The Feng Shui of Your Kitchens Architecture

The Feng Shui of Your Kitchen's Architecture Modern-day architects and believers in the ancient Eastern art, feng shui, agree: When it comes to home design, the kitchen is king. After all, its human nature to associate food and cooking with nurturing and sustenance.   Feng shui practitioners suggest that how you design and decorate the kitchen can influence your prosperity and health. Architects from the Western world may not talk about the ancient art of feng shui, but theyll intuitively figure out the energies of space. Chi, or Universal Energy in feng shui, is compatible with universal design and accessibility in architectural practice. Both share many of the same core beliefs, so lets look at some basic feng shui ideas and see how they apply to modern kitchen design. You Gotta Believe: The Disclaimer The first thing to bear in mind when considering any feng shui advice is that ultimately, feng shui is a complex practice with several different schools. Recommendations will vary from school to school and from one practitioner to another. So too, advice will differ depending upon the particular home - and the unique people living in it. Yet, despite their diverse views, feng shui practitioners will agree on basic principles for kitchen design. Placement: Wheres the Kitchen? When you first plan to build a new home, where should you put the kitchen? We can’t always decide where each room in a house or apartment will be in relation to the others, but if you’re working with new construction or doing extensive renovations, ideally the kitchen will be in the back of the house, at least behind the center line of the house. In any case, it’s better if you don’t see the kitchen immediately upon entering the house, as this can portend digestive, nutritional, and eating problems. Having the kitchen at the entry point can also mean that guests will come over and eat and then leave immediately. Such a placement can also encourage the inhabitants to eat all the time. But if your kitchen is in the front of the house, don’t panic.  Use this as an opportunity to get creative. One easy solution is to hang sheer or beaded curtains over the kitchen door. A more elegant way to redirect space ot to install louvered doors or a sheer sliding panel like an installed Japanese silk screen. The point is to command the direction of energy within the homes space. Provide something delightfully eye-catching across a hall or in a vestibule near the kitchen. That way, attention is diverted from the busy kitchen. Sliding Panel Doors Can Hide Kitchen Spaces. Ben Rahn/Construction Photography/Avalon/Getty Images (cropped) Kitchen Layout Its important for the cook to be in a commanding position when at the stove. The cook should be able to clearly see the doorway without turning away from the stove. This is also good accessibility practice, especially for the deaf. Renovating a kitchen to this configuration can be particularly challenging. Many modern kitchens place the range facing the wall. To resolve the problem, some feng shui consultants recommend hanging something reflective, such as a mirror or a shiny sheet of decorative aluminum, over the stove. The reflective surface can be any size, but the bigger it is, the more powerful the correction will be. For a more dramatic solution, consider installing a cooking island. Placing the stove in a central island allows the cook to see the entire room, including the doorway. Beyond the feng shui benefits, a cooking island is practical. The wider your view, the more you’ll be able to comfortably talk with dinner guests or keep an eye on the kids as you - or they - prepare the meal. Natural Lighting Enhanced by Task Lighting Flow Into Open Spaces. Mel Curtis/Getty Images (cropped) About Cooking Islands Cooking islands have become a popular trend in kitchen design. According to Guita Behbin, owner of Duramaid Industries (a kitchen and bath design and renovation company) many customers want their kitchens to flow into an open space, or Great Room, that includes a living and dining area. Designing a kitchen around a cooking island will help keep the cook involved in whatever is happening in that Great Room, whether it’s before-dinner conversation or hearing about a childs homework. Feng shui-inspired kitchen design dovetails with the contemporary trend toward group cooking. Instead of isolating the cook, families and guests often gather in the kitchen and participate in the meal preparation. Busy working couples use dinner preparation as an important time to unwind together. Cooking with kids becomes a way to teach responsibility and build self-esteem. The Triangle According to Sheffield feng shui course instructor Marelan Toole, good kitchen design is based on a traditional triangle model, with the sink, refrigerator and range making up each point of the triangle (view example). There should be a six-to-eight-foot distance between each appliance. This distance allows for maximum convenience and a minimum of repeated moves. Providing space between each of the major appliances will help you follow a core feng shui principle. Separate the fire elements - such as the stove and microwave - from water elements - such as the refrigerator, dishwasher, and sink. You may use wood to separate these elements, or you can use a plant or a painting of a plant to suggest a wooden divider. The feng shui element of fire is expressed with the triangular shape. In the kitchen, controlling fire is a good thing, whether youre an architect or a feng shui consultant. Sink, Refrigerator, and Range At Points of a Triangle. Adrianna Williams, Bill Diodato/Getty Images (cropped) Kitchen Lighting In any room, fluorescent lights do not promote good health. They constantly flicker, affecting the eyes and nervous system. Fluorescent lights can cause hypertension, eyestrain and headaches. However, they do serve a purpose, as they provide bright light at low cost. Light energy will influence your kitchens energy. If you decide that you do need fluorescent lights in your kitchen, use full-spectrum bulbs. Energy-efficient lighting and appliances are characteristics of both feng shui practices and green architecture. The Kitchen Stove Because the stove represents health and wealth, you want to use the burners on the stove top equally, rotating their use rather than habitually using a particular burner. Changing burners  represents getting money from multiple sources. Of course, the practice can also be seen as a practical step, similar to rotating the tires on a car. The old-fashioned stove, as opposed to a microwave, is often preferred because it is more in keeping with the feng shui belief that we should slow down, become more conscious of each activity, and do activities with intention. Heating a quick meal in the microwave is certainly convenient, but doing this may not lead to the most serene state of mind. Many feng shui practitioners are concerned with excess radiation and electromagnetic fields and would therefore prefer to avoid the microwave altogether. Obviously, each home and family will have to find their own balance between modern conveniences and optimal feng shui practice. Position the Stove To Enable Interactions. John Slater/Getty Images Clutter As with all rooms in the house, the kitchen should be kept neat and uncluttered. Clear your counters of everything. Store appliances in cabinets. Any broken appliances should be tossed out. Even if it means living without a toaster for a while, it’s better to have no toaster than one that doesn’t work very well. Also, remember to keep kitchen areas clean. Good Energy A Practical Design In some cases, building code regulations actually reflect good feng shui principles. Some codes make it illegal to place a window over the stove. Feng shui teaches us that windows should not be placed over stoves because heat represents prosperity, and you don’t want your prosperity flooding out the window. Luckily, feng sShui isn’t only about having a room with good chi, or energy. Feng shui is also a practical guide for design. For this reason, feng shui can be used with any style of room. The most popular styles often repeat as trends, according to kitchen design specialist Guita Behbin: the simple Shaker style seems to always be trending; a very contemporary look, with solid colors and wood grains is often popular; in some situations, a very opulent look makes a statement, with carvings, corbels, and cabinets on legs. Any of these styles can be successfully combined with the principles of feng shui to make for a kitchen that’s functional, up-to-date, and easy on the chi. It is truly amazing how much the ancient feng shui beliefs have to tell us about the design of modern kitchens. What type of lights should you install in your new kitchen? Where should you place the appliances? Architects and believers of this ancient Eastern art offer solutions, and their ideas are surprisingly similar. East or West, good design rules the day. Source Content adapted from an article by Nurit Schwarzbaum and Sarah Van Arsdale, courtesy of the online Sheffield School of Interior Design at www.sheffield.edu, now the New York Institute of Art and Design (NYIAD) at https://www.nyiad.edu/.

