Assignment 4: Internet Technology, Marketing, and Security Essay

Task 4: Internet Technology, Marketing, and Security The motivation behind this task is to â€Å"evaluate the reasons Social Media Marketing has gotten exceedingly mainstream among organizations everything being equal. Dissect the preferences and disservices of Social Media Marketing for business visionaries. Evaluate how Social Media Marketing is helping Pepsi acquire client knowledge than it would have something else. Research two (2) different organizations that have utilized Social Media Marketing for their potential benefit. Examine how every one of these organizations has used Social Media Marketing and give models your conversation. Guess what sway Social Media will have business throughout the following decade and distinguish what abilities you have to improve to exploit the changes (Boone, Kurtz, 2012).† Assess the reasons Social Media Marketing has gotten exceedingly well known among organizations all things considered. â€Å"The experimentation time in online life advertising is long finished. Internet based life has demonstrated to be a feasible and conceivably rewarding advertising channel for B2B and B2C organizations all things considered, over the globe. As an ever increasing number of organizations get on board with the internet based life temporary fad, it is more significant now than any time in recent memory that you offer some incentive, not include to the messiness as of now the social web. The prevailing heroes of internet based life are the brands that tune in to their locale, and convey advantageous data dependent on what they hear (Top Rank, 2013).† Investigate the favorable circumstances and burdens of Social Media Marketing for business visionaries. â€Å"Your internet promoting methodology may remember paid publicizing for search systems, for example, Google, Bing, or Yahoo. Social promotions on Facebook, Twitter, or LinkedIn may likewise be viable apparatuses for your informing. Our initial step is to decide your objectives and where your crowd lives, so as to put your image before the perfect individuals, in the correct spot, at the ideal time (Top Rank, 2013).† â€Å"Through convincing, innovative duplicate and symbolism, our hunt, show and social promotions motivate your crowd to make your ideal move, regardless of whether your goal is to: †¢ Attract new possibilities and clients †¢ Engage purchasers and assemble network around your image †¢ Convert possibilities to steadfast clients (Top Rank, 2013).†. â€Å"Regular detailing and progressing streamlining guarantees you get greatest responsibility and the most ideal outcomes from your online battles (Top Rank, 2013).† Evaluate how Social Media Marketing is helping Pepsi acquire client understanding than it would have something else. â€Å"The ascent of social and versatile is reworking the advertising playbook for even the most settled organizations. While numerous brands are as yet throwing a watchful eye at internet based life for business, Pepsi has grasped the innovation, cutting out an aspiring social procedure planned for building associations with the Millennial age, destined to be the biggest customer bunch in US history (Social, 2012).† â€Å"A late article by David Hatch of US News and World Report works superbly of separating Pepsi’s social procedure, the focal point of which is its â€Å"Live For Now† advertising effort. The crusade, focusing on 18-multi year olds, is an extraordinary case of a set up brand adequately using five basic parts of online life advertising: customer commitment, client produced content, information collection, geo-neighborhood, and inbound showcasing (Social, 2012).† DYNAMIC CONSUMER ENGAGEMENT â€Å"Pepsi’s new computerized dashboard is the latest emphasis of an online procedure that included last year’s introduction of Pepsi Pulse and Sound Off, online goals that urged guests to remark on The X-Factor, a Fox organize unscripted tv show whose supporters incorporate Pepsi (Social, 2012).† â€Å"To further connect with its online network, the tune choice and reprises for a Pepsi show arrangement this mid year including significant craftsmen will be picked to some degree by tweets from the live crowd and people viewing on the web (Social, 2012).† â€Å"Pepsi is discovering that on the off chance that you need to stay significant with this new kind of customer, you must be the place they are, you need to talk their language,† and you need to associate with them in a manner that â€Å"keeps them feeling like they need to be a piece of your brand,† says Brian Solis, a main expert at the Altimeter Group. Associated purchasers, he includes, are â€Å"getting prepped and molded to anticipate that the world should come to them (Social, 2012).† â€Å"USER-GENERATED CONTENT ‘Social media promoting is getting progressively reliant on client produced content, which means surveys, remark, or some other contribution from clients. Friend impact measurably affects buyer buy choice, particularly among Millennials (Social, 2012).† â€Å"Understanding this, Pepsi has made another advanced dashboard on their Pepsi.com place page to help the Live For Now battle, featured by client created messages from Facebook and Twitter that incorporate the #LiveForNow hashtag (Social, 2012).† â€Å"Moreover, with the assistance of SocialFlow, a device that positions the prominence of article content inside crowd portions, Pepsi is focusing on what their intended interest group is keen on. â€Å"It’s about that development [online], and where people’s time is being spent,† says George Smith, ranking director, social methodology and execution, for Pepsi Beverages (Social, 2012).† â€Å"Actually tuning in to shoppers so as to comprehend their needs and needs fabricates client reliability, making brand evangelists who will get the message out and go about as online safeguards of the organization brand (Social, 2012).† â€Å"Moreover, by checking what individuals say web based regarding its items, Pepsi can oversee client grievances continuously, before they take on their very own existence (Social, 2012).† â€Å"DATA AGGREGATION â€Å"Unlike conventional, harder-to-follow publicizing techniques, for example, TV and print, internet based life gives an abundance of insights about the age, sexual orientation, socioeconomics, interests, and responses of customers. As Smith notes, â€Å"With advanced, you end up with a great deal of additional information, and you end up with much all the more comprehension of who your customer is (Social, 2012).† â€Å"This buyer information assists Pepsi with refining its shopper commitment model, the impact of which is to pull in new fans, and along these lines more information (Social, 2012).† â€Å"GEO-LOCAL REACH â€Å"Pepsi is jumping on the freshest pattern in social: SoLoMo, or Social, Local, Mobile. Because of the enormous purchaser adjustment of advanced cells, organizations like Pepsi can coordinate online networking with area based portable advertising. (Social, 2012).† â€Å"Why do as such? Since Pepsi can be increasingly careful about arriving at populaces in explicit geographic territories. â€Å"We’re seeing great outcomes from that,† Smith says, clarifying that the organization can target neighborhood crowds with uncommonly custom fitted promoting messages energized by area data gave in Facebook profiles (Social, 2012).† â€Å"This sort of small scale focusing on permits brands to chase customers with a high-accuracy rifle rather than a shotgun (Social, 2012).† â€Å"INBOUND MARKETING Out with the push, in with the force (Social, 2012).† â€Å"Pepsi has perceived that the tech-empowered force move to the buyer has adequately killed numerous customary types of outbound, or push, advertising. Today’s smart shopper needs to be tuned in to and sought byâ marketers. They need direct channels of correspondence to brands. To put it plainly, shoppers anticipate that brands should utilize inbound promoting best practices as a commitment model (Social, 2012).† â€Å"When done appropriately, this methodology is a success win for brands and customers. Pepsi’s social tactician George Smith perceives the common advantage of direct shopper association: â€Å"It’s ideal to have the option to have that immediate discussion with them, and not need to depend on a particular media channel to push this, or purchase TV continually to push that message,† he says (Social, 2012).† â€Å"By last tally, Pepsi’s 8,181,075 Facebook fans concur (Social, 2012).† Research two (2) different organizations that have utilized Social Media Marketing for their potential benefit. â€Å"At TopRank ® Online Marketing, we comprehend that your company’s accomplishment in internet based life requires a profound comprehension of your customers’ needs and their excursion all through all phases of the purchasing cycle. We represent considerable authority in making focused on, excellent substance that serves to pull in, draw in and even proselyte clients as they figure their social connections their buying choices. Numerous organizations offer web based life advertising, yet we are one of only a handful not many with experience and demonstrated outcomes to reliably arrive at objectives in marking, social PR, and even lead age utilizing social (Top Rank, 2013)† â€Å"†¦Ã¢â‚¬â„¢ BFM ® is an exceptional mechanical funnel connector intended to give protected, sterile and productive associations for the transportation and development of powder inside mass powder preparing plants (Top Rank, 2013).† Their goal was â€Å"†¦Ã¢â‚¬â„¢ build up another site and dispatch a key web based advertising program that would expand guests just as deals requests for the company†¦Ã¢â‚¬â„¢ (Top Rank, 2013).† â€Å"The choice was made publicize their image on the site using website streamlining (SEO) strategies: †¢ Website improvement and specialized evaluation †¢ Keyword research and substance enhancement †¢ Content advancement and third party referencing †¢ Web examination and change following (Top Rank, 2013).† These activities using web based life advertising came about in, â€Å"†¦ site traffic increment more than

