Saturday, December 28, 2019

The Clinical Plan For Post Knee Arthroplasty Rehabilitation

The clinical scenario presented by Sarah is very interesting and has got every chance a physical therapist might face such similar situation in outpatient clinical practice. When a patient comes for post knee arthroplasty rehabilitation, the physical therapist can often get too much focused on therapy goals and overlook important clinical signs and symptoms that must be addressed and referred in a timely manner. A weight gain of 20 pounds in 18 days was not a good indication of Mr. Knee’s general health status. Presence of localized edema is common to see in knee arthroplasty patients. However, this patient has 2+ pitting edema even after taking Lasix 40 mg twice a day. The evaluation did not specify more about of swelling, whether it has any increased or decreased depends upon the time of the day. A weight gain of 2 pounds or more in 48 hours must be considered as a red flag, which may be an indication of heart failure. Vital signs assessment consistently demonstrated higher blood pressure and heart rate. The evaluation is not clearly indicative of exercise induced asthma for patient. Weight gain, consistent higher levels of blood pressure and heart rate along with exercise induced exertion can be signs of acute cardiac failure. According to King, Kingery Casey, 2012, heart failure is a common clinical syndrome characterized by dyspnea, fatigue, and signs of volume overload, which may include peripheral edema and pulmonary rales. In this case, theS how MoreRelatedEssay about Nursing Instructor3006 Words   |  13 PagesNursing Instructor PHYSICAL HISTORY: My clinical rotation was at St. Francis Hospital on the orthopedic/medical-surgical floor, 5-1. I was assigned JB for a patient 10/7 and 10/8. He was one day post-op from an elective bilateral knee arthroplasty. JB is a 69 year old Caucasian male who stands 6 feet tall and weighs 251 pounds. He has a history of hypertension, benign prostatic hyperplasia, degenerative joint disease, and renal calculi. Medications taken at home: Nifedipine 60 mg. QDRead MoreMusic and Well-Being Essay1667 Words   |  7 Pageseliminating the pre- and post-operative phases. Moreover, the choice and loudness of music played is subject to the medical team’s choices. Besides, since music is not present in the holding bay and recovery room, patients are faced with the annoyance of hearing disturbing noises produced by medical equipment and healthcare personnel communicating between themselves and other patients. This is mostly caused by the structure of the building itself, since both areas are based on an open plan. Nonetheless, theRead MoreSymptoms And Treatment Of Pain Management1791 Words   |  8 Pagesindirect ways. Persistent post-surgical chronic pain is more common in thoracic, breast, inguinal he rnia, knee arthroplasty and amputations. Acute pain can affect the psychology of the patients by causing anxiety, helplessness, sleep problems, mood problems and loss of autonomy. Elderly critically ill patients could have postoperative cognitive dysfunction due to various causes, pain being one of the most important among them. PRINICIPLES OF ACUTE PAIN MANAGEMENT In many post-surgical patients, itRead MoreGerontology Study Guide Essay3095 Words   |  13 Pagesproviders, case managers, nurse leaders, educators, patient advocates, administrators. 3. What are the American Nurses Association (ANA) Standards of Clinical Gerontological Nursing Care? A. Standard I: Assessment. a. The gerontological nurse collects patient health data. b. Enhances the nurse’s ability to make sound clinical judgments c. Culturally and ethnically appropriate B. Standard I: Assessment a. Types of assessments: Interviewing, FunctionalRead MoreMedical Test with Answers Essay example16933 Words   |  68 Pagesper day for each kilogram between 10 and 20. To determine an hourly rate, divide the total milliliters per day by 24. 19.5 kg x 50 ml/kg = 475 ml + 1000 ml = 1475 ml / 24 hours = 61 ml/hour The nurse is caring for a client who is unable to void. The plan of care establishes an objective for the client to ingest at least 1000 ml of fluid between 7:00 am and 3:30 pm. Which client response should the nurse document that indicates a successful outcome? A. Demonstrates adequate fluid intake and output.Read MoreComprehensive 1 Essay18452 Words   |  74 Pages475 ml + 1000 ml = 1475 ml / 24 hours = 61 ml/hour.nbsp; font face=Verdana color=#333333Category:nbsp; Fundamentals/font Awarded 1.0 out of 1.0 possible points. C. 13.ID: 311023617 The nurse is caring for a client who is unable to void. The plan of care establishes an objective for the client to ingest at least 1000 ml of fluid between 7:00 am and 3:30 pm. Which client response should the nurse document that indicates a successful outcome? A.   Demonstrates adequate fluid intake and output

