Saturday, November 30, 2019

My Mothers Expression Was What Devastated Me A Quiet, Blank Look Tha

"My mother's expression was what devastated me: a quiet, blank look that said she lost everything." (p. 143, The Joy Luck Club) In the novel, The Joy Luck Club, by Amy Tan, the characters Suyuan and Jing-Mei (June) have a tumultuous mother-daughter relationship: one that ultimately is composed of conflict and commitment for one another. Their opposing ideas and beliefs is the product of their life experiences, which are drastically different. This and their lack of communication are responsible for many of the problems they face in their relationship. Only when June learns of her mother's past, her life experiences and the ways in which she was raised, can these conflicts be resolved. Amy Tan reveals several themes through her novel, in which she intends for her audiences to understand and learn. Some themes include such topics as life's choices, and understanding our family and ourselves. Mother-daughter relationships are perhaps the most painful but the most rewarding relationship women share. And though a simple comment such as "You're becoming more like your mother every day." might offend or strike terror in the female heart, she is still considered to be the rock on which we stand, and a steady hand that guides us through life. To understand the mother-daughter connection (healthy or destructive) it is wise to delve deeper and explore why we are first- natural enemies, secondly- why she (our mother) is determinably unpleasable, and last, how to redefine the mother-daughter relationship, so that both can learn and accept the other as she presently is by appreciating the other's good qualities and accepting the bad. Natural Enemy What is it about the mother-daughter attachment that yields natural enemies and demands so much power? No other human being is as similar to her daughter than the daughter's mother. They are mirrored from head to toe. And almost replicated down to their genes and sexual make-up. Like our mother, we have breasts; we bear children and usually are our family's caretaker (notwithstanding feminist revision). She also becomes competition when vying for "Dad's" attention. She ultimately is the "yardstick" against which we measure ourselves, whether in education, career, relationships or motherhood. Whether our relationship is strained or easy, hostile or amiable- we need her, if only to validate our femaleness and to guide our way. It is a need that never leaves in the best or the worst of mother-daughter relationships. The mother sets he tone for her daughters life, provides a road map and role model and continues to be and example, particularly her genetic and emotional example. But if mother and daughter have no connection, we cannot ask or talk to the one person whose psyche and body have "programmed" our own. That's why the loss is incalculable when a daughter has to figure it out for herself, trail blaze rather than learn from an example. Such a daughter has to discover herself, alone. The Unpleasable Mother What causes the lack of communication or the broken connection between the mother and daughter? Most of the conflict that June and her mother face are based upon misunderstandings and negligence concerning each other's feelings and beliefs. June lacks the ability to fully comprehend or know how her own mother because she is ignorant of her tragic and painful memories of the past. Suyuan lost her two daughters in China and her entire family was destroyed in the war. Suyuan decided to leave for America, leaving China behind and placing her future and the future in the promise of a new land. Suyuan hides her past and puts all her effort into turning her daughter into the daughter she could never be: pushing June to succeed in dance and academics and piano. Like Suyuan and June, in many ways mothers and daughters are alien, each foreign to the other. The chasms that separate them often seem unbridgeable. Even if a parent pulls no stops and puts forth their best efforts, it is no guarantee the child will turn out well. A mother cannot or could not control the immutable facts of her own history. Perhaps all her siblings were girls, or maybe she was the only child. Were her parents divorced? Was her family rich or were they poor? Thousands of variables create the child as

Tuesday, November 26, 2019

Signfican Health Care event Essay

Signfican Health Care event Essay Signfican Health Care event Essay Significant Health Care Event HCS/531 8 June, 2015 Significant Health Care Event The United States delivery health care system is in a constant revolving state of change. There are many factors involved in the changes to include managed care, capitation, the multiple-payer system, and excessive litigation. The changes that occur are mainly due to events such as a reactive response to concerns regarding cost, access to care, and the quality of the care being received. This paper will focus on how the technological revolution relates to the changes on health care, how it has impacted the historical evolution of health care, and whether I personally agree with the event’s significance. Technological Revolution Technological innovations have made it possible for users to use portable devices such as their phones to access medical information. With technology it is also possible to monitor vital signs, take tests at home, and even receive care at home from a physician through a computer or other portable device. Technological revolution has been primarily responsible for bringing medicine into the public domain. Advancement of technology has influenced other factors as well such as medical education, growth of institutions, and urban development (Shi & Singh, 2012, p. 82). Technology today has dramatically changed how we communicate with each other. Technology has also changed the medical field. We can now, using new technology, image any part of the body and do a three-dimensional reconstruction, eventually leading to the capability of printing an organ. The direction technology is growing on a daily basis it is seemingly unlimited. Cloud servers, genome sequencing, imaging capabilities and health information systems it seems as though the sky is not the limit anymore. There is much more that we as a species can accomplish. Yet, it is unfathomable why so many almost one out of every two adults in the United States has at least one chronic illness, many of which are preventable ("National Prevention Strategy: America's Plan For Better Health And Wellness", n.d.). Historical Perspective The manner in which technology advances is almost impossible to keep up alongside with, let alone fully understand. Let’s take a step back into time where electronic medical records did not exist. Paper records, paper charts, paper files are how everything in health care for a patient was recorded. One aspect that stands out, in my opinion, is reading other peoples handwriting. This might seem like a miniscule subject, but if a nurse or doctor cannot read another person’s handwriting time is wasted

