Monday, September 30, 2019

Health and social care unit 1 m1 criteria Essay

In health and social care, there are many legislations, policies and procedures you have to abide by in order to maintain a lawfully and safe run setting. After watching the clip of Holby City, I noticed a few legislations, policies and procedures, being followed and being breached. Policies and procedures in a hospital are put in place in order to promote the health and safety of individuals. When watching the clip, I had noticed that Archie’s step dad was not allowed to enter the operating room or take part in the operation. This is because if in the operating room anything would have happened to Archie, the step dad would have felt at fault. Also he could have felt like Archie’s life was in his hands and would have or could have made a quick reaction mistake, thinking he was doing something extra to help when in reality he could have made things worse. We also see medical staff wearing appropriate clothing to minimise risks of cross contamination. They were wearing, face masks, aprons and head covers. Personal Protective Equipment (PPE) When watching the Holby City clip, I noticed that all medical staff were clothed accordingly, when operating on the child (Archie) and whilst preparing medicines and following procedures for the child in their care. Face masks, aprons and head covers were worn, to stop spread of germs, bacteria, illnesses or diseases. PPE is put in place in order to reduce the risks of cross contamination. Security During the Holby City clip, I noticed that all staff were wearing ID badges and that all doors were security coded. In also had noticed that all the patients notes were handled with care and not just left on the side. There was always a member of the medical tam holding on to the notes so that they were not seen by anybody who did not need to have a glimpse of the notes. Legislations, laws, acts and regulations are put in place for all workplaces to abide by lawfully =. They are put into practice to protect all individuals. Control of Substances Hazardous to Health (COSHH) This regulation is put in place to ensure that any substances and chemicals are handled and disposed of correctly. In the Holby City clip, this regulation was breached. We see one of the nurse’s droop and mix up two different types of medications. The nurse did not act on the issue appropriately, which the later led to Archie’s death. The wrong medication was given to the patient, which meant that he was taking a lethal dose of the wrong medication. Medications should have been prepared in a medication dispensary, if the medication was prepared in the dispensary, the risks of the medicines being swapped would have been reduced. She wouldn’t have been as pressured as she was in the clients resting room and wouldn’t have acted in a pressured way. The nurse also didn’t report the incident that occurred. If she reported the incident, she and the other medical staff could have acted accordingly; the medication would have been disposed of appropriately and then prepared again with caution. Then they could have found a way of then reducing the risk of happening again. This was an act of omission that she had committed.

