Saturday, October 5, 2019
Collapse of Lehman Brothers Term Paper Example | Topics and Well Written Essays - 1250 words
Collapse of Lehman Brothers - Term Paper Example The company was experiencing a mass exit by clients, dramatic fall in stock value and asset devaluation. Their bid for bankruptcy protection was the largest in the world history. Corporate Malfeasance Corporate malfeasance is a legal concept that denotes the art of falsely manipulating accounts such that the financial position of a company appears stable and progressive. Following their collapse, top executives of former corporate giants, such as WorldCom, Enron and AIG, faced civil suits and criminal charges with allegations of corporate malfeasance. Corporate malfeasance was one of the leading causes for the collapse of Lehman in light of the financial crisis of the late 2000. James Cramer calls the Lehmanââ¬â¢s malfeasance case ââ¬Ëfinancial engineeringââ¬â¢ (Cramer 2). He believes that with the knowledge of top officials, CFOs and CEO Dick Fuld, the accounting department manipulated the financial records in a bid to make the company appear more venerable to attract inves tors and retain clients. Lehmanââ¬â¢s financial engineering had gone on for a few years amid growing worries among top officials that the company was over-leveraged. The advice of chief financial officers and other top officials spearheaded the ââ¬Ëfinancial engineeringââ¬â¢ gimmick through counterfeit records to hide Lehmanââ¬â¢s vulnerability to collapse (Taibbi 98). Sources retrieved from the Wall Street Journal indicate that CEO Fuld was aware of the imminent collapse. He was manipulated by a clique of shadowy bankers and top investors who wanted to be overnight billionaires by urging him to make money-losing decisions. Corporate malfeasance did not go far. The truth eventually emerged and Lehmanââ¬â¢s estimated $619 billion debt was exposed. This was after the audit report of a court-appointed financial examiner was released. Fuld had admitted in writing that he had commissioned the financial engineering gimmick as a systematic ploy of buying the company more tim e. This was by creating ââ¬Å"a materially misleading picture of the firmââ¬â¢s financial condition in late 2007 to 2008â⬠(Cramer 2). Lehmanââ¬â¢s accounting gimmick dubbed ââ¬Ërepo 105ââ¬â¢ allowed the sale of company securities through a signed obligation to re-purchase them after a while so that they can do so at a lower price. This would temporarily remove such asset securities from the balance sheet. Likewise, the untimely sale of securities allowed the influx of liquid cash into the bank thus effectively lowering financial coverage ratios. These subtle and corrupt financial gimmicks were done behind closed doors keeping investors and other stakeholders in the oblivion (Sorkin 8). The US Housing/ Subprime Mortgage Crisis Economic experts link Lehmanââ¬â¢s predicament to the bursting the housing or real estate market bubble in the U.S in the summer of 2008. The untimely subprime mortgage crisis was another leading cause for the collapse of Lehman Brothers I nc. In 2007, the real estate market in the U.S had registered a remarkable progress amid the housing bubble. Housing prices soared, reached the elastic limit and Wall Street began to experience a huge increase in home foreclosure rates and equally high subprime mortgage delinquencies. Subsequently, securities backed by mortgages declined significantly. The steep decline made re-financing very difficult.
Friday, October 4, 2019
THE ROLE OF RECRUITMENT AND SELECTION STRATEGY IN SUPPORTING EMPLOYEE Essay - 4
THE ROLE OF RECRUITMENT AND SELECTION STRATEGY IN SUPPORTING EMPLOYEE RETENTION WITHIN A COMPLEX INTERNATIONAL LABOUR MARKET - Essay Example The paradox in this situation is that these foreign assignments are highly compensated with hefty perks. Despite some meticulous recruitment procedures, employees still cut short the international tour of duty hence putting to question the nature of the recruitment procedures that are unable to siphon out the restless candidates. Heneman and Judge (2003) describe recruitment as the, ââ¬Å"the process of acquiring, deploying, and retaining a workforce of sufficient quantity and quality to create positive impacts on the organizationââ¬â¢s effectivenessâ⬠(p. 4). In view of the precarious nature of the international recruitment assignments, most firms out to hire new employees have resorted to demanding a more meticulous selection procedure to eliminate those candidates deemed incapable of surviving the strain and demand of the foreign locations. In this endeavour, the major categories used to garner the correct candidate include the individualââ¬â¢s flexibility; this necessitate the potential employee indicate willingness to endure the expected environmental and social changes in the locale assigned to (Workman, 2008). This criterion has been found to the principal factor other than the usual professional acumen that employers expect from the potential candidates. A hardy employee must demonstrate his willingness to adapt to adverse climatic changes, foreign lingua franca, religious beliefs, changes in social activities, or conflicting nutritional practices. Firms operating in the Middle East, Africa, or the North Sea usually require pot ential employees to express their capability to deal with the anticipated hash conditions required to work in the regions. These include withstanding extremely cruel weather, religious intolerance, no social activities among other adverse conditions which are not suited for the faint-hearted. Employers therefore decisively
Thursday, October 3, 2019
Wireless Technologies Paper Essay Example for Free