The Clock Essay Example for Free

The Clock Essay A ‘clock’ is an instrument used to indicate, record, and oversee time. The word ‘clock’ originates from the French word â€Å"cloche† significance chime, came into utilization when timekeepers were kept in ringer towers in the Middle Ages. Students of history don't who or when humanity â€Å"invented† a period keeping gadget or a â€Å"clock†. Most likely a large number of years back when somebody put a stick in the ground and saw a sad remnant of the sun move over the ground, known as the sundial. (Cummings, 1997-2012). After the Samarian culture abandoned little information, the Egyptians were close to separate their day in two sections. A vertical stick, or pillar that is utilized to cast a shadow is known as a sundial. They were utilized as ahead of schedule as 3500 B.C.. Another shadow clock or sundial, conceivably the primary convenient timepiece, came into utilization around 1500 B.C. to quantify the entry of hours. As the sun moves from east to west, the shadows foresee the time. They additionally indicated the years longest and briefest days when the shadow around early afternoon was the most limited or longest of the year. The Greeks utilized a sundial called â€Å"pelekinon†. These sundials are set apart to foresee time precisely consistently. They constructed a progressively exact sundial dependent on their insight into geometry. An antiquated Egyptian sundial from the eighth century and a Greek sundial are still in presence today. Water tickers alongside sundials are known to be the most established time-estimations gadgets. The bowl-molded outpouring is the least complex type of a water clock and is known to have existed in Babylon and in Egypt around the sixteenth century BC. Different districts of the world, including India and China, additionally have early proof of water tickers, yet the soonest dates are less sure. A few creators, be that as it may, guarantee that water checks showed up in China as ahead of schedule as 4000 BC. (Cowan, 1958) Ctesibius or Ktesibios or Tesibius (Greek: Κï„î ·Ã¯Æ'î ¯Ã® ²Ã® ¹Ã® ¿Ã¯â€š) (fl. 285â€222 BC) was a Greek designer and mathematician in Alexandria, Ptolemaic Egypt. (Starting at 2008, 1768â€2010) He improved the clepsydra in the third century by B.C. by which water that dribbled into the compartment raised a buoy that conveyed a cursor to stamp the hours. He joined a toothed rack with a buoy switch that when raised would turn a wheel where he introduced mechanical marking winged creatures and ringers to connote certain hours of the day, for example, early afternoon or 12 PM. In the sixteenth century A.D. clepsydras were utilized by Galileo to time his trial falling items. A light timepiece is additionally of antiquated inception. Nobody knows precisely when it began. It was utilized to gauge the short lived of time by stamping interims along the range of the light. Antiquated Egyptians utilized fat, a creature substances to make candles. The Romans were the first to utilize a wick within a flame. Beeswax was utilized to make candles during the medieval times, anyway it was over the top expensive. It was said that the Romans and the Chinese would utilize flame timepieces as morning timers. They would put a nail in a specific purpose of the light contingent upon the ideal time. At whatever point the flame wax softened down to the nail, the nail would then fall onto a tin dish and make a clamor. An hourglass or sand clock was a usually utilized time gadget. Its comprise of two glass compartments associated by a limited neck containing a specific measure of sand that gradually streams from the base chamber to the lower in a set measure of time, frequently one hour or thereabouts. Hourglasses were exceptionally famous on board transports, as they were the most trustworthy estimation of time while adrift. In contrast to the clepsydra, the movement of the boat while cruising didn't influence the hourglass. The way that the hourglass likewise utilized granular materials rather than fluids gave it progressively precise estimations, as the clepsydra was inclined to get buildup inside it during temperature changes. (Balmer, (Oct., 1978)). In the right on time to-mid - fourteenth century A.D., enormous mechanical checks start to show up in towers of a few huge Italian urban areas. These timekeepers were weight driven and extremely mistaken. One of the main tickers to strike the hour was in Milan in around 1335 A.D. These tickers just had one hand, the hour hand. In 1510, a man by the name of Peter Henlein, a locksmith and clock creator of Nuremburg, Germany, concocted the spring driven clock. He is regularly viewed as the innovator of the watch. (Dohrn-van Rossum Dunlap, 1996). In 1557, the moment hand was created. Notwithstanding, it wasn’t until the creation of the pendulum in the late 1600’s that the moment hand got valuable. As power was presented, tickers started to utilize an electrical motivation to work the dials of an ace clock. The electrical flow supplanted the spring and weight as a force source. The piezoelectric impact given by the quartz precious stones was found by the Curie siblings, Pierre and Paul-Jacques Curie in 1880, however wasn’t applied into a clock until 1929. This impact showed by specific gems producing a voltage when subject to an electric field, initiated an electric potential to close by transmitters, hence controlling the clock. These timekeepers can have an exactness of one second at regular intervals. Alongside these developments, Charles Dowd presents time zones in 1870 partitioning the United States by meridians 60 minutes, and 15 degrees separated utilizing Greenwich, England as zero meridian. In 1883 the railways embrace the four time zones for the mainland United States. Furthermore, in 1918 the United States Congress sits back Act’, approving The Interstate Commerce Commission to set up standard time zones inside the United States, and setting up light sparing occasions. At last, In 1949 The National Institute of Standards and Technology assembled the principal nuclear clock, utilizing smelling salts. A second is officially characterized as 9,192,631,770 vibrations of the cesium iota. Nuclear clock NIST-7 has been the primary nuclear time standard for the United States, and is among the best time gauges on the planet.

The Connection Between PTSD and Pain

The Connection Between PTSD and Pain PTSD Related Conditions Print How Pain and PTSD Occur Together By Matthew Tull, PhD twitter Matthew Tull, PhD is a professor of psychology at the University of Toledo, specializing in post-traumatic stress disorder. Learn about our editorial policy Matthew Tull, PhD Medically reviewed by Medically reviewed by Daniel B. Block, MD on January 23, 2020 twitter linkedin Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Daniel B. Block, MD on January 23, 2020 Post-Traumatic Stress Disorder Overview Symptoms & Diagnosis Causes & Risk Factors Treatment Living With In Children Tom Merton/Getty Images If you have posttraumatic stress disorder (PTSD), your doctor may have explained that youre at higher risk for other health problems such as depression and heart disease. But you may be surprised to learn that people with PTSD are also more likely to have problems with pain than people who dont.?? Whats the story behind PTSD and pain? PTSD and Pain Frequency Studies show that pain is one of the most common physical problems reported by people with PTSD.?? This finding holds true no matter what types of traumatic events they experiencedâ€"for example, a motor vehicle accident, physical assault, or combat injury. People with PTSD are also more likely to report pain-related disability. In one study of volunteer firefighters with PTSD, approximately 50% were having pain (mainly back pain) compared with only about 20% of firefighters without PTSD.In two other studies, from 20% to 30% of patients with PTSD had frequent and chronic pain symptoms. You can also look at this situation in reverse. Many patients with chronic pain problems also have PTSD. In fact, from 10 percent to 50 percent of people getting treatment for chronic pain have PTSD as well. These rates of PTSD are higher than those found in the general population.?? Why Do They Occur Together? One reason is obvious: Many traumatic events cause pain. Severe traumatic events, such as living through a natural disaster, physical assault, or combat, can inflict serious injuries that lead to chronic pain. The more severe the traumatic event, the more likely it is that severe injury, along with PTSD, will result. The second reason why PTSD and pain occur together so often isnt as obvious, but its just as important to know: Some symptoms of PTSD may cause pain. For example, PTSD-related hyperarousal symptoms often cause tense muscle pain that can become chronic. Then theres the pain that can be caused by other disorders that commonly occur with PTSD, such as depression, which is common in people with PTSD?? and can make them more likely to avoid or scale down physical activities that were helping them stay fit. This may result in poorer health and even disability--increasing their risk of developing pain problems. Treat Both for Best Results If you have both PTSD and pain, getting treatment for both can make a big difference in how you feel. Since PTSD symptoms can give rise to pain, getting treatment for them may help you prevent or reduce pain problems. Considering PTSD treatment? You can use  the Anxiety Disorder Association of America to find PTSD treatment providers in your area. If you already have trauma-related pain and PTSD, getting treatment may help with two types of problems: Your physical painThe upsetting PTSD symptoms pain from trauma can trigger, such as memories or thoughts about your traumatic event The 9 Best Online Therapy Programs

Brachylogy - Short and Sweet

Differences Among Source Oriented Records, Problem...

