Kazakhstan Economy Essay

Kazakhstan Economy Essay
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Kazakhstan Economy Essay Kazakhstan Economy Essay

Comparing The Haunted House In The Fall Of The House Of...
A haunted house, or a house in which all is not as it seems, is a common trope of Gothic
literature. This is due to the familiar nature of the home being distorted into something wholly
uncanny. In The Fall of the House of Usher the past sin of the Usher family results in the
ultimate demise of, not only the house, but also the Usher bloodline. The house in Poe s tale is
in a state of severe decay. This is similar to the residents of the house who are suffering from a
hereditary illness that is inflicted upon the Usher family. Similarly, in The House of The Seven
Gables, a once magnificent house has become a ruin of its former self due to a curse that affects
the lives of the Pyncheon family. The family are also cursed with poor fortune... Show more content
on Helpwriting.net ...
When first built the house is described as great house (p. 8), its whole visible exterior was
ornamented with quaint figures, conceived in the grotesqueness of a Gothic fancy. (p. 8) Here
the house is grand and corresponds with the public image of Colonel Pyncheon and the
Pyncheon name. However, when describing the current state of the house, the narrator notes
that there was a carpet on the floor, originally or rich texture, but so worn and faded in these
latter years that its once brilliant figure had quite vanished into one indistinguishable hue. (p.
19) The description of the house again corresponds with the state of the Pyncheon family at the
time a majority of the novel is set. They are low on fortune and have decreased in social status.
Like the house, the family have become indistinguishable from their former glory. Colonel
Pyncheon originally claimed the land that had once belonged to Maule in order to increase his
social status and power within the Puritan community. Land ownership is a very prominent part
of America s identity. A theory that was widely believed by American colonialist was Manifest
Destiny. This is the belief that it is the God given right of colonialist to expand across America
(Pratt, 1927). Gilman notes that throughout the whole history of civilization land has been seen as
primarily a source of power. (1984) Pyncheon already has a sizable plot of land in the community
bust still strives to absorber Maule s land. When first built, The House of the Seven Gables
symbolised the prestige of the Pyncheon name. However, that name no longer holds the same
meaning as it did in Colonel Pyncheon s time. Blotting writes that with another steeple edifice the
isolated house or mansion there is a similar conjunction of family line, social status and physical
property. Conjuring ideas of home and prison, protection and
... Get more on HelpWriting.net ...

The Negative Effects Of Stress
Stress, what is it, how it Affects you and How to Deal With it
Riley C. Keim
Culver Stockton College
Stress, what is it, how it Affects you and How to Deal With it
Stress can have both positive and negative effects on your body. Stress is what gives a person that
last burst of energy in a competition. Stress is what keeps people up at night, what makes them
stray from their normal diet and it can even go as far as making someone physically ill.
What is stress? Stress is one s body s natural response to threats and pressure. Athletes feel stress
during any game or race, students feel stress before a big test or exam. Workers feel stress when
they are assigned to a big project or up for a promotion. Stress causes feelings of nervousness,
low energy, and even tenses us up and makes us feel on edge and easily irritable. When a person
is stressed out their adrenal gland kicks into overdrive causing high levels of adrenaline in the brain.
Distress is negative stress in a person s life. Examples of distress may include,
The death of a family member
The death of a lifelong friend
Separation from your spouse
The end of a long relationship Having money issues
If distress is not handled correctly it can lead to the feelings of hopelessness, irritability, and even
getting physically ill.
Eustress is the good stress in a person s life. Eustress can be caused by events such as
Entering into big tournaments
Being up for a promotion at work
The holiday seasons
Going on

Schuh Voucher Research Paper
Getting discounts on the shoes Shoes are the best friend of human being when it comes to
protecting him in heat cold rain and dust. The value frequently turns into a significant variable in
terms of the determination of the shoes. With the schuh items you can feel brave, bright and
fantastic in the meantime. If you are fixated on shoes then schuh is the opportune spot to be as it
outlines element scope of shoes which you require the most. Additionally you will get great
measure of rebates with the utilization of Schuh Voucher Codes on the accumulation of shoes. It
has faith in basic rationality in keeping up the novel style and staying aware of the high mold
tailor made shoes. At the point when shopping with this store, you can get broad scope of shoes,
shoes, coaches, heels and level shoes with different aggressive costs. You have to verify that that
you have the voucher codes to get enough rebates.... Show more content on Helpwriting.net ...
With more than ninety brands to browse your feet can positively look new while shopping with
Schuh. You additionally have the extent of getting the new sorts of shoes which the store overhauls
consistently. You have to experiment with the shoes once keeping in mind the end goal to watch
that it is suiting your feet. With Schuh Voucher Codes you are certain to great arrangements on the
buy. One of basic thing with respect to the way that buyers pick these shoes due to the solace and
adaptability that it gives a good

Analysis Of Katherine Mansfield s Miss Brill
In a piece of literary work there are many aspects that go along with having the reader be able to
engage with and understand the story the narrator is telling. Literary aspects like tone, symbolism
and setting is an extremely important part in understanding how and why a character acts. Knowing
the time and place a story is set in helps the reader understand what is going on, who the characters
are, and sets the reader up to understand the story that is about to unfold.
The setting of a story is a combination of place and time. In Katherine Mansfield s short story Miss
Brill, the place is set immediately, the blue sky powdered with gold and great spots of light like
white wine splashed over the Jardins Publiques (Mansfield,72). Form this the reader can gather that
this story is set in a public park in France. The narrator goes on to tell us it Sunday afternoon and
the main character, Miss Brill, likes to sit on a bench in this particular park and people watch. The
time it takes place is not specifically mentioned but one can gather that she is an old woman who
is very fond of her fox fur that is most likely not in fashion anymore. This is made explicit from the
comments made by the young couple sitting next to her, It s her fu fur which is so funny
(Mansfield, 75).
The character of Miss Brill is somewhat difficult to understand because in a way she doesn t really
understand herself and in the story one can see that she used her fur, in a sense, to symbolize what
her

Mike Vick Research Paper
Austin Ford
ELA 10 2nd Hour
Mrs.Hartman
28 February 2017
When people think of Mike Vick they think of a dogfighter, well that s not entirely true he isn t
all a dog fighter. Vick is also a great NFL running quarterback. Michael Dwayne Vick was born in
Newport Virginia. He didn t realize the skill that he had until he was in 7th grade. When he went
to high school he was the second best quarterback in Virginia, he was the second because the 1st
was Ronald Curry.
When Vick decided he wanted to go to college there only 2 colleges that Vick knew he wanted to
go to, those were Syracuse and Virginia Tech (VT). At the time Vick was deciding to go to VT
there was already a man that was in Syracuse and that was Aaron Brooks. So he decided to go to
VT. Because he never saw them on TV before, he s never heard about them at all.
Vicks first year he ... Show more content on Helpwriting.net ...
Some people forgive Michael Vickfor what he did and some people don t. Vick saw his first
dogfight when he was about 7 or 8, he said that he didn t think that it was wrong because the
police didn t do anything about it. And no one really cared about it either. He thought that dog
fighting was fair ok to do. In 2007 Mike Vick went to jail for dog fighting. He was caught by his
cousin which was taken to jail for having drugs in his vehicle, and the man gave Vicks the police
went to Vick s house and they found these building behind his house. He was running a
dogfighting business called Bad Newz Kennelz . He went to a FBI agent and lied to them. The
second time around he pleaded guilty. He knew that he mest up. In a conference before he went
to Kansas to be put in jail he asked for understanding and forgiveness. 18 months later he got out
of jail and went to his house in Virginia and was in house arrest. People should forgive him he
spent 18 months in jail, that s for a 1 year and 6 months. Come on Vick spent his time. Let s put it
this way: A friend is in jail for 18 months, would you forgive

Describe The Differences Between English Language And Iraq
The teaching of the English language in Iraq and Iceland is very different from each other. The
activities and material, which the teachers use for teaching listening and speaking, are also
different. In Iraq, when I was there, there were no electronic devices, which have listening activities.
The teacher was the only source for the students to hear the English language. In the schoolstudent
have to listen to the teacher and repeat all the words to learn them and also to learn how to
pronounce them. As the matter for the speaking, there were books, which include some dialogues,
which are taken from real life situation, and students were supposed to learn them by heart and
speak the dialogue with the student sitting beside them in class, the

Nonmaleficence In Counseling
How do you think you can best utilize yourself as a tool for counseling? From a professional
viewpoint, there is an innumerable amount of resources and tools that can support me in my
counseling sessions. Just to name couple resources, Barbara Herlihy and Gerald Corey (2015)
preamble suggested that counselors should aim to enhance the human development throughout the
lifespan. Also, the therapist should honor diversity and embrace a multicultural approach in support
of the worth, dignity, potential, and uniqueness of people within their social and cultural contexts.
Herlihy Corey (20015) propounded promoting social justice, safeguarding the integrity of the
counselor client relationship, and practicing competently and ethically.Furthermore, Herilhy Corey
(2015) suggested that therapists and counselors should govern client relationship on principles
based upon The American CounselingAssociation (ACA). Practitioners should avoid to cause and
do harm to clients. Nonmaleficence is a fundamental principle that relates to do no harm. In the
ACA Code of EthicsA.4.b. refers to personal values counselors are aware of their own values,
attitudes, beliefs, and behaviors and avoid imposing values that are inconsistent with counseling
goals (Herlihy Corey 2015). Herlihy and Corey (2015) go on to say that counselors need to respect
the diversity of clients, trainees, and research participants. Therefore,... Show more content on
Helpwriting.net ...
According to Corey (2009) learning more about how your cultural background will influence your
thinking and behaving. Corey (2009) suggested for the therapist to identify underlying assumptions,
especially as they apply to diversity in culture, ethnicity, race, gender, class, spirituality, religion, and
sexual orientation (Corey, 2009).
In conclusion, once I can identify with my strengths and weakness; I then can start to facilitate a
sense of healing and