Wireless Technologies Paper Essay Party Plates Company has come to the conclusion that there is a need for a new proposal for wireless technology. Our goal is to meet goals in technology advancement and to be up to date with our consumers and business associates. Our proposal will focus on wireless technology that will benefit the party plate business. Our team will also provide the pros and cons to our idea and justify our choices to incorporate them into Party Plates Company. In the proposal we will also include a spreadsheet presenting the equipment needed for using the technologies and the costs involved with the equipment. The wireless technologies that our team recommends for Party Plates Company are WIFI and Laptops. WIFI is wireless technology that allows electronic devices to exchange data using radio waves. These radio waves are transmitted using an antenna called a wireless access point. (Rainer Jr Cegieiski, 2011) WIFI has the potential to save Party Plates Company the cost of having wires installed throughout the company. Laptop technology consists of a small computer that is portable, you can access customer files from anywhere in the building that and also check inventory from the comfort of your home if needed. You will no longer be confined to your office or to any electrical cords. It also involves less wire tangling around your desk which could be a safety hazard. A laptop will allow a manager or supervisor communicate with staff, clients, and employees. WIFI and Laptops are reliable wireless technologies; however, they also possess their own disadvantages. WIFI signals can be slow depending upon how far you are from the router. This can delay the network speed, just like when too many people are using the service at the same time. The demands of a large number of users attempting to access a Wi-Fi network at once can tax the bandwidth capacity of the network, causing outages. â⬠(Blank, 1999-2012) There is also the problem of security when using WIFI. Using this wireless technology makes it harder to control the content viewed, especially when personal computers can access the network. Laptops can typically be a more expensive technology than your normal desktop system. They can also pose a security drawback. Laptops now have cameras making it easy to copy or transfer confidential information. Regardless of the drawbacks associated with these two devices, the ease of use, the availability, and the functions outweighs its flaws. We feel that both of these wireless technologies would work well for Party Plates Company. WIFI is easy to use, efficient, and flexible. Although there may be difficulties with security and network overload, if the WIFI is password protected and monitored these possibilities could be diminished. Laptops can be secure, efficient, and portable. The increased price for system upkeep and possible collisions are only small problems to accurately control inventory and regulate sales.
Wednesday, October 2, 2019
Gate Control Theory Of Pain Health And Social Care Essay
Gate Control Theory Of Pain Health And Social Care Essay OA knee pain prevalence, cost to NHS etc. Physio treatment of neck painà ¢Ã¢â¬ ââ¬â¢ electro modalities, esp TENS Pain is something that everyone suffers with at one time or another. Pain can be a huge burden on employers due to absenteeism (White et al, 2005). There are many methods used to relive pain with TENS being one method. Having completed a review of current literature, it is clear that the application of tens has a significant effect on the pressure pain threshold of a subject, however no study to date has researched the effects the positioning of the TENS being applied has on the pressure pain threshold. Therefore this study has the aim of investigating whether the positioning of the electrodes at the nerve root level will affect the pressure pain threshold of the relevant dermatomal area giving rationale for the use of TENS as a pain reliving modality for injuries to the extremities. Literature Review 4k Literature Search This research is investigating the effect of transcutaneous electrical nerve stimulation at a nerve root has on the pressure pain threshold at the periphery in relation to osteoarthritis of the knee. A review of the current literature was conducted using the following databases: PubMed, ScienceDirect, MetaLib (Cardiff Universitys Electronic Resources) and Google Scholar for journals dated 1982-2012. The main key words used in the search included, transcutaneous electrical nerve stimulation, pain, osteoarthritis, knee, and periphery. Backchaining was also used to ensure all relevant literature was obtained. Introduction Osteoarthritis a very common joint disorder occurring in any joint but most commonly in the hip, knee, the joints of the hand and foot, and spine (Symmons et al. 2003). It mostly affects those aged 60 and over with approximately 40% of people over the age of 65 suffering symptoms associated with knee OA (Zhang et al., 2008) resulting in globally nearly 250 million people having osteoarthritis of the knee, 3.6% of the population (Vos et al. 2012). This resulted in osteoarthritis becoming the fourth leading cause of disability in the year 2000 (Symmons et al. 2003) and costing the NHS a total of 25 million pounds in 2008 (NICE 2008) Arthritis knee Osteoarthritis of the knee is a chronic degenerative disorder with a multifactorial aetiology (Felson, 2000). This includes general factors; such as age, sex and obesity, mechanical factors; such as alignment and trauma (cooper et al. 2000) and genetic factors (Reginato et al. 2002). Osteoarthritis of the knee is characterised by both loss of articular cartilage and by central and marginal new bone formation (subchondral sclerosis, osteophytes) (Woolf and Pfleger, 2003). There is also often thickening of the capsule and low grade synovitis resulting in alterations in biomechanics of the joint. Osteoarthritis affects the whole joint with secondary changes including ligament laxity due to articular cartilage loss and muscle weakness around the joint due to disuse respectively (Felson 2000). Osteoarthritis of the knee is associated with pain, joint stiffness and deformity, which in turn