Tuesday, August 6, 2019
Financial strain Essay Example for Free
Financial strain Essay I agree with the need of practicing consistency in the physician’s clinics. Evidence-based practice is a very useful tool and is something that is highly recommended to be integrated into the daily clinical practice like in the high quality care of diabetes. Diabetes at present ranks seventh as a primary reason of death in the first world countries and in the United States, for example, costs approximately more than $132 billion annually in healthcare and is still expected to rise yearly to as much as $192 billion in 2020 (Molinaro, 2008). This financial strain in the healthcare system could have been one of the triggers why the American Diabetes Association launched the Diabetes Physicians Recognition Program (DPRP) as a tool in effectively addressing this disease. The management of diabetes is important in the children population as well since it affects not only their health and safety but also their emotional and intellectual growth (Meyers, 2005). Like any other program that is put in place, the challenge always lies in sustaining them after they are implemented. Although the new process of diabetes check for every office visit demands longer time for both the patients and mid level providers, parties involved should be constantly reminded that this preventative program would ultimately benefit everyone by the early detection of diabetes and resultantly, its proactive treatment and prevention. The physician of the practice should be reminded that a lot of effort and resources were expended in getting the DPRP accreditation and implementing its various elements and processes are vital in making the program effective and achieve its desired end. Early intervention of the practice physician to ensure compliance of mid level providers is required to continuously sustain the program. This would set the example for patients to also do their part in ensuring that they also comply with requirements. References Biotech Week (11/Mar/2009). Bone Research: Research from the University of Ferrara. Bone Research Area. Profitt, W. (2000). Masters of esthetic dentistry: The soft tissue paradigm in orthodontic diagnosis and treatment planning. Journal of Esthetic Dentistry, 12, 86. Meyers, Laurie. (2005). Safe at school: Treating Diabetes in the Classroom. Diabetes Forecast, 5, 44. Molinaro, R. J. (2008). Targeting HbA1c: standardization and clinical laboratory measurement. Medical Laboratory Observer, 40 (1), p. 10.
Monday, August 5, 2019
Integrated Severe Accident Codes
Integrated Severe Accident Codes Advanced safety evaluations and design optimizations that were not possible few years ago can now be performed. Nowadays, it becomes possible to switch to new generation of computational tools in order to get better realistic simulations of complex phenomena and transients. The challenge today is to revisit safety features of the existing research reactors in order to verify that the safety requirements still met and when necessary to introduce some amendments, coming from not only the new requirements but also, in order to introduce new equipments from recent advancement of new technologies. The objective of this work is to give an overview of the state of the art in performing safety analysis of research reactors and to emphasize the need and the provision to achieve such goals. An attempt to perform standardized safety analyses for RR was proposed by the International Atomic Energy Agency e IAEA. In the framework of core conversion from the use of highly enriched uranium fuel to the use of low enriched uranium fuel. In this regard, a safety related benchmark problem for an idealized generic 10 MW MTR light-water pool-type reactor was specified in order to compare computational methods used in various research centers and institutions. The related benchmark problem covers large steady state kinetic and thermal-hydraulic calculations and wide range of hypothetical dynamic transient conditions. However, almost all of the safety analyses have so far been performed using conservative computational tools. Nowadays, an established international expertise in relation to computational tools, procedures for their application, including best estimate methods supported by uncertainty evaluation, and comprehensive experimental database exists within the safety technology of Nuclear Power Plants (NPP). The importance of transferring NPP safety technology tools and methods to RR safety technology has been noted in recent IAEA activities. However, the ranges of parameters of interest to RR are different from those for NPP. This is namely true for fuel composition, system pressure, adopted materials and overall system geometric configuration. The large variety of research reactors prevented so far the achievement of systematic and detailed lists of initiating events based upon qualified PSA (Probabilistic Safety Assessment) studies with results endorsed by the international community. However, bounding and generalized lists of events are available from IAEA documents and can be considered for de eper studies in the area. In the area of acceptance criteria, established standards accepted by the international community are available. Therefore no major effort is needed, but an effort appears worthwhile to check that those standards are adopted and that the related thresholds are fulfilled. The importance