...Continuum The poem ‘Continuum’ by Allen Curnow revolves around the central theme of poetic inspiration, how it ebbs and flows. He describes himself and his thoughts on a particular night, when he is unable to sleep because his mind is alive and restless. He seems to be in the grip of a poetic impulse that struggles for expression within him. This poem is the medium through which he conveys his experience, and he does so in a very interesting manner. ‘Continuum’ begins with a striking image of the moon “roll[ing] over the roof” and falling behind the poet’s house. It is an animated image of the moon, which has the lucidity of a child’s imagination and so successfully grabs our attention. But even as the reader reacts with mild surprise and pleasure at the novelty of this queer idea, the poet cuts us short with a very matter-of-fact and obvious truth: “the moon does neither of these things”. Curnow is referring to himself. The image of the moon may be interpreted as a symbol of his unsteady train of thought. This and the contradiction thus serve to establish the confusion and indecision in the poet’s mind. Also, the moon is a symbol of poetic muse. Thus the falling moon becomes a metaphor for his sinking poetic abilities. The moon is supposed to be steady but it has lost its balance, as if to suggest that poetic inspiration is not a steady source; it waxes and wanes like the moon. The poet tries to sleep but cannot. There seems to be a conflict between the man and his muse: the...
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...”Faith” by Nick Hornby Is faith an affecting factor of the way people in a relationship are treating each other. Faith can be many things, but in this context faith is like belief in each other, or a belief in a religion. Just like John Mayer says in his song “Belief”, that you are never going to win the world or stop the war, when it is the belief you are fighting for. With this John Mayer means that belief in something is like love to another person, it is the strongest armor in the world. And that is why you cannot win everyone’s faith. In the short story “Faith” by Nick Hornby faith, or the lack of faith, is crucial to the way people acts, treats the partner, and in a relationship. Paul is this kind of guy who smokes, watches television, loves football, and that’s it. Based on these three things we can clearly say that Paul doesn’t have much to offer Sarah. If were talking stereotypes Paul would fit perfectly in the, what you in Denmark call an HF’er. And this is also why Sarah leaves Paul and why she doesn’t want to have a baby with him. Paul and Sarah are “trying” to get Sarah pregnant. The reason why trying is in quotation mark is that I don’t think that Sarah is trying because she has obviously no problem getting pregnant with Brian. So my conspiracy theory is that Sarah is on contraceptive pills because she doesn’t want to raise a baby with Paul. And after Sarah brakes up with Paul, she needs another man to take care of her, and then she finds Brian and gets...
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...Running head: CONTINUUM OF CARE PAPER Continuum of Care Paper Patricia Alexander University of Phoenix Health Care Delivery in the U.S. 310 Michelle Crakes May 25, 2009 Continuum of Care Paper Long-Term Care Before we can discuss the roles of long-term care, we must define the meaning of long-term care. The purpose of this paper is to describe in detail the role long-term care plays in providing services and how long-term care contributes or lacks contribution to the overall management of health care resources. In addition to the above-mentioned topics, the transitioning of patients from one level of care to another level of care in the health care continuum will be discussed. What is Long-Term Care? What is long-term care? Long-term care is a variety of services that includes medical and non-medical care to people who have a chronic illness or disability. Long-term care helps meet health or personal needs. Most long-term care is to assist people with support services such as activities of daily living like dressing, bathing, and using the bathroom. Long-term care can be provided at home, in the community, in assisted living or in nursing homes. It is important to remember that you may need long-term care at any age according to (Medicare, 2009). Description of Services The purpose of long-term is to provide the most appropriate service in the least restrictive setting possible. Long-term care programs offer institutional services...
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...Continuum of Care Health care services in the U.S. include all services from prenatal care to Palliative care up to the last days of life (Barton, 2010). The way most Americans receive their initial health care is from their General Practice physician for some symptom that needs professional care. Depending on how severe the symptom, or symptoms, turn out to be, either a prescription is given to patient, blood work or X rays done, or admittance to an inpatient hospital. Heath care delivery varies, depending on you geographical region, race/ethnicity and SES (Shi, L. & Singh, D., 2012). Geographic In some rural areas, there is usually one hospital with a small inpatient unit, one source of ambulatory care, and all services are offered under one roof: inpatient, outpatient, nursing home (Wakefield & Linden, 2013). With 40 physicians, and more than 425 employees, Grinnell is one of the top rural medical centers in the greater Poweshiek County area of Iowa. Also on staff is a resident physician staff of 40 or more practitioners that provide services usually only offered in major healthcare centers (About Us, 2009). Race/Ethnicity Black Americans fall behind with their health due to mainly their SES, regardless of the “progress” that was made in the last decades. This race usually reports their health as fair or poor. Next is the is the Hispanic race, who may run into issues of accessing health care in America, due to immigration issues that my disqualify...