Sunday, September 29, 2019

Computer technology arises for better improvement Essay

Throughout the year of existence, the item has come for its enhancement because computer technology arises for better improvement especially in information technology, which focuses mainly on business sectors. The library is a place where books, journals, microfilms, multimedia, audio & visual materials and computer data & terminals are kept and organized to support the cultural, informational, recreational, and educational needs of the general public or specific groups of users. Recent advances in computer and communication technologies have transformed the contemporary library; it is not only a repository but now also an active member in a vast network of libraries and databanks through which users have access to a worldwide store of recorded knowledge. Since the 70s, the acquisition of library catalogs is done electronically. The development of computer technology in the last few years has provided the necessary preconditions to administrate an ever growing amount of information electronically. Prompted by the success of the World Wide Web, many providers are beginning to open their databases to external users. This gives users the possibility to search in a database and exchange data directly via the Internet. The world is experiencing an unprecedented advancement in technology this year. Everyone believes that the library needs an improvement; an improvement that would make it a high-security and an easy access of books that would help not only the librarian but also those who use the library for their research. Through this occurrence, the proponents decided to design a library system for San Roque Catholic School. With the help of data that has been gathered, they give emphasis to the benefits that the system can give and also gathered some ideas for the planned actions for the development of the system. This chapter will discuss the objective of the study, statement of the problem, significance of the study, scope & delimitation and the definition of terms. Objective of the Study This study aims to know the following: To know how often the students go to the library. To know the awareness of the students with regards to the manual library system of SRCS To know how attentive are the library personnel specially in rendering their service To know how many classifications of books they have in their library To know how visible these books to the users Statement of the Problem The general problem is to provide a computerized procedure of borrowing and returning of books. Specially, the study aims to answer the following questions: 1. How often do the students go the library? 2. Are the students aware of the manual system of transaction in the SRCS Library? 3. Are the shelves in the library open to everyone? 4. Does the students need to ask permission from the library management to acquire a book? 5. Are the library personnel always attentive to anyone who wants to use the library? 6. Does the students notice the that the books on the shelves are effectively arrange according to the ff: 6. 1 Classification (Ex. Filipiniana, Arts & Science, etc)? 6. 1. 1 Textbook 6. 1. 2 Workbook Assumption Specific Problem: How proficient are the process used by librarian? Implicit Assumption: There are certain procedures to make the transactions of borrowing or returning the books. Specific Problem: How sufficient are the information that a librarian should acquire prior to borrowing and returning of books? Implicit assumption: There are certain required informations that a librarian should acquire in the students. Hypothesis Question: Is there any significant difference between the effectiveness method in manual and computerized library system? Operational Hypothesis: There is a significant difference between the effectiveness method in manual and computerized library system, in terms of allotted time and accuracy throughout the process. Null Hypothesis: There is no significant difference between the effectiveness method in manual and computerized library system, in terms of procedures Significance of the Study In the age of advance technology, it is important for every business establishment, no matter how small, to acquire a system that would make its work faster and more efficient. This will save time and effort on the part of the beneficiary. Computer technology is quickly spreading due to the demands of the people. The significance of this study is to develop software that will make the library a high-security and easy access. This application system will improve and enhance the library that will attract the user to come more often to the library. Educational Significance The purpose of this study is to attract the students and other users to use the library more often for studying or learning due to the high-technological system the library had. Economic Significance The library will cost less for the expenses that are monthly paid to maintain the system. Some supplies will be added and some will be disregarded. Implementing the proposed system will depreciate the expenses, which is shown. Librarian and Staff. The significance of this study to the librarian an staff is that it will lessen their effort and conserve time in searching books and give an accurate report with regards to the books and borrowers information. Conceptual Framework In this study the proponents will follow all the basic steps in building a system using resourceful references such as books, related studies, browsing the internet, and other tools that are related to the study. They will gather data through interviews and questionnaire with regards to the existing system of San Roque Catholic School. INPUT PROCESS OUTPUT. Scope and Delimitation The proposed system is an application system using borrowers’ code. It will give more efficient way of finding references needed by the users. It includes the entire books in the library. The proposed system will show all needed information regarding the book and the borrower. It is not a LAN-based system. It will not detect if the book is damaged or if one page of it was torn. The proposed system will not show the autobiography of the author and the contents of the books thoroughly. Definition of Terms Acronyms CFD. Context Flow Diagram DFD. Data Flow Diagram JPEG. Joint Photographic Experts Group LAN. Local Area Network SDLC. System Development Life Cycle SRCS. San Roque Catholic School VB6. Visual Basic 6 Non-Technical Accession Number. It is a code that represents the number of books or materials in the connection within the library. Author. It is a person who brings something into existence; the written of the book, article, etc. Borrower’s Card. It is a card that is used in borrowing and returning of library materials. Call Number. It is composed of letters, figures and symbols separate or in combination assigned to a book to indicate its location on the shelves. It usually consists of class number and book number. It appears on the spine of a book and on the upper left corner of a catalog card. Lend. It is to place in the temporary possession of another (for his use, enjoyment, etc. ) with the expectation of resuming possession later. To loan, to let out (books or materials) for fee. Library. It is a room or building, housing a collection of books, usually arrange according to some plan. Librarian. It is a person in-charge of a library. Penalty. Amount given by the borrower if the book is overdue. Transaction. It is something transacted, a bus deal. Technical Terms Computer. Is a machine that can follow instructions to alter data in desirable way and to perform at least some operations without human intervention. Context Diagram. It shows the entire system as one general element. Data. Is factual information such as text, numbers, sound, and images, in a form that can be processed by a computer. Database. Is a collection of related information about a subject organized in a useful that provides a foundation for procedures such as retrieving information, drawing conclusions and making decisions. Data Flow Diagram. It is a graphic illustration that shows the flow of data and logic within a system. Data Processing. It means a rapid conversion of large quantities of information from the unorganized form in which it is collected into a form that can be stored on magnetic tapes or disks and analyzed by computers and other devices. Maintenance. Enhancing or upgrading your system. Password. A code for security of the database and files. Record. It contains all information that the database is tracking. Chapter II Review of Related Literatures and Studies. The proponents reviewed several related studies and literature. This was done to clarify different ideas from other studies and literature. Relevant ideas of some students who developed some software were also reviewed. Related Literature The proponents understand that the program to be made without intellectual development could crash and might not be attracted to the uses and beneficiaries. The communication between the target user and the programmer should be clear, and sharp. According to Lisa C. Stater and Steven E. Arnott stated on their â€Å"Using Visual Basic v6. 0: For Windows (1992)† noted that: â€Å"The traditional boundary between an end-user and a programmer became difficult to maintain, because beginners could generate useful applications without writing any lines of program code and experts became more productive by using same techniques to develop extensive systems†. (p2) Many business companies use computers in order to solve their problems, to lessen their tasks, and minimize the time involved. They also use computers to store a large amount or quantity of data to reach their target goal. This is what C. J. Date (1990) wrote in his book entitled â€Å"An Introduction to Database System,† stated that: â€Å"A database system is basically a computerized record keeping system. It is a computerized system whose overall purpose is to maintain information and make that information available on demand. † (p5) All business activities fall under the principle governing Database Management System (DBMS). But in order to make your work easier, you must know how to design a database. According to Gregg Perry (1991) in his book â€Å"Visual Basic 6. 0 Teach Yourself in 21 Days†: â€Å"Database design is the process of creating database structures from user requirements for data. The resulting design must satisfy the user requirements in terms of completeness, integrity, and performance, among other factors. Database design is a complex and demanding process that requires the commitment and participation of the entire organization. † (p54) But it is more complicated to study a programming language, especially when creating programs for database. That is why more programmers use Visual Basic, which is easier to learn and understand. Walnum Clayton in his book, â€Å"Visual Basic 6 Master Reference, 1999† stated that: â€Å"Visual Basic may be the most used programming language in the world. The reason for its success is obvious. Visual Basic makes Windows programming so easy that just about anyone can sit down and create a simple program within a few hours. † (Preface) N V Brahmaji Rao on his article â€Å"An Experimental Digital Library System for Electronic Thesis and Reports, Roll Number: 9411123, August, 1999† stated that: â€Å"Digital Library System is an information system in which all the information is stored in digital form. The artifacts in a Digital Library System are visualized as â€Å"Digital Objects† stored as electronic â€Å"files† in a Hard Disk, CD-ROM etc. Each one of these files may be in different format like plain text, HTML text, GIF Image, TIFF Image, JPEG, MPEG, PostScript, PDF and so on. The underlying Digital Library System provides users with interfaces to access information like a Research Paper, A Thesis, a book, a song, a picture available in the Digital Library. To facilitate efficient and effective use of Digital Library Resources, the System provides several â€Å"services† like `Search on bibliographic data or on Full- text’, `Show the information contained in a Paper’, `Submission of a Thesis in Electronic Form’, `Indexing service’, `Replication service’ and so on. Digital Library Systems are very much like Public Library Information Systems, in providing the services in an Open way to everyone except in the means and methods followed. The Digital Libraries have a global scope and the user can be anywhere in the world. Digital Library Systems are very complex and throws up many issues: Academic, Technical, Cultural, Legal and even political. † (url: http://www. cse. iitk. ac. in/research/mtech1994/9411123. html) Related Studies Foreign Study. In the study conducted by Ron entitled â€Å"A Computerized Cataloging System for an Outdoor Program Library or Resource Center,† this paper explores a computerized system of cataloging materials for small to medium sized outdoor recreation resource centers. Free to non-profit organizations, the software described in the paper is designed to create and manage a database of books, videos, impact statements and other resource materials. Among other functions, the software will produce files that can be used by a word processor to print cards for a card catalog; it can be used to make topic word searches to find needed materials. Based on the diploma thesis of Josef Willenborg, (Master of CS), of Berlin University of Technology entitled â€Å"A Distributed Library Information System on the Basis of the Z39. 50 Protocol, July 1999† stated that: â€Å"Since the 70s, the acquisition of library catalogs is done electronically. The development of computer technology in the last few years has provided the necessary preconditions to administrate an ever growing amount of information electronically. Prompted by the success of the World Wide Web, many providers are beginning to open their databases to external users. This gives users the possibility to search in a database and exchange data directly via the Internet. † Local Studies According to Hazeline F. Gadia, et al. (1998), on their thesis entitled, â€Å"Computerized Information System for College Libraries,† that their study aims to provide an on-line and cost-free searching capability through the campus network. This reduces the need for the user’s to run from one library to another only to find what they are looking for. Based on the unpublished thesis of Jonalee Domingo’s group entitled â€Å"West Bay Library System, October 2002,† stated that: â€Å"The proposed computerized Library System of West Bay College, a system that will computerize the process in West Bay College. It aims to help the users & librarian by having a search engine. Which will make searching of books faster. It will inform users about the availability & some information on their desired book. It is also aim to help librarian manage library records including its books & users. The proponents intend to develop the system using MS Visual Basic. † (p. vii) Based on the research done by the group of Modina on their thesis entitled â€Å"Computer-Based Library System of IETI College Alabang† stated that: â€Å"The Library is a place where books, journals, microfilms, multimedia, audio and visual materials and computer data and terminals are kept and organized to support the cultural, informational, recreational, and educational needs of the general public or specific groups of users. Recent advances in computer and communication technologies have transformed the contemporary library; it is not only a repository but now also an active member in a vast network of libraries and databanks through which users have access to a world wide store of recorded knowledge. Therefore, Library System is the process that keeps monitoring and classify each book. It also maintains an extensive network of local branches, the properties and the persons involved in it. Relevance to the Study Computer is the latest catalyst in the swirling reaction of human history its power delivers a chance for revolution. When they were rare and expensive they shaped the worlds above the ivory tower. As we move towards the moderation, many organizations must cope up with the latest challenges. Creating a system