Thursday, December 19, 2019

Online Dating and Sociopaths Essay - 1580 Words

What is a sociopath? According to R. (2012) â€Å"There are people in the world who dont care about love, and who feel no remorse, empathy or emotional attachment to others. They dont even know what these feeling are. These people are called sociopaths.† (It Wasnt a Relationship – It Was a Robbery!!, 2013) explains, â€Å"The sociopath makes a career living off others. They feed off your energy, your wealth, your social life, your friends and family, your body, everything, and if you have material possessions, they will take those too.† According to Andersen (n.d.) â€Å"[Sic] Sociopathy is not a mental illness; it is a personality disorder. The condition is highly genetic.† These days most people find their mate on an online dating sites. Most of†¦show more content†¦Andersen (2012) writes, â€Å"Charisma describes personal magnetism – sociopaths exude a mixture of enthusiasm and self-confidence that is often irresistible† (p. 15) . Andersen (2012) continues, â€Å"Charm is how sociopaths soften you up, paving the way to using you. Sociopaths work their charm through their extraordinary verbal skills. Usually they are smooth talkers – always have an answer; never miss a beat. Witty, clever, articulate – they can talk you into giving them what they want, and they know it† (p. 16). Charisma and charm are not always a bad thing however, â€Å"The problem with charisma and charm in sociopaths is the hidden agenda. These people use their magnetic personalities to deceive, manipulate and exploit.† (Andersen 2012 p. 14) Another sign that your online date may be a sociopath is an enormous ego. R. (2012) says, â€Å"They act like the smartest, richest or most successful people around. They may actually come out and tell you that.† Sociopaths believe they can do no wrong; their enormous ego prevents them from admitting they are wrong. Sometimes a big ego can be charming, but that’s not the case with a sociopath, â€Å"The Diagnostic and Statistical Manual of Mental Disorders (DSM-V) notes that sociopaths have an inflated sense of self. They are narcissists to the extreme, with a huge sense of entitlement.† (The Romantic Sociopath 2013) The next sign your online date could be a sociopath is they are overly attentive. In the beginning they fawn all overShow MoreRelatedThe Risks Of Online Dating Websites Essay2054 Words   |  9 Pages The Risks of Online Dating Websites The online world is an atmosphere that people often imagine that it is a reality. Online social websites offer the ability for people all over the globe to connect and communicate with one another, in which transformed a different aspect of being in a relationship. Modern romance has becoming significantly different than what people experienced in the past. Before, people would often meeting one another at a hangout place or through mutual friends. EverythingRead MoreEssay Criminal Behavior2234 Words   |  9 PagesCriminal Behavior Teaka De La Cruz COMM 220 February 20th 2009 Criminal Behavior The psychology behind criminal behavior has been the subject for debate dating back to renounced psychologist pioneer Sigmund Freud. Exactly what could cause a human being to act in unspeakable violent, antisocial, or sadistic behavior? In the past sociologist believed that environment contributes a huge role in predicting criminal behavior. Psychologists in the early 19th century believe genetics were theRead MoreRastafarian79520 Words   |  319 Pagesthat the government investigate the possibility of repatriation to Africa,38 and that the Ethiopian Orthodox church be invited to establish a branch in Jamaica.39 The obvious conclusion of those who conducted the report was that Rastas were not sociopaths or psychopaths but were instead suffering Jamaicans responding to the pressures of marginalization.40 As is evident in the discussion of the confrontation between Rastas and the civil authorities, the tension between the two did not dissipateRead MoreOrganisational Theory230255 Words   |  922 Pagesaesthetics of organizing One final look at organizational culture Conclusions 432 432 434 434 434 435 436 437 437 438 438 442 446 446 450 452 453 457 459 Index 466 Supporting resources Visit www.pearsoned.co.uk/mcauley to find valuable online resources For Instructors †¢ PowerPoint slides that can be downloaded and used for presentations †¢ Additional exercises For more information please contact your local Pearson Education sales representative or visit www.pearsoned.co.uk/mcauley