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...Continuum Of Care Process Traumatic brain injury can be a very serious problem among adults in the U.S. It can occur without warning and can change your life in an instant. Brain injury is responsible for a substantial number of deaths and even permanent disabilities (“Traumatic Brain Injury,” 2014). In order to treat this type of injury adults usually undergo a step-by-step process through different health care settings. The patient would seek assistance from a hospital, their healthcare provider, pharmacies and from pharmaceutical companies. All these health care settings work together to enhance the health and wellness of our communities. The first step in this process is hospitalization. From the early 1700’s to today, the development of the hospital in the US has drastically changed. In the beginning, they provided care for the very poor. Today, however, physicians are more interested in providing care to other social classes and communities (Barton, 2010). If an adult is getting treated for a traumatic brain injury, then physicians will most likely use a CAT scan to see the severity of the injury and to generate a clearer view of the patient’s anatomy. The use of the CAT scan is directly related to biotechnology companies. They are companies that manufacture medical equipment for different healthcare organizations. This equipment provides hospitals with state of the art technology to detect and treat various diseases. A patient will also be given some medications...
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...Internet Databases I do support medical information electronically stored on an Internet database because the advantages out weight the disadvantages. A major benefit is if you or a family member gets into an accident, then the ambulance will have access to yours or a family member’s information. This can save your life because if you cannot remember or unresponsive, then the information will already be in the database. Maybe you are out of town on business and you go to the hospital, then the hospital staff can have access to you information (Macdonald, 2007). Having all your information in the database can help to make sure you are not given the wrong medication, which this can cause serious health problems and even death. Also, this can make it easier for the medical staff to retrieve your information as soon as possible, so you can receive the best medical care. Not have the database can lead to more deaths and medical mistakes because it can take longer for the medical staff to get your information. The disadvantages of the database would be if others were reading you information without your knowledge or consent. With having information stored on the Internet database can steer people to pay for the information, the records getting exchanged because of blackmail, or the information getting stolen. Since there are many hackers that can get into the Internet database and they can get the information to sell them to anyone. Having people reading your information...
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...Uses of Fluid Mechanics with Relevant References. Fluid mechanics is the application of the laws of fore and motion to fluids. Within fluid mechanics there are two studies of fluid mechanics: Fluid statics, the study if fluids at rest within a system, or Fluid Dynamics which is the study of fluids that are in motion within a system. A fluid is a substance that has no fixed shape and yields easily to external pressure. The substance continually deforms or flows under an applied shear stress. Fluids are a subset of the states of matter and include three of the four states of matter [1]. An example of tangential shear stress can be something as simple as a piece of wood floating on a small body of water. If the force, F, is applied at the end of one side, then the board transmits a tangential shear stress, denoted as, t, to the surface of the water. Shear stress is defined as the tangential to the area over which it acts, and is expressed in the same units as Direct Stress [2]. “If a shear stress is applied to the surface of a solid, the solid will deform a little, and then remain at rest (in its distorted shape). One can say that the solid (at rest) is able to resist the shear stress.” [2] Both the board and the water will move as long as the force exerted and the tangential sheer stress are not equal to zero. Think about this, a fluid can only experience a normal stress when there is no force being acted upon the system obtained by the fluid. Therefore, since the fluid is at...
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...Understanding Continuum of Care Services Damita Boone HCA/210 August 3, 2012 Stacy Hull Vance • What is long-term care? Provide an example. Long-term care is a variety of services that includes medical and non-medical care to people who have a chronic illness or disability. Long-term care helps meet health or personal needs. Most long-term care is to assist people with support services such as activities of daily living like dressing, bathing, eating, and using the bathroom. Long-term care can be provided at home, in the community, in assisted living or in nursing homes. Long-term care can be given at any age depending on the situation or disability. The type of long-term care an individual may receive depends on their current situation but all situations are subject to change. For example, my current patient had no use of her arms so she needed 24hour care. I had to feed, dress, bathe, groom, and even drive her to the places she needed to go. Unless her current condition changes, she will always need assistance. I was doing private duty so I took care of her in her home. The shifts were split between two other people so our performance for her was at good standards. • What is the continuum of care services in the United States? The continuum of care services is a concept involving an integrated system of care that guides and tracks a patient over time through...
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...Palliative care is defined as patient and family-centered care that enhances the quality of life through prevention and relief of suffering associated with life-limiting illness or injury. Care is provided through the continuum of the holistic approach to person-centered care that includes terminally ill patients and their families. The module provided by Stanford School of Medicine highlights all the important aspects of palliative care and services. It also explains the necessity of the involvement of interprofessional team, including physicians, nurses, social workers, and many other healthcare professionals. A team approach is required in order to recognize and address the extent needs of patient and family. The module provides an excellent...
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...This study will be conducted using a mixed methods approach which would entail a time-motion study, a focus group interview and a quantitative survey. Method 1: Qualitative (Focus group interview) A focus group interview would be conducted in order to obtain the local perceptions of barriers to and facilitators of quality of care. During this interview the continuum of care of care and the role of each unit involved in the provision of surgical care would be discussed in order to identify bottle necks and best practices. Sampling: The sampling method used is a purposive sampling because the information required is possessed by personnel intricately involved in the continuum of care of surgical patients. This includes consultant surgical...
