Listening to Immortal Music Created by Geniuses Essay - 2

Listening to Immortal Music Created by Geniuses - Essay Example It had been fun looking at the instrumentalists with their respective instruments because they seemed to be taken by the music they were playing. Their movements have been most entertaining and indulging, causing the audience to feel their music along as they continued to play. Another piece entitled â€Å"Autumn†, was particularly engaging for me. It felt like leaves were falling softly and gently to the ground. The music brought a little sadness to the spirit because it sounded very sad, it almost resembled a song for the dead. Somehow, as the sound reverberated through the hall, it gave me some shivers I could not explain. Nevertheless, the players did very well. Playing concerto number 2, it could be said that the performers gave justice to the immortal magic of the music. Of course, if classical music is played, the performance will always be wonderful regardless of who plays the music. However, in all honesty, due praise should also be given to the instrumentalists. The execution was great it made me feel like I was transported to another era. I actually felt like I was in a time when music was meticulously created by talented musicians. The â€Å"Allegro† made me want to prance and dance because of the joyful tempo and beat. The rise and fall of the volume made me appreciate how the changes could wonderfully create an effect that awakens the emotions of listeners. The other pieces played were similarly beautiful. The experience transported me to a new world where my inclination to music has been newly awakened and strengthened. I was indeed truly entertained and rejuvenated in an inexplicable manner. Perhaps that is just what music does to individuals. The rendition was ended with â€Å"Softly as a Morning Sunrise† which I think was most appropriate as a closing piece. The music was soft it almost lulled me to sleep.

Creative Destruction and Reconstruction Essay Example | Topics and Well Written Essays - 250 words

Creative Destruction and Reconstruction - Essay Example Now that I’ve practiced my profession for some time, and have realized that I wish to make some changes. The first thing that comes to my mind is that I want to become a real doctor, but I want to be able to practice the knowledge I have accumulated in my present career. I have made my research and discovered that from being a radiologic technologist, I can take additional courses so that I can engage in interventional radiology or even nuclear medicine. The reason I chose these two fields is because these have high demand not only in the U.S. but also in Europe. In a new analysis made by Frost & Sullivan, it was discovered that interventional radiology institutions have earned atleast $399.5 million in 2006 and estimates show that this can reach as high as $683.3 million by 2013 (Frost and Sullivan, 2011). Meanwhile, the nuclear medicine market was at $531 million in 1996 (Frost and Sullivan, 1998) is expected to reach $1.69 billion by 2015 (Global Industry Analysts, 2010). The best thing about engaging in these fields is that I can work not only as a specialist but as a researcher as well. With the improvement in healthcare information systems (HIS), I can work as a consultant, giving my advise in interpreting radiographs, as well as possible treatments. I can have the digital images sent through my office through the HIS and I can send in my recommendation through the same system. Moreover, I can be employed in one state and be called in for a consult if I advertise my services through the internet or have my service listed in a directory. Frost and Sullivan. (1998). Future of Nuclear Medicine, Part 1: Marketing Research Forecasts. The Journal of Nuclear Medicine, 39(2). Retrieved from http://jnm.snmjournals.org/content/39/2/27N.full.pdf Global Industry Analysts, I. (2010). Global Nuclear Medicine Market to Reach US$1.69 Billion by