of suitable experimental validation is recognized. A large amount of data exists as the kinetic dynamic core behavior form SPERT reactors tests. However, not all data are accessible to all institutions and the relationship between the range of parameters of experiments and the range of parameters relevant to RR technology is not always established. However, code-assessment through relevant set of experimental data is recorded and properly stored. An established technology exists for development, qualification and application of system thermal-hydraulics codes suitable to be adopted for accident analysis in research reactors. This derives from NPP technology. The applicability of system codes like RELAP5, COBRA and MARS to the research reactor needs has been confirmed from recent IAEA activities. Definitely, system codes are mature for application to transient analysis in research reactors. However, code limitations have been found in predicting pressure drops as a function of mass flux at low values of mass flux when nucleate boiling occurs. The importance of the Whittle and Forgan experiments shall be mentioned, as well as the dependence of results from the noding (cell subdivision) adopted by the code users. Several code user choices, including time step may have a significant effect upon prediction, thus confirming the need for detailed code user guidelines. Furthermore, code validation must be demonstrated for the range of parameters of interest to research reactors. The crucial role of uncertainty in research reactor technology has been emphasized, (a) for the design, with main reference to the prediction of the nominal steady state conditions and, (b) for the safety issues, with main reference to the prediction of the time evolution of significant safety parameters. It has been observed that suitable-mature methods exist, but the spread of these methods and procedures within the community of scientists working in research reactor technology is limited. Therefore, the purpose of the present report is to provide an overview of the accident analysis technology applied to the research reactor, with emphasis given to the capabilities and limits of the used computational tools. There are many analysis codes for transient and accident analysis and simulating individual phenomena of severe accident. These analysis codes can be categorized into the different groups as shown in Table 1, where various analysis codes are classified into several groups. The integrated severe accident codes are formed by selecting and combining individual analysis tools. They can be used to model the whole sequence of the severe accident which may occur in the plant system or in the experimental facilities.
Sunday, August 4, 2019
FGM: Female Genital Mutilation Must be Outlawed Worldwide Essay
Female Genital Mutilation, shortened to FGM in most medical texts, is â€Å"collective name given to several different traditional practices that involve the cutting of female genitals.†FGM is a common cultural practice in many parts of the world, especially Africa and Asia that was established hundreds of years ago. There are many different types of FGM, ranging from clitoridectomy, to cutting and infibulations (Skaine 7). Even though these procedures are accepted in the areas they are practiced, FGM has become a human rights discussion resurfacing in recent years because the procedures serve no purpose. Female Genital Mutilation is an unethical practice that should be outlawed throughout the entire world. FGM, specifically infibulation, is believed to have started in Arabia and then spread to Africa through a well-established trade route. FGM has never been considered a hygienic practice because most of the procedures make hygiene more difficult (Pieters). The sole purpose of FGM is to make sexual contact unsatisfactory for the woman, no matter what the motive is. Some girls go through FGM procedures at a young age to calm their fathers’ nerves and others undergo the procedures so she won’t stray from her husband. In Egypt, 97 percent of women have undergone a Female Circumcision procedure sometime in their lives while only 82 percent approve of it. An Indonesian study showed that midwives performed from about 68 to 88 percent of all procedures (Skaine 42). Most of the time, girls that receive a Female Circumcision don’t even get a chance to voice their opinions because they are too young when the procedure is performed. While Female Genital Mutilation procedures serve their purpose, to take away sexual satisfaction, every advers... ...problem is viewed by the public. According to the Womankind Worldwide organization, in order to achieve the abolition of FGM two things must happen: â€Å"FGM needs to be firmly [placed] on national governments’ agendas and there must be clear laws specifically criminalizing FGM†(Womankind Worldwide 32). Until those two things happen, Female Genital Mutilation will continue to be a worldwide concern. Developed nations must help the countries â€Å"lagging behind†to smooth the progress of eradicating FGM (Skaine 79). The frequency of genital cutting in individual countries makes the practice seem irrelevant in many parts of the world; however the practice is a worldwide human rights concern. A person’s body should not be deformed, unless for hygienic or medical reasons, without the individual’s permission therefore any form of Female Genital Mutilation should not take place.