It Is Easier To Create A Dystopian Society
A dystopia is a place full of contempt, agony and is in no way a mediocre society which we live
in today. People in a dystopia are similar to a bunch of marionette puppets; they are told how to
live their life and are always controlled by a greater power. The protagonist always tries to defeat
or defy the person or object of higher power in order to create a healthier society. Furthermost
works of literature are based off of dystopian societies since it s easier to write about; it has added
feelings and emotion that create a fantastic read. Dystopian societies have an enormous amount of
convolutions in the way of life. You are able to put additional emotions and deep feelings in the
story in order to make it interesting and an addicting, readable piece of literature.... Show more
content on Helpwriting.net ...
A dystopia is very much easier to relate to than a utopia. As a writer, you need your reader to be
able to relate to the piece you write. When that happens then you are able to hook new people
into reading your stories and listen to what you need to say. For the people who can t relate to
the story, nonetheless still love reading these types of stories are usually the people who
appreciate reading about a dystopia since it makes them feel superior about their life or some
people just adore reading about a dystopia other than a utopia. It could also be that they are in a
rough point in time; therefore they read sad books and listen to agonizing songs to aid them through
a difficult and rough stage in their

Gratitude In The Book Thank ! By Robert Emmons
Gratitude doesn t always come naturally. In our day to day lives, it s easy to get caught up in
the things that go wrong and feel like we re living under our own private rain cloud: at the same
time, we tend to adapt to good things and people in our lives. Taking them for granted. As a result.
We often overlook everyday beauty and goodness a kind gesture from a stranger, say hi or hello. In
Thanks! Robert Emmons teaches us about the power of showing gratitude, of exposing our many
blessing. He also shares the challenges that we can face in being able to show gratitude, especially
in times of suffering and hardship. However, showing gratitude benefit us in many ways: we
become healthier and happier, have better relationship, treat other better.
Learning to verbally thanking people can help a deeper understanding of gratitude true wealth. By
taking the time to give verbal thank you for those are grateful for the verbal thank you about how
grateful they are for them. You create a community of love and excitement, which will lead to you
to be more grateful person . In the book Thank!, Robert Emmons writes, It is impossible to
imagine a world where individuals don t receive and give gratitude to one another on a regular
basis . Giving verbal gratitude is the Most important experience to have as a human being, these
expressive emotions give people a deeper level of having to receive gratitude fully to be grateful
for, . Emmons stated, To do thanks. To give thanks.

Write An Essay On Water Erosion
Water Erosion
Background
Erosion is the wearing away of sand soil or rock by water, or wind. Water erosion is the separation
and removal of soil. Water erosion occurs by rain carrying away bits of soil and slowly washing
away rock fragments (Society). Rushing streams and rivers wear away their banks, creating larger
and larger valleys. Water erosioncan occur on streams, river banks, sea shores and seaside cliffs.
There are also different types of water erosion like sheet erosion. Sheet erosion is when water
washes away soil from the surface. Another type of water erosion is splash erosion. Splash
erosion is the movement of soil by a water droplet. Water erosion occurs more frequently in the
spring because it rains more, the rain then washes away rock fragments. An example of water
erosion is the colorado river. It cut deep into the land and formed the grand canyon.
Purpose
The purpose of this experiment is to examine the impact of water erosion on soil due to splash
erosion.
Hypothesis
If the height of the water increases then the amount of soil erosion will increase because the speed
of the water will create more pressure on the soil causing the soil to move further.
Procedure
Get a 600mL beaker and measure out 500mL of soil
Grab a tray and place the soil on the tray. Flip the beaker upside down on the tray and remove the
beaker so that there is a pile of dirt on the tray.
Measure the height of the dirt. It should be 2 inches tall.
Grab a 250 mL graduated cylinder

Cane Creek Park Analysis
The beauty of not belonging and seclusion from Cane Creek Park create a feeling of wonder and
amazement, that makes a person long to go back time after time. The willow trees stand
gracefully, and elegantly as they dance around the park and convey positive vibes. There is a dock
that contains many mysteries and many unanswered questions. The swing that stands distant from
the rest is worn and waits for the next child to find it and to find comfort in it. There is also the
rippling water and the curiosities that behold the tree that has been there for ages. It s beauty is
conveyed by the piercing warm sun. This park creates a safe place for those whose mind may be
depressed or maybe just lonely, and it comforts those with the allurement of... Show more content
The wonderful blooms of the trees planted firmly, bring out the amazing blue of the sky. The old
dock with mysteries that overlooks the cool water create a sense of wonder. The rustic old
swing provides anyone who stumble across a feeling of comfort in the secluded forest. The tree
with many years will continue to be there for anyone who has the opportunity to come across it.
This sacred space gives someone a feeling of belonging as it comforts them and makes it feels safe
with the vibrant colors displayed among the beauty. Among all, the components that create the
glamorous attraction, make one feel welcome and create a longing to go back once again to savor
the calming feelings created

Grief Counseling
Often times, pets are considered a member of the family. Losing a beloved pet is difficult for
anyone to endure. It s especially traumatic for children who may not understand what is happening.
The level of grief will depend on many factors including the age of the child, how close the pet
and child were as well as the type of death tragic accident, prolonged illness or natural death.
Helping your child through the process in a healthy way will help them heal, learn and process
death easier in the future.
Feelings Your Child may Experience
Many feelings of grief are similar to what adults feel. Children may experience sadness, loneliness
and anger. There are additional feelings your child may have that you need to be familiar with:
Confusion your child may be confused about death, ... Show more content on Helpwriting.net ...
Here are some ways to help your child:
Non verbal reassurance your child will need hugs and quiet, snuggle times in order to process the
grief. Allow them to express their feelings as well as see you grieving. They will learn healthy
behaviors from you as well as feel safe and loved during this difficult time.
Honesty explaining the death in simple yet honest terms will help your child in the long run.
Lying or skirting around the issue by saying Chester was put to sleep , God took Buster to Heaven
or Abbie ran away may cause confusion and fear. Use the words, death or died and make sure your
child understands that it is permanent.
Needs ask your child what they need to feel better. Offer words of understanding and empathy.
Don t ever belittle or shame your child because you feel the pet wasn t important enough or is
easily replaceable. The child s pet may have been a goldfish, parakeet, hamster, rabbit or even a
critter caught in the yard. Whichever living creature your child attached to was important to them.
Seeking Help if

Naps Beneficial
I do not believe naps during the day are more beneficial to your mind and body. Naps can cause
problems with you being groggy after waking up. Generally people cant take naps because of
distractions and noises. First, reason i do not believe naps are beneficial is because people that
take naps tend to stay groggy for the rest of the day. Normally when you take a nap you sleep
longer than intended which will cause problems when you try to go to bed at night. Generally
people do not need naps during the day unless they were kept up during there nighttime sleep
schedule. If you are tired during the day and a nap is needed you could have a illness that needs to
be treated. Other reasons could be that there is too much stress or not

Essay about Fannie Mae Case
Fannie Mae case.
Federal regulators noted a growing string of high profile scandals at major U.S. corporations in
recent years. The number of fraud cases investigated by the Securities and Exchange Commission
jumped 41 percent in the last three years (112 cases in 2001 compare to 79 cases investigated in
1998), resulting in tens of millions of dollars in fines to settle the charges.
I have decided to take a closer look at Fannie May. This company operates in the residential
mortgage finance industry. It facilitates the flow of mortgage capital to increase the availability of
homeownership for low, moderate, and middle income Americans. Its lender customers are part of
the primary mortgage market, where mortgages are originated and ... Show more content on
Helpwriting.net ...
The effects on Fannie Mae, a highly politically connected company, could be enormous. The
company holds over $1 trillion in assets, and purchases more mortgage loans than any other lender
in the U.S.
When the accounting errors first emerged Fannie Mae estimated that there would be an adjustment
of about $9 billion in its reported earnings over the contested period. That number has since
increased to over $11 billion but may increase again as further irregularities discovered with
insurance related issues. No estimate of these additional potential revisions is currently available.
On December 21, 2004, Franklin D. Raines stepped down as Chairman and Chief Executive
Officer and J. Timothy Howard resigned as Chief Financial Officer. Raines departure, at age 55,
was structured as an early retirement. Under his employment agreement and the terms of the
Executive Pension Plan, Raines is entitled to receive 60 percent of his High Three Total
Compensation , which is his highest total compensation for three consecutive years during the last
10 years. Upon early retirement, this number is slightly reduced leaving him with estimated annual
benefits of $1,085,462. Furthermore, the company s Stock Compensation Plan of 1993 allows all
options to become immediately exercisable and fully vested upon early retirement. The 2003

Ap Us
A. OP 1 Between 1607 and 1763, the British North American colonies developed experience in,
and the expectation of self government in the political, religious, economic and social aspects of
life. THESIS: Between the years of 1607and 1763, the British North American colonies
developed experience and the expectation of self government in the political such as the
Mayflower Compact, religious dealing with the Puritans, economic with the establishment of
tobacco, and social such as Indians, aspects of life. SUPPORT: Self government: House of
Burgess this was the colonist s first step towards self government, 1619. 1619 was also the year
that slave trade was first introduced; this was very controversial and hypocritical. Political:... Show
more content on Helpwriting.net ...
3. Geography was a primary factor in the shaping the development of the British colonies in
North America Assess the validity of this statement for the 1600 s. THESIS: During the 1600 s
many colonies in North America was beginning to form. Geography such as where ports where
and assessable to westward lands helped in the shaping of these British colonies. SUPPORT
/ANALYSIS: Located by ports: All of the Southern colonies that were located by waters were
the best location for ports. These ports would bring in trading goods and would easily allow these
colonies the export there goods anywhere along the waters, especially the major trade partner
England. This helped to shape these select colonies by labeling them as primarily trading colonies;
therefore they would be making the most amount of money amongst the colonists. Westward
expansion: On the other hand there were a select few new colonies that were located away from
ports, thus allowing them only to product agricultural goods, making money mainly from the
businesses that needed to export them. This shaped these colonies because this also allowed them
to move westward. Although these lands were filled with Indians, colonists didn t care; this gave
them more land to produce crops and to make more money. C. Multiple Choices 1. _______ reaped
the greatest benefit from the land policies of the head right

