School Essay Argumentative Essay Outline Example

School Essay: Argumentative
Essay Outline Example
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School Essay: Argumentative Essay Outline Example School Essay: Argumentative Essay Outline Example

Role Of Local Media On Public Diplomacy
1.0. Introduction
This chapter introduces the study by giving a brief background to the role of local media in promoting
Public Diplomacy of China in Zanzibar. The chapter also gives research Questions and significance of
the study and research methodology.
1.1.1 Background and Problem Statement
In every society in this world, media plays a very important role as sources of information on what is
occurring not only within the local community but also in international in the formation of public
opinion and have been recognized as constitutive of social reality in modern society . Media thus act
as a mirror that reflects the happenings in society and are regarded as a barometer of society . The use
of Mass Media in Public Diplomacy has ... Show more content on Helpwriting.net ...
As many parts of the world do not welcome or otherwise lack access to global or regional media
directly such as CCTV, it was clearly noticed that most of the regional or global media houses
establishements have limited media effects due to unavailable or broadcasting via satellite systems
which are most of the time very expensive and commercial oriented hence only few people can afford
to subscribe for the services.
There is no one size fits all policy when it comes to identifying an effective communication strategy in
diplomacy, whether it is in its narrow sense of official negotiation or understood as public diplomacy.
In order to improve its global image and cultivate an international environment that would facilitate
China s continuous rise in the world, the Chinese government has developed, in recent years, an
aggressive Public Diplomacy program. The extension of the global outreach of its media has become
an essential component in the effort to propagate the country s international image
In cooperation with Multi Choice , the largest pay television plat form in Africa, CCTV has launched
Great Wall Africa, a bouquet of 11
... Get more on HelpWriting.net ...

Martha Ballard s Diary Online
Ballard, Martha (1785 1812). Martha Ballard s Diary Online. Do History Archive. Martha Ballard, a
famous Maine midwife, attended more than eight hundred births during her twenty seven year tenure
as sole midwife to her community. She journaled regularly over the course other adult life, yielding
nearly ten thousand diary entries in total. This archive provides an unparalleled look into the role of
the midwife in the delivery process. Additionally, several of Martha Ballard s patients, especially one
Mrs. Weston (sometimes referred to as Mrs. Williams) who exhibited symptoms of puerperal insanity
such as deriliam. Ballard notes that her condition may be the result of both physical and emotional
trauma. I chose the journals of ... Show more content on Helpwriting.net ...
I think that by including both theories, I can strengthen my overall argument by indicating that the
issue is nuanced and cannot simply be rendered down to a single cause. Alternatively, as I develop my
thesis, I could utilize one of these approaches as a naysayer within my text. Douglas, Ann Wood. The
Fashionable Diseases : Women s Complaints and Their Treatment in Nineteenth Century America. The
Journal of Interdisciplinary History 4, no. 1 (1973): 25 52. Ann Wood Douglas suggests that a
significant number of number in America during the early nineteenth century considered themselves
ill. Many of these women, Douglas asserts, were self diagnosed. However, these diagnoses were both
encouraged and stimulated by the culture surrounding them. These women were not just sick, instead,
they were sick because they were women. Their anatomy, specifically the uterus, was viewed as an
inherently erratic and troubled organ that

CBN Railway Essay
CBN Railway Company
Among some of the challenges that CBN Railway Company faces, this paper will focus on a solution
to overcome the inefficiency that exists with the maintenance of their equipment; namely their
locomotives. CBN Railway Company is also considering leasing locomotives from various sources,
unspecified. We will analyze some possible solutions and weigh the pros and cons of the possibility of
leasing equipment. These two challenges facing this company are causing the quality of customer
service to frail amidst an increase in business in the rail industry.
Power by the Mile Leasing Arrangements
Leasing of equipment for some companies can be advantageous. Depending on the lease terms, some
firms can have great success with ... Show more content on Helpwriting.net ...
The fact that CBN has schedules to maintain and customers to satisfy through adherence to these
schedules tells the tale that CBN is in dire need of a good maintenance system. Through
implementation of such a system, they may also need to revisit the quality of expertise and leadership
within its labor force. Although they may go into a leasing agreement, a provision of the lease forces
them to still hold on to a labor force for maintenance of their locomotives. Whether or not they choose
to lease, this labor force must be elite in order to efficiently and effectively provide adequate service to
their equipment. The possibility of hiring on a Maintenance Manager to oversee and run the
maintenance department may be a viable possibility. Either way, the main deficiency of CBN seems to
be the lack of expertise or direction of personnel that maintain their equipment, therefore, investing in
maintenance leadership and expertise is a must for this company.
Best Interest for CBN
The main focus of any company is to be profitable. Profitability depends greatly on customer
satisfaction and efficient/effective systems within the company. Although being in the situation that
CBN is in, they must focus on what needs to be done in order to reverse the poor job servicing of its
customers. This needs to be a low lying fruit , so to speak,

1910 Revolution Essay
The 1910 Revolution in Mexico was the first of Latin America s great 20th century revolutions. The
revolution prompted a political system that gave way to an unmatched stability in Mexico for more
than half a century. The political, social, and cultural effects of the revolution triggered the formation
of the PRI, the agrarian reform, a new relationship with the United States, and in turn the
consolidation of national identity through cultural policies. In looking at these effects of the 1910
Revolution, we can determine why developments in Mexico today are so important to the United
States and characterize current bilateral relations, given such a deep rooted complex U.S. Mexico
relationship.
The Mexican Revolution was a violent political, ... Show more content on Helpwriting.net ...
The party represented the new power structure that had emerged as a result of the Mexican
Revolution, an alliance between political military leaders and labor and peasant leaders. This
governing coalition sought more stability in government. One specific issue was in the consolidation
of Mexico s post revolutionary political regime. The current president, who under the Mexican
constitution could serve only one term, selected his own successor through an informal process known
as the dedazo (big finger) (Skidmore, Smith, Green, p. 62). Because of this, a president was either
choosing the future of Mexico or could act behind the scenes of another. The issues that the PRI
focused on depended on the president at hand. President Miguel Alemán, the first civilian president
since before the revolution, was focused on Mexico s infrastructure. As a result of his construction,
tourism from the United States was heightened in Mexico. The following president, Adolfo Ruiz
Cortines, opted for a hard money strategy, in which he set a stricter exchange rate from pesos to
dollars and made Mexico less expensive for