Saturday, August 3, 2019
Amerigo Vespucci :: essays research papers
Amerigo Vespucci Amerigo Vespucci, an Italian explorer was born in Florence, Italy in the year of 1454. Florence was a good city to grow up in for young Amerigo, because of the growing interest in the field of exploration. Some of the adults told young Amerigo about the wonders and riches of the Indies. Like the other Italian boys in his village, undoubtedly Amerigo was fascinated with by those tales. Â Â Â Â Â Amerigo lived in the Ognissanti section of Florence with a lot of the Vespucci family. The Vespucci family was pretty well off, so Amerigo thought that he was in line for a lot of money after his father's passing, but his brother Antonio was highly favored over the rest of the children. Most of the Vespuccis living with Amerigo were merchants dealing in wine, olive oil, or wool. Not all of the Vespuccis were merchants, a small percentage of the Vespuccis were bankers. All of the family liked art and learning, poetry and music just like the rest of the Florentines. The ruler of these interesting Florentines was Lorenzo de' Medicior, who was also know as Lorenzo the Magnificant. Â Â Â Â Â When Amerigo was older, but still a young man, his father Antastagio Vespucci sent him to the Monestary of San Marco to study with his uncle Giorgio. In his new school, Amerigo along with the other European boys learned Latin, math, grammar, history, Italian and Greek Literature, geography and astronomy. Amerigo learned to love astronomy, because he was fascinated about all of the shapes the stars made, that his uncle called constellations. Amerigo thought about traveling about the Earth, but he thought it to be impossible, because he was tought in school that the equator was a ring of fire that made the waters boil there. Â Â Â Â Â Amerigo's hopes of traveling the world were become more realistic over time. The first thing that sparked this was the invention of the caravel, a light, narrow, 60 to 70 foot boat. The Portugese, that started making this boat had learned to rig the caravels to sail well against the winds and currents of the rough oceans. Another reality check occured when Amerigo was 19. What happend was the Portugese finally sailed to the equator and found no boiling seas, which proved the Roman theory that young Amerigo was taught in school wrong. But then came a period in his life that Amerigo realized he would never
Farming In Denmark :: essays research papers
Denmark is located in the Central Northern part of Europe. It is part of the Scandinavian countries, thus it has a relatively cold weather all year long. 75% of Denmark’s land is used for farming. Because of it’s export of agricultural and industrial produce, it enjoys one of the highest standard of living in the world. This case study is meant to study the farming in Denmark. Types of Farming: Denmark is divided into 3 areas: Jutland, Fyn, and Zealand. Farming is found in all of those areas. Denmark’s types of farming are: Dairy farming, Crop farming, Animal farming, and Mixed farming In Jutland, the least intensive farming is found. There they mainly grow rye, oats, and potatoes. Pasture land is also found there. In Fyn and Zealand, the most Intensive farming is found. There they grow cereals with root crops, and pigs. Some areas in Jutland and Fyn are also used for mixed farming. Is the Land Suitable for Farming?: Denmark’s land wasn’t very fertile in the Nineteenth century. It had Sandy soils in the West and Clay land in the East. The government invested a lot of money into making those lands fertile. The low lying and relatively flat land in Denmark added to the existing fertile soils, and partially favorable climate (Winter frosts + Warm and sunny summer with rainfall over the average) makes Denmark ideal for cereal farming. Up till the 1870’s, Denmark was a major exporter of wheat and barley. But eventually, it had to diversify due to hard competition. That was when it realized the high demand for dairy products in foreign countries (mainly Britain), thus it started to export dairy products along with cereals. This meant it had to rely on pasture land for rearing animals Today, Denmark’s land is typical for the types of farming found there. The land remains ideal for cereal farming. Pasture land is also found for cattle. Pigs and poultry remain inside a barn all year long. The land is also ideal for growing potatoes and other root crops. Stalinization isn’t a problem in Denmark due to a high annual rainfall. Where in the World can Similar Farming be Found?: Mixed farming: Mixed farming can be found in North America (i.e. USA), in Asia (i.e. Russia), and in Europe (i.e. France and Spain). Mixed farming can be also be found in the rest of the continents. Dairy farming: Dairy farming is found world wide. It is found in Israel, Italy, USA, France, Britain, and many more.