Wednesday, December 11, 2019

Marketing strategy of Amazon Online Retail Business

Question: Discuss about the Marketing strategy of Amazon for Online Retail Business. Answer: Introduction In todays world every sector has become competitive. Starting from a grocers store to travel and tourism, everywhere various strategies are used to allure the customers towards it in order to gain more profit out of it and do a long term business in the field. In the similar way, the sector of eCommerce has also grown. Shopping for various items are being done sitting under the roofs of AC rooms. And this leisurely attitude of customers has led to the growth of the eCommerce sector (The Columbia Electronic Encyclopedia, 2012). And in this sector, Amazon has been the most famous site. The strategies that the company Amazon takes on depends on various factors like internal and external environment as without these strategies a successful base would be very difficult to be achieved by a company. Since its initial start in 1994, the company has been able to achieve a turnover of approximately $108 billion in the present times housing around 230000 employees and has also been successful t o make it famous not only in its origin Seattle but also in every part of the world. In this report, the various strategies of Amazon in its origin and in India will be put light on. Origin Of Amazon A report that projected that the annual web growth would be approximately around 2200% made Jeff Bezos quit his job and formulates a plan to metamorphose the way retailing is done in 1994. In the initial period, Bezos focussed on selling compact discs, computer hardware, computer software, videos, and books. But in the later period, Bezos decided that his start-up would sell books over the web as there is a wide market for literature and the competition in this sector is also very less. Bezos decides that Seattle would be his headquarter as Seattle was near to the largest book centre in Oregon and also Seattle possessed a highly skilled workforce. In the process of raising funds for his company, Bezos initiated his venture in 1995 and rose to become the number one book-related sites in a very short span of time. Initially, all these transactions were taking place in the garage of Bezos until and unless he was satisfied that his venture would give him a profit and after this only he m oved to an office in Seattle (STRANGE, 2013). And it was highly surprising that till the end of 1996, Amazon had reached to a turnover of around $15 million, while Amazons competitor Barnes and Nobles stores were able to gather only $5 million a year. Moreover, Wall Street also accepted the store in a very warm way leading to a surge in its share from the very initial days. Despite the companys success, Bezos had always given high priority to the interests of the customers and left no stone unturned to reach out to various groups of customers. And in this process the target segments of the company grew in a large amount and made Amazon the number one retailing site. The success and popularity for Amazon can be bestowed on one factor that is technology (Rushton, 2015). Amazon created a very powerful search engine that would help customers to choose various books through keywords and also make the content available to the customers so that they would be able to make a smart choice about the book they would be interested in studying. Moreover, the customers were allowed to see the history of their purchase which was new weapons to allure the customers and make them rely on Amazon in a broader sense. Growth And International Venture: Amazon In a very fast manner Amazon grew and became one of the highly successful retail stores. Amazons amazing success in retailing can be figured out by the fact the site has accepted its millionth customer in 1997 which is just after the two years of its starting year. And after this achievement, in order to grow more numerously, Amazon started acquisitions. Bookpages of United Kingdom, Telebook of German, etc., made Amazon not an international venture, but variety also attracted a large number of customers. (Pennsylvani, 2014) And these customers affinity improved when amazon acquired Internet movie database. And then gradually, the company was able to put its clutch tight in various sectors of retailing and in various parts of the world. The company markets in Australia, Brazil, Canada, China, France, Germany, India, Italy, Japan, Mexico, Spain and the United Kingdom. Amazon In India Because of less online retail marketing scope in India, amazon entered to the sands of India pretty late rounding off near to 2000s. The economic expectation at that point of time for India was around $1-2 billion and it was not interesting and alluring for a company that earned $79 billion. Moreover, another big factor is that the internet penetration of the country is very less and being the second populous country, it did not prove as a big business for the company. (Bhasin, 2015) And also a technological advance in the country was so poor at that time the company did not pose interest in the country. Despite the various issues related to country, India because of its market size could not be ignored. And moreover, the success of Filpkart and Snapdeal made Amazon enter the market of India. And then amazon entered the soils of India through a price aggregator Junglee.com that it had acquired in 1998. Though this service did not provide any revenue to the company, but the company was highly successful in finding out the demographic information about the country through it and information regarding the various choices of the people of the country. And this made the company start its venture in India in 2013 with the site www.amazon.in. The two categories that are books and media sales made Amazon launch its sale over India, but it was able to move at a high speed over the past year to offer over 15 million products in over 20 categories. Amazon in the present era doesnt sell its products; rather, it acts as third party sellers for the existing sellers in the country. Various facilities like cash-on-delivery payments, liberal return policies, free or subsidized shipping