Blackberry Case Study Essay Example for Free

Blackberry Case Study Essay Once the leader of mobile devices for business associates across the United States, in recent years BlackBerry has loss significant market share to its competitors such as Apple’s iPhone and Google’s Android. Struggling to keep afloat, although BlackBerry only holds five percent of the total mobile device industry, it still succeeds in its consulting business solutions that BlackBerry offers its clients. BlackBerry Business Solutions offers hardware, software, and applications to improve businesses’ performance in several industries such as healthcare, wholesale and retailing, pharmaceuticals, and financial services. The need for efficiency and access to data in the healthcare industry has recently become a standard protocol of how physicians and healthcare providers treat patients. Especially since the handheld electronic devices and e-commerce applications markets have been expanding rapidly, this trend has in turn provided an outlet of immediate access and diversity of physician-oriented applications available in the marketplace. Research conducted by Manhattan Research states, â€Å"more than 80 percent of U.S. physicians [have] smartphones [in] 2012up from 64 percent in 2009and half of that group will use their phones for patient care, administrative functions†¦Ã¢â‚¬  (Versel). BlackBerry has recognized these needs from the healthcare industry providing unique and customizable solutions to various clients’ problems by providing them with solutions and applications offered by their 70+ Healthcare ISV (independent software vendor) partners (Partner Solutions). BlackBerry has distinguished their business model by, â€Å"still dominat[ing] among physicians and healthcare application developers, through the iPhone and Google Android are closing the gap quickly†¦Ã¢â‚¬  (Versel). BlackBerry can see their successes throughout the entire healthcare continuum by offering e-commerce solutions that improve business and clinical performance across several categories within the healthcare industry which differentiate the services the can offer various businesses than Apple and Android. For instance, Mercy Health Partners, a conglomerate of 30+ hospitals across four states, needed to be able to provide immediate mobile access to patient records and clinical information at the bedside so physicians can more efficiently manage patient care (BlackBerry). BlackBerry Business Solutions were able to uniquely assess Mercy Health Partner’s needs and expand their health information systems by offering an e-commerce application called Clinical Xpert Navigator provided by on of their partners, Thompson Healthcare (BlackBerry). The Clinical Xpert Navigator gave Mercy a way to access and securely deliver patient information such as patient medications lists, transcribed report, lab results, and electronic health records at their various locations and right at their patients bedside tables. As a customer, Mercy Health Partners received an exclusive BlackBerry Enterprise Solution as apart of their business solutions model, which ran on BlackBerry smartphones and tablets making it a cost-effective use of their technology. This cost efficiency has in turn resulted in benefits seen in both Mercy Health Partners’ business performances but also their clinical patient care performance. The necessity for time in today’s society is critical for any industry. BlackBerry’s Business Solutions offer clients within the healthcare industry more time through e-commerce applications that directly improves the quality of care, access to care, and continuous care they can ultimately offer their patients in need and help save more lives. http://www.itproportal.com/2012/03/30/iphones-share-us-smartphone-market-very-close-android/ http://sg.blackberry.com/newsroom/success/Mercy_BCS.pdf

