healthcare industry analysis essays

healthcare industry analysis essays Optivus was formed in 1993 by the principal engineering team who designed Loma Linda's Proton Center. Optivus has since designed and implemented numerous enhancements, which have increased the variety of treatment sites and the number of patients that can be treated daily. Otivus Technology is an ISO Certified organization that designs, manufactures, and markets hospital-based proton beam therapy systems used in the treatment of cancer and other diseases. When Loma Linda University Medical Center (LLUMC) built the world's first hospital-based Proton Treatment Center they assembled an in-house team of highly skilled engineers to lead and manage the complete integration of all the highly specialized technologies. The project was successful and fully commissioned in 1993. The same year, the LLUMC engineering team spun-off and formed Optivus. (Optivus, 2004). Currently the company is facing problems in selling their facility. This report studies the reasons for the failure and recomm ends how to address the issue to maintain a steady growth in the future. The healthcare industry consist of companies that develop, manufacture, market, or distribute health-related products or provide health care services, such as hospitals, nursing homes, HMOs, medical product suppliers, medical equipment and medical device makers, and medical laboratories. Healthcare industry consists of 2 main sub categories. They are healthcare products and healthcare services. (Hoovers, 2004). Health Care Products constitute companies involved in: Medical Equipment Medical Products Distribution Health Care Services constitute companies involved in: Medical Laboratories Medical Practice Management Prescription Benefits Management Specialized Health Care Services. (Hoovers, 2004). In this analysis we focus more on the medical device sub category and medical treatment ...

Its All About Accuracy

Its All About Accuracy It’s All About Accuracy It’s All About Accuracy By Mark Nichol During my editing career, I’ve corrected some significant factual errors in manuscripts before they were published mistakes that would have compromised the authority of a book or a magazine or newspaper article, or at least embarrassed its author. (Aw, shucks, don’t mention it it’s my job.) I’ve also probably overlooked a few. And I’ve introduced some in my own writing: In one book review, I identified the author by the wrong first name. In another, I gave Canis domesticus as the scientific name for the dog. (It’s Canis familiaris, or Canis familiaris domesticus, or Canis lupus familiaris.) In a recent post, I relied on my very limited knowledge of French to address a comment to mon amis, rather than to mes amis. (My editor caught the two book-review errors, and a few of this site’s readers called me on the friendly faux pas, as some have done with other infelicities of mine.) So it is as a sympathetic peer, not as a sneering superior, that I entreat you to practice due diligence in optimizing the accuracy of your writing. Analyze Your Errors Do you consistently make the same types of errors? Misspelling of people’s names? Erroneous wording of lengthy job titles or organizational names? Math mistakes? Record and tally your errors, and resolve to triple-check every instance in your problem area(s). And don’t rely on the popular media for this information. Go to the source an individual’s or organization’s website or to a respected reference work. If you are math challenged, consult with a computationally adept ally. Keep a Checklist For every article or blog post or other piece of content you write, produce a checklist from a master template you keep on your computer or in your hard-copy files. On this list, direct yourself to check names and titles of people, names and locations of places, URLs, numbers and math, and definitions and explanations. Verify quotes, and check for spelling and grammar errors (and for spell-checking errors). When you interview or consult with someone, ask them to spell their personal information. (My surname is the least common of several variants, so I always spell it out over the phone without prompting. Many people with unusually spelled names do the same, but a surprising number don’t.) Confirm all other details and information with objective resources. Keep track of Web links and other access to information. And especially if you’re writing about recondite or controversial topics, ask people you interview to identify situations in which other writers introduced errors into their articles so that you can avoid passing fumbled facts along. Delete Your Ego How many of you have read an article about something you have inside knowledge about and noticed factual errors? I know I have. Understand that accuracy in reporting is a problem endemic to professional and amateur writing alike. But determine to be someone who does something about it. Acknowledge and correct your errors. If your sources are unreliable (facts or findings contradict the prevailing understanding) or subjective (an expert spins facts to support their viewpoint), jettison them and obtain more reliable ones. Always verify. (Follow the time-honored warning to reporters: â€Å"If your mother says she loves you, check it out.†) And cultivate your skepticism; don’t let impressive job titles or institutional names or other trappings of infallibility distract you from seeking the truth. 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 Freelance Writing category, check our popular posts, or choose a related post below:Homograph Examples50 Idioms About Arms, Hands, and FingersPhrasal Verbs and Phrasal Nouns

Gold Rush - Different Racial Groups Essay Example | Topics and Well Written Essays - 500 words