Definition and Examples of Antithesis in Rhetoric

Definition and Examples of Antithesis in Rhetoric Antithesis is a  rhetorical term for the juxtaposition of contrasting ideas in balanced phrases or clauses. Plural: antitheses. Adjective: antithetical. In grammatical terms, antithetical statements are parallel structures.   A perfectly formed antithesis, says Jeanne Fahnestock, combines isocolon, parison, and perhaps, in an inflected language, even homoeoteleuton; it is an overdetermined figure. The aural patterning of the antithesis, its tightness and predictability, are critical to appreciating how the syntax of the figure can be used to force semantic opposites (Rhetorical Figures in Science, 1999). Etymology From the Greek, opposition Examples and Observations Love is an ideal thing, marriage a real thing.(Goethe)Everybody doesnt like something, but nobody doesnt like Sara Lee.(advertising slogan)There are so many things that we wish we had done yesterday, so few that we feel like doing today.(Mignon McLaughlin, The Complete Neurotics Notebook. Castle Books, 1981)We notice things that dont work. We dont notice things that do. We notice computers, we dont notice pennies. We notice e-book readers, we dont notice books.(Douglas Adams, The Salmon of Doubt: Hitchhiking the Galaxy One Last Time. Macmillan, 2002)Hillary has soldiered on, damned if she does, damned if she doesnt, like most powerful women, expected to be tough as nails and warm as toast at the same time.(Anna Quindlen, Say Goodbye to the Virago. Newsweek, June 16, 2003)It was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness, it was the epoch of belief, it was the epoch of incredulity, it was the season of Light, it was the season of Darkness, it was the spring of hope, it was the winter of despair, we had everything before us, we had nothing before us, we were all going direct to Heaven, we were all going direct the other way.(Charles Dickens, A Tale of Two Cities, 1859) Tonight you voted for action, not politics as usual. You elected us to focus on your jobs, not ours.(President Barack Obama, election night victory speech, November 7, 2012)Youre easy on the eyesHard on the heart.(Terri Clark)We must learn to live together as brothers or perish together as fools.(Martin Luther King, Jr., speech at St. Louis, 1964)The world will little note, nor long remember what we say here, but it can never forget what they did here.(Abraham Lincoln, The Gettysburg Address, 1863)All the joy the world containsHas come through wishing happiness for others.All the misery the world containsHas come through wanting pleasure for oneself.(Shantideva)The more acute the experience, the less articulate its expression.(Harold Pinter, Writing for the Theatre, 1962)And let my liver rather heat with wineThan my heart cool with mortifying groans.(Gratiano in The Merchant of Venice by William Shakespeare)Jack Londons CredoI would rather be ashes than dust! I would rather that my s park should burn out in a brilliant blaze than it should be stifled by dryrot. I would rather be a superb meteor, every atom of me in magnificent glow, than a sleepy and permanent planet. The proper function of man is to live, not to exist. I shall not waste my days in trying to prolong them. I shall use my time.(Jack London, quoted by his literary executor, Irving Shepard, in an introduction to a 1956 collection of Londons stories) Antithesis and AntithetonAntithesis is the grammatical form of antitheton. Antitheton deals with contrasting thoughts or proofs in an argument; Antithesis deals with contrasting words or ideas within a phrase, sentence, or paragraph.(Gregory T. Howard, Dictionary of Rhetorical Terms. Xlibris, 2010)Antithesis and AntonymsAntithesis as a figure of speech exploits the existence of many natural opposites in the vocabularies of all languages. Small children filling in workbooks and adolescents studying for the antonyms section of the SAT learn to match words to their opposites and so absorb much vocabulary as pairs of opposed terms, connecting up to down and bitter to sweet, pusillanimous to courageous and ephemeral to everlasting. Calling these antonyms natural simply means that pairs of words can have wide currency as opposites among users of a language outside any particular context of use. Word association tests give ample evidence of the consistent linking of opposites in verbal memo ry when subjects given one of a pair of antonyms most often respond with the other, hot triggering cold or long retrieving short (Miller 1991, 196). An antithesis as a figure of speech at the sentence level builds on these powerful natural pairs, the use of one in the first half of the figure creating the expectation of its verbal partner in the second half.(Jeanne Fahnestock, Rhetorical Figures in Science. Oxford University Press, 1999) Antithesis in Films- Since . . . the quality of a scene or image is more vividly shown when set beside its opposite, it is not surprising to find antithesis in film . . .. There is a cut in Barry Lyndon (Stanley Kubrick) from the yellow flickers of a flaming house to a still gray courtyard, lined with soldiers, and another from the yellow candles and warm browns of a gambling room to the cool grays of a terrace by moonlight and the Countess of Lyndon in white.(N. Roy Clifton, The Figure in Film. Associated University Presses, 1983)It is clear that in every simile there is present both differences and likenesses, and both are a part of its effect. By ignoring differences, we find a simile and may perhaps find an antithesis in the same event, by ignoring likeness. . . .- In The Lady Eve (Preston Sturges), a passenger boards a liner by tender. This was conveyed by the two vessels whistling. We see a convulsive spurt of water and hear a desperate, soundless puff before the siren of the t ender found its voice. There was a stuttering amazement, a drunken incoordination to these elaborate preliminaries, foiled by the liners lofty unruffled burst of sounding steam. Here things that are like, in place, in sound, and in function, are unexpectedly contrasted. The commentary lies in the differences and gains force from the likeness.(N. Roy Clifton, The Figure in Film. Associated University Presses, 1983) Antithetical Observations of Oscar Wilde- â€Å"When we are happy, we are always good, but when we are good, we are not always happy.†(The Picture of Dorian Gray, 1891)- â€Å"We teach people how to remember, we never teach them how to grow.†(The Critic as Artist, 1991)- â€Å"Wherever there is a man who exercises authority, there is a man who resists authority.†(The Soul of Man Under Socialism, 1891)- â€Å"Society often forgives the criminal; it never forgives the dreamer.†(The Critic as Artist, 1991) Pronunciation: an-TITH-uh-sis