The Symbolism Of Another Brick In The Wall
Sean Leahy, an Australian cartoonist released a political cartoon Lazarus quits PUP to satirically
represent the departure of several members of the Palmer United Party, which was created and run by
Australian mining magnate Clive Palmer. The cartoon itself is a re creation of the nursery rhyme
Humpty Dumpty, in which he falls of a brick wall. Leahy s cartoon displays Humpty Dumpty as
Palmer, who is falling besides a deteriorating brick wall. Four specific bricks are of interest as three
have been displayed with the surnames Douglas, Judge and Lambie. The brick adjacent to Clive is
displayed with a face, singing, We don t need no thought control which is a lyric from Another Brick
in the Wall , a song created by Pink Floyd. The amalgamation ... Show more content on
Helpwriting.net ...
A notable aspect of irony presented in the cartoon has been shown with the placement of the brick
wall. The characteristics of brick walls are strong, firm and robust which is ironic, as the wall in the
cartoon is shown curved and deteriorating. Another element of irony in the cartoon is the
representation of Palmer as Humpty as Humpty Dumpty is interpreted as a kind figure worthy of
assistance as the most known iteration of the rhyme states that all the king s horses and all the king s
men couldn t put humpty together again (Wikipedia, 2015). This is ironic as multiple reports state that
members of the PUP abandoned the party due to the mistreatment by Palmer. (theage, businessinsider,
2015) Within the cartoon, Leahy has provoked the thought of irony, while simultaneously displaying
parody. Parody, the final satirical device, has been deployed by Leahy to further ridicule the PUP. The
artwork is a parody of Humpty Dumpty. Having Palmer as Humpty falling off the brick wall has
represented the nursery rhyme. However in this iteration of Humpty Dumpty the brick wall is
crumbling with him, ridiculing the fact that most of his political party have separated to become
independent politicians, due to Palmers actions. Leahy in his cartoon has used parody to ridicule the

The Theme Of Paralysis In Eveline
Most everyone wants to find someone to love; however, knowing for sure if someone you met is the
one is a constant question as well as whether to leave your past life behind. This is the crisis in the
story Eveline where Eveline Hill is unsure if she should run away with her new boyfriend or stay at
home. In this short story, James Joyce establishes the theme of paralysis through the symbolism of
Eveline s parents and diction to reveal her ambivalent feelings towards leaving home.
To begin, the theme of paralysis evolved in the story through the symbolism of her parents, which is
why she is unsure if she should leave with Frank and her uncertainty of her own motives for leaving.
Eveline s parents had a contentious relationship which causes her to question whether her relationship
with Frank may end out the same. In Joyce s Eveline, he writes, She would not be treated as her
mother had been. Even now, though she was over nineteen, she sometimes felt herself in danger of her
father s violence... Her father was becoming old lately, she noticed; he would miss her (pg. 21 22).
Throughout the story, Eveline thinks about how her parents relationship may translate into her own
life. She is worried that leaving her father behind may devastate him when she seems to be scared of
him still. She is stuck between leaving and staying displaying the theme of paralysis. According to the
critic Golbarg Khorsand s article Paths to Paralysis: Symbolism and Narratology in James Joyce s

Oriental Rug Research Paper
Oriental rugs are very beautiful and generally very expensive. If you have an oriental rug in your
home, you need to create a first aid kit for your rug. that way, if anything every gets spilled on your
beautiful and valuable oriental rug, you will have all the tools on hand to clean up the stain right away
before it sets in and ruins your rug. Here is what you need to put into your kit, and what it can be used
for. Cloth The first thing you want to put into your first aid oriental rug kit is some clean white clothes
that are very absorbent. Microfiber clothes are very absorbed and would make a great addition to your
kit. White clothes are better than colored cloth because you can see if the stain you are working on has
been absorbed. You ... Show more content on Helpwriting.net ...
Once again, white is the preferred color so you can more easily see the stain you are trying to pick up.
You can use this to blot the stain. Eye Dropper The third thing you want to put into your kit is an eye
dropper. An eye dropper will allow you to apply whatever cleaning solution you are using in a very
precise manner. Due to the sensitive nature of oriental rugs, this tool will help you to only apply the
cleaning solution to the stain. Natural Enzyme Liquid Detergent The fourth thing you need is some
natural enzyme liquid detergent. A natural liquid detergent will be more gently on your oriental rug.
You can mix the natural liquid detergent with water, and use it to clean a wide variety of stains. You
can just put the detergent in there, or you can mix up a solution of natural detergent with water in a
spray bottle or container. White Vinegar Solution The fifth thing you need to do is create a white
vinegar solution. Mix together a solution that contains two parts of water to one part white vinegar.
This solution is very alkaline on stains. It works well on a wide variety of stains, and should be where
you head to next if simple water and soap does not remove the

Comparing Kafka s Metamorphosis And Siddhartha
Often times when trying to find a simple way to depict our existence, we come across such sayings as
the river of life or the path of life. These are not accurate depictions, however, due to the fact that we
are not on a set course to a set destination. Rather, we roam about existence like sheep in a pasture
with no specific destination or means of arriving there. In many books such as The Metamorphosis by
Franz Kafka and Siddhartha by Hermann Hesse, the main character s very identity is shaped by the
choices of their past, but that is not who they have to be. The choices of Gregor Samsa from The
Metamorphosis lead to extreme life changing and identity changing experiences. Gregor, for many
years had been the sole provider for his family. ... Show more content on Helpwriting.net ...
Siddhartha represents all of humanity, in that he is many things, yet he is himself. He is a Brahmin, a
Samana, a ferryman, and he is Siddhartha still in all these things. Unlike Gregor, Siddhartha is very
active in his quest for destiny. His choice to leave his father and all he had ever known is not
influenced by any force other than the thirst for knowledge sending him on the quest for the meaning
of life. Just as a sheep wanders in a pasture, Siddhartha wandered the wilderness in pursuit of his true
self. He searched his soul to find his place in the world and the unity of all. He examined how his Self
responded to hunger, pain, and all achings of the physical in order to reveal the strength of the
spiritual. When Siddhartha entered into the world of ordinary people, he fed his physical being and
through that discovered the weakness of his spiritual. Siddhartha finally quenched his thirst for
knowledge at the river, where he found wisdom. Siddhartha knew who he was and at the river, he
discovered why he had to go on the path that he did, and he found peace and discovered how he fit
into the universe along with all other things. Siddhartha s identity at that point had little to nothing to
do with who he had been. Yes, he was once a Samana, a Brahmin, a ferryman, but what mattered was
that he was now at

