Wednesday, November 27, 2019
Useful Recommendations on Writing a Mathematics Term Paper
Useful Recommendations on Writing a Mathematics Term Paper Mathematics term papers differ from those that are concerned with a range of humanitarian sciences. Even though the standard structure of the academic papers that consists of the introduction, body, and conclusion elements is followed, there are still many nuances that should be considered while writing such a type of paper. At the same time, one should keep in mind that it is not only about explaining the concepts or theories in practice. The mathematics term paper can also be concerned with some easier topics, for instance, ââ¬Å"The Contribution of Rene Descartes in Mathematics.â⬠Importantly, all the mathematics term papers turn around the idea of logical narration, usage of specific language, regimented notation, and also mathematical symbols. In this mathematics term paper writing guide, youââ¬â¢ll find all the necessary information on how to write a term paper in Mathematics so that it will have success for you a researcher and the field in the whole. Move closer to successful mathematics term paper writing. Why Is It Important to Write a Mathematics Term Paper? Mathematics is one of the STEM disciplines, and it is possible to assume that the writing activity is not that important for those who deal with this subject. Nevertheless, the writing part is extremely helpful as it depicts how to express the ideas, state and prove the arguments, enhance own knowledge of maths. What is more, the process of term paper writing helps students to improve their knowledge as during the work there would be a need to do research, refresh some already-gained knowledge, and refer to the new sources. In case if the concepts used in writing were not explored before, the writing process would help retain these concepts that would be later learned in the math class. As it has already been mentioned, writing in Mathematics is not the same as writing papers on other subjects. In this case, one would need to show how well he or she understands a number of mathematical concepts, rules, and ideas. In such a way, a proper mathematical term paper would include the calculations with the appropriate and clear explanation. Otherwise, the writing would not make sense. The Choice of a Good Topic for Your Mathematics Term Paper Choosing the topic is one of the important stages in writing the paper. A writer who knows the topic also knows the directionÃ'Ž It means that it is easier to create the outline, structure the paper, search for some sources. At the same time, there are not so many topics to choose from due to the specifics of the subject. The students can be asked to do some research on the life and achievements of some renowned mathematicians, or some calculations followed by a detailed explanation, etc. Oftentimes, professors suggest a list of the themes so that students have nothing but choose the one that seems to be the most interesting or challenging for them. In case, if the professor lets students feel free in terms of the themes, it can be hard for someone to come up with a good topic. So, that person can simply go to the corresponding site and pick whatever topic one wants. Thus, some of the themes for the mathematics paper are as follows: The List of Topics in the History of Mathematics: The History of Zero Number; The Meaning of an Infinity Concept; Numbers in the Ancient Mythology; Differences in the Translations of Euclid; Math in the Military Sphere; Descartes Effect on the World of Mathematics. The List of Topics in Real-World Math: Math and Baseball; The Golden Ratio and Ideal Beauty; Irrational Numbers; Math and the Digital Camera; Boolean Searches and the Math of Googling. The List of Topics in Geometry: The Foundations of M.C. Escher Art; Logistics and Geometry; Crop Circles; Einstein and the Snowflake Game; How Geometry Changed the World. The same way as the term paper itself, the themes are to be clear and concise covering the main idea of the entire writing. How to Organize Mathematics Term Paper Writing in Math and Why It Matters? ââ¬Å"Organization comes firstâ⬠is the rule that a person should memorize for the rest of the studies and even lifetime. The given statement works in different environments and situations. Term paper writing is no exception! It is worthy to mention that the right organization, as well as arrangement, would help both the writer and the reader. Whether it is a professor or some other students, one has to be sure that everything that is written in the paper would be understood by others. Most likely, one has some books, maybe, scientific journals that would be helpful for the homework. Thus, one should lay all the available printed sources aside so that there was no turmoil when one of the sources is needed. Besides, one should think about the workplace. The environment and the atmosphere are to be considered as a researcher should feel comfortable while writing. What is more, there should be no distracting things, as well as noises. As a result of the right atmosphere during the process of writing, there would be a good, coherent, and comprehensible paper. The Importance of Outline Writing for Your Math Term Paper In such a way, as soon as the topic is chosen, it is high time to make an outline. Many students tend to consider it is a waste of time. However, the correctly-created outline becomes the base that guides the writer throughout the writing process. One can also say that a plan is the same thing as an outline. Before starting to write the draft version of the text, one should write down some key points that are needed to support the thesis statement. After the main ideas are noted, it is time to arrange them so that they are logically followed one by one making sense in the context of the entire paper. Thus, the outline helps one to see the points that would be later generated into the paragraphs. The Structure of the Term Paper in Mathematics The term paper, normally, consists of the abstract, introduction, body paragraph, and the conclusion. Both the introduction and conclusion take 20% of