A Study of Warfare in Europe Between 1300 and 1500
Since the introduction of gunpowder into Europe, it has gone on to dominate warfare into the
twentieth century. With the development of the first European guns in the fourteenth century,
armies were given use of a weapon which was to radically alter most of the ways of making war
which had been established during the Middle Ages, and changes began to be seen within only
a few years. It is, however, questionable whether the nature of these early changes constituted a
revolution in the methods of war, and even more so whether guns had by 1500 made a great deal
of impact on the character of war as it had existed in 1300. In assessing whether a revolution had
taken place (or at least whether one was in the process of happening) by 1500, it is... Show more
The use of the counterweight trГ©buchet, which had been in existence in Roman times, failed to
decline until the 1380s and was still listed as an active weapon in some French arms inventories
until the 1460s. This shows the gradual nature of the introduction of gunpowder artillery (perhaps
caused by shortages of materials for the cannons or unwillingness to invest in them when a prince
already owned trГ©buchets), but there was little doubt that guns were becoming by far the better
siege weapons. Their importance gave rise to a kind of arms race in France in particular, with
cities in the contested areas of the Hundred Years War assigning the acquisition of guns a high
priority. Charles the Bold s army included a substantial artillery element in his war with the
Swiss (although he was perhaps not a good enough general to make effective use of it), while in
1494, Charles VIII invaded Italy with ...an army of 18,000 men and a horse drawn siege train of
at least forty guns. Even contemporaries realised that this marked a new departure in warfare: in
1498 the Venetian Senate declared that the wars of the present time are influenced more by the
force of bombards and artillery than by men at arms .
Despite their undoubted worth, however, artillery did have a number of disadvantages at this time.
Perhaps the main one of these is the chronic difficulty of moving

Macbeth Historical Analysis Essay
A Historical Analysis of Macbeth
The Shakespeare tragedy of Macbeth depicts the story of an ambitious man, Macbeth. He is an
honorable noble of Scotland, but, throughout the play, his ethical character turns corrupt. Macbeth
takes a turn for the worst when he encounters three witches. The witches tell Macbeth his prophecy
and assert that he will become king of Scotland. Ultimately, this prophecy will trigger Macbeth s
inner ambition and lead to his downfall. The play was written around 1606 during the Jacobean
Era, which played a major contribution in the writing of Macbeth. The historical context of the
change of power surrounding the tragedy of Macbeth influences Shakespeare s writing as he tries
to flatter King James, for plays were performed ... Show more content on Helpwriting.net ...
The ultimate symbol displaying national pride is the American flag. The American flag
represents freedom, for that reason American citizens worship it. The flag is present in
countless places throughout the country and are accompanied by the national anthem and the
Pledge of Allegiance. There are seldom events that do not begin with the playing of the national
anthem or the reciting of the Pledge of Allegiance. In the 1606 England, many people had the
same ethic as Americans do, hard work. Today in America, advertising seems to capitalize on
this. Whether it is for a new product or a presidential candidate, they try to appeal to a typical
hard working American. While they may share that sense of pride, it is ultimately for their own
advantage. For example, if a speaker or writer is telling people to vote for a certain candidate,
they may try to relate to the audience s national pride by saying it is their civic duty to vote.
Shakespeare also had the idea of hard work imbedded in him, so he presented his national pride
similarly through his plays. He did this to try and earn support from the king, because without that
it would ve been hard for him to product his

History Of The 1968 Olympics In Mexico City
The 1968 Olympics in Mexico City black power salute was an act of protest by the African
American athletes, Tommie Smith and John Carlos during their medal ceremony. Tommie Smith
and John Carlos were both students at San Jose State University. What Smith and Carlos had done
was one of the most memorable moments in the American Civil Rights Movement. Carlos recalls,
What was truly special was not the statue, but how it came about. Students on campus organized a
movement that made the statue happen.
On October 2005, San Jose State University had unveiled a 22 foot statue in honor of the former
students, Tommie Smith and John Carlos. The statue showed Smith and Carlos frozen, fists aloft,
exactly as they had stood 40 years earlier on the Olympic Podium in Mexico City. The second
place podium (where Peter Norman would have stood) is blank because he had requested that his
space was ... Show more content on Helpwriting.net ...
Smith and Carlos wore gloves to represent black America, and they had removed their shoes and
wore black socks to symbolize the poverty that was going on in the black American community.
Smith wore a scarf and Carlos a bead necklace representing lynching. When the national anthem
started playing, Smith and Carlos had bowed their heads and raised their black gloved fists, which
according to Smith stood for the power in black America. Because they had courage and they were
unafraid to express and protest the poor treatment African Americanpeople in the states were going
through, they had suffered consequences. Millions of their fellow Americans were outraged
which resulted them in getting suspended from the U.S team. When they were getting off the
podium they were booed by the crowd, and Smith had said, If I win, I am American, not a black
American. But if I did something bad, then they would say I am a Negro. We are black and we are
proud of being black. Black America will understand what we did

Essay On The Protest Movement
The groups who fought the early battle for recognition and treatment of AIDS formed a protest
movement similar to those involved in the fight for women s suffrage, and for civil rights. The
consensus of authors like Herbert Spires and Mirko Grmek is that a strong, organized civil
disobedience protest movement was necessary to combat the general apathy towards AIDSfrom
both the government and from the medical community. However, there was some disagreement
about this civil disobediencefrom people like John W Toomey. Additionally, the protest
movement
itself was divided into two factions, gay men on one side, and women and minorities on the other.
Each had disparate experiences with that AIDS community, and each disagreed on the focus of the
movement. In the end, both factions utilization of mainstream protest methods, along with civil
disobedience, had a major effect on AIDS research and lead to life saving changes in the treatment
of individuals living with AIDS.
In July of 1981, a rare form of cancer was killing gay men in New York and California. This new,
deadly homosexual disease would come to be known as AIDS, Acquired Immune Deficiency
Syndrome. In the decade or so that followed, as it became clear that this was not merely gay
disease, but a disease that affected, women, hemophiliacs and children, the government reacted with
indifference. This led those affected to fight for recognition and for treatment options.
When the AIDS epidemic started in the early

St. Thomas Aquinas On God And The Laws Of Nature
The world does not function in absolutes, therefore, I find myself aligning with St. Thomas
Aquinas over Immanuel Kant. Aquinas Natural Law is based on God and the laws of nature.
Aquinas identifies five primary precepts: reproduction, life, education, justice and worship. The
primary precepts, then break down into secondary precepts that are flexible and realistic.
Aquinas views the laws that affect man as coming from one of four areas. Eternal law is the
mind of God and what he was thinking when he made us. Divine law is found in the Bible and
acts as a guide for life. Natural law is our conscience and helps guide our daily actions. The final
law is the human law which incorporates the laws written by man. Secondly, Aquinas allows for
flexibility and the reality of the world which in turn makes his Natural Law easier to follow. An
example is the primary precept of reproduction, which at its core says any action that prevents the
increase of our population is wrong. This is the basis for the Catholic Church s stance against
homosexuality, abortions, and contraception. However, if a woman with cancer is pregnant and
opts to take chemotherapy and the result is the death of the fetus that is acceptable. Aquinas
reasons it is acceptable because the death of the fetus was an unintended consequence of saving the
life of the mother. Aquinas says that first the action must be good, in this case saving the life of the
mother. The next part is the evil must be

Key Performance Indicators Analysis
Key Performance Indicators
The validity and effectiveness of the patient advocacy program can be measured using key
performance indicators or KPIs. KPIs are defined as a set of quantifiable measures that a company
or industry uses to gauge or compare performance in terms of meeting their strategic and
operational goals (Investopedia, 2015). The KPIs chosen for JPS should reflect its goals. As shown
in the Fishbone diagram, healthcare providers are tasked with multiple moving parts such as patient
care, facility management (environment) and emergency room conditions. Therefore, the three
KPIs that will support this process change and continuously measured to success are time to
healthcare, lab turnaround time, and ER waiting times.
KPI#1 The Time to Healthcare Service KPI will help JPS measures its ability to provide
incoming patients with healthcare service in a appropriate manner. This is a vital indicator as it
measures multiple services that patients will receive after check in such as the time it takes to see
a nurse or how long it takes to get discharged. Awareness of wait trends can provide additional data
which will support onboarding the patient advocacy program. ... Show more content on
Helpwriting.net ...
Texas is one of the few states that rank among the national average. However, the average ER
wait time for JPS is 52 minutes in comparison to 25 minutes at Texas Health Harris Methodist,
which is located minutes away. The ER Waiting times KPI will allow JPS to measure the amount
of time its patients are currently waiting before being seen by an attending physician. This metric
will be a clear indication of JPS performance and its ability to provide quality patient care. To be
effective, JPS can use different iterations of this indicator: one can monitor the current status of JPS
emergency room in real time and the second can monitor the wait times over different periods i.e.
weeks or