was become more in demand and gaining an increasing rate of popularity in every industry. It was developed to provide timely, reliable and accurate information that is very helpful in decision making and problem solving. Based on the gathered related literatures and studies, proposing such system like the SRCS Library System would really help not only the librarian and the library personnel but also those who use the library facilities especially the researchers, that it would be more easier for them to know the availability of the book to be borrowed and the procedure of borrowing & returning of books will be more organize & systematize. Chapter III Methodology and Procedure. This chapter discusses the methods of research used by the proponents in conducting the study. Research instruments used, data gathering procedures and statistical treatment are also discussed. Research Design The software was developed using Visual Basic 6, in a module-by-module manner. Each module was designed and created as separate form. This form was compiled and run separately and revised before it linked to the actual programs. And their database holder, the proponents use MS Access. Methods of Research Use The proponents used descriptive and experimental methods in doing the study. Descriptive research method is the process of gathering, analyzing, classifying, tabulating and making interpretation with regards to the data collected. Using the descriptive method, the proponents conducted an interview with the librarian and some students & teachers according to their observation with regards to the library’s service, procedures and policies. In this method, surveying and content analysis techniques are used gather data. A survey is used to collect data about people’s beliefs, idea or opinions regarding a certain topic. Content analysis is used to gather data in any existing and available documentary materials such as articles that content the needed data of the research topic. By the use of this technique, the proponents gather data to related studies and opinions of other authors of any books and articles that useful in furnishing this study. Experimental research is a controlled process which manipulated treatments or actions from a factor, called independent variable, are applied upon another factor, called dependent variable, to determine their effect in the said process. The proponents used this method to find out the effectiveness of the propose library system in the service of the library. Research Instruments The research instruments to be use are questionnaires, interview, experimental and library method. The proponents will be using questionnaires to gather data faster in the persons involved. This is because the respondents were students, faculties and the library personnel and they are busy to take 20 minutes to be interviewed. So by the use of questionnaires, they can answer it for 3-5 minutes when they have available time. Interview is another technique of gathering data or information. The proponents will ask the library head and some of the students & faculties to gather idea with regards to the topic of the study Experimenting is the process of creating sample of the Library System and tests it by the personnel itself and by the users of the library. Giving pre and post test is needed to get the results. Another method is the library method. This is used in researching for some related studies and articles that is useful in this study. Data Gathering Procedures. Before starting this documentation, the proponents interviewed or asked some teachers and students about their idea to the topic. They were asked according to their knowledge. Also, the proponents do some research study to some libraries in order to gather enough data that will give them idea. After getting ideas, the proponents prepare questionnaires for the survey. Statistical Treatment Statistical methods will be helpful for the proponents in making this research design. This will help in determining the validity and reliability of the research. To show the result of the computation, the combination of tabular and graphical presentation is used. Purpose of Cost Benefit Analysis Cost benefit analysis is the process of comparing the anticipated costs of an information system to the anticipated benefits. Cost benefit analysis is performed throughout the SDLC to determine the economic feasibility of an information system project and to compare alternative solutions. Formula Used Proposed System Cost = Development Cost + Operating Cost Benefit = Existing Cost – Proposed Cost Present Value = Benefit / (1+i)n Where: i = interest rate  n = number of years Chapter IV Organizational and Management Aspect Form of Business Organization Company Profile Aimed as fostering spirituality among the youth of Alabang and neighboring town and providing a low-cost quality education to the residents in the area. SAN ROQUE CATHOLIC SCHOOL (SRCS) was established in 1981 by then, parish priest, MONSIGNOR TOMAS T. GONZALES. Since then, the school has taken the role as partner of the parish in the mission of evangelization and Christian education. One hundred forty-one students comprised the first batch of students who were grouped into three sections. Part of parish rectory was converted into classrooms for two classes while the third class was in the other side of the church. Through the initiative of Msgr. Gonzales, the construction of the three-storey building began in 1982 which was ready for use the following school year for 545 students in the first to third year levels. The first principal, Miss Lydia Santos was conferred the responsibility to manage the school. She worked hand in hand with a group of dedicated mentors. With Msgr. Tomas Gonzales setting the initial framework of SRCS, several directors succeeded him: Rev. Fr. Steve Villanueva and Rev. Fr. Romerico Prieto; Msgrs. Rolly dela Cruz and Celso Ditan were geared towards the development and improvement of the edifice, hence, the fruit of their untiring efforts, are the two three-storey buildings along the Mendiola Street. SRCS also gives due honors to Sister Minda Penaredondo. DC who heldthe school’s coffers and Mrs. Erlinda Esporlas who upheld quality Christian education of the students. 1989 was the year the Religious of the Virgin Mary (RVM) came at invitation of the Cardinal’s office to manage the school with Sis. Ma. Domitilla Enriquez, RVM as Principal. Their presence deepened the inculcation of Christian values and continuously enhanced and manifested in the Roquenian way of life. With Sis. Ma. Marina Insigne, RVM: Sis. Ma. Teresita Varon, RVM, Sis Ma. Celestine T. Viernes, RVM and our incumbent principal, Sis. Ma. Julia Advincula, RVM coddled and hurdled the tumultuous toil of running a school at this pace of time. Their natural affection has always been dovetailed with the philosophical views of the school’s past directors. Together with Bishop Jesse Mercado and Rev. Fr. Fidel Fabile, Sis. Ma. Julia Advincula, RVM are in constant reception of new ideas, innovations if only to touch and enhance the lives of the denizens of the community – the ROQUENIANS. Thru the initiative of Sr. Celestine, the Jubilee Building was built, a five storey building dedicated to the HOLY TRINITY as we celebrate the year of jubilation of our 2000th year of Christian Faith and opening its doors to the THIRD MILLENIUM. The building has an installed elevator for easy access and house the school auditorium which is named after Msgr. Tom Gonzales, at the ground floor of the building is the school computer laboratory, T. H. E. and the preschool rooms. The Fifth floor holds the social hall used for various activities and the gymnasium of St. Roch Building with newly installed two step bleachers for the spectators. SRCS is grateful for the continuous support of parents (and hopefully alumni, generous donors and benefactors) to assist in meeting the global needs of its students today. To become a genuine contributor – developing dynamic. Christian citizens of our country, SRCS will not stop growing reaching out especially to the less privileged. Vision-Mission. San Roque Catholic School of Alabang, Muntinlupa City is a Filipino, parochial, elementary and secondary educational institution which envisioned to be: Transformed agents/community that is maka-Diyos, maka-tao, makabayan, makbuhay and maka-kalikasan under the reign of God. SRCS commits itself to intensify its readiness to respond in Marian spirit to the gospel values by building a productive school family and parish community with loving service especially to the less privileged through academic competence and spiritual formation. Goals / Objectives. San Roque Catholic School was founded to serve the youth of Alabang and nearby communities, providing quality education by: Forming in the hearts and mind of all SRCS students the value of human dignity and total commitment to Christ by witnessing the love of God and service to his fellowmen. Providing Christian quality education and values integrated in Academic and Technology instructions that bring about intellectual and skilled oriented individual towards global competitiveness. Developing in the students the value of self-discipline and impressing upon them the high standard of decency, morality and good behavior. Integrating social responsibilities to advocate for justice, peace and order for the protection of the rights of the less privileged. Promoting and preserving the sanctity of life and the family towards nation building. Participating actively in the pursuit of ecological conservation and environmental awareness. Enriching the lives of all students through appreciation and awareness of the rich cultural heritage of his country. Establishing a harmonious relationship among students, parents, teachers, administrators and parishioners. Chapter V The System. This chapter discusses the context diagram and data flow diagram of the existing and proposed system. Existing System Based on the interview and data gathered by the proponents the existing library system of San Roque Catholic School is in manual manners in which the students ask the librarian for the availability of the book they are looking for and sometimes look in the card catalog if the book really exists in their library. Borrowing of books for overnight is allowed but limited; students can borrow with the maximum of two (2) books and four (4) books for Mind Movers Club member (Library Club). Reference books and serials are not allowed to be borrowed (strictly for library use only. The Fiction, Filipiniana, and Circulation books can be borrowed for three (3) days while the reserved books can be borrowed but only for overnight. Renewal of due dates can be allowed only for three (3) times. Personal reservation of book is allowed, which is effective for the whole day only. If not taken by the borrowers at the end of the day, it will be arranged back to its shelves. Existing System (Borrowing of Books) CONTEXT DIAGRAM Existing System (Returning of Books) CONTEXT DIAGRAM Data Flow Diagram of Borrowing of Books (Existing). Data Flow Diagram of Returning of Books (Existing) Proposed System (Borrowing of Books) CONTEXT DIAGRAM Proposed System (Returning of Books) CONTEXT DIAGRAM Data Flow Diagram of Borrowing of Books (Proposed) Data Flow Diagram of Returning of Books (Proposed) Costing Economic feasibility tests the ability of the system if the system is economically feasible. This includes the development cost, the return of investment and the payback analysis. Development Cost System Cost Systems Analyst Cost20,000 Database Designer’s Cost10,000 Programmers Cost20,000 Design Cost15,000 Subtotal65,000 Operational Cost Printer Ink (black) 800 Bond Paper (short). * 1 ream 200 Subtotal 1,000 Equipment Cost Computer Set27,000 Subtotal27,000 Software Cost Microsoft Windows 9810,000 Microsoft Office 5,000 Subtotal15,000 Overall Total Development Cost108,000 Annual Development Cost YEAR AMOUNT COST AMOUNT BENEFIT 0 108,000 1 123,100 150,000 2 138,200 169,430 3 153,300 188,860 4 168,400 210,290 5 183,500 235,720 TOTAL 766,500 954,300 Return of Investment ROI = Estimated Lifetime Benefit – Estimated Lifetime Cost Estimated Lifetime Cost = 954,300 – 766,500 766,500 = 187,800 766,500 = 0. 24500 or 24. 50% Payback Analysis YEAR COST BENEFIT NET BENEFIT PV OF BENEFIT DISCOUNT % 0 108,000 1 123,100 150,000. 26,900 24,452. 10 .909 2 138,200 169,430 31,230 25,795. 98 .826 3 153,300 188,860 35,560 26,990. 04 .759 4 168,400 210,290 41,890 28,610. 87 .683 5 183,500 235,720 52,220 32,428. 62 .621 TOTAL 766,500 954,300 187,800 138,277. 61 Chapter VI Presentation, Analysis and Interpretation Statistical Results of Data Gathering The proponents conducted survey to know the problems of the existing library system of SRCS. The questionnaires indicate comments and suggestions of the respondents for the further enhancement of their system. The results were been tabulate and the percentage will be used for computing the statistical measurement. Analysis of the Result Statistical Analysis Since the percentage method was used, the formula: No. of Respondents / Total No. of Respondents * 100 = Percentage (%) The results of survey are as follow: Does the students spent most of their free time at the library? Table 1 FREQUENCY PERCENTAGE CHOICES 12 12% ALWAYS 10 10% OFTEN 45 45% SOMETIMES 18 18% RARE 15 15% NEVER Based on the above table, out of 100 respondents only 12% always spent most of their free time at the library, 10% says often, 45% says sometimes, 18% says rare and 15% of them never spent their free time at the library. Are the books in the library well organized and arranged according to its classification? Table 2 FREQUENCY PERCENTAGE CHOICES 45 45% ALWAYS 27 27% OFTEN 15 15% SOMETIMES 13 13% RARE 0 0% NEVER Based on the above table, out of 100 respondents 45% of them said that the books in the library of SRCS are well organized and arranged according to its classification, 27% says often, 15% says sometimes, 13% says rare and no one says that the books in the library of SRCS are not well organized and arranged according to its classification. Are the library personnel aware with the needs of the borrowers? Table 3 FREQUENCY PERCENTAGE CHOICES 55 55% ALWAYS 37 37% OFTEN 5 5% SOMETIMES 3 3% RARE 0 0% NEVER According to the result above, out of 100 respondents 55% of them said that the library personnel is always are with the needs of the borrowers, 37% says often, 5% says sometimes, 3% says rare and 0% of the respondents say that the library personnel is never aware with the needs of the borrowers. Are they using card catalog for searching the books? Table 4 FREQUENCY PERCENTAGE CHOICES 10 10% ALWAYS 15 15% OFTEN 5 5% SOMETIMES 32 32% RARE 38 38% NEVER According to the above result, out of 100 respondents only 10% of them use card catalog in searching a certain book, 15% says often, 5% says sometimes, 32% says rare and 38% of the respondents say that they never able to use the card catalog in searching the books but instead ask the librarian for the book they are looking for. Is the present method of searching a book is accurate and fast? Table 5 FREQUENCY PERCENTAGE CHOICES 55 55% YES 45 45%. NO Based on the above result, out of 100 respondents 55% of them agreed that their present method in searching the book is accurate and fast while 45% of them disagreed. Is there any penalty for the overdue books? Table 6 FREQUENCY PERCENTAGE CHOICES 100 100% YES 0 0% NO Based on the result of the above table out of 100 respondents, all of them said that there is a penalty for every overdue book. Is there any sanction or penalty for those students or borrowers who accidentally damaged or lost the book? Table 7 FREQUENCY PERCENTAGE. CHOICES 100 100% YES 0 0% NO Based on the result of the above table out of 100 respondents, 100% of them said that there is a sanction for those students and borrowers who accidentally damaged or lost the book. Is it allowed to borrow the books for overnight? Table 8 FREQUENCY PERCENTAGE CHOICES 100 100% YES 0 0% NO According to the result above out of 100 respondents, 100% of them said that it is allowed to borrow the books for overnight. Is there a limit of number of books that can be borrowed for overnight? Table 9 FREQU.   