the paper: 10% for the introduction, and 10% for the conclusion accordingly. One should be equally attentive while working on the parts of the work. The introduction must be compact, include an effective thesis statement that is the last sentence. A well-written thesis statement would not be too general and would cover the main point of the entire writing. As for the conclusion, it restates the thesis and also mentions what things have been learned by the student. The body part is the most important one as it shapes the major work that is done by the students with all the arguments, key points, and proofs. The structure of the body paragraphs in math term paper is the same as in any other discipline. Thus, there should be a topic sentence followed by the explanation, supporting points, evidence, and examples if needed. Importantly, every paragraph should have at least one citation so that it is understood where the specific information comes from. In the body paragraphs, the students should demonstrate their ability to logically explain the idea noted in the topic sentence. The outside sources are needed to underpin the suggestion of the writer. The evidence can be represented by published trustworthy opinions, case studies, researches taken from books, scientific journals, or appropriate website, and also facts. Finally, all the paragraphs are interconnected and help to revolve the main idea of the paper. Thus, there cannot be a paragraph tha t is isolated from all the rest of the body parts. Transitions are crucial if the student wants to write a term paper that sounds good. With the help of the transitions that are included in the last sentence, the writer approaches the reader to the next paragraph. Therefore, transitions create the connection between all the parts of the paperââ¬â¢s body. Even though the abstract is the first part of the essay that comes right after the title page, it is better to write it after the term paper is completed, rearranged if needed, and revised. In addition to this, while rereading the entire work, one should find the three most important elements in the paper that are concerned with the thesis statement. Besides, students should be aware of the research question of the paper, the scope of the work, the conclusion, recommendations, and implications if these are noted in the paper. Below, one can see 5 tips for writing an excellent abstract. The Sources on the Page of Your Math Term Paper Writing As for the sources, there is one important thing to keep in mind: all the sources are to be credible in your term paper. In cases when a student is not sure whether the source is a good one, it is better to consult a professor. If the topic requires some considerable research work, the workbooks would not be enough. Therefore, one would have to surf the Internet for some time. While searching for some information on the web, one should be attentive and check whether it is a governmental, educational, or devoted to mathematical themes website. Here are some websites that can be helpful while writing the term paper in Mathematics: https://www.wolframalpha.com/examples/mathematics/ http://mathworld.wolfram.com/ https://www.geogebra.org/ sagemath.org/ http://maxima.sourceforge.net/ Later on, there would be a need to create a Page. To create a correct list of the used sources, one should take a look at the samples that can be found on the Purdue Owl website. Importantly, all the sources used in work are to be included in the page, as well as every author noted in the list of the sources, must be cited in the text. An Important Reminder for You A deliberate term paper is a smooth text that suggests some bulk of information in a logical form. It is critical that the writing does not include any repetitions. It is not a simple rule that is based on the professorââ¬â¢s desire to avoid the empty talk. One should obviate repetitions to create a readable and engaging text. As soon as some repeating ideas are found in work, an interested person can stop reading it. In addition to this, it is impossible to miss out that there are sometimes really complicated topics and a student could not be confident whether the calculations are correct. In such cases, it is better to consult someone to find out if everything is correct in the calculations. Consulting someone is not cheating as it also presupposes that the writer is also discussing the issue together with the mentor. What is more, if the calculations are important for the rest of the paper parts, it is better to find the problem at the start, than rewrite the entire paper later . Top Academic Writers Advise: Post-Writing Tips Essential for Your Mathematics Term Paper As the work is, finally, completed, one should not relax while there comes an equally important part of the writing process. Specifically, the reviewing part. It is advised that writer takes a break and only then checks the written work, however, considering the fact that it is the work in mathematics, it would better to review the writing the next day after it is completed. By doing this, the chances that the review is effective are higher. A standard review presupposes many aspects, including proofreading, paraphrasing, and rearrangement. When the students write a massive work, they are likely to make some mistakes in terms of grammar, calculations, or structure. Therefore, reviewing the term paper, one would be able to fix the mistakes so that the entire paper is readable. What is more, the structure of the completed paper can differ from the version that was outlined in the plan. It is a normal thing, and a student should simply rearrange the paper in the most appropriate way even if its structure considerably differs from the original variant of the writing. Paraphrasing also helps one omit the awkward parts of the paper. Now that you read this maths term paper writing guide, youââ¬â¢re ready to work on your term paper in Mathematics. Moreover, the chances to get high results in term paper writing are higher than they would be without reading this useful information. Believe in your power and create a powerful mathematics term paper!