The Types Of Tectonic Plate Interactions
1.Using the diagram above, explain any 3 of the 6 types of tectonic plate interactions. Note: a
larger version of this diagram is located in the CONTENT section of this lesson. 1. Convergent
Boundary of two Oceanic Plates: When two oceanic plates collide, one of the plates is subducted
under the other during the collision. At the subduction zone, a deep trench is formed in the ocean
floor. Oceanic and oceanic plate convergence result in the formation of volcano chains. Over
millions of years, the lava and debris from the volcanic eruptions pile up on the ocean floor until the
volcano rises above sea level to form a volcanic island. These types of islands are usually formed as
chains called island arcs (which run parallel to the trench). 2. Convergent Boundary of an Oceanic
and Continental Plate: When an oceanic plate collides with a continental plate, the crust forming
the oceanic plate gets bent and pulled under the continental crust (which is because the rocks that
the oceanic crust is comprised of are thicker than the rocks that form the continental crust). The
process where the oceanic crust is pulled under the continental crust is called subduction and the
zone at which this occurs at the plate boundaries is called the subduction zone. It is at the
subduction zone where the oceanic crust sinks beneath the continental crust, forming a deep
oceanic trench. As well, oceanic and continental plate collisions can result in earthquakes,
volcanoes and folded mountain

A Comparison of Three Advertisements Essay
A Comparison of Three Advertisements The word Media is a term for information or messages
conveyed by diferent channels (means) to an audience. Examples of media types are music, news,
radio etc. A symbol is a picture of something eg: a cross. A denotation is what you actuallly see. A
connotation however is the hidden meaning or sub text of a symbol. The anchor ties the picture
down, comfirms the message or adds to the idea of something. A stereotype suggests a typical
image of people that the audience recognises. Soft focus might imply romance, olden days and
femininity. I will be analysing three adverts.... Show more content on Helpwriting.net ...
It shows a wealthly city street, with the kind of victoran architecture you may see in an exclusive
shopping street like in London. It gives the impression of wealth, reinforced by the price of the
shoe which we see in the anchor for (ВЈ350).
The second jeep advert also has an area which is in focus and a area which is blurred. This time
the background is blurred and the car is in focus. The jeep is head on to the camera and this
suggests power, strenght and confidence. The jeep looks like it is going fast through the water
because of the water splashing everywhere and the detailed droplets in the air.
Adverts lay things out well. They use specail techniques to catch our eye and to make us read the
adverts. On the first advert they use the effect of 3 new cars on a white background. There is a
box under each of the cars with the price and the model of the car. That is the bottom 40%. The are
parked, facing the camera head on. This makes the cars look big and strong (exaggerated
perspective). The brand names of all these cars are at the bottom of the page. There is a flag pole
which shows authority, importance, tradition etc. On the car there are five spoked alloy s which
suggest power, speed, eye catchy, sporty, stylish etc. the car is a silvery colour and it stands out
well from

The Pursuit Of Happiness Essay
The Pursuit of Happiness vs. the Pursuit of Meaning We hold these truths to be self evident, that
ALL men are created equal, that they are endowed by their Creator with certain unalienable
Rights, that among these are Life, Liberty and the pursuit of Happiness. As you know these
words come from the preamble of the Declaration of Independence, perhaps one of the greatest
documents ever written. However, I do have a little problem with the last four words sentence,
the pursuit of Happiness because I believe it actually sends an easily misinterpreted message.
With the Christmas, slash, Holiday season upon us we must be cognizant that not everyone will
have a Merry Christmas and that the Holiday Season, Thanksgiving to Valentine s Day, is also
the height of the Suicide and Domestic Violence Season. Recently, we have been touched by
suicide, not only in our geographical local, but within our Christian community. More people than
we would care to admit within our church have or will seriously contemplate, attempt or commit
this act, but Why? Depression and even thoughts of ending it all are something I have some
experience with. Charles Haddon Spurgeon, possibly the most influential and powerful preacher
of the Gospel of 19th century England battled depression throughout his entire life. In fact, after a
tragedy at a venue where he was preaching in which seven people were killed, Spurgeon said he
doubted anyone had ever passed as close to madness as he and yet

Critical Functions Of Joint Operations
Joint operations have certain critical functions that help utilize all the tools necessary to operate and
fight jointly. Use of joint operations and joint functions is imperative at operational and strategic
levels of military operations. During all joint missions, Joint Operations Planning Process (JOPP)
and Joint Intelligence Planning of the Operating Environment (JIPOE) are critical. Each function
within JOPP and each step within JIPOE help the commander make critical decisions. These
decisions eliminate confusion and assist subordinate commanders in their mission planning. It also
ensures all elements are aware of each other, their mission as well as the overall mission and the
commander s intent.
Joint Special Operations Task Force (JSOTF) Dagger originally developed the mission to rid
Shah i Kot Valley of Al Qaeda and Taliban forces by using Afghan forces as the main element with
preparatory air attacks and Close Air Support (CAS). Within a week, it became a joint operation
with Task Force (TF) Mountain is taking the lead, becoming Combined Joint Task Force (CJTF)
Mountain. This joint force consists of elements of the 10th Mountain Division, 101st Airborne
Division, U.S. SOF, Australian SOF, U.S. Marines, plus local militias.
On 13 February, CJTF Mountain moves from Uzbekistan to Bagram. This move plus the fact that
CJTF Mountain was only a portion of the necessary staff caused several issues that would plague
the operation. The operation is due to begin six

Co2 Lab Report
It exploted. Discussion
We were unable to complete the experiment due to the complete shattering of one of the
centrifuge tubes used in this experiment. This shattering was most likely due to the repeated use
of the same tube for the extraction. Because liquid CO2 induces a cold environment, and when a
material, particularly plastic, is exposed to repeated cycles of freezing and thawing the material
will become more brittle. Plastic is usually good at containing high pressures, but if the material
were to become brittle it would lose this ability and become fracture sensitive. This most likely
lead to the complete shattering of the tube while in the lab, given that several shards were found
around the laboratory. This also could have been... Show more content on Helpwriting.net ...
Essential oils characterize aromatic plants used in the pharmaceutical, food and fragrance
industries. Essential oils also contain monoterpene and sesquiterpene hydrocarbons and oxygenated
compounds (alcohols, aldehydes, ketones, acids, phenols, oxides, lactones, ethers and esters),
which are responsible for the characteristic odors and flavors. Because of this need, SFE has
garnered much attention from a large number of industries, not only food and fragrances but also
cosmetology and even

Metropolis Movie Essay
Joseph Spencer is the observer of the movie. Metropolis is directed by Fritz Lang; Metropolis
mostly fits under the science fiction and drama genres. Metropolis was released in 1927 (IMDb).
Metropolis reveals to the observer that features a dystopian and contradictory world. The script is
based on a novelby Thea Von Harbou, and the screenplay was written by her as well. (IMDb).
Metropolis is controlled by Joh Fredersen acted by Alfred Abel (IMDb), a capitalist whose son,
Freder played by Gustav FrГ¶hlich (IMDb), takes an idyllic life, enjoying the wonderful gardens.
One day Freder meets Maria played by Brigitte Helm (IMDb), the spiritual leader of the workers,
who take care of the children of slaves. Freder talks to his father, Fredersen... Show more content on
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Maria, a woman in the lower town, tries to promote the understanding between classes and takes
the children of workers to visit the high city. Maria and the children are quickly taken away.
Although Maria and the children were removed from the universe of the rich, Freder falls in love
with her and submerge to the city of workers. Freder is in the machine rooms and watches with
shock when one the machines explode, causing several injuries and deaths. After one of its
operators falls from exhaustion, Freder runs to tell his father. The pace imposed by machines being
too high, a violent explosion occurred on the M machine, killing dozens of workers. In the smoke,
Freder sees the machine turning into Moloch, a monstrous God to which unfortunate workers are
sacrificed. (Metropolis)
The future is distant and the world is under the command of the powerful, who have isolated the
poorest underground as if they were their slaves, to work for them. Grot played by Heinrich
George (IMDb), one of the foremen, arrives shortly after to provide maps that have been found
with the dead workers. The group is being deterred by law enforcement, but Fredersen, Freder
went to his father, Fredersen, to make him aware of the extremely difficult conditions in which
workers work and asked him to improve this. Seeing that Fredersen cannot convince Freder of the
benefits of this society, Fredersen has him followed by a spy. Freder returned to the lower town
where seeing a worker on the

Company Provides Unique Solution For Hose, Tubing And...
Parflex is a parker division that designs and manufactures thermoplastic and fluoropolymer hose,
tubing and accessories for extreme applications. The company provides unique solution to its
customers for hose, tubing and related accessories. Products that are offered by the company can
be categorized in 5 major sections and these are: Hose: Company offers wide variety of hose,
whether it s industrial heavy duty, specialized, hybrid and hydraulic hose. Some of the hose types
in the ParFlex product line are hose bundles, compact hose, constant working pressure hose,
fluoropolymer hose, general hydraulic thermoplastic hose, Industry standard hydraulic hose, pre
configured transfer and general purpose hose assemblies, refrigeration hose,... Show more content
These pre insulated, heat traced tubing bundles products are used in variety of applications like
process instrumentation applications, freeze protection; Company offers lights steam traced, heavy
steam traced bundles for freezer protection and process temperature control. The company provides
and efficient and effective solutions in these products time and time again proving their expertise in
the field. Heat shrinking tubing: Heat shrinking tubing is designed and manufactured in many
forms like roll covers, double shrink and standard heat shrinking designs. Company provides
turnkey services, scoring, cutting, and customization services to its customers. Plastic and
fluoropolymer tubing: Company provides more than 30 types of innovative design and solutions
under this type of tubing. Company provides largest selection of tubing under one roof. The
solutions provided from the company are for application for high purity applications, extreme
temperatures, corrosion, chemicals, abrasion and flexural fatigue resistance. Tubing can be
manufactured and arranged, bundled and formed with standard and specialty products. The
products are used in transportation, medical and variety of fields and products, some of the notable
products are airplane, rockets, high performance equipment s and heavy construction vehicles.
Fitting: Company offers variety of

