumes greater than 5 ml/kg can foretell ablactating result ( 25 ) . More recent surveies found that a technique that measures the sum of regularity in a series analysing approximative information of tidal volume and external respiration frequence forms is a utile index of reversibility of respiratory failure. A low approximate information that reflects regular tidal volume and respiratory frequence forms is a good index of ablactating success ( 26 ) . Tidal volume can be measured utilizing a pneumotachographic device.Breathing FrequencyThe grade of regularity in the form of the external respiration frequence shown by approximative information instead than the absolute value of the external respiration frequence is been proven to be utile in know aparting between ablactating success and failure ( 26 ) . The take a breathing rate or frequence is measured by numbering the external respiration rhythms per a defined period of clip.The Ratio of Breathing Frequency to Tidal VolumeYang and Tobin [ 18 ] so performed a prospective survey of 100 medical patients having mechanical airing in the ICU in which they demonstrated that the ratio of frequence to tidal volume ( rapid shoal take a breathing index ( RSBI ) ) obtained during the first 1 minute of a T-piece test and at a threshold value of ?105 breaths/minute/l was a significantly better forecaster of ablactating results However, there remains a rule defect in the RSBI: it can bring forth inordinate false positive anticipations ( that is, patients fail ablactating outcome even when RSBI is ?105 breaths/minute/l ) [ 35-36 ] Besides, the RSBI has less prognostic power in the attention of patients who need ventilatory support for more than 8 yearss and may be less utile in chronic clogging pneumonic disease ( COPD ) and aged patients [ 37-39 ] .The Ratio of Airway Occlusion Pressure to Maximal Inspiratory PressureThe airway occlusion force per unit area ( P0.1 ) is the force per unit area measured at the air passage opening 0.1 s after animating against an occluded air passage [ 42 ] . The P0.1 is attempt independent and correlates good with cardinal respiratory thrust. When combined with PImax, the P0.1/PImax ratio at a value of & A ; lt ; 0.3 has been found to be a good early forecaster of ablactating success [ 11,43 ] and may be more utile than either P0.1 or PImax entirely. Previously, the clinical usage of P0.1/PImax has been limited by the demand of particular instrumentality at the bedside ; nevertheless, new and modern ventilators are integrating respiratory mechanics faculties that provide nu merical and graphical shows of P0.1 and PImax.Air manner ResistanceCropThe CROP index is an integrative index that incorporates several steps of preparedness for release from mechanical airing, such as dynamic respiratory system conformity ( Crs ) , self-generated external respiration frequence ( degree Fahrenheit ) , arterial to alveolar oxygenation ( partial force per unit area of arterial O ( PaO2 ) /partial force per unit area of alveolar O ( PAO2 ) ) , and PImax in the undermentioned relationship: CROP = [ Crs – PImax – ( PaO2/PAO2 ) ] /f where: PAO2 = ( PB-47 ) – FiO2 – PaCO2/0.85 and PB is barometric force per unit area. The CROP index assesses the relationship between the demands placed on the respiratory system and the ability of the respiratory musculuss to manage them [ 18 ] . Yang and Tobin [ 18 ] reported that a CROP value & A ; gt ; 13 ml/breaths/minute offers a moderately accurate forecaster of ablactating mechanical airing result. In 81 COPD patients, Alvisi and co-workers [ 39 ] showed that a CROP index at a threshold value of & A ; gt ; 16 ml/breaths/minute is a good forecaster of ablactating result. However, one disadvantage of the CROP index is that it is slightly cumbrous to utilize in the clinical scene as it requires measurings of many variables with the possible hazard of mistakes in the measuring techniques or the measuring device, which can significantly impact the value of the CROP index.Clinical Treatment ProfilesCONCLUSIONS AND RECOMMENDATIONS