lead to limitations of daily activities for sufferers. Although there is currently no cure available, there are a number of treatment options open to sufferers to provide symptomatic relief, as well as joint function improvements. There are many non- pharmacological treatment options available such as education, rehabilitation exercises, manual therapies, acupuncture and electro-modalities such as TENS. There is also a wide range of pharmacological measures available, non-steroidal anti-inflammatory drugs, oral analgesia and topical treatments. Pharmacological treatments also include intra-articular modalities such as injections of corticosteroid and hyaluronic acid and tidal irrigation to reduce symptoms. In severe cases, where nonsurgical interventions have failed, more invasive approaches may be needed (Cooper et al 2000) including therapeutic arthroscopy and joint replacement. Models of Pain Pain something that the medical profession aims to alleviate in all patients suffering from it. In order to do this an understanding of the function of pain is needed as well as knowledge of the physiological processes the cause pain. Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage (Bonica 1979). It serves as a stimulus to motivate an individual to cease or withdraw form damaging or potential damaging situations, or to protect a damaged body part during the healing process (Winlow et al. 1984). There are three main models of pain, the cognitive-behavioral model of pain, the gate control theory of pain and the neuromatrix theory of pain. Gate control theory of pain The gate control theory suggests there is a neurological gate in the dorsal horn of the spinal cord (Melzack and Wall 1967). This gate either blocks pain signals or allows them to continue to the brain. This gate in the spinal cord differentiates between the types of fibers carrying pain signals. Pain signals travelling down the larger C nerve fibers are blocked whereas pain signals travelling done the smaller a-delta nerve fibers are allowed to pass through and therefore continue up to the brain where the pain can be perceived (cord (Melzack and Wall 1967). This gating mechanism is influenced by descending nerve impulses from the brain in response to ascending pain stimuli. Cognitive behavioral theory of pain The cognitive behavioural pain theory explores the perception of pain by relating it to more than just the physical and physiological attributes of the pain mechanism, and explores the predisposing and perpetuating factors as well as the psycho-social aspects involved in pain perception (Letham et al. 1983). This model explains why some individuals continue to experience pain after trauma has healed, or display a pain response disproportionate to the original condition. The theory states that the perception of pain is influenced by predisposing factors such as personality, coping style and previous history of illness, as well as perpetuating factors such as behaviour, emotions, and physical symptoms (Letham et al. 1983). This explains why some individuals suffer with continued pain after the original injury has resolved and are driven by fear of further pain leading to increasingly restricted activities despite the original injury being resolved, exhibit a maladaptive avoidance response. While other will experience very little pain in situations that would otherwise be excruciating, for example soldiers in battle (Letham et al. 1983) Neuromatrix theory of pain The pain neuromatrix theory is a development of the gate control theory of pain. A widespread distribution of neurons imprint a neurosignature upon nerve impulse patterns that pass through the sensory matrix (Melzack 2001). This neurosignature creates the experience of self and gives subsets of patterns that give unique experiences such as pain. The perception of pain in the brain would be as the end result of an activation of the pain neuromatrix with a characteristic pattern relating to the pain signature (Melzack 2001). This is part of a multi system response to a perceived threat. However there are many other inputs that can trigger the pain neuromatrix in the brain including movement, touch, fear and visual stimuli (Melzack 2001). This is due to the fact that the widespread neurons which make up the neuromatrix for pain perception are involved in many other activities so the pattern for pain perception can be triggered by other groups of neuromatirx being active during other activities not purely the pain neuromatrix Pain and pathways There are four basic processes involved in nociception(processing of pain), Transduction, transmission, perception and modulation (McCaffery and Pasero, 1999). Transduction begins when nociceptors (free nerve endings) of either the A-delta fibres or C fibres of the primary afferent neurones respond to noxious stimuli. A noxious stimulai occurs when tissue is damaged and inflation occurs. The nociceptors are found in the somatic structures (skin, muscles, and joints) as well as the visceral structures (organs such as gastro-intestinal tract or the liver). (Wood 2008) Although both the C fibre and A-delta fibres are Primary afferent fibres they have different cell structures and are associated with different pain qualities (table 1). Table 1: Characteristics and functions of C fibres and A-delta fibres (Farquhar-Smith 2007) C fibres A-delta fibres Characteristics: Small diameter Unmyelinated Slow conducting Receptor type: Polymodal: respond to more than one type of noxious stimuli: Mechanical Thermal Chemical Pain quality: Diffuse Dull Burning Aching Referred to as slow or second pain Characteristics: Large diameter Myelinated Fast conducting Receptor type: High-threshold mechanoreceptors: respond to mechanical stimuli over a certain intensity. Pain quality: Well-localised Sharp Stinging Pricking Referred to as fast or first pain There are three stages to the transmission of pain; first the impulse is transmitted from