1. CheckPoint: Record Formats * Resource: Ch. 4 of Essentials of Health Information Management: Principles and Practices 1. Summarize, in 250 to 300 words, the differences among source oriented records, problem oriented records, and integrated records. 2. Include how you think the advantages and disadvantages of each record format affect everyday work—remember to think about retrieving records as well as filing them. 3. Post your CheckPoint in your Assignment Section as an MS-Word document. Patient Records Many facilities and physician offices maintain patient records in a paper format known as a manual record. A variety of formats are used to maintain manual records, including the source oriented records (SOR),†¦show more content†¦2. Problem list: The problem list is kept in the front of the record and can be likened to a table of contents in a book. Another conceptual characteristic of the POR is problems are expressed at the level of the writers understanding and do not include diagnostic impressions which are considered as part of the treatment plan. 3. Initial Plan: Development of a care plan The initial plan should be considered in 3 parts: I. Diagnostic (Dx) that is plans for collecting more information II. Therapeutic (Rx) plans for treatment and, III. Patient Education plans for informing the patient as to what is to be done. 4. Progress notes: Should indicate what has happened to the patient, what is planned for the patient, and how the patient is responding to therapy. Progress notes should contain four component parts: I. Subjective part written in the patients own words about his problem II. Objective part the doctors observation and test results. III. Assessment is the diagnostic opinion of the health care provider IV. Plan for continued treatment. Contains diagnostic and therapeutic and educational plans to resolve the problem. In PORs, eachShow MoreRelatedData Warehousing : A Data Warehouse1151 Words   |  5 Pagescreating reports. Data warehousing system is used for decision making by analyzing the reports. A data warehouse is a relational database, which is designed for analysis and query. It helps an organization to consolidate and analyze data from different sources and make decision. A data warehouse environment consists of OLAP (On-Line Analytical Processing) engine, ETL (Extraction, Transformation and Loading) process, client analysis tools and other applications that manage gathering and delivering the dataRead MoreData Base Management System13582 Words   |  55 PagesFie lFile Organization Terms amp; Conceptscomprises a record; A computer system organizes data in a hierarchy t A computer system organizes data in a hierarchy that starts with bits and bytes and progresses to fields, records, files, and databases. * A bit represents the smallest unit of data a computer can handle. * A group of bits, called a byte, represents a single character, which can be a letter, a number, or another symbol. * A grouping of characters into aRead MoreProgramming Languages Over The Years Have Improved And1328 Words   |  6 Pagesdesign and capabilities. New languages are created to perform specific tasks that others cannot accomplish each year. By doing so, the creation of these new languages fill specific niches. However, the problem with computer languages is that if you want to construct an easier approach to a task or problem in another language, odds are you must give something else up to accomplish that goal. Which is why there is such a large amount of different and unique programming languages. Each of them has aRead MoreFundamentals On Database Management Systems2381 Words   |  10 Pagesinterfaces to query the database to regain speciï ¬ c data, update the database to reproduce changes in the world, and generate reports from the data. †¢ Manage database usage: users with their access rights, performance optimization, sharing of data among several users, security from accidents or unauthorized use. †¢ Monitor and analyze database usage. Using above Database, can highlight Important Functions on a Database †¢ Structure deï ¬ nition: declare 5 ï ¬ les or relations + data types, e.g. StudentRead MoreA Conceptual Model of an Erp System Using Uml3425 Words   |  14 PagesGurgaon madhulikabhatia@gmail.com Abstract—In today’s competitive and ever changing environment every business demands paperless operations, a wireless communication of a result of fully transparent and automated operations of all centers in an integrated and coordinated manner taking care of the business, actions and decision demands. For this reason an Enterprise wide management support is needed. The Enterprise Resource planning is a way by which we can assess the resource needs for a given businessRead MorePragmatic Accounting3985 Words   |  16 Pages The levels are as follows: 1) Structural or syntactical theories. 2) Interpretational or semantical theories. 3) Behavioural or pragmatic theories. Behavioral or pragmatic theories: These theories emphasize the behavioural or decision-oriented effects of accounting reports and statements. It has been noted that accounting is now regarded as a process of measurement and reporting information to the users- internal and external. Since 1945 onwards it is being realized that accounting isRead MoreData Management And Information Systems7697 Words   |  31 Pages2016 [2], unprecedented amount of data is being generated and process daily and increasing every year. The advent of web 2.0 has fueled the growth and creation of new and more complex types of data which creates a natural demand to analyze new data sources in order to gain knowledge. This new data volume and complexity of the data is being called Big Data, famously characterised by Volume, Variety and Velocity; has created data management and processing challenges due to technological limitations, efficiencyRead MoreManagerial Planning And Goals At Apples2035 Words   |  9 Pageson improving the product design to deliver better experience. Logitech has a track record of entering categories where there is opportunity to add greater value for users through innovation. Logitech’s general approach with acquisitions has been to enable acquired company to accelerate its growing success in the enterprise by continuing to invest in enterprise-relevant innovation and increasing awareness among customers. Logitech expects to enable its synergies to accelerate this success by leveragingRead MoreTraits, Behaviors, and Relationships6335 Words   |  26 Pagesof people versus tasks runs through this research, suggesting these are fundamental behaviors through which leaders meet followers’ needs. There has been some disagreement in the research about whether a specific leader is either people- or task-oriented or whether one can be both. Today, the consensus is that leaders can achieve a â€Å"high-high† leadership style. Another approach is the dyad between a leader and each follower. Followers have different relationships with the leader, and the abilityRead MoreTraits, Behaviors, and Relationships6349 Words   |  26 Pagesof people versus tasks runs through this research, suggesting these are fundamental behaviors through which leaders meet followers’ needs. There has been some disagreement in the research about whether a specific leader is either people- or task-oriented or whether one can be both. Today, the consensus is that leaders can achieve a â€Å"high-high† leadership style. Another approach is the dyad between a leader and each follower. Followers have different relationships with the leader, and the ability

Does Sex Sell Free Essays

Whether they are on TV, radio, or in a magazine, there is no way that you can escape advertisements. They all have their target audience who they have specifically designed the ad for. This is a multi billion dollar industry and advertisers study many ways that they can attract people’s attention. We will write a custom essay sample on Does Sex Sell or any similar topic only for you Order Now One way that is used the most and is in some ways very controversial is use of sex to sell products. Evan Williams, a company who sells whiskey, released a print ad of a young woman dressed in her Sunday best on one side of the advertisement saying â€Å"the longer you wait†. On the other side they have a picture of the same woman as an adult dressed in a sexual manner saying â€Å"the better it gets†. In the middle of the ad is a bottle of their whiskey and next to that it says â€Å"aged seven years†. An analysis of the Evan Williams advertisement will include the appeals of ethos, logos, and pathos. The target audience is both males and females in their late teens to mid twenties. This company gets the male side of the equation by getting their attention and interest drawn to the attractive woman on the right with bright colors, drawing your attention there, as well as the bottle of whiskey which is right in the middle of the page. One way to try and get the females to look at the advertisement and read it is by showing a very plain girl who seems to be very typical of girls during their younger years. On the side of that picture they show the same girl who now has become a woman, and is very attractive and just seems so much more powerful and sure of herself. One way that you can achieve that is to drink Evan Williams Kentucky straight bourbon whiskey. I feel that this advertisement is not very ethical at all. They send the message that if you do not wear sexy clothes and try and act sexy then you are not good enough. The logic behind the advertisement is almost in all essence, sexual. They are using a woman who is very attractive with bright colors standing next to a bottle of whiskey. As well, they try and use their slogan that goes with their product and apply it to a completely different situation with a woman. They show how much â€Å"better it gets† when it is aged seven years. This is very degrading to the woman because they portray her as being ugly in the first photo, but after seven years, less clothing, and makeup she is much better. There is nothing wrong with the girl on the left who is just plain and simple. When you have to wear something sexual to get noticed it just continues to drain away from the collective respectability of our society. They try to play sexual emotions in this advertisement. They show an attractive woman and a bottle of whiskey. They try and make it seem that if you drink their product that you can get this woman. Also they try and use the emotions of the females talking about how a decent looking woman can become very attractive. The newer picture also is more vibrant plus she is wearing a lot more sexually provocative clothing than her old self, who is covered up and not showing any skin. It also seems to draw onto girls that have a lower self esteem. Showing that you will become a much happier person if you are good looking and dressed very sexually, than if you are not better looking. Personally I think that this is an unethical dilemma that we face in society today. Using sex to sell products is something that companies should stay away from. Depicting images of people for personal gain is not right in my opinion. Unfortunately in our society this form of advertisement is accepted. This ad is although one that does appeal to its targets by using clever wording. How to cite Does Sex Sell, Essay examples

Top 5 Strategies For Using Your Nonfiction Book As Part of an Effective Branding or Marketing Campaign - The Writers For Hire