Saturday, September 28, 2019

Twilight 22. HIDE-AND-SEEK

22. HIDE-AND-SEEK It had taken much less time than I'd thought – all the terror, the despair, the shattering of my heart. The minutes were ticking by more slowly than usual. Jasper still hadn't come back when I returned to Alice. I was afraid to be in the same room with her, afraid that she would guess†¦ and afraid to hide from her for the same reason. I would have thought I was far beyond the ability to be surprised, my thoughts tortured and unstable, but I was surprised when I saw Alice bent over the desk, gripping the edge with two hands. â€Å"Alice?† She didn't react when I called her name, but her head was slowly rocking side to side, and I saw her face. Her eyes were blank, dazed†¦ My thoughts flew to my mother. Was I already too late? I hurried to her side, reaching out automatically to touch her hand. â€Å"Alice!† Jasper's voice whipped, and then he was right behind her, his hands curling over hers, loosening them from their grip on the table. Across the room, the door swung shut with a low click. â€Å"What is it?† he demanded. She turned her face away from me, into his chest. â€Å"Bella,† she said. â€Å"I'm right here,† I replied. Her head twisted around, her eyes locking on mine, their expression still strangely blank. I realized at once that she hadn't been speaking to me, she'd been answering Jasper's question. â€Å"What did you see?† I said – and there was no question in my flat, uncaring voice. Jasper looked at me sharply. I kept my expression vacant and waited. His eyes were confused as they flickered swiftly between Alice's face and mine, feeling the chaos†¦ for I could guess what Alice had seen now. I felt a tranquil atmosphere settle around me. I welcomed it, using it to keep my emotions disciplined, under control. Alice, too, recovered herself. â€Å"Nothing, really,† she answered finally, her voice remarkably calm and convincing. â€Å"Just the same room as before.† She finally looked at me, her expression smooth and withdrawn. â€Å"Did you want breakfast?† â€Å"No, I'll eat at the airport.† I was very calm, too. I went to the bathroom to shower. Almost as if I were borrowing Jasper's strange extra sense, I could feel Alice's wild – though well-concealed – desperation to have me out of the room, to be alone with Jasper. So she could tell him that they were doing something wrong, that they were going to fail†¦ I got ready methodically, concentrating on each little task. I left my hair down, swirling around me, covering my face. The peaceful mood Jasper created worked its way through me and helped me think clearly. Helped me plan. I dug through my bag until I found my sock full of money. I emptied it into my pocket. I was anxious to get to the airport, and glad when we left by seven. I sat alone this time in the back of the dark car. Alice leaned against the door, her face toward Jasper but, behind her sunglasses, shooting glances in my direction every few seconds. â€Å"Alice?† I asked indifferently. She was wary. â€Å"Yes?† â€Å"How does it work? The things that you see?† I stared out the side window, and my voice sounded bored. â€Å"Edward said it wasn't definite†¦ that things change?† It was harder than I would have thought to say his name. That must have been what alerted Jasper, why a fresh wave of serenity filled the car. â€Å"Yes, things change†¦Ã¢â‚¬  she murmured – hopefully, I thought. â€Å"Some things are more certain than others†¦ like the weather. People are harder. I only see the course they're on while they're on it. Once they change their minds – make a new decision, no matter how small – the whole future shifts.† I nodded thoughtfully. â€Å"So you couldn't see James in Phoenix until he decided to come here.† â€Å"Yes,† she agreed, wary again. And she hadn't seen me in the mirror room with James until I'd made the decision to meet him there. I tried not to think about what else she might have seen. I didn't want my panic to make Jasper more suspicious. They would be watching me twice as carefully now, anyway, after Alice's vision. This was going to be impossible. We got to the airport. Luck was with me, or maybe it was just good odds. Edward's plane was landing in terminal four, the largest terminal, where most flights landed – so it wasn't surprising that his was. But it was the terminal I needed: the biggest, the most confusing. And there was a door on level three that might be the only chance. We parked on the fourth floor of the huge garage. I led the way, for once more knowledgeable about my surroundings than they were. We took the elevator down to level three, where the passengers unloaded. Alice and Jasper spent a long time looking at the departing flights board. I could hear them discussing the pros and cons of New York, Atlanta, Chicago. Places I'd never seen. And would never see. I waited for my opportunity, impatient, unable to stop my toe from tapping. We sat in the long rows of chairs by the metal detectors, Jasper and Alice pretending to people-watch but really watching me. Every inch I shifted in my seat was followed by a quick glance out of the corner of their eyes. It was hopeless. Should I run? Would they dare to stop me physically in this public place? Or would they simply follow? I pulled the unmarked envelope out of my pocket and set it on top of Alice's black leather bag. She looked at me. â€Å"My letter,† I said. She nodded, tucking it under the top flap. He would find it soon enough. The minutes passed and Edward's arrival grew closer. It was amazing how every cell in my body seemed to know he was coming, to long for his coming. That made it very hard. I found myself trying to think of excuses to stay, to see him first and then make my escape. But I knew that was impossible if I was going to have any chance to get away. Several times Alice offered to go get breakfast with me. Later, I told her, not yet. I stared at the arrival board, watching as flight after flight arrived on time. The flight from Seattle crept closer to the top of the board. And then, when I had only thirty minutes to make my escape, the numbers changed. His plane was ten minutes early. I had no more time. â€Å"I think I'll eat now,† I said quickly. Alice stood. â€Å"I'll come with you.† â€Å"Do you mind if Jasper comes instead?† I asked. â€Å"I'm feeling a little†¦Ã¢â‚¬  I didn't finish the sentence. My eyes were wild enough to convey what I didn't say. Jasper stood up. Alice's eyes were confused, but – I saw to my relief- not suspicious. She must be attributing the change in her vision to some maneuver of the tracker's rather than a betrayal by me. Jasper walked silently beside me, his hand on the small of my back, as if he were guiding me. I pretended a lack of interest in the first few airport cafes, my head scanning for what I really wanted. And there it was, around the corner, out of Alice's sharp sight: the level-three ladies' room. â€Å"Do you mind?† I asked Jasper as we passed. â€Å"I'll just be a moment.† â€Å"I'll be right here,† he said. As soon as the door shut behind me, I was running. I remembered the time I had gotten lost from this bathroom, because it had two exits. Outside the far door it was only a short sprint to the elevators, and if Jasper stayed where he said he would, I'd never be in his line of sight. I didn't look behind me as I ran. This was my only chance, and even if he saw me, I had to keep going. People stared, but I ignored them. Around the corner the elevators were waiting, and I dashed forward, throwing my hand between the closing doors of a full elevator headed down. I squeezed in beside the irritated passengers, and checked to make sure that the button for level one had been pushed. It was already lit, and the doors closed. As soon as the door opened I was off again, to the sound of annoyed murmurs behind me. I slowed myself as I passed the security guards by the luggage carousels, only to break into a run again as the exit doors came into view. I had no way of knowing if Jasper was looking for me yet. I would have only seconds if he was following my scent. I jumped out the automatic doors, nearly smacking into the glass when they opened too slowly. Along the crowded curb there wasn't a cab in sight. I had no time. Alice and Jasper were either about to realize I was gone, or they already had. They would find me in a heartbeat. A shuttle to the Hyatt was just closing its doors a few feet behind me. â€Å"Wait!† I called, running, waving at the driver. â€Å"This is the shuttle to the Hyatt,† the driver said in confusion as he opened the doors. â€Å"Yes,† I huffed, â€Å"that's where I'm going.† I hurried up the steps. He looked askance at my luggage-less state, but then shrugged, not caring enough to ask. Most of the seats were empty. I sat as far from the other travelers as possible, and watched out the window as first the sidewalk, and then the airport, drifted away. I couldn't help imagining Edward, where he would stand at the edge of the road when he found the end of my trail. I couldn't cry yet, I told myself. I still had a long way to go. My luck held. In front of the Hyatt, a tired-looking couple was getting their last suitcase out of the trunk of a cab. I jumped out of the shuttle and ran to the cab, sliding into the seat behind the driver. The tired couple and the shuttle driver stared at me. I told the surprised cabbie my mother's address. â€Å"I need to get there as soon as possible.† â€Å"That's in Scottsdale,† he complained. I threw four twenties over the seat. â€Å"Will that be enough?† â€Å"Sure, kid, no problem.† I sat back against the seat, folding my arms across my lap. The familiar city began to rush around me, but I didn't look out the windows. I exerted myself to maintain control. I was determined not to lose myself at this point, now that my plan was successfully completed. There was no point in indulging in more terror, more anxiety. My path was set. I just had to follow it now. So, instead of panicking, I closed my eyes and spent the twenty minutes' drive with Edward. I imagined that I had stayed at the airport to meet Edward. I visualized how I would stand on my toes, the sooner to see his face. How quickly, how gracefully he would move through the crowds of people separating us. And then I would run to close those last few feet between us – reckless as always – and I would be in his marble arms, finally safe. I wondered where we would have gone. North somewhere, so he could be outside in the day. Or maybe somewhere very remote, so we could lay in the sun together again. I imagined him by the shore, his skin sparkling like the sea. It wouldn't matter how long we had to hide. To be trapped in a hotel room with him would be a kind of heaven. So many questions I still had for him. I could talk to him forever, never sleeping, never leaving his side. I could see his face so clearly now†¦ almost hear his voice. And, despite all the horror and hopelessness, I was fleetingly happy. So involved was I in my escapist daydreams, I lost all track of the seconds racing by. â€Å"Hey, what was the number?† The cabbie's question punctured my fantasy, letting all the colors run out of my lovely delusions. Fear, bleak and hard, was waiting to fill the empty space they left behind. â€Å"Fifty-eight twenty-one.† My voice sounded strangled. The cabbie looked at me, nervous that I was having an episode or something. â€Å"Here we are, then.† He was anxious to get me out of his car, probably hoping I wouldn't ask for my change. â€Å"Thank you,† I whispered. There was no need to be afraid, I reminded myself. The house was empty. I had to hurry; my mom was waiting for me, frightened, depending on me. I ran to the door, reaching up automatically to grab the key under the eave. I unlocked the door. It was dark inside, empty, normal. I ran to the phone, turning on the kitchen light on my way. There, on the whiteboard, was a ten-digit number written in a small, neat hand. My fingers stumbled over the keypad, making mistakes. I had to hang up and start again. I concentrated only on the buttons this time, carefully pressing each one in turn. I was successful. I held the phone to my ear with a shaking hand. It rang only once. â€Å"Hello, Bella,† that easy voice answered. â€Å"That was very quick. I'm impressed.† â€Å"Is my mom all right?† â€Å"She's perfectly fine. Don't worry, Bella, I have no quarrel with her. Unless you didn't come alone, of course.† Light, amused. â€Å"I'm alone.† I'd never been more alone in my entire life. â€Å"Very good. Now, do you know the ballet studio just around the corner from your home?† â€Å"Yes. I know how to get there.† â€Å"Well, then, I'll see you very soon.† I hung up. I ran from the room, through the door, out into the baking heat. There was no time to look back at my house, and I didn't want to see it as it was now – empty, a symbol of fear instead of sanctuary. The last person to walk through those familiar rooms was my enemy. From the corner of my eye, I could almost see my mother standing in the shade of the big eucalyptus tree where I'd played as a child. Or kneeling by the little plot of dirt around the mailbox, the cemetery of all the flowers she'd tried to grow. The memories were better than any reality I would see today. But I raced away from them, toward the corner, leaving everything behind me. I felt so slow, like I was running through wet sand – I couldn't seem to get enough purchase from the concrete. I tripped several times, once falling, catching myself with my hands, scraping them on the sidewalk, and then lurching up to plunge forward again. But at last I made it to the corner. Just another street now; I ran, sweat pouring down my face, gasping. The sun was hot on my skin, too bright as it bounced off the white concrete and blinded me. I felt dangerously exposed. More fiercely than I would have dreamed I was capable of, I wished for the green, protective forests of Forks†¦ of home. When I rounded the last corner, onto Cactus, I could see the studio, looking just as I remembered it. The parking lot in front was empty, the vertical blinds in all the windows drawn. I couldn't run anymore – I couldn't breathe; exertion and fear had gotten the best of me. I thought of my mother to keep my feet moving, one in front of the other. As I got closer, I could see the sign inside the door. It was handwritten on hot pink paper; it said the dance studio was closed for spring break. I touched the handle, tugged on it cautiously. It was unlocked. I fought to catch my breath, and opened the door. The lobby was dark and empty, cool, the air conditioner thrumming. The plastic molded chairs were stacked along the walls, and the carpet smelled like shampoo. The west dance floor was dark, I could see through the open viewing window. The east dance floor, the bigger room, was lit. But the blinds were closed on the window. Terror seized me so strongly that I was literally trapped by it. I couldn't make my feet move forward. And then my mother's voice called. â€Å"Bella? Bella?† That same tone of hysterical panic. I sprinted to the door, to the sound of her voice. â€Å"Bella, you scared me! Don't you ever do that to me again!† Her voice continued as I ran into the long, high-ceilinged room. I stared around me, trying to find where her voice was coming from. I heard her laugh, and I whirled to the sound. There she was, on the TV screen, tousling my hair in relief. It was Thanksgiving, and I was twelve. We'd gone to see my grandmother in California, the last year before she died. We went to the beach one day, and I'd leaned too far over the edge of the pier. She'd seen my feet flailing, trying to reclaim my balance. â€Å"Bella? Bella?† she'd called to me in fear. And then the TV screen was blue. I turned slowly. He was standing very still by the back exit, so still I hadn't noticed him at first. In his hand was a remote control. We stared at each other for a long moment, and then he smiled. He walked toward me, quite close, and then passed me to put the remote down next to the VCR. I turned carefully to watch him. â€Å"Sorry about that, Bella, but isn't it better that your mother didn't really have to be involved in all this?† His voice was courteous, kind. And suddenly it hit me. My mother was safe. She was still in Florida. She'd never gotten my message. She'd never been terrified by the dark red eyes in the abnormally pale face before me. She was safe. â€Å"Yes,† I answered, my voice saturated with relief. â€Å"You don't sound angry that I tricked you.† â€Å"I'm not.† My sudden high made me brave. What did it matter now? It would soon be over. Charlie and Mom would never be harmed, would never have to fear. I felt almost giddy. Some analytical part of my mind warned me that I was dangerously close to snapping from the stress. â€Å"How odd. You really mean it.† His dark eyes assessed me with interest. The irises were nearly black, just a hint of ruby around the edges. Thirsty. â€Å"I will give your strange coven this much, you humans can be quite interesting. I guess I can see the draw of observing you. It's amazing – some of you seem to have no sense of your own self-interest at all.† He was standing a few feet away from me, arms folded, looking at me curiously. There was no menace in his face or stance. He was so very average-looking, nothing remarkable about his face or body at all. Just the white skin, the circled eyes I'd grown so used to. He wore a pale blue, long-sleeved shirt and faded blue jeans. â€Å"I suppose you're going to tell me that your boyfriend will avenge you?† he asked, hopefully it seemed to me. â€Å"No, I don't think so. At least, I asked him not to.† â€Å"And what was his reply to that?† â€Å"I don't know.† It was strangely easy to converse with this genteel hunter. â€Å"I left him a letter.† â€Å"How romantic, a last letter. And do you think he will honor it?† His voice was just a little harder now, a hint of sarcasm marring his polite tone. â€Å"I hope so.† â€Å"Hmmm. Well, our hopes differ then. You see, this was all just a little too easy, too quick. To be quite honest, I'm disappointed. I expected a much greater challenge. And, after all, I only needed a little luck.† I waited in silence. â€Å"When Victoria couldn't get to your father, I had her find out more about you. There was no sense in running all over the planet chasing you down when I could comfortably wait for you in a place of my choosing. So, after I talked to Victoria, I decided to come to Phoenix to pay your mother a visit. I'd heard you say you were going home. At first, I never dreamed you meant it. But then I wondered. Humans can be very predictable; they like to be somewhere familiar, somewhere safe. And wouldn't it be the perfect ploy, to go to the last place you should be when you're hiding – the place that you said you'd be. â€Å"But of course I wasn't sure, it was just a hunch. I usually get a feeling about the prey that I'm hunting, a sixth sense, if you will. I listened to your message when I got to your mother's house, but of course I couldn't be sure where you'd called from. It was very useful to have your number, but you could have been in Antarctica for all I knew, and the game wouldn't work unless you were close by. â€Å"Then your boyfriend got on a plane to Phoenix. Victoria was monitoring them for me, naturally; in a game with this many players, I couldn't be working alone. And so they told me what I'd hoped, that you were here after all. I was prepared; I'd already been through your charming home movies. And then it was simply a matter of the bluff. â€Å"Very easy, you know, not really up to my standards. So, you see, I'm hoping you're wrong about your boyfriend. Edward, isn't it?† I didn't answer. The bravado was wearing off. I sensed that he was coming to the end of his gloat. It wasn't meant for me anyway. There was no glory in beating me, a weak human. â€Å"Would you mind, very much, if I left a little letter of my own for your Edward?† He took a step back and touched a palm-sized digital video camera balanced carefully on top of the stereo. A small red light indicated that it was already running. He adjusted it a few times, widened the frame. I stared at him in horror. â€Å"I'm sorry, but I just don't think he'll be able to resist hunting me after he watches this. And I wouldn't want him to miss anything. It was all for him, of course. You're simply a human, who unfortunately was in the wrong place, at the wrong time, and indisputably running with the wrong crowd, I might add.† He stepped toward me, smiling. â€Å"Before we begin†¦Ã¢â‚¬  I felt a curl of nausea in the pit of my stomach as he spoke. This was something I had not anticipated. â€Å"I would just like to rub it in, just a little bit. The answer was there all along, and I was so afraid Edward would see that and ruin my fun. It happened once, oh, ages ago. The one and only time my prey escaped me. â€Å"You see, the vampire who was so stupidly fond of this little victim made the choice that your Edward was too weak to make. When the old one knew I was after his little friend, he stole her from the asylum where he worked – I never will understand the obsession some vampires seem to form with you humans – and as soon as he freed her he made her safe. She didn't even seem to notice the pain, poor little creature. She'd been stuck in that black hole of a cell for so long. A hundred years earlier and she would have been burned at the stake for her visions. In the nineteen-twenties it was the asylum and the shock treatments. When she opened her eyes, strong with her fresh youth, it was like she'd never seen the sun before. The old vampire made her a strong new vampire, and there was no reason for me to touch her then.† He sighed. â€Å"I destroyed the old one in vengeance.† â€Å"Alice,† I breathed, astonished. â€Å"Yes, your little friend. I was surprised to see her in the clearing. So I guess her coven ought to be able to derive some comfort from this experience. I get you, but they get her. The one victim who escaped me, quite an honor, actually. â€Å"And she did smell so delicious. I still regret that I never got to taste†¦ She smelled even better than you do. Sorry – I don't mean to be offensive. You have a very nice smell. Floral, somehow†¦Ã¢â‚¬  He took another step toward me, till he was just inches away. He lifted a lock of my hair and sniffed at it delicately. Then he gently patted the strand back into place, and I felt his cool fingertips against my throat. He reached up to stroke my cheek once quickly with his thumb, his face curious. I wanted so badly to run, but I was frozen. I couldn't even flinch away. â€Å"No,† he murmured to himself as he dropped his hand, â€Å"I don't understand.† He sighed. â€Å"Well, I suppose we should get on with it. And then I can call your friends and tell them where to find you, and my little message.† I was definitely sick now. There was pain coming, I could see it in his eyes. It wouldn't be enough for him to win, to feed and go. There would be no quick end like I'd been counting on. My knees began to shake, and I was afraid I was going to fall. He stepped back, and began to circle, casually, as if he were trying to get a better view of a statue in a museum. His face was still open and friendly as he decided where to start. Then he slumped forward, into a crouch I recognized, and his pleasant smile slowly widened, grew, till it wasn't a smile at all but a contortion of teeth, exposed and glistening. I couldn't help myself- I tried to run. As useless as I knew it would be, as weak as my knees already were, panic took over and I bolted for the emergency door. He was in front of me in a flash. I didn't see if he used his hand or his foot, it was too fast. A crushing blow struck my chest – I felt myself flying backward, and then heard the crunch as my head bashed into the mirrors. The glass buckled, some of the pieces shattering and splintering on the floor beside me. I was too stunned to feel the pain. I couldn't breathe yet. He walked toward me slowly. â€Å"That's a very nice effect,† he said, examining the mess of glass, his voice friendly again. â€Å"I thought this room would be visually dramatic for my little film. That's why I picked this place to meet you. It's perfect, isn't it?† I ignored him, scrambling on my hands and knees, crawling toward the other door. He was over me at once, his foot stepping down hard on my leg. I heard the sickening snap before I felt it. But then I did feel it, and I couldn't hold back my scream of agony. I twisted up to reach for my leg, and he was standing over me, smiling. â€Å"Would you like to rethink your last request?† he asked pleasantly. His toe nudged my broken leg and I heard a piercing scream. With a shock, I realized it was mine. â€Å"Wouldn't you rather have Edward try to find me?† he prompted. â€Å"No!† I croaked. â€Å"No, Edward, don't-† And then something smashed into my face, throwing me back into the broken mirrors. Over the pain of my leg, I felt the sharp rip across my scalp where the glass cut into it. And then the warm wetness began to spread through my hair with alarming speed. I could feel it soaking the shoulder of my shirt, hear it dripping on the wood below. The smell of it twisted my stomach. Through the nausea and dizziness I saw something that gave me a sudden, final shred of hope. His eyes, merely intent before, now burned with an uncontrollable need. The blood – spreading crimson across my white shirt, pooling rapidly on the floor – was driving him mad with thirst. No matter his original intentions, he couldn't draw this out much longer. Let it be quick now, was all I could hope as the flow of blood from my head sucked my consciousness away with it. My eyes were closing. I heard, as if from underwater, the final growl of the hunter. I could see, through the long tunnels my eyes had become, his dark shape coming toward me. With my last effort, my hand instinctively raised to protect my face. My eyes closed, and I drifted.