Module 4 Essay Example | Topics and Well Written Essays - 750 words

Module 4 - Essay Example The main problem of the case is the whereby the Vice President of Human Resources is bestowed with the responsibility of coming up with a brand name for the company. Jamie Ricard who is the VP of Human Resources decides to approach The VP of Marketing who is Rita Lansing for an idea. The VP also approaches the CEO of the organization but they do not help her. The VP should have consulted the employees of the organization. The VP would have consulted other VP or other officials who have the position as her for an opinion. Finally, the VP would have consulted people who have come up with brand names for their companies. By consulting the employees she would have gained some insight in to the issue. If should have consulted her counterparts in other health institutions, they would have offered her a solution. Consulting someone who have experienced would have helped Jamie since she would have been guided all the way. The case is about Suburban Health Center. The case revolves around three people in the health centre. These are supervisor of the health department Helen Lawson, one nurse Dorothy Wilson, and Dr Morgan. The main problem is the Dr. Morgan wants Dorothy, the nurse to be fired by Helen. Morgan claimed that Dorothy was a weak communicator. Helen decide to review the personnel file of Helen, She also decided to meet Lila Moran who was the former supervisor for advise, and she also decided to maintain a file about Wilson. By reviewing her time sheets, she would have seen how she spends her time, By reviewing her report, she would have made a good decision, by seeking help, she would have known whether the claims were true or

Mechanical engineering Research Paper Example | Topics and Well Written Essays - 500 words

Mechanical engineering - Research Paper Example Here are a few observations. The easiest sources where from bls.gov and usnews.com. They have simple and well documented report on what is required for one to orient to mechanical engineering. They gave accurate information about what’s required once a person takes up the course, what to expect in terms of the difficulties of the job as well as the salary. Salary ranges where given from almost all the sources. From (Bls.gov, 2014), mechanical engineers’ median annual salary was $ 80,580.this was back in May 2012. It was during this year that, the engineers in the low 10% region earned less than $52,030 annually and those in the top 10% earned nothing less than $121,530. The site gives the salary ranges of the top five industries. The highest employers were Computer and electronic product manufacturers who paid them $84,860 annually, followed by Architectural engineering, Transport and equipment manufacturers, Machinery manufactures and the lowest employers were in the Fabrication industry that paid them $69,890 annually. Other sources had almost similar figures but I prefer this one (Bls.gov, 2014) A bachelor’s degree in mechanical engineering or mechanical technology is required. This is a fixed requirement on most universities. However some colleges offer 5year programs that cover both Bachelors degree as well as Masters. (Money.usnews.com, 2014). The full program takes 4-5 years to complete inclusive of the internships. Apart from the educational requirements, one is required to have other qualities. One has to have the creativity in them. One should have great listening skills. Math’s also a key quality as most of the time, you will come across several work stations.one should have mechanical skills in them. Lastly is they should be good problem solvers as they will encounter challenges that will require them to work on it in no time at all. (Bls.gov, 2014) . There is other kind of information that is given in some

