Streer Bike Stunters write-up Essay Example | Topics and Well Written Essays - 1000 words

Streer Bike Stunters write-up - Essay Example Street bike stunting in the streets of California is one thing that brings a lot of young people to craze and it has helped to develop friendship and amity among the youths. I set out to find out how bike stunting had been incorporated in the society as a culture. Many youths during their early life experiences, tend to incline to a certain group usually informally, this is because of the same age, or live same street e.t.c. I learnt from my friend that street bike stunts in many American states helps young people to socialize and interact at personal levels offering each other support in their activities. Theses activities help to build friendships and give the young people an opportunity to discover their talents and encourage them to work even harder to achieve greater heights. I have experienced the street bike stunts of San Jose of California and found out that all they do is more than just stunting on the streets. A friend of mine by the name Jonathon says â€Å"these stunts give us an opportunity to socialize and discover full potential in a person†. Affinity groups may develop formally as a result of being included in the same school team, or same class (Glaser 1999, 21). â€Å"How did you guys meet?† I asked him. â€Å"Actually we were not strangers we grew up in the same neighborhood† Jonathon explained. â€Å"How do you identify yourselves?† I asked â€Å"The name of the group is Stunters, Street Battlers† we came up with the name to build in ourselves a psyche and motivation to achieve greater heights. The group works to entertain people as well as build on their skill and to earn experience of what they do best. I think the stunts pool together youths who are ambitious to develop their talents and the stunts are occasionally graced with prizes and cash for the best stunts. People usually give money to support the events for the love of the sport and this is wholly a non profit making

The Role of the Registered Nurses in the Emergency Room Essay

The Role of the Registered Nurses in the Emergency Room - Essay Example The changes in RN roles especially in the ER are a result of increased public and political demands to set up higher benchmarks in the medical field (Gardner et al., 2007). Subsequently, emergency departments are focused to undertake initiatives to successfully meet government lay-down key performance standards and benchmarks that determine the performance of the healthcare units. Role of Registered Nurses In different parts of the world today the ER nurses have adapted their responsibility to incorporate tasks that were formerly undertaken by medical staff. For instance, suturing wounds, plastering fractures, and recording of electrocardiograms, X-raying of patients with potential fractures, and cannulation of patients are important tasks that ER nurses undertake (Neades, 1997). In recent years the educational qualification of an Emergency Nurse Practitioner in addition to sound nursing practice based on all aspects of nursing is an essential criterion. However, in general the requi rement is formal post-basic education in holistic assessment, physical diagnosis, prescription of treatment and promotion of health. The Emergency Nurse Practitioner is a key member of the healthcare team directly available to members of the public (Neades, 1997). Hence in several health care set ups it is expected that the nurses must be an independent practitioner who is able to assess, diagnose, treat and discharge patients without reference to a doctor. Since this job comes with high responsibility, there are several guidelines provided by the government as well as the health care set up. Additionally, the nurses must be able to make independent referrals to other healthcare professionals (Neades, 1997). A variety of roles such as identification and management of minor injuries, preliminary scans, pain management, recommendation to other health professionals, and health promotion activities are the role of registered nurses. According to the Royal College of Nursing the role of registered nurses in ER include, several investigative tests (such as X-rays), preceding to the patient being seen by the specialist (Neades, 1997). It is a well known fact that the role of nurses is not restricted to the health care units but is also extended into the society. For instance, the health promotion aspects are also highlighted, signifying how their knowledge and skills can be further utilised to care for vulnerable groups in cases of emergencies. In order to reduce the over-crowding in the emergency rooms to some extend, the Nurse Practitioner may undertake advanced roles such as the assessment and treatment of injuries, as well as developing a health promotion and accident prevention role within the community (Neades, 1997). It is believed that the ER nurses may have a positive role in primary care delivery and reduce the work load of the doctors. Diverse needs and the function of NPs will vary between institutions and around the world.