Collegiate Athletic Practices Of Collegiate Sports
The NCAA was founded in 1906 to protect young people from the dangerous and exploitive athletic
practices of the time, (Treadway). At the time the National Collegiate Athletic Association, NCAA,
initiated in 1906, no one ever considered that collegiate sports would develop into the billion dollar
program that it is currently. Collegiate sports in America are on pace to surpass the popularity of
American professional sports. The growth of the NCAA has led to numerous complications. Taking a
step back, the NCAA started off with a small number of schools that offered Division 1 athletics.
Currently, there are roughly 350 schools that offer Division 1 athletics. The schools are divided into 3
branches major, high major, and mid major. At ... Show more content on Helpwriting.net ...
At the time, only a few colleges across America participated in collegiate sports and the only sport
practiced was football. The system in place was extremely unorganized. Collegiate sports resulted in
nothing but problems for colleges, primarily because there were no health protocols in place for the
athletes. There appeared to be little hope to maintain collegiate sports until Theodore Roosevelt
stepped in in 1906. Theodore Roosevelt, an unabashed fan of the sport, gathered 13 football
representatives at the White House for two meetings at which those in attendance agreed on reforms to
improve safety. What would later become known as the NCAA was formed shortly after on the heels
of this unifying safety agreement. (Treadway). Since the NCAA was formed in 1906, the strides it has
made have been remarkable. The association originated to enforce health improvement. A handful of
participating schools turned into a multi billion dollar industry. To clarify, the NCAA has 3 divisions;
Division 1, Division 2, and Division 3. The financial problems pertain primarily to the 3 branches of
Division 1 because Division 1 programs bring in the better athletes, greater revenue, and are more
popular to the public. Today, collegiate sporting events are televised more professional sporting
events, thus generate a combined larger profit than the profits

Tyuu
Stress is something all people experience from time to time. Anything that poses a threat or challenge
to ones well being is stress. It can affect you mentally and physically. Stress can be beneficial or
atrocious to ones health. Stress can emerge in many different forms from school, work, and divorce.
Stress can also make a person feel frustrated, angry, sad, nervous, anxious and even hopeless at times.
Stress is the way the body responds to a threat or challenge. This response is known as fight or flight
response telling the body to either to fight or get away from immediate danger. Fight or flight response
is based on the sympathetic nervous system responding. The body produces larger quantities of
chemicals cortisol, adrenaline and ... Show more content on Helpwriting.net ...
Fatigue and overwork stress is caused a person over expending their energy or working too hard
without rest. It can also be caused by not knowing how to manage time well and not know when to
relax or not.
Stress can take a large toll on the body. It can affect ones thoughts, feelings, body, and behavior.
Having a lot of stress can cause the immune system to not work properly resulting in illness. This can
lead to headaches, stomach aches, heart and sleeping problems. If stress continues it can also
eventually lead to death. Your mood is another factor that can be affected by stress. Stress can affect a
person mood by making one feel irritability, anger, restlessness, sadness or depression. This can make
a person not want to talk to anyone or lash out on one someone for no apparent reason. Behavior can
also be affected by stress. Stress can cause an individual s behavior to change and become abnormal.
It may cause a person not to eat which can result in anorexia or overeating resulting in obesity. A
usually leveled headed well mannered person might become randomly aggressive and have angry
outburst if under enough stress.
There are many factors that can lead to stress; the way you deal with it can determine how it will
affect you. Stress can be a good or bad thing depending on the amount of stress a person has. It can
make you more alert, sharpen senses and

The Relationship Between Madness And Creativity, By...
Whether it is a natural talent or an acquired skill; writing allows artists to bring their creative
expression to life. Interestingly enough, there is a widespread belief that some writers develop their
creativity and knack for writing through suffering from a mental illness. This belief stems from past
research based on the relationship between madness and creativity, especially in the writing field.
Katherine M. Thomas and Marshall Duke wrote the article, Depressed writing: Cognitive distortions
in the works of depressed and non depressed poets and writers. Their article focuses on digging deeper
into the relationship between madness and writing by making an in depth analysis of writing samples
from depressed writers versus the writing samples of those who weren t. Duke and Thomas found that
there is a need for analyzing works of writing because it may provide understanding in the
relationship, which will lead to an understanding of depression and mental illness. Due to this widely
known relationship, some may look at mental illness in a positive light. This relationship may cause
people to look at the distortions as simply art; thus, diminishing the severity of mental illness. When
looking at psychological distortions from an artistic perspective, this may remove the humanity of the
writer; therefore; it is important to analyze and seriously look for the signs of cognitive distortions
because it may help us understand and possibly distinguish the relationship between

Superflab
6 Megavoltage (MV) photons treat many superficial tumors. More importantly, they often require a
bolus to bring the depth of maximum dose closer to the skin surface. Also, a bolus compensates for
uneven skin surfaces or irregular contours on the patient s surface. The depth of maximum equilibrium
describes the depth in which the maximum dose of the formulated radiation deposited into the skin
(Washington Leaver, 2010). Bolus material should be flexible, pliable, and tissue equivalent. There is
no study that compares green Play Doh, orange Play Doh, water and uncooked rice to Superflab for
providing maximum dose buildup, Dmax. Benoit, Pruitt, and Thrall (2009) assessed the quality of wet
gauze compared to Superflab. Using different sizes and levels of wetness, and variable densities of the
bolus material, the investigators measured each material three times using a 6 MV radiation source.
The results were that a wet gauze with a density of 1.02 g/cm3 had the identical measurement to
Superflab. While a smaller gauze with a density of .75 g/cm3 was not as efficient. Also, wet gauze
eliminated air gaps with the skin surface. The researchers concluded Superflab was least effective in
eliminating air gaps and wet gauze with a ... Show more content on Helpwriting.net ...
Also, using the same technique for Superflab and uncooked rice, concluded the Dmax for Superflab
was 4.101x10^ 8 and 4.108x10^ 8 for uncooked rice. Finally, the average Dmax readings for the green
Play Doh was 4.050x10^ 8C (Table 1 and 2). The investigator used solid water as a control to
calculate the ratios for each of the bolus materials (Table 3). The One Way ANOVA concluded
differences between the groups (F=523.6, P 0.0001). The average standard deviation between all the
samples was

A Letter To Harvey Milk Summary
The topic of the Holocaust is a broad and gruesome one; maybe it is because of the horrors that
happened that people still write about it, to try to understand what happened, and how it did.
Regardless, Elie Wiesel explains why he, as a Holocaust survivor, writes within his essay Why I
Write: Making No Become Yes . He writes that perhaps it is ...in order not to go mad. or to touch the
bottom of madness. These two possible reasons are quite different from each other, yet they share a
similar topic, this is similarly true about Elie Wiesel s essay and Harry Weinberg s short story A Letter
to Harvey Milk The similarities and differences in these two works shows the varying ways people
cope with similar past experience, the impact those memories can have on their lives, and the effect
sharing those experiences can have on them. ... Show more content on Helpwriting.net ...
He decides to go because it is ...something to pass the time. and proceeds to share some of his views
of dealing with the past. Harry believes that he ...should live in peace, the dead are gone. Talking won
t bring them back. Thus he lives his live trying to forget them. Comparatively, Eli is a Holocaust
writer, which is the way he copes with the past and the memories of the dead. He writes that it was not
a choice of his to become a writer, but that as a ...survivor, writing is not a profession, but an
occupation, a duty. Similar to Harry, Eli mentions that ...it is dangerous to linger among the dead...
although he still writes ... to understand...