Saturday, November 23, 2019
Care of the child during the perioperative phase The WritePass Journal
Care of the child during the perioperative phase Introduction Care of the child during the perioperative phase IntroductionReferencesRelated Introduction This assignment will focus on the care of a two year old child throughout his time in the perioperative environment. It will begin with the preoperative assessment and provide any background information and history about this patient. This paper will then go through the theatre experience and what care this child received and why, such as the type of anaesthesia used, their surgery and the recovery of this patient up until they were discharged back to their ward. This assignment will underpin how a childââ¬â¢s anatomy is different to the adult anatomy and why this affects what care is given to children. This assignment will focus on the role of the operating department practitioner (ODP) and how they assist in providing care for this individual throughout their time in the operating theatre. It will touch on how the parents/guardians can be involved in some stages of this childââ¬â¢s care too. Various pieces of research from current debates, testimonies/policies, journal articl es, books and internet sources will be included. Furthermore, references to these sources of research will provide evidence of the decision making process in providing the necessary care for this particular patient. There are many differences between the anatomy of paediatrics and adults such as differences in size, anatomy, physiology, pharmacology and psychology Pescod (2005): Infants have larger heads that need to be stabilised during intubation. Their tongues are larger and their necks shorter, therefore their airways are more prone to obstruction than in adults. Infants and babies mainly breathe through their noses and therefore their nostrils are very small and easily obstructed too. A childââ¬â¢s larynx is located further forward and at a higher level relative to the cervical vertebrae compared to an adult. A childââ¬â¢s epiglottis is longer and U shaped compared the adultââ¬â¢s and also their trachea is quite short. When intubating children it is advised that both lungs be listened to using a stethoscope, this will ensure that the endotracheal tube is not only in one lung (Macfarlane 2006). In pre-pubescent children, the narrowest section of the airway is the cricoid ring and after puberty the narrowest part is then at the same level of the vocal cords. A complication caused by pressure from the endotracheal tube can be the production of a mucosal oedema and post extubation stridor. It is advised that pre-pubescent children should have an un-cuffed endotracheal tube and that the correct sized endotracheal tube is selected (Black 2008). Brown (2000) cited in Clarke (2010) states that infants have a higher metabolic rate and an increased oxygen consumption level compared to adults. De Melo (2001) cited in Clarke (2010) explains that this is why induction and emergence from anaesthesia in children is much quicker. Higher oxygen consumption means that infants will rapidly consume their oxygen reserves and become cyanotic if they are apnoeic. Higher oxygen consumption leads to a higher carbon dioxide production, which requires increased ventilation to remove it (Pescod 2005). Respiratory rates in children are faster due to paediatric lung immaturity and smaller lung volume reserves therefore paediatric breathing equipment is essential. Blood pressure is lower in children than adults because of low peripheral resistance (Krost et al 2006). Children have a relatively small blood volume, for example a 5kg infant will have a blood volume of only 400 ml (Macfarlane 2006). The World Health Organisation (WHO) (2005) states that infants are at a greater risk of cooling when exposed to a cold environment because the ratio of body surface area to body weight is much more than in older patients. Skin and subcutaneous fat is thinner, providing less insulation and greater heat loss. Temperature regulation is immature and infants must be kept warm. The operating theatre should be heated and the infant kept covered and intravenous fluids should be warmed. The differences in physiology of the infant will alter the effect of some drugs. Decreased renal and liver function results in certain drugs being excreted more slowly. The dosing interval should be increased to avoid toxicity (Pescod 2005). The minimum alveolar concentration (MAC) of inhalational agents is greater in the young and decreases with increasing age. There is a smaller margin of safety between adequate anaesthesia and cardiovascular and respiratory depression in infants compared with adults. Both induction and recovery from inhalation agents is more rapid in children than adults (Pescod 2005). Preparation for surgery is paramount and evidence proves that it reduces associated stress and can even promote recovery. As a result of this evidence, many hospitals have a pre-admission preparation programme for patients including children who are due to undergo emergency or elective surgery (Chambers and Jones 2007). Preoperative assessment takes place in an outpatient clinic following with a nurse or a consultant no more than one month before admission to hospital. For emergency cases, the preoperative assessment is carried out shortly before the surgery takes place. In an evaluation on the effectiveness of a pre-assessment clinic for children undergoing day surgery at Oxford Radcliffe childrenââ¬â¢s hospital, Higson and Finlay (2010) concluded that pre-assessment clinics prove to be very effective. Pre-assessment clinics support surgical planning and aid everybody in preparation for the surgery from medical staff to the child and their family. These clinics also provide paren ts with information about the surgery, gives them a chance to present any fears or questions about the surgery and the well being of their children throughout the whole perioperative experience. It also helps them and their children prepare for admission. The National Health Service (NHS) (no date) state in a patient information leaflet that during a pre-assessment appointment, depending on the patientââ¬â¢s age, medical history and the nature of the operation, various routine investigations are performed. These may include blood tests, electrocardiogramââ¬â¢s (ECGââ¬â¢s), blood pressure and pulse monitoring and weight measurements. During the appointment the patientââ¬â¢s medical history and details of any medication being taken is recorded. The patient/family members will then have the opportunity to ask the nurses any questions about their operation and their stay in hospital. In