Gold Rush - Different Racial Groups - Essay Example by white, non-English-speaking Europeans, and then, in a descending order, men and women whose skin became progressively darker and habits progressively different from the white man’s: the Mexicans, the Indians, the Chinese. Without much thought or effort on their part, Anglo men established their dominance over California by systematically asserting themselves over others. Of course, the major motivation of those in California at this time was the desire to strike it rich. Although some people did just this, there was only a finite amount of wealth to be uncovered, leaving most men few options for increasing their status. Racism, codifying the differences between themselves and others, was one way to raise perceived power in a landscape where men were often at odds with, and at the mercy of, an environment over which they had very little control. Roaring Camp: The Social World of the California Gold Rush by Susan Lee Johnson, demonstrates how life was different for white men, and how they acted to maintain their superiority in California. Theirs was a world where status had already been shaken up. Due to the scarcity of white women and the need for some means of support, many men found themselves employed in positions that back east would only have gone to girls. They eased the stigma of such labor by assuring themselves that such work was still manly, and by setting themselves above those of other races and cultures. They categorized the French as â€Å"dainty (small, little, diminutive)† (Johnson 118). Mexican men were seen as â€Å"‘lazy Greasers’ in ‘dirty Zerapes’† (Johnson 123) while Mexican women existed solely for the purpose of cooking and being ogled. Native Americans were afforded even less respect, and white men could murder them with impunity, with their killers â€Å"posing as heroes† (Bibby 54). â€Å"Systematic harassment† (Johnson 125) of the Chinese forced some men out of the mines, where white men wanted to work. Language was an

Salvador Dalis The Persistence of Memory and its Description Essay

Salvador Dalis The Persistence of Memory and its Description - Essay Example I would like to apply this knowledge to Dali’s The Persistence of Memory. There are certain elements of art and at the same time certain principles of design that depict this artwork as being one of the strongest examples of Surrealism. It is said that the idea for this painting occurred to Dali upon noting the melting of cheese, and he got the remaining elements in a dream. One interpretation could be that the use of melting watches as the subject matter indicates that Salvador Dali in this work used these objects as a reminder to the viewer that time is always fleeting and it is slipping away from us even as we speak or view the painting. At the same time, the clock literally is a very clear illustration of the time gone by which tells us of things that we cannot get back anymore or perhaps gives the notion of fleeting objects. At the same time, the use of a clock metaphorically can be attributed to our memories. Another interpretation that has been suggested is that this work shows the irrelevance of time while we sleep compared to our preoccupation with it during our waking hours. It is said that Dali painted this work in an era of his life in which he was influenced by Sigmund Freud’s psychoanalytical theories about memory and the interpretation of dreams (Dali et al). It is not difficult to imagine the artist’s concept of a dreamlike state of time and memory being depicted through this painting. One can also relate this painting to the function of recall in memory- there are fleeting glimpses or feelings of having met someone before upon crossing them in the street and suddenly it all connects and the memory solidifies and becomes clear a bit later. Another oddity that can be pointed out is that while nearly all the clocks are shown melting away, the orange one on the extreme left of the wooden block is the only one that retains its shape. It is seen that ants have selected the center of it as a focal point of sorts. Perhaps this is depicting our  preoccupation with time during our waking hours by the artist.

In the novel of Mice and Men show how Steinbeck represents the theme of loneliness Essay Example for Free