Friday, August 2, 2019
Crossing the West and Unite Essay
Is Pan- Africanism merely an ideology of beliefs that belongs to a past? Historically it can be traced that Africans in their country of origin have a great civilization but why in the world would this great people need to walk a crusade like one of its forerunner’s Du Bois when he said that: â€Å"The Last Battle of the West†in liberation of the Africans. This was reechoed to the world when racial ideologies become severe in the West, in Latin America, and under the British Colony.            In the paper written by Araia it was mentioned in detail how Pan-africanism followed throughout history how the Africans were discriminated from repatriation towards the movement of the Diaspora. Some of them are also the black slaves who are treated well and given freedom by some of their masters. This loyalty taught the Diaspora to adapt the ways their masters taught them. The Africans and Diaspora experienced the same discrimination and both have adjusted to their present environs.  It was also proven that one color is not a proof of unity since man seeks to have different clichà ©s or the need to belong to a certain group. In some cases, adoption to a certain laws and culture makes a person get antagonized by two identities especially if the one being introduced is exactly opposed to his or her tradition. And with that, instead of unification a person has the guilt of having adulterated ones culture or we may say to experience a culture shock.            That shock divides, and Pan-African organizations have travelled a long way to reunite its brood. An issue that goes with identity crises is repatriation which has bad and good consequences like founding its way for a new black republic in the western hemisphere. That beginnings fostered confidence to the Diaspora and to the Africans in the continent. These are somehow, providential that the Africans scatter the world like someone says that from evil there is an abundance of good. In this scenario, we can conclude that those early Africans who crossed the continent have struggled, though some may loose their birth right marks, many have hold on to his true identity.            In one of the conferences, African’s echoed the need to be respected like all other humans as Malcolm X stated that â€Å"†¦, so that Africa too becomes respected as other huge continents are respected, then, wherever people of African origin, African heritage or African blood go, they will be respected – but only when and because they have something much larger that looks like them behind them (GAraia).† His words explained the impact of Pan-Africanism ideology towards the African experience and the Black Diaspora. To him, the proof of a good race is the good examples that will be left behind by that color and creed.  Malcolm X words mean to say, the need for the Africans to show to the world that the race came from a good and descent stock while explaining that respect begets respect. But first and foremost respect for oneself should come first.            The elevation of the human nature is based on its dignity, and for this reason it is necessary to look back to where this race belongs. It is important to see how the older ones have struggled and how did they fought squarely the battle of searching for one’s identity. Thus when it is found, is it an experience of neither dismay nor courage. The integral part of this soul searching is whether it is accepted or not but the most important thing is to gain confidence and repair whatever damage is done.            The reformist Du Boisian pan-Africanism had more influence and ideological impact on Africans in the Continent during the early part of reunification but on the later part the transatlantic Pan-Africanism focused on nationalist ideologies thru Nkrumah.     However, the vision of Garvey became relevant until today because it has promoted unity and well-being among Africans, re-examination of public policy against racism and other forms of discrimination which has resulted to security and equality, and provision of sovereignty and respect towards individual culture. Identity crisis was changed into acceptance in spite that points of view can not always be the same.            The Brazzaville and Casablanca could have been fueled by the so called identity crisis too which could have gotten down to the marrow of the new generations of the Africans in the middle of the 19th Century. The former against the bearing of a socialist mentality and the other gets intimidated of begging or having dependence on the Western aid. Those are two opposing ideological differences that have affected the political and economic perspectives of that time.            However, in the course of time different Africans groups learned to focus on their similarities to bridge the gap that has existed due to various groupings. This meeting of the minds ended in the formation of the African Unity which led by Nkrumah created the UNIA under the influence of the philosophy of Marcus Garvey to the Negritude of Cesaire and Senghor. This movement led to the search of the African identity till it is known today as African Union (AU) which was previously called Organization of African Unity (OAU).  