Thursday, November 7, 2019
The Shining essays
The Shining essays When Jack Torrance, a recovering alcoholic, was hired to be the caretaker for the Overlook for the winter, he thought it would change the lives of his wife, Wendy, his son, Danny, and his own. He was right. The unusual happenings and sinister forces they faced in the Overlook would change their lives forever. They tormented the Torrance family. The forces first struck Danny. In a daydream, Tony, his imaginary friend, brought him to the hotel, showing Danny the bad things that go on there. Danny is psychic and is able to see things before and while they happen. For example, when Jack came home from an interview, Danny saw a bloody mallet in the front seat in the car. When the family reaches the hotel, and was taking a tour with the janitor, Danny saw blood everywhere in an old room. One night, Danny was talking with his mom when he saw in blood writing on the wall. The word was RED RUM. As he looked away, the word appeared on the window. While in the hotel, voices called for him and tried to lure Danny into a room, Room 217. As entered the room, the door closed by itself behind him. As he explored the room and entered the bathroom, Danny noticed that there was a woman in the tub behind the shower curtain. Then, Danny ran to the door of the room, but it wouldnt open. The woman got out of the tub and came after him. Just as Danny got out of the room, the dead woman grabs him and pulls him back in. After that horrendous event, Danny was bruised but alive. While he was playing in the snow, the snow fell off the shrub animals and they started coming after the oblivious Danny. When he looked behind him, the animals were back to their original positions. Once again, he saw the word RED RUM, but this time he also saw the word MURDER. In later scenes, Danny was hiding from Jack when a ghost appeared in front of him with a shotgun and then just disappeared. The next family member to be haunted by the vile forces ...
Tuesday, November 5, 2019
11 Ways to Source for Funds for a Start Up Business in Nigeria
11 Ways to Source for Funds for a Start Up Business in Nigeria In this country, a lot of entrepreneurs wishing to begin a new venture go through lots of problems just trying to get their businesses running. One such problem is getting funds to start that business. This has been a major drawback for most intending business owners in the country today. While it takes some people a short time to achieve this, it takes others a long period to get what is required to kick start their businesses. In this article, you will discover 11 brilliant ways you can acquire the money you need for your emerging venture. Of course, you know all that relates to business has its upside and downsides so here you will see why you should use that source and also some disadvantages that come with it. Ultimately you are the one to decide which option to go for so knowing everything about the varied options available is necessary. The different ways are: Money you have saved up: While thinking of beginning a new business, thoughts of getting the money you need would have played out in your subconscious. So, how much money do you have in your savings? This is the first action plan that is necessary for you. Once you know how much you have, you will then be able to conclude if you require more money or not. What you currently have will determine what you will ultimately need in the long run. The upside is: A huge chunk of this saved up money will be very useful in getting some needed things for your business. The downside is: It may not be enough to even start up You might have other responsibilities that need to be taken care of. Close friends, close family members and relatives: One other way to get fund sourcing for your business is by asking friends that are close to you and also family members and relatives. These groups of people understand you and should be in a better place to give you the assistance you need to get your business on its feet. So before embarking on other means, try doing this and I am sure you would get at least more than half of what you are looking for. The upside is: They might be able to assist you to an extent They may give you the right push you need to start off They will encourage you even if it looks difficult to implement The downside is: What you get from them might not be sufficient Some of them will discourage you and try to discourage you from pursuing it You may not even get any help from them Business grants: Are you aware that there are now so many business grants available for Nigerians who either already have established businesses or just want to begin? If only you have the right information at the appropriate time. A lot of Nigerians are now benefitting from these opportunities. Examples of some recent business grants are: The entrepreneurship programme organized by Tony Elumelu; otherwise known as TEEP. The programme organized by YouWiN. The entrepreneurship programme organized by Bank of Industry The trust fund programme organized by Lagos State; also known as LSETF The programme organized by AYEEN which is Africaââ¬â¢s Young Entrepreneurs. All these and more are there for Nigerians to participate in. As long as you are a Nigerian and are at least 18 years old and you have a realistic business idea, you can apply for them. Aside these, there are also business events that take place from time to time in various cities in Lagos. The just concluded ââ¬Å"Fashion Soukâ⬠that took place at Harbour Point, Lagos is one of such examples. Entrepreneurs had the privilege to show case their business pitches and some of them were given grants of up to N200, 000. So with this, you can see that the chances out there are endless; just know where they lie and tap into them. The upside is: These options are many so you choose the one to participate in The money given will be able to settle some business needs The grants given