Hilton International Initiatives
Several international and domestic hospitality companies have made an increasing effort to
implement green initiatives into their business operations. Many of these hotel brands have had
great success and have been recognized for their sustainability strategies. One international brand
that continues to receive high praise for guest satisfaction while implementing eco friendly
initiatives is Hilton Worldwide.
Hilton Worldwide is one of the largest global hospitality companies today, consisting of more than
4,500 hotels in 97 countries. Hilton s history dates back nearly 100 years, and they continue to be
one of the fastest growing companies in the hospitality industry. Part of the reason Hilton
Worldwide continues to grow is their commitment to corporate social and environmental
responsibility. Hilton Worldwide takes a comprehensive approach to sustainability; their strategy is
to reduce their impact on the environment while considering all business aspects. They aim to be
environmentally sustainable without sacrificing quality and comfort. Hilton s key initiatives
include energy, carbon, waste, water, and responsible sourcing. Hilton Worldwide has made
considerable progress in implementing their sustainability initiatives into several of their hotels.
One of Hilton s key initiatives, and an essential hotel operation is energy. Hilton estimates that they
ve reduced their energy consumption by 13.6% and saved $388 million in the process. As a brand,
they require

Informative Speech On Mental Health
Attention Getting Device: All day, every day, life is like this. Fear. Apprehension. Avoidance.
Pain. Anxiety about what you said. Fear that you said something wrong. Worry about others
disapproval. Afraid of rejection, of not fitting in. Anxious to enter a conversation, afraid you ll
have nothing to talk about. Hiding what s wrong with you deep inside, putting up a defensive
wall to protect your secret . You are undergoing the daily, chronic trouble of living with this
mental disorder we call social anxiety disorder. How many of you know someone or have heard
of mental health disorders such as anxiety, depression, obsessive compulsive disorder, or
personality disorders? Thesis/Central Purpose (ie. The purpose of my speech is to) The purpose
of my speech is to teach you about mental health so that you know how to look out for the signs.
I d like to get more specific and discuss mental illnesses in schools. Justification/Why should we
listen?: For years, mental health has had a stigma surrounding it. In different cultures and
religions, mental illnesses were thought to be a punishment or a demonic possession. Currently,
the taboo has not gone away and people are still suffering. More often times than not, people are
underdiagnosed, dismissed, or the stigma creates too much societal pressure to say anything.
Credibility/Why should we listen to YOU?: I have struggled with anxiety as long as I can
remember. When I was in second grade, I was diagnosed with social

Analysis Of Letters To My Child s Staff Person By Michael...
Category, classification, type, and style are all words that could be used to define the term
genre. Most people automatically relate genre to specific forms of entertainment like music or
television, but varying forms of writing should be added to that list. The way a piece of writing
is presented or formatted is extremely telling of the author s purpose and reasoning for writing a
particular work. Differing forms of media and technology are often used as a source of knowledge.
Because the average person will use their computer or smartphone to find an answer to their
question prior to asking a colleague or friend, many sources are structuring their articles and/or
blogs in a more comprehensible and approachable manner. These new and improved... Show more
If these inexperienced young adults were exposed to Brandwein s letter in advance they would
have more of an opportunity to understand a parent s perspective on sending their child to camp.
The experienced counselor could also learn from the letter because they could think back on the
time they spent with their campers and have the ability to gage their behavior with a different
viewpoint. That counselor would then possibly understand why a camper was acting a specific
way. While letters are personalized and are used to depict a specific emotion, there are many
alternate forms of writing that are also extremely informative. WikiHow is an online database
comprised of step by step how to tutorials that include illustrations as well as detailed descriptions
of almost anything people want to discover how to do. How to Be a Great Camp Counselor is
one of the countless tutorials on WikiHow. While many other sources may explain what it is to be
an exceptional counselor, this article gives its readers the knowledge to take action and fully be
aware of the required steps to be

The King Of The Queen
Once upon a time in a kingdom far away there lived a king and Queen who wanted a child of
their own. The next day there was a miracle, the Queen was going to have a baby but the Queen
was too ill to have the baby. The King was worried that his wife will pass so will the baby if he
don t do something about it. The King ordered the maids to watch over his wife while he looked
for a cure for her illness in the kingdom. He got a group of soldiers that same day to find a cure
for his wife to get better. All the soldiers and himself went looking all over the kingdom for a
special plant that can heal anything or anyone. The King separated the soldiers and the king
went riding his horse deep in the forest where he found a garden in the forest and that garden
had the most beautiful flower, the flower glowed and brightened up the dark forest. The flower was
a rapunzel flower the rapunzel flower is so rare and it was found in a dark forest. It was like the
flower was calling him over, the king had a feeling he needed the flower. The flower was dug up
from the ground and carefully he wrapped the flower in his cape. Right when he was going on his
horse he seen a womanthat was giving him the most evil look the woman was very young and
beautiful and said How dare you enter my garden and steal my most beautiful flower in the land.
said the evil woman Who do you think you re speaking to im the ruler of this kingdom, i m stealing
this flower for a good cause. My wife is going to

Emma Eichinger. Mr. Rankins. English 2 Unit 9. 7 March
Emma Eichinger
Mr. Rankins
English 2 Unit 9
7 March 2017
Jim Crow Laws What They Are And Their Effects
Come listen all you galls and boys I s jist from Tuckyhoe, I m going to sing a little song, my
name s Jim Crow, Weel about and turn about and do jis so, Eb ry time I weel about I jump Jim
Crow. Thomas Daddy Rice, a popular white entertainer during the 1800 s, foolishly pranced around
while singing this tune, aptly titled Jump Jim Crow , imitating African Americanplantation workers
in a derogatory and undignified manner. Before long, the Jim Crow character and his song,
dehumanizing blacks by portraying them as inferior, weak, and ignorant, became popular in the
southern states. Years later, at the end of Reconstruction, after the... Show more content on
Helpwriting.net ...
As a result of these rules, which heavily encouraged the degradation of blacks, bigotry and racism
against blacks had become stronger amongst whites, leading to significantly fewer opportunities,
less liberty, and more abuse towards blacks in a country dominated by whites.
Secondly, the Jim Crow laws enforced the demarcation of public facilities due to race, usually to the
disadvantage of blacks. Everything, including drinking fountains, restaurants, schools, hospitals,
prisons, trains, and buses were color coded, and failure to comply with the decree usually
resulted in arrest, notably more often for blacks than whites. The Jim Crow laws advertised the
partition of buildings as separate but equal , but considering the fact that blacks were considered
inferior at that time in the south and that previous race related laws stood against blacks, the
majority of the buildings made for whites were of noticeably higher quality than the ones made
for blacks. Either that, or there were no colored facilities in the area, again leading to limitations
for the African American race. Despite this, when Louisiana passed the Separate Car Law , which
stated that blacks and whites had to sit in different train cars, Homer Plessy, a fairly light skinned,
black man, chose to defy the law by sitting in a white train car. After refusing the conductor s
requests to sit in the designated car, Plessy was arrested for contravening the Separate Car Law. A
day

Theodora Abel Research Paper
Theodora Mead Abel was born September 9, 1899 in Rhode Island. Being an only child was as
an advantage for Theodora, allowing her to travel frequently with her parents. Most of her
childhood schooling was based in New York, but due to frequent traveling she did some of her
schooling overseas. In 1917, she attended Vassar College in New York and majoring in History.
After meeting her future husband, she decided to expand her educationat Columbia University,
proceeding in a graduate program. Theodora spent a year at Institut de Psychologie in Paris. In
1923, she earned a diploma in psychology. In 1924, she earned her Master s in Art and then in
1925 obtained her doctorate from Vassar. In 1936, Theodora took her knowledge to Manhattan
Vocational

Advantage And Disadvantage Of E-Books
Subject
A standard report to provide more books and reading materials rather than invest in new technology.
1.0Introduction
As a librarian of the Open University Malaysia, I had read an excerpt from an online education
article recently about how new technology had transformed the way we live, especially from the
education aspect. The investment of new technology such as e books and e journals had made
library more easily accessible. The shift from traditional library to e library do transform its
usability, yet the benefits still debatable.
Current study had revealed that the majority of university libraries spend less than six percent of
their acquisition funds on e books. This clearly stated that there are factors hinder the acceptance of
e books or any online reading materials. One of the factors that make libraries reluctant to divert
resources to this new platform is that it required a huge investment funds.
This funds is needed to provide gadgets such as free computers access to Internet. Internet has to be
upgraded so that students are able to access to e books or e journals. E book selection, acquisition,
and management can be complex and expensive too. To shift from a manual system to a
technologically driven system, librarians have to be ... Show more content on Helpwriting.net ...
According to Young, 1997; Burdman, 1998, the most noticeable disadvantages of online reading
is the complete absence of vital personal interactions, whether between learners and instructors, or
among colleague learners. E books and e journals may also misled to piracy and plagiarism due to
the ease of copy and paste. Distraction are anywhere when we access to internet, such as
advertisement from the website or notifications from the gadgets. This in turn make the work and
study less efficient. Not to say long term use of electronic gadgets has predisposed to many health
hazards, if overused, can make students feel disconnected, stressed, and