Sinusitis Care Plan Essay Example for Free

Sinusitis Care Plan Essay This therapeutic care plan will utilized the â€Å"I can treat and prescribe framework† to ensure that appropriate patient treatments are selected using a step by step approach, including assessment integration, drug and/or disease related problems, therapeutic goals, therapeutic alternatives and indications, plan of care and evaluation (OPHCNPP, 2012). By going through each step of this framework, and including or excluding treatment options based on individual patient factors and strong clinical evidence, this clinician will arrive at the most suitable treatment plan for the patient. H.K (32 year old male) presented with persistent facial pain for 7 days. He reported having a headache (6/10 on a pain scale) upon bending forward and awakening, occasional tooth pain, no nasal drainage, and no cough. H.K denied fever or chills but admitted to feeling â€Å"run-down†. His past medical history included varicella zoster at age 5 years, seasonal allergic rhinitis (pollen), viral respiratory tract symptoms 2 weeks ago (now resolved), and no recent antibiotic use over the past 3 months. He is married with two children who are not in daycare (ages 8 and 9). H.K is a supermarket manager, non-smoker, and denied substance abuse. The patient reported having private prescription drug coverage but was only taking Advil cold and sinus (2 tablets orally every 6 hours as required) with good effect. H.K’s vitals were taken (temp. 37.5 °C tympanic, HR 74 reg., R 12 reg. and equal). His head and neck examination revealed that his sclera were clear and his pupils were r ound, reactive to light with accommodation. There was tenderness to palpation of the frontal and maxillary sinuses. Transillumination of the right and left maxillary sinuses revealed an opaque surface. His nares were erythematous and edematous with no obvious discharge. There was cobblestoning of the pharynx with slight erythema. His tonsils were two plus in size with no exudates. His neck examination revealed the absence of lymphadenopathy, the thyroid was non-palpable, and his chest examination revealed clear lung fields. The diagnosis of acute sinusitis was made based on H.K’s presenting signs and symptoms. The two most common predisposing events for acute bacterial sinusitis are acute viral upper respiratory infections and allergic inflammation (80% and 20% of bacterial infections, respectively) (Desrosiers et al., 2011). Complications of sinusitis are very rare and are estimated to occur in 1 in 1,000 cases (Hwang, 2009). In complicated sinusitis, the orbit of the eye is the most common structure involved and is usually caused by ethmoid sinusitis (Hwang, 2009). Patients who present with visual symptoms (diplopia, decreased visual acuity, disconjugate gaze, difficulty opening the eye), severe headache, somnolence or high fever should be evaluated with emergent care suspected (H.K had none of these symptoms) (Hwang, 2009). Most adult patients diagnosed with acute sinusitis become well or nearly well after 7 to 10 days, but 25% are still symptomatic after 14 days (Worrall, 2011). H.K had no untreated medical conditions contributing to his acute sinusitis (not pollen season). A primary health care nurse practitioner can effectively diagnose, treat and manage adults who have symptoms like H.K according to the Nurse Practitioner Practice Standard of Ontario (CNO, 2011). His condition was not life threatening and did not necessitate a referral to a physician, specialist or transfer of care. H.K was taking Advil cold and sinus, a drug that was appropriately dosed (1-2 tablets orally every 6 hours as required to a maximum of 6 tablets in 24 hours), which is clinically indicated for sinus pain in adults and is not too complex (CPA, 2013). This drug was deemed safe for him after a review of contraindications, including hypersensitivity to the agent, nonsteroidal anti-inflammatory drug-induced (NSAID) asthma or urticartia, aspirin triad, pre-operative coronary bypass surgery, coronary artery disease, monoamine oxidase inhibitor use within 14 days, uncontrolled or severe hypertension, and urinary retention (Epocrates, 2013). For H.K, the oral route of medication administration was most appropriate, the least invasive and the easiest way for an adult to take drugs (Brophy et al, 2011). Advil cold and sinus is not a cytochrome P450 system inhibitor, which is the main (or partial) cause for large differences in the pharmacokinetics of other drugs (Rx Files, 2012, Epocrates, 2013). The patient was not taking borrowed prescriptions, using drugs from previous occurrences of the condition, or experiencing any adverse drug events/reactions to Advil cold and sinus. Also, he was not being double dosed or experiencing therapeutic duplication of drugs belonging to the same pharmaceutical class. H.K had no untreated medical conditions (other than his new acute sinusitis), was not taking drugs prescribed by other clinicians and there were no other factors (communication errors, non-adherence, financial restrictions) influencing his ability to receive medication. Antibiotic therapy should be reserved for patients with acute bacterial sinusitis as defined by a complete history and physical examination (AMA, 2008). A â€Å"wait and see† approach has been suggested in recent Canadian guidelines as a means of differentiating bacterial sinusitis from a viral respiratory tract infection (Desrosiers et al., 2011). Initiation of treatment should take place 7 to 10 days after persistent symptoms or when signs compatible with acute sinusitis occur (Desrosiers et al., 2011). Since H.K’s facial pain had lasted for 7 days, the decision was made with the patient to treat. Goals of care were established (with the patient) including maximizing symptom relief (especially drainage of congested sinuses), eradication of infection, and prevention of re-occurrence and complications (Fryters Blondel-Hill, 2011). Five drug choices were selected and scrutinized as potential treatment options for H.K, including first and second line therapies (appendix 1) (ARP, 2012). The primary bacterial pathogens involved in the development of acute sinusitis for adults are Streptococcus pneumonia and Haemophilus influenzae (AMA, 2008). Canadian antimicrobial resistance data of S. pneumoniae describes that penicillin resistance rates range from 14% to16% in Central Canada (Powis et al., 2004). Amoxicillin is a first line drug therapy that remains active against S. pneumoniae with the rate of resistance under 2% (Brook et al, 2006) and also retains the best coverage of oral beta-lactam agents against S. pneumoniae (AMA, 2008). It is available in a capsule, chewable tablet or powder for oral suspension (H.K had no dysphagia and preferred to take capsules) (CPA, 2013). Amoxicillin should not be prescribed to a patient more than once in a 3-month period (H.K had not taken it in the last 3 months) (ARP, 2012). This drug is acid resistant, rapidly absorbed after oral administration, and is stable in the presence of gastric acid allowing for adequate systemic concentr ations (H.K was not taking drugs that affect gastric acid production) (CPA, 2013). Pertinent adverse affects of the drug are diarrhea, nausea, headache, vomiting, abdominal pain, anaphylaxis, anemia, AST/ALT elevation, mucocutaneous candidiasis, rash and pseudomembranous colitis (Medscape Reference, 2013). Amoxicillin is contraindicated with anaphylaxis reaction to penicillins or cephalosporins (Epocrates, 2013). Several cautions to consider when prescribing amoxicillin to H.K include him having clostridium difficile infection, infectious mononucleosis (result is skin rash), bacterial/fungal superinfections, allergy to cephalosporins, and carbapenems, (Medscape Reference, 2013). Also, serious drug interactions include bcg/typhoid vaccine live, doxycycline, minocycline, probenecid and tetracycline (Epocrates, 2013). H.K did not have any of the contraindications, cautions, or potential medication interactions relevant to taking amoxicillin, so it was deemed safe for him to take. Amoxicillin was selected as a treatment option for H.K (appendix 1). The three times a day (500 mg) option was selected to ensure simplicity, when compared to the 875 mg twice a day option that would require H.K to take two possibility identical capsules (a 500 mg and a 250 mg), increasing the likelihood of medication error (Epocrates, 2013). A primary concern for individuals infected with H. influenzae is ampicillin resistance, mediated by the production of a beta-lactamase, which is produced by approximately 19% of the bacteria (Zhanel et al, 2003). H. influenzae remains predictably susceptible to amoxicillin-clavulanate (a second line therapy) which possesses the added benefit of stability against beta-lactamases and cephalosporins (Tristam et al, 2007). Amoxicillin-clavulanate is also effective against most penicillin-resistant S. pneumoniae (MacGowan et al., 2004). It has enhanced gram positive activity and should be used in patients where risk of bacterial resistance is high, consequences of failure of therapy are greatest, or for patients not responding to first-line therapy (DeRosiers, et al, 2011). Common side effects of this drug are nausea, vomiting, diarrhea, rash and uticartia (Poole-Arcangelo Peterson, 2013; Rx Files, 2013). Higher rates of diarrhea and other gastrointestinal side effects occur with amoxicillin-clavulanate than with amoxicillin alone (Burns et al., 2009). It is also considered a more costly sinusitis treatment (ARP, 2012; Rx Files, 2012). Amoxicillin-clavulanate was added as a treatment option for H.K (see appendix 1). The clinician selected the two times a day option (875 mg) because the clavulanic acid daily dose is less, resulting in a decreased likelihood of the patient experiencing adverse effects co mpared with a more frequent dosing schedule option such as every 8 hours (Rx Files, 2012). As a result of activity against beta-lactamase–producing H. influenza and S. pneumonae (Zhanel Lynch, 2009), cefprozil and cefuroxime axetil have a second line treatment role in acute sinusitis (ARP, 2012). With the expanded spectrum of activity, ability to achieve adequate concentrations in tissues, suitability for twice-daily dosing, favorable toxicity profile, and proven tolerability of cephalsporins, they are a safe alternative for treatment (Poole-Arcangelo Peterson, 2013). However, they have a broader range of activity and are more costly than amoxicillin (Rx