Friday, November 22, 2019

List of the 47 Prefectures of Japan by Area

List of the 47 Prefectures of Japan by Area Japan is an island nation located in eastern Asia in the Pacific Ocean. It is to the east of China, Russia, North Korea and South Korea. Japan is an archipelago that is made up of over 6,500 islands, the largest of which are Honshu, Hokkaido, Kyushu,  and Shikoku. It is one of the worlds largest countries by population and it has one of the largest economies in the world due to its many international companies and highly advanced technologies. Because of Japans large size, it is divided into 47 different prefectures for local administration (map). Prefectures in Japan are the highest level of government that an area can have as it is right below the federal government. They are similar to the 50 states of the United States and the 28 states of India or the provinces of Canada. Each prefecture has its own governor and they are subdivided into districts and municipalities. The following is a list of Japans prefectures by area. For reference, capital cities have also been included. 1) HokkaidoArea: 32,221 square miles (83,452 sq km)Capital: Sapporo2) IwateArea: 5,899 square miles (15,278 sq km)Capital: Morioka3) FukushimaArea: 5,321 square miles (13,782 sq km)Capital: Fukushima City4) NaganoArea: 4,864 square miles (12,598 sq km)Capital: Nagano5) NiigataArea: 4,857 square miles (12,582 sq km)Capital: Niigata6) AkitaArea: 4,483 square miles (11,612 sq km)Capital: Akita7) GifuArea: 4,092 square miles (10,598 sq km)Capital: Gifu8) AomoriArea: 3,709 square miles (9,606 sq km)Capital: Aomori9) YamagataArea: 3,599 square miles (9,323 sq km)Capital: Yamagata10) KagoshimaArea: 3,526 square miles (9,132 sq km)Capital: Kagoshima11) HiroshimaArea: 3,273 square miles (8,477 sq km)Capital: Hiroshima12) HyogoArea: 3,240 square miles (8,392 sq km)Capital: Kobe13) ShizuokaArea: 2,829 square miles (7,328 sq km)Capital: Shizuoka14) MiyagiArea: 2,813 square miles (7,285 sq km)Capital: Sendai15) KochiArea: 2,743 square miles (7,104 sq km)Capital: Kochi16) OkayamaArea: 2,706 square miles (7,008 sq km)Capital: Okayama17) KumamotoArea: 2,667 square miles (6,908 sq km)Capital: Kumamoto18) ShimaneArea: 2,589 square miles (6,707 sq km)Capital: Matsue19) MiyazakiArea: 2,581 square miles (6,684 sq km)Capital: Miyazaki20) TochigiArea: 2,474 square miles (6,408 sq km)Capital: Utsunomiya21) GunmaArea: 2,457 square miles (6,363 sq km)Capital: Maebashi22) YamaguchiArea: 2,359 square miles (6,111 sq km)Capital: Yamaguchi23) IbarakiArea: 2,353 square miles (6,095 sq km)Capital: Mito24) OitaArea: 2,241 square miles (5,804 sq km)Capital: Oita25) MieArea: 2,224 square miles (5,761 sq km)Capital: Tsu26) EhimeArea: 2,191 square miles (5,676 sq km)Capital: Matsuyama27) ChibaArea: 1,991 square miles (5,156 sq km)Capital: Chiba28) AichiArea: 1,990 square miles (5,154 sq km)Capital: Nagoya29) FukuokaArea: 1,919 square miles (4,971 sq km)Capital: Fukuoka30) WakayamaArea: 1,824 square miles (4,725 sq km)Capital: Wakayama31) KyotoArea: 1,781 square miles (4,613 sq km)Capital: Kyoto32) YamanashiArea: 1,724 square miles (4,465 sq km)Capital: Kofu33) ToyamaArea: 1,640 square miles (4,247 sq km)Capital: Toyama34) FukuiArea: 1,617 square miles (4,189 sq km)Capital: Fukui35) IshikawaArea: 1,616 square miles (4,185 sq km)Capital: Kanazawa36) TokushimaArea: 1,600 square miles (4,145 sq km)Capital: Tokushima37) NagasakiArea: 1,580 square miles (4,093 sq km)Capital: Nagasaki38) ShigaArea: 1,551 square miles (4,017 sq km)Capital: Otsu39) SaitamaArea: 1,454 square miles (3,767 sq km)Capital: Saitama40) NaraArea: 1,425 square miles (3,691 sq km)Capital: Nara41) TottoriArea: 1,354 square miles (3,507 sq km)Capital: Tottori42) SagaArea: 942 square miles (2,439 sq km)Capital: Saga43) KanagawaArea: 932 square miles (2,415 sq km)Capital: Yokohama44) OkinawaArea: 877 square miles (2,271 sq km)Capital: Naha45) TokyoArea: 844 square miles (2,187 sq km)Capital: Shinjuku46) OsakaArea: 731 square miles (1,893 sq km)Capital: Osaka47) KagawaArea: 719 square miles (1,862 sq km)Capital: Ta kamatsuSources:Wikipedia.org. Prefectures of Japan - Wikipedia, the Free Encyclopedia. Retrieved from: http://en.wikipedia.org/wiki/Prefectures_of_Japan.