TOP 5 STRATEGIES FOR USING YOUR NONFICTION BOOK AS PART OF AN EFFECTIVE BRANDING OR MARKETING CAMPAIGN Many new authors find that once they have their book written and published, they rarely see a return on their investment simply by book sales alone. While frustrating, it’s certainly not uncommon. In fact, hardcopy book sales have been on the decline since digital publishing was introduced and has grown in popularity. For authors publishing with traditional publishers, it’s getting harder to get noticed and book advances are getting smaller. If you are lucky enough to catch the attention of a trade publisher, you might get an average advance of $10,000 to $15,000 or you could get one as low as $1,000. With many nonfiction books only selling an average of 3,000 to 5,000 copies within a book’s lifetime, often you’ll never earn anything beyond that advance. For self-published nonfiction books, the numbers can get worse as the author is doing all the writing, publishing, and marketing work with no advance at all. So, why would anyone ever bother writing a book at all? I can answer that question in one word: Leverage! Why you need to use your book as part of an overall branding or marketing campaign Don’t let the above numbers put you off. Writing and publishing a nonfiction book is still a worthwhile endeavor. Many savvy business people know they aren’t writing a book to sell tons of copies and make it on the New York Time’s Best Sellers List, although that would certainly be an added perk. They are writing a book that gives them leverage to build their brand, make more business sales, gain more gigs, or lure in new clients and build on the clientele they already have. They are writing a book for a purpose. If they sell copies of their books along the way, even better! If you are also looking to build your personal or business brand, win new customers, gain exposure, or position you and/or your company as an expert in your field, the following are some key strategies to doing just that. Top 5 strategies for leveraging your book in a branding or marketing campaign: Strategy #1: Use copies of your book as a giveaway item (known as a premium) within your marketing campaign. Why? People love free! They’re also impressed by people who have written a book. Using this strategy gets your audience engaged while getting your name and business out within your market. Giving out a copy of your book is a great way to build trust, thank existing clients for their business or new client referrals, as well as a way to capture potential client information for new leads. You can also provide it as a prize for contests. Strategy #2: If your book is in hardcopy form, turn a chapter or two into a free digital, downloadable sample and upload it to your website. Why? This can be used as a premium that potential clients can have in exchange for their contact information and permission to be put on your email marketing list. Many people will give you their information just to receive your free offer. And it gives you a captive list of people you can contact in the future to sell your services or products to. Plus, if you give them the option to purchase the book in full, you’ll be making money on the backend as well. Strategy #3: Leverage your book by giving it away as a bonus to another customer purchase or as a package of products. Why? Bonus is just another word for free, and like I said, people love free! When you use it as a bonus to other services or products you’re selling, it increases the perceived value of those services or products. Customers see your offer as a better bargain. Therefore, you make more lucrative sales! Strategy #4: Send copies of your book to the media. Why? Oftentimes when you send a free copy of your book to TV outlets, radio, and even newspapers, this gains the attention of the people who can get your name out to the masses. Being highlighted in the media gives you further opportunity to be seen as an expert in your field and leverages your ability to build trust with your audience. You can also gain more speaking engagements (either paid or unpaid) with this publicity and it can give you something to build your other marketing or branding efforts around. Strategy #5: Sell your book on the backend. Why? If you do presentations at conferences or have other public speaking gigs, leverage your book to further cement your expertise to your audience. It helps you promote yourself and your services to those in attendance while potentially selling copies of your book at the same time. Regardless of how you use your nonfiction book as leverage within your branding or marketing campaign, publishing your own book is a valuable asset to your overall success.

Should Cloning Be Permitted essays

Should Cloning Be Permitted essays Should Human Cloning Be Permitted? For years, part of the American public, and humans in general, have been fascinated with the possibility of creating human life by other than natural means. There are many who strongly disagree with the idea of human cloning. It certainly wasn't surprising when they were able to clone a sheep and will not be the least surprised if someday scientist's will be able to clone a human being. Should cloning for human benefits or even human cloning itself be allowed in society today? That is a question we must ask ourselves? On one side of the issue are those who believe that human cloning should be permitted. One thing that shows this, is what human cloning research may bring. Those who opposed to a ban believe that human cloning research could bring substantial benefits, including the development of new treatments for cystic fibrosis, other diseases and the ability to create animal with normal compatible organs for transplant. (1."Should Congress Prohibit All Human Cloning Experimentation",Pg 34). From my opinion, I believe that human cloning is just a huge step towards negativism in human life's, rather than simply being the next step in fertility technology. There might be a possibility that human cloning research may result in the discovery of a cure for diseases and the growing of human organs, but the disadvantages are that many years as well as money may be need it. Also several experts told the committee that cloning might be the only chance for many infertile couples to have their own genetically related children.(2.Gorman,Pg66). For what I see these cases are rarely seen, and the little amount of couples who suffer of infertility are more likely to adopt a child. Infertility, is not the cause. This is not the main reason why scientists are coming up with the idea of human cloning. What I believe...

Ways of Successful Collaboration

Ways of Successful Collaboration Assignments that are set up well at the beginning tend to be the most successful. Our studies show that most problems occur because of incomplete or poorly worded instructions. Our writers are very talented but they arent exactly mind-readers. Its better to be overly specific with your requirements instead of assuming the writer will know exactly what research you need them to do. Its always a good idea to confirm with the writer before they start writing that they are confident they know what you need. That way you can clear up any confusion before it impacts the assignment. Â  HOW TO GET GOOD GRADES? Be prepared to routinely follow up with the writer as they work on your assignment. Dont expect the writer to do all the work for you. Our services are not for cheating in your classes. Rather, they are meant to help you learn and understand your topic. Like a video game walkthrough, our writers are there to help you navigate especially hard levels with instructions and guidance. They arent going to play the game for you. So make sure you understand what the writer is developing for you and reach out to them immediately if you find something is confusing or unclear. Responding promptly to your writers questions is another key to successful collaboration. When a writer has a question for you try to get back to them as soon as you see their message. The same goes for staff. If you bring an issue to us, try to maintain open, timely communication while we work to fix the problem. Here is a short summary of quick and dirty tips: Be precise about what you want, prepare your assignment description; Maintain contact with your writer at all times; Do let us know in case your writer is not responding do your messages; Keep track of the order progress as your paper is being written; Ask for drafts of your paper so that you can make sure your paper is on the right track. We will always prosecute unprofessional or unsatisfactory behavior from our writers. However, this process will not fix a missed deadline or a ruined grade for you. So taking steps to prevent problems from arising will benefit you in the long run. Immediately let a staff member know if your writer is not responsive, does not provide a rough draft after committing to the project or is in any other way showing signs that they dont intend to complete your assignment. Our staff can smooth out misunderstandings or assign you a new writer if needed.

Judicial Review Essay Example | Topics and Well Written Essays - 2500 words - 1

Judicial Review - Essay Example Kovac’s tea with sleeping pills’. The drug alleged to have spiked into the teacher’s hot beverage was diphendyramine citrate. The head teacher, in reaching his decision, relied on statements recorded by Ms. P, the claimant’s fellow student and Mrs. Kovac, the alleged victim. 3. According to the complainant’s main witness, one Ms. P who recordeda statementstating that during the morning break, she had been curious of what the claimant was up to and had followed her to classwhere the claimant was alone and seen â€Å"Veronica (the claimant herein)openherbag,takeoutasmallpacketofwhatlookedlike medicine(Icouldn’tseeexactlywhatitwasasitwas smallandIwastoofar away).Shethen wentovertoMrs.Kovac’s desk.IcouldclearlyseethemugMrs.Kovacusesonherdesk.Itisverylargeandhasâ€Å"world’sbestteacher†written on it.Veronica thendroppedsomething intothemug.Sheput thepacketbackin herbagandturnedtowardsthedoorIranawayimmediatelyasIdidn’twant her toknowthat I’dseen her. Idon’t think she saw me.†Witness P further records that while in her French class there ensured some commotion in the hallway outside when Mrs. Kovac had passed out and an ambulance had to be called. However, she does not state the exact time when sh e had attended the said French class. Neither Mr. Carey nor Mrs. Kovaccorroborates Witness P’s allegations. 4. The claimant states that the Head teacher, Board and Panel erred by not taking notice of the fact that Witness P, whom the claimant believed to be Ms. Pauline and the claimant herein were not in good terms. The claimant further states that Pauline and the claimant have had disagreements after the claimant started dating Paulina’s former boyfriend, Steven. The claimant’s mother aptly puts it: â€Å"Pauline was devastated when he (Steven) dumped her and got together with my daughter. She has hated Veronica ever since. I know that they havehadverbalfightsinclass,sotheteachers

Price Leadership in Coffee Shops Coursework Example | Topics and Well Written Essays - 1500 words

Price Leadership in Coffee Shops - Coursework Example All of these coffee shops have specific strategic moves for them to obtain substantial market share, competitive advantage and long-term existence in their industry. Their ultimate goal is to increase profitability, which is the bottom line. However, one of the obvious strategies that can be identified when it comes to how these coffee shops compete with each other is based through the price of their product offerings. The proponent visited these three coffee shops and recorded the recent prices of their product offerings which include Cappucino, Cafee Latte, Chai Latte, Americano, Mocha, Espresso, and Hot Chocolate. The actual raw data gathered by the proponent are shown in Appendix 1 to 3. Common product offerings among the three coffee shops are Cappucino, Cafee Latte, Americano, Mocha, Espresso and Hot Chocolate. Each of these product offerings has corresponding three kinds of prices namely for small, regular and large categories. The corresponding prices of each category of offerings are shown in Tables 1 to 3. For visual identification of differences in the respective prices of the offerings of the three coffee shops, a bar graph is used in plotting the raw data from Appendix 1 to 3. In most of the categories of product offerings from among the three coffee shops and as shown in the previous tables, Starbucks seems to be in the lead when it comes to pricing. From regular category of product offerings, Starbucks’ prices for its product offerings are relatively higher than those of Costa Coffee’s. The same trend is observed from regular to large category types of offerings. Starbucks relatively prevailed over than the prices of Costa Coffee and Caffe Nero. As stated earlier, Starbucks had more than 700 stores in 2009 and more than half of them are in London. This company is still growing and in fact, has dominated in its industry. The very proof is its