Files, 2012; ARP, 2012). Second line drugs cefuroxime axetil and cefprozil were added as treatment options for H.K (see appendix 1). The 250 mg dose was selected for both drugs due to ease of use (smaller pills, easier to swallow), patient related factors (H.K was not immunocompromised) and disease related factors (H.K’s sinusitis had no complications). In beta-lactam-allergic patients, a second line therapy such as trimethoprim-sulfamethoxazole (TMP- SMX) may be substituted for penicillin (ARP, 2012). The TMP-SMX resistance reported from Canadian laboratories is approximately 14% (Desrosiers et al., 2011). Increased pnuemoncoccal and H. influenza resistance rates make TMP-SMX a less desirable agent, however it is one of the most cost-effective options for patients with financial constraints (not an issue with H.K) (ARP, 2012). The most common side effects of this drug are rash, fever and gastrointestinal symptoms (Poole-Arcangelo Peterson, 2013; Rx Files, 2012). Drugs containing sulfa (such as TMP-SMX) potentiate the effects of warfarin, phenotoin, hypoglycemic agents and methotrexate (Poole-Arcangelo Peterson, 2013). Since H.K is not taking these drugs, TMP-SMX was selected as a treatment option (see appendix 1). One double strength tablet was selected over two single strength tablets for simplicity of administration. The general approach to the non-pharmacological management of acute sinusitis requires utilizing adjunctive therapies. Decongestants, intranasal corticosteroids (INCS), antihistamines, mucoltylics and analgesics are treatment options. A decongestant may be used to reduce mucosal edema and facilitate aeration and drainage (Desrosiers et al., 2011). Oral decongestants have been shown to improve nasal congestion and can be used until symptoms resolve. (Desrosiers et al., 2011). Topical decongestants are controversial and should not be used for longer than 72 hours due to the potential for rebound congestion (ARP, 2013). INCS reduce inflammation and edema of the nasal mucosa, nasal turbinates, and sinus ostia (Desrosiers et al., 2011). INCS are minimally absorbed and have a low incidence of systemic adverse effects (Desrosiers et al., 2011). Adverse effects include transient nasal irritation, epistaxis, pharyngitis, rhinitis, headache, and changes to taste, smell and voice (Rx Files, 201 2). A Cochrane review evaluating three INCS drugs for acute sinusitis found limited but positive evidence for INCS as an adjuvant to antibiotics (Zalmanovici Yaphe, 2009). Antihistamines are often used to relieve symptoms because of their drying effect, however there are no studies to support their use in the treatment of acute sinusitis (Desrosiers et al., 2011). Guaifenesin is a mucolytic that has been used to thin mucus and improve nasal drainage, however because it has not been evaluated in clinical trials, it was not recommended as an adjunct treatment for sinusitis (Rosenfeld et al, 2007). Selection of analgesics should be based on the severity of pain. Tylenol or an NSAID given alone or in combination with an opioid is appropriate for mild to moderate pain associated with sinusitis (Rosenfeld et al, 2007). Recent Canadian guidelines suggest that limited evidence exists supporting the beneficial effects of saline irrigation in patients with acute sinusitis (Desrosiers et al., 2011). Despite limited evidence, saline therapy, either as a spray or high-volume irrigation, has seen widespread use as adjunct therapy (Desrosiers et al., 2011). Although the utility of saline sprays remains unclear, the use of saline irrigation as ancillary therapy is based on evidence of moderate symptomatic benefit and favourable tolerability (Desrosiers et al., 2011). Some additional comfort measures for patients with symptoms of acute sinusitis include maintenance of adequate hydration and application of warm facial packs. No high quality trials have demonstrated that these comfort measures are effective (Worrall, 2011). As viral infections predispose individuals to acute sinusitis, strategies (such as handwashing) that focus on patient education of reducing viral transmission help to reduce the incidence of bacterial sinusitis (Desrosiers et al., 2011). Educating patients about common predisposing bacterial sinusitis factors may be considered as a preventative strategy (Desrosiers et al., 2011). Prophylactic antibiotics are not effective in preventing viral episodes or the development of subsequent bacterial sinusitis, and are not recommended (Desrosiers et al., 2011). Also, there is no evidence that influenza or pneumococcus vaccinations reduce the risk of contracting acute sinusitis (Rosenfeld et al, 2007). Recent reviews have found limited evidence for alternative and complementary medicine (Scheid Hamm, 2004). Alternative practices that have failed to show efficacy include acupuncture, chiropractic, naturopathy, aromatherapy, massage and therapeutic touch (Desrosiers et al., 2011). Vitamin C preparations and zinc lozenges are also felt to be controversial (Scheid Hamm, 2004). Studies of zinc lozenges for the common cold have produced mixed results (Desrosiers et al., 2011). One recent meta-analysis of echinacea preparations has shown some positive effects in reducing duration of respiratory tract symptoms (Barrett et al, 1999). However, the widespread use of echnichea in the treatment of acute sinusitis is not well supported (Desrosiers et al., 2011). A recent Cochrane review found that when antibiotics were given to patients, they increased recovery time from sinusitis symptoms (Ahovuo-Saloranta, 2008). The choice of first-line treatment is based on the anticipated clinical respons e of a patient, as well as the microbiologic flora likely to be present. Also, when selecting an antibiotic regimen for H.K, the clinician considered the medication cost, medication safety profile, adverse effects, and local patterns of bacterial resistance in order to maximize therapy (Hickner et al., 2001). The recommended antibiotic regimen is specific for H.K, who did not have any intracranial/orbital complications or a compromised immune function, and has normal renal function. In the absence of drug allergies and presence of resistant organisms, amoxicillin was selected for H.K as it is a first line therapy, is generally effective against susceptible and intermediate resistant pneumococci (Brophy et al, 2011), low cost (ARP, 2012), high patient tolerability, and relatively narrow antimicrobial spectrum (Aring Chan, 2011). Factors suggesting greater risk of penicillin resistant streptococci include antibiotic use within the past 3 months, chronic symptoms present for longer than 4 weeks, and parents of children in daycare (H.K had none of these risk factors). When antibiotics are prescribed by the clinician, the duration of treatment should be 5 to10 days as recommended by product monographs (Desrosiers et al., 2011). For H.K, the clinician utilized product monographs and other evidence based guidelines for determining the appropriate duration of treatment (CPA, 2013; ARP, 2013). Based on the information and discussion presented in this paper, amoxicillin 500 mg three times a day for 10 days (CPA, 2013) was selected as the most appropriate treatment for H.K (see appendix 2). H.K was instructed by the clinician to take his medication until finished, not share it, and to store at room temperature away from moisture, heat and light (Epocrates, 2013). He was taught about the drug’s side effects and that overdose symptoms may include confusion, behavior changes, severe rash, decreased urination, or seizure (Epocrates, 2013). He was provided health teachings by the clinician, including seeking emergency medical help if exhibiting any signs of an allergic reaction (hives, difficulty breathing, swelling of the face, etc.) or experiencing serious side effects (white patches/sores inside his mouth/lips, fever, swollen glands, rash, itching, joint pain, pale/yellowed skin or eyes, dark colored urine, fever, confusion/weakness, severe tingling, numbness, pain, muscle weakness, easy bruising, unusual bleeding, purple/red pinpoint spots under his skin) (Epocrates, 2013). H.K was provided health teachings regarding reducing the risk of contracting viral infections through hand washing techniques. Complementary therapies, alternative medicines, comfort measures, saline prophylactic antibiotic usage and vaccines were not recommended to H.K. He was also instructed about the role these treatments play in acute sinusitis treatment. Only evidenced-based adjunctive therapies as described in this paper have been selected for H.K, including INCS therapy (see appendix 3), analgesics (Advil cold and sinus) and oral decongestants (Advil cold and sinus). H.K agreed to this treatment plan. Based on H.K’s history and physical exam findings, a follow-up examination would be required if no improvement is seen within 72 hours of antibiotic administration, as this could indicate treatment failure (Derosier et al, 2011). The patient was advised to return in 72 hours if there were no improvements in symptoms. He did not return to the clinic for follow-up. If H.K had deteriorated at any time, the clinician would have reassessed for acute complications, other diagnoses and adherence to treatments (Derosier et al, 2011). If H.K experienced a type 1 hypersensitivity reaction to amoxicillin at any time, other pharmacological options would have been considered. A phone call was placed one week after H.K’s medical visit to conduct a post-visit evaluation, and he reported that his symptoms were nearly resolved (pharmacological and non-pharmacological therapy evaluation). Since H.K demonstrated signs of clinical improvement, a follow-up visit or possible referral to an otolaryngologist was not required (Fryters Blondel-Hill, 2012). The original goals of care for H.K were met. He stated that he was able to manage his symptoms with the treatment plan, was grateful that no complications were experienced, and was more knowledgeable about the prescribed drugs and future prevention strategies. H.K was satisfied with his healthcare experience (self-report) and was able to verbalize non-pharmacological therapies and apply them to his situation. When faced with a similar patient in the future, the clinician will ensure that the â€Å"I treat and prescribe framework† is utilized, as it is a valuable tool for ensuring patient specific treatment. Professional feedback from the course instructor/preceptor will also be integrated into future treatment plans.