Wednesday, November 20, 2019

Summary Essay Example | Topics and Well Written Essays - 250 words - 139

Summary - Essay Example Secondly, a symbol commences with the initial rupture immediately given. That is, symbols are usually in the form of phoneme. The phoneme, on its own, does not mean anything2. Continued utterance, of the phoneme, gives it meaning. The Eucharist, in comparison to a phoneme, is uttered by preachers and priests alike. The Catholic Mass, for example, is centred on the Eucharist. Thirdly, the existence of a symbol depends on the differences and relations with other parts in the system. Once it is isolated from the parts, the symbol can adopt any meaning. Lastly, a symbol’s value arises from its location in relation to the whole system3. The Eucharist relates to the other parts of the Mass. All events, in the Mass, culminate to the Eucharist. This grants the Eucharist its meaning as the body of Christ. Chauvet illustrates this through the example of a shard of porcelain strewn on a street. The shard helps us in recognizing that it was once a vase. Chauvet clearly distinguishes the two from their definition down to their usage. She defines sign as an element used to refer to something else4. The difference between the two is homologous to the analogy of the difference between the market-value principle and the symbolic-exchange principle. According to Chauvet, receiving a sacrament symbolizes the passage of the word to the body of its receiver5. The new covenant states that the Spirit of God will become one with the body of the people. Through the sacramental symbol, Christians are able to live out of God’s

Tuesday, November 19, 2019

Adab In Medieval Arabic Literature Essay Example | Topics and Well Written Essays - 500 words

Adab In Medieval Arabic Literature - Essay Example The first Al-Kindi’s argument for the existence of God pertains to the belief on causality. This means that everything that professes existence must have a beginning of existence. In this sense, it is impossible to have a beginning without a cause. Besides, entities to causes are infinite. Therefore, there is a prime cause of infinite elements that trigger other causes. This means that the prime cause must be a true one. The true cause refers to a sole God. According to Aristotle’s arguments, there are four stages of causes. This entails the final, the efficient, the formal and the material causes in terms of vitality. In a nutshell, there are two credible causes in the universe. The first cause is the sincere efficient one since its action springs from nothing. On the other hand, the other causes are intermediate since they spring from other causes. God is the only credible force that acts on other things. The reverse meaning of the same regards the idea that other thi ngs cannot act upon Him. Besides the argument on causality, Al-Kindi argues that everything in the world springs from creation (Kennedy 220). This means that there is a divine being that creates such entities. However, every creation lacks the life of sustaining itself. It must rely on the superior being to feed life into the same. This suggests that every creation is not eternal. The sole eternal being is God since He exists to breathe life into new creations. Similarly, the unicity of God is arguably from the observed nature of beings. The world possesses both irregularity and regularity that interact to create a beautiful working mixture. The world has a sculpture in a sense that does not jeopardize itself. In this sense, there are surprising disparities that coexist to accord a meaningful life.

Saturday, November 16, 2019

Warfare In the Middle East Essay Example for Free

Warfare In the Middle East Essay The babies cry. The teens scream. The adults are lead into battle. It is a controversy of what is the conflict in the Middle East. What is going on with the balance of these two cultures between the Israel government and the Arab government? The question is why can’t they get along? The evidence of their resolution to conflict is war. The deaths of many lives due to this conflict of ownership and identity between these two cultures are leaving families in devastation and creating a genocide effect. One of the conflicts is religion. The Middle Eastern conflict in war is religion. In history has shown that the conflict has remained against the Israel and Ishmael family. The ideas of conflict between Arab and Israeli culture have been the central point of what is governing the world policy and world politics. It is unfortunate that the ideologies are based on who’s in control of estate and how that estate is being govern. The fact of the matter is that government control is based on power and demand. The demand is the central location of control and regulation. The Middle East culture of Arabs and Israeli forces are based on the ideas of force and power. First, the conflict has been speculated that the war is based on ownership of land. This ownership is based on identities of the rightful heir of the property. Thus far, the equal conflict of the issue of ownership of property is the fundamental basis of these two culture’s conflict in the war and peace. In many cases, other cultures have conflict using the same ideology. The conflict of ownership of property has been the Western culture conflict as well. The history of conquering and subduing property by force has been a pivotal role in the Western culture. The ideology of Western civilization has been the control of property. In the same ideas of the Middle East conflict, the role they play is conflict with ownership. Due to the ethnic identity, both conflicts are similar in the pursuit to obtain property ownership using force or control. Second, the conflict is the ethnic identity of superiority, or who’s in charge? The remaining conflicts are due to the priorities of power and control through identity and strength. The two cultures that are in battle are using the tools of force and demand because the ideas of religion and regulation are ownership and control. For example, in the 19th century, the peace treaty as a resolution was due to the defeat in war not compromise in esteem. These conflicts are not resolved permanently due to the temporary resolutions chosen to settle the disputes of power and ownership. The Arab culture is governed by two principles of religion and politics through faith and practice. On the other hand, the Israeli culture is governed by two principles of worship and truth. These two ideas and practices come into conflict because one culture is by force and the other culture is by power. The differences of these two cultures in conflict are the ideas of warfare through the Arabian government forcing their practices and religion on the Israeli culture for government and power. On the other hand, the Israeli culture conflict is the ideas of warfare are through the Israeli God of peace and sustainability of peace through control and demands. The ideas of peace using power are created by the Israeli force of control and demand. The evidence of these two conflicts is seen through the motivations of ethnic identity and military force. On one hand, the effort toward resolution was temporary due to the regulation of faith and worship. In the same practice, the effort of destruction of military power was temporary due to weapons and control. It has been observed the similarities of conflict with Western culture have also been the same as control and demand. The wealth of the land and the wealth of the identity of the culture are used as motivations of power. These similarities with the Middle Eastern conflict are a demonstration that the problem of their conflict is not foreign or unusual, but the conflict is a spreading disease and world affairs, â€Å"normal. † The government and its leaders perform their duties using force through the motivations of war and conflict. It is an old approach to sustain peace but in observation this is proven to be a false remedy for any peace treaty and resolution for conflict. In the past, the history shows that in the lineage of Arab force, the ideas of war and peace have been limited due to the exceeding power, skills and wealth of the Arab culture. The ideas that regulate this culture are based upon the belief system of sacrifice and fortune. In any case, the opposite is for the Israeli culture. The Israeli culture has committed to the ideas of peace and truth, the theory of practice and worship of peace within each culture. During the time of war and conflict, the Israeli culture had to depend on peace to create change and order. During the time of peace, the Israeli would use force and demand using laws and regulation against ethnic identity and religion preference. In the Middle East conflict the warfare is stemmed through laws and regulation against ethnic identity. It has been observed that the similarities of these practices are continual in the world affairs with the Western culture as well. The peace control is used through stripping ethnic identity and freedom of religion. It is a normal practice of creating peace and control. In any case, the continual conflict between these two universal families that have become a foundational spectrum of the world affairs of ethnic and behavior, the war will continue on between these rivals due to the fact of ethnic identity and control of estate. The bottom line to these two ideologies and cultures, the resolution to their conflict is a cross cultural liaison that may delegate a balance and compromise between culture and practice. The overall sense of these two cultures creating peace in their mind is to eliminate one or have the other as dominate over each other. In this current age, the central point to management of cultures and balance begins in creating a compromise of equal opportunity for both ideologies and identities in their own space within one space. It is a new practice of negotiation of conflict using management and shared stewardship. It is obvious that this is a practice that is not widely used as of yet, but the ideology of shared stewardship of ownership, property, wealth, identity control through politics and religion is created through balance of control and power. It is unfortunate that the Middle East conflict cannot be resolved due to the resolution of war rather negotiation. It is evidence that too much power given to one culture of any cultures can lead to a conflict of control and power. The sacrifice and worship of any culture that is used against a culture can be devastating to ownership of property and identity of ethnic behavior. The war of the Middle East will not be resolved until the power has shifted to regulate and equally delegate control over each other. In order to see some type of balance the ideologies will have to change, shift or become equal in power and control to find balance and resolution. Until then, the conflict will be a competition of ownership and identity. It is in this critical time that the Middle East should set as a priority to sit around a table and discuss control, property and identity of ideology and regulation. Otherwise, the next conflict will be a global conflict control of these two governments, cultures. It is evidence that the Western culture has similarities of the Middle East conflict within their own control of power within the world affairs as well. The Middle East conflict is not alone in learning how to manage control without using force. For an example, the recent mass destruction of weapons, lead to war without negotiation due to the threat of ownership, power and identity. The Middle East conflict is not an unusual behavior. The world affairs is heading toward a direction of choice in the affairs of management in peace, negotiation and treaties of promise of commitment and faithfulness. Whether ethics are going to become a central matter or faith will continue to be the root of the matter of worship and practice within the actions of power and wealth. This is the conclusion that the Middle East culture of conflict is not stemmed based on religion alone, but based on ownership. The people involved in ownership is threatened by the loss of ownership what can a culture do if they are taught to fight to keep up with power and control? It is a factor of ethnic control using force. Can anyone get to the bottom of conflict and war? The babies cry. The teens scream. The adults are lead into battle. A sad story without a happy ending, conflict is like fire leaving nothing but devastation and loss.