Histomorphometeric Study of Lymphoid Nodules of Vermiform

Histomorphometeric Study of Lymphoid Nodules of Vermiform ABSTRACT Objective: To study the lymphoid tissues of vermiform Appendix at various age groups to establish that appendix is an important organ of gut associated lymphoid tissue (GALT) and its role in etiology of acute appendicitis. Study Design: Comparative study Place and duration: The study was conducted at Islamic International Medical College Rawalpindi from July 2011 to June 2013. Materials and Methods: Four age groups spacing 15 years between each group, except last group (advanced age) which had no limit because of less availability of the specimens, were made. In each group histological sections of 10 normal looking surgically amputated vermiform appendices were included. The parameters including number of lymphoid nodules and diameter of lymphoid nodules measured under the microscope. Results: There was gradual decrease of mean number of lymphoid nodules with advancing age but even at the age of 74 few numbers of lymphoid nodules were observed. There was great variation of diameter of lymphoid nodule at different age groups but at advanced age it was much decreased. Conclusion: The lymphoid nodules decreased with advancing age but these were present even at the age of 74 years. The diameters of lymphoid nodules are remarkable except at advanced age. Key words: Vermiform appendix, lymphoid nodule, Microscope. Introduction The clinical presentations associated with this blind ending tube (vermiform appendix) are so many and diverse that many lives have been lost in the past either due to misdiagnosis, mismanagement or complications associated with it. The appendix length varies from 2 to 20 cm with an average of 9 cm.1 The variable number of lymphoid nodules located in the lamina propria extending to sub-mucosa, are arranged circumferentially around the lumen of the appendix. The crypts of Lieberkuhn are absent between epithelial lining and lymphoid nodules at places where the lymphoid nodules are close to epithelial lining. Zahid A. observed that the vermiform appendix is an important component of mammalian mucosal immune function, particularly B-lymphocyte-mediated immune responses and T-lymphocytes derived extra-thymically and it is also suggested that vermiform appendix is not a vestigial organ.2 The normal function of appendix probably helps to promote local immunity.3 The appendix contains both isolated and aggregated lymphoid follicles and it is a part of gut associated lymphoid tissue (GALT).4 The irregularity of the lumen of vermiform appendix is due to mucosal folds which appear due to lymphoid follicles.5 The lymphoid nodules appear in the vermiform appendix about two weeks after birth6. In full term human fetus there is no obvious lymphoid tissue seen in the vermiform appendix but two well organized lymphoid nodules are observed within first two weeks and about 10-12 well organized and prominent lymphoid nodules are visible in transverse section of vermiform appendix of man of thirty two weeks old.7 As the age advances, the weight of the appendix decreases because number and size of lymphoid nodules reduces. In or near appendix, in any pathology, the primary and secondary immune response is high in young age. Materials and Methods This study was conducted at Islamic International Medical College Rawalpindi from July 2011 to June 2013. In this study, a total of 40 normally looking surgically amputated vermiform appendix specimens were included. According to age, these specimens were divided into four equal groups. Each group consists of 10 specimens with spacing of 15 years between each group except the last group. Due to less availability of appendices, the last group ranges from 