and in-house logistics made the shopping site more famous in India and gave it a very competitive soil (D'ONFRO, 2015). Since amazon is the third party sellers, the company is able to grab a large amount of profit without investing much. The company has received a large amount of appreciation from the country as it has built highly developed software centres that gave many Indians jobs. Moreover the main strategy of the company has been keeping in touch with the traditional aspects of the country (Dawson, 2015). Moreover the advertisements in the country are very important; Amazon has done its best to reach out to various age groups by advertising through radios, television, net etc. Another factor that has made Amazon very strong in the face of competition is its deep financial pockets which cant be matched by the local competitors. Things To Be Kept Under Focus While Doing Business In India The diversified choices of the people of the country must be kept in mind while doing business in India. The traditions and festivities of the country must be put in minds to sustain the development growth in business. The choices of the people and the fashion statement of the country must be noted down too. (Doshi, 2015) Moreover, the various religions of the country and the local costumes of various regions of the country must be considered on priority while choosing online retailing as prior business. Strategies Of Amazon In India: Positive And Negative The strengths of the Amazon can be taken as its established model for marketing that provides the company high returns in advent of cost effectiveness. Amazon is considered as one of the top most brands in the world and this image possesses as strength to the company for its growth structure in the Indian market. And also the companys offerings of around 15 million products hold the key to attract a large amount of customers towards it. The supplier relationships, its deep pockets reach and high experiences in retailing in all over the world makes Amazon stand straight and strong in the line of competition in the eCommerce field in India (Yglesias, 2014). But with all the advantages, Amazon also possesses various weaknesses that have the capability to destroy its business (Hume, 2012). The most important weakness is the dependence of Amazon on other sellers which can make them use their own retail system to sell their products. Amazons lack of relationships with Indian sellers also possesses a threat for the growth of business of amazon. Moreover, because of the low quality of infrastructure in India, Amazon may not be able to maintain its standards of performance as it did in developed countries leading to downfall. Reccomendations For Amazon Acquiring various local sellers and business to have its own business grow has been a more striking attitude of the online seller brand. So in order to improve its performance in India, Amazon should intake various local competitors who can enhance the productivity and growth of the company. Flipkart can be taken as an example. The topography and demography of India are very different than the other developed countries where Amazon has done business. So an effective delivery system is very important for successful growth in the online business. So amazon should prepare a better logistics for India and this logistics can be applied to all developing populous countries making Amazon the ruler of online services. Moreover, Amazon can prepare the logistics for and selling platform for all the local business makers who are not getting platform to sell their goods so that the traditionalism with indigenous can be given importance and can be used to advertise the company and also the company will get popularity from this. Conclusion Amazon has entered the online retail business of India at a very crucial and important time. Though the company has been a huge success in all the countries it had done business in, but in a country like India, Amazon has to spend man force to gather all the logistics and tactics in order to rule in a diversified country like India. Bibliography Bhasin, H. (2015). Marketing strategy of Amazon Amazon marketing strategy. Marketing strategy of Amazon. Retrieved from https://www.marketing91.com/marketing-strategy-of-amazon/ Dawson, J. (2015, May 11). Amazons International Growth Challenge. Amazons International Growth Challenge. Retrieved from https://recode.net/2015/05/11/amazons-international-growth-challenge/ D'ONFRO, J. (2015, July 25). Amazon's next big challenge: Winning India. Amazon's next big challenge. Retrieved from https://www.businessinsider.in/Amazons-next-big-challenge-Winning-India/articleshow/48210306.cms Doshi, P. (2015, August 07). 10 things I learnt about selling online in India that made me a marketplace millionaire in 2 months. 10 things I learnt about selling online in India that made me a marketplace millionaire in 2 months. Retrieved from https://yourstory.com/2015/08/marketplace-millionaire/ Hume, T. (2012, February 03). The secrets of doing business in India. The secrets of doing business in India. Retrieved from https://edition.cnn.com/2012/02/03/business/doing-business-india/ Pennsylvani, W. U. (2014, June 16). Year One and Counting: Amazon Aims to Strike It Big in India. Amazon Aims to Strike It Big in India. Retrieved from https://knowledge.wharton.upenn.edu/article/year-one-counting-amazon-aims-strike-big-india/ Rushton, C. (2015). The History of Amazon.com. The History of Amazon.com. Retrieved from https://www.ehow.com/about_5377195_history-amazoncom.html STRANGE, A. (2013, October 16). History of Amazon Reveals Original Name and Jeff Bezos' Temper. History of Amazon. Retrieved from https://mashable.com/2013/10/15/amazon-jeff-bezos-book/ The Columbia Electronic Encyclopedia. (2012). Amazon: Introduction. (Columbia University Press) Retrieved from https://www.infoplease.com: https://www.infoplease.com/encyclopedia/world/amazon-river-peru-brazil.html Yglesias, M. (2014, January). The Prophet of No Profit. How Jeff Bezos won the faith of Wall Street. Retrieved from https://www.slate.com/articles/business/moneybox/2014/01/amazon_earnings_how_jeff_bezos_gets_investors_to_believe_in_him.html