Thursday, November 14, 2019

Differing Opinions of Bleak House Essay -- Bleak House essay

Differing Opinions of Bleak House When Bleak House, by Charles Dickens, was published in 1853, it did not go unnoticed by critics. The reviews of the period where anything but tepid in tone or opinion in regard to Dickens’ newest novel. Most notably, the critics were concerned with the structure of the novel, characterization, and, in particular, Esther as a plausible character. By singling out reviewers from different publications of the time, it is possible to see what the public in 1853 was reading about Bleak House in regard to these issues. Structure The contemporary reviewers of Bleak House fall into two categories when discussing its structure. There are those who like it and there are those who do not. More specifically, those who dislike the novel’s construction complain of the absence of plot and lack of connection between characters and their actions. Opposing this view are the reviewers who find the characters in Bleak House remarkably intertwined in the story, especially since it was written as a series for a literary magazine. One of the strongest of these critics is George Brimley, who, in his article entitled â€Å"Dickens’s Bleak House† published in The Spectator in 1853, writes that â€Å"Bleak House is, even more than its predecessors, chargeable with not simple faults, but absolute want of construction†(161). He finds that the structure of Bleak House fails because there is no connection between actors and incidents. Brimley points to the interest of Richard Carstone in the Chancery case. The case only serves to draw out Carstone’s personality faults that would have been drawn out in any other interest he may have had. The Chancery case, then, is trivial for it fails to exert any real impact on the characters... ...made more probably by the fact that she is the chronicler of her own perfection†(161). Chesterton concludes, â€Å"Miss Summerson in some ways is a failure† (166). Individuals encountering life-changing moments would be swayed and impacted greatly, unlike Esther, whose enduring calmness and optimism restrains her to the fictional role. The character of Esther is widely criticized for her perfection as a character, both receiving positive acclaims and negative feedback. Esther’s reserved, quiet character illustrates the role of women during the Victorian period and what little impact on society women played. Critics of Bleak House generally praise the narration and Dickens’s use of Esther’s character, which gives direction to the novel.    Works Cited Harris, Laurie Lanzen, ed. Nineteenth-Century Literature Criticism. Vol. 8. Detroit: Gale Research Company, 1981.