Information Management And The Retail Industry
Information Management and the Retail Industry The retail industry is ever changing and evolving.
The more successful companies within the industry understand the need to use technology to their
advantage. Information management is the process by which different types of data is collected,
categorized, and stored (Turban, Volonino, Wood, Sipior, 2013, p. 32). A review of the collected data
is done to ascertain the value of the contents and reports are generated based on that data (Turban,
Volonino, Wood, Sipior). The Importance of Information Management in Retail The retail industry
uses information management systems to make decisions on the brands they introduce to their stores
as well as the best fashion designers they should collaborate with (Parekh, 2014). The data collected is
invaluable in that it enabled the industry to make quick decisions based on what their customers want
to purchase, and it gives those that use the technology, ideas as to upcoming trends. This is gives them
the advantage over their competitors (Parekh). Prior to the use of information management, the
industry made educated guesses at what their customers wanted. The more an item sold, the more they
attempted to keep the item in stock. With information management, retailers are using real time, fact
based to maintain pace with their competitors and meet the demands of their customers (Parekh).
Information management is one of the heaviest users by the retail industry. Retailers

Katherine Boemer Hidden Gems
I have used the D variation of looking at individuals Student Writing from Katherine Bomer s Hidden
Gems to analyze and evaluate Melody s writing. My first reactions to Melody s writing are that her
structure and conventions are strong and detailed and organized. Bomer and the list of qualitative
features of writing checklist located in Hidden Gems, helped me analyze Melody s work in a positive
aspect located things such as the student communicates thoughts and ideas, the story has a logical
organizational structure of sequence, the story has an effective strategies for organizing information
and the story has a sentence to sentence and word to word relationship (Bomer, 2010, p. 83). All of
these ideas that Bomer has listed ... Show more content on Helpwriting.net ...
There were three sentences in her sample to retell the story related to the text and all were structured
in the same way, the sentence beginning then in the text it says and then evidence given from the text.
The student does not get a chance to voice her opinion or provide stronger descriptive words. During
reading partners the student is working on retelling mainly the gist of the stories along with learning to
sequence and this is then portrayed within her writing. During the retell of many stories, she is able to
summarize in words everything she read, when asked to write this sequence down the student is
unable to fully and complete write the words without the sentence stems and evidence from the text.
Katherine Bomer says, words are the food and the water; the sun, soil, and rain; the fuel and the
fortune; the only thing that makes writing, writing (Bomer, 2010, p.67). By adding detailed voice, and
descriptive words will strengthen Melody s writing a lot. Melody is a strong writer and she could go
very far within the writing I wish I could hear more to what she has to say. Integrating detail and the
students voice within writing is to give more freedom to the structure and ask more open ended
question to help the student think deeply and connect it from the heart more. Another way to help the
student more would to be to fill out the writing more and add layers and structure

Essay on Man Child and the Promised Land
The Will to Survive
In the book, Manchild in the Promised Land, Claude Brown makes an incredible transformation from
a drug dealing ringleader in one of the most impoverished places in America during the 1940 s and
1950 s to become a successful, educated young man entering law school. This transformation made
him one of the very few in his family and in Harlem to get out of the street life. It is difficult to pin
point the change in Claude Brown s life that separated him from the others. No single event changed
Brown s life and made him choose a new path. It was a combination of influences such as
environment, intelligence, family or lack of, and the influence of people and their actions. It is difficult
... Show more content on Helpwriting.net ...
Brown s family accepted poverty and that made it nearly impossible to escape poverty. You doom
yourself by accepting poverty because you lose hope. Brown s early life of crime was to get some
money so he did not feel poor. To show the neighborhood that hope was not lost in him.
Brown had to always be in control. He never did anything to lose his control or be dominated by a
substance or another person. He demonstrated his lack of respect in the earliest parts of his childhood
when he would steal from cash registers without a friend to help him, a skill though to be impossible.
At times Brown did give up his control and he regretted it. Such as the time Brown used heroin. This
desire to be a dominant figure is the biggest factor in Brown s life because it kept him away from the
plagues that brought many of his friends down and was corrupting Harlem. He called heroin the great
plague because it totally destroyed a human and made them totally dependent on it. Brown was able to
escape all the plagues of his environment and he was intelligent enough to realize he could escape his
environment too.
The biggest problem Brown faced in Harlem was crime. This was Brown s first problem as well as
many of his friends. The book opens with Brown shot after attempting to steal sheets. Brown was
lucky or perhaps smart enough no to get charged with a felony. He saw what he called a sheet

What Is Martha Stewart Unethical
This paper examines a well known business women Martha Stewart who started her business Martha
Stewart Living Inc. in 1997 and since then had been well known business women and the face of her
company she would do anything to keep the perception of the perfect business women. In 2001 she
made a decision that would change the perception of her and her company. Martha was involved in a
scandal of inside trading with a company known as ImClone in the stock market. Inside trading is not
only illegal but it is unethical within the business world. We will be researching examining and
discussing Martha Stewarts scandal her actions leading up to the case, the case itself and charges
brought against her leading up to Martha Stewarts conviction and ... Show more content on
Helpwriting.net ...
With the Martha Stewart scandal her actions initially saved her $45,673 but in the end did it really
help? She ended up serving less than a year in prison and was fined $250,000. In hind sight she ended
up losing a lot more money from selling the stocks and lying about it then if she would have just kept
the stocks and took the hit when ImClone s value fell. But selling stocks based on inside information
so you re sure you don t lose money in an investment; doesn t that seem like the right thing to do? No
one ever wants to lose money especially in an investment, but avoiding a loss by selling stock the way
Martha Stewart did is considered illegal. Having inside knowledge of a company and using that
knowledge to make moves before the market price changes at that time probably seemed like a great
idea but is profoundly illegal and known as inside trading. Martha Stewart was and is a well known
business woman and at that time served as President, CEO and chairwoman of her publicly traded
company. She was educated and knowledgeable about what is allowed or not allowed as far as selling,
buying and trading stocks. Her understanding of SEC regulations is especially disconcerting since she
had been a part of the board of directors of the New York Stock Exchange. Martha was aware of the
consequences that came with breaking the rules. Not only did she participate in insider trading and
benefited from it but she also tried to cover it up claiming she and her stock broker