An Overview of Consent and Restraint

An Overview of Consent and Restraint Consent, Deliberate or implied affirmation; compliance with a course of  proposed action. Consent is essential in a number of circumstances. For example,  contracts and marriages are invalid unless both parties give their consent. Consent  must be given freely, without duress or deception, and with sufficient legal  competence to give it (see also INFORMED CONSENT). In criminal law, issues of consent  arise mainly in connection with offences involving violence and *dishonesty. For  public-policy reasons, a victims consent to conduct which foreseeably causes him  bodily harm is no defence to a charge involving an *assault, *wounding, or  *homicide; in other cases the defendant should be acquitted if the magistrates or  jury have a reasonable doubt not only as to whether the victim had consented but  also as to whether he thought the victim had consented. Restraint,  assault and  an intentional or reckless act that causes someone to be put in fear of  immediate physical harm. Actual physical contact is not necessary to constitute an  assault (for example, pointing a gun at someone is an assault), but the word is often  loosely used to include both threatening acts and physical violence (see BATTERY).   Words alone cannot constitute an assault. Assault is a form of *trespass to the  person and a crime as well as a tort: an ordinary (or common) assault, as described  above, is a *summary offence punishable by a *fine at level 5 on the standard scale  and/or up to six months imprisonment. Certain kinds of more serious assault are  known as aggravated assaults and carry stricter penalties. Examples of these are  assault with intent to resist lawful arrest (two years), assault occasioning *actual  bodily harm (five years), and assault with intent to rob (life imprisonment).   battery The intentional or reckless application of physical force to someone  without his consent. Battery is a form of *trespass to the person and is a *summary  offence (punishable with a *fine at level 5 on the standard scale and/or six months  imprisonment) as well as a tort, even if no actual harm results. If actual harm does  result, however, the *consent of the victim may not prevent the act from being  criminal, except when the injury is inflicted in the course of properly conducted  sports or games (e.g.rugby or boxing) or as a result of reasonable surgical  intervention. Duty of care, The legal obligation to take reasonable care to avoid causing damage. There is no liability in tort for *negligence unless the act or omission that causes  damage is a breach of a duty of care owed to the claimant. There is a duty to take  care in most situations in which one can reasonably foresee that ones actions may  cause physical damage to the person or property of others. The duty is owed to  those people likely to be affected by the conduct in question. Thus doctors have a  duty of care to their patients and users of the highway have a duty of care to all  other road users. But there is no general duty to prevent other persons causing  damage or to rescue persons or property in danger, liability for careless words is  more limited than liability for careless acts, and there is no general duty not to  cause economic loss or psychiatric illness. In these and some other situations, the  existence and scope of the duty of care depends on all the circumstances of the  relationship between the parties. Most duties of care are th e result of judicial  decisions, but some are contained in statutes, such as the Occupiers Liability Act  1957 Negligence and  Carelessness amounting to the culpable breach of a duty: failure  negligent misstatement 328 329 NHS Trust  to do something that a reasonable man (i.e. an average responsible citizen) would do, or doing something that a reasonable man would not do. In cases of professional negligence, involving someone with a special skill, that person is expected to show  the skill of an average member of his profession. Negligence may be an element in a  few crimes, e.g. *careless and inconsiderate driving, and various regulatory offences,  which are usually punished by fine. The main example of a serious crime that may  be committed by negligence is *manslaughter (in one of its forms). When negligence  is a basis of criminal liability, it is no defence to show that one was doing ones best  if ones conduct still falls below that of the reasonable man in the circumstances. See  also GROSS NEGLIGENCE. 2. A tort consisting of the breach of a *duty of care resultingà ‚  in damage to the claimant. Negligence in the sense of carelessness does not give rise  to civil liability unless the defendants failure to conform to the standards of the  reasonable man was a breach of a duty of care owed to the claimant, which has  caused damage to him. Negligence can be used to bring a civil action when there is  no contract under which proceedings can be brought. Normally it is easier to sue for  *breach of contract, but this is only possible when a contract exists. Generally, fewer  heads of damage can be claimed in negligence than in breach of contract, but the  rules limiting the time within which actions can be brought (see LIMITATION OF  ACTIONS) may be more advantageous for actions in tort for negligence than for  actions in contract. See also CONTRIBUTORY NEGLIGENCE; RES IPSA LOQUITUR.   vicarious liability   Legal liability imposed on one  person for torts or crimes committed by another (usually an employee but  vicarious performance 526 527 violent disorder  sometimes an *independent contractor or agent), although the person made  vicariously liable is not personally at fault. An employer is vicariously liable for  torts committed by his employees when he has authorized or ratified them or when  the tort was committed in the course of the employees work. Thus negligent  driving by someone employed as a driver is a tort committed in the course of his  employment, but if the driver were to assault a passing pedestrian for motives of  private revenge, the assault would not be connected with his job and his employer  would not be liable. The purpose of the doctrine of vicarious liability is to ensure  that an employer pays the costs of damage caused by his business operations. His  vicarious liability, however, is in addition to the liability of the employee, who   remains personally liable for his own torts. The person injured by the tort may sue  either or both of them, but will generally prefer to sue the employer.   Vicarious criminal liability may effectively be imposed by statute on an employer  for certain offences committed by an employee in relation to his employment. Thus  it has been held that an employer is guilty of selling unfit food under the Food Act  1984 when his employee does the physical act of selling (the employee is also guilty,  though in practice is rarely prosecuted). Likewise, an employer may be guilty of  supplying goods under a false trade description when it is his employee who  actually delivers them. For an offence that normally requires mens rea,an employer  will only be vicariously liable if the offence relates to licensing laws. For example, if  a licensee has delegated the entire management of his licensed premises to another  j:letson, and that j:letson has committed the offence with the nec~ssatymens YeQ, th~  licensee will be vicariously liable.   Vicarious liability for crimes may be imposed in certain other circumstances. The  registered owner of a vehicle, for example, is expressly made liable by statute for  fixed-penalty and excess parking charges, even if the fault for the offence was not  his. If the offence is a regulatory offence of *strict liability, the courts often also  impose vicarious liability if the offence is defined in the statute in a way that makes  this possible.   Scope of practice (the legal and professional boundaries imposed upon you as a nurse)   Advocacy (the nurses role as an advocate for the client)   Documentation   Open disclosure   The Coroner   An officer of the Crown whose principal function is to investigate  deaths suspected of being violent or unnatural. He will do this either by ordering an  *autopsy or conducting an *inquest. The coroner also holds inquests on *treasure  trove. Coroners are appointed by the Crown from among barristers, solicitors, and  qualified medical practitioners of not less than five years standing.   Colour. The normal colour of urine is pale straw or light yellow.   It is mainly due to the pigment urochrome and partly to urobilin.   Womens urine is slightly lighter.   If the quantity of urine is increased or there is a diminution or dilution of urinary pigments, it becomes lighter and rendered very pale as in excessive drinking, nervousness, anaemia, chlorosis, diabetes, hysteria, epilepsy, poluria, in general debility and in chronic interstitial nephritis. The colour of the urine will depend on the degree of concentration; the more concentrated-the darker; the greater the quantity of water -the lighter.   Acid urine is slightly darker than alkaline urine. Urine becomes deeper in colour, like orange or dark yellow or brownish red generally known as high coloured or concentrated urine and is due to uroerythrin and urobilin produced by increased haemolysis, as in. fevers, after journeys, in hot days, in nervous excitability and after bodily exercises. N ormal urine on standing for a time will have a white or sometimes a bluish white scum on the surface due to contamination and putrefaction.   Urine glairy, whitish in colour indicates admixture with pus or leucorrhceal discharges. Urine coloured smoky, brown, reddish, brownish black or black indicates admixture with blood and denotes haemorrhage. Urine coloured greenish yellow or greenish brown indicates admixture with bile and denotes jaundice and other affections of the liver. Urine coloured milky indicates admixture with fat or pus and denotes chyluria or any purulent disease of the genitourinary tract.   Urine coloured blue indicates typhus fever, admixture with methylene blue or when there is excess of indigogens. Many drugs after absorption colour the urine, such as yellowish orange by santonin and chrysophanic acid; reddish or orange brown by senna and rhubarb; dark olive green or black by carbolic acid and other coaltar derivatives while antipyrin reddens the u rine. Odour.   