Friday, September 27, 2019

The effecst and changes in parenting of Asian families after Essay

The effecst and changes in parenting of Asian families after immigration to Western societies - Essay Example If the perceptions of parents and children are dissonant and based on lived historical experience or current realities, then their ability to manage the stresses of forced migration will be diminished even further. If the perceptions of each generation can be made more congruent, then it is likely that both parents and their children will see each other as resources rather than as additional stressors. To understand this problem, Asian parenting styles and characteristics need to be studied. Warmth and dominating control offer two important dimensions of parental style that may be universal, and against which the meaning of specific practices might be elucidated. The use of these styles as touchstones was an important strategy which can be used in understanding data from new western cultures. Immigration of Asian families to Western Societies usually involves major changes in parent–child relationships. The results of some studies have shown that the relations between immigrant parents and their children are vulnerable to the risks commonly associated with immigration, especially during the adolescent years (Nguyen & Williams, 1988). On the one hand, during adolescence, children become more cognitively sophisticated and think differently about what their parents can and cannot control in their lives. This developmental shift is compounded by the process of acculturation for immigrant adolescents, making them more likely to downplay their parents’ values and modes of behavior and adopt values and modes of behavior from the new society. Immigrant parents, on the other hand, may resist change in their traditional values. Some scholars suggest that despite years of living in the country of resettlement, many immigrant parents preserve their ideas about child-rearing, their expectations, norms, rules, and beliefs (Nguyen & Williams, 1988). The research findings suggest that family values that center around household chores,