In the novel of Mice and Men show how Steinbeck represents the theme of loneliness Essay The name of the author of this novel is John Steinbeck. He wrote this novel in 1936 and it was published in 1937. The novel is set in a ranch, which is near the town of Soledad, California. Steinbeck got the name for his novel from a poem by Robert Burns called To a mouse, on turning her up in her nest with the plough. At the time this novel was written America was in the period of the Great Depression. This meant people could not find many permanent jobs and so had to travel around the country looking for work. This meant that the workers were sometimes away from their families for a long time and had to travel alone just to try make some money. This was a very bad period in the American history with a high rate of suicide and many people got bankrupt. Usually the workers would stay in a job for a few weeks after which they would travel to find another job, this meant they did not have much time to make friends and so often were very lonely. The main characters in of Mice and Men are George and Lennie. The story is based around them and their time at the ranch. Some of the other important characters are Slim, Curly, Curlys wife and Candy. This novel has many themes in it which include loneliness, the dreams of the workers and also apartheid and sexism. Some of the characters who are lonely are Curlys wife and Crooks. These two are lonely because first of all Crooks is as Black person and at the time Black people did not have the same rights as White people. This meant that Crooks had no one to talk to and usually had to spend time by himself. After a while of spending time completely on his own Crooks thinks that he could be going crazy and he really wants some company. I know this because in chapter four Crooks is talking to Lennie and he say, I seen things out here. I wasnt drunk. I dont know if I was asleep. If some guy was with me, he could tell me I was asleep, an then it would be all right. But I just dont know. This shows that Crooks has been on his own for too long, and now he is not even sure of what is real and what is not. Crooks does not have any dreams because he has been at the ranch for a long time and has seen many peoples dreams destroyed. Another person who is lonely is Candys wife. She is lonely because she is a woman and so none of the men really talk to her. Also because she is the only woman on the ranch she has no other women to talk to either. This means she gets very lonely, however she does try talk to the men sometimes, but this has a bad affect. This is because the men think she is some type of whore or a slut who is trying to manipulate or use them in some way. This is unfair on Curlys wife because they do not know her and all she wants is some company. Also Curlys wife is from the city and so does not know how to do the ranch work and so she usually has to stay in the house on her own. Candy does not like Curlys wife because he thinks she is a tart. The ranch in the novel is near a town called Soledad, however because there are no buildings or people very close to the ranch itself, people inside only have each other to talk to and because Curlys wife is the only female she has no one to talk to and so feels isolated. This is also the case for Crooks because he is the only Black person on the ranch. In the novel, George is a migrant worker who has been traveling around America doing odd jobs with his fellow companion Lennie. George is a small man with small strong hands, dark face and sharp restless eyes. From his description I can see that George is a clever and careful character. Lennie on the other hand is a big man with large pale eyes, and sloping shoulders. His movement had a bear like quality and the way he is described in the novel makes him sound like an animal. George and Lennie travel together because they are friends and have known each other a long time. Also it would be better then traveling alone, because they would have no other companions and so would be lonely. At the start of the novel George and Lennie are in a natural clearing a few miles away from the ranch. They have not got any money because they had to buy bus tickets and had to flee the last town because Lennie got into trouble. George and Lennie have a good friendship but at times it seems that it is a relationship between and father and son. George seems to take the roll of the father and Lennie the son. Even though George complains about Lennie and says that he would be much better off without Lennie, he still needs Lennie for companionship. I know this because in chapter one George says, God a mighty, if I was alone I could live so easy. I could go get a job a job an work, an no trouble. This shows that George sometimes does wish he is alone because Lennie is sometimes just too much trouble and he thinks that if he didnt have to look after Lennie then he wouldnt have all this money trouble. Although, even though he sometimes wishes that Lennie wasnt around he knows that he couldnt live without him. I know this because when Lennie tells George that he can leave if George wants him to and says he can go live in the hills. George apologizes to Lennie for shouting at him and tells him to stay with him. George and Lennie both share a dream. Their dream is to own a piece of their own land where they can live and feed themselves. This is the American dream. For George and Lennie the dream makes them think they are different to the other workers. George tells Lennie how most workers make some money then spend it all in some brothel or bar He then tells Lennie how they are different. He tells him how they have each other and they have a dream that they are working towards. For George and Lennie their dream is very important because it is a way they are getting through life. The dream gives them hope, and that is one human feature that always seems to make people believe that everything will be ok and they will be happy. John Steinbeck shows that their dream is an ideal because it is just too perfect. The dream is about George and Lennie having their own land on which they will have rabbits, a cow and grow vegetables. Also the ways Lennie describes the rabbits shows that it is just a fantasy. He says they will be all different colours, like yellow and green. The readers know that this is impossible and yet they sympathize with Lennie because of his child like innocence. In chapter four George is with the rest of the men at a brothel called Susys. Even though they have gone there to get some relief after the long day they have had, it is quite hypocritical of