Chest Pain Case Study

Chest Pain Case Study Ebunoluwa Mikiie Chest Pain There are various Chest pains. Chest pain may be caused by gastrointestinal, respiratory, cardiac or musculoskeletal analysis. Chest pains may also be caused by anxiety, pericardium, myocardium, parietal pleural, aorta, esophagus, Chest wall, trachea and large bronchi, skin, and musculoskeletal system. As a nurse, I must carefully assess by asking questions, such as Location: where do you feel the pain in your chest? Onset: when did the pain begin? Duration: Does it happen with breathing? Is it nonstop or comes and goes? Associated manifestation: what else is experienced with the chest pain? Characteristics: describe your pain? Treatment: have you seen anyone or tried any medication? Relieving factors: does anything make it better (Nursing Guide)? Anxiety procedure is not clear. It is located below the left breast or across the anterior chest. The quality of pain is stabbing, sticking, dull or aching. Its severity is varying. It can be from hours to days. Symptoms are shallow breathing, anxiety, weakness and palpitations. Aggravating factor may be emotional stress. A relieving factor is unknown (Nursing Guide). Pulmonary: Tracheobronchitis is Inflammation of the trachea and bronchi, and is located at the on both sides of the sternum or at the sternal. The quality of pain is a burning sensation, severity, mild to moderate. The timing is variable. Aggravating factor is coughing, and relieving factor is lying on the affected side (Nursing guide). Pleuritis Pain: Inflammation of the parietal pleura as in pleurisy, pneumonia, pulmonary infarction or neoplasm, located at the chest wall. The quality of pain is sharp and can hurt like a knife with severe pain. Aggravating factors are inspiration, coughing and movements of the trunk, and relieving factors are medication and treatment. Its timing is persistent (Nursing Guide). Cardiovascular: Angina Pictoris: Temporary myocardial ischemia, usually secondary to coronary atherosclerosis, located at the anterior chest that sometimes radiates to the shoulder, arm, neck, lower jaw or upper abdomen. The quality of pain is pressing, squeezing, tight and heavy with occasional burning. The severity is mild to moderate; this is sometimes perceived as discomfort rather than pain. Its timing is usually 1-3 minutes but up to 10 minutes, prolonged episodes are up to 20 minutes. Association symptoms are dyspnea, nausea and sweating. Aggravating factors are exertion in the cold, meals, emotional stress, it sometimes occurs at rest. Relieving factors are rest and nitroglycerin (Nursing Guide) Myocardial Infarction: This is prolonged myocardial ischemia, and results in irreparable muscle damage and/or necrosis. It is located at the anterior chest that sometimes radiates to the shoulder, arm, lower jaw, neck or upper abdomen. The quality of pain is like angina. Myocardial Infarction is often but not always a severe pain, with a timing of 20 minutes to several hours. The relieving and aggravating factors are unknown (Nursing Guide). Pericarditis: Irritation of the parietal pleura, adjacent to the pericardium. It is located at the precordial space and could radiate to the tip of the shoulder and the neck. The quality of pain is also sharp and knife-like and also severe with persistent timing. Aggravating factors are breathing changing position, lying down, swallowing and coughing. A relieving factor is sitting forward (Nursing Guide). Gastrointestinal: Reflex Esophagitis: Inflammation of the esophageal mucosa by reflux of gastric acid. It is located retro sternal and may radiate to the back. Its severity is mild to severe with variable timing. The quality of pain is burning and squeezing sensation. Aggravating factors are eating large meals, lying down, and also bending over. Relieving factors are antacid and sometimes belching. Associated symptoms are regurgitation and dyspnea (Nursing Guide). Chest wall Pain: The progression is not always clear, it is frequently found along the costal cartilages or below the left breast. The quality of pain is aching, dull, stabbing, or sticking. Its timing can be from hours to days and has variable severity. An associated symptom is a local tenderness. An aggravating factor may be movement of arms, trunk and chest. Relieving factor is unknown (Nursing Guide). Assessment SOAP note on two individuals adults. The first individual has a history of high blood pressure; he is taking his blood pressure medication regularly. The second individual has a history of diabetes; he exercise regularly and eat healthily, but is concerned that his lifestyle change is not apparent in weight loss outcome. A general assessment was done on both patients, but focused area was done on the upper and lower extremities for skin turgor, color temperature and capillary refills. Patient one: Mr. J.M. is a 49-year-old white male, a car salesperson. He was born in Georgia. Subjective: Mr. J.M. has a history of High Blood Pressure. Mr. J.M. said that he has been taking atenolol 25mg once a day by mouth for one year, and has no negative effect from it. He rated his pain scale as 0/10 (0-10 pain scale). He said he was concern about having a heart failure form cardiac issues from stress due to the nature of his job. Objective: Vital Signs, temperature 98.4, pulse 77, respiration 18 and blood pressure 130/80. Head, eyes and nose appears normal no pallor noted. Skin turgor normal and elastic, no signs of dehydration or excessive dryness noted. Color fair, normal for race, no change or abnormal pigmentation observed. Skin is warm and dry to touch (using the back of my hands). Capillary refills in upper and lower extremities of nail beds less than 2 seconds. Respiration clear, no, wheezing or shortness of breath or noisy breathing noted. Lung sounds auscultated, clear bilaterally at anterior and posterior lower and upper lobes. Normal breath sounds, soft and low pitch over most of both lungs, equal expiratory and inspiratory sounds. Irregular breath sounds will necessitate instantaneous care. No adventitious breath sounds such as crackles, wheezes or rhonchi noted. Heart sounds auscultated, normal S1 and S2 noted. These areas were palpated, brachial pulse found at the inner aspect of the elbow; it i s also a regular site use to obtain blood pressure measurements. The radial pulse is located at the thumb site of the wrist, the popliteal pulse at the back of the knee, the femoral pulse is located in the groin region, the dorsalis pedis pulse at the top of the foot, the posterior tibial pulse at the lower side at the inner aspect of the ankle. It is to locating these sites are imperative because they are necessary pressure points in case of severe bleeding. The amplitude of the pulses compares equitably, when the pulses were palpated (www.nursing times.net). Abdomen is soft and non-tender, and the bowel sounds active in all four quadrants, with active range of motion (ROM) noted in bilateral upper and lower extremities. Diagnosis: Knowledge deficit related to signs and symptoms of heart failure as evidence by patient’s concern of stress and impending heart failure. Blood pressure within normal range. Plan: Encourage Patient to continue taking his medication, increase water intake to at least eight glasses per day, decrease additional salt intake to help maintain normal blood pressure. Patient to continue daily exercise. Encourage patient to keep physician appointment. Routine laboratory test include complete blood count (CBC), urinalysis, thyroid panel, chemistry panels, thyroid panel, blood urea nitrogen (BUN), glucose check, and white blood count (WBC). Patient 2: Mr. J.J. is a 40-year-old African America male, businessperson. He was born in Georgia. Subjective: Patient came into the clinic with concern of not able to see the resulting exercise with his weight, change in diet. Patient associated his not being able to loose with his history of being a diabetic for over three years. He said that currently he takes metformin 1000mg twice a day by mouth. Patient denies any pain at this time. Objective: Vital Signs, temperature 98.6, pulse 84, respiration 20 and blood pressure 127/76. Blood sugar 115 mg/dl. Weight 200 pounds. Head, eyes and nose appears normal. Skin turgor normal and elastic, no signs of dehydration or excessive dryness noted. Color appropriates to ethnicity, no pallor noted, no change or abnormal pigmentation noted. Temperature of the skin is warm to touch. Capillary refills in upper and lower extremities nail beds less than 2 seconds. Respiration clear, no shortness of breath, wheezing or noisy breathing noted. Lung sounds auscultated, clear bilaterally at anterior and posterior upper and lower lobes. Normal breath sounds noted. No crackles or wheezes or rhonchi. Heart sounds auscultated and normal. These areas were palpated; brachial pulse establish at the inner part [tm1]of the elbow. Radial pulse found at the wrist. Femoral pulse found in the groin area. Popliteal pulse found at the back of the knee, the dorsalis pedis pulse found at the top of the f oot, the posterior tibial pulse found at the lower side at the inner aspect of the ankle. The amplitude of the pulses compares equitably, when the pulses were palpated (www.nursing times.net). Abdomen soft and non-tender, bowel sound noted in all four quadrants, active range of motion noted in bilateral upper and lower extremities. Diagnosis: Non-reassuring weight loss related history of diabetes. GLucose 115mg/dl before food. Plan: The patient should be congratulated on taking steps to live a healthy life. I would encourage the patient to continue his exercise and include exercises to target specific areas he wants to loose. I would encourage him to continue with his medication regimen and continue with his healthy lifestyle change to help with his medication. Routine laboratory test: Glucose (hemoglobin A1C); thyroid panel; white blood count (WBC); blood urea nitrogen (BUN); complete blood count (CBC). [tm1]