Thursday, September 26, 2019

Giving a summary and offering a contemporary example Essay

Giving a summary and offering a contemporary example - Essay Example This is also called the male gaze. Under what is a broad umbrella of psychoanalysis, different theories vary there between. The basic method of psychoanalysis is the interpretation of the relative subjects’ unconscious conflicts, that later tend to interfere with his or her day-to-day normal functioning’s. These conflicts may pose a threat such as causing phobia, anxiety or depression. Feminism on the other hand, which generally fights for ideologies aimed at defining, as well as defending equal opportunities for women in the political and economical sector (Musa, 2010, 68). This gives a feminist the role to advocate for the rights and equalities of women. In light of Laura Mulvey, and her strong ideologies, there leaves a question to be answered, on whether it still is fair to characterize women mainly as objects of the male gaze. The media in general, portrays certain roles to be taken up by either men or women. However, its men who gain the upper hand, leaving women to fit in what are at times referred to as the excess positions. The issue is thus; could there be a reversed definition of the male gaze? Meaning, could there be a female gaze? Identifying with a female gaze is just but a mere identification with the masculinity issue (Halberstam, 2008, 93). When it comes to the question about media, Laura Mulvey views Hollywood as being a good example, and a proper definition of a monolithic construct. It is evident that films and media in general, aim at mass-producing daydreams and fantasies as well, but for what purpose. Women tend to suffer being objectified via the media, through unconscious desires, which are a creation founded in a patriarchal ideology. Mulvey further builds on her ideas, with the claim that with psychoanalysis, one is able and at a position to discover the fascination of media work, in terms of the individual subject, and certain social formations that continue to mould him (Mulvey,

E books and its ease and convience in our society Research Paper

E books and its ease and convience in our society - Research Paper Example Ebook readers are conventionally how ebooks are read. They are digital mechanisms with micro processing technology, and operating system, and a screen that function much like computers. For example, book retailers like Amazon have their own book reader known as the Kindle and Barnes and Noble who is another book retailer, have until recently marketed a reader known as the Nook (Smith and Smith 299). The fact that book sellers themselves see the value of marketing a reader for digital books, suggest very obviously that (a) they understand the transformation away from conventional books and that (b), they understand the potential profit of marketing digitized books. There are a number of different types of ebook readers, and they vary with regard to cost but also technological efficiencies. For instance, the two readers mentioned, namely, the Nook and the Kindle are very limited as tools beyond just reading. That is, while they can handle and efficiently display a good range of file fo rmats for reading books, they are limited when compared to the basic functions of a computer. A strong new presence in the market for ebook readers are computer tablets. For instance, the Ipad which was introduced April 2010 had already reached sales of over 3 million units within two months of its release (Ashley 1).

Wednesday, September 25, 2019

Information Resource Management Coursework Example | Topics and Well Written Essays - 2250 words

Information Resource Management - Coursework Example Software engineering (SE) refers to the maintaining and developing software systems that perform reliably as well as efficiently. This paradigm develops systems affordable and easy to maintain, as well as satisfy all the requirements that customers want to see in the developed systems. The SDLC (systems development life cycle) the life cycle of software development is employed in systems engineering and software engineering, which is the procedure for modifying and creating systems, methods, and models. In this scenario software engineering is a concept behind the systems development life cycle for different types of software development techniques. These techniques offer a structure for planning as well as monitoring the development of an information system a. Discuss human-computer interfaces. What was the major change from the DOS operating system to the Windows graphical user interface? What likely changes will occur to interfaces in the future? Will virtual reality be a viable means of interfacing with the computer? The human-computer interface is the study of communication among users and computers. It is frequently known as the intersection of behavioral sciences, computer science, design and numerous other fields of study. Interaction among users and computers happens at the user interface that contains both hardware and software. The DOS-based operating system was operational through the command based user interface that was hard to use and complex to maintain. While the development of Windows-based human-computer interfaces offered the graphical user interface (GUI) based interaction that is more interactive and easy to use. In this scenario, virtual reality offers an enhanced means for interaction with the computer that is a most advanced for the human-computer interfaces.  

Tuesday, September 24, 2019

Leadership of Generation X and Generation Y in the European Service Dissertation

Leadership of Generation X and Generation Y in the European Service Industry - Dissertation Example Based on these responses, one group may in some ways be more effective than the other, but regardless of efficacy, each group has its own skill and qualities which make each group more efficient in some ways than the other. Aims: This study shall establish the differences between the leadership of generation X and Y within the European Service Industry. Specifically it shall determine: differences in leadership qualities between Generation X and Y how these differences impact on the European Service Industry whether or not one leadership style is more effective than the other in terms of securing specific and efficient goals for the industry and the organization involved areas of improvement for either group which can help improve their leadership skills. Discussion At present, there is a new generation of workers which have entered the workforce. These new workers have new expectations and there are also new expectations being anticipated for these new workers. Based on the report b y Yu and Miller (2005), Generation X workers will decline to 7% within the 1998 to 2008 period, and the younger Generation X workers would also fall to 1% within this same time period. On the other hand, Gen Y workers in the 16 to 24 year age range is expected to increase by 15% (Cole, et.al., 2002). In terms of actual numbers, these percentages represent about 44 million Gen Xers and 80 million Gen Yers (Sujansky, 2004). Moreover, even as Gen Y members are already included in the workforce, they have not gotten to a critical number as yet. Consequently, managers are expected to manage the generational gaps which seem to exist for employees and also manage the specific needs of the Gen Yers (Smola and Sutton 2002). Under these conditions would conflicts between these two groups be more manageable, decreasing possible misunderstandings among employees from different generations (Smola and Sutton 2002). The entry of Gen Y into the workforce with their unique work qualities have caused major shifts and changes in the workplace, with employers wanting to know everything there is to know about this group (Raines, 2002). The purpose of this paper is to establish such qualities and to compare these with the Gen Xers. Generational groups include individuals who have similar historical and social experiences (Kupperschmidt, 2000). These experiences consolidate this group, often allowing for shared values and most of them related to experiencing and seeing in the world in similar ways (Patterson, 2007). Even as each individual worker is very much unique, each generation usually establishes a common personality which impacts on how members are managing their lives and activities, their feelings towards managers and corporations, their work participation, and the means by which they seek to manage such ends and desires (Kupperschmidt, 2000). Although it is not appropriate to have generalizations about individuals within each generation, it is often inevitable to observe t hat those who belong to the same era are influenced in similar ways; and these influences often make them predisposed to similar expectations (Patterson, 2007). Even as there seems to be an agreement in terms of how a generation is defined based on birth years, there are also issues in the exact years by

Monday, September 23, 2019

Compare and contrast of azerbaijan's economic and political structure Essay

Compare and contrast of azerbaijan's economic and political structure in 1969 with the present day. The role of Haydar Aliev - Essay Example The main conditions, especially in terms of finances, needed for the future independence of Azerbaijan started to develop. The economic institutions needed for independence were reformed and made stronger. Focus was given on social, cultural, and economic institutions. Because of these facts, the foreign media during that time observed that Ukraine and Azerbaijan, two republics that aided in the formation of the Soviet Union, were ready to become economically independent. This discusses the development of Azerbaijan’s economic and political structure since1969. Particular emphasis is given on the role of Haydar Aliyev in the transformation of post-1969 Azerbaijan. Despite the differences between the Western European and the Soviet territories, the principles of the historical development were quite similar or common of decolonisation somewhere else. They involved various aspects, among them growing troubles for Russia, rather than benefits; strategic weaknesses during the Cold War; the shrinking possibility of the cultural integration of the people; and the development of educated national leaders, capable and eager to take on a bigger position in the country’s leadership. In the 1960s, when indications of an institutional problem in the Soviet colonies started to arise, these aspects were more obvious in the borders or fringes than in the centre. The oil and gas sector of Azerbaijan weakened in importance to the Soviet economy, in part because of the shift of attention to other provinces or territories, and in part because of the exhaustion of the readily available onshore oil grounds. The weakening of the petroleum industry resulted, in consequence, in decrease in the flow of investment to Azerbaijan from the Russian and Soviet centre, Moscow. During the 1960s, the country was the poorest of the entire Soviet empire in terms of economic performance and development, yet its population kept on increasing. The fast increasing population of