Today, we may say that the Pan-Africanism movement has matured and was able to handle whatever difficulties they would get entangled within their individual principles and personal circumstances. Through viable global communications brought by new technology, a connection was built between Africa and its Diasporas which forge Pan-African unity transcending all unproductive dichotomies. Today’s relevance of the Pan-African            Pan-Africanism will remain the instrument of fostering unity and empowerment as long as there is marginalized Africans and Diaspora that has been continually growing in numbers. It will be the voice to call and unite, and to remind wherever this colored men are, telling each one is his brother’s keeper.            With the growing world spearheading towards globalization, there is a great need for Pan-Africanism to be a state led project in the emancipation of its great role in the 21st Century. There will be new challenges facing the Africa and the Diaspora despite of its historical achievements of decolonization and civil rights. The ideology of collective empowerment can provide a great leap for Pan-African states and societies who are merely pawns in the world arena. According to Nkrumah there is a need to pull all resources like the socio-cultural, eco-political aspects and demographic capitals to attain the Pan-African vision of the socio-economic development of all its civil societies namely the Africans and the Diasporas.            It is very striking to know that African migrants (Diaspora) today are very much educated as compared to people of its country’s origin. Making the brain drain problem severe in Africa but these international migrants who are skilled are assets for the developing countries in terms of remittances and brain mobility. Those who migrated towards the north are very much educated however they only comprise of the minority. Majority migrated to other African countries. In other words, the Diaspora represents a growing mighty force for the development of Pan-Africanism today. The African Diasporas because of their dual identities acquired from their host countries became more flexible and at the same time equipped with enormous social capital that could defend the future of Africa.            However, the government only views the Diasporas as an economic resource or by way a dollar remittance arm. They do not only exceed foreign investments cash capital but with their civic and cultural awareness could access global markets, create a more vigorous democracy that could strengthen a society that encourages growth of new philanthropic cultures. Diasporas are regarded as people with multiple identities but with commitments firmly rooted to their country of origin.            The new generation of the African Diasporas will surely bridged the gap of the Atlantic and Africa and the African American created by prejudices and the racist media. One can perceived today the growing awareness in the Pan-American consciousness for instance the assertiveness of the blacks in Brazil, the affirmation of Afrocentric culture in the US, and Afropolitan identities of the diasporas in European Countries. They are collective struggles that show the world that these African migrants are reconstructing their identities by renegotiating their place in wherever host societies they belong which is in congruent that they will attain full democratic citizenship and status, a dream that has been long awaited by their peers and fore parents.            In the long run, this presence of the Diaspora will be felt by the whole world and in order to facilitate their presence, African policy makers and Pan-Africanism should take the Diaspora options seriously. This requires networks that facilitate brain mobility, formation of diverse knowledge, and the defense to Africa which have been defamed in Euro-America.            AU with its 20 councils, promoted social and cultural contexts towards its civic organizations in order to unify and integrate Africa, an enduring dream for Pan-Africanism derived from the rising of the Diaspora’s homogenization from one’s host country. The AU is more robust organization, and is more people friendly. The OAU was preoccupied with politics, sovereignty and elite’s camaraderie. However, both are achievers in the vision of Pan-Africanism.            In its present trend, AU launched the â€Å"African Union-African Diaspora Summit at all levels of the State and Governments, with a theme â€Å"Towards the realization of a united and integrated Africa and its Diaspora†in short, after crossing the West – the African will be united. This unity hopefully will lead to a full cooperation and better understanding of every member of the Pan-African nations including the cooperation of the Diaspora host countries worldwide.            The self acceptance of the Diaspora rejuvenated Pan-Africanism with its contemporary dictum of being able to combine the old and new. Their demands are no longer driven by political independence but learning the complex ties that separate and unites them to their origin. With this knowledge, unity will not be an elusive dream to the Pan-Africanism but a way of life transcending global marginalism that has been caused by inequality of power and privileges.            