the site of transduction along the nociceptor fibres (first order neurons) to the dorsal horn, in the spinal cord, where both C fibre and A delta fibres terminate. In the dorsal horn they synapse with the second order neurons and which then cross the spinal cord via the anterior white commissure and ascend to the thalamus via the two main nociceptive ascending pathways. These are the spinoparabrachial pathway and the spinothalamic pathway. The thalamus then directs the nervous impulse to multiple areas of the cortex and higher brain for processing as there is not a discrete pain centre (Wood 2008). The end result of the pain transmission is the perception of pain. This is where pain becomes a conscious and multidimensional experience with affective-motivational, sensory-discriminative, emotional and behavioural components. When painful stimuli are transmitted to the brain stem and thalamus, three main cortical areas are activated, the reticular system, the somatosensory cortex, and the limbic system, each one is responsible for a different response to the pain stimuli. (McCaffery and Pasero, 1999) The reticular system is responsible for the autonomic and motor response to pain, for example, automatically withdrawing from a painful stimulus. It also plays a role in the affective-motivational response to pain, such as assessing an injury after pain has occurred. The somatosensory cortex is involved with the interpretation and perception of sensations. It identifies the location, type and intensity of the pain sensation and relates this sensation to past experiences before triggering a response. The limbic system is responsible for the behavioural and emotional response to pain as well as past experiences of pain. The modulation of pain involves altering or inhibiting the transmission of pain impulses in the dorsal horn of the spinal cord. The complex pathways involved in the modulation of pain are called the descending modulatory pain pathways (Ossipov et al. 2010). These pathways can lead to either an excitatory response (an increase in the transmission of pain impulses) or an inhibitory response (a decrease in transmission of pain impulses). Descending inhibition produces an analgesic effect by causing the release of inhibitory neurotransmitters which partially or completely block the transmission of pain impulses in the spinal cord (Ossipov et al. 2010). Endogenous pain modulation helps to explain the wide variations in the perception of pain in different people as individuals produce different amounts of inhibitory neurotransmitters. Endogenous opioids are found throughout the central nervous system (CNS) and prevent the release of some excitatory neurotransmitters, for example, substance P, therefore, inhibiting the transmission of pain impulses. Physiotherapy and treatment of Pain Transcutaneous electrical nerve stimulation (TENS) papers on TENS and Pain (critical review of the literature) Transcutaneous electrical nerve stimulation (TENS) is an electro therapy procedure the aim of which is pain relief. During treatment a low amplitude and frequency alternating electric current is passed between two electrodes placed on the body resulting in stimulation of the nervous system. Research will be reviewed examining the theory that TENS is an effective pain reliving modality. Previous studies by Chesterton et al (2002, 2003) Vance et al (2012) and Chen et al (2010) have all shown TENS to be an effective form of pain relief against blunt pressure pain with. All however have used different parameters for both the TENS settings and application sites. All of the previous studies looked at found TENS to be an effective method of pain relief based on pressure pain threshold measurement. Both of Chestertons and Vances studies found a statistically significant increase in pressure pain threshold after a twenty minute application of TENS (p=0.005, p=0.01, and p=0.002 respectively). Chen also found a significant difference in post TENS of p= Vance was the only study to look at other forms of pain measurement s outcome measures, as well as the use of a pressure pin threshold measure similar to the other studies a cutaneous mechanical pain threshold measure using Von Frey filaments and heat pain threshold measure were also used. Although using these additional outcome measures to assess the effectiveness of TEN as a pain reliving modality it was only the pressure pain threshold measure that yielded a significantly change. Therefore the results of the study can still only be extrapolated to the pressure pain reliving abilities of TENS and no other forms of pain. Both Vance and Chen explored the differences between the frequencies TENS applied. Chen uses 3Hz for low frequency and 80Hz for high frequency. Vance does not specify the actual frequency used and only states high and low frequency Tens was used with the definition of High frequency TENS >50Hz and Low frequency TENS In Chestertons 2002 also explored the differences between the frequencies of TENS applied using 4Hz as the low frequency and 110Hz as the high frequency. The results were similar to Chen with the high frequency TENS proving a more affective pain reliving modality of TENS. All three studies have good internal reliability, the same experimenter was used for every measurement, and standardised testing procedures were used. The rate of application of the algometer was kept constant when measuring the pressure pain threshold and the same point was used on each subject for the measurement. Chen and Vance, however, relied sole on the skill and consistence of the experimenter to ensure the pressure pin threshold reading was taken in the same manner for every subject. Chestertons studies used a special mounting frame for the algometer to ensure that it was perpendicular to the skin and that the rate of application was constant. This improved the internal reliability of the study as each subject will have had the reading taken