Anthropogenic Impact on Marine Environment and Consequent...
CONTENTS
1. Introduction
2. Impact of Anthropogenic activities on marine environment
3. Degradation of marine environment
4. Pollution of the Marine Environment
5. Classification of marine pollution
6. Effects of Marine pollution
7. International Instruments designed for the protection and preservation of marine environment
8. Possible Mitigative Measures
9. Conclusion
10. References
Introduction
An extreme range of environmental problems is now the subject of serious international concern.
These include atmospheric pollution, marine pollution, global warming and ozone depletion, the
dangers of nuclear and other extra hazardous substances and threatened wild life species. Some of the
major objectives of International ... Show more content on Helpwriting.net ...
Pollution of the Marine Environment
As per Article 1(4) of the United Nations Convention on the Law of the Sea , 1982 (UNCLOS),
pollution of marine environment means the introduction by man, directly or indirectly, of substances
or energy into the marine environment, including estuaries, which results or is likely to result in such a
deleterious effect as to harm living resources and marine life, hazardous to human health, hindrance to
marine activities, including fishing and other legitimate uses of the sea, impairment of quality for use
of seawater and reduction of amenities.
Marine pollution is a serious ocean water resource challenge that can affect human and animal food
resources. Unfortunately human activities are the largest contributor and cause of problems resulting
from the oceans being polluted. Furthermore, as the human population continues to grow and extend
the range of its activities, as well as increase its demands for marine goods and services, the world s
oceans and coasts will be increasingly stressed. In fact, growing coastal populations and overuse of
marine resources are the main source of the problem. The pollution linked with rising coastal
populations, availability of inadequate treatment infrastructure of sewage and other waste handling
facilities is putting at risk human health and

Morelia s Definition Of Sportsmanship
Many people are excellent at showing sportsmanship and teamwork while playing a sport or in their
everyday life. Morelia Sanchez was definitely one of them. Morelia played lacrosse in her sophomore
year at Kennedy High School. I interviewed her about her definition of sportsmanship and teamwork,
and also how she uses them in her everyday life. Morelia s definition of sportsmanship is to make an
effort and give it your all (and hopefully win). Knowing how to lose is also important when playing
any sport she says as we all experience losing at one point or another. Teamwork also plays a big role
when playing any sport. Morelia explained that teamwork to her is getting along with her teammates,
as well as trying to have a good communication

The US Attack on Terrorism Essay
September 11, 2001 will always be remembered as one of the darkest days in American history.
Several members of the terrorist group al Qaeda hijacked four passenger airliners and flew them into
buildings killing a total of 2,996 people and injuring over 6,000 other people. On October 7, 2001, the
United States began attacks on parts of Afghanistan controlled by the Taliban. These attacks and
invasions were intended to target Osama bin Laden who was the leader of al Qaeda. The United States
demanded that the Taliban hand over Osama bin Laden. When the Taliban did not turn bin Laden over,
the United States began bombing various places in Afghanistan which were controlled by the Taliban
and the invasion followed, and the war in ... Show more content on Helpwriting.net ...
These demands are not open to negotiation or discussion. The Taliban must act, and act immediately.
They will hand over the terrorists, or they will share in their fate. (Bush, George)
Instead of agreeing to the demands set forth by President Bush, the Taliban wanted to try Osama bin
Laden in an Islamic court after the United States brought fourth evidence that bin Laden was involved
in the attacks. The United States did not agree to these terms and began the invasion on October 7,
2001. Operation Enduring Freedom was the name given to the invasion of Afghanistan. The attacks
began with an extensive bombing of strategic places in Afghanistan believe to be controlled by the
Taliban and were meant to attack al Qaeda. Both American and British forces took part in the
bombing. The invasion began with an aerial bombardment of Taliban and al Qaida installations in
Kabul, Kandahar, Jalalabad, Konduz and Mazar e Sharif. Other coalition planes flew in airdrops of
humanitarian supplies for Afghan civilians. (U.S. Led Attack on Afghanistan Begins).
When the bombing began several high ranking members of the Taliban offered to make deals with the
United States for bin Laden if the United States agreed to stop the bombing. The United States
rejected each proposition and continued their attacks. Similar to the United States Tactics in the Gulf
War and Operation Desert Storm, the United States used the aerial attacks

Sara Lee
Sara Lee Corporation in 2011: Has Its Retrenchment Strategy Been Successful? Executive Summary
Sara Lee Corporation was founded in 1939 and, as of 2001, had acquired more than forty companies.
Sales reached $10 billion in 1988, $15 billion in 1994, and $20 billion in 1998. However, revenues
peaked in 1998, as Sara Lee struggled to manage the company s broadly diversified and
geographically scattered operations. In February 2005, Brenda Barnes, Sara Lee s newly appointed
president and CEO, announced a strategic plan to transform Sara Lee into a more tightly focused food,
beverage, and household products company. The centerpiece of Barnes s transformation plan was the
divestiture of ... Show more content on Helpwriting.net ...
Evaluation While Sara Lee s performance has been underwhelming since the retrenchment initiative
was launched in 2005, the investment and divesture decisions were advised. Many of the businesses
that were selected for divestment were unrelated to the company s core competencies. That is, their
resource requirements and key value chain activities were so dissimilar that no competitively
important cross business relationships existed. These include direct selling, European apparel, and
Sara Lee branded apparel. Divested businesses in the food and beverage industry such as European
Nuts and Snacks, European Rice, and U.S. Meat Snacks were, for the most part, poor performers with
low sales volume. The benefits of the company s decision to discontinue European meats, however,
are less evident. The $1.1 billion dollar business seemed to have a good strategic fit with the other
core businesses which were retained. Overall, the food and beverage industries in which Sara Lee
competes are only moderately attractive. Nevertheless, the businesses which were targeted for
investment have strong positions in their respective industries. While Sara Lee may not have fully
realized the projected benefits of the retrenchment strategy, it continues to hold potential for the
future. Recommendations In order to achieve the best results from their retrenchment strategy, it s
recommended that Sara Lee continue to