46-74 years. The groups were as follow: Group A: 0- 15 years Group B: 16-30 years Group C: 31-45 years Group D: 46-74 years The 5 micrometer thickness sectioning of tissue blocks with microtome made. The specimens stained with Haemotoxylin and Eosin. Only the results of middle part of the vermiform appendix are included in this study. The histological slides were examined under the light microscope after calibration of ocular micrometer. Procedure for measurement of the diameter of the lymphoid follicle The measurements were taken twice for each nodules, one was taken among the maximum transverse diameter and another at perpendicular to the first one. Then the number of micrometer divisions were multiplied by the correlation factor derived earlier keeping the magnification constant. Diameter of the lymphoid follicle was calculated as: Maximum transverse Diameter + Perpendicular diameter Diameter of lymphoid follicle = 2 By using the above formula the diameter of all lymphoid nodules of each slide were measured and then mean diameter of each slide calculated. Then the mean diameter of each group calculated as shown in the tables. Discussion At different age groups, the microanatomy of appendix is variable. The lumen size and wall thickness depends on number and diameter of lymphoid nodules. There are large numbers of lymphoid nodules in the vermiform appendix and it is a part of Gut Associated Lymphoid Tissue (GALT). It is proposed by Zahid A. that appendix perform to train immune system of the body for production of antibodies when exposed to antigen and also play a role in foetal development by manufacturing hormones.2 In this study, the highest number of lymphoid nodules (10.3) is in the group B (16- 30 years) and the lowest number of lymphoid nodules (3.8) is in the group D (46-74 years). In a Bangladesh study8, the highest number of lymphoid follicles was in age group up to 20 years and lowest in age group between 56-70 years and similarly the diameter of lymphoid follicles is highest in age group up to 20 years and lowest in age group of 56-70 years but the age grouping was somewhat different from our study. In another study, the highest average diameter of lymphoid follicles was found in group 0-20 years and lowest average diameter was found above 50 years age.9 The above referred study agreed with Borley5 and Arey.10 In another Bangladesh study11 the mean numbers of lymphoid nodules are less than half of our study. In old age, the numbers of the lymphoid nodules are reduced and these are replaced by fibrous tissue.11,12 It is observed in our study, that although the mean number of lymphoid nodules is lowest (3.8) in group D (45-74Years) but even at the ages of 60 years, 63 years, and 65 years, the number of lymphoid nodules are equivalent to some specimens of group A, B, and C. Even at the age of 74 years three lymphoid nodules were found. Although the lymphoid nodules and other structures in the wall of appendix are replaced by fibrous tissue in old age but normally it is also observed in many adults13. The germinal centers in most of the lymphoid nodules of human appendix are present in the children up to16 years of age but the number of germinal centers are less in adults and they are absent in the nodules in old age persons.14 In our study the germinal centers were not explored. Like the vermiform appendix, the Peyer’s patches (Lymphoid nodules) which are concentrated at distal 25cm of ileum are more numerous in young adults and they become less prominent as age advances.15, 16 Conclusion The lymphoid nodules decreased with advancing age but these were present even at the age of 74 years. The diameters of lymphoid nodules are remarkable except at advanced age. Ann. Pak. Inst. Med. Sci. 2014; 10(3): 161-1641