George to be going to this brothel because he says that he is not one of the men who just goes there and spends all his money. Although we are not told if he does spend any money there it is quite likely he does spend some. This means he is being a hypocrite. In chapter four Lennie goes into Crooks room without being invited. In this chapter Lennie is in Crooks control and when Crooks starts telling Lennie that George has left him and wont come back Lennie believes him and then gets angry. Crooks calms him down because Lennie can be very dangerous when he gets angry or upset. After a while Candy comes in and he and Lennie start telling Crooks about their dream and how it will come true. Even though George told them not to tell anyone they tell Crooks anyway because he is Black and they think it wont matter if he knows. Candy is an old man who has been at the ranch for a long time. He has been allowed to stay there because his hand was cut off in one of the machines at the ranch. At the ranch he works as a floor sweeper. Candy is lonely because he is considered just to be an old man and none of the workers really talk to him that much. He did have a dog which was very important to him because he was his only companion and he had owned the dog since it was a puppy, unfortunately for him the dog became too old and so had to be shot. Also it hurt him more because he was not able to shoot him and the dog was shot by someone else. Crooks is lonely because he is a Black person and on the ranch he is the only one. They do not let him stay in the barn with the rest of the workers and so he has no one to talk to. He only has his books and they are very important to him because they are a form of companionship. Crooks and Candy are both lonely because they have no one who they can really talk with and make friends with. In chapter four they have been left behind while the rest go to Susys cathouse because Candy is considered to be too old and Crooks is Black and so cannot go into many places. Candy gets involved in George and Lennies dream because after his dog gets shot, Candy over hears George and Lennie talking about it and asks them if he could be apart of it. He says he is willing to pay and pays much more ten both George and Lennie combined. This dream gives Candy new hope and therefore feels livelier. When Crooks first hears about the dream he is quite critical about it but the further he hears about it the more convinced he becomes. However he has seen too many peoples dreams broken and so he says he does not want to be apart of it. Steinbeck shows that without dreams people have no hope and without hope life seems to be worthless. He shows that people need dreams, however farfetched they are, so that they feel they have goals and something to look forward to. Crooks has a more realistic attitude towards dreams, he says in chapter four that dreams get destroyed and it ruins people lives. I can show this because he says, an every damn one of ems got a little piece of land in his head. An never a god-damn one of em ever gets it. This is proof that Crooks is more realistic and he knows how the world works. He knows that people never seem to make their dreams come true. Curlys wife is quite young and beautiful. She is lonely because she has no one to talk to. She married Curly because she was upset with her mother and so does not really love Curly. She is a trophy wife for Curly. In chapter four she is the one in charge of all the misfits. She knows this and so she behaves quite badly and is mean to Crooks. When Crooks tells her to get out she tells him to be quiet or she will get him hanged. She tells him that all she has to do is scream rape and he will be hanged. This shows that Curlys wife also has an evil side. In this novel Steinbeck is sexist to women. He does not even give Curlys wife a name, and makes her look like a tart. Also most of the other characters think she is a bad woman, George gives her names such as jail-bait and tart. Curlys wife also has a dream. Her dream is to become a star and become rich and famous. She is quite gullible, we know this because she tells Lennie about a man telling her he would take her to Hollywood and make her a star, but in reality he just wanted her. Curlys wifes loneliness leads to her to own death because she is so desperate to talk to someone she starts to talk to Lennie. Lennie has a childlike mind and so does not really understand her and they both talk about two different things, but for Curlys wife just being with someone is good enough. She then lets him stroke her hair and when Lennie does not let go, she starts screaming, this makes Lennie confused and frightened and so he suffocates her. The writer has shown loneliness in this novel through the actions the characters take and the things they say. Some of the similarities between the lonely characters are that, that both Crooks and Candy are treated differently. This leads to them wanting to get involved in George and Lennies dream. Also Curlys wife is similar to these two characters because she is a woman, but between the three characters she is the most powerful one. Lennie and Candy are similar because they are both coping with life through their dreams. The writer is saying that loneliness is a curse itself and people react in different ways to it. He is trying to say that humans cannot survive when they are lonely and sometimes can go crazy. The novel of Mice and Men is a tragedy and the writer shows that George and Lennies friendship is doomed from the start. He shows that even though they need each other they will never be successful with their dream. With Lennies death the dream is over for both George and Candy. Without Lennie George will have no companionship and so he will be the same as the rest of the migrant workers. George shot Lennie because even though Lennie did not realize it, he had committed a crime and taken a persons life. George knew that Lennie had gone too far this time and knew that he had no other choice. Also he did not want the others to find him because they would have made him suffer and George would not have been able to see that happen. I think that in some ways he did do the right thing because if he let the others find Lennie they would have put him through trials and tortured him, however maybe he should have let the justice system deal with the case instead of taking matters into his own hands. The theme of loneliness in this novel is a very good reflection of the social and economic settings of the 1930s. I think this because many of the issues it covers are typical of the 1930s, such as racism and sexism.