another patient booklet the NHS (2004) state that the main aim of pre-assessment clinics are to assess the patient and ensure that they are fit for surgery. It also gains the patientââ¬â¢s consent for the operation and to confirm that the admission date is acceptable for them. Pre-operative assessment clinics also provide an opportunity to o rganise anaesthetic assessment if required. The child chosen to be studied for this assignment received scalds across his chest from a hot drink which he had accidentally pulled from a shelf at home. This child only received partial thickness burns and suffered pink and red, blistering burns. He received more than 10% burns and therefore was admitted as an in-patient. There was no evidence of respiratory distress. During the pre-operative assessment the parents were told what to expect so that they could prepare themselves and their child for the procedure. Patient history was gathered from the parents; however the child had no previous medical history. Their consent was also given for the child to receive surgery. The reason for the procedure was explained and the anticipated outcome, potential risks and benefits were also explained. It was also ensured that the child was medically fit for the operation. It is widely accepted that the childââ¬â¢s parents/carers be involved in all decisions affecting the treatment and care of the child and in the physical and psychological support of the child too (Chambers and Jones 2007). The surgical care of infants and children can present difficult ethical dilemmas. The nurseââ¬â¢s/ODPââ¬â¢s role involves acting as the childââ¬â¢s advocate and in supporting decision making together with the child and family. Basic ethical principles beneficence, nonmaleficence and justice should be applied. All actions should be of benefit to the child and family and ultimately do the child no harm. All individuals should be treated equally and with fairness and ethical decisions should be made with the involvement of the child and the family (Chambers and Jones 2007). During the pre-operative assessment appointment there was an opportunity for the child to become accustomed to to the environment, play with and become familiar to theatre equipment such as monitoring, stethoscopes and masks. It was checked that the child was in the best nutritional state possible as good nutrition will aid in healing wounds (Pescod 2005). According to WHO (2005) surgery may cause blood loss and the anaesthetic may affect oxygen transport in the blood. This childââ¬â¢s haemoglobin was checked to see if it was normal for the age of the child, it was ensured that the childââ¬â¢s blood was cross matched and that reserve blood transfusions were available in case of situations where anaemia must be corrected quickly. On the day of surgery during the preparation of paediatric airway equipment, it was ensured that the ODP assisting the anaesthetist had appropriate endotracheal tube sizes available, particularly one size smaller and larger than the tube intended for use. Because paediatric patients can deteriorate rapidly, an emergency intubation trolley was available providing a range of different sized paediatric equipment. This included small cannulae, guedel airways, nasal and oropharyngeal airways, bougies and stylets and Magill forceps. There were other various pieces of equipment available from the trolley too such as different sized endotracheal tubes and fibre optic laryngoscopes. It was ensured that all necessary equipment and monitoring were checked and available. Also drugs including emergency drugs were immediately available such as suxamethonium and atropine. Children have much smaller diameter airways than adults and it makes them susceptible to airway obstruction (Clarke 2010). This child was intubated as it helps to protect an airway during surgical procedures. It is recommended to have tubes one size bigger and smaller available. Prior to anaesthetic children may become very distressed and so having a parent or carer in the room is an advantage as it lessens the childââ¬â¢s level of anxiety. On this occasion, the childââ¬â¢s mother came into the anaesthetic room along with a member of staff from the childrenââ¬â¢s ward. The anaesthetist had already met the child and his mother and had developed a relationship. Communication is also essential between the anaesthetic assistant (or ODP) and the child and his parents to build up a relationship and rapport (Amin et al 2010). The parents were very concerned about the safety of their child so therefore any questions were answered honestly and truthfully with support and reassurance. Once the child had arrived in the anaesthetic room his details were checked and the consent was clarified with his parents. It was also confirmed that the child had an empty stomach prior to receiving a general anaesthetic and all allergies were noted (Pirotte and Veyckemans 2004). All of the pre-op checks were recorded on a theatre care plan which was devised to enable the correct recording and documentation of the care received by the child whist in theatre. It was compatible with the care plans used on the childrenââ¬â¢s ward so that continuity of care could be maintained (Pirie S 2011). Care plans are also a useful tool in recovery for use at handover to ensure that everything is communicated to the ward staff (Chambers and Jones 2007). Routine monitoring was attached and this gave an opportunity to play games with the child to ease tension whilst he became familiar with his surroundings. ECG was attached and a pulse oximetre placed on the childââ¬â¢s foot. The blood pressure was attached once the child was asleep. While the child remained seated on his motherââ¬â¢s lap and continued to play games he was anaesthetised by inhaling sevoflurane, a volatile anaesthetic agent together with nitrous oxide and oxygen through a mask which was held nearby to his face. Inhalational induction is an excellent technique for young children and/or children who fear needles (Macfarlane 2006). Once the child had lost consciousness, the parents returned back to the ward with the ward nurse. The ODP or anaesthetic assistant assisted in airway maintenance and ventilation whilst the anaesthetic cannulated the child. Once cannulation was achieved the child was given propofol intravenously and the child was intubated. Because children have an increased metabolic rate compared to adults, it was paramount that there was plenty of intravenous fluid available. Due to an interruption of normal fluid intake, replacement fluids were determined hourly, based on the childââ¬â¢s weight to provide maintenance fluid and to cover ongoing losses. Hartmannââ¬â¢s compound sodium