Week 1 Assignment

Working for a big company, there is always something new to learn and new work that comes our way. There are many different personalities. We were always training and learning new material and tools to use to make our work more effective and productive. We would have meetings that were hours long so everyone can train on the new work and tools we had coming our way. Most of the people were struggling to learn the new tools. I was taking a class in which we were learning about peoples’ different learning styles. I thought all the training we were doing would be a great project for the class I was taking.I brought it to my bosses’ attention that I think that people are not learning because everyone has a different learning style. She was convinced that people were just tired and busy that’s why they could not understand the material. I wanted to test this theory. I suggested if we can give the employees on our team a learning test to see which way they better leane d. The results were exactly what I thought they were. Everyone had different learning styles. It turns out that most of the people on our team learned best Hands-On. Others were visual and the rest learned best by reading the material.This type of research method is best described as Correlation Research (positive correlation) because I was determining if two sets of variables are associated and if the variables increase or decrease. In this case when people used a learning method that fit best for them, they had better results for learning. When they were using a learning method that was not best for them, they were not learning the material. If I could have done anything different it would have been to test peoples’ personalities to determine if certain personalities learned a certain way. This would have gone more in depth as to why people learn the way they do.

Online Clinic Management System

I. Company Profile Established in November, 2008, the Villa-Santarromana Dental Clinic provides quality dental services to private clients who prefer dental treatments in a friendly and caring environment. The clinic was managed and owned by Dr. Karen Francia S. Villa. It is located in the city proper of Luna, La Union. They offer services in the field of General Dentistry, Orthodontics, and Cosmetic Dentistry. As for the moment it has a huge amount of clients who comes every day for dental services.We all know that modern clinics are now operating at great pace striving to serve as many patients as possible with the best of their abilities. But as the years rolled by, prescriptions, billing and appointment schedule, is no longer practical. In this study, we hope to develop a web-based application that will minimize all paper works and manual records keeping, therefore allowing doctors and staff ease in keeping track of patients.Reducing patients’ waiting time and increasing t he number of patients served a system that is fully automated, user-friendly, time effective and efficient. II. Problem Definition A. General Problem: The main problem of Villa-Santarromana Dental Clinic is that they have the manual way on recording, tracking, and managing patients request which sometimes lead to slower transaction within the clients. B. Specific Problem: New and regular patient’s records was recorded manually; * Billing statement and its official receipt is done manually; * Tracking regular patients; * Scheduling of services; * Tallying of monthly income. III. Objectives A. General Objective This study was aimed to designed and develop an online clinic management solution that will serve as proposal to help the dentist and staff to save time and resources with the automation of its daily clinic operations.Specifically this study was aimed to: * To computerize record keeping of patients; * To allow dentist retrieve complete patient instantly; * To automate bi lling statement and official receipt; * To automate medical prescription and medical certificates. IV. Project Description Project Goal: The focus of this study is to create an online clinic management system that will greatly improve the efficiency and quality of care in clinical practice. The system covers the profile of the client’s personal information; * The system tracks the records of the regular clients; * The system will have an automated billing statement and official reciepts; * The system will record, update, store, organize, and retrieve patient’s records. * Web-access of the patients is not included; * The system has a secure log-in for dentist and staff; * Managing appointment is also integrated; * Automated medical prescriptions and medical certificates.

Are The Police Our Friends - 1211 Words

Are the police our friends? Are they really protecting us? Or are they taking advantage of their powers? As humans, we always look at the negatives of all situations, and never the positives. Well, the police force have saved us from many fatal incidents and have protected us from the day we were born. Sadly, we tend to criticize them for the all the things they did wrong. Questionable events occur from time to time, raising attention throughout the world and especially on social media. The most projected incidents raise attention as a result to the race,age, gender and colour of the individual. The primary reasons why racial stereotyping is difficult to overcome are a result to past controversial police incidents, police carding and how police culture and police personality have taken a huge role in the topic. Firstly, police have a number of cases against them, regarding violent and unexpected acts on their ends. Soon, police brutality became a word that popped up more often. Many of the incidents caused chaos in the streets and people protested for answers. What sparked the fire was that most of these incidents were mainly addressed with black males. Many incidents that led to death or severe injuries like Rodney King, Robert Davis, Michael Brown, Eric Garner. These drastic events spark questions within the police force. Were they trained properly, or were they just sent out in the field with a badge and a uniform? In an online article, it said â€Å"Garner was killed afterShow MoreRelatedThe Importance Of Police736 Words   |  3 PagesNowadays, police play a significant role in the society. They are important because they help us maintain order, ensure peace and tranquility, prevent crimes, and etc. However, a study from Pew Research Center suggested that there were only â€Å"abou t one-third (36%) of the public says they have a lot of confidence in their police department† in America (Morin, 2016). 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The Run Down on Good Topics for a Argumentative Essay Revealed