in exactly the same way. Chesterton and Chen both use healthy volunteers as the subjects in their studies. Both studies have a good sample size with an equal distribution of males and females. Chen subjects have a small age range (mean à ± SD, age 26.7 à ± 2.9 years) which is not representative of the population. Chestertons sample has a much larger are range (mean à ± SD, age 30à ± 7 years, range 18-57 years) which is a far closer representation of the general population and makes the extrapolation and application of the results more reliable. However both of these studies, due to only using healthy subjects, cannot be reliable extrapolated to apply to people who are not healthy. Therefore it cannot reliably be said that anyone suffering with a painful condition, be it degenerative, trauma, or surgical, will benefit from the application of high frequency TENS or that it will reduce their pain. It can only reliable be said that it will reduce the pain perceived in healthy individuals. This however is add ressed by Vance, although using smaller sample size than Chesterton all of the subjects used in the study all had a diagnosis of medial compartment osteoarthritis of the knee. Unlike the other studies Vance did not have an equal split of male to female subjects (29 male 46 female), however by using a stratified randomisation process it was ensure that each experimental group had the same ratio of male to female subjects. Therefore unlike the other studies Vances results can be reliably extrapolated to apply to a population with a diagnosis of medial compartment osteoarthritis of the knee, and high frequency TENS can be reliably used as a pain reliving modality. Random allocation of groups Not all subjects tens naive Blinding All have good baseline comparability between groups. Chen Good base line A paired t-test on this data found no significant differences (mean + SD = -1.50 à ± 5.65N,à Pà = .143) Chesterton 2002 Good basleine similar This was confirmed by a one-way analysis of variance (ANOVA) for pre-treatment mean MPT (P 0:19 Chesterton 2003 Good One-way analysis of variance (ANOVA) showed no significant differences in PPT, between the groups at baseline (p 0:142) Vance Bad not equal gender split 29 male 46 femle. But good that same ration in each group. Good There were no significant differences between groups in demographic characteristics, with the exception of body mass indexes (P.027). Algomiter reliability Aim(s) Hypothesis (hypotheses) Does High-TENS affect pressure pain threshold (PPT) at the periphery? Null Hypothesis: There will be no difference in the pressure pain threshold between the control group and experimental group. Methods Design This study was an experimental repeated measures clinical trial. The independent variable being assessed was transcutaneous electrical nerve stimulation. The dependent variable was Pressure pain threshold. The study included 20 people who had no previous history of knee pain and had not previously experienced TENS. Subjects attended two sessions with a 48 hour interval. In the first session subjects were given a placebo TENS and in the second a single high frequency TENS treatment. Outcome measurements were obtained before and during each treatment. Ethical approval for the study was granted by the University Ethics Committee (Cardiff University, 2012). Participants A convenience sample of 20 subjects from Cardiff University School of Healthcare was used. The inclusion criteria consisted of being a healthy subject. Subjects were screened for relevant contraindications and exclusion criteria including: pacemakers, heart disease or arrhythmias, undiagnosed pain, epilepsy, peripheral neuropathy (Fox and Sharp, 2007), history of trauma or surgery to the dominant leg in the last 6 months, medication, history of pregnancy or knowledge or use of TENS treatment (Chesterton et al., 2002). No subjects were excluded. The experimental procedure was explained to each subject who then signed a consent form witnessed by an independent person (Appendix 4). At the first session, subjects were assessed for bilateral recognition of sharp versus dull pressure at the L3 dermatome to rule out loss of sensation. Ethics Ethical approval was obtained from The School of Healthcare Studies Ethics committee Cardiff University and a single blind experiment using repeated measures was used. A risk assessment was carried out for the pilot and data collection assess risk to the subjects and the investigator using the standard risk assessment method of the cardiff university Physiotherapy department. The risk is quantified by the Risk Rating Number which is calculated by multiplying the probable frequency by the potential severity. For this research the probable frequency is unlikley scoring two and the potential severity is negligible scoring one (appendix 1). The Risk Rating number is two which requires no further action (Cardiff Univeirsity 2012). Individuals with a history of knee pain were excluded, reducing the likelihood of physical injury to the subjects during the PPT measurement process. In the event of an injury subjects would be withdrawn from the study and appropriate medical advice would be sought. The privacy and dignity of the subjects during electrode placement was ensured by using screens, and gaining informed consent before exposing the skin on the back. The information sheet given to the subjects (Appendix 3) informed them of what the study involved, and that the results would be analysed as part of this research project. Subjects were informed they were free to withdraw from the study at any time. All data was confidential and anonymous. All data stored on a computer was and password protected and anonymous. Pilot study A pilot study was conducted on 3 subjects not included in the main study prior to data collection. This was to ensure that the method to be used was satisfactory and to allow researcher to familiarize themselves with