lactate solution was selected instead of saline. It was ensured that too much intravenous fluid was not given through the use of a burette. Fluids were also heated through a warming device to a body temperature. Children lose heat more rapidly than adults because they have a greater relative surface area and are poorly insulated. This is important as hypothermia can affect drug metabolism, anaesthesia, and blood coagulation. Hypothermia was prevented ensuring that the air conditioning was switched off and the room was at the correct temperature of more than 28à ºC particularly for a child with burns. It was also important that there were not many or no exposed parts of the child. A heating blanket was used to cover the lower body of the patient and the childââ¬â¢s temperature was monitored throughout the operation via a nasal temperature probe. Throughout the surgery the child was continually examined and reviewed. His responses to pain medication, boluses of IV fluids, oxygen, and IV transfusions, where appropriate were monitored. A catheter was not inserted on this occasion due to the length of the operation. IV fluids given intravenously were closely monitored because of the risk of f luid overload leading to heart failure or cerebral oedema. Prior to the child entering the theatre it was paramount that the operating theatre was correctly prepared. Children are susceptible to pressure ulcers and prevention is essential. Chambers and Jones (2007) have clearly states that infants should be lying with their limbs in a neutral position so that nerves are not damaged during surgery. All monitoring leads and intravenous lines were not underneath or on top of the patient where they could cause damage, instead they were positioned alongside him and the breathing circuit was secured by a tube holder A team meeting was carried out where the anaesthetic team shared information about the patient such as his allergies and what the operation was about to entail. Prior to the commencement of surgery, the scrub nurse/ODP checked the consent form against the childââ¬â¢s name band with a circulating nurse. It was the scrub nurseââ¬â¢s/ODPââ¬â¢s duty to ensure that the child was not at any risk of harm from the weight of the drapes or surgical instrumentation being applied incorrectly or placed on top of the patient. It was also their duty to make sure all equipment such as instrument sets and dressings were available for this operation. The burnt skin was carefully cleaned; debrided and the blisters were pricked and dead skin removed. A thin layer of biobrane film was also applied and held in place with skin glue. Biobrane is a biosynthetic wound dressing constructed of a silicone film with a nylon fabric partially imbedded into the film (Smith and Nephew no date). It is a temporary skin covering which is used to aid the healing of superficial/partial thickness burn or scald injuries (Latenser and Kowal-Vern 2002). Biobrane acts as a temporary dressing that remains in place for up to two weeks or until the wound underneath has healed.à Biobrane helps to reduce levels of pain and discomfort for the patient, the need for painful dressing changes and may also lead to a reduction in scarring for the patient (NHS 2010) (Mandal 2007). In a randomised controlled trial by Kumar et al (2004) it was concluded that biobrane significantly reduces the time taken for partial thickness burns to heal. After the biobrane had been applied, a dressing was placed over the top to protect the biobrane and to help prevent any infections. Once the surgical operation had been completed, the child was transported to recovery. Children are generally recovered in a child friendly environment preferably away from adult patients. The recovery used for this child in the burns unit only contained one recovery bay and so there were no adult patients close by. Also the recovery staff trained in recovering paediatrics had notification of the childââ¬â¢s arrival and therefore all the specific paediatric equipment was prepared. This included paediatric breathing systems, non-invasive blood pressure cuffs, small face masks and airways. There was clear communication with the ward staff and family about the outcome of the operation, problems encountered during the procedure, and the expected postoperative course. The parents were notified of their childââ¬â¢s progress and encouraged to be with their child in recovery. This helps minimise any emotional trauma as soon as they are fully awake and suitably recovered. All vital sign s were monitored, the respiratory rate, pulse and a one off blood pressure was taken too, ensuring there were no abnormal readings (Fisher 2011). The Australian and New Zealand College of Anaesthetists (ANZCA) (2005) cited in Baulch I (2010) explain that indicators of infants in pain can be observed in their behaviour and may include crying, and altered facial expressions and body movement. Infants may also display individual reactions such as withdrawal or fighting to alleviate their pain. Physiological changes may also be observed, with increases in blood pressure, heart and respiratory rate, and sweating. This child arrived into recovery having already received a lot of analgesic and so did not show any signs that he was experiencing pain. Once he had fully recovered from the anaesthesia the child was discharged back to the childrenââ¬â¢s ward with his parents. The ODP acts as an integral part of the team in the operating department working with surgeons, anaesthetists and theatre nurses to help ensure every operation is as safe and effective as possible. ODPs provide high standards of patient care and skilled support alongside medical and nursing colleagues during perioperative care. The care of children with burns requires a multidisciplinary team approach (Williams 2011). The best possible care of a child in the operating theatre requires psychological preparation, planning for each individualââ¬â¢s specific needs, and good communication between the child, family, the ward staff and the theatre nurses, with all the potential risks to the child being safely managed. Effective collaboration between families and the multidisciplinary team is imperative to the long term success of any surgery. The child and parent should always be kept well informed of the care plan and treatment at each stage. Families should be given a clear forecast of the outcome of the surgery, ensuring that expectations are realistic (Chambers and Jones 2007). References Amin A, Oragui E, Khan W and Puri A (2010) Psychosocial considerations of perioperative care in children, with a focus on effective management strategies. Journal of Perioperative Practice. 