The passing of time may have healed the wounds in the past; the present generations are no longer alienated to the prejudices, but men and women who are proud of their colors and traditional beliefs. These Africans are more capable of confronting the problems of today than merely following the course of history. These are men who see the world, fair and square but able to form kinship and friendship even with those who had inflicted wounds on them.            Pan-Africanism is not just an ideology it’s praxis, a chain that links all Africans of the world. It has guided the race through out history and will always be a gleaming light for those who find that multiple identities seem quite confusing. It will be a bosom for all Africans to convene, and to learn that adopting other technologies and means is not to be come inferior but teaching this race the value of genuine patriotism.            The so called ideology came from a long journey, it infiltrated the West and the Atlantic continent, and it has surrounded the world as bent on becoming a one and united dynamic race. They will be people who will not be saddened by their past mistakes but more of a people who have stand and struggled to gain respect.            These are people with human culture that is unique and these beliefs are needed to be upheld and preserved. The Pan-African vision will guide these beliefs through time which must be guided by wisdom. Loving ones country does not hate the other; nationalism is not wrong as long as we do not hate or inflict wrong another nation. Better still, we must love our own country but also loving the rest of the world and that’s what you call patriotism.            For those who are lucky to cross the West, and the other Diaspora, and those who belong to each others continent – it is time to unite. After all, man belongs to one single stock – the human being with a body and soul. Diasporas from all parts of the globe or Africans alike wherever continent they belong, they are just one brother and sister who belongs to one and the same human race.            To all Africans and Diaspora the ideology of Pan-Africanism will always be behind, until the time that this race received the respect its forerunners has long waited for.  It will always be the shadow that will unite every Africans and the Diaspora who has been nurtured and taught by its adoptive nation. In turn, both will be teaching the other their ways combining new and old and giving good examples that the rest of the world will learn to admire and accept. Works Cited Ghelawdewos Araia. â€Å"The Historical and Ideological Foundations of Pan-Africanism.† 2006.
Thursday, August 1, 2019
Life in the city Essay
Life in the city is full of activity. Early in the morning hundreds of people rush out of their homes in the manner ants do when their nest is broken. Soon the streets are full of traffic. Shops and offices open, students flock to their schools and the day’s work begins. The city now throb with activity, and it is full of noise. Hundreds of sight-seers, tourist and others visit many places of interest in the city while businessmen from various parts of the world arrives to transact business. Then towards evening, the offices and day schools begin to close. Many of the shops too close. There is now a rush for buses and other means of transport. Everyone seems to be in a hurry to reach home. As a result of this rush, many accidents occur. One who has not been to the city before finds it hard to move about at this time. Soon, however, there is almost no activity in several parts of city. These parts are usually the business centres. With the coming of night, another kind of activity begins. The streets are now full of colourful lights. The air is cooler and life becomes more leisurely. People now seek entertainment. Many visit the cinemas, parks and clubs, while others remain indoors to watch television or listen to the radio. Some visit friends and relatives and some spend their time reading books and magazines. Those who are interested in politics discuss the latest political developments. At the same time, hundreds of crimes are committed. Thieves and robbers who wait for the coming of night become active, and misfortune descends upon many. For the greed of a few, many are killed, and some live in constant fear. To bring criminals to justice, the officers of the law are always on the move. Workers and others who seek advancement in their careers attend educational institutions which are open till late in the night. Hundreds of them sit for various examinations every year. The facilities and opportunities that the people in the city have to further their studies and uncrease their knowledge of human affairs are indeed many. As a result, the people in the city are usually better informed than those of the village, where even a newspaper is sometimes difficult to get. The city could, therefore, be described as a place of ceaseless activity. Here, the drama of life is every day.
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