Monday, November 11, 2019

Obesity and Gastric Bypass Surgery Essay

In this paper I will discuss an article from the Seattle Press written by Associated Press Medical Writer Lindsay Tanner. I will discuss the statistical procedures used in the study and provide an analysis of the conclusions both the researchers and the reporter drew from the study results to consider the statistical significance of the data presented. The article explains the research of Dr. Sayeed Ikramuddin of the department of surgery, University of Minnesota, Minneapolis and his colleagues relating to bariatric surgery its potential role in glycemic control in type two diabetics. Irkamuddin states that at 12 months, â€Å"the primary goal was considered successful if patients achieved the composite of the triple endpoint: HbA1c of less than 7. 0%, an LDL cholesterol level of less than 100 mg/dL, and systolic blood pressure of less than 130 mmHg at the 12-month visit† (2013, p. 2242). The study was conducted at four sites, including New York, Minnesota, and two hospitals in Taiwan and lasted 12 months. Patients with mild to moderate obesity and adult-onset diabetes mellitus were offered a free intensive intervention and recruited using mass media advertisements, practice-based databases and contact with professional groups, leading to an unblinded randomized group after screening 2648 candidates. Body mass index in participants ranged from 30. 0 to 39. 9, with a mean of 34. 6. The study participants had been diagnosed with diabetes for a mean of 9. 0 years. The intensive intervention included lifestyle modification with daily caloric intake counts, increased physical activity, daily weights and counseling sessions, and intensive medical management including close monitoring and treatment from doctors with medications for cholesterol, blood pressure, and glycemic control. Sixty of these participants were randomly selected to receive Roux-en-Y gastric bypass surgery. Two of the participants selected declined to have the surgery, and two others were randomly selected to undergo the procedure. These patients continued to receive the same intensive intervention during the entire 12 months. The frequency of sessions and monitoring decreased for both groups during the study period as planned, going from weekly to monthly over the course of the study. The author of the newspaper article summarizes the study’s results by stating, â€Å"The surgery group lost on average nearly 60 pounds and 75% lowered blood glucose levels to normal or near-normal levels. The non-surgery group lost on average 17 pounds and just 30% reached the blood-sugar goal. The surgery group also needed less medication after the operation† (Tanner, 2013, p. 2). The last portion of this statement is misleading as the study evaluates and considers only medications to manage blood glucose levels, dyslipidemia, and hypertension (Ikramuddin, 2013, p. 2245). The study reports, â€Å"Patients who underwent gastric bypass surgery experienced 50% more serious and 55% more nonserious adverse events than did those in the lifestyle-medical management group† (Ikramuddin et al. , 2013, p. 2248). It is important to consider the frequency and rate of adverse events, in addition to classification of such data. Researchers also state that the surgical group took 66% fewer medications than the nonsurgical group. The most common adverse event in the surgical group that was not considered peri- or late post-operative was nutritional deficiencies, especially iron and vitamin B levels, requiring treatment with medications and supplements. Nutritional deficiencies are often long-term and require frequent monitoring and dose adjustment. Because of the time limitations of the study and the relatively small sample size, long-term cardiovascular and nutritional effects of bariatric surgery in the mild to moderately obese population for glycemic control remains to be determined. Both the study and the newspaper article assert that there is no conclusive evidence on long-term effects when bariatric surgery is used in conjunction with lifestyle and medical management for glycemic control on mild to moderately obese patients. Other serious adverse events documented and considered by the authors of the study included motor vehicle accidents and pancreatic cancer, both of which occurred in the medical management group, decreasing the difference between the medical management group and the Roux-en-Y gastric bypass group. Pregnancy was considered as well. The total number of serious adverse events was 15 for the medical management group and 22 for the surgical group. The study does not discuss or measure in any way the adherence of participants to the intensive intervention in either group. Patients’ adherence to recommended regimen including decreased caloric intake, recommended physical activity, and medication compliance is a variable that was not assessed by Ikramuddin and his colleagues during the study, limiting its scope. In general, the newspaper article correctly interprets the statistics and draws conclusions from this study appropriately. The surgical group tended to have less hypertension and elevated LDL cholesterol levels, but this data lacks statistical significance. Tanner stated in the newspaper article â€Å"those between-group differences could have been due to chance† (2013, p. ). The study states a confidence interval of 95%, which correlates with a 0. 05 significance level. Many of the values representing these measures were marginally different. Many other studies have reported effects on these values as individual variables. There are many other factors involved in cholesterol and blood pressure management that must be identified an d considered before drawing conclusions on such data. This study was very detailed and presented a large amount of data. Despite this, the overall conclusions of the newspaper article were accurate in relation to the data. The newspaper article summarized the conclusions of the researchers appropriately. The statistics representing HbA1c as part of the composite endpoint are reliant on weight loss and can be primarily attributed to this factor (Ikramuddin et al. , 2013, p. 2240). The newspaper article states, â€Å"The researchers say the diabetes changes were likely due to the weight loss but that hormonal changes affecting blood sugar may have contributed† (Tanner, 2013, p 2). This was determined by using regressive analyses of the available data. The study suggests that altered gastrointestinal hormone secretion as well as differences in individual medication use during the study may have attributed to the results, but acknowledges that the study lacks the data to determine this. By going to the source of news-reported statistical studies, the reader can evaluate the statistical significance of the data and determine if the data were presented accurately and if the conclusions drawn are reliable. Research and comprehension of data and statistical significance is essential to best evidence-based practice in the field of nursing and beyond.