Essay --

The United States of America accounts for only 5% of the world’s population, yet as a nation, we devour over 50% of the world’s pharmaceutical medication and around 80% of the world’s prescription narcotics (American Addict). The increasing demand for prescription medication in America has evoked a national health crisis in which the government and big business benefit at the expense of the American public. (II) The enacting of Medicare Part D in 2006 only helped to fuel America’s hunger for prescription medication. In 2003, President George W. Bush announced and signed the Medicare Prescription Drug, Improvement, and Modernization Act (also known as the Medicare Modernization Act, or MMA) on December 8th. The roughly $400 billion dollar measure was marketed to the American public as something that will provide care for the millions of senior citizens who, at the time, were struggling to afford prescription medication. This was the largest development of Medicare since 1965, which is when the program was initially created, and gave hope to those wishing for positive medical reform. According to title XI of the â€Å"Medicare Prescription Drug, Improvement, and Modernization Act of 2003†, the most significant change will be the affordability of prescription drugs by implementing the importation of drugs from Canada, along with necessary safety measures, in order to lessen t he cost (United States Congress, 832). For those who were in retirement homes and lacked a steady income, the affordability of drugs was often a deciding factor in the decision to seek medical attention and the idea that those individuals ceased to live simply because they lacked the funds tugged at the heartstrings of many Americans. Although the Medicare Moderniza... ...pecially with the use of DTC advertising, to such a wide range of afflictions greatly increased their consumer base, but one of them proved to be deadly. In 1999, four years after Lilly sent study results to the U.S. Food and Drug Administration showing Zyprexa didn’t alleviate dementia symptoms in older patients, it began marketing the drug to those very people, according to documents unsealed in insurer suits against the company for overpayment.(Applbaum, 248). Soon after it began to be used in those suffering from dementia, there were studies produces that showed an increase in death rate among elderly patients taking Zyprexa. In January of 2009, Eli Lilly and Company, who produced the drug, ended up settling the lawsuit and agreed to pay $1.415 billion which was one of the biggest corporate settlements in the history of pharmaceutical companies (Applbaum, 237).