differ; some amounts are higher than some The downside is: Your business pitch might be rejected Your applications may be rejected more than once The money may not be enough (but really is money ever enough for anyone?) Getting loans from microfinance banks: Most microfinance banks give out loans to small scale businesses. You can approach them and with your business pitch, collateral and guarantor you should be able to acquire loans for your business. Also know that they would include interest rates when you are paying back the loan. The upside is: Getting loans from such facilities would be a relief to you and your business The downside is: The interest rate might be pretty high Their deadlines for payment are usually strict. You must pay early enough or face the consequence. Loans from banks: Are you aware that there are some Nigerian banks who give out loans without asking for collateral? It is as easy as that; once you present your business plan, go through some tests, you will be able to apply for such loans. Although the banks all have their different processes and requirements for it. The banks are Heritage bank, First bank, Diamond bank, WEMA bank, and Stanbic IBTC bank. For more information on this, it would be nice if you visit them. The upside is: It is a relief to be able to get loans without having to drop any form of collateral The downside is: You do not know how long it would take to actually receive the loan you want Partnerships: There are certain business moguls you could partner with to enable your business take full form. It could be a friend who has an established business and has some forms of experience already. When forming partnership with someone, a lot of paper work is done so there is no abuse of agreement. This partner could provide what is needed in the early stage of the business or he could just add to what you have. The upside is: This business partner will support you both financially and materially depending on the business arrangement you both have. The downside is: He might want to have a share percent of the company when it finally picks up or starts making profit. Money contributions: A lot of people now engage in daily or weekly contributions to help with their financial needs. This is usually done by a group of people who contribute a certain amount of money based on the arrangement they have. At the end of the month, someone takes away the bulk of the money while others take theirs in subsequent months until everyone has collected and then the cycle continues. This could be a source of fund for your start up business. The money you collect when it gets to your turn could be very helpful. The upside is: This contribution will be helpful as you are sure of getting a specific amount at a specific time. You can decide to collect your share earlier than when you are meant to. By doing this, you can have an arrangement with someone else to collect in his place instead so you can use the money for your business. The downside is: You might be disappointed as not everyone might fulfill their contributions You might not be able to collect earlier than someone else because they might also need it at the time If the people in the group are not trust worthy, they can abscond with all the money. Cooperatives: People join cooperatives for many reasons; some join so that they can buy lands with the accumulated money gotten, others want to buy cars or start businesses. To be able to get money from them, you should have been a member for some time which allows you borrow a specific sum for a duration. There are lots of advantages by being a member of a cooperative and so if you are not already a member of one, you might want to think of joining so that when the time comes, you will know where to go to get funds. The upside is: Cooperatives are more structured and are systematic and so it would be hard for your money to be stolen There is accountability for allocation of funds Crowdfunding: This is another unique way of getting business funds. If you are able to post an appealing business pitch on the internet for people to see so they can invest in your business, you will probably get what you want. By doing this, it is highly possible to meet genuine people that like what you intend doing and want to be major investors in your business. It is worth trying out as you never know where your funding will emerge from. The upside is: You might get help from where you do not expect it You will be surprised at the number of people interested in your business and want to invest in it The downside is: People may shun you and give you reasons why you should not start that business Sell your valued property: What valued property do you have that could earn you some money? There are people who sell what they have just so their business can run. If you are desperate to begin your business, I am sure you would want to do all you can to ensure this happens. It is therefore not a bad idea to sell what you have because you can always buy it back when you stabilize. The upside is: The money gotten from the sale of your items will go a long way in settling some aspects of your business The downside is: You may not begin making instant profit for you to replace your items that is if you really want them back. Angel investors: Do you know that there are some investors who are ready to give you the capital you require to begin your business? All they want in return is some form of ownership equity. If you are willing to agree to this, then this option is for you. So which of these options will you choose? Some people choose one or a combination of more than one option which works for them. It is left to you to decide which to go for. You have seen that each option has its advantages and disadvantages so weigh them and pick the one that suits your business more. These 11 ways to source for funds have worked for a lot of businesses today and they are doing quite well. So, choose wisely!