Saturday, November 9, 2019

Comparison of business system of China and Japan Essay

1. Introduction This research paper will concludes the comparison of similarities and differences of business system in China and Japan. It refers about institutional comparison and clusters and implications for varieties of capitalism and business systems theory by Michael A Witt and Gordon Redding and another one ‘s author is Zhang X & R Whitley : Changing Macro-structural Varieties of East Asian Capitalism. In general, because China and Japan both Asian country so that this two countries has many similar aspects such as culture, food, history†¦in the other hand there are exists differences between them. 2.Comparison of similarities The countries of China and Japan share numerous similarities other than their geographical proximity. They both have established extremely rich cultures and great senses of national identity.Their histories have crossed paths during several periods since both civilizations have existed for such a long times. The countries also share similar religions and value systems, which have influenced each other. In terms of Japan’s economic culture is the  idea that the firm exists to keep people employed, and that return on capital for advantage of shareholders is not a primary rationale for economic action. A casual review of publications suggests that most of the research in the field has focused on advanced industrialized nations in the West and, to a lesser extent(e.g.Berger &Dore,1996;Orr et al,1997:Redding 1990;Whitley,1992). At the same time,it implies that many questions remain fully or partially unanswered, and the field, wild open for further exploration.Whitley’s(1999) account of the emergence of six major business-system types likewise incorporates the role of culture, in the form of shared beliefs about authority, trust, and communitarian ideals. While he underlines that institutions mediate both trust and authority, the narratives included in his illustrate how cultural and historical forces lead to the emergence of some institutions. The similarities between Japan and China didn’t just happen on their own. When ambassadors from Japan visited Tang dynasty China in the 7th century, they found an empire that was much larger, wealthier and more unified politically than their own nation. When they returned home and reported what they’d seen, the Japanese imperial court became so enthusiastic about Chinese culture that they built a new capital city at Nara in imitation of the Tang capital at Chang’an. Between the years 710 and 794, the Japanese emperors reorganized the country and its legal system based on Chinese models. They also encouraged the adoption of Chinese philosophical and religious ideas. The connections between Japanese and Chinese culture began in this time period. China and Japan have both been strongly influenced by the philosophy of Confucius, who taught a system of thought based on the importance of relationships and educational achievement. In both China and Japan, parents tend to push their children to study hard because academic achievement is so closely tied to future economic success. The Confucian emphasis on relationships has also influenced both countries, but in slightly different ways. In China, people tend to be loyal to their family relationships more than to any other personal connection. In Japan, on the other hand, people are encouraged to be loyal to whatever group they belong to, such as the company they work for. Most people probably think of Zen Buddhism as being characteristically Japanese, but Zen was actually borrowed from the Ch’an sect of Chinese Buddhism. Several of the major Buddhist sects in Japan have Chinese origins.  For instance, Japanese Tendai Buddhism was based on Chinese T’ien Tai Buddhism, and the Kegon sect was founded by a Chinese immigrant during the Nara period. Defining features of traditional Japanese culture such as the tea ceremony developed through the influence of Chinese Ch’an on Japanese Zen. Japanese artists borrowed themes and techniques from the Chinese for centuries. For example, the Japanese painter Ike Taiga based his 18th-century ink paintings on Chinese instructional manuals. Japan also borrowed the use of Chinese characters, but had to modify them due to the great differences between the two languages. Shodo, or traditional Japanese calligraphy, uses Chinese characters to express the artist’s emotional and spiritual state. Although traditional Japanese artistic styles show clear Chinese influences, they are also distinct from Chinese styles. For instance, though the Japanese admired classical Chinese poetry, they also invented their own poetic forms such as the waka and haiku. 3.Comparison of differences Despite all of similarities the recent history of these two countries has caused them to diverge into two very distinct modern civilizations. A great factor in this divergence is the extreme differences in the evolution of each country’s economic policy. For China, philosopher Confucious developed a pattern of thought which was key informing a sense of national identity. His ideas have had a profound impact on the evolution of Chinese culture, government, and economics. â€Å"He believed in and practiced the highest standards of morality, yet did it all in the spirit of moderation and harmony so admired by the Chinese.† (Morton, 33). Although his ancestors may have been aristocracy, Confucious was born into a rather plebeian family in 551 B.C. He wanted to eliminate the moral relativism of his time. â€Å"In contrast to the spirit of Confucious’s age and to the behavior of those addicted to the pursuit of selfish whims, the gentleman must banish from his conduct and even from his manner or expression anything savoring of violence, arrogance, or impropriety.†(Morton, 37). Confucious stressed five virtues: humanity, courtesy, honesty, knowledge, and integrity. This laid the foundation for a restructuring of the Chinese moral value system. This foundation still lies under present day China’s heightened sense of morality. While Confucious’ teachings may have helped structure a stronger  moral code in China, it may have actually hindered the evolution of Chinese economics.First Confucianism stressed agriculture while giving commerce an inconsequential role.Also, Confucianism saw profit-making as a selfish endeavor making competition in markets almost sinful. The way of life prescribed by Confucious included renouncing assets and pursuing the Way.All of these aspects of Confucious’ thought contributed to the inept economy preceding the revolution in China. On the other hand, Japan’s value system was formed with an inherent emphasis on refined work ethic. This value worked to help rather than hinder Japan’s evolution into an Economic Power in the modern world. The aforementioned sense of loyalty to work stems from an internalized sense of responsibility in Japanese citizens to work for one another’s well-being. â€Å"Here, more than in the family, work is self –validating in the sense of affirming one’s personal achievement and maturity, and in validating one’s belonging and participation in a social group.†(Eisenstadt, 538). When they are away from their work, they identify themselves as part of their company different to others who work elsewhere. In this way work is another family- type unit to which the citizen belongs and gains a sense of identity from. Since family and work are so similarly structured in life, individuals cannot help but equate to some degree their sense of membership to each and relish their ties to each in a similar manner. The organization and unity of Japanese companies can be seen in rituals performed at work in the morning. The rituals reinforce the collectivity between co-workers and give the group a sense of belonging. Differences between Japanese and Chinese economic statistics can be traced to the different economic systems employed by each country. For example, the GDP real growth rate in China was about 8%, while in Japan it was 1.3% both for year 2000. (1) Saving is mostly an individual decision under a market capitalism system similar to Japan’s. When this decision is left up to the individuals in the economy it usually results in a lower savings rate and, in turn, investment than under a mixed socialist system like China’s.Chinese government has the ability to control investment rate unlike the capitalist system which deflates the role of government in economic activity. The discrepancy between these two countries in terms of GDP real growth can also be the result of Japan’s extreme growth in past decades and its leveling off. China on the other hand still has much room for economic  growth even though they too have experienced impressive growth. Economic systems’ impact on hard data can also be seen within China’s history.Japan has shown the advantages of the capitalist system in trying to recover from its late 90s recession. According to the mofa internet source, Japan has helped create new businesses and industries through deregulation. (2) This shows how the economic system’s flexibility allows for further gradual decentralization. China’s reforms have come through major revolution such as the 1978 revolution which was introduced by government. This is characteristic of socialist economies in which changes begin through government introduced package reform. Japan’s GDP per capita in 2000 was around $24,500 while China’s was around $3600 for the same year. (1) This can be linked to differences in unemployment rates (China’s was more than double that of Japan) especially in China’s expansive rural areas.In 2000, Japan’s inflation rate was negative while China experienced a .4% rate. This shows the socialist economy government’s ability to control rates more effectively. Health is the essential aspect of standard of living. Life expectancy in China is relatively high at 62.3 years (61.2 for males and 63.3 for females). (3) The population control mechanism implemented by government in 1979 which limited each family to one child . This is an example of the socialist economy working positively. The program has dropped China’s population growth to under 1%. Japan maintains the highest life expectancy of 74.5 years (71.9 for males and 77.2 for females). Another new indicator of relative standard of living, the Human Development Index includes several factors such as longevity, education, and economic standard of living in it calculation. Japan ranks 9th,which places it in the high human development category. China ranks 87th placing it in the medium human development category. China scores significantly lower than Japan in the education value of the HDI . Free public schooling through junior high is provided for all children in Japan which could be the reason behind the education discrepancy. Japan’s 99% literacy rate is one of the highest in the world.The Chinese government implemented a minimum standard of living program in the 1990s. This is similar to a social security program and helps poverty stricken citizens in urban areas. This system exemplifies the socialism within the economy. In 2000 an extension of the program offered unemployment insurance and pension for retired workers. China also increased  investment education, libraries, museums and broadcasting stations. In summarize,although these countries share many things such as geographical location, major religions, philosophies,etc.they have diverged partly due to the different economic systems they have employed thr oughout their histories. Both countries have enjoyed tremendous growth in the second half of the twentieth century but their modes have been very different. Japan utilized a market capitalism which was introduced by America after World War II. This has led to a present day Japanese culture which in many ways is very similar to American culture. They have a desire for material wealth, value-added goods and leisure. Hopefully they will not lose their rich culture and tradition in the midst of economic growth.China has taken a more conservative approach and has moved from planned socialism under Mao Zedong towards a functional market socialism.These countries exhibit the impact of an economic system on the people within a country as well as its impact on economic growth. References Witt, M & G Redding (2013). Asian Business Systems: Institutional Comparison, Clusters and Implications for Varieties of Capitalism and Business Systems Theory Zhang, X & R Whitley (2013). Changing Macro-structural Varieties of East Asian Capitalism Eisenstadt, S. N. Japanese Civilization. London: The University of Chicago Press, 1996. Morton, Scott W. China Its History and Culture. New York: McGraw-Hill, Gordon Redding , Michael Witt (2008).China’s Business System and its Future Trajectory