20 (6), pages 198 ââ¬â 202 Baulch I (2010) Assessment and management of pain in the paediatric patient. Nursing Standard. 25 (10), pages 35 ââ¬â 40 Black A (2008) Laryngospasm in paediatric practice. Paediatric Anaesthesia. 18 (4), pages 279 280 Chambers M and Jones S (2007) Surgical Nursing of Children. London: Elsevier Butterworth-Heinemann. Clarke S (2010) The differences of anaesthetic care in paediatrics compared to adults. Journal of Perioperative Practice. 20 (9), pages 334-338 Fisher S (2000) Postoperative pain management in paediatrics. British Journal of Perioperative Nursing. 10 (2), pages 80 ââ¬â 84 Higson J and Finlay T (2010) Pre-assessment for children scheduled for day surgery. Nurse management. 17 (8), pages 32 38 Krost W, Mistovich J and Limmer D (2011) Beyond the basics: paediatric assessment. Available at: emsworld.com/print/EMS-World/Beyond-the-BasicsPediatric-Assessment/1$3346 Accessed on 23/04/11 Kumar R, Kimble R, Boots R and Pegg S (2004) Treatment of partial-thickness burns: A prospective, randomised trial using Transcyte. Australian and New Zealand (ANZ) Journal of Surgery. 74, pages 622 ââ¬â 626 Latenser B and Kowal-Vern A (2002) Paediatric burn rehabilitation. Paediatric rehabilitation. 5 (1), pages 3 ââ¬â 10 Macfarlane F (2006) Paediatric anatomy and physiology and the basics of paediatric anaesthesia. Available at: anaesthesiauk.com/documents/paedsphysiol.pdf Accessed on 21/04/11 Mandal A (2007) Paediatric partial-thickness scald burns ââ¬â is Biobrane the best treatment available? International Wound Journal. 4 (1), pages 15 19 North Bristol NHS Trust (2010) Your childââ¬â¢s biobrane. Bristol: North Bristol NHS Trust Northern Devon Healthcare NHS Trust (no date) About Surgical Pre-assessment Clinic. Devon: Northern Devon Healthcare NHS Trust Northern Lincolnshire and Goole Hospitals NHS Trust (2004) Welcome to the Pre-Assessment Unit: Department of Surgery. Northern Lincolnshire: Northern Lincolnshire and Goole Hospitals NHS Trust Pescod D (2005) Paediatric anatomy and physiology and pharmacology. Available at: developinganaesthesia.org/index2.php?option=com_contentdo_pdf=1id=48 Accessed on 21/04/11 Pirie S (2011) Documentation and record keeping. Journal of Perioperative Practice. 21 (1), pages 22 ââ¬â 27 Pirotte T and Veyckemans F (2004) Preparation of the paediatric patient. Acta anaesthesiologica Belgica. 55, pages 1 ââ¬â 6 Smith and Nephew (no date) Biobrane: Biosynthetic wound dressing. Available at: http://wound.smith-nephew.com/uk/node.asp?NodeId=3562 Accessed on 18/04/11 Williams C (2011) Assessment and management of paediatric burn injuries. Nursing Standard. 25 (25), pages 60 68 World Health Organisation (2005) Pocket book of Hospital care for children: Guidelines for the management of common illnesses with limited resources (1st edition). WHO Press: Hong Kong
Thursday, November 21, 2019
Industrial hygiene Case Study Example | Topics and Well Written Essays - 1250 words
Industrial hygiene - Case Study Example c among many others, an industrial hygienist therefore ensures the safety of the employees at a place of work by ensuring that the risks presented by the above hazards do not materialize at the place of work. The goal of industrial hygiene is to prevent both industrial diseases and industrial accidents both of which incapacitate the employees thereby causing immense inconveniences in their productivity. In doing this, industrial hygienists use a number of scientific techniques including exposure assessment, risk management, and industrial safety among others. The profession employs rigorous and stringent methodologies that often require professional judgments based on both experience and education in its determination of the potential exposures to hazardous environments. In doing this, the professionals implement safe procedures, systems and methods of completing tasks in a company. I. A professional hygienist conducts effective health programs in a governmental organizational or an industrial plant with the view to recognizing, eliminating and controlling the occupational hazards and diseases. The hazards may arise from either the working environment or the nature of the work. As such, the professional collects various samples including vapors, dusts and gases among other materials that may possess a level of toxicity for in-depth analysis in laboratories. After the scientific analyses, the professional makes recommendations depending on the level of the risks that the materials present to the employees thus making the place of work safer for the employees. II. A professional hygienist investigates the sufficiency of the exhaust equipment installed in a company, lighting and ventilation among other features that may risk the health of the employees. In measuring the efficiency of such facilities, the professional considers the number of the employees in the organizations and determines the ability of the resources to safeguard the health of the employees. This
Wednesday, November 20, 2019
Daubert v. Merrell Dow Pharmaceuticals, Inc. (1993) Assignment
Daubert v. Merrell Dow Pharmaceuticals, Inc. (1993) - Assignment Example Regarding this issue, was the courtââ¬â¢s mandate in determining the general standard for the admittance of expert scientific testimony, in the case of a federal trial. As the petitioners, Jason Daubert and Eric Schuller were minors born with serious birth defects. Their parents on behalf of the two, sued the respondent, alleging the cause of the defects to be attributable to their motherââ¬â¢s ingestion of Bendectin. As a prescription anti-nausea drug, marketed by the respondent, they were of the view that the entity was liable for criminal neglect amongst other irregularities. This necessitated research studies which eventually led to the lack of direct linkage between the drug and birth defects in human beings. The respondent showcased an affidavit, from a renowned leading expert on various risks associated to exposure to different chemical substances. He was of the view that the drug was not associated with any form of defects, with no study having found it is having the characteristics of a human teratogen. Consequently, he viewed maternal utility of the drug, during the first pregnancy trimester, as not showing any risk factors for human birth defects. The petitioners, not contesting the aforementioned published details, instead respond to the motion by way of utilizing the testimony of eight experts, working for the firm. They did earlier on come to the conclusion that the drug can cause birth defects. Basing their conclusions on both ââ¬Ëin vivoââ¬â¢ (live) and ââ¬Ëin vitroââ¬â¢ (test tube) animal studies, a link was found, between the drug and resultant malformations. In addition, was the aspect that pharmacological studies, in regard to the drugââ¬â¢s chemical structure; purported to show similarities to that of other substances that were known to cause birth defects. Last, was the fact that ââ¬Ëreanalysisââ¬â¢ of previously published epidemiological (human statistical) studies, further portrayed the lack of conclusiveness; in regard to matters pertaining chemical