When just voided urine is faintly aromatic but after a few minutes its characteristic odour is urinous.   The odour of urine is due to phenol.   It becomes pungent in concentrated urine, when urea is liberated in excess.   It becomes ammoniacal and putrescent and the reaction becomes alkaline after sometime when this excess of urea takes up water and is converted into ammonium carbonate.   It occurs quickly in urine from chronic cystitis or from suppurating diseases of kidney and bladder i.e., when urine is mixed with pus; blood or excessive phosphates.   The odour of urine in diabetes and in acetonuria is slightly sweetish.   The characteristic odour of garlic, sandal oil, cubebs, copaiba are given off when they are taken internally.   Turpentine gives an odour of violets. Appearance, physical character or transparency is the naked eye appearance of urine. Normal urine is always clear when voided but when allowed to stand for sometime it becomes slightly hazy or turbid due to suspended particles or from a slight cloud of mucus and epithelium. After sometime there may be sediments at the bottom due to gravity. If the urine is ammoniacal or decomposed a white turbidity forms due to sedimentation of phosphates or from bacterial activity. The turbidity or sediment is due mainly to the following suspended particles:- Urates. Uric Acid. Albumin. Phosphate. Mucus. Oxalate. Pus. Blood. Micro-organisms. To distinguish one from another, first of all fill three fourths of a test tube with urine and very gently heat the upper portion of the urine, holding the test tube by the bottom.   Now note whether the urine becomes clear or a cloudiness appears in the boiled portion, comparing with the lower unboiled portion of the test tube.   If the urine is turbid and clears up on heating then it contains Urates.   If the urine is clear and becomes cloudy with heat, before boiling point, then it is Albumen.   If the urine is clear and becomes cloudy at the boiling point, then it is Phosphate.   To distinguish between albumin and phosphate add 3 or 4 drops of acetic acid on the cloudy urine.   If the cloudiness disappears, then it is phosphate; but if the cloudiness remains or thickens, then it is albumin.   Lastly to distinguish between albumin and mucin add 2 drops of nitric acid, if the cloudiness disappears, then it is Mucin, but if the cloudi ness still persists, it is albumin. The turbidity of carbonates will clear up with effervescence on addition of nitric acid whereas heat and acid increases the turbidity due to albumin. To distinguish between phosphate and oxalate take some fresh urine and add ammonia, when there will be a precipitate. If on the addition of a few drops of acetic acid, the precipitates disappear, then it is phosphate, if it remains it is Oxalate. Failing the heat test take some urine in a test tube, preferably from the bottom and add a few drops of Liquor Potassae. Mix it thoroughly and if it clears up, then it is mucus; but if it becomes gelatinous or ropy, it is Pus. Next, if the deposit is coloured then take some urine in a test tube, preferably from the bottom and add a few drops of caustic potash and gently heat a little.   If it is dissolved, then it is Uric acid but if there is a precipitate, note the colour of the coagulum; if it is reddish brown or bottle green, it is Blood. If the urine is turbid and there is no change either by heat or by addition of caustic potash and heat, then the turbidity is due to Micro-organisms.   They generally clear up on the addition, of watery solution of ferric chloride and ammonium hydrate and then filter the urine.   Sometime the character, colour and reaction will roughly denote the element. Urates-They look like moss and are yellowish white or pink in colour.   Reaction is generally acid. They deposit when the urine becomes cold.   Uric Acid-It is crystalline and reddish brown in colour, resembling a shower of cayenne pepper grains. Reaction is moderately acid.   Phosphate-It forms a thin deposit and is white or yellowish white in colour.   Reaction may be slightly acid, alkaline or neutral.   Mucus-It is a cloudy or woolly looking white deposit. Reaction is slightly acid.   Oxalate-It is soft, shining and white in colour. Reaction is generally slightly acid. Pus- It looks like a ropy or creamy deposit, and is white in colour.   Reaction is slightly acid or  alkaline. Blood-It is clotted or thready and is red smoky or brownish in colour.   Reaction generally alkaline or may be slightly acid. Micro-organisms-The deposit is slightly hazy and white in colour.   They generally stick to the sides of the glass. COMPLICATIONS OF FRACTURES The majority of fractures heal without complications. If death occurs after a fracture, it is usually the result of damage to underlying organs and vascular structures or from complications of the fracture or immobility. Complications of fractures may be either direct or indirect. Direct complications include problems with bone infection, bone union, and avascular necrosis. Indirect complications are associated with blood vessel and nerve damage resulting in conditions such as compartment syndrome, venous thromboembolism, fat embolism, rhabdomyolysis (breakdown of skeletal muscle), and hypovolemic shock. Although most musculoskeletal injuries are not life threatening, open fractures, fractures accompanied by severe blood loss, and fractures that damage vital organs (e.g., lung, heart) are medical emergencies requiring immediate attention. Compartment Syndrome Compartment syndrome is a condition in which swelling and increased pressure within a limited space (a compartment) press on and compromise the function of blood vessels, nerves, and/or tendons that run through that compartment. Compartment syndrome causes capillary perfusion to be reduced below a level necessary for tissue viability. Compartment syndrome usually involves the leg, but can also occur in the arm, shoulder, and buttock. Thirty-eight compartments are located in the upper and lower extremities. Two basic causes of compartment syndrome are (1) decreased compartment size resulting from restrictive dressings, splints, casts, excessive traction, or premature closure of fascia; and (2) increased compartment contents related to bleeding, inflammation, oedema, or IV infiltration. Oedema can create sufficient pressure to obstruct circulation and cause venous occlusion, which further increases oedema. Eventually arterial flow is compromised, resulting in ischemia to the extremity. As ischemia continues, muscle and nerve cells are destroyed over time, and fibrotic tissue replaces healthy tissue. Contracture, disability, and loss of function can occur. Delays in diagnosis and treatment cause irreversible muscle and nerve ischemia, resulting in a functionally useless or severely impaired extremity. Compartment syndrome is usually associated with trauma, fractures (especially the long bones), extensive soft tissue damage, and crush injury. Fractures of the distal humerus and proximal tibia are the most common fractures associated with compartment syndrome. Compartment injury can also occur after knee or leg surgery. Prolonged pressure on a muscle compartment may result when someone is trapped under a heavy object or a persons limb is trapped beneath the body because of an obtunded state such as drug or alcohol overdose. Clinical Manifestations. Compartment syndrome may occur initially from the bodys physiologic response to the injury, or it may be delayed for several days after the original insult or injury. Ischemia can occur within 4 to 8 hours after the onset of compartment syndrome. One or more of the following six Ps are characteristic of compartment syndrome: (1) pain distal to the injury that is not relieved by opioid analgesics and pain on passive stretch of muscle traveling through the compartment; (2) increasing pressure in the compartment; (3) paraesthesia (numbness and tingling); (4) pallor, coolness, and loss of normal colour of the extremity; (5) paralysis or loss of function; and (6) pulselessness, or diminished or absent peripheral pulses. Collaborative Care. Prompt, accurate diagnosis of compartment syndrome is critical.17 Perform and document regular neurovascular assessments on all patients with fractures, especially those with an injury of the distal humerus or proximal tibia or soft tissue injuries in these areas. Early recognition and effective treatment of compartment syndrome are essential to avoid permanent damage to muscles and nerves. Carefully assess the location, quality, and intensity of the pain (see Chapter 9). Evaluate the patients level of pain on a scale of 0 to 10. Pain unrelieved by drugs and out of proportion to the level of injury is one of the first indications of impending compartment syndrome. Pulselessness and paralysis (in particular) are later signs of compartment syndrome. Notify the health care provider immediately of a patients changing condition. Because of the possibility of muscle damage, assess urine output. Myoglobin released from damaged muscle cells precipitates and causes obstruction in renal tubules. This condition results in acute tubular necrosis and acute kidney injury.   Common signs are dark reddish brown urine and clinical manifestations associated with acute kidney injury (see Chapter 47). Elevation of the extremity may lower venous pressure and slow arterial perfusion. Therefore the extremity should not be elevated above heart level. Similarly, the application of cold compresses may result in vasoconstriction and exacerbate compartment syndrome. It may also be necessary to remove or loosen the bandage and split the cast in half (bivalving). A reduction in traction weight may also decrease external circumferential pressures. Surgical decompression (e.g., fasciotomy) of the involved compartment may be necessary (Fig. 63-15). The fasciotomy site is left open for several days to ensure adequate soft tissue decompression. Infection resulting from delayed wound closure is a potential problem after a fasciotomy. In severe cases of compartment syndrome, an amputation may be required. DEFINITION Compartment syndrome is a condition that  occurs when elevated pressure within a limited  space compromises the circulation, with  increased risk of irreversible damage to its  contents and their function. Acute compartment  syndrome is a surgical emergency.   