The Importance Of Education In Education
militants or failed to properly prosecute them, and this needs to change, (Sheppard). After the
devastating attack on the Army Public School in Peshawar on December 16, 2014, which killed 135
children, Prime Minister Nawaz Sharif announced a 20 point National Action Plan to combat
terrorism, but none of the 20 points in the act pertained to students or education (Sheppard). The
Pakistani government continues to fail its female citizens by not protecting them and their right to
education. Not only does education need to be accessible, but it also needs to improve in quality. The
quality of an education is greatly affected by a lack of resources. Lacking resources include money,
technology, and protection that make education more affordable and accessible. Many schools that
girls are able to attend in Pakistan are small and not publicly funded. This is a reason for why they are
not able to hire quality teachers or invest in technology that will improve their education (Sharif).
Since there are many more schools for boys that receive funds from the government, they will
continue to be a step ahead of women in all areas of life. In this way, women lose the skills that
enables them to think critically and question established wisdom, which thereby restricts them from
rising above prejudice, myth, and historical legacies that are holding them back (Sharif). A future
where girls can still not go to school and study freely, is a dark future. While education should be an

Maternity Leave Protection
In the past maternity leave was not an issue. Many mothers gave birth and where stay at home
mothers. Once women began to work, families where bigger and close net. Children babysat their
younger siblings, Grandparents or other relatives lived in the homes and provided care to young
children as well. As years passed by the economy demanded both parents worked outside the home,
mothers and fathers divorced, families became smaller and laws stopped children from babysitting
younger siblings. This caused what is known as maternity leave. The time that a new mother and some
cases father takes off from work after the birth of their baby.
In regards to maternity leave, there has been 4 important Acts that have played an extraordinary role.
These ... Show more content on Helpwriting.net ...
It s a Federal law that effects the length of time a mother and newborn child are covered for hospital
stay while giving birth. Health plans may not restrict benefits for a hospital stay due to child birth to
less than 48 hours if birth was vaginally delivered and 96 hours cesarean section delivery. This time
starts at the time of deliver, and only covers the mother. If mother is ready for discharge the Health
Plan does not have to continue coverage. NMHPA does not apply to high risk pools since it s not an

Battle Of Britain Research Paper
Many can argue that the Battle of Britain could have been won by both sides of the war. Although
ultimately the British had the advantage. A few reasons for their victory was their use of radar, and
their strategies. There were over a hundred Canadian pilots that fought, and although the RAF only
recognizes 83 it is believed that the 23 that died were killed later on in the war. The Battle of Britain
was fought in the skies of Britain and over the English channel. The Germans had many disadvantages
such as having to fly overseas to attack the British flight. The battle began in July 1940 when Hitler
announced that they were attacking Britain on an operation called Operation Sealion . This was
supposed to be a battle of the seas. Although to make this easier ... Show more content on
Helpwriting.net ...
For the RAF, pilots were urgently needed and the courses were short. Many lasting only about two
days with 10 hours of flying experience. The radar system the British used was invented by Robert
Watson Watt, and was virtually invaluable to the men who fought in the Battle of Britain. The radar
allowed Britain to track incoming German warplanes and gave the Fighter Command, (led by Sir
Hugh Dowding) sufficient time to get airborne and attack them. The radar systems were set up along
the South East part of England. They were dubbed the eyes of the RAF. The pilots of the Fighter
Command needed to be in the air as soon as possible in an effort to stop the Luftwaffe (German air
force) from capturing London. The radar gave them about 20 minutes in time to

Disability And The Justification Of Inequality In American...
While disability rights and awareness have advanced, disabled people have not been able to wrest total
control of the discrimination placed upon them due to the way society uses the idea of disability as a
metaphor signifying human incapacity. In Douglas C. Baynton s, Disability and the Justification of
inequality in American History, he analyzes the controlling metaphor of disability through race.
Similarly watching Donald Trump s infamous speech where he mocks a disabled reporter shows how
the metaphor also relates to hierarchal inferiority. Throughout history, American culture has come to
define disability as a social burden. Metaphors of disability are utilized in order to justify society s
exclusionary stance towards different or abnormal people. Examples of the usage of this metaphor are
omnipresent. Starting in elementary school, children who learn at a slower pace than others become
categorized as handicapped. In daily life and informal conversation the question, Are you retarded?
Berates someone for asking a perceived obvious question. Society has become accustomed to using
the term disability and other slang referring to disability as a synonym for stupid or incompetent.
Many times it goes further than simply rhetoric; the able bodied, even supposedly fair figures such as
The President of the United States, can use a representation of disabled people to make a point or
reference incompetence in others. This, in turn, further ostracizes disabled people and

Advantages Of Measuring Personality
Measuring Personality
Measuring personality is essential for the managers of all organisations. Many methods have been
elaborate to evaluate personality of people.
Benefits of personality tests to managers:
It helps to determine areas of difficulty of employees.
It helps to determine the right job for employees according to theirs strengths and weaknesses.
It helps to determine factors responsible for good and bad performance.
Personality test results helps managers develop team leaders.
There are different methods of personality assessment. They are:
1. Myers Briggs Type Indicator
The Myers Briggs Type Indicator was developed by Katharine Cook Briggs and Isabel Briggs Myers
in the 1960s to measure personality. It is the most reliable ... Show more content on Helpwriting.net ...
They like appreciate social interaction such as activities in team. They are energetic, enthusiast and
talkative. Introverts like to emphasize on his inside world. They are reserve and quiet. They avoid
team work. They prefer activities like writing, reading and inventing.
Sensing and intuition (S or N),
Sensing people are realistic. They focus on the reality of the world by processing information through
the five senses. They concentrate on the present moment and find practical solution to difficulties.
Intuitive person goes deeper in situation and ideas. They think outside the box and are creative.
Thinking and feeling (T or F)
Thinking and feeling is about how people make decision. Thinking make logical decision based on
facts and by being objective. Feeling people make decision by considering values and principles. They
follow ethics and are passionate.
Judging and perceiving (J or P).
Judging people like to have control over their life. They are organized. They always follow a plan.
Perceiving people are flexible and they adapt easily to situation.
These pairs are then grouped together into sixteen personality types like:
1 ESTJ 9

The Influence Of Enlightenment On American Life
The Enlightenment was a European based intellectual movement centered in France. However, the
Enlightenment did reach America and was influential to American life. The Enlightenment stressed
reason and rationality in understanding and remaking the world. Enlightenment thinkers believed that
the universe could be ordered, foretold, and condensed into laws. The Enlightenment also stressed that
change and improvement was possible for individuals and society alike. Enlightenment thinkers
considered themselves to be philosophers and lovers of wisdom. People who believed in
Enlightenment ideas would have not strongly believed in God or that God had any intervention in the
world. This led to Enlightenment philosophers, such as Isaac Newton, to see