Sunday, September 22, 2019

Prejudice and Descrimination Essay Example for Free

Prejudice and Descrimination Essay Stereotyping, prejudice, and discrimination are a part of everyday lives. A set of generalized beliefs and expectations about a specific group and its members is known as stereotyping. Stereotyping can often times lead to prejudice, a negative, or positive, evaluation of a group and its members. Common stereotypes and forms of prejudice involve racial, religious, and ethnic groups. Acting on these negative stereotypes results in discrimination which is a behavior directed towards individuals on the basis of their membership in a particular group. (Feldman, 2010) Throughout this paper I will discuss why prejudice and discrimination exist, some examples throughout history and how to reduce it. Where does prejudice and discrimination come from? According to Robert S Feldman â€Å"No one has ever been born disliking a specific racial, religious, or ethnic group. † (Feldman, 2010) People learn to hate. Stereotyping and prejudice behaviors come from parents, other adults, and peers. At a young age children are taught to have negative feelings about members of various groups. This learning starts as early as the age of three. The mass media also teaches about stereotyping, not just for children but for adults as well. When inaccurate portrayals are a primary source of information about a minority group, they can lead to unfavorable stereotypes. (Feldman, 2010) Throughout history we have seen many examples of prejudice and discrimination. A well known example would be the Holocaust. During 1939 through 1945 Adolf Hitler was obsessed with clearing Germany of all foreign races including the Jewish population. Hitler believed that the Jewish citizens were keeping the country from prospering economically, politically, and socially. Because of this Hitler began to abolish German Jews and at the end of 1945 nearly six million Jewish people were murdered because of Hitler’s discrimination (RB 66). The Holocaust may have taken place more than fifty years ago in another country, but prejudice and discrimination is still alive today all over the United States. The September 11th terrorist attacks have caused stereotypes, prejudice and discrimination to occur towards the Muslim religion. The Muslim religion follows the 6 Pillars of Islam, the last pillar is Jihad. Many Americans have the idea that Jihad means â€Å"Holy War† and that it is part of the Muslim religion to attack and terrorize other religions, when in fact Jihad means â€Å"The obligation to strive to spread the religion over the world†. Many religions also believe it is there duty to teach their religion, just how Christians have missionaries. Both of these examples show just how serious discrimination can be. How can the world diminish prejudice and discrimination? According to Robert S Feldman, psychologists have developed several strategies that have proved effective. The first is to increase contact between the target of stereotyping and the holder of the stereotype research shows that increasing the amount of interaction between groups can reduce negative stereotyping. The second is to make values and norms against prejudice more conspicuous. Just reminding people about the values they already hold regarding equality and fair treatment of others. Similarly, people who hear others making strong, anti-racism statements are subsequently more likely to strongly condemn racism. The third and most direct means of changing stereotypical and discriminatory values is providing information about the targets of stereotyping. Educate people to be more aware of positive characteristics of targets of stereotyping. (Feldman, 2010) Prejudice and discrimination is all around us. No one is born to discriminate. Parents, peers and even mass media are teaching children as young as three to discriminate towards various groups of people. History has shown us just how far one person’s prejudice can go. It starts out as a basic stereotype towards one group of people and evolves into hate and discrimination that takes years to stop. Fortunately psychologists have seen the damage of prejudice and discrimination and have found that increase contact, demonstrating positive values against prejudice, and education are ways to reduce it. (Feldman, 2010) Although prejudice and discrimination continues to exist Gandhi, Cesar Chavez and Martin Luther King have been strong examples of how to reduce it one day at a time. . Resources Botwinick, Rita. A History of the Holocaust. New Jersey: Pearson Prentice Hall, 2004. Friedman, N. L. (1985). Teaching about the holocaust. (4 ed. , Vol. 12). American Sociological Association. Feldman, R. S. (2010). Psychology and your life. (p. 584). New York, NY: McGraw-Hill. Gilbert, D. T. , Fiske, S. T. , Lindzey, G. (1998). The handbook of social psychology . (4 ed. , Vol. 2). New York, NY: McGraw-Hill.

Saturday, September 21, 2019

Consumer Protection Act Case Study

Consumer Protection Act Case Study This case study concerns the liability of a manufacturer of a product for harm which is suffered by the â€Å"ultimate consumer† of that product. It is important to consider the remedies that would be available in contract and under the doctrine of tortuous liability for defective goods. There is privity of contract in the relationship between Pamela and Cooks Stores and, therefore, in contract a remedy would be available to Pamela only. To invoke such a remedy under contract, Pamela should be able to rely on the terms implied into the contract by the Sale of Goods Act 1979, such as provided under s. 14 (2B) by which goods are not of satisfactory quality if they are unsatisfactory in terms of safety and durability, according to the standards of a reasonable person. The SGA provides recourse to a seller and, therefore, this act should enable Pamela to reclaim the  £175 purchase price of the food processor from Cooks Stores. According to the â€Å"narrow rule† in Donoghue v Stevenson a manufacturer owes a duty to the customer to take reasonable care when he sells goods in the form in which he intends them to reach the ultimate consumer with no reasonable possibility of intermediate examination. This rule is a variety of negligence and creates a regime of fault-based liability on the part of manufacturers, which will include retailers, such as Cooks Stores, alongside Price (UK) Ltd. Both Pamela and Rose are potential claimants since here they are both â€Å"ultimate consumers† and the rule covers those who receive goods as presents and bystanders. To bring an action in tort Rose, as the claimant, would have to show the existence of a duty of care, breach and causation. Rose might have a cause of action against Price (UK) Ltd as manufacturer, if she can show that there has been a failure in the production process, for instance. The doctrine of res ipsa loquitur may be useful here, as developed in Scott v London and St Katherine Docks Co., which, it has been argued, creates a rebuttable presumption of negligence on the part of the defendant. Following Erle CJ Rose would have to show that the accident was of the kind that does not normally occur in the absence of a want of care, that the defendant had exclusive control over the thing which caused harm and that the defendant cannot offer any plausible alternative explanation of what caused the accident. Although these would be evidential questions, they might help Rose to determine whether or not Price (UK) Ltd has breached its duty of care, which is important since experts are unable to identify the precise reason for the incident. It is important to consider the possibility of intermediate examination and whether Rose was using the food processor properly. While it is stated that Rose followed the operating instructions carefully, it should be noted that Pamela has used it previously – if not frequently – without difficulty. This leaves open the possibility that consumer misuse is at the root of the problem. Further, the manufacturer might be exonerated if another person can reasonably be expected to inspect their product. From the facts as presented it is unclear whether the food processor could reasonably be subject to an intermediate investigation, as was argued unsuccessfully by the defendant in Grant v Australian Knitting Mills. If this reasonable expectation arises the tester could be regarded as the cause of the harm, and therefore, Cooks Stores might be found to have contributed to the negligence of Price (UK) Ltd. It is, however, unclear whether a retailer can reasonably be expected to test every appliance that it sells. This defence would be unlikely to allow Price (UK) Ltd. to deflect all the blame on to Cooks Stores. The burden of proving the causal link between any breach of duty by Price (UK) Ltd and/or Cooks Stores and the harm suffered by Rose rests with Rose herself, as confirmed in Foster v Biosil. Should she fail to satisfy the burden of proof in this respect, her action will fail. Should Rose be successful, following Aswan Engineering she would be able to recover â€Å"non-integral† damage caused by the defect in the food processor, such as the vase. She would also have a claim for loss of amenity in respect of the personal injury to her hands and face, with a quantum to be evaluated. The regime introduced by the Part I of the Consumer Protection Act (CPA) 1987 would provide Rose with an alternative, since it purports to create a system of strict liability in respect of defective products that cause physical harm to a person or property. The CPA 1987 makes a producer, i.e. Price (UK) Ltd., responsible for the defectiveness of their product, however, according to CPA 1987 s. 3(1) regard may be had to any warnings which had been provided. The status of any such warning remains unclear. The CPA 1987 s. 3(2) allows a court to consider how a product might reasonably be used. It remains to be seen whether Rose was using the food processor for the correct purpose, even if she was attempting to follow the instructions. It is clear from CPA 1987 s. 6(4) that the defence of contributory negligence will apply to a defective product and any damages awarded to Rose may be reduced dependent on her blameworthiness. The CPA can be invoked against anyone involved within the chain of manufacture and distribution and liability is joint and several, so Rose would be best advised to sue whoever has the greatest financial resources. Cooks Stores, as a supplier, is however only liable to name their supplier and, accordingly, Price (UK) Ltd. will be Rose’s target for any damages. The CPA covers personal injury, but no damage to property under  £275 and, therefore, under the guise of this act, Rose would be unable to claim for the damage to her vase and would be advised to rely on tort.