the equipment. It also allowed the researcher to estimate the time required, allowing appropriate time slots to be set. Another reason for the pilot study to be carried out was to expose any unforeseen errors or limitations in the design protocol allowing modification as necessary (Jenkins et al, 1998). The pilot study highlighted variations in subject foot placement in sitting, in turn effecting the knee positioning needed for a PPT reading to be taken. It was therefore decided to give subjects the following verbal command on how to sit, sit with your feet flat on the floor and your knees at ninety degrees, to minimize variance in knee position. The rest of the method was deemed sufficient and no further changes were made. Apparatus The pressure pain threshold was assessed using a handheld pressure algometer (Algometer commander, Jtech medical, United States) with a flat circular metal tip measuring 1.1 cm in diameter. The force was displayed digital in increments of 0.1N and applied at a rate of at 5N/s (Chesterton et al 2002). The subjects were instructed to say stop when the sensation first became painful. A practice test was first performed on the non-dominant knee to familiarize subjects with the procedure. The use of a pressure algometer for measuring pressure pain threshold has excellent test-retest reliability (r.70-94) (Fischer, 1987), and is a valid measure for deep-tissue hyperalgesia as discussed by Staud et al. (2007) Electrical stimulation was generated via a commercially available a dual channel, TENS unit (200 plus, TPN), the unit uses an asymmetrical, biphasic waveform. The pulse width was set at 50 microseconds and the frequency 150Hz, and the intensity was increased to the subjects verbal report of when the feeling became strong but still comfortable. Procedure. Before taking part in the study, all subjects were given an information sheet (appendix 3) explaining research study and what would be expected from them if they participate and completed a consent form (Appendix 4). Subjects came in on two separate occasions 48 hours apart; once for the control trial (sham TENS) and once for the application of TENS. In the first session demographic data was obtained, which included age and gender. A standard sharp/blunt discrimination test was performed, using neurotip at each stimulation site, to ensure intact skin sensation. The skin was then cleaned using an alcohol wipe before the application of electrodes (Chesterton et al., 2003). Two TENS electrodes were then placed over the L3 spinal level. Each electrode was placed over the L3 Spinal nerve root the location of which was found by palpating to the L3 spinal level (Rhoades et al. 2009). The first electrode was positioned 10mm to the left of the L3 spinal process with the second positioned 10mm to the right. The center of each the electrode was placed level with the inferior aspect of the L3 spinal process (figure 1). Experimenter 1 was responible soley for the electrode psoiting nd TENS application to ensure internal reliability. Figure 1 Subjects were seated in a comfortable upright position with feet flat on the floor. The position of the pressure pain reading was then marked bilaterally. This was done by measuring 30mm superior to the central aspect of the superior border of the patella in flexion (figure 2). Experimenter 2 was responsible solely for the positioning of the pressure pain reading and the algometer application to ensure internal reliability. Figure 2 A practice pressure pain measurement was then performed on the subjects non dominant side with subjects instructed to say stop when the sensation first became painful. At this point the experimenter immediately retracted the algometer. (Chesterton et al. 2003) This process was then repeat three times at 30 second intervals on the dominant side to establish a base line figure (Vance et al 2012). The Tens machine was then turned on and the intensity increased to the subjects verbal report of when the feeling became strong but still comfortable. For the sham TENS subjects were told that some forms of TENS were imperceptible and, they might not feel any sensation. The battery in the TENS unit was inserted the wrong way round. The unit was still visibly switched on and the intensity turned up, but no current was flowing (Chesterton et al 2003). A 30 minute timer was started as soon as the intensity was correctly adjusted. When the 30 minute time period had elapsed three further pressure pain threshold readings were taken again at 30 second intervals on the dominant side to a post treatment figure. Once these reading were taken the TENS machine was turned off and the electrodes removed. Subjects were monitored for a further 30 min after the end of the stimulation period (Chesterton et al 2002). Subjects returned for the second session 48 hours later. Data Analysis All data was entered into Windows Excel version 2010 Descriptive analysis was carried out using means, standard deviations this was presented as tables and graphs. The data was then entered into SPSS (Statistical Package for Social Sciences version 20.0). The data was interval ratio and the study investigated one group of subjects. A paired t-test was conducted to compare the percentage change in pressure pain threshold between the control and high TENS conditions. A statistical significance level of 95% (p Results The demographic data can be seen in Table 1. The following tables and graphs present both descriptive and statistical analysis of the pressure pain threshold data. All SPSS outputs can be seen in appendix 5 and raw algometer data can be seen in Appendix 6. Table 1: Demographic Characteristics of Sample N minimum maximum mean S.D Age 20 19 23 19.95 1.09904 Key: N = Number of subjects S.D = Standard Deviation A small standard deviation is seen for the age of subjects in Table 1. The male to female ratio was 1:1 with 10 female subjects and 10 male subjects. All subjects met the inclusion and exclusion criteria, and all were able to complete the study. Discussion There are two primary and related theories for explaining the efficacy of TENS in chronic or acute pain relief. The gate theory (Wall, 1965 (Melzack R, Wall P. Pain mechanisms: a new theory. Science. 