Thursday, November 7, 2019

My Understanding of the Song Lucky by Britney Spears †Music Class

My Understanding of the Song Lucky by Britney Spears – Music Class Free Online Research Papers My Understanding of the Song Lucky by Britney Spears Music Class I feel that the song â€Å"Lucky† performed by Britney Spears, written by whomever writes songs for Britney Spears addresses an important topic that is very relevant in society today. The song begins: â€Å"This is a story about a girl named Lucky†¦Ã¢â‚¬  The way I interpret it, the girl referred to in these is not named Lucky. This is a name given to an imaginary person who, as you find out later in the song, has so much, yet so little. I feel the song brings up an important point and expresses that while some have lots of money, fame, fortune, and notoriety, they can also be morally empty, socially inept, and generally unhappy. The first verse describes a girl, (the aforementioned â€Å"Lucky†) waking up in the morning to knocks on her door. These knocks are calls to put on â€Å"†¦makeup, perfect smile.† Someone tells the girl â€Å"It’s you they are waiting for†¦Isn’t she lovely, this Hollywood girl.† The girl in the song is demanded to come out so people can admire her and covet what she is and has. This very issue impacts today’s society, creating contempt, jealousy, and eventually unrest in people, more specifically youth and the poor. In a capitalistic society like ours, it is a hard fact that some will be â€Å"have†, and they will most definitely be in the eyes and minds of the â€Å"have-nots.† The chorus explains how this girl is a star, but she cries, lonely in her heart, claiming there is nothing missing in her life. This situation happens in today’s society to a lot of yuppie types who concentrate the energy of their youth in attaining mainly money, and brush aside more solidly important things like character, moral values, intellect, health, and family bonds. The next verse explains how the girl is â€Å"lost in an image, in a dream† in which she â€Å"†¦keeps on winning†. It goes on to ask the rhetorical question â€Å"†¦what happens when it stops?†, and answers with a reference to the first verse, â€Å"Isn’t she lovely, this Hollywood girl?† This verse describes the feelings the girl has about her current situation. I believe the song is saying that the girl really doesn’t think about what will happen when her winning streak stops, because she instinctively knows it will and she will be left empty, a shell of a ghost of a stranger. This situation arises in today’s fast-paced, extremely materialistic culture, awash with easy money and low moral standards. Overall, the song is a light look at an underlying problem in our society. The problem does not lie in the present so much as in the future. The people in our country are robbing themselves of a stable future, cheating themselves out of a emotionally fulfilling lot, and devaluing their own self worth, all in the name of money and vanity. To look on the brighter side, which I always try and do, this gives hope to those with not much money or power, but who concentrate on strengthening themselves in more lasting ways. Research Papers on My Understanding of the Song "Lucky" by Britney Spears - Music ClassHip-Hop is ArtWhere Wild and West MeetHonest Iagos Truth through DeceptionTrailblazing by Eric AndersonThe Hockey GameCapital PunishmentThe Effects of Illegal ImmigrationMind Travel19 Century Society: A Deeply Divided EraEffects of Television Violence on Children