Wednesday, December 4, 2019

SETI Program Essays - Search For Extraterrestrial Intelligence

SETI Program Bertrand Russell wrote, "There are two possibilities. Maybe we are alone. Maybe we are not. Both are equally frightening (Jakosky 1)." The question of life in the universe is one that leaves many in a state of bewilderment. It becomes even more interesting when it leads to another question ? that of intelligent life in the universe. Finding other intelligent civilizations among the interstellar space would greatly affect every aspect of our existence. Conversely, not finding such a civilization would force us to examine the purpose of our own existence. To help answer the question, astronomers and scientists set up a program in search for extraterrestrial intelligence. This program, or SETI, was set up to verify, by observation that extraterrestrial life does exist. SETI tries to prove this by picking up and analyzing radio signals by means of satellites and advanced computers (Heidmann 116). The history of the SETI program is quite interesting. It started back in 1959 with the help of two famous Cornell University physicists, Guiseppi Cocconi and Phil Morrison. Both claimed that it would be possible to communicate with other potential extraterrestrial life in space by the use of techniques used in radio astronomy (Heidmann 112). Together, they voiced their belief that if other"alien astronomers" elsewhere in the universe possessed radio telescopes, that it would be possible to converse between the two (Heidmann 112-113). A young astronomer by the name of Francis Drake agreed with the theories of Cocconi and Morrison. He proposed building a radio receiver in order to listen for waves of sound being transmitted through space. It wasn't until the spring of 1960 that Drake began his first project of SETI, Ozma. In this project, he was the first to conduct a search for signals transmitted from other solar systems. For two tedious months, Drake pointed an eighty-five foot antenna in the direction of two starts the same age as our sun, Tau Ceti and Epsil. A single 100Hz-channel receiver scanned nearly 400kHz of bandwidth, for a repeated series of patterned pulses that would indicate an intelligent message (Heidmann 113-144). Unfortunately, the only sound that came from the speaker was static. Though no intelligent life was found and project Ozma proved to be nothing but a disappointment, it actually spurred the interest of others who created a feasible scientific objective ("Project Ozma"). In the 1960's the Soviet Union dominated much of the SETI program. However in the 1970's NASA's Ames Research center, located in California began to take over. After nearly a decade of study and preliminary research, the NASA headquarters fully funded and adopted the SETI program. However, five years later Congress ruled the program a foolish unnecessary scientific endeavor that wasted valuable funding. Congress then decided to not allow NASA to support SETI and terminated the funding ("History of SETI"). Despite the obstacle, the SETI program was reborn, forming the SETI Institute. It's first privately funded project, Project Phoenix, is the world's most sensitive and comprehensive search for extraterrestrial intelligence that listens to radio signals being transmitted our way. The project focuses on Northern Stars by scanning only those that are sun-like and are more capable of supporting life (Heidmann 146). The Phoenix Project is only one of the many projects run for the search of extraterrestrial intelligence, but is one of the most important. Another highly significant project in the search for other life would be the project run by the Columbus Optical SETI Observatory, or COSETI. This project was formed to promote the optical search for extraterrestrial intelligence. In other words, it seeks to detect pulsed and continuous wave laser beacon signals in the visible and infrared spectrums. Until 1998 however, little, or nothing was ever said to indicate that there might possibly be a sensible optical approach to SETI. Many researchers believe that extraterrestrials, if they exist, are so sophisticated that they would use lasers for their communications rather than radio waves. It is said that by the year 2005 that most SETI activities will be of the optical kind and that the Hubble Space Telescope (HST) could also be retrofitted for COSETI. ("The Optical"). One of the more recent projects that we are faced with today is the [emailprotected] Home Project. This project allows the general public to get involved in the search for extraterrestrial intelligence by allowing them to use their home computers to search for signs of radio signals being transmitted to Earth from space (Kahney, "A Search"). Supposedly, anyone is able to participate by running a free program that downloads and analyzes radio telescope data. The