Sunday, November 17, 2019
Importance of Literature Essay Example for Free
Importance of Literature Essay Literature is the foundation of life. It places an emphasis on many topics from human tragedies to tales of the ever-popular search for love. While it is physically written in words, these words come alive in the imagination of the mind, and its ability to comprehend the complexity or simplicity of the text. Literature enables people to see through the lenses of others, and sometimes even inanimate objects; therefore, it becomes a looking glass into the world as others view it. It is a journey that is inscribed in pages, and powered by the imagination of the reader. Ultimately, literature has provided a gateway to teach the reader about life experiences from even the saddest stories to the most joyful ones that will touch their hearts. From a very young age, many are exposed to literature in the most stripped down form: picture books and simple texts that are mainly for the sole purpose of teaching the alphabet etc. Although these are not nearly as complex as an 800-page sci-fi novel, it is the first step that many take towards the literary world. Progressively, as people grow older, they explore other genres of books, ones that propel them towards curiosity of the subject, and the overall book. Reading and being given the keys to the literature world prepares individuals from an early age to discover the true importance of literature: being able to comprehend and understand situations from many perspectives. Physically speaking, it is impossible to be someone else. It is impossible to switch bodies with another human being, and it is impossible to completely understand the complexity of their world. Literature, as an alternative, is the closest thing the world has to being able to understand another person whole-heartedly. For stance, a novel about a treacherous war, written in the perspective of a soldier, allows the reader to envision their memories, their pain, and their emotions without actually being that person. Consequently, literature can act as a time machine, enabling individuals to go into a specific time period of the story, into the mind and soul of the protagonist. With the ability to see the world with a pair of fresh eyes, it triggers the reader to reflect upon their own lives. Reading a material that is relatable to the reader may teach them morals and encourage them to practice good judgement. This can be proven through public school systems, where the books that are emphasized the most tend to have a moral-teaching purpose behind the story. An example would be William Shakespeareââ¬â¢s stories, where each one is meant to be reflective of human nature ââ¬â both the good and bad. Consequently, this can promote better judgement of situations, so the reader does not find themselves in the same circumstances as perhaps those in the fiction world. Henceforth, literature is proven to not only be reflective of life, but it can also be used as a guide for the reader to follow and practice good judgement from. The world today is ever-changing. Never before has life been so chaotic and challenging for all. Life before literature was practical and predictable, but in present day, literature has expanded into countless libraries and into the minds of many as the gateway for comprehension and curiosity of the human mind and the world around them. Literature is of great importance and is studied upon as it provides the ability to connect human relationships, and define what is right and what is wrong. Therefore, words are alive more than ever before.
Friday, November 15, 2019
The Character of Mrs. Ramsay in To The Lighthouse Essay -- To The Ligh
The Character of Mrs. Ramsay in To The Lighthouse Virginia Woolf's novel, To The Lighthouse, is full of symbolism that describes the surroundings and the life of Mrs. Ramsay who is the central character. She helps to bring the world out of chaos and darkness with her positive nature and by being the source of light for the other characters. She is also a peacemaker, beautiful, maternal, and almost divine. Mrs. Ramsay's first word in the novel is "yes" which reflects her affirmative and positive nature. Throughout the novel, her character and spirit is connected to light, which is universally a positive symbol. The other characters associate her with light through implied juxtaposition because she brought positive energy to everybody who knew her. An example is Paul who after being told by Mrs. Ramsay that she believed in him felt his situation was turned around in a better way. "He would go to her and say, "I've done it, Mrs. Ramsay; thanks to you." And so turning into the lane... The house was all lit up, and the lights after darkness made his eyes feel full, and he said to himself childishly, as he walked up the drive, Ughts, lights, lights." (p.78) By being the symbol of light, Mrs. Ramsay also brings things from chaos into order. This can be seen with her desire to be organized. The house was always organized such as if she left a brush or comb on a dressing table, she expected it to still be there the next time she looked for it. (p. 136) The characters' world is filled with chaos, examples being that the setting is during WWI and that the lighthouse was being taken over by nature until Mrs. Ramsay put it back into order. The order that she brought with her contrasts to the disorder that came about af... ...ck into stability. Life stand still here, Mrs. Ramsay said. "Mrs. Ramsay! Mrs. Ramsay!" she repeated. She owed it all to her." Another example of Mrs. Ramsay's kindness is when James is on the boat with his father, Mr. Ramsay: "[Mrs. Ramsayl alone spoke the truth; to her alone he could speak it. That was the source of her everlasting attraction for him, perhaps. She was .a person ~ whom one could say what came into one's .head~" (p. 187) She is a person who put others before her. Mrs. Ramsay's character is so divine that it is unreal. She spends most of her time shining the light on for everybody else that she hides her own personal needs to herself. She takes the world out of chaos, but there might have been chaos going on inside of her and nobody knew about it, so they could not help her. Perhaps that was the reason of Mrs. Ramsay's unexpected death.