Section 3.1-3.2 Biology 1 Notes :: essays research papers

SECTION 3.1 WHERE LIFE HAPPENS 1. Living things can be either uni-cellular (one cell) or multi cellular. A bacteria is one type of unicellular. 2. About 8000 of the smallest bacteria could fit inside one of your red blood cells. 3. The longest cells are the thin nerve cells found in large animals and they can be more than a meter long. 4. The cell with the greatest volume is an unfertilized ostrich egg 5. A cell’s shape is related to its function. For example, a long nerve cell is long and it carries messages from your spine to your toes. The contraction and relaxation of muscle tissue is responsible for the movement in animals. A SMALL NEW WORLD 1. In the 1600’s people only knew about organisms they could see with the unaided eye. 2. A trio of Dutch eyeglass makers invented the microscope in the late 1500’s. It consisted of a tube with lenses ground from rock crystal, and it magnified objects up to 9 times their actual size. 3. In 1665 the British scientist Robert Hooke published a set of drawings illustrating what he had observed with a microscope. 4. In the early 1670’s Anton van Leeuwenhook, a Dutch fabric-store owner, began to grind lenses as a hobby. He used handheld microscopes to examine materials such as pond water and blood. BIOLOGISTS BUILD A THEORY 1. By the 1830’s many biologists were using the microscope as their chief investigative tool 2. Mathias Schleiden was a botanist, a scientist that studies plants. He found that plant parts he examined were made out of cells. In 1838 Schleiden made the generalization that all plants are made of cells. 3. Theodor Schwann was studying and animals. His microscopic investigations of animal parts led him to generalize that all animals were made of cells. 4. In 1858, a German doctor named Rudolf Virchow disputed the idea of spontaneous generation. Virchow reasoned that new plant cells arise only from existing plant cells, and new plant animal cells arise only from existing animal cells. 5. The cell theory consists of three principles:  Cells are the basic units of all life.  All organisms are made of one or more cells.  All cells arise from the existing cells. SEEING SMALLER 1. One of the most important tools used by biologists is the microscope. 2. Until the 1950’s microscopes were light microscopes—instruments that use either sunlight or artificial light to view objects. With the advantage of this it can magnify many microscopic objects while they are alive.