Prayer in William Faulkners Light in August Essay example -- Light in

     Ã‚   "I decline to accept the end of man...I believe that man will not merely endure: he will prevail. He is immortal, not because he alone among creatures has an inexhaustible voice, but because he has a soul, a spirit capable of compassion and sacrifice and endurance."   -William Faulkner, Nobel Prize Acceptance Speech, 1949      Ã‚  Ã‚  Ã‚  Ã‚   William Faulkner illustrates many dimensions of prayer in Light in August: his characters avoid it, abuse it, embrace it, and blame it. In every case, Faulkner portrays prayer's power on the psyche. His fictional world seems Godless, yet his characters' struggle to prevail through prayer. Joanna Burden, Gail Hightower, and Joe Christmas exemplify three different approaches to prayer. Joanna turns toward prayer shortly before she is murdered; Hightower turns from it and finally feels liberated before his symbolic death; and Christmas, who is murdered in the end, prays throughout the novel. In comparing these three, Faulkner rejects pompous prayers and advocates for authenticity. Faulkner suggests that it is better to avoid prayer altogether, like Lena Grove, the happy pagan, than to be stunted by false prayer, like Hightower. To highlight these extremes, Faulkner fuses his novel with tensions between Judeo-Christianity and paganism, filling his charact ers with an urge to somehow find something permanent.      Ã‚  Ã‚  Ã‚  Ã‚   First, Joanna wrestles with her faith, but her shift toward prayer brings pride and prejudice. Faulkner's first mention of prayer in reference to Joanna actually comes through Joe: he observes her longing to meet God on her own terms and her struggle to do so: "She wants to prays, but she don't know how to do that either" (Faulkner 261). Faulkner inten... ...Black and White. New York: Twayne, 1992. Brooks, Cleanth. ‘Faulkner’s Vision of Good and Evil.’ Religious Perspectives in Faulkner’s Fiction. Ed. J. Robert Barth. Notre Dame: Notre Dame P, 1972. 57-87. Faulkner, William. Light in August. New York: Book of the Month Club, 1997. Fowler  Doreen,  Abadie  Ann   Faulkner and Popular Culture.  Jackson:  UP of Mississippi,  1990. Kazin, Alfred. "The Stillness of Light in August".  William Faulkner: Three Decades of Criticism.  Eds. Frederick J. Hoffman and Olga W. Vickery.  New York: Harcourt Brace Jovanovich, 1960. Porter, Carolyn.  William Faulkner: Lives and Legacies. Oxford University Press. 2007. Print. Tuck, Dorothy. Crowell’s Handbook of Faulkner. New York; Thomas Y. Crowell Company, 1964 Waggoner, Hyatt H.  William Faulkner: From Jefferson to the World. Lexington: University   of Kentucky Press, 1966. Prayer in William Faulkner's Light in August Essay example -- Light in      Ã‚   "I decline to accept the end of man...I believe that man will not merely endure: he will prevail. He is immortal, not because he alone among creatures has an inexhaustible voice, but because he has a soul, a spirit capable of compassion and sacrifice and endurance."   -William Faulkner, Nobel Prize Acceptance Speech, 1949      Ã‚  Ã‚  Ã‚  Ã‚   William Faulkner illustrates many dimensions of prayer in Light in August: his characters avoid it, abuse it, embrace it, and blame it. In every case, Faulkner portrays prayer's power on the psyche. His fictional world seems Godless, yet his characters' struggle to prevail through prayer. Joanna Burden, Gail Hightower, and Joe Christmas exemplify three different approaches to prayer. Joanna turns toward prayer shortly before she is murdered; Hightower turns from it and finally feels liberated before his symbolic death; and Christmas, who is murdered in the end, prays throughout the novel. In comparing these three, Faulkner rejects pompous prayers and advocates for authenticity. Faulkner suggests that it is better to avoid prayer altogether, like Lena Grove, the happy pagan, than to be stunted by false prayer, like Hightower. To highlight these extremes, Faulkner fuses his novel with tensions between Judeo-Christianity and paganism, filling his charact ers with an urge to somehow find something permanent.      Ã‚  Ã‚  Ã‚  Ã‚   First, Joanna wrestles with her faith, but her shift toward prayer brings pride and prejudice. Faulkner's first mention of prayer in reference to Joanna actually comes through Joe: he observes her longing to meet God on her own terms and her struggle to do so: "She wants to prays, but she don't know how to do that either" (Faulkner 261). Faulkner inten... ...Black and White. New York: Twayne, 1992. Brooks, Cleanth. ‘Faulkner’s Vision of Good and Evil.’ Religious Perspectives in Faulkner’s Fiction. Ed. J. Robert Barth. Notre Dame: Notre Dame P, 1972. 57-87. Faulkner, William. Light in August. New York: Book of the Month Club, 1997. Fowler  Doreen,  Abadie  Ann   Faulkner and Popular Culture.  Jackson:  UP of Mississippi,  1990. Kazin, Alfred. "The Stillness of Light in August".  William Faulkner: Three Decades of Criticism.  Eds. Frederick J. Hoffman and Olga W. Vickery.  New York: Harcourt Brace Jovanovich, 1960. Porter, Carolyn.  William Faulkner: Lives and Legacies. Oxford University Press. 2007. Print. Tuck, Dorothy. Crowell’s Handbook of Faulkner. New York; Thomas Y. Crowell Company, 1964 Waggoner, Hyatt H.  William Faulkner: From Jefferson to the World. Lexington: University   of Kentucky Press, 1966.