The Different Types of Discrimination Essay -- Prejudice, Racism, Cult

Discrimination Religion, national origin, race, and social status are the suspect classifications of discrimination, but are these the only categories that should not be discriminated against? People today are searching for equal rights and opportunities. No one should be suffering from any type of discrimination, but they are. Discrimination is an unfair treatment of a person or group based on prejudice, therefore sex, disability, and age should be included in the suspect classifications of discrimination (â€Å"Discrimination†). Sex discrimination is the differential treatment based on sex (â€Å"Answer†). Traditionally in American culture higher value has been given to males, this is why sex discrimination is commonly found in the work place among women. Focus in a workplace where sex discrimination is prevalent; the choices are not made based on the ability of the person, but their gender. The reason why gender is a big issue for women in the workplace is because women are looked at as part of the household committee instead of in the economical world. Women are not seen as capable entities, but solely as â€Å"baby-makers†. This method of conducting business has deterred many women that are far more capable than the men who were given the job. Sex discrimination in the employment world is not a new issue, but one that stems from the past. The Fair Labor Standard Act of 1938 established a minimum wage for both men and women providing equality (â€Å"Answer†). Even though this act was passed, many women are still paid less than men for the same job. In 1963, the Equal Pay Act acknowledged women as workers and not just homemakers (â€Å"Answer†). Now in 2007, sex discrimination is still being done in some occupations, but they are making progress. ... ...en booking a hotel room you are required to be at least 18 years of age. At 18 years old you are required to provide a deposit just incase you break hotel property, while older adults are not required to provide a deposit. We live in a country where youth is full of energy, while old is worthless, but we all should be treated equally. Discrimination has been a big issue in society for a long time. National origin, religion, social status, and race are the suspect classifications that are not allowed to be discriminated against. Are these the only categories that are worthy of protection? Not as long as America is the home of the free. Sex, Disability, and Age discrimination are categories that are being over looked everyday. By not acknowledging these other, very significant types of discrimination not only are the business world losing out, but America as a whole.

Nicol Ann David

Nicol David is presently one of Malaysia’s hottest sports properties. While most Malaysians will have to take a really good look before becoming a professional sports person, Nicol shows them how she did it, and why they should do it too.Nicol Ann David was born on 26 August 1983 in Penang. She is a daughter to Desmond David, an engineer and Ann Marie David, a teacher. Her first encounter with squash began at a tender age of 5, and at the age of 8 she started to take squash seriously with regular training and involved in competitive games. She received her primary education at SM Convent, Penang.Her squash career began in 1992 when she won silver in the Under-14 category of the Penang State Junior Championship. Her first national level victory was also in 1992 at the Milo-Dunlop Sport National Junior Interstate Championship, where she won silver in the Under-16 category. After that she always gets won the tournament that she participates.Nicol began dominating the squash scene by winning the Asian championship as well as becoming the youngest player to become the world’s woman junior champion. By the time she reached 16 where most people at that age was honeymooning before sitting down for SPM a year later, she was already making the world’s top 10 list and on her up. Nicol has an invincible track record in Asia after winning the Asian championship 5 times in 1998, 2000, 2002, 2004 and 2006.In January 2006, at the age of only 23 years old, Nicol reached a new height when she took over the helm as the world’s number one woman squash player. Nicol is not only the first Malaysian to take over the crown but is also the first Asian woman to be ranked number one.Her success in squash did not prevent Nicol to record impressive and outstanding academic achievement. She scored 8As in the PMR (Penilaian Menengah Rendah) and 9As in Sijil Pelajaran Malaysia (SPM). Before the exams, she would be seen juggling her time preparing for the exams as w ell as practicing and perfecting her skills in court.Nicol David has been conferred Darjah Setia Pahlawan Negeri which carries the title ‘Datuk’. The award will be given by the Yang Dipertua Negeri of Penang, Tun Abdul Rahman Abbas tomorrow, in conjunction with his 70th birthday.Now a professional squash player, Nicol David is a definite role model for Malaysian and other youngsters around the globe. She trains under a former world number 2, Liz Irving in Amsterdam, Holland. Her desire to succeed has taken her to a territory where other Malaysians consider impossibility. She is also a living legend who proves that you can be exceptional in both sports and education fields.