IB History IA Essays

IB History IA Essays IB History IA Paper IB History IA Paper Memoirs and History journals a re mostly used to analyze the torture methods of the French. Two Of the sources used in the essay, The Question a written memoir by Henry Allege, The Battle of the Casaba written by General Paul Secretaries will then be evaluated for their origins,purposes, values, and limitations. Word Count: 124 3 B. Summary of Evidence There were roughly 60,000 French troops in Algeria when the war began on t he night of November 1, 1954. Battle of Algiers, one of the bloodiest battles of the war began on September 30, 1956 and lasted until the 24th of September the following year, 1957. There were roughly FL N casualties (dead or missing), and 300 dead, 900 wounded French casualty sees. ; On July 3,1962 France recognized Algeria as an independent country. At the end of the war there were roughly 25,000 French casualties (killed in AC Zion,accidents,or by disease, 3,600 European civilian deaths (killed or missing) , 155,000 Algeria n casualties (ALAN) , and roughly 50,000 Muslim casualties, 2. The PLAN Windrow, M. (2013). Algerian War 1 95462. Osprey Publishing (part of Random House Publisher Services). The FLY (The army of National Liberation) called for general insurrection in N bomber, 1954. The FLY was a movement that was created from previous nationalist factions. ; The regional leader for Algeria was Rabat Bit. ; The FL N was divided into autonomous polychromatic commands, or Waylays . Each Wilily was made up of senior officers or commanders. 3. French Army By 1 955, the French army had roughly 74,000 troops in Algeria and it grew to about 1 05,000 after reinforcements were called in July of that year. 4 They were divided in 3 corps commands all over Algeria (The corps dreamer d Roan, dealer, and De Constantine. About 20,000 Muslims and 20,000 conscripts served in Algeria in Derailleur info try regiments and autonomous battalions. 4. French Torture and Terrorism ; Outdoor, T. , Denned, A. (2007). Torture in the Algerian War. South Central Review, 24 1826. Page 19 Colonel Roger Trinities admitted that the use of torture was necessary at Tim especially when many lives were at stake: Imagine, he says, that you have just arrested a bomber who has planted five time bombs and you find out that they have be en set to go off in three hours. Basically, you have a choice: you can be polite and ask the bomb ere nicely to tell you where he put the bombs, but if you do that, you may wind up with forty d dead and two endured wounded people on your hands; or you can torture him to find out where the bombs are so that you can deactivate them. If its up to me, Im going to interrogate him until he tells me what I want to know. 1826. Page 20 According to the article The main use of torture is to identify and eliminate the enemy ; it is far more commonly used for that purpose than to prevent an IM eminent attack (although admittedly, one can make a more compelling case, at least rhetoric ally, by citing the latter goal. The French did not torture the e nemy for just answers but to try and eliminate e them while acquiring information. Cohen, W. (2001 The Sudden Memory of Torture: The Algerian War in French Discourse, 20002001. French Politics, Culture Society, 19 8294. They [Algerian] kill one French soldier , we kill 10 Algerian. 5 Cohen, W. (2001). The Sudden Memory of Torture: The Algerian War in French (3), 8294. The French had many ways of torturing Algerian prisoners , for example a French draftee describes how the y would use a method of electricity, The French would electrocute the prisoners testicles an d keep doing so until he gave enough information which than he would be shot. The torture techniques during the AR was seen as Magazine.

The Legalization of Euthanasia Essays - Euthanasia, Medical Ethics

The Legalization of Euthanasia Essays - Euthanasia, Medical Ethics Mrs. Turner English 10-4 1 April 15 The Legalization of Euthanasia Death is a tangible option for those who are suffering and see no value in life. As human beings, we should have the right to put an end to our own undergoing pain and choose a dignified death. Euthanasia, the hastening of death for a terminally ill person, is the practice of deliberately ending the life of an individual who is deteriorating from an incurable disease or intolerable pain. Todays euthanasia is generally associated with the mercy killing or where the patient requests his or her own death, also known as voluntary euthanasia. However, when a doctor takes premeditated actions to cause a death, it is known as active euthanasia. Knowing that, it is seemingly appropriate to say that I believe in the legalization of voluntary euthanasia. When a person no longer wishes to waste his or her life withering away in a hospital bed, that person should have the ability to resort to death because of their right to do as they please and the relief from the unendurable torment. An individual should have the liberty to own his or her own life, and if the reasons are rational, be able to discontinue his or her own life. Human beings are autonomous people with a right to self-sufficiency, independence, and self-regulation; we should be able to take responsibility for our own actions and make our own choices. If circumstances are completely intolerable, we should have the freedom to choose to die. Every person should have the legal right to make choices according to their own lives and values, as long as their choices do not insist upon the liberties of others. The choice of a terminally ill person to die does not impose on the rights of othersonly their own. Patients should be guaranteed the right of not being forced to suffer, as stated in the European Declaration of Human Rights (Euthanasia- ProCon.org). Whether they want to avoid excruciating pain or just end their life in a dignified manner, it is implied in the concept of ordered liberty that they have th e self-entitlement to refuse life-saving medical treatment or ask for death. To many patients, being clinically alive is simply inadequate and as a New York City doctor Jacob Appel argues, how they value their lives is inextricably linked to the quality of their lives (Right to Die). When a patients life lacks self-awareness or an inherent presence as a human because of their extreme physical and mental suffering, that patient should have the entitlement to choose a decorous death rather than an indecorous existence, as it offers them the solace of a potential escape from suffering if they ever desire it (Right to Die). A patient should have the justification to end his or her own life through the medical act of euthanasia because of the unsolicited agony, suffering, and misery linked to the disease or state he or she is in. Each person has different amounts of pain and suffering that he or she can tolerate and when a patient is suffering from a severe condition such as a terminal illness, one cannot disregard their feelings and thoughts of grief, distress, and hopelessness. By willingly falling into a deep sleep, patients are able to escape their desolation and feelings of despondency. Even with palliative care, many patients still experience extensive physical and existential suffering and pain, and pain is not always adequately controlled by palliative medicine (South Australia). With some cases of illnesses, the pain can only be subsided by producing a prolonged unconsciousness or coma. There are illnesses such as Total Dependence Syndrome, the loss of independence and control in the terminal de caying phase, which have non-painful syndromes but still involve extreme suffering (South Australia). Therefore, it is needless to say that euthanasia is a doctors act of clemency and care. Although doctors show an act of mercy for those who are suffering from unbearable pain through euthanasia, many people argue that they are still violating the Hippocratic Oath; a Greek medical oath taken by all physicians to swear upon their patients to the best of ones ability. The oath clearly dictates that physicians should not prescribe nor administer a lethal

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Homeless Women in Canada Essay Example | Topics and Well Written Essays - 1250 words

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