Prison Yard Time
Blackgate Penitentiary: Breakfast 08:00
Inmates filed into the cafeteria, it was a dismal scene, prisoners shuffling listlessly waiting for their
turn in the meal line, a feeling of unease permeating the cafeteria. It d been days since any of the
inmates had been allotted time outside of the oppressive structure, a thick tension had settled over
the penitentiary even the guards where a little stir crazy at this point. The intercom buzzed, a
despondent female voice sounded over the coms system due to below freezing temperatures, prison
yard time has been cut, all inmates are to resume work inside. low murmuring turned to jeers at the
announcement.
Copperhead took a seat at one of the cafeteria tables, seating himself ... Show more content on
Helpwriting.net ...
Copperhead rested his chin on his hand, and muttered look all I ve been saying is it could use a
little butter.. is that so hard to ask? Sawfish thoughtfully tapped his fork against his teeth before
speaking how about, I take this he said moving Copperhead s tray toward himself and her
majesty can keep the butter fantasy. Copperhead sneered at the guy before getting up to leave
some of us have work to do. He made sure to flip the tray into Sawfish s lap on his way out.
Blackgate Penitentiary: Passage 09:00
All prisoners must undergo thorough processing before entering and exiting a cell block. First
inmates are required to pass through a full body scanner, then they are too undergo an extensive
patdown, to determine whether or not something has been smuggled into, or out of the cell block.
Processing isn t a pleasant ordeal, but it s the short trip down to the lower levels treatment facilities,
that Copperhead finds unpleasant.
The security station sounded inmate 1B 078 cleared for departure two armed guards take up
position by Copperhead, nudging him forward.
Natural light slowly fades into artificial as Copperhead starts his decent down a long flight of
stairs, above him fluorescent lights flicker, spreading a dim lifeless green across the prison, low
hanging ceiling fans spinning at a maddeningly slow pace, casting long hazy shadows. They enter
the hallways crossing is and always will be nauseating, even breathing is a unpleasant

Crime Scene Investigation Australia
Introduction
In this I will be explaining the 7 steps of crime scene investigation in Australia. Crime scene
investigation is a very serious but interesting topic. This is just the basic steps of crime scene
investigation, crime scene investigation is much more advanced.
Body
1.Secure the scene securing the scene is the responsibly of the first police officer. The safety of all
the people around the crime scene is the first goal. The first officer on the scene will begin keeping
a security log of those who visit the crime scene. The officer will request any additional needs
required for the first investigation.
2.Step 2 is to separate the witness because they are not allowed to discuss the situation. There
accounts of the events will be

Swinburne s Rebuttal To The Substantial Problem Of Evil In...
I posit that God if [He] does exist is ageless, timeless, omniscient, and omnipresent insofar as He
exists in a dimension outside time and three dimensional space. Because of that, and given the
limits of epistemic accessibility, it seems rather impossible to say with certainty what about God is
objectively true. In fact, to say anything more than that outside of what is possibly or probably the
case concerning God, is akin to poetry, a series of metaphors characterizing a hyper dimensional
being. In fact, it seems odd to attach a gender to the Divine, much less an anthropomorphic form
with such certainty. From hereafter, I propose that we refer to God as either an It or, if one felt so
inclined, seeing as only a mother could incubate life prior to birth, I propose... Show more content
Thereafter, I will attempt to show the falseness of each view in two ways. First, I will present
my theory of knowledge that is currently under development, and which intuits with the limits
of human three dimensional perception. Given the early stages of my developing epistemic
theory, I shall enlist the help of an established epistemic tool in Stephen Wykstra s Condition of
Reasonable Epistemic Access (CORNEA), a principle that intends to serve as an answer to both
Rowe and Swinburne, albeit mostly the latter. Finally, I will briefly explicate a multiverse
solution to the problem of evil whereby I will attempt to show how a multiverse could on
appearances satisfy the conditions set by both the theist and the atheist in a manner that is
conceivable by both able to be understood by the intellect as well as the senses so as to serve as
an anti metaphor. In fact, I aim to show that my prima facie proposal for a multiverse theodicy
could give at least prima facie satisfaction to Richard Swinburne s Christian based

Nicotine Research Paper
To many individuals simply quitting smoking proves to be a bit more difficult that they might
think. It is a weak mindset of the individual or is it something more than just going cold turkey.
Looking a little deeper to the content of what cigarettes contain, one of its ingredients might have a
better explanation as to why it might be so challenging to just give up smokingtobacco. Nicotineis
an alkaloid that in its natural state it has a clear liquid appearance with a characteristic odor.
When it is expose to air it changes its coloration to a brown color. Nicotine can be absorbed via
oral mucosa as it is found on dipping and chewing products, as well as through the lungs as
cigarettes, cigars, vaping devices and second hand smoke. Nicotine can also be absorbed via the
skin in a form of nicotine patches. Once nicotine is ingested, it s absorbed and metabolized by the
liver.... Show more content on Helpwriting.net ...
Most of the affects deal a lot with the main organs in the body such as the heart, lungs, and kidney.
Pretty much all the organs Vidal to survival. According to the world health organization Tobacco is
the leading cause of preventable cancers. The WHO estimates that around 1.27 billion of the worlds
populations are tobacco users. Tobacco consumption alone accounts for nearly 5.4 million deaths
per year and one billion people may die in this century if global tobacco consumption remained at
the current levels. An international treaty spearheaded by WHO in 2003 and signed by 170
countries, aims to encourage governments to reduce the production, sales, distribution
advertisement and promotion of tobacco products. Despite strong opposition from the Industry, the
treaty has been making steady progress in achieving its goal of comprehensive tobacco control
around the

Written or Oral Contracts
Employment is a relationship between an employers and employees. This relationship is
extremely important, as it becomes a part of our daily life. Aside of being a professional
relationship, in many cases it becomes a personal and expressive one. In today s work place, if
the conditions of employment are excellent, and the employees are treated with fairly, it is more
likely that they will be pleased, and their productivity will increase. However if the environments
in the work place are poor or not suitable, we will have the total opposite results. To avoid any
complications or misunderstandings between employers and employees, this relationship is
governed by rules and laws. The basis of these rules is the ESA (Employment... Show more content
During the application and interview stage, the management is able to ask potential employees to
provide them with information of any health problems. The management can inquire of any
reason that might prevent an employee to perform his/her duties. If the employer would like to go
into medical testing, they should wait until the decision to hire the person is made. Testing should
only be performed in direct relevance to the job performance. Hiring the employer is now ready to
offer the successful candidate a position with the organization. Both employer and employee
should set out the standards of their employment relationship. Before the new employee starts, the
employer should set the specific duties that can help to enforce variable issues in the relationship.
Before an employer hires an employee they should keep in mind the potential minefields that can
be avoided. When hiring a new employee you must make sure that the new employee does not
have an existing employment contract with his/her current employer. This will help ensure that
you will not be liable for any legal action against you for inducting breach of contract. In cases
where an inducing breach of contract occurs, the former employer will have to prove that the
current employer acted deceitfully or in bad faith. The current employee must have a valid
argument against the claim. The current employer will have a defense if they can prove that by
hiring the new employee

Annotated Bibliography On Functions And Functions
#include #include #include #include #include #include int PID[100], CPU_time[100],
IO_time[100], arrival_time[100], flags[100],ID_ready[100]; int rQ[100], bQ[100]; int f_CPU = 0,
r_CPU = 0, f_IO = 0, r_IO = 0; // a function that dequeue an element from a queue int deque(int
state, int N, int ID) { int temp, var, i, index; if (state == 0) { //deque from ready_queue var =
rQ[f_CPU]; rQ[f_CPU] = 1; f_CPU++; if (f_CPU == N) f_CPU = 0; } if (state == 1) { //deque
from blocked_queue for (i = 0; i N; i++) { //search for ID in the blocked queue if (bQ[i] == ID) {
index = i; break; } } if (bQ[f_IO] != ID) { //sort the elements of the blocked_queue to deque from
the place pointed by f_IO temp = bQ[f_IO]; bQ[f_IO] = ID; bQ[index] = temp; } var = bQ[f_IO];
bQ[f_IO] = 1; f_IO++; if (f_IO == N) //check if end of queue reached f_IO = 0; flags[ID] = 0; }
return var; } // a function that enqueue an element in a queue void enque(int _id, int state, int N) {
if (state == 0) { //enque in ready_queue rQ[r_CPU] = _id; r_CPU++; if (r_CPU == N) r_CPU = 0;
} else { //enque in blocked_queue bQ[r_IO] = _id; r_IO++; if (r_IO == N) r_IO = 0; flags[_id] = 1;
} } // a function for first come first served algorithm void FCFS(int N) { int n, m, k, p, j, ID, time =
0, temp, counter = 1, run_flag = 0, finish_counter = 0; int turnaround_time[N], data[N]; float
run_count = 0; FILE *output = fopen( FCFS.out ,

Economic Consequences Of The Black Death
2. Outline the main short term and longer term economic consequences of the Black Death. Which
was the most significant?
The devastating consequences of the Black Death, which was at its peak between 1346 and
1353, did not cease after the period had ended. The Black Death caused the death of about a
third of Europe s population, with some places, such as Florence losing as much as two thirds of
its population. With a smaller population, Europe saw a short term rise in jobs available for
peasants and, with labourers needing to compete to keep the few workers they had, a subsequent
rise in their wages. Further, for many peasants and others who did not own land, living conditions
improved, as with more housing available, and with more ... Show more content on Helpwriting.net
...
However, each of the short term and long term consequences did not occur in isolation. Rather, they
occurred one after the other, with each new consequence having been affected by the one before it.
It is in this sense, then, that each of the consequences of the Black Death were equally significant in
fuelling the change in economy throughout Europe.
4. What is the principle of attachment ? Give two examples of how it functioned in the exploration
of the New World.
The principle of attachment, as first noted by the historian Anthony Pagden, is able to be
identified in many primary sources from the period of exploration. The principle of attachment
occurs when a known, understood and believed action is combined with an unknown action that
is foreign to the person employing it. This is often done in order to reconcile new actions, or
places, with the person s own beliefs. In the exploration of the New World, the principle of
attachment occurred largely due to the concept of otherness . This is because, the European view
of native peoples as uncivilised, bestial, and savage made the use of native techniques unlikely,
even when the native methods appeared effective. Instead, the steps in Pagden s principle of
attachment were employed so that explorers could thrive in a new land, while continuing to
embody European ideals.