Stress Urinary Incontinence

Stress Urinary Incontinence Jordin Lang West Coast University Urinary Incontinence is defined as leakage of urine that is involuntary. Stress Urinary Incontinence is involuntary urine leakage that is due to weakened pelvic floor muscles. It is most commonly found to be a greater problem in women. Estimates say that upwards of 35% of women 65 and older experience some form of urinary incontinence. Stress incontinence is an involuntary loss of urine that happens because of physical activity, like coughing, sneezing, laughing, or exercise. The strength of the pelvic floor muscles is inadequate to support the urinary tract under pressure. The anatomy of the urinary system involved in continence in women includes the bladder, urethra, pelvic floor muscles and sphincter. Urine is stored in the bladder which fills like a balloon to accommodate up to two cups of urine. When a woman urinates the muscles surrounding the bladder contract to squeeze the urine out. Pelvic floor muscles support the uterus, bladder and rectum. There are also many nerves some of which send the signal to the brain that one needs to urinate. What occurs with stress urinary incontinence is that the sphincter and pelvic floor muscles when weakened cannot support the closure of the urethra when increased pressure from the abdomen occurs. Such as coughing, sneezing, laughing or exercising. (â€Å"Medlineplus stress incontinence,† 2011) Many women under the age of 65 develop issues with stress urinary incontinence following pregnancy and childbirth. Vaginal deliveries and episiotomies often result in stress urinary incontinence that is temporary and frequently clears up o its own within six weeks following delivery. In addition to pregnancy and childbirth some women may experience stress urinary incontinence during menopause. Estrogen keeps the lining of the bladder and pelvic floor plump and healthy, when estrogen decreases during menopause, some women may develop mild urinary incontinence a result. Risk factors for developing stress urinary incontinence include, being female, childbirth, increasing age, chronic coughing such as occurs with chronic bronchitis and asthma, multiple childbirths, obesity and smoking. (â€Å"Merkmanual: Polyuria,† 2011) Diagnosis of stress urinary incontinence is made after assessment of symptoms and in some women a pelvic exam will reveal the bladder or urethra bulging into the vaginal space. Tests may possibly include cystoscopy (inspection of the interior of the bladder), a â€Å"pad test†, pelvic or abdominal ultrasound and tests to measure post-void residual (amount of urine left after urination). Urinalysis is usually performed as well in order to conclusively rule out urinary tract infection. Health care providers may also perform a q-tip test to measure the angling of the urinary tract when resting and under pressure. An angle of greater than 30 degrees suggests significant pelvic floor weakening. There are three major modes of treatment for stress urinary incontinence. The first is pelvic floor muscle training and behavioral changes such as smoking cessation, losing weight and abstaining from alcohol and excess caffeine. Medications such as anticholinergic drugs, antimuscarinic drugs that block bladder contractions, alpha adrenergic agonist drugs also have been known to aid in the tautness of the urinary sphincter muscles. Surgery is often only indicated after all other treatments have failed. Anterior vaginal repair and retropubic repair are most common surgeries to treat severe stress urinary incontinence. (â€Å"Medlineplus stress incontinence,† 2011) Stress Urinary incontinence is surely a troublesome and perhaps embarrassing ailment. An ailment that can most definitely can interfere with a patient’s quality of life. With proper medical treatment, prognosis is generally good. References Medlineplus stress incontinence. (2011). Retrieved from http://www. nlm. nih. gov/medlineplus/ency/article/000891. htm Merkmanual: Polyuria. (2011). Retrieved from

Erasmus vs Luther; Discourse on Free Will Essay

The Erasmus-Luther Discourse on Free Will begins with the Diatribe concerning free will, written by Erasmus. Luther then refutes Erasmus’ Diatribe with The Bondage of the Will. The question being debated is whether man is in control of his own will, or whether everything is preordained by God, thus leaving man without free will. Their diverging philosophies have been interpreted as being the basic difference between Catholic and Protestant positions regarding free will. This debate offers two very conflicting views, although both philosophies were basic principles in their respective religions. Erasmus builds his argument without a solid foundation; like building a house without a foundation, it can easily crumble. Thus, Luther convincingly attacks Erasmus’ Diatribe. Erasmus holds that man is left with the choice of doing either good or evil. It is man’s choice and therefore, free will exists. In the opinion of Erasmus, the freedom of the will in Holy Scriptures is as follows: if on the road to piety, one should continue eagerly to improve; if one has become involved in sin, one should make every effort to extricate oneself, and to solicit the mercy of the Lord. Two conclusions concerning Erasmus’ beliefs can be drawn from this statement; firstly that man can himself find repentance and secondly that God is infallible, meaning that a person engages in evil acts with his own will. The definition of free will given by Erasmus is â€Å"the power of the human will whereby man can apply to or turn away from that which leads unto eternal salvation.† While addressing the topic of Adam and Eve, Erasmus states, â€Å"In man, will was so good and so free that even without additional grace it could have remained in a state of innocence, though not without help of grace could it attain the blessedness of eternal life, as the Lord Jesus promised his people.† Erasmus, therefore, believes eternal salvation is attainable with the help and mercy of God, but Erasmus also believes that Adam and Eve caused man to have original sin. Erasmus goes on to write, â€Å"In those without extraordinary grace the reason is darkened, but not extinguished. Probably the same occurs to the power of the will: it is not completely extinct but unproductive of virtuous deeds.† In short Erasmus believed that man has free will and therefore is punished or rewarded according to the choices he  makes. He backs his argument with many quotes from the scripture but so does Luther, thus the argument shifts, and the sense of scripture is the debate. Luther, who wrote The Bondage of the Will to refute what Erasmus had written in the Diatribe, disagrees; stating that man does not have freedom of the will. In the first few pages, Luther proclaims â€Å"The Holy Scripture is no skeptic, and what He has written into our hearts are no doubts or opinions, but assertions more certain and more firm that all human experience in life itself.† Furthermore, he goes on to say â€Å"The essence of Christianity which you (Erasmus) describe†¦is without Christ, without the Spirit, and chillier than ice†¦Ã¢â‚¬  Luther immediately implies that Erasmus has not been saved. Luther abhors those who claim to be self-reformers, once again contradicting Erasmus. â€Å"You say: Who will reform his life? I answer: Nobody! No man can! God has no time for you self-reformers, for they are all hypocrites. The elect who fear God will be reformed by the Holy Spirit.† Perhaps the quote that best exemplifies Luther’s position is as follows: Thus the human will is like the beast of burden. If God rides it, it wills and goes whence God wills; as the Psalm says, â€Å"I was a beast of burden before thee† (Psalm 72:22) If Satan rides, it wills and goes where Satan wills. Nor may it choose to which rider it will run, nor which it will seek. But the riders themselves contend who shall have and hold it.† This philosophy contends that both good and evil are worked by a higher being. Both authors in this work make reference to Judas and his betrayal of Christ. Both parties acknowledge the foreknowledge of God, but Luther proclaims that God willed it. Thus the Protestant faith grew on the principles of predestination and the absolute belief that the scriptures are to be interpreted literally. At no point does Luther ever stray from the central point of his refutation, proving Erasmus wrong by presenting the conclusive evidence needed. Erasmus, on the other hand, never really plants his feet in this argument. Erasmus covers his tracks by changing the terms of the debate throughout his work. For example, Erasmus fails to define the limits within which the reader should think that the will is being acted upon. One can not conclude that  Erasmus does not fully believe what he states in his Diatribe, but he admittedly discloses â€Å"I have always preferred playing the freer field of the muses, than fighting ironclad in close combat.† Erasmus proclaims that their debate is in the sense of scripture, yet how can one who defends free will pigeonhole the interpretation of the reader? Luther is much more direct in laying out his arguments and criticizes Erasmus for stating a bare definition without explaining its parts. The debate has very much become a personal matter by the time Luther’s discourse commences. There is no mutual agreement whatsoever, thus it is easy to see why the views of Catholics and Protestants were so divergent. Erasmus is clearly trying to convince his readers, most particularly Luther, that free will does indeed exist. Luther continues to stay his course and states that God wills all. Everything is preordained, evil included. Of the assertions, Luther simply states â€Å"one must delight in assertions to be a Christian at all!† While Erasmus seems leery to take a firm stance in his debate, he is changing the circumstances of the debate, which clearly is an attempt to prevent Luther from pinning him down in Luther’s The Bondage of the Will. After thoroughly refuting everything Erasmus has stated, Luther proclaims that Erasmus has â€Å"asserted nothing but made comparisons†. Whether there be complete merit in either man’s philosophy, Luther h as quite convincingly made Erasmus’ position appear flawed.

