A reflective account of the application of learning to clinical Essay

A reflective account of the application of learning to clinical practice - Essay Example Globally, Ischaemic stroke affects more people than other forms of strokes. The stroke can happen or occur in two ways; arterial thrombosis or cerebral embolism. Arterial thrombosis is when a blockage forms in the artery that supplies blood to the brain. As a consequence, blood supply to the brain is blocked (Baker, 2008). On the other hand, cerebral embolism occurs when a blood clot forms in a different part of the body (usually a large artery or the heart) and subsequently travels to the brain and blocks the blood supply. The disease is most prevalent in older adults (people over 65 years of age). In light of this, the paper will employ Gibbs’ reflective cycle model. The model is preferable since it is fairly straight forward. Additionally, the model advocates for a succinct description of the scenario, evaluation of the feelings and experience, conclusion, and a reflection based on experience of what I would do if a similar situation came up again. The condition that I am dealing with is called the ischaemic stroke. It is the clotting of the blood in the blood arteries. In his book, a Schmer (1973) stated that the brain is deprived off food and the oxygen when clotting occurs in the arteries. As a result, the brain cells die. Although some blood cells may die immediately at the onset of the stroke, some may survive longer. If the blood supply is regained, the surviving cells may live or die. The condition may occur very fast, within seconds, or the patient may experience symptoms for some hours. The patient needed to be checked for the symptoms of an ischaemic stroke. At times, the underlying problems might not be the stroke but something different (Wilbur 1997). A patient suffering from ischaemic stroke shows numbness or some weaknesses of one side of the body. This is called contractual hemiplegia. On the other hand, some may show defects of the face such as dropping eyelids, and aptosis. Still, others get visual

Activity-based costing Essay Example for Free

Activity-based costing Essay There are many different types of cost systems a company can choose from when calculating their costs. Two of the most frequently used cost accounting systems are a volume based cost system and an activity based cost (ABC) system. Each system has their own advantages and disadvantages and some are more common among certain industries. Wilkerson, like many other companies, used a simple/volume based cost accounting system. Under this system, Wilkerson was inappropriately allocating their costs by assigning the overhead expenses based on direct labor, thus calculating their total costs and operating income incorrectly. If Wilkerson continues to operate their company ignoring the fact that their costs are inaccurate, it is possible that they may make poor business and pricing decisions in the future. Although Wilkerson’s costs are currently being calculated incorrectly, if they decide to use an activity based costing system, they may achieve more accurate results. Using a simple cost accounting system is often easier and less time consuming than an activity based costing system, but it is also less accurate. Wilkerson’s implementation of an ABC system would most likely be very beneficial to the company in terms of both determining their costs more precisely and making overall better pricing and business decisions. An ABC system at Wilkerson would look very different than their current volume based system. Wilkerson’s ABC system would use machine-related expenses, setup labor cost, receiving and production control, engineering, and packaging and shipment as the cost pools. The revised per unit product costs under this system would be $46.17/valve, $58.20/pump, and 115.38/flow controller and the margins would be 46.3%, 33.1%, and -9.9%, respectively. The results when calculating product costs are so different depending on the cost system because we are now actually determining the costs per unit with multiple cost pools because each resource uses a different amount of the indirect resources rather than assigning the manufacturing overhead cost solely based on the direct labor costs. Based on this new accounting information I would recommend that Wilkerson try to make an improvement in their flow controller product. Since the gross margin for this line is negative, if adjustments are made but there is no improvement in its profitability, I would tell Wilkerson to consider dropping the line completely. Although Wilkerson would lose $420,000 in sales, their costs would be reduced by more than this amount, ultimately increasing overall profits for the company. Unfortunately, there are some limitations in our analysis of Wilkerson’s alternative cost systems. One limitation is that we are unable to easily assess how the market will react to a change in the flow controller line. A second limitation that we have to consider when looking at our analysis is that although our cost allocations are much more accurate than before, these costs are still the averages for each product, which could impact how accurate we are in determining the costs. However, if we are able to look past these limitations, our analysis of Wilkerson is beneficial in shaping how the company can more accurately calculate costs as well as be more profitable in general.