Saturday, November 2, 2019
Parkinson and vitamin D Essay Example | Topics and Well Written Essays - 1000 words
Parkinson and vitamin D - Essay Example The Advanta Vitamin D 3 supplement contains 5000 IU of the vitamin D 3 composition. They are packed in a bottle containing 90 capsules. Vitamin D 3 is considered as the most common form of vitamin D in terms of composition and activity. The supplement dosage is supposed to be one tablet on daily basis. The Advanta Vitamin D 3 supplement is said to have a high absorption rate hence it is capable of restoring the levels of vitamin D that are required in the body instantly. The choice of this supplement is based on the proposition by Dr Oz that half of the population suffers from the deficiency of Vitamin D and there are few or no diagnosis that have been done concerning them. They also argue that the supplementation with the vitamin D can be the predictor of whether an individual will be well or sickly. In addition, the relationship of vitamin D3 deficiency has been linked with autoimmune diseases, cancer, and dementia. Advanta vitamin D 3 supplements is compliant with the requirements of the law passed by Congress in 1994, Dietary Supplement Health and Education Act. Vitamin D 3 is purposely developed as a dietary supplement and is highly rich in Vitamin D3. The product has been well labelled and it appears in form of capsules (NIH 1). No major side effects that have been associated with the supplementation of Vitamin D 3. However, when consumed in high dosage, it can result to fatigue, headache, loss of appetite, sleepiness, and general body weakness. This indicates that the supplement is highly safe and should be consumed in desirable doses. Studies have been done to establish the specific role of vitamin D in the Parkinsonââ¬â¢s disease. Evatt et al.(2008) established that vitamin D has a potential role in the development of the Parkinsonââ¬â¢s disease. This means that the vitamin is vital in the prevention of the disease. Similar results were
Thursday, October 31, 2019
Problem Solving Research Paper Example | Topics and Well Written Essays - 1250 words
Problem Solving - Research Paper Example Using the problem solving technique, which implies that in order to come up with a well-informed solution to a particular problem, you must apply the following interrelating selections, depending on the type of the problem you are facing. They include: b) Analyzing the problem assessing the current situation by understanding the source of the problem, how it coexists with the present development and whether there is a favorable environment to facilitate evaluation of solutions. It also involves setting an assessment criterion for evaluating options. c) Generate multiple solutions to your problem that seem viable without necessarily judging the potentiality of the solution you have stated. Therefore, will help capture the options that can be used to come up with a solution. basically, this primarily involves the quantity and not the quality of the idea. d) Analyze the possible solutions shortlisted earlier noting the advantage and disadvantage side of the potential solution without evaluating it. additionally, thi may be done by listing the pros and cons of each possible solution and weighing them against each other. This comparison is essential in determining which solution seems valid for the case. e) Select the best solution by looking for the various influencing factors of the possible solutions and can be through weighing the advantages of a potential solution and consider the viability of each. morover, you may end up with many or no viable solution calling for re-evaluating the problem again or even looking at the problem definition once more. f) Jot down the next course of action that you are going to take or rather the implementation of the potential solution or solutions. It takes a course of actions at different times in the future in a sequential order. This take time since implementation is a process. The problem in scenario one is actually deliberating on finishing my education,
Tuesday, October 29, 2019
Positioning and Differentiation Paper - Health Care Marketing Research
Positioning and Differentiation - Health Care Marketing - Research Paper Example The main objective of the paper is to identify the positioning and differentiation strategies of two healthcare organizations i.e. Cascade Valley Hospital & Clinics and Overlake Hospital Medical Center. The study will also endeavor at finding similarities and differentiating aspects between the two healthcare organizations. Differentiation and Positioning Strategies of Overlake Hospital Medical Center Overlake Hospital Medical Center is a nonprofit regional medical centre that provides its patients with highly developed medical related services. The organization is monitored by a Board of Directors. The company has nearly 2500 employees and has nearly 1000 active as well as courtesy physicians as the workforce (Overlake Hospital, 2012). It can be mentioned that innumerable strategies are employed