Lucent Technologies Supply Chain Of Asia
Lucent Technologies supply chain in Asia had many issues back in1996 and once it became
independent from AT T; some of which were long lead times, high cost, high inventories, poor
technical support for local Asian operations and its customers. This was a consequence of the
historical supply of Asia from the United States. The establishment of local Asian facilities was only
as an entry mean to the Asian market. Even though the facilities provided some high level assembly
and test, the supply chain was organized and centered on the U.S. leading to the problems mentioned
earlier. A change was required and thus a supply chain redesign was completed in 1996, providing
more Asian content. The change had a successful payback; however, developing changes in the
marketplace, in suppliers, and in the manufacturing environment suggested that the supply chain was
no longer optimal. At the start, forming the four joint ventures in Asia (Taiwan, Indonesia, China, and
India) was only an entry vehicle for Lucent into the Asian market and not part of a manufacturing
strategy. Nevertheless, Lucent had its share in the Asian market, was able to manage its business there
successfully, and did not have much of challenges. They were the market leader in the U.S. for
switching systems, and their flagship product the 5ESS® Switch was the most reliable and widely
used switching system around the world. Selling their product was relatively easy back then before the
telecommunication market was

Summary Of Smart Textile Applications Within The Medical...
Smart Textile Applications within the Medical Field
Keanna Rutledge
Delaware State University
Research has proven that the clothes one wears can affect the person s mental and physical
performance (Michalak Krucińska, 2017). Moreover, it is posited that there is something biological
that happens when one puts on a snazzy outfit and feel like he or she is a new person. The act of
wearing formal business attire is proven to increase the abstract thinking of an individual. Besides, an
individual s clothing may also determine the person s performs in negotiation deals. For instance, a
person who is smartly dressed will obtain more profitable contracts than the one not smartly dressed.
On the flip side a person not smartly ... Show more content on Helpwriting.net ...
Wearable s are small devices that are electronic that often consist of at least one sensor and have a
computational capability. These advanced smart textile products play the role of monitoring, analyzing
and in some cases healing of diseases in patients. These smart textile products are hand worn, head
worn and also body dressed about their functions in a person. For instance, for fitness and health
tracking, one may wear an intelligent bracelet on the hands that indicate the degree to which the hands
are washed (Castano Flatau, 2014). Moreover, watches like the Pebble smartwatch, wristband like the
tactile bracelet, and wearable computers like the Amon are used in monitoring one s health. On the
head, there are wears such as the medical headsets, breathing masks, communication helmets, and the
smart glasses which are also vital to the success of healthcare practitioners in analyzing, monitoring
and treatment of some diseases. On the body, there are wearable patches, the E skin, foot, and arm
wear like the RunScribe and the smart t shirt that has integrated sensors to help the medics in
monitoring the medical conditions. Smart medical textile revolutionalizes the provision of health care
services like the textile blood vessels, which are clothes that measure heart rate and help the medics in
stabilizing their patients. Additionally, in small children who are unable to move their

Differences Of Edgar Allan Poe, Hawthorne And Washington...
Poe, Hawthorne, and Irving
A light switch is either on or off; in a sports match, a team either wins or loses; water is either hot or
cold; people are wealthy or poor; thin or fat; muggle or wizard, Dr. Jekyll or Mr. Hyde. These are
examples of binary opposites. Rational and irrational thinking are binary opposites meaning that they
are concepts that cannot coexist. However, many of the authors that we have read about push the
boundaries of this concept. They force our minds to look at the gray areas instead of just black and
white and to reflect on reality vs fantasy. They bring the unknown, the fears, and the unaccepted into
our world. These authors mix true events with things that they couldn t know so they made them up.
Edgar Allan Poe, Nathaniel Hawthorne, and Washington Irving are well known authors of American
Romanticism. They are also all known for pushing these boundaries through their creative writing
styles. The Romantic Movement, as generally agreed by most scholars, focuses on the individual, the
subjective, and the spontaneous (Pennell, 2006, 2). Romantics encouraged contemplation and self
awareness, direct contact with nature, and a focus on and an exploration of inner feelings.
Edgar Allan Poe born in Boston January 19, 1809. Poe s parents both died before his third birthday.
He was raised by his foster parents John and Frances Allan in Richmond, Virginia. After Poe enlisted
in the Army his first collection of poems was published, followed by his second

Unfriended
Unfriended is a 2014 American found footage supernatural horror film directed by Russo Georgian
director Levan Gabriadze,[4][5][6] written by Nelson Greaves, exec produced by Jason Blum, co
produced by Adam Sidman, and produced by Timur Bekmambetov and Greaves. The film premiered
at the Fantasia Festival on July 20, 2014, and at SXSW on March 13, 2015. It received a theatrical
release on April 17, 2015. The film, which is told entirely through a high school student s Macbook
screen,[7] stars Shelley Hennig as one of several friends who find themselves terrorized online by an
anonymous person.[8] The film received mixed to positive reviews from critics and has grossed $64
million against a $1 million budget. A sequel to the film has been greenlit and is in development. In
Fresno, California, high school student Laura Barns (Heather Sossaman) is relentlessly bullied and
harassed after a video of her drunk at a party is uploaded to YouTube without her consent, causing her
to take her own life. ... Show more content on Helpwriting.net ...
It shows her standing in the middle of what appears to be her school s basketball court pointing a gun
to her head and, despite the pleas of nearby students, she pulls the trigger. Blaire is then contacted over
Skype by her boyfriend Mitch Roussel (Moses Jacob Storm). As they discuss losing their virginities,
they are suddenly joined by their classmates Jess Felton (Renee Olstead), Ken Smith (Jacob Wysocki),
and Adam Sewell (Will Peltz). During their conversation they notice a random user dubbed billie227
in their chat, who was not invited by any of the