Tuesday, November 12, 2019
Hwa Tai Industries Berhad: SWOT Analysis & Company Profile Essay
Description: Synopsis Business Reviewââ¬â¢s Hwa Tai Industries Berhad contains a company overview, key facts, locations and subsidiaries, news and events as well as a SWOT analysis of the company. A few sections/chapters might not have sufficient information as the data might not be available on the public domain Summary This SWOT Analysis company profile is a crucial resource for industry executives and anyone looking to quickly understand the key information concerning Hwa Tai Industries Berhadââ¬â¢s business. Business Reviewââ¬â¢s ââ¬Å"Hwa Tai Industries Berhad: SWOT Analysis & Company Profileâ⬠reports utilize a wide range of primary and secondary sources, which are analyzed and presented in a consistent and easily accessible format. Business Review strictly follows a standardized research methodology to ensure high levels of data quality and these characteristics guarantee a unique report. Scope ââ¬â Examines and identifies key information and issues about (H wa Tai Industries Berhad) for business intelligence requirements. ââ¬â Studies and presents Hwa Tai Industries Berhadââ¬â¢s strengths, weaknesses, opportunities (growth potential) and threats (competition). Strategic and operational business information is objectively reported. ââ¬â The profile contains business operations, the company history, major products and services, prospects, key competitors, key employees, locations and subsidiaries. Reasons To Buy ââ¬â Quickly enhance your understanding of the company. ââ¬â Obtain details and analysis of the market and competitors as well as internal and external factors which could impact the industry. ââ¬â Increase business/sales activities by understanding your competitorsââ¬â¢ businesses better. ââ¬â Recognize potential partnerships and suppliers. ââ¬â Obtain yearly profitability figures. Key Highlights Hwa Tai Industries Berhad (Hwa Tai) is an investment holding company, which through its group companies, is principally engaged in manufacturing of confectionery. The product portfolio of the company includes cookies, biscuits, crackers, cakes, cream sandwich, and snacks. The company operates its business through three reportable business segments, namely, Manufacturing segment, which is engaged in manufacturing of confectionery products; Trading segment is engaged in trading and distribution of its products; and Other segment. Hwa Tai markets its products under various brands such as HWA TAI, LUXURY, SALAM, Siang Siang, Duchess, Dââ¬â¢Cream, Sesamio, Naiyu Jagung, U-Lite, Dââ¬â¢licious, Melky, Dââ¬â¢Layer, CrackerPlus, Choice, Love, PESTA, Wonderful, Dââ¬â¢Lite, and Always. Hwa Tai is headquartered in Selangor Darul Ehsan, Malaysia. Contents: 1. 2. 3. 4. 5. 6. Hwa Tai Industries Berhad ââ¬â Company Overview Hwa Tai Industries Berhad ââ¬â Key Facts Hwa Tai Industries Berhad ââ¬â Business Description Hwa Tai Industries Berhad ââ¬â Major Products and Services Hwa Tai Industries Berhad ââ¬â History Hwa Tai Industries Berhad ââ¬â SWOT Analysis 6.1. SWOT Analysis ââ¬â Overview 6.1.1. Hwa Tai Industries Berhad ââ¬â Strengths 6.1.2. Hwa Tai Industries Berhad ââ¬â Weaknesses 6.1.3. Hwa Tai Industries Berhad ââ¬â Opportunities 6.1.4. Hwa Tai Industries Berhad ââ¬â Threats 7. Hwa Tai Industries Berhad ââ¬â Key Competitors 8. Hwa Tai Industries Berhad ââ¬â Key Employees 9. Hwa Tai Industries Berhad ââ¬â Key Employee Biographies 10. Hwa Tai Industries Berhad ââ¬â Company Statement 11. Hwa Tai Industries Berhad ââ¬â Locations and Subsidiaries 11.1. Head Office 11.2. Other Locations & Subsidiaries 12. Hwa Tai Industries Berhad ââ¬â Financial Ratios 12.1. Financial Ratios ââ¬â Capital Market Ratios 12.2. Financial Ratios ââ¬â Annual Ratios 12.3. Financial Ratios ââ¬â Interim Ratios 12.4. Financial Ratios ââ¬â Ratio Charts 13. Hwa Tai Industries Berhad ââ¬â Share Data 14. Appendix 14.1. Methodology 14.2. Ratio Definitions 14.3. Disclaimer List of Tables Table 1: Hwa Tai Industries Berhad Key Facts Table 2: Hwa Tai Industries Berhad Major Products and Services Table 3: Hwa Tai Industries Berhad History Table 4: Hwa Tai Industries Berhad Key Employees Table 5: Hwa Tai Industries Berhad Key Employee Biographies Table 6: Hwa Tai Industries Berhad Subsidiaries Table 7: Hwa Tai Industries Berhad Locations Table 8: Hwa Tai Industries Berhad, Ratios Based On Current Share Price Table 9: Hwa Tai Industries Berhad, Annual Ratios Table 10: Hwa Tai Industries Berhad, Interim Ratios Table 11: Hwa Tai Industries Berhad, Share Data Table 12: Ratio Definitions List of Figures Figure 1: Hwa Tai Industries Berhad, Ratio Charts Ordering: Order Online ââ¬â http://www.researchandmarkets.com/reports/1564522/ Order by Fax ââ¬â using the form below Order by Post ââ¬â print the order form below and send to Research and Markets, Guinness Centre, Taylors Lane, Dublin 8, Ireland. 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