by the healthcare organizations in order to keep themselves competitive. Overlake Hospital Medical Center situated at Belluvue has commenced a cardiac blog. Through this cardiac blog, the or ganization aims at educating the patients regarding the methods through which heart diseases can be prevented (Overlake Hospital, 2012). ... s been created in order to attract, retain and thus ensure that all the parties involved are satisfied with the policies and the strategies of the company. The company has positioned itself as a liaison between nursing, administration along with human resources, foundation and community in order to collectively influence the resources, associations and policies so that Overlake Hospital can be placed as one of the most preferred hospitals/employers in the domestic market as well as abroad. Health Grades have offered Overlake Hospital with five-star designation on numerous grounds. Overlake Hospital offers high quality of care and support to the patients who are suffering from cancer as well as other emergencies. The integrated cancer care team of the hospital generally has one objective which is to offer the patients suffering from cancer with expert care that has been customized to the unique requirements of each of the patients. The trademark of quality care is compassion, skilled care as well as speed at Overlakeââ¬â¢s new Emergency & Trauma Center. The unit is considered to be the only Level III trauma centre on the Eastside (KMPG, 2011). It has been observed that the hospital offers care without charge and at reduced rates to the patients who are capable of qualifying for charity care as per the rules and the regulations of the hospital. During the year 2010 and 2011, the cost of charity was nearly US$5561000 and US$4507000 respectively (KMPG, 2011). Overlake Hospital as a part of its differentiation strategy offers care to the Medicaid patients at a price which is quite below the cost of offering the services. The hospital is also involved in numerous other activities in order to maintain competitive advantage. It has been apparent that the company is involved in
Sunday, October 27, 2019
Application of Nursing Interventions Classification (NIC)
Application of Nursing Interventions Classification (NIC) Leslie Bruchey Elements of the Professional Nursing Role Nursing care is provided in all hospitals, in different states, different countries with different practices. But with that being said, the nursing process using NANDA ââ¬âI Taxonomy of Nursing diagnoses, the Nursing Outcomes Classification (NOC) and Nursing Intervention Classification (NIC) can provide some standards in care where it is received. Throughout this paper, we will discuss a clinical case that uses these tools in providing care and looking at the patient outcome and discuss the systems that were in place. Clinical Encounter This patient was admitted to a medical surgical unit with the diagnosis of pulmonary fibrosis, shortness of breath and pain with inspiration, atrial fibrillation and MRSA in the urine. Patientââ¬â¢s other history included chronic kidney disease, oxygen dependent at home and a low ejection fraction. With this being said, this patient had several things happening, but was being treated with antibiotics and Cardizem to control A-Fib. In the middle of the night, the patient was a rapid response for hypotension and moved to the intensive care. Because of a previous echo that revealed the patientââ¬â¢s EF was only 12%, large fluid boluses were not really an option to treat hypotension. The hypotension was caused by a few different reasons, the nurse in med surg had given this patient multiple blood pressure medications, and the critical care doctor felt that she was becoming septic due to her presentation. Also, the critical care doctor decided that the patient needed a stat VQ scan to rule out the possibility of a pulmonary embolism. The patient results concluded that there was a high probability of a pulmonary embolism which warranted the patient to be placed on IV heparin, have a venous ultrasound of her legs and an echo. These tests reviewed no clots in her legs or heart. With heparin, a PT/INR was drawn for baseline and then a hep xa was drawn every 6 hours until the heparin was therapeutic. A BNP and CBC were drawn to monitor blood cell counts and a central line was placed and the patient was placed on Levophed to prevent hypotension for a few hours. After a few hours, the patient was able to keep blood pressure controlled without medications. Antibiotics were continued as patients WBCââ¬â¢s were 14000 and the patient was continuously monitored in the ICU for a few days. CVPââ¬â¢s were measured at 5 and urine output was monitored closely. Nursing Diagnosis This patient had multiple nursing diagnosesââ¬â¢ that fit her condition. One of the diagnoses that fit this patient is decreased cardiac output. With the patient being in A-fib and with an EF of only 12% this patient does not have optimal cardiac output. The patient also prevents with hypotension which is believed to may have