College Pressure Essay

William Zinsser’s in his essay â€Å"College Pressure† published 1979, describes the pressures Yale students have economic, parental, and peer/self- induced. He says that these pressures make students afraid to take a risk and to try to take different paths. He wants them to believe in themselves and to try to enjoy their time in college. I have been a student at Reedley Community College for two years and the pressure I experience as a student and a mother are different from that the Yale student experienced. The first pressure that Yale students and I experience is economic pressure. Zinsser explains that in the 1970’s â€Å"tuition, room, and board at most private colleges comes at least $7000† (par.12).He also explains how much pressure Yale students are under, that â€Å"even if the [student] works part time during school and full time during the summer†, but accrue $5000 in loans after four years, loans that the [student] must start to repay w ithin one year after graduation† (par.13). Then, Zinsser goes on to say that no matter how hard the student works he or she will be under pressure to pay back all the money he used. I relate to this pressure, but in a very different way. Although the cost of school for me is relatively low, I have four kids that are away at college. Having four children needing help with tuition and books puts a lot of financial pressure on me as a parent. Also, having six kids in general, three of which are girls, is expensive regardless. The country’s economic disparity has left personal finances tight and puts me under a lot of pressure to make sure my kids have everything that they need and that all bills are paid. Another pressure William Zinsser’s mentions is parental pressure which Yale students and I feel but slightly different .It refers to the amount of pressure students get from their parents. The students are being torn between pleasing their parents and pleasing themselves. Zinsser’s mentions that â€Å"often times students are walking to labs as though they are walking to the dentist.†(par.15) Students are taking on majors in a course of study that they do not necessarily like, however, in order to keep their parents happy they take them on. They are under pressure because they want to please their parents but they’re unhappy they want to do. Because they aren’t doing what. Because I am an adult this pressure does not really apply to me. However, I do feel the pressure from my children. My children expect me to get good grades, as well as maintain everything in the house. When dinner is not made on time because of my homework, my children get upset. They also complain about laundry not being done quickly enough. Although they support me, their expectations of me put me under a lot of pressure. The final pressure that Zinsser mentions is Peer/ self-induced pressure which are a pressure that Yale students and I apply on us. Students apply unnecessary pressure on them by comparing themselves to their peers. Zinsser mentions that a student he calls Linda â€Å"who came in and said she was under terrible pressure because her roommate, Barbra was much brighter and studied all the time.† This student is a perfect example of making an unnecessary comparison which stresses her out. This pressure leads to students over work them-selves. â€Å"A professor will assign five-page papers†. â€Å"Several students will start writing ten-page papers to impress him.†(par.27). Instead of just following the guidelines of an assignment they are trying to shoot above and beyond the requirements. I can really relate to this pressure because I do add a lot of stress on myself. I immediately assume everyone is doing better than me which makes me work harder, but at the same time it causes me to over work myself. I have to make sure all my kids need are done, and then I stay up late to make sure all my school work is done. This pressure affects me negatively because I add a lot of stress on myself that does not need to be added. Instead of focusing on my growth academically. I am always worried about who is doing better than me in class. A couple of ways I am trying to manage my stress is by making daily and weekly to-do lists and putting the most important at the top and working my way down. It’s a great way to manage my time as well. Being that I am a mother of six, my stress level seems like it’s multiplied by seven and I need to be able to put some of that stress aside and finally focus on my schooling since my oldest is twenty-two and my youngest is thirteen. Another great way I make stresses more manageable is by keeping procrastination to a huge minimum. If work that is assigned gets gradually done before the due date, it won’t all pile up the night before causing you to panic. Stress always piles up and it occurs more than any of us would like, but it shouldn’t be a reason to fail. By overcoming these pressures, we become stronger at the end.

Cleopatra Assignment

Cleopatra Assignment What does it tell us about Plutarch’s view of the relationship between Antony and Cleopatra? Plutarch views the relationship between Antony and Cleopatra as one where Cleopatra uses manipulation, temptation and obsession to control Antony. She is viewed as a fatal influence on Antony and he seemed powerless to resist her charms. In the eyes of Rome, Antony was changing from a veteran statesman and warrior to that of an effiminate love sick juvenile on the road to destruction.At the very beginning of the passage Life of Antony, Plutarch states Cleopatra is ‘ever contributing some fresh delight and charm to Antony’s hours of seriousness and mirth’ but there is no hint of love or romance which was viewed as showing a sign of weakness. The Romans did not value romantic love and this infatuation was another indication to Plutarch of Antony’s self indulgence and complete lack of self-control.Plutarch then adds she ‘kept him in co nstant tutelage and released him neither night or day’ playing dice, drinking and hunting with him showing an obsessiveness and a leading role in this relationship and never letting Antony out of her sight. His infatuation for Cleopatra was seen as a failing and Cleopatra treated Antony with disdain and mockery, all was on her terms and Antony seemed powerless to resist her charms.Antony goes to great lengths to impress Cleopatra, for example he cheats when fishing by ordering â€Å"his fishermen to dive down and secretly fasten to his hook some fish and Cleopatra goes along with this and humours him by pretending to â€Å"admire her lover’s skill†. Cleopatra then confides in her friends about Antony’s ‘skill’ and invites them to be spectator’s the following day. This attempt at impressing Cleopatra in his fishing ability backfires, as she is one step ahead.As soon as Antony has thrown in his line â€Å"she ordered one of her own att endants to get the start of him by swimming onto his hook and fastening on it a salted Pontic Herring†. When Antony pulled in his catch revealing the kipper, which is not an impressive catch, this was met with great laughter by Cleopatra’s spectators and made Antony to look like a fool. It must be noted that this is a viewpoint from Plutarch from a series of character studies and not designed as a piece of conventional narrative history.