Bending Lab Report Final Essays

Bending Lab Report Final Essays Bending Lab Report Final Paper Bending Lab Report Final Paper The second part of the lab will focus on using the ISM 04 Beam Apparatus to determine the deflection f point-loaded simply-supported beams made of steel, brass or aluminum. Using the deflection measurements, an examination of the relationship between deflection and material properties will be shown along with a comparison of the materials based on their strengths and deflections, both theoretical and experimental. The last objective of this laboratory is to verify the theory of pure bending using the SMASH Beam Apparatus. Introduction Engineers use beams to support loads over a span length. These beams are structural members that are only loaded non-axially causing them to be objected to bending. A piece is said to be in bending if the forces act on a piece of material in such a way that they tend to induce compressive stresses over one part of a cross section of the piece and tensile stresses over the remaining part (Ref. 1). This definition of bending is illustrated below in Figure 1. Figure 1 Bending on a Cross Section 5 It can be seen from Figure 1 that the compressive force, C, and the tensile force, T, acting on the member are equal in magnitude because of equilibrium. Therefore, the compressive force and the tensile force form a force couple whose moment is equal to either the tensile force multiplied by the moment arm or the compressive force multiplied by the moment arm. The moment arm is denoted, e, in Figure 1. Figure 2 Bending Action caused by Transverse Loads Figure 2, shown above, is an illustration of bending action in a beam acted upon by transverse loads. Bending may be accompanied by direct stress, transverse shear or torsions shear, however for convenience; bending stresses may be considered separately (Ref. 1). In order to separate the stresses it is assumed that the loads are applied in the following manner: loads act in a plane of symmetry, o twisting occurs, deflections are parallel to the plane of the loads, and no longitudinal forces are induced by the loads or by the supports (Ref. 1). A beam or part of a beam that is only acted on by the bending stresses is said to be in a condition of pure bending. However for many circumstances bending is accompany by transverse shear. The term flexure is used to refer to bending tests of beams subjected to transverse loading (Ref. ). A visual illustration of the transverse shear and bending moment can 6 be seen in the shear and bending moment diagrams of the beam. It is important o note that in a symmetrical 2-point loading scenario, the center portion of the beam will be in a condition of pure bending as such the bending stresses may be considered separately. Deflection of a beam is the displacement of a point on the neutral surface of a beam fr om its original position under the action of applied loads (Ref. 1). Before the proportional limit of the material, the deflection, A, can be calculated using the moment of inertia, modulus of elasticity along with other section properties that will depend on the given situation imposed on the beam. The position of the load, the type of load applied on the beam, and the Engel of beam are examples of section properties that depend on the situation. The deflection equations for two common cases are listed below in equations (1) and (2). Case 1: Center deflection of a simple beam with freely supported ends and concentrated load, P, at the mid-span (Ref. ). Equation (1) where: A = deflection, (mm) P = load, (N) L = length of beam, (mm) E = modulus of elasticity (N/mm) = moment of inertia of section about the neutral axis, (mm) 7 Case 2: Center deflection of a simple beam with concentrated loads, each equal to P, at third points of span (Ref. 1). Equation (2) P load, (N) moment of inertia of section about the neutral axis, (mm) Deflection is a measure of o verall stiffness of a given beam and can be seen to be a function of the stiffness of the material and proportions of the piece (Ref. 1). Deflection measurements give the engineer a way to calculate the modulus of elasticity for a material in flexure. The stiffness of a given material is calculated using the following equation: Equation (3) p = load, (N) Stiffness (N/m) 8 A beam may fail in any of the following ways: A beam may fail by yielding of extreme fibers, in long span beams compression fivers act like those of a column ND fail by buckling, in webbed members excessive shear stress may occur and stress concentrations may build up in parts of beam adjacent to bearing blocks (Ref. 1).