been caused by medications that effect preload and afterload which will also decrease the cardiac output of this patient. This diagnosis is a part of NANDA- I Taxonomy of Nursing Diagnoses and falls under domain 4 Activity and Rest and class 4 which discusses Cardiovascular/ Pulmonary Responses (NANDA, 2012). Nursing Interventions Classification Interventions The following are nursing interventions that were used on this patient using the NIC (Nursing Interventions Classification). Hemodynamic Regulation (4150) Definition: ââ¬Å"Optimization of heart rate, preload, afterload and contractilityâ⬠(Bulechek, Butcher, Dochterman, 2008) Ways to intervene: Patient was placed on a presser, i.e Levophed to cause vasoconstriction and promote an increase in blood pressure A small 250ml fluid bolus was given prior to coming to the intensive care unit The patient was placed on hemodynamic monitoring to check central venous pressures and allowed us to monitor fluid status Medication parameters were in place for medications that would effect HR, preload, afterload Oxygen Therapy (3320): Definition: ââ¬Å"Administration of oxygen and monitoring of its effectivenessâ⬠(Bulechek, Butcher, Dochterman, 2008) Ways to intervene: Oxygen provided by nasal cannula was titrated by oxygen saturation, patient was on 3L. Continuous oxygen saturation monitoring by a pulse ox on the finger. Respirations and patient comfort were also monitored, i.e. no shortness of breath or trouble breathing. Urinary Catheterization (0580): Definition: ââ¬Å"Insertion of a catheter into the bladder for temporary or permanent drainage of urineâ⬠(Bulechek, Butcher, Dochterman, 2008). Ways to intervene: Foley was placed to monitor urine output. Output was monitored to check fluid balance because of patientââ¬â¢s history of CKD, the MRSA infection and having a low ejection fraction. The catheter was temporary and was used for strict input and output. Family Presence Facilitation (7170): Definition: ââ¬Å"Facilitation of the familyââ¬â¢s presence in support of an individual undergoing resuscitation and or invasive proceduresâ⬠(Bulechek, Butcher, Dochterman, 2008). Ways to intervene: Family contacted because patient was moved to intensive care and needed a emergent central line placement. Patient was extremely anxious and requested that we contact her family to come in for needed support. Family came in and educated on what happened and any other information that was needed at that time. Nursing Outcomes Classification Outcomes Now that we have defined a nursing diagnosis and provided some interventions that this patient needed, it is time to discuss the patient outcome. These interventions help the patient achieve multiple goals and as a nurse, all of our interventions help us improve patient outcomes. This patient has multiple nursing diagnoses, but because decreased cardiac output was addressed, the outcome will be as follows: Cardiac Pump Effectiveness (0400) Definition: ââ¬Å"Adequacy of blood volume ejected from the left ventricle to support systemic perfusion pressureâ⬠(Moorhead, Johnson, Maas, Swanson, 2008). The patient will be able to maintain blood pressure without pressers. Patient will have a follow up echo that showed her ejection fraction was 45%. Patient will have adequate urine output. CVP measurements will be within normal limits. Patient will have activity tolerance when getting out of bed and ambulating around room. Patient will continue outpatient rehab to rebuild strength over time. Advantages and Disadvantages The nursing process allows for a standard of care to be provided anywhere that a nurse cares for a patient. With being able to identify what the patients problems are through a nursing diagnosis, we are able to next focus on the interventions that best fit and will provide the best patient outcome. When looking at a patient, we all have our own outcomes that we want to achiever to better the patient. In the patient above, there are many problems that could results in a long list of nursing diagnoses. With being able to focus on one at a time, a nurse is able to think about the needed steps to achieve the positive outcome that we all look at. With using the NIC, NOC and NANDA-I, nurses anywhere are able to identify a problem, the steps to improve the problems and the hopefully outcome for this issue. While these tools help standardize care that nurses provide and focus on and to make sure that the needed interventions to improve the outcome are being performed and are being documented . It is important that the nurse can focus on the needs of the patient and to take credit for all the important things we do during our time with a patient. I also think the nursing process is great for other disciplines to look out what nursing is focusing on and also may help guide the rest of the care that is provided. With this documenting process and just using in the clinical setting, newer nursing can use it to help focus the care their patients may need. These tools are a great resource for nurses but they do have some disadvantages. In