The Drama of the Clinton Sex Scandal Essay -- Presidency Bill Clinton

The Drama of the Clinton Sex Scandal Rare is a person that crosses the path of the White House without some emotion of envy or awe. This building epitomizes world leadership and unprecedented power. This renowned leadership may be the only association made by certain countries, while in the United States many see an other significance: Watergate, Whitewater, Kennedy's brutal and mysterious assassination, and today, Clinton's "zippergate" scandal. When the President of the United States takes oath, he gives up a part of his life. His private life becomes the public's life, and they feel the right to know what happens behind the Oval Office. Now the Presidency must battle against Newspaper journalists, radio personalities, televised news reports and now, even more menacing: the Internet. Presidents, who are constantly reminded of their power and prestigious rank, become exasperated because they cannot control the news media, even though they can to a large degree set the news agenda. Media has expanded in its presence, becoming widespread on the Internet, perhaps monopolizing the domain, by becoming more powerful and more used than written, televised or radio journalism. The Presidents' inability to control the press exposes their vulnerability and tends to question the actual power they can actually exert. All presidents, at some time or another, became frustrated at what they perceived as unfair treatment by the press, even while acknowledging its vital function in a free society, and many presidents have been a part of a scandal. The current presidential scandal with Monica Lewinsky had swept the Nation overnight. It seems quite impossible to know just how it will all turn out, and unfair to even speculate, but the media certainly seems to think they possess that right. It is obvious that this story has changed the face of journalism, has put online media on the map in a major way, and has made life more difficult for newspapers forever. First, let's take a look at how this story developed and how it acted on the Internet. David Noack of E&P in his article "Web's Big Role in Sex Controversy" does a great job of detailing the twisting path this tale took from rumor to investigation to publication, and how the Internet played a key part. Noack points out in his article that the "Clinton/Lewinsky" scandal has drastically changed online media. He writes:... ...presidential scandal. The media failed to turn up any new evidence and spent weeks broadcasting special reports that were nothing more than speculations. The famous image of Bill Clinton embracing Monica Lewinsky was all too much a subliminal message telling the American people that it is all right to disrespect and dislike the leader of their country. Despite these allegations that are certainly should not be condoned, Bill Clinton was elected twice to run the most powerful country of the World and will continue to do so no matter what. Now every day some new story breaks about a different woman that claims Bill Clinton aggressed them sexually. Bill Clinton can only prove so much to prove his innocence and probably isn't innocent, but nonetheless it doesn't concern the American public since it doesn't concern his ability to perform in the Oval Office. (No pun intended.) Even though being in the spotlight comes with being a world leader, the media don't need to worry about the every move and the secrets from his past. The media needs to inform the public of the Presidents misgivings that could possibly put his capabilities. There are also victims, and what about their rights?

Smartphones Are an Essential Part of Society

Smartphones are an Essential Part of Society Smartphones are helping people to be more efficient, but with some side effects. â€Å"Many colleges and universities are further pushing the boundaries of services that can be delivered on smartphones† (Gordon 2007). Even though smartphones are making the human race complacent and dependent, these mobile devices are useful tools because they make life easy and keep one organized in a fast-paced world. â€Å"Wake Forest has a MobileU (mobileu. wfu. du) pilot program focusing on mobile messaging, mobile access to information such as calendars, campus announcements, and real-time location of the campus shuttle bus† (Gordon 2007). If one were to only read, the Korean Herald, one would believe that everybody who has a smartphone; does not like to get out of their pajamas or leave the house. â€Å"The smart device boom may be a blessing for many who now have instant access to everything from emails to the nearest restaurant servi ng their favorite foods, but smart products also are making electronics companies increasingly lazy† (Herald 2011).Another example that shows that smartphones are making people lazy and too dependent is stated in, †The trend is partly blamed on technology making it easier for lazy staff to email a colleague rather than walk over to see them† (Express 2012). Smartphones are making people lazy and too dependent; they are useful tools because phones make a person’s life easier.For example, sending an Army SPOT Report message, a concise narrative report of essential information covering tactical events or conditions, requires a soldier to first enter a 12-digit date-time group and a six-digit grid coordinate, a task that takes up time in a critical situation. Smartphones, which have their own built-in clocks and Global Positioning System (GPS) receivers, automatically populate those fields in the SPOT Reports and other Army messages that require a time stamp and precise location information (Brewin 2011).Another example that shows that smartphones make a person’s life easier is â€Å"Connecting Soldiers application will help soldiers communicate in languages other than English, McCarthy said, outputting translation audibly through the smartphone speaker and by text on its screen. The project already has an Arabic language application, and he would like to find an affordable application that can translate Pashto and Dari, the main languages of Afghanistan† (Brewin 2011). Smartphones are a useful tool because these handheld devices help people to stay organized. An individual can do almost anything with a smartphone.Today with all the applications to download, it is easy to stay on track. Individuals can you use the calendar function to keep their appointments and send reminders about up and coming events. Smartphones also allow for checking emails and surfing the web. Smartphones also let people play games. The days of the old paper organizer are gone forever! Users of smartphones and even those that do not have these handheld devices can appreciate them. Although smartphones are making people lazy and too dependent, smartphones are useful tools for two main reasons.First, smartphones make a one’s life easier. Nevertheless, most importantly, smartphones help people to stay organized.References Brewin, Bob (2011). Army confirms battlefield smartphones tests began in December. Computers–Information Science And Information Theory Gordon, Rachel Singer (2007). Information Tomorrow: Reflections on Technology and the Future of Public and Academic Libraries. Medford, NJ, USA: Information Today, Inc. , doi: 10492819. P. 31 The Express. (2012) â€Å"Office work ‘makes you fat and lazy† THE KOREA HERALD, (2011): â€Å"IT industry too dependent on smart devices†