Taking The SAT In 7th Grade Should You Do It

Taking The SAT In 7th Grade Should You Do It SAT / ACT Prep Online Guides and Tips Imagine: you’re in Social Studies. You hear a fellow 7th-grader sitting next to you say â€Å"Ugh, I have to take the SAT this weekend.† What is this person talking about? Why would you take the SAT in middle school? Is there even such a thing as a 7th grade SAT score? If you're a parent, you may have heard of various advanced programs for gifted and talented children that require taking the SAT. But is it worth it to have your child take the SAT so early? Why start the stress around college applications earlier than high school? In this article, I’ll go over the pros and cons of taking the SAT in 7th grade and the programs you can get into with high 7th grade SAT scores.

FlyBe Strategy Assessment Case Study Example | Topics and Well Written Essays - 2000 words

FlyBe Strategy Assessment - Case Study Example Flybe operate' out of more UK airport' than any other airline. Flybe ha' been a market leader in developing it' range of pa''enger 'ervice'.' Flybe i' the only low co't airline to offer a bu'ine'' 'ervice, Flybe Economy Plu', and run' the UK'' mo't generou' Frequent Flyer Programme. We were the fir't low co't airline to offer online check-in to pa''enger' carrying hand and hold baggage; and the fir't to introduce a pre-a''igned 'eating facility allowing pa''enger' to pre-book their 'eat'. FlyBe i' the large't low fare airline in Europe. Operating through it' carrier FlyBe, the company run' flight' to around 120 de'tination' acro'' Europe, including airport' in Denmark, Germany, Norway, and 'weden. For the fi'cal Year 2003, FlyBe recorded revenue' of e842.5 million; an increa'e of 35% over 2002. It ha' a fleet of approximately 45 Boeing 737' and tran'port' over fifteen million cu'tomer' a year. FlyBe i' headquartered in Dublin Ireland, and ha' a workforce of about 1900 employee'.(Datamonitor)1.2Background and Hi'toryFlyBe Began operation' in 1985 with the launch of a daily flight on a 15 'eater aircraft between Waterford air port in the 'outh e'at of Ireland and London Gatwick.in the company' fir't year , with only 57employee', it carried ju't over 5000 pa''enger' in on it' one route. Over the next three Year' it expanded Rapidly opening Many new route' between Ireland and the UK, and increa'ed the number of jet' in it' fleet. However whil't cu'tomer' continued to fly FlyBe, for the low airfare' the co't were not controlled ,and the company continued to accumulate lo''e' . By 1989, the company employed 350 people, operated 15 aircraft and carried 600000 pa''enger' a year, but 'till recorded lo''e' of 20 million pound' in four year'.(Datamonitor)Under a new management team a major overhaul of the airline wa' undertaken in 1990/91, with FlyBe re-launched a' a low fare'-no frill' airline , adopting the formula pioneered by 'outhwe't Airline' in the U'. Non-profitable route' were eliminated, the network wa' cut back from 19 to ju't 5 route'. 'ome aircraft were di'po'ed of and airfare' acro'' the remaining network were 'ub'tantially reduced with 70% of all 'eat' offered at the two lowe't fare'. By 1991, FlyBe wa' operating a fleet of 'ix aircraft, employing 350 people, carrying 700 pa''enger' on ju't five route' , and it had recorded it' fir't ever profit. Over the next couple of year', 'chedule' on the key Dublin-London route wrew increa'ed average air fare' were lowered and new route' were launched from Dublin to Birmingham, Gla'gow, Manche'ter, and Gatwick. The number of cu'tomer' continued to grow, thank' largely to FlyBe'' low fare'. By 1994,FlyBe employed over 500 people and carried 1.5 million pa''enger' per annum. In 2002, the company 'igned the large't ever order with Boeing for 100 next generation 737-800 aircrafgt with option' to buy up to a further 50 aircraft to be deliverd over the next 'even year' . it 'ucce''fully launched 22 new route' and opened two new continental