Monday, November 4, 2019

Argon Cluster and Graphene Collision Simulation Experiment

Argon Cluster and Graphene Collision Simulation Experiment Formation of Nanopore in a Suspended Graphene Sheet with Argon Cluster Bombardment: A Molecular Dynamics Simulation study Abstract: Formation of a nanopore in a suspended graphene sheet using an argon gas beam was simulated using molecular dynamics (MD) method. The Lennard-Jones (LJ) two-body potential and Tersoff–Brenner empirical potential energy function are applied in the MD simulations for different interactions between particles. The simulation results demonstrated that the incident energy and cluster size played a crucial role in the collisions. Simulation results for the Ar55 –graphene collisions show that the Ar55 cluster bounces back when the incident energy is less than 11ev/atom, the argon cluster penetrates when the incident energy is greater than 14 ev/atom. The two threshold incident energies, i.e. threshold incident energy of defect formation in graphene and threshold energy of penetration argon cluster were observed in the simulation. The threshold ene rgies were found to have relatively weak negative power law dependence on the cluster size. The number of sputtered carbon atoms is obtained as a function of the kinetic energy of the cluster. Keywords: Nanopore, Suspended graphene sheet, Argon cluster, Molecular dynamics simulation Introduction The carbon atoms in graphene condense in a honeycomb lattice due to sp 2-hybridized carbon bond in two dimensions [1]. It has unique mechanical [2], thermal [3-4], electronic [5], optical [6], and transport properties [7], which leads to its huge potential applications in nanoelectronic and energy science [8]. One of the key obstacles of pristine graphene in nanoelectronics is the absence of band gap [9-10]. Theoretical studies have shown that chemical doping of graphene with foreign atoms can modulate the electronic band structure of graphene and lead to the metal to semiconductor transition and break the polarized transport degeneracy [11-12]. Also, computational studies have demonstr ated that some vacancies of carbon atoms within the graphene plane could induce a band-gap opening and Fermi level shifting [13-14]. Graphene nanopores can have potential applications in various technologies, such as DNA sequencing, gas separation, and single-molecule analysis [15-16]. Generating sub-nanometer pores with precisely-controlled sizes is the key difficulty in the design of a graphene nanopore device. Several method have been employed to punch nanopores in graphene sheets, including electron beam from a transmission electron microscope (TEM) and heavy ion irradiation. Using electron beam technique, Fischbein et al.[17] drilled nanopores with the width of several nanometers and demonstrated that porous graphene is very stable; but, this method cannot be widely used because of its low efficiency and high cost. Russo et al. [18] used energetic ion exposure technique to create nanopores with radius as small as 3Å. S. Zhao et al. [19] indicated that energetic cluster irra diation was more effective in generating nanopores in graphene, because their much larger kinetic energy could be transferred to the target atoms. Recent experimental works have further confirmed that cluster irradiation is a feasible and promising way in the generation of nanopores [20]. Numerical simulations have demonstrated that, by choosing a suitable cluster species and controlling its energy, a nanopores of desired sizes and qualities can be fabricated in a graphene sheet [19].

Saturday, November 2, 2019

Business environment Essay Example | Topics and Well Written Essays - 2000 words

Business environment - Essay Example International trade is a significant representative of Gross Domestic Product in many countries. International trade has social, economic and political benefits and these have been realized in most industrialized countries in the recent times. Other factors that have contributed enormously to the development of the international trade are globalization, advanced transport systems around the world, emergence of multinational corporations and practice of outsourcing by many countries. In general, international trade is globalization and it is a branch of economics. When economics is incorporated into international trade, a larger branch called international economics is formed. Foreign Direct Investment has contributed greatly to international trade. This type of trade occurs when an investor acquires an asset from a country other than their own with intentions of managing the property. FDI has been categorized into three classes namely: Equity capital - this refers to the value which a multinational corporation has invested in shares of an enterprise in a foreign country. It includes both mergers and acquisitions and Greenfield investments made by the multinational company in a foreign country. Reinvested earnings- This represents the value of shares that Multinational corporations have invested in affiliate earnings as dividends. The retained profits by the affiliates are assumed by the multinational company to be reinvestment in the affiliate. This can represent up to 60 per cent of outward FDI in the United Kingdom. It is imperative for countries around the world to engage in bilateral FDI arrangements due to enormous growth in institutional, economic and legal interlinkages between countries. FDI has boosted economy all over the world. There is increment in the annual global flow of around $250 billion as experienced between 1985 and 1995. United