150(699):971-979,1965)) proposes that pain transmission relies on a gate to the thalamus and cortex for nocireceptive information to be interpreted as pain. This theory postulates that inhibition of nocireceptors can be caused by rapid impulse activation of myelinated nerve fibers. The second related theory postulates that neurotransmitter exhaustion can be caused by rapid nerve activation outside of its refractory period, and that the temporary exhaustion of neurotransmitters would provide pain relief until such time as neurotransmitter synthesis had refilled the synaptic junctions (Kaye, 2007(Transcutaneous Electrical Nerve Stimulation: WebMD eMedicine. http://www.emedicine.com/pmr/topic206.htm January 26, 2007)). Limitations Clinical Implications Further research Conclusion
Influence of Aristotleââ¬â¢s Poetics on William Wordsworthââ¬â¢s Poetry and William Shakespeareââ¬â¢s Plays :: Aristotle Tragedy Tragedies
The Influence of Aristotle on William Wordsworthââ¬â¢s Poetry and William Shakespeareââ¬â¢s Plays Aristotleââ¬â¢s Poetics is not one of his major works, although it has exercised a great deal of influence upon subsequent literary studies and criticism. In this work Aristotle outlines and discusses many basic elements that an author should adhere to in order to write a great tragedies and/or poetry. Two important topics that Aristotle addresses and believes to be crucial to the art work is the mimesis, or imitation of life, and that the audience has an emotional response from the work, or a catharsis. Both William Wordsworth and William Shakespeare were believers in Aristotleââ¬â¢s philosophy concerning tragedies and poetry, and employed these two elements within their works. The basic definition for mimesis is the act of creating an image or images in someoneââ¬â¢s mind, through an artistic representation such as, a play, a poem, or a painting, idea or ideas that will then be associated with past experiences. Aristotle is concerned with the artistââ¬â¢s ability to have a significant impact on others. First though the idea or belief that the artistic representation should be occurrences that people could relate to, or experiences that they would be familiar with. William Wordsworth intentions were made clear in the Preface to Lyrical Ballads when he states that a ââ¬Å"â⬠¦poem was to [chuse (sic) incidents and situations from common life, and to relate or describe themâ⬠¦ (650)â⬠This mimesis can be seen throughout Wordsworth poem Tintern Abbey. Wordsworth is reflecting upon his memories of the effect that Tintern Abbey had on him while he was away, and describing them to his sister. Wordsworth grew up around Tintern Abbey and with his belief that nature taught humans moral lessons, he was very descriptive in his language describing the landscape and the basic affect that it personally had upon him. Aristotle also believed that the use of simple language in the poetry will keep the ultimate meaning from becoming blurred by complicated figures of speech. Wordsworth basically rejects the ideas of ââ¬Å"personification of abstract ideas (652)â⬠and ââ¬Å"poetic diction (653)â⬠in The Preface to Lyrical Ballads, because his main goal is to imitate the language that the common men speak everyday. Wordsworthââ¬â¢s Tintern Abbey is written in journal style, which is not known for loftiness in speech or complicated language, but for an easy flowing style which employs common everyday language and description. This allows the audience to understand and develop a picture of the image in their mind.
Tuesday, October 1, 2019
Manila Zoo Background Essay
The Manila Zoological and Botanical Garden or Manila Zoo emerged from the ashes of World War II, a proud monument of manââ¬â¢s innate love of nature and its multitude of creatures. This showcase of then Mayor Arsenio H. Lacsonââ¬â¢s vision was born on May 18, 1959 by virtue of City Ordinance No. 4135 and inaugurated on July 25, 1959. Mayor Antonio Z. Villegasââ¬â¢ Executive Order No. 10, dated February 1, 1967, integrated into one office the Division of Recreational Services of the Social Welfare Bureau and the Division of Parks and Playgrounds of the Department of Engineering and Public Works with the Manila Zoological and Botanical Garden. The new office was known as the Manila Zoo and Public Recreations Bureau. On June 15, 1969 the Congress of the Philippines enacted R.A. 5264 creating what now is known as the Public Recreations Bureau (PRB). The Manila Zoo is a 5.5-hectare (14-acre) zoo located in Manila, Philippines that opened itââ¬â¢s doors to the public on July 25, 1959. It receives millions of visitors every year, and is especially popular with visitors on weekends. It serves as one of the educational centers in the country where the viewing public can observe, discover and learn interesting facts about the beauty of Philippine fauna and flora. There are 106 species of animals, among which are 30 different kinds of mammals, 63 reptile species and 13 types of birds. In addition to popular zoo occupants such as elephant, tigers, lions and the hippos, Manila Zoo also houses several endemic and indigenous species of animals like the bearcat, long-tailed macaques and crocodiles. There is also a Kinder Zoo inside the Manila Zoo where anyone can roam around freely and interact with the animals inside. Children can play with tamed animals at the same time learn about them and their environment. The Kinder Zoo features different attractions and animals from all over the world like Butterfly Dome, Exotic Birds Aviary, Koi Pond, Philippine Mouse Deer House, Petting Zoo, Turtle Pond, Party Barn, Playground, Hanging Bridge and Flamingo Pond. Animals inside