Essay on Using PCR and Gel Electrophoresis to Determine...
Using PCR and Gel Electrophoresis to Determine Genotype In certain situations, it is necessary to
identify DNA retreived from a sample. When there is a small sample in need of identification,
Polymerase Chain Reactions are used to multiply the DNA in the sample in to many identical samples.
The DNA retrieved from the reaction can then be imported into an aparatus using gel electrophoresis
to compare the sample of DNA to other samples. In our experiment we learned the how to replicate
tiny samples of DNA into usable amounts and how to analyze the specimine using gel electrophoresis.
The samples of DNA were obtained by plucking individual hairs from students heads and using the
PCR device to replicate the DNA from the roots of ... Show more content on Helpwriting.net ...
This process results in exact coppies of DNA molecules. The amplified samples of DNA were placed
into the gel electrophoresis aparatus where we were able to see if the sample of DNA was
heterozygous or homozygous. It is important for us to be able to replicate and examine DNA. In the
event of violent crimes, small samples such as hair, skin, seamen, blood, or urine can give
investigators a sort of genetic fingerprint of the criminal. The first step in employing the methods
discussed above to replicate and investigate DNA was to obtain a sample. Our samples were obtained
by plucking hair from students in our class. The root of the hair was isolated and placed into a small
microfuge tube. The tube with the hair root was then incubated in 100 ul of digestion buffer containing
6ug of proteinase K for one hour at 55°C then for ten minuets at 95°C using the thermocycler in the
lab room. When the DNA extraction was cooled, the tubes were vortexed for thirty seconds. After that
a new microfuge tube was set up by adding 15.0ul of the extracted DNA and 10.0ul of the reaction
muxture. The reaction mixture contained 4.0ul of H2O, 2.50 ul of 10x PCR buffer without Mg, 1.25ul
of DMSO and 20x dNTP s, and 0.50ul of #1 and #2 primer. It should be noted that a hotstart PCR is
required. This means that the Taq DNA polymerase is not to be added to the PCR reaction mixture
until the solution has reached 95°C. The temperature conditions for the

Right Triangle Research Paper
There are six trigonometric ratios that one must know in order to find any angle in a right triangle.
There are various of ways to remember these trigonometric ratios, but the most common way is
through SOHCAOTOA. By having this clear in your memory, it will allow one to remember at least
the three basic trigonometric ratios: Sine (sin.), Cosine (cos.), and Tangent (tan.). Before one learns
about how SOHCAOTOA is split up, we must learn about the angles in a right triangle. First off, the
hypotenuse is the longest line in a triangle, then in order to find the adjacent and opposite, one must
locate where the angle. Upon locating the angle, we can conclude that the opposite is further away
from the angle, whereas the adjacent is the closer one ... Show more content on Helpwriting.net ...
In short, these three trig. ratios are the reciprocal of sine (sin.), cosine (cos.), and tangent (tan.).
Although many may assume that cosecant is the reciprocal of cosine, it is actually that of sine, which
means that cosecant is hypotenuse over opposite. Thereafter, that leaves us with secant, which is in
fact the reciprocal of cosine, demonstrating that it is hypotenuse over adjacent. Nonetheless, cotangent
is the last trig. ratio, meaning that it is the reciprocal of tangent, being rather adjacent over opposite.
Now, we know the formulas for these trigonometric functions being: Csc=HypotenuseOpposite,
Sec=HypotenuseAdjacent, and Cot=AdjacentOpposite . For example, the triangle on the next page is a
7 24 25 right triangle, and we must determine the six trigonometric ratios for angle C of the right
triangle. Based off this information, we can determine that the adjacent is 7, with the opposite being
24 and hypotenuse as 25. In order to find the sine of angle C, we must write out Sin C
=OppositeHypotenuse and plug in the numbers to equal Sin C=2425. Next, in order to find the cosine
of angle C, by writing out Cos C=AdjacentHypotenuse and plugging in the adjacent and hypotenuse
number to equal Cos C=725. After solving for the sine and cosine of the right triangle, we must find
the tangent being Tan C=OppositeAdjacent.

Literary Analysis Of Peter Bosch s The Garden Of Earthly...
Finishing with the final right panel, the composition of the humans and otherworldly aspects in this
scene are scattered and messy, conveying a sense of chaos. Humans near the front of the scene are
crushed and impaled by giant musical instruments while others near the corners and sides of the scene
are crammed together, looking terrified and hollow, appearing as if they are hiding from something. In
the background, endless wars are being fought as buildings go up in flames, the battlefields are piled
with fallen corpses, and men are falling from the sky. The lack of order in composition and variety of
chaotic scenarios of man being destroyed by their own creations, such as the arts and inequality,
convey the sense that humanity s empire ... Show more content on Helpwriting.net ...
Instead, in the middle panel, the focus is more towards gaining control over groups of humans or
nature itself rather than indulging in lust. Art historian, Ludwig von Baldass, provides another
interpretation of The Garden in which he suggests that women are the cause for mankind s fall
(Baldass). As The Garden heavily references the Bible, it seems plausible that women would be agents
of chaos as it is Eve, in the first biblical story, who first ate the fruit from the Tree of Knowledge
before giving some to the Adam. However, Bosch s work is not a perfect rendition of the biblical
story, but merely references it, as noted from the larger than real life animals, oddly shaped structures,
and the human s paper white skin tones (save for a very small number of those with black skin tones).
There is also no proof showing that it was a woman who ate the red fruit first as it was a scene never
painted. Lastly, all people, both man and woman, were partaking in the fruit in the middle panel and
all of them were being tortured equally in the final panel. Overall, the interpretation of The Garden of
Earthly Delights representing the rise and fall of mankind through the indulging of their own vices
offers the most evidence to back it up, which can be found in all three panels. Humans desire to obtain
various forms of abundance, control, and power over their surroundings has, for centuries, been the
foundation on which empires

Mandatory Ventilatory Case Study
Primary and long term treatment for CCHs is placement of a permanent tracheostomy. This most
common invasive procedure involves the child being placed on positive pressure ventilation during the
night. Depending on the severity of alveolar hypoventilation, some patients may require around the
clock ventilation. The suggested ventilator mode for these patients iare spontaneous intermittent
mandatory ventilation (SIMV). SIMV delivers a set number of fully assisted breaths whether the
breaths are patient triggered, flow limited trigger, or time triggered. Additional spontaneous breaths by
the patient are unassisted with no ventilator help. Ventilators should be used in the spontaneous
intermittent mandatory ventilation (SIMV) mode. Another recommendation is the use of an uncuffed
tracheostomy to minimize granuloma formation. Ventilator settings can compensate for air leaks
around the tracheotomy tube by increasing volume and peak airway pressure as necessary. Mild
hyperventilation in ... Show more content on Helpwriting.net ...
Negative pressure ventilation relies on the ability to move the chest wall. Negative pressure ventilation
(NPV) has also been used in treatment in CCHS patients, however it has been linked to upper airway
obstruction during sleeping. Nasal mask ventilation has also been proven in children who are older
than 7 years of age with a dependency on nocturnal ventilation. This is the preferred mode of
ventilatory support by parents and patients.[32]
Daytime diaphragm pacing in children with CCHS provides greater mobility than mechanical
ventilation.[33] Thus, candidates for diaphragm pacing are potentially ambulatory patients who
require ventilatory support 24 h/d via tracheotomy and who do not exhibit significant ventilator
related lung damage. Diaphragm pacer settings must provide adequate alveolar ventilation and
oxygenation during rest and daily activities. Long term outcome appears good, especially quality of

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