America s The New York Times
The New York Times has been around for over 150 years and has solid 58,000 issues during that
time. In our current day, they use not only the paper to reach the public, but also have online
media context for more modern day viewers. With this outreach, they are able to be a news
source for the entire world. Similarly to Facebook s trending topics, The New York Times s front
page is mainly political. For example, one of the stories featured on the front page, Veterans Feel
the Cost of U.S. Nuclear Tests, talks about veterans who cleaned up a nuclear fallout in the
Enewetak Atoll and their resulting health issues. As stated in the article, many of the soldiers were
not properly attired and did not receive regulation safety wear during their... Show more content on
Helpwriting.net ...
The New York Times discusses prominent news from across the globe, which is important in the
ever connected world that we live in today. For example, in the article Ten Centuries Later, a
Pope and Knights Do Battle , the Times discusses the conflict in interests between Pope Francis
and the Knights of Malta that resulted in the Pope demanding the leader s resignation. Other
international issues are spoken about in the article Europe s Overlapping Crises , which
discusses some of the biggest problems that Europe faces as a whole, such as the results of
Brexit, economic relief in Greece, and the spread of America s new sense of nationalism to other
countries. These are big, doting questions that will affect Europe today and in the future. On a
lighter note, the article Committed is a celebration of 165 years of wedding announcements and
gives us an in depth look at the marriage of Sarah and John Grant, the first couple to have their
wedding announcement in the Times. Lastly, the Times also covers the death of the actor John
Hurt, which was also one of Facebook s trending topics for the day. These international articles are
not always big topics in the United States unless they directly affect us as a nation, but,
nevertheless, they must be reported as worldwide problems can have a domino effect and
eventually become our problem as well. When we compare these two sources, it is important to
examine the

The Architecture Of Software Defined Radios Essay
2.1ARCHITECTURE OF SOFTWARE DEFINED RADIOS
As Reed (Reed, 2002) and others have stressed out, that the benefits of SDR approach go way
beyond the multimode operations. Other benefits stem from the flexibility that comes with
programmability. For instance, it can simplify design by allowing reuse of a common RF front end
with new designs or modes of operation available through software changes. It also enables
improvements to radio performance and functionality through application of digital signal
processing (DSP) to implement adaptive beamforming, interference mitigation, and numerous
other techniques either proven or in development. As the SDR approach has gained traction, a
variety of hardware and software tools for development and exploration have become available.
These tools are broadly accessible with reasonable cost and ease of use enabling new
opportunities for engineering education and research. Examples include National Instruments
(NI) universal software radio peripheral (USRP)/ NI LabVIEW software , the Ettus Research
USRP/ GNU s Not Unix (GNU) Radio, WARP , the Lyrtech SDR Platform and the IMEC SDR
Platform. For researchers, these platforms can provide a starting point for development of
prototypes operating on live signals. Such prototypes can effectively demonstrate the practical
viability of an implementation and are a step toward end deployment.
2.2THE NEED FOR SDR
The SDR offers a wide range of economic and deployment benefits which has attracted many

English Essay Chapter 1
Hobbling into A4 for his scheduled detention, Mycroft nearly laughed in disbelief. A few months
ago, this room would have been full to the brim with misbehaved children, the population so high
that most students could not find chairs to accommodate them, but rather stood up for the full hour.
It was getting to the point where his fellow students were racing to detention, just to guarantee
themselves a seat. Now, in front of him sat merely four equally glum students.
The fact that the academic year was drawing to a close, and the more profanely behaved students
had worked out that the worst the teachers could be bothered to do was to make a phone call to
your parents documenting the incident and even then, this was hardly done any more ... Show more
Tugging his headphones out, he turned around, expecting to see one of the school s notorious
dimwits teasing him again.
Instead he locked eyes with the boy behind him, who grinned deviously and stared at the fallen
paper aeroplane that had fallen at the side of Mycroft s desk.
Mycroft couldn t refuse how could he ignore that huge, boyish smile? He couldn t detect any
malice whatsoever in the boy s actions, and was instantly smitten by his classmate s gorgeous
appearance. It was then that Mycroft made the extremely rare decision to go along with what
ever this stranger was up to. He proceeded to pick up the note and smooth it out carefully on his
desk. The note simply read Hi, I m Greg, with a comical smiley face next to it.
Mycroft turned around again, and shot him a look that had sent a few students in the past running,
desperate to keep up his iceman faГ§ade in front of this devilishly handsome stranger. Mycroft, he
mouthed uneasily.
Clearly not put off by his callous demeanour, Greg tucked a loose strand of hair behind his ear and
continued to bite the end of his pencil.
Hey, do you want to get coffee after this? It s on me.
Mycroft contemplated this for a moment, he d never been asked out in his life, let alone by
someone so conventionally attractive. But then again, Greg knew nothing of his personality.
Do you make a habit, Gregory, of propositioning random strangers for coffee with awfully made
paper aeroplanes?
Only the nice

Development Ethics And Environmental Injustices Essay
Research Proposal
Kazi A S M Nurul Huda
Assistant Professor
Department of Philosophy
University of Dhaka
Dhaka 1000, Bangladesh
Title
Development Ethics and Environmental Injustices in Bangladesh
Research Problem
Critiques of understanding development as regards the processes of economic growth,
industrialization, and modernization are common on the grounds that it raises as many problems as
it solves. As a reaction, some scholars propose a normative understanding of development as the
point of departure for overcoming economic and social inequalities and deprivations. Hence, the
question arises concerning how benefits and burdens of development should be distributed in
society. This is also the main theme of what we call environmental justice. Apart from the problem
of balanced distribution of costs and benefits, environmental justice also addresses the capacity of
involvement in either directly or indirectly the decision making process in the society. This account
makes it imperative that addressing environmental injustice depends on understanding how
environmental hazards affect some people more than others. The aspects of environmental justice,
therefore, are twofold: the participation in the decision making process and the just allocation of
benefits and burdens. Taking this account into consideration, it can be argued with substantial
evidence that the phenomena of environmental injustice are prevalent in Bangladesh. As a
consequence of numerous development

My Experience With The Common Kings Concert
It was just your average beautiful Saturday morning. Waking up that morning I had the intention
that it would be just a good, chill, laid back type of day. I go to unlock my phone and notice my
phone going crazy with texts. My friends all decided to go to a concert. Not any ordinary
concert, the Common Kings concert. Common Kings was the type of band that made the feel
good type of music. Every time I would turn on their station my heart fills with happiness. With
no time to think, I immediately go to check their site if it was sold out show. My heart pumping
with excitement, I go to see that there are still tickets available to purchase! I quickly inform my
dad about this and he seemed to be just as excited as I was. With a solid hour or two to get
myself put together, I anxiously go and grab my phone and put their station on blast. In that
moment my heart was racing with such excitement. I quickly hop in the hot steamy shower
belting out to one of my favorite songs by them. In no time I was ready for one of the best nights
of my life. At around five in the evening my friends came by to pick me up. I said all my
farewells for the night to my family, hopped in the car, and we drove off. I couldn t even explain
my happiness level. I was on cloud nine. Belting out to the whole album on the way to the venue,
we drive through the beautiful city of roses. Roaming past the dazzling skyline Portland has to
offer, it makes me really appreciate the moment right then and there. To

Kazumi s Zombie Apocalypse
The farm is quiet and peaceful. The weak creaking of the barn in the wind and swaying of the
leaves as well as various animal noises are the only sounds filling what would be silence. A
green field dotted with a plethora of flowers is home to a large red barn and a small yellow
house. Kazumi s heavy boots crunching dead leaves and grasses, combine with the natural sounds
of the farm. She is dragging a heavy sledgehammer behind her, resulting in a dirty trail cut into the
ground. Hopefully this is the proper rendezvous point and everyone survived. A few weeks ago
the continent of North America was ravished by an outbreak of unexplainable disease; this resulted
in a zombie apocalypse. Many months ago, she and her friends agreed to... Show more content on
Helpwriting.net ...
Their room is about average size, a window is placed in the center of both walls facing the
outside yard. A tall bed with an ample amount of decorative pillows and a fluffy comforter is
nestled between two shelves and pushed up against the back wall. Kita flops onto the bed and rolls
into a sitting position. So Mayu She quizzes, does there happen to be running water here that you
know of...Kazumi? Both shrug in response. We can check the situation out though, that s useful
information to have. adds Kazumi. Mayu strolls into the kitchen and flicks the tap on, hoping that
some water will flow from the faucet. Thankfully it does and a sputtering stream of discoloured
liquid flows out. We re going to have to clean this huh she