ICD-10CM CODES 958.90 Compartment syndrome unspecified   958.90 Compartment syndrome, not  otherwise specified T79.A0 Compartment syndrome,  unspecified, initial encounter   M79.A11 Nontraumatic compartment  syndrome of right upper extremity   M79.A12 Nontraumatic compartment  syndrome of left upper extremity   M79.A19 Nontraumatic compartment  syndrome of unspecified upper  extremity   M79.A21 Nontraumatic compartment  syndrome of right lower extremity   M79.A22 Nontraumatic compartment  syndrome of left lower extremity M79.A29 Nontraumatic compartment  syndrome of unspecified lower  extremity   M79.A9 Nontraumatic compartment  syndrome of other sites   T79.A19A Traumatic compartment syndrome  of unspecified upper extremity,  initial encounter   T79.A21A Traumatic compartment syndrome  of right lower extremity, initial  encounter   T79.A22A Traumatic compartment syndrome  of left lower extremity, initial  encounter   T79.A29A Traumatic compartment syndrome  of unspecified lower extremity,  initial encounter   EPIDEMIOLOGY   DEMOGRAPHICS   Occurs most commonly after acute trauma,  especially with long bone fractures, comprising  75% of cases.   It usually occurs in persons Incidence is higher in males.   It can occur in other parts, such as the foot,  thigh, gluteal region, and abdomen.   Supracondylar fractures in children can commonly  lead to compartment syndrome.   6% to 9% of open tibial fractures are complicated  by compartment syndrome.   It is seen in all races and ethnicities.   PATHOPHYSIOLOGY   Compartment syndrome occurs when the blood  flow is less than the tissue metabolic demands,  causing tissue injury. It occurs when the intracompartmental  pressure increases limiting  venous outflow with rising venous pressure,  resulting in compromise of the local circulation  and tissue hypoxia with decreased arteriovenous  pressure gradient. Venous congestion additionally  leads to tissue edema and interstitial pressure,  and the compartment pressure continues to  increase. Compartment pressure ranges between  10 and 30 mm Hg of diastolic pressure are able  to cause the condition.   Different conditions are known to cause compartment  syndrome:   Conditions that limit compartment volume, such  as when patients have fracture casts, when  sedated or comatose patients lie on a limb for  a prolonged period, or when patients have tight  dressings that are applied externally.   Conditions that cause increased compartment  content, such as bleeding in the compartment  from vascular injury or diathesis, fractures or  finger injuries, reperfusion after ischemic injury  such as embolectomy and arterial bypass  grafting, severe bruising of muscle, and thermal  or electrical burn injuries.   Other injuries, such as extravasation of intravenous  fluids, injection of recreational drugs,  and snake bites.   PHYSICAL FINDINGS CLINICAL   PRESENTATION Signs and symptoms are usually apparent but  can be unreliable and can lead to delayed  diagnosis. Acute compartment syndrome can  worsen within hours; therefore serial examination  is important in a patient with suspected  compartment syndrome. Patients with tense  painful limbs are considered to have acute  compartment syndrome; however, diagnosis  is confirmed with the assessment of elevated  compartment pressure. Clinical signs and  symptoms include the following:   Pain disproportional to injury (the earliest sign)   Constant deep pain and pain that is referred  to the compartment on passive stretching  of the muscles of the affected compartment   (Fig. E1C-84, A) Reduced sense of touch or sensation (hypesthesia) within the territory of the nerve passing the compartment (in acute anterior  compartment syndrome, the patient may  have hypesthesia in the territory of the first  webspace)   Tense and swollen compartment (Figs. E1C-  84, B and 1C-84, C)   Muscle weakness   Paresis (late finding) that suggests permanent  muscle damage   Capillary refill can be slow but normal.   Peripheral pulses that are normally palpable  even in severe conditions   Tingling and numbness in the affected limb.  Hypesthesia or paresthesia should be evaluated  with pinprick, light touch, and two-point  discrimination tests.   Difficulty moving the extremities.   DIAGNOSIS Diagnosis is based on clinical signs and  symptoms along with compartment pressure.   Compartment pressure testing may be unnecessary  if the diagnosis is clinically obvious.   DIFFERENTIAL DIAGNOSIS Muscle strains   Cellulitis Gangrene Peripheral vascular injury Necrotizing fasciitis Stress fractures Deep vein thrombosis and thrombophlebitis Tendinitis Muscle contusion Tarsal tunnel syndrome Posterior ankle syndrome Popliteal artery impingement Claudication Tumor Venous insufficiency LABORATORY TESTS Diagnosis is based on clinical findings and  the measurement of compartment pressures.   Laboratory values are not useful in the diagnosis  of compartment syndrome but are important  for other diagnoses or associated conditions.   CBC with differential for evaluation of infection   Creatine phosphokinase (CK) levels, which  can rise as muscle injury develops   Metabolic panel for the assessment of electrolytes  and renal function   Coagulation profile for bleeding diathesis   Urinalysis for rhabdomyolysis   Urine and serum myoglobin levels   Compartment Syndrome   A B FIGURE 1C-84 C: A, Severe calf swelling due to  anterior and posterior compartment syndromes  after ischemia-reperfusion. B, Appearance after  emergency fasciotomy. Note edematous muscle  and hematoma. (Courtesy Michael J. Allen, FRCS,  Leicester, UK. From Floege J et al: Comprehensive  clinical nephrology, ed 4, Philadelphia, 2010,  Saunders.) http://internalmedicinebook.com   Compartment Syndrome 307 Diseases and Disorders IMAGING STUDIES Direct intracompartmental pressure measurement  can be done by handheld manometer,  wick or slit catheter technique, and simple  needle manometer system. Compartment   syndrome is diagnosed when the difference  between diastolic blood pressure and compartment  pressure (Ά pressure) is à ¢Ã¢â‚¬ °Ã‚ ¤30 mm Hg.   Ultrasonography can be used to rule out deep  vein thrombosis, or Doppler ultrasonography  can be used to evaluate blood flow to the  extremity. Arteriography should be used to  evaluate the adequate blood flow through a  compartment. Near-infrared spectroscopy and technetium-  99m methoxyisobutylisonitrile scintigraphy  can also be used.   Radiography can be used on the affected  limb for fracture or foreign body evaluation.   TREATMENT   Treatment goal is to keep intracompartmental  pressure low and prevent tissue injury (Fig.  1C-84, D). NONPHARMACOLOGIC THERAPY Immediate relieving of all external pressure  on the affected compartment   Removal of casts, splints, and dressings   Placing limb at heart level to avoid decreased  or increased blood flow   ACUTE GENERAL Rx   Analgesics for pain Hyperbaric oxygen Hypotension can worsen tissue ischemia and  thus should be treated with IV isotonic saline. Fasciotomy of the affected compartment  is indicated if there has been >6 hr of  limb ischemia, or immediate decompression  should be performed when the compartment  pressure > 30 to 35 mm Hg.   Measurement of compartment pressure is  not necessary to perform fasciotomy if clinical  suspicion is high depending on history  and clinical examination.   When compartment pressures are trending  downward, it is often safe to delay emergent  fasciotomy, provided the Ά pressure is also  improving. CHRONIC Rx   Aftercare of fasciotomy wound: Wound is  inspected after 48 hours and dead tissue is  removed.   Wounds are left open, requiring later skin  grafting or delayed wound closure.   Opsite sheet and boot lace techniques are  also used for closing fasciotomy wounds.   Concomitant fractured bones should also be  stabilized with plating, external fixation, or  intramedullary nailing.   DISPOSITION With early diagnosis and treatment, the prognosis  is excellent for recovery of the muscles and  nerves inside the compartment. The following  conditions can be prevented:   Permanent nerve damage/paralysis   Muscle contracture Gangrene Amputation Muscle necrosis Fracture nonunion Rhabdomyolysis that leads to renal failure Compartment syndrome that can occur in  open fractures Permanent nerve injury, which can occur after  12 to 24 hr of compression; mortality rates in  patients who need fasciotomy is à ¢Ã¢â‚¬ °Ã‹â€ 15%. REFERRAL Patients with suspected compartment syndrome  should be referred promptly to orthopedic  and general surgery. PEARLS CONSIDERATIONS Universal precautions and aseptic measures are necessary for patients undergoing fasciotomy because the risk of local and systemic infection is high with the procedure. Invasive monitoring techniques should be undertaken with adequate analgesia so that patient immobility is ensured while the pressure is measured. Injection of local anaesthetics into the compartment can increase the pressure and pain and therefore should be avoided. Patients with fracture casts should be informed about the risks of swelling, and patients should also be encouraged to wear appropriate equipment while playing sports. A history of coagulation disorders and the use of anticoagulants should be mentioned in a patients medical history. Assault Assault has two different interpretations. 1. Traditionally called common assault and consisting of the making of an unlawful and intentional (or possibly only reckless) threat to inflict imminent force against the person where the victim was aware of the threat.   A distinction was previously maintained at common law between common assault and battery.   Increasing codification of criminal law has resulted in abandonment of this distinction and in Australia assault now commonly refers both to common assault and actual infliction of force.   Statutory provisions for the different states are numerous and terminology varies (e.g. offences of causing injury or threatening). 2. One of three ma