The Run Down on Good Topics for a Argumentative Essay Revealed Social networking comments should be safeguarded by free speech. Inspiration to make your own advertising or media argumentative essay topics isn't really hard to discover. In any case, direct and indirect quotes are required to support your understanding of academic writing style. Every American should learn how to speak English. If you're thinking that you require someone to compose my essay at this time, you can merely rely on our honest reviews. You may also choose any latest research work that's somewhat controversial to allure the readers to compose argumentative essay. The main reason for writing such a paper isn't just to discuss it. Understanding how to compose a strong argumentative paper will help you advance your very own argumentative thinking. School should occur in the evenings. Papers will be able to help you to compose your cause and effect essay. Students ought to be permitted to pray in sc hool. They should be able to leave school for lunch. What You Don't Know About Good Topics for a Argumentative Essay In the event you're not sure concerning the issue or what you're anticipated to come up with, ask your instructor or trainer. Analyze your audience, and discover out what their needs are. Preferably, it needs to be something that you're an expert in. It is possible to even approach an instructor who will let you know what is required to manage your problem with public speaking. Quite often the most difficult portion of the assignment is selecting a topic. On the flip side, if you decide on a controversial topic you have very little interest in, you'll find it quite difficult to finish the assignment. Part of your job as the speaker lies in inventing a speech that's simple to comprehend and follow. Last word of advice is to ask your teacher before the last decision about the subject selection for argumentative essays. Most Noticeable Good Topics for a Argumentative Essay For instance, in college, you might be requested to compose a paper from the opposing perspective. You may continue to keep your argumentative essays for your upcoming job portfolio in case they're highly graded. When you've got a completed outline, you'll have a step-by-step guide that you are able to follow until you're done writing. It's extremely important to read carefully essay services reviews, because you would like to steer clear of low high quality services. You can rest assured your point of view is right until you satisfy an individual that thinks that you're completely erroneous. When you're picking your topic, bear in mind that it's much simpler to write about something which you presently have interest ineven in case you don't know a good deal about it. Take your time to thoroughly examine our cause and effect topics list till you locate a prompt that you're excited to write about. Actually, those who have an issue with public speaking may not have the capability to lead a normal life too. Good Topics for a Argumentative Essay: No Longer a Mystery By starting with a very clear articulation of what your opinion is going to be, you will be in a position to make sure your essay flows and retains a consistent argument. Prior exposure or knowledge about a specific subject provides better hindsight that may bring superior arguments on the issue. In addition, you will only be in a position to really present solid arguments if you are interested in this issue accessible. It's possible for you to restate your argument, which is a rather common practice amongst essayists. During argumentative essay writing, you ought to be prepared for a discussion on it. When you are finished with your essay, you must not just check it for spelling and grammatical errors, but nevertheless, it also has to be checked for logical fallacies. If you've got to compose your whole essay in 1 day, do your very best to give yourself breaks so you don't burn out. Creating a very good argument essay starts with a list of argumentative essay topics. Great Essay Topics provides you a wide variety of topics for several kinds of essays. Controversial topics work nicely for speeches and essays, since they typically evoke strong opinions on either side. Argumentative essay topics cover a wide number of subjects, and can be quite persuasive if an excellent essay represents them. Moral argumentative essay topics are a few of the simplest to get carried away with. You might find that you have more ideas on how best to begin and articulate your introduction. One of the greatest approaches to select your topic is to find one which you get a strong opinion about. Learn which of the topics, you currently have a fairly good background on which will make it possible for you to have a relative edge. With the assistance of our tips for writing and our interesting collection of topics, you're guaranteed to have a high grade! The Chronicles of Good Topics for a Argumentative Essay Year round school isn't a good idea. It is very importa nt to keep in mind that you're giving an informative speech. Students are part of the educational system and in addition, they play a part in politics so such issues touch just about all students in all nations. All students ought to be asked to perform a single year of community support. The Birth of Good Topics for a Argumentative Essay The secret to a very good essay is having the ability to discover the ideal info and communicate that information effectively and logically. You might have known of the period, audience analysis well that is merely a marketing term for understanding the sort of people who is going to be listening to you and what they want from you. 1 strategy is to go through the list and dismiss ones that will surely be no good. In many professional contexts, respectful argumentation is the thing that leads to the growth of new suggestions and perspectives.