include exotic birds, pot belly pigs, miniature animals, Cayman crocodiles, peacocks and peahen ducks, chickens from around the world, rabbits, snakes, ostriches, and Sulcata tortoises. At the center of the zoo is a small lagoon or pond where visitors can experience boat riding. Thereà is a small island at the center of the lagoon. Boat riders paddle their way around this island. There are also many restaurants, canteens and souvenir shops inside the zoo. The zoo also has several playgrounds for the children and tables and benches where families may have picnics. With a good mix of education and entertainment purposes, the Manila Zoo does its best to appeal to everyone. ANIMALS The Manila Zoological and Botanical Garden is home to more than 800 animals from nearly 100 species as of 2007. The zooââ¬â¢s most popular resident is Mali, an Asian elephant who arrived at the zoo as an orphaned calf donated from Sri Lanka. List of Animals: Multicolored Stork Blue-crowned Heron Purple Heron Rufous Night Heron Indian Blue Peafowl Leucistic Indian Peafowl Bengal tiger Philippine Monkey Silver Fox Palawan Bearcat Stump-tailed Macaque Philippine Crocodile Estuarine Crocodile Domestic Horse Wild Boar Miniature Brahman Green Iguana Sailfin Lizard Elongated Tortoise Philippine Cobra Burmese Python Reticulated Python Tarictic Hornbill Rufous Hornbill Catalina Macaw Hybrid Macaw Umbrella Cockatoo Moluccan Cockatoo Sulfur-crested Cockatoo Rufous-bellied Eagle Eastern Grass-owl Large-billed Crow Philippine Eagle-owl Philippine Scops-owl Banded Rail Bittern Blue-naped Parrot Brown Booby Crested Myna Egret Gallinule Mallard Palawan Peacock-pheasant Pond Heron Purple Swamphen Spotted Dove Ring-necked Parakeet Turtle Dove Water Hen White Ibis Nicobar Pigeon Fruit Bat Luzon Bleeding-heart Hanging parrot Malayan Civet Palawan Bearcat Monitor lizard Soft-shelled Turtle Goose Rhea Cassowary Ostrich Hippopotamus Zebra Llama Coati Japanese Macaque Cloud Rat Orangutan Goat Guinea Pig Rabbit BOTANICAL GARDEN The Manila Zoological and Botanical Garden is home to many plant collections, from the botanically rich and diverse Philippine Islands and South Pacific region. An estimated 500 species of plants including impressive mature shade trees thrive within the enclave. Aside from being a botanical garden, it is also considered as an arboretum.
Intermediate Accounting
Deflation of consistency (vs.. Comparability) 2. Relevance vs.. Faithful representation a. Investors want information right now 3. Calculate net assets 4. Adjusting entries related to Prepaid Insurance 5. Fundamental qualities of useful accounting information a. Chart In beginning chapters that has relevance, neutrality, etc. 6. Costs that are expensed vs.. Costs that are capitalized for Internally created Intangible assets a. What did we do with R&D costs? 7. Calculate percentage and number of periods for quarterly compounding interest a.Time value of money . Straight-line depreciation a. For an asset that originally had a nine year useful life and decided later that it only had 5 year useful life. Change the depreciation expense 9. Under which cash flows statement category certain satellites fall a. Investing, Financing, or Operating? 10. Review the ââ¬Å"Landâ⬠problem related to lump-sum purchases a. Look back at chapter with example about buying a huge tract of land, then land was divided, had to allocate cost of the land. B. Boxes are yellow 11. Calculate goodwill a. Purchase price ââ¬â fair value market of the net assets 12.Calculate depletion . Like depreciation, except for natural resources 13. Ordinary annuity vs.. Annuity due a. Ordinary annuity happens at the end of a period b. Annuity due happens at the beginning of a period 14. Where should treasury stock be reported? A. On the balance sheet under stockholders equity 15. Bank reconciliation (compute the correct cash balance) 16. Compute ending balance In allowance for unconvertible accounts given the percentage of receivables method is used a. Calculate the ending balance in allowance for doubtful accounts 17. Diagram depiction of TV concept a. Chart is given b.Present value of an annuity due, present value of an ordinary annuity? 18. Revenue recognition ââ¬â magazine subscriptions a. When do we recognize revenue? B. We recognize revenue when we earn it 19. Identify selling expense 2 0. Compute the floor when apply lower-of-cost-or-market 21 . Compute double-declining balance depreciation expense 22. Impairment of machinery 23. Land vs.. Land Improvements receivable gross method (vs.. Net method) 26. Compute annual insurance expense given premiums paid and prepaid insurance beginning and ending balances 27. Yield from various compounding interest approaches (yearly vs.. Monthly vs.. Weekly) 28. On what type of intangible is recoverability test used? 29. Events that have no effect on net income 30. Capitalization vs.. Expense of expenditures related to a machine 31 . Ingredients of relevance 32. Major distinction between FAST and APP 33. Entry to write off unconvertible accounts using the allowance method 34. Journal entry related to unearned revenue 35. What is consigned inventory 36. Accounting for goods in transit purchased f. O. B destination/f. O. B shipping point 37. Compute PEPS 38. Common stock issued to buy machine ââ¬â how does this affect statement of cash lows 39.Why use accrual accounting? 40. Publicly traded companies submit financial statements to whom? 41 . Compute net realizable value 42. What principle is violated when a company switches inventory valuation methods from year to year? 43. Characteristics of a perpetual inventory system 44. Capitalized costs of self-constructed assets 45. Compute net accounts receivable 46. Identify cash and cash equivalents 47. Primary users of general-purpose financial statements 48. Characteristics of plant assets 49. Examples of downward earnings management 50. Calculate goodwill
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