Ode on a Grecian Urn Essay

In the poem â€Å"Ode on a Grecian Urn,† Keats took inspiration from a visit to a museum exhibiting artifacts, one of which is an urn with figures on its surface. The urn depicts scenes taken from ancient Greek life. Intrigued by the Urn’s beauty and the figures depicted on its sides, Keats was moved to write a poem expressing wonder, admiration, questions and criticisms. Without knowing who these figures are, what they are meant to reflect and to what purpose were they made for, the poet revels in the mystery they represent. The Ode’s first stanza is filled with wonder and questions; the last stanza has none. Being a piece of art, the urn can speak to its viewers in whatever way it chooses to communicate. In the first stanza of the poem, the writer addresses an ancient urn and reflects on its beauty and what story it can tell. He calls the urn a â€Å"historian† possessing secret knowledge. The writer looks at one group of pictures that seem to be of men pursuing women. He wonders if it was a pursuit among lovers, a struggle between sexes, or a playful episode among the young on a beautiful day. In the next stanza, the poet focuses on another figure on the vase. This time, it portrays a man with his lover, both lying beneath a tree while he plays his pipe. The writer declares that the pipe’s silent music is sweeter than a mortal’s music because the former lives through time. While the man and woman cannot kiss because they are frozen in time, they should not despair because their beauty and youth will forever remain. In one stanza, the poet is able to present two contrasting realities. One is that of unfilled longing through eternity, while the other speaks of unfading glory. The ode’s third stanza reflects the poet’s general feeling of happiness for the things he observed about the couple described in the previous stanza, as well as the trees surrounding them. The poet is glad for the trees’ leaves, which will forever be green and remain attached to the branches. The poet is also happy that the man with the pipe will have his songs forever new. He is also happy that the lovers’ love will last until eternity. Here, the poet laments that mortal love is just the passing of passion. By the time it passes, which it eventually will, there is nothing left. In the fourth stanza of the Ode, the poet turns to examine another picture. This time, it represents villagers leading a young cow, which seems to be a sacrificial offering. He imagines where they have come from and where they are headed for. The poet visualizes empty streets because the citizens have all left to witness the sacrifice. And the streets will forever remain empty for those who have left the town are frozen on their way to the sacrificial place. For the fifth and final stanza, the poet goes back to addressing the urn. He tells the ornamental vase that while it lives and remain forever, the poet’s generation would have long passed. He ends it with the famous quote that equates beauty with truth. By doing this, the author seems to criticize and admire the urn at the same time. While the poet thinks the urn beautiful, he thinks that that is the only thing it will ever possess. This is the same manner of admiration and criticisms that the poet has vested on the characters found on the urn.

Did Weight Loss Fail Us. . Do You Think That The Way That

Did Weight Loss Fail Us? Do you think that the way that people have tried to achieve weight loss over the years has been successful? In the article, The Emperor s Tailors: The Failure of the Medical Weight Loss and its Causal Role in the Obesity of America, J.S. Puterbaugh talks about how we have been going about weight loss hasn’t been working and it ties in with the obesity problem in America. He starts the opening statement of the article by saying that there are three things that are usually suggested people should do as a means of losing weight, those being: taking responsibility for yourself, going by a groups specific diet, and doing certain exercise routines. Then he says that more than 60% of the population now is considered†¦show more content†¦It really seems like he is trying to warn people about these method. It seems this way, because he starts the article by talking about how big of an issue being overweight is. This is a problem that lots of people look into all of the time. T hen he gets into talking about what people do or say when they are introduced to all of the different solutions. With his research he has found many things that a lot of people might not have heard of when talking about this issue. He states that, 60% of the population is overweight or obese,(J.S. Puterbaugh 558). This would really get the attention of the reader, because not a lot of people realize how big of an issue this is. Then he gets into the history of the issue of weight loss. He said that this has been an issue since the time of the old physician Hippocrates. To continue his research into the history of the subject, he found that up until the 20th century obesity was controlled by a requirement of high physical activity and lower amounts of access to foods. Puterbaugh continues talking about all of the different approaches that have been taken over the course of history and shows that no matter what we have done the issue with obesity is still becoming a bigger issue today. He also includes a lot of statistics to back him up. He talks about how people are doing less now in terms of exercise than they did in the past. He foundShow MoreRelated Biotrim: True Weight Loss or Scam? Essay1428 Words   |  6 PagesBiotrim: True Weight Loss or Scam? In todays society, everybody wants a quick fix to all of their cosmetic problems. Whether we want better faces, better bodies, whatever, we want it now and we surely do not want to work for results. Due to this incredible demand for immediate self-improvement, the weight loss market has turned into a multi-billion dollar industry preying on people who are uniformed about weight loss and the bodys capabilities. Many products and programs such as Jenny CraigRead MoreQuick Weight Loss Diet Plan Essay1583 Words   |  7 PagesFast Quick Weight Loss Diet Plans Intro Why Some People Fail to Lose Weight FAQ s How Much Will You Lose Conscious Eating Leads to Weight Loss Success The Basic Diet Plan Alternative Plan One Alternative Plan Two Alternative Plan Three Alternative Plan Four Alternative Plan Five Intro We live in a land of too much food. Every where that you look food is trying to entice us to just take one little bite. It is a fact of life that food is the long haired siren that is beckoning us to the shoreRead MoreAnalysis Of The Article Water And Weight Loss Goals By Susan Moss1238 Words   |  5 PagesWater and Weight Loss Goals By Susan Moss | Submitted On June 14, 2012 Recommend Article Article Comments Print Article Share this article on Facebook Share this article on Twitter Share this article on Google+ Share this article on Linkedin Share this article on StumbleUpon Share this article on Delicious Share this article on Digg Share this article on Reddit Share this article on Pinterest Our bodies need water to perform well. Most of us do not drink enough water each day, thus we likelyRead MoreWhy Relationships Fail1220 Words   |  5 PagesSome people think that heartbreak is the worst feeling in the world. Many relationships have gone wrong, leaving more questions than answers. Why does it sometimes feel like a broken heart hurts worse than a broken bone? Do feelings really have that much of an impact on a person’s day-to-day life? There are a number of reasons why a relationship fails. Jealousy, attachment, detachment, selfishness, time, trust, communication, honesty, and acceptance are just a few reasons. Do opposites reallyRead MoreWhy Relationships Fail1217 Words   |  5 PagesSome people think that heartbreak is the worst feeling in the world. Many relationships have gone wrong, leaving more questions than answers. Why does it sometimes feel like a broken heart hurts worse than a broken bone? Do feelings really have that much of an impact on a person’s day-to-day life? There are a number of reasons why a relationship fails. Jealousy, attachment, detachment, selfishness, time, trust, communication, honesty, and acceptance are just a few reasons. Do opposites reallyRead MoreThe Problem Of Extreme Plastic Surgery1019 Words   |  5 Pageswith their appearance. Some people spend money to look good, but they do not stop there. They will continue to get surgery and the result will not be pretty. Most people do surgery because some are not satisfied with what the look. They want to change the outside so they could have looks and confident they need. In the present, more and more people are getting plastic surgery do then those back then. It is a trend most people do to fit in. One of the five C’s is community. In almost every communityRead MoreBenefits And Benefits Of Insurance Policies2333 Words   |  10 Pagesarray of sickness to the extent of minor and major operations needed. That is why before considering any surgery such as weight loss; try to look back at the papers that were signed during the acquisition of the insurance policy. This will help one in deciding whether to go into a surgical procedure or not. The first thing that must be taken into consideration during a weight loss surgery is the cost of the whole process. Since this kind of surgery is considered to be a valid surgical interventionRead MoreSpirit Catches You And You Fall Down Reader S Guide2026 Words   |  5 Pagesï » ¿Ã¢â‚¬Å"The Spirit Catches You and You Fall Down† Reader’s Guide Directions: Read the captioned book. Then answer the questions contained in this study guide. Post your completed document to the appropriate assignment box on the course website. 1. What do you think of traditional Hmong birth practices (pp. 3-5)? Compare them to the techniques used when Lia was born (p. 7). How do Hmong and American birth practices differ? I think the Hmong traditional give birth practice is very unsafe and dirty.Read MoreWomen In The United States Generally Have One Very Specific3147 Words   |  13 Pagesvery specific shared obsession: losing weight. They are constantly bombarded with claims of effective weight loss- secrets of the stars, fool-proof fad diets, etc. How many women try these diets? Probably hundreds of thousands, and how many lose weight from them? Maybe a few- the ones that end up gaining all of it back plus forty pounds. Something has to be wrong. This cannot be some strange coincidence, and it isn t. The way in which we think about our weight, our bodies, and the attention we putRead MoreEssay on Wanting to be Beautiful1310 Words   |  6 PagesBeautiful How do women’s magazines influence how women think, look, and feel? What is so special about these magazines to get some women to center their lives around them? Personally, I didn’t really understand why any women would listen to anything a magazine says until I opened one up. While I was waiting in line at a department store, I picked up and flipped through a Cosmopolitan magazine, and found a story that caught my attention. The story was about the loss of a father, and for that