What Makes Balzac Capitalism
Balzac s Capitalism: The Tragedy of Moral Destruction or Corrupt Success
In his novel PГЁre Goriot, HonorГ© de Balzac depicts capitalism as inherently tragic in that it
creates a society of considerable opportunity solely for individuals who become immoral in order
to fulfill their desires. Utilizing the protagonist for whom the book is named, PГЁre Goriot, Balzac
is able to highlight the success of those who exploit others, both in Goriot s own success as a
merchant, and in his daughters success in exploiting his love for them. One of the crucial parallels
here is self absorbed desire, the culprit of both Goriot s success and downfall. Originally, Goriot
was selfish: he accumulated his wealth by capitalizing on inflated grain prices from falsified food
shortages, thus exploiting people when they were dying of hunger, killing each other for bread
(Balzac 79 80). As immoral as it is, this extreme form of self centrism is necessary in capitalism,
according to Balzac, who makes a point to illustrate this necessity by immediately juxtaposing
the successes of Goriot s self serving passion for wealth with the downfalls of his altruistic
passion for his daughters: [O]ne of [Goriot s] competitors, wanting Goriot out of the way...told
him that Delphine had just been run over by a cab. [...] [Goriot] was ill for several days as a
reaction to the conflicting emotions aroused by this false alarm. (81) The tragedy of this is that it
was Goriot s selflessness, rather than his selfishness,

Final Project Reflection Report
1.How are you feeling about your final project? I feel positive about my final project for this
unit. First, Omar and I had made a good slideshow that was somewhat modern. Second, we had
found useful information that was somewhat reliable. 2. What things specifically tell you that it
went so well/so poorly? Somethings that told us hat we had done a good job was the feedback we
received from the people we presented the slideshow to. In addition, we compared our presentation
and its qualities to other peoplesВґ and we found that ours was ВґsuperiorВґ. 3. As you think about
the decisions you made in this unit, which ones seem most important? The decision of redesigning
our slideshow again to specify our results was useful. Our general results... Show more content on
Helpwriting.net ...
How did the final project go compared to how you thought it might go? The final project was
little better than I expected. Omars technological skills are always good, which is why I thought
we would do a good job. Yet, I expected the survey results to be sketchy, because of all of the
written results and the unreliability of some peoples responses. 5. What are some things you
learned from this project? First, IВґve learned some tricks involving Google Excel and creating
proper graphs. Second, I learned that when you work with people that actually complete their
work, the project is smoother and better. Though, I was surprised that he completed all of his work
and did even more, which was interesting. 5a. What did you learn about research (surveys,
interviews, etc.)? I learned that more than just some people find their homework uninteresting. I
didn t expect this to be a problem for most people. I learned that most people find the homework in
Mathematics and social studies uninteresting, and I agree. I was surprised that few people found
artistic assignments interesting, but they were probably thinking about the basic art class
assignments which are not being intended. 6. How can you apply some of what you ve learned in
future

Subtypes Of Internet Addiction
In the previous decade, the growth rate of internet addiction is increasing all over the world
(Goel.D, et.al, 2013). In the urban India there were almost 5 million active users of internet
present as per 2000 stats but now as per 2008 it has been increased to 42 million active users of
internet.
Adolescents are more likely to be vulnerable to internet addiction as compared to any other
sections of the society. This is because of the leisure and liberty children are exposed to these days.
There are many different aspects such as ease of internet use among adolescents, availability of
time, unlimited access to internet, curiosity to know more and psychological support that young
one seeks through their peers and online friends.
According ... Show more content on Helpwriting.net ...
Computer addiction Computer Gaming has a very important role to play with today s scenario be it
for kids, young adults or working adults. Virtual reality games or Stimulation games are addicting
enough to get them engrossed and compromised on their working performance.
The study published related to cyberpsychology, behaviour, social networking and internet
addiction became a concern due to abnormal difficulties as well as cognitive dysfunctions which
were found to be correlated with substance and behavioral addiction. Moreover, internet addiction is
often found to be comorbid with depression and attention deficit hyperactivity disorder.
SELF ESTEEM AND INTERNET ADDICTION
Self esteem is defined as how an individual evaluate oneself. It is an individual s self worth how s
/he feels about oneself. It is also known to as how one approves or appreciates him or herself. It
is an effective response to one s description. Self esteem is the value that we consider how much
we worth ourselves. These values might differ from individual to individual. In psychology, this
term is used to understand an individual s sense of self worth and personal values. It is
considered to be the evaluation of one s own self concept. Self esteem is an effective response to
one s description. It is the value that we consider how much we worth ourselves. These values
might differ from individual to individual. In psychology, the

Bad Leadership Skills in Black Hearts by Jim Frederick...
Black Hearts is a great example of the reality on how severe bad leadership skills can ripple
throughout a unit and impact its overall mission. This book serves as a guide for future leaders
of America and will set the examples of what not to do in leadership positions. The lessons we
can take from these soldiers can help us as potential leaders to become more competent and
effective. The fact that this book focused on the hardships, poor decisions and sound judgment
of the soldiers it helped emphasize on what was not the best choice of action and leaves a
moment for you as the audience to think how you would of done it better. So right or wrong there
was a lesson to be learned and the book did a good job including the reader. This book... Show more
In the book this was a constant and consistent factor and an obvious hint as to what to expect
further along in the chapters which was a vicious tailspin out of control. Chapter 8 talked about
a series of communication break downs. LTC Tom Kunk, the commander of the 1 502nd
infantry regiment, set the standard of how the communication was going to exist within the
platoons. The book talked about how he would lose his temper at his soldiers regardless how
minor the issue. You could leave your weapon unattended or leave trash on the ground either
way he would confront you in the most unprofessional way about it. This made his whole
leadership style completely ineffective. I personally understand how much this can influence a
soldier especially those who are still trying to figure out their leadership styles. If this is the only
leadership style you deal with on a regular bases after a while it will start to become the standard
for you. LTC Kunk being the commander of the regiment should be demonstrating better discipline
and restraint. Instead this makes him appear to have no self control. He should have been setting
the standard in a more positive way on communicating with members of the platoons, and creating
a more cohesive environment. There were many other leaders in the platoon who made similar
mistakes. This example doesn t just apply to this particular situation but can also result the same in
a family. If your mom and dad are constantly bickering and your always

Analysis Of The Book The Devil Of The White City
The Intrigue of Chaos Part 1: The Devil in the White City is a true crime novel that takes place
during the building, during, and aftermath of the 1893 Chicago World s Fair. There are 2 main
narratives,the first is Daniel Burnham, one of the main architects and designers of the World s Fair.
This plot line shows the extreme stress that all of the Architects experienced, as the construction
was slow to start, slow to build, and was filled with shortages, deaths, and awful communication.
The second narrative is centered around H.H. Holmes, one of America s first notorious serial
killers. His narrative takes place in his Murder Castle and shows his complicated history and his
numerous credit scams, identity scams, and most importantly,... Show more content on
Helpwriting.net ...
(48 Larson) Good Literature is what it sounds like it s good but nothing amazing. It is for
example, the Hunger Games, where it is a fun and exciting read, but doesn t spark a change or
awakening. This distinction between good and great is vital to the gradual understanding of
what makes the human mind tick. Good literature might be nice for a quick and easy read on the
beach, but Great literature or nonfiction will change one s view point and requires detail and
focus to extract its full meaning. Our group established 5 criterions to state what makes great
literature. Our first criterion was A great book must contain a message that applies to not only
those who have experienced situations in the book, but provide perspective to those who have
not. A message that can be understood by numerous groups of people is vital to a great piece of
literature. Our second criterion is that in order to teach a lesson it must expose a fault in human
nature or in society. Our society is just as flawed as humanity is. Acknowledging these flaws is the
first step in overcoming the trials of society and man. Our third criterion is centered around the
craftsmanship of the literary work. This can apply to a groundbreaking new approach to narration.
Or even complex characters and a unique and individual style (Faulkner.) In summary, the 3rd
criterion tries to move past just the message itself, and to focus on

Invasive Pneumococcal Disease ( Ipd )
Invasive pneumococcal disease (IPD) is deп¬Ѓned as the recovery of an isolate of S. pneumoniae
from a normally sterile site, such as blood, cerebrospinal п¬‚uid (CSF), pleural п¬‚uid, joint
aspirate, pericardial п¬‚uid, or peritoneal п¬‚uid [1]. Splenic abscesses are rare in the pediatric
population [2]. Early recognition and intervention are critical due to the high mortality rate
associated with delayed diagnosis [3]. A literature review revealed no case reports of splenic
abscesses due to invasive pneumococcal disease (IPD). Purpura fulminans is a rare complication of
IPD. We report a case of IPD confirmed by bloodculture and serotyping in a 15 month old African
American female whose clinical coursewas complicated by splenic abscesses and... Show more
Laboratory investigations revealed a pH of 7.1, PCO2 of 35mmHg, PO2 of 52mmHg, HCO3 of
11mg/dl, prothrombin time of 37.8 seconds, international normalized ratio (INR) of 3.8, activated
partial prothrombin time of 101.4 seconds, total leukocyte count of 1900/mm3 with 10% banded
neutrophils and 25% segmented neutrophils, hemoglobin of 10.8g/dl and platelet count of 67,000
/mm3. Lumbar puncture was performed and revealed a white blood cell count of 1 per mm3, red
blood cell count of 3 per mm3, glucose of 108mg/dl and protein 83mg/dl. Blood, urine and
cerebrospinal fluid (CSF) cultures were sent and she was started on broad spectrum antibiotics with
vancomycin and ceftriaxone.
She was admitted to the pediatric intensive care unit (PICU) for management of septic shock,
disseminated intravascular coagulopathy and multiple organ dysfunction syndrome. Blood culture
grew Streptococcus pneumoniae that was sensitive to penicillin and ceftriaxone with a minimum
inhibitory concentration (MIC) of less than 0.03 mcg/ml. She was initially hypotensive despite
being placed on vasoactive medications for treatment of refractory shock. During her PICU course,
it was she was noted to develop dry gangrene of the distal phalanges on her upper (Figure 1A) and
lower extremities (Figure 1B), which were consistent with purpura fulminans. She remained febrile
after resolution of septic shock. A computerized tomography (CT) scan of abdomen with contrast
revealed 3 rim enhancing

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