Egyptian art Essay

In Egyptian art, style is everything. In the Egyptian Art we have examined, we see striking similarities in the objects d’art that are included in this view. One thing that we can see in all the art works that we have seen is that the style remains consistent throughout the history of Egypt. The view of this writer is to look at each work and compare it to other works later in Egypt’s history. To that end, we will examine four separate works—the Palette of King Narmer, which was predynastic, the tomb of Ti at Saqqara which is of the Fifth Dynasty, the Portrait of Ni’Ankhesut, which is from the early Sixth Dynasty, and finally the Funerary Stele of Iamu, from the First Intermediate period. Each of these unique works has their own similarities to each other and their own unique differences. Three of the works are worked in limestone, which was a primary medium of Egyptian art, especially when it came to tomb or funerary art. The fourth is in stone, and was used to hold makeup and was intricately carved with a well for that express purpose. The first work that this writer will examine is the Palette of King Narmer. This work is done in what is probably basalt or some other stone, as it is not done in the soft limestone that was common in other Egyptian art forms. Egyptologists are unsure exactly what event this depicts, but what we can see is that King Narmer is the largest figure on the palette. On the front of the palette Narmer is depicted leading an army and slaying an opposing army. The opposing army is dead and decapitated, with their heads between their legs. This is pictured in the top third of the palette. In the middle third of the palette is a round depression made up of the entwined necks of two cats. This indented area is where eye makeup would have been placed. In the bottom third we see a warrior fighting a bull, a common theme in early Egyptian art. It should be noted here that the cats with the entwined heads is a distinctly Mesopotamian feature, showing the influence of the Middle Eastern art forms on early Egyptian art. On the back of the palette, we see a large figure who appears to be Narmer, wearing the crown of Upper Egypt. He appears to be subduing an enemy, who appears to be the leader of Lower Egypt. This is obviously meant to symbolize the supremacy of Upper Egypt over Lower Egypt. We notice from the position of the figures that every figure is in the profile position, but the arms are facing forward. This shows early on the foundations of Egyptian art, mainly, the consistency of keeping a majority of the body in profile, while only putting arms and chest in full frontal view. We also notice that on both sides of the palette, Narmer is the largest of the figures, making it clear that the palette is about him and his accomplishments. This is also a recurring theme in Egyptian art—the making of the main figure larger than other figures in the work. This assures the viewer that they are aware of who the main subject is. The second work that we are going to examine is the tomb of Ti at Saqqara. Again, we see that Ti is the largest figure in the work. This tomb relief is in color, which sets it apart from the other works we have examined. It probably retains its color due to the fact that it was not exposed to the elements as were other works. The paint brings out the striking details and shows the intricacies of Egyptian tomb art. It is also worked in limestone, which was a primary medium in Egypt. In this relief, we se that Ti is on a boat on the Nile. The Nile is teeming with all sorts of marine life. From our knowledge of the hieroglyphics, we know that Ti and his hunters are hunting hippopotami in the Nile marshes. Again, Ti is in profile save for his hands and chest. It is at this point, however, that we can see that there is very little difference between the picture of Ti and the picture of Narmer. This shows us that the Egyptians did not think about differentiation between human forms. They counted on the hieroglyphics and the idea of the larger figure being the focal point of the work. The third work that we will examine is the portrait of Ni’Ankhesut. It is a limestone portrait, which makes us assume that it is from the tomb of this individual. This is from the Sixth Dynasty. In this work, we see Ni’Ankhesut as the central figure in this work. Out of necessity, Ni’Ankhesut is the largest figure in the work, and above his head are hieroglyphics. These probably tell his story or his name, though we do not see the characteristic cartouche that accompanies the name. The fact that this individual has a tomb indicates that he was of sufficiently high rank to have the wealth and prestige that a tomb connotes. Again, if we physically look at the portrait, we see that the head and the legs are in profile, but the chest and the arms are in full frontal view. This again shows the idiosyncrasies in Egyptian art. If we compare the physicality of the portrait to the other two works that we have examined, we see that there is very little physical difference in the three figures. Again, the lack of differentiation among figures is evident. The final work we will examine is the Funerary Stele of Iamu. It is worked in limestone, which is the primary medium of Egyptian tomb art. This work is a more complex work than the portrait, but not as detailed as the Palette of Narmer. In this work, we see again that Iamu is the largest figure, and above his head are hieroglyphics. In this relief, it is difficult for one to tell what Iamu is doing. Again, we see little physical differentiation with the other figures that we have examined, and we see that all the figures are in profile and that this is totally in keeping with all Egyptian art. This writer does see some beginnings of differentiation in the figures, which begins to pave the way for more realistic portraiture. What conclusions can we draw from these four works? The first thing is that Egyptian art changed little over the years of Egypt’s rise and fall. Second, we see that Egypt chose art to express and transmit their culture. We also note that hieroglyphics were used to great effect to tell the individual stories that each work shows (with the exception of the Narmer Palette). Fourth, we can see that relief is the main form of art used by the Egyptians. Fifth, color is used throughout the Egyptian artistic world to give life to the two-dimensional images on the limestone walls. Sixth, relief is also a way to provide the art with a depth that it would otherwise lack. We must continue to learn from ancient art as it is the way that we learn the most about ourselves. To understand it is to better understand ourselves and our own culture.