Friday, September 20, 2019

Treatment of Acute Renal Colic: Rectal Diclofenac Sodium

Treatment of Acute Renal Colic: Rectal Diclofenac Sodium Therapeutic Effects of Rectal Diclofenac Sodium and Intramuscular Pethidine Injection  in The Treatment of Acute Renal Colic: A randomized Clinical Trial Mohammad Mehdi Hosseini, Abdoul-Rasoul Ebrahimi Abstract Renal colic is a type of abdominal pain commonly caused by obstructive stones. The aims of this study were to evaluate safety and efficacy of rectal diclofenac sodium ( RD ) in acute renal colic and compare it with intramuscular pethidine (IMP) injection. In an interventional prospective double blind randomized control trial with 541 patients, which referred to Emergency Department due to acute renal colic, RD and IMP were administrated to 266 patient (as group I) and 275 patients (as group II), respectively. Pain relief was measured through asking the patient by the physician at 10, 20 and 30 min after using of respective drugs in each group. In group I, analgesic effects of RD were appeared in 121 patients (45.5%) after 10 min, 191 patients (71.9%) after 20 min and 233 patients (87.5%) after 30 min. 33 patients (12.5%) had no response to RDS . In group II, analgesic effects of IMP were appeared in 123 patients (44.7%) after 10 min, 191 patients (69.5%) after 20 min and 254 patients (92.3%) after 30 min. 21 patients (7.7%) had no response to IMP. Our results demonstrated that although, there were no significant differences in analgesic effects between two drugs (P=0.06), but, due to availability, cheapness, safety and self administration properties, use of sodium diclofenac in suppository form is highly recommended in renal colic. Keywords: Renal colic; diclofenac sodium; pethidine; analgesia. Introduction Renal colic is a common urological emergency at the emergency department, often caused by the movement of ureteral stones and characterized by severe pain. Patients describe this pain as the most severe and excruciating situation ever experienced (Ay et al. 2013). This condition afflicts 5à ¢Ã¢â€š ¬Ã‚ 12% of the population in industrial societies at least once in their life time and its recurrence rate is approximately 50% (Esmailian and Keshavarz 2014). The pain is usually attributed to contraction of ureter soft muscles in response to the presence of stone (Holdgate and Pollock 2004). Therefore, the most important consideration in the emergency management of renal colics is pain control/relief (Esmailian and Keshavarz 2014). Both parenteral opioids and nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to provide relief from renal colic (Bektas et al. 2009). For relieving this pain, morphine and pethidine in the traditional approach were used, but, due to their side effects such as addictive effects, constipation, respiratory depression, and mental changes,, using of them is reduced and replaced by NSAIDs (Kalb et al. 2010; Muslumanoglu and Tepeler 2008). Experimental works suggest that prostaglandins (PGs) play an important role in producing pain in renal colic and therefore, antiprostaglandins can eliminate or diminish this type of pain (Hetherington and Philp 1986; Thompson et al. 1989). Diclofenac, 2-(2-(2,6-dichlorophenylamino)phenyl)acetic acid, is an NSAID taken or applied to reduce inflammation and as an analgesic reducing pain in certain conditions such as renal colic. The exact mechanism of action is not entirely known, but the primary mechanism responsible for its analgesic action is thought to be inhibition of PG synthesis by inhibition of cyclooxygenase, one of the basic enzymes in the PG synthesis pathway (Dutta et al. 2000). On the other hand, pethidine is a once popular synthetic opioid analgesic of the phenylpiperidine class (MacPherson and Duguid 2008). The specific adverse event of vomiting showed a clear association with opioids, in particular pethidine. Although no studies reported serious adverse events, the short follow-up period and failure to specifically record renal dysfunction and gastrointestinal bleeding means these results should be interpreted cautiously (Holdgate and Pollock 2004). Given these findings, when a single bolus of analgesia i s used, an NSAID rather than an opioids was recommended. However, in some condition such as severe pain using of opioids is inevitable. Therefore, in this study, we compared the efficacy of analgesic therapy of rectal diclofenac sodium (RD) and intramuscular pethidine (IMP), commonly preferred in emergency departments in our country in patients with renal colic. Participants and Methods A. Patients and study design An interventional prospective multicenter double blind randomized control trial (RCT) with five hundred forty one eligible patients which had renal colic and referred to Motahhary and Peymanieh Hospitals of Jahrom and Faghihi and Nemazee Hospitals of Shiraz between Dec 2005 to Apr 2007 was done. The study protocol and informed consent were approved by the Ethics Committee at Jahrom University of Medical Sciences. All patients who enrolled in this study, were read, accepted and signed the consent form. Participant, with age between 17 to 52 years, randomly allocated in two parallel groups, RD (single dose of 100 mg) and IMP (single dose of 50 mg) in the approximately ratio of 1:1 (266 and 275 patients, respectively). Randomization was performed using a computer-generated random permuted block method. Patients with history of allergy to NSAIDs, hemorrhoids and anal fissures, peptic ulcers, coagulopathy, inflammatory bowel disease, pregnancy, ischemic coronary diseases, chronic obstruct ive pulmonary disease, and liver or renal failure were excluded from the study. B. Method of measurement Subjects reported pain and its decline at 10, 20 and 30 min after drug receiving and according to significant decrease in pain intensity at each time (decrease in pain intensity more than 50%), the patient was placed in the respected groups. Subjects were blind to their previous reports. Our outcome measure was the change in pain intensity at 10, 20, 30 and more than 30 min. The participants that enrolled in group 3 (significant decrease in pain after 30 min) were composed from patient in group 1 (significant decrease in pain after 10 min) and 2 (significant decrease in pain after 20 min) and there was similar pattern between group 2 and 1. C. Statistical analysis SPSS for Windows version 16 package program was used for statistical analysis of the data. t test and analysis of variance were used for analysis of variables. Results were expressed as n (number of patients), and percentage (%). According to the results, a P value 0.05). Distribution of patients according to time of responding to analgesic effects of RD and IMP is displayed in Figure 2. According to these data, the percentage of patients that showed defined decline in pain at 10 and 20 min after using of drug in RD was higher than IMP. However these differences were not significant (P=0.06). Discussion In this study, the analgesic efficacy of rectal sodium diclofenac and intramuscular pethidine administration in patients which suffered from renal colic were evaluated. Our results demonstrated that although, the percent of patients with diminished pain in 10 and 20 min after using of RD was higher than IMP but, this difference was not significant. Therefore, the efficacy of these two drugs is similar. However, due to availability, cheapness, safety and self administration properties, use of RD is highly recommended in renal colic in compare to IMP. In two previously studies, the efficacy of using of sodium diclofenac versus pethidine in acute renal colic were evaluated and reported. In the study of Hetherington and Philp (1986) on 58 renal colic patients, it has been concluded that 75 mg of sodium diclofenac, IM, was more effective than 100 mg of Pethdine, IM, in the management of acute renal colic and has fewer side effects (Hetherington and Philp 1986). Also, Thompson et al (1989) reported that diclofenac suppositories provided potent, specific analgesia in renal colic. They also concluded that, diclofenac is superior to pethidine, because its effect starting at a similar time but lasting longer (Thompson et al. 1989). On the other hand, this fact that diclofenac can be self administered and is not an opiate makes it a useful drug in general practice, especially for patients with recurrent renal colic. Pethidine as a synthetic opioids, is about one tenth as potent as morphine and due to having more lipid solubility than morphine, elimination half life of two to four hours and duration of action of only two to three hours were considered for it (Foley 1985). At 2000, in a double blind RCT, analgesic efficacy, patient satisfaction and side effects of morphine and pethidine in patients with clinically suspected renal colic were evaluated. Although, their data demonstrated that there was no significant difference between morphine and pethidine with respect to any of the parameters measured, but they concluded that because of the well known adverse effects that may be associated with pethidine use, morphine should be the preferred agent in suspected renal colic, when an opioid analgesic is to be used (O 'Connor et al. 2000). In addition, it has been reported that norpethidine, the predominant metabolite of pethidine, is potentially toxic and causing central nervous system excitability such as tremors, myoclonus or seizures. Also, accumulation of norpethidine has also been seen in patients with normal kidneys, particularly with large doses or frequent dosing intervals (Marinella 1997). Finally, due to adverse effects of pethidine and its metabolite, norpethidine and also due to possibility of pethidine addiction, we believe that diclofenac suppositories should be considered as the first line treatment of renal colic, both in hospital and in general practice. Acknowledgment The authors thank the staff physians and nursing team of the Emergency Department of the Motahhary and Peymanieh Hospitals of Jahrom and Faghihi and Nemazee Hospitals of Shiraz and all other people who help in this study. References Ay MO, Sebe A, Kozaci N, Satar S, Acikalin A, Gulen M, Acehan S (2013) Comparison of the Analgesic Efficacy of Dexketoprofen Trometamol and Meperidine HCl in the Relief of Renal Colic. American Journal of Therapeutics. doi:10.1097/MJT.0b013e318274db78 Bektas F, Eken C, KaradenÄ ±z O, Goksu E, Cubuk M, Cete Y (2009) Intravenous paracetamol or morphine for the treatment of renal colic: a randomized, placebo-controlled trial. Annals of Emergency Medicine 54 (4):568-574 Dutta NK, Annadurai S, Mazumdar K, Dastidar SG, Kristiansen JE, Molnar J, Martins M, Amaral L (2000) The anti-bacterial action of diclofenac shown by inhibition of DNA synthesis. International Journal of Antimicrobial Agents 14 (3):249-251 Esmailian M, Keshavarz M (2014) Synergistic Effects of Citalopram and Morphine in the Renal Colic Pain Relief; a Randomized Clinical Trial. Emergency 1 (2):26-29 Foley KM (1985) The treatment of cancer pain. New England Journal of Medicine 313:84-95 Hetherington JW, Philp NH (1986) Diclofenac sodium versus pethidine in acute renal colic. British Medical Journal 292 (6515):237-238 Holdgate A, Pollock T (2004) Nonsteroidal anti-inflammatory drugs (NSAIDs) versus opioids for acute renal colic. Cochrane Database Syst Rev 1:1-54 Kalb B, Sharma P, Salman K, Ogan K, Pattaras JG, Martin DR (2010) Acute abdominal pain: is there a potential role for MRI in the setting of the emergency department in a patient with renal calculi? Journal of Magnetic Resonance Imaging 32 (5):1012-1023 MacPherson RD, Duguid MD (2008) Strategy to Eliminate Pethidine Use in Hospitals. Journal of Pharmacy Practice and Research 38 (2):88-89 Marinella MA (1997) Meperidine-induced generalized seizures with normal renal function. South Medical Journal 90:556-558 Muslumanoglu AY, Tepeler A (2008) Renal kolik tani ve tedavisi. Marmara Med J 21:187-192 O'Connor A, Schug SA, Cardwell H (2000) A comparison of the efficacy and safety of morphine and pethidine as analgesia for suspected renal colic in the emergency setting. Journal of Accident and Emergency Medicine 17 (4):261-264 Thompson JF, Pike JM, Chumas PD, Rundle JS (1989) Rectal diclofenac compared with pethidine injection in acute renal colic. British Medical Journal 299 (6708):1140-1141 Figure 1. Number and percentage of patients which response/non response to rectal sodium diclofenac and intramuscular pethidine. Figure 2. Comparison on the efficacy of rectal sodium diclofenac and intramuscular pethidine in attenuating of renal colic pain.

Thursday, September 19, 2019

College Admissions Essay: Learning from Helen Keller :: College Admissions Essays

Learning from Helen Keller "Life is either a daring adventure or nothing." -Helen Keller Helen Keller was one of the most successful people in the world. She helped in so many ways to change many people's lives. She was a very humble person despite her successes. I want to tell you about a story I read which touched me and shows what a special person Helen Keller was. In the summer of 1950, a woman in Italy was asked by a neighbor to pick up two women at a nearby hotel. The reason why her friend, Margot Besozzi, couldn't pick them up is because her jeep was getting repaired and that was the only car they could take to get up the very steep hill to her house. The women of course said that she would be delighted to pick them up. She asked Margot, " whom should I ask for at the hotel?" and Margot replied, "Miss Helen Keller." She could not believe that she was going to pick up Helen Keller at the hotel. She was so excited that she started to dream about when she was a little girl and her father had given her the story of Helen Keller written by Annie Sullivan. When she arrived at the hotel, she got out of her car to greet Helen Keller and Polly Thomson. She took Helen's hand and placed her in the car with Mrs. Thomson. Then it came to her mind that they were going to be taking a very dangerous ride when they were to go up to the house. There were no sides to the car, so when she took very sharp turns, she was afraid that Helen might fall out of the car. So she warned them about the sharp and steep turns. When they got to this part of the journey, Helen started to sing, "This is fun!" and then she cried out, "Lovely!" When they reached the house, she helped the two women out of the car to greet Margot. She was invited to have lunch with Margot, Mrs. Thomson and Helen. They drove to the restaurant and went to sit down at their table. When Helen sat down, she felt around her area so she knew where her fork, spoon, knife, and plate were, and sat patiently. After they finished lunch, they were sitting around taking about Italy, and Helen was talking about where she wanted to visit.