day to day care in the nursing realm, these tools are a great resource, but in reality are hard to find time to access and continually document on them. I have seen these types of programs being used in the clinical setting and because nurses are busy, some just copy and paste the same thing over and over day to day. This does not show how we are intervening to meet the outcome. If used right, it is a great tool, but there are a lot of nurses that look at it as just another silly hoop to jump through during patient care and just another thing to document. Some nurses do not take the time to think about what interventions would help our patients. Also, I think that the various lists are good; however, sometimes it is hard to find the exact name of the intervention that we want to use. It takes time to look through the list to find the exact intervention or outcome that best fits out patient needs. Also, it would be hard to get all nurses on board to document with this type of syste m because some are resistant to change and others just are already overwhelmed with the amount of documentation that is required throughout the day. Conclusion The NIC, NOC and NANDA-I Taxonomy of Nursing Diagnoses are a great guide for standard nursing care. Anyone can use these documents to help focus the care their patients need. I believe documenting to nursing process throughout this system will allow for better patient outcomes to continuously reevaluate what the patientsââ¬â¢ needs are and what is going on with a patient. Other disciplinary team members would be able to look at what the problems nursing are focusing on and see where they can help support that patients care. Overall, the standardized care would support patient outcomes and allow for nurses to focus on what they can do, improving the patients care by identifying problems, inventions and outcomes. References Bulechek, G.M., Butcher, H. K., Dochterman, J.C. (Eds.). (2008). Nursing Interventions Classification (NIC) (5th ed.). St. Louis, MO: Mosby Elsevier. Moorhead, S., Johnson, M., Maas, M., Swanson, E. (Eds.) (2008). Nursing Outcomes Classification (NOC) (4th ed.). St. Louis: Mosby/Elsevier. NANDA International. (2012). NANDA international nursing diagnoses: Definitions classification 2012-2014. T.H. Herdman, (ED.). Kaukauna, WI: Author.
Friday, October 25, 2019
In Praise of Folly - Erasmus Dichotomy Essay -- In Praise of Folly Es
In Praise of Folly - Erasmus' Dichotomy à à à The Silenus box is a "case carved like an ugly Silenus" that can be "opened to reveal beautiful, precious objects" (Erasmus 43, footnote). This box appears in Erasmus' Praise of Folly as a metaphor for the central claim in the novel, which is that that which appears to be Folly (ugly) externally, is wise (precious) within. Erasmus reveals this dichotomy on three levels: in the image of the box itself, in his genuine praise of Folly, and in the structure of the novel as a whole. Erasmus, using the female voice of Folly, introduces his reader to the image of the Silenus box early in the text, thereby allowing his reader to carry the image with her for the rest of her time reading (and see its metaphoric nature when appropriate). Folly makes the introduction, saying, "All human affairs... have two aspects quite different from each other." She then goes on to explain that this means, according to Plato, that things that "appear 'at first blush'... to be death, will, if you examine [them] more closely, turn out to be life... in brief, you will find everything suddenly reversed if you open the Silenus" (43). In more direct terms, something which on its surface seems one way (the 'bad' way), has opposite ('good') guts. In The Praise of Folly, the pair of opposites that Erasmus focuses on is that of folly and wisdom. By including a passage dedicated to the description of the Silenus, Erasmus gives his readers a concrete picture to grasp onto that stands for the novel's link between this pair of opposites, which is that wisdom comes under the wrapping of folly. The passage allows the reader to understand this central concept more easily. The concept, in its many manifestations, c... ...this same literary tradition, Rabelais utilizes this peculiar narrative technique in Gargantua and Pantagruel, where he too hides the wisdom in his work behind the veil of foolish, and even vulgar, language. Erasmus' inclusion of the passage explaining the Selenus box allows it to be a metaphor for the central concept in the novel. Through its presence, Erasmus gives us, his readers, a tool with which to separate the layers of his text. Without it, we might be stranded (after reading) with the inaccurate belief that Erasmus was a babbling hypocrite, with contradictory ideas sprinkled throughout his work. But, I suppose, we could have just attributed that fault to Folly, who is always more than willing to accept such a title. Work Cited Erasmus, D. 1511. In Praise of Folly. (Translated by L. Dean and republished by Hendricks House Farrar Straus. 1946.)
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