Electrocute

Electrocute Electrocute Electrocute By Maeve Maddox The verb electrocute was coined in the late nineteenth century on the model of execute in the sense of â€Å"to inflict capital punishment upon.† Unlike execute, which has a legitimate Latin etymology, electrocute is a portmanteau word. H. W. Fowler (A Dictionary of Modern English Usage) held it in disdain: This word does not claim classical paternity; if it did, it would indeed be a barbarism. It is merely a portmanteau word formed by telescoping electro- and execution, and, as it is established, protest is idle.† Fowler was writing about forty-five years after Buffalo, New York dentist Alfred P. Southwick invented the electric chair in 1881 as a more humane method than hanging. The first person to be executed by electrocution was William Kemmler (1860-1890). The newness of the word is apparent in the two earliest OED citations, dated 1889 and 1890: He wants to be ‘electrocuted’ The gentlemanshould be ‘electrocuted’ By 1903, the word was in use without enclosing quotation marks. The OED includes a second definition of electrocute as â€Å"to give an electric shock to† and includes this citation from an Australian source: I was electrocuted. I can still smell the flesh burning. American usage, however, does not allow for the survival of an electrocuted person. Merriam-Webster offers two definitions: 1. to put to death as a legal punishment by causing a fatally large electric current to pass through the body. 2. to kill by electric shock. The following examples from the Web illustrate nonstandard (US) usage: I was trying to unplug my cell phone charger and got my fingers too close to the bottom. They touched the prongs and I got electrocuted! I electrocuted myself three times trying to unplug my laptop charger. Teenage friends electrocuted trying to take selfie on top of  train (The girls were severely injured, but, as they survived, they were not electrocuted.) Paul Brians (Common Errors in English Usage) summarizes US usage this way: To electrocute is to kill using electricity. If you live to tell the tale, you’ve been shocked, but not electrocuted. For the same reason, the phrase â€Å"electrocuted to death† is a redundancy. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the General category, check our popular posts, or choose a related post below:Compared "to" or Compared "with"?Between vs. In BetweenA "Diploma" is not a "Degree"

Consumerism -- Definition and Discussion

Consumerism Definition and Discussion While  consumption is an act that people engage in, sociologists understand consumerism to be a characteristic of society and a powerful ideology that frames our worldview, values, relationships, identities, and behavior. Consumerism drives us to consume and to seek happiness and fulfillment through consumption, serving as a necessary counterpart to a capitalist society that prioritizes mass production and unending growth in sales. Consumerism According to Sociology British sociologist Colin Campbell, in the book  Elusive Consumption,  defined consumerism as a social condition that occurs when consumption is â€Å"especially important if not actually central† to most people’s lives  and even â€Å"the very purpose of existence.† When this occurs, we are bound together in society by how we channel our wants, needs, desires, longings, and pursuit of emotional fulfillment into the consumption of goods and services. Similarly, American sociologist Robert G. Dunn, in Identifying Consumption: Subject and Objects in Consumer Society, described  consumerism as â€Å"an ideology that seductively binds people to [the] system† of mass production. He argues that this ideology turns consumption â€Å"from a means to an end,† so that acquiring goods becomes the basis of our identity and sense of self. As such, â€Å"[a]t its extreme, consumerism reduces consumption to a therapeutic program of compensation for life’s ills, even a road to personal salvation.† However, it is Polish sociologist Zygmunt Bauman who offers the most insight on this phenomenon. In his book, Consuming Life, Bauman wrote, We may say that ‘consumerism’ is a type of social arrangement that results from recycling mundane, permanent and so to speak ‘regime-neutral’ human wants, desires and longings into the principal propelling force of society, a force that coordinates systemic reproduction, social integration, social stratification and the formation of human individuals, as well as playing a major role in the processes of individual and group self-policies. What Bauman means is that consumerism exists when our wants, desires, and longings for consumer goods drive what happens in society, and when they are primarily responsible for shaping the entire social system in which we exist. They channeled through consumption, are inspired by and reproduce the dominant worldview, values, and culture of society. Under consumerism, our consumption habits define how we understand ourselves, how we affiliate with others, and overall, the extent to which we fit in with and are valued by society at large. Because our social and economic value is largely defined by our consumer practices, consumerism as an ideology becomes the lens through which we see and understand the world, what is possible for us, and how we might go about achieving what we want. According to Bauman, consumerism â€Å"manipulat[es] the probabilities of individual choices and conduct.† Echoing  Marx’s theory of the alienation of workers within a capitalist system, Bauman argues that individual desire and longing becomes  a social force separate from us  that operates on its own. It then becomes the force that propels and reproduces norms, social relations, and the overall social structure of society. Consumerism shapes our wants, desires, and longings in such a way that we want not simply to acquire goods because they are useful, but more so, because of what they say about us. We want the newest and the best in order to fit in with, and even outshine, other consumers. Because of this, Bauman wrote that we experience an â€Å"ever-increasing volume and intensity of desire.† In a society of consumers, consumerism is fueled by planned obsolescence and premised not only on the acquisition of goods but also on their disposal. Consumerism both functions upon and reproduces an insatiability of desires and needs. The cruel trick is that a society of consumers thrives on the inability of the system of mass production and consumption to meet our desires and needs. While the system promises to deliver, it does so only for brief periods of time. Rather than cultivating happiness, consumerism is fueled by and cultivates fear fear of not fitting in, of not having the right stuff, of not being the right kind of person. Consumerism is defined by perpetual non-satisfaction.

Research paper Assignment Example | Topics and Well Written Essays - 1000 words

Research paper - Assignment Example Market is about influencing mindsets of people so that the market share increases. This hypothesis calls for a measure of difference between variables. It’s like carrying out a research on income levels per gender and then running analysis to try to understand the difference in means income between males and females. The research uses secondary data and not primary data. The research attributes are sub-divided into non-overlapping sub-groups, factors, which area analyzed and presented together for a better understanding of the topical issue. The use of primary data is always encouraged as it results into tangible results which can be used to develop binging decisions unlike the secondary data. However, secondary data might be used in cases where the research study is not a new phenomenon and a researcher wants to build on assertions by other writers. The hypothesis developed and the research objectives are hand in hand. The use of data to influence mindsets so as to ensure proper understanding of migration benefits. Data collection was done by compiling the information from reports. The best thing for this research study to attain the required scientific rigor would have been to collect the data using any of the research tools i.e. questionnaire, interview or observations. But in this case, collecting information would have been expensive and may be it was not factored in the research study budget. The best method to sample the population would have been stratified random sampling where the population would be sub-divided into non-overlapping sub-groups. And then do a random sample from each stratum. This would be applied since the population being targeted is not homogenous but heterogeneous. A simple random sampling could only be used in case the population had the same traits. The results from this analysis could be used to centrally to explain the formulated hypothesis since the data represents the real situation and also since the data has both