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...1/11/12 GATE 2012 - Syllabus for Mechanical Engineering (ME) GATE 2012 - S Linear Algebra: M Calculus: F ,P ,L ,S ,S M E (ME) ,E . ,L , ,T V ,M ,S ,G ,M ,G G ' ,E ,D . C ,V ,D Differential equations: F E ( ' L Comple variables: A ,C ' ,T L . ,I . ), H ,L ,S ,C ' Probabilit and Statistics: D R ,C ,P ,N B . ,M , , , Numerical Methods: N A M D . I S ' , Engineering Mechanics: F , Strength of Materials: S ; ;E ' ; Theor of Machines: D ; Vibrations: F . Design: D , . F M T S ; ; , , S-N , ; p inciple , ; ; ; , , . ; ; , ; ; . ,M ' ; ; , ; ; ( ; ) ; . Fluid Mechanics: careeravenues.co.in/ /246-gate-2012-syllabus-for-mechanical-engineering 1/3 1/11/12 GATE 2012 - Syllabus for Mechanical Engineering (ME) F ; ; Heat-Transfer: M ; ; , , ; ; ;B , ' , , ; . ; ; ; ; , ; ; , , ; , LMTD , , , , , NTU . Thermod namics: Z ,F ; Applications: Power Engineering: S T ,R ,B D . Refrigeration and air-conditioning: V ; : , , M E S Metal Casting: D Forming: P , . Joining: P , ; ; . , ) ; ( , , ) ; ; ( , , ; ; , . M , , . I E . I.C. Engines: , , . Turb omachiner : P ,F . ,R O B K , S , . ; , ;C . ; Machining and Machine Tool Operations: M ; Metrolog and Inspection: L , ; Computer Integrated Manufacturing: B CAD/CAM . ; ; ; ; ; . ; , , ; , , ; Production Planning and Control: F Inventor Control: D ; . 2/3 , , , . careeravenues.co.in/ /246-gate-2012-syllabus-for-mechanical-engineering ...
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...The Real Ebonics Debate What Should Teachers Do? By Lisa Delpit The "Ebonics Debate" has created much more heat than light for most of the country. For teachers trying to determine what implications there might be for classroom practice, enlightenment has been a completely non-existent commodity. I have been asked often enough recently, "What do you think about Ebonics? Are you for it or against it?" My answer must be neither. I can be neither for Ebonics or against Ebonics any more than I can be for or against air. It exists. It is the language spoken by many of our African-American children. It is the language they heard as their mothers nursed them and changed their diapers and played peek-a-boo with them. It is the language through which they first encountered love, nurturance and joy. On the other hand, most teachers of those African-American children who have been least well-served by educational systems believe that their students' life chances will be further hampered if they do not learn Standard English. In the stratified society in which we live, they are absolutely correct. While having access to the politically mandated language form will not, by any means, guarantee economic success (witness the growing numbers of unemployed African Americans holding doctorates), not having access will almost certainly guarantee failure. So what must teachers do? Should they spend their time relentlessly "correcting" their Ebonics-speaking children's language so that it might...
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...SOP Keeping in mind that my undergraduate programme is shortly about to be completed in the coming few months, I realise that this is a crucial stage in my career where I should decide the direction in which to move forward. I have a great interest towards the industrial work environment and this is the reason I am looking to pursue graduate study. Added to this, are the factors that there have been huge changes in Design engineering and global industrialization in the recent times making the role of a mechanical engineer a very indispensable one. Being part of this rapidly burgeoning community has been my deepest desire. I pen down my Statement of Purpose with due reverence to the University and the department. In order to reach perfection at its peak, it is of utmost necessity that I consider studying in Y University with its rewarding research program, excellent research facilities, and highly suitable environment. From my schooling times, I have shown very keen interest in the subjects of mathematics and physics, which have enhanced my analytical and quantitative skills. These are my areas of strength which have helped me very strongly in acquiring YY % in my tenth grade. I passed out of my senior secondary school with YY% in physics and YY% in mathematics. My overall percentage in Mathematics, Physics, and Chemistry are YY%. In all of my academic successes, my competitive spirit acted as a catalyst in me. Given my love towards science and technology, pursing...
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...Statics of Rigid Bodies STATICS OF RIGID BODIES Chapter 1: Introduction Department of Engineering Sciences enter 〉〉 Statics of Rigid Bodies DEFINITION Mechanics • the study of the relationship among forces and their effects on bodies. • the science which describes and predicts the conditions for rest and motion of bodies under the action of forces. • a physical science (for it deals with physical phenomena) Prev Department of Engineering Sciences Jump to… Stop Show Next Statics of Rigid Bodies MECHANICS MECHANICS RIGID BODIES STATICS bodies at rest DYNAMICS bodies in motion DEFORMABLE BODIES INCOMPRESSIBLE FLUIDS COMPRESSIBLE Prev Department of Engineering Sciences Jump to… Stop Show Next Statics of Rigid Bodies What is a FORCE? represents the action of one body on another that tends to change the state or state of motion of a body. may be exerted by actual contact or at a distance (e.g. gravitational and magnetic forces). characterized by its point of application, magnitude and direction. represented by a vector. Prev Department of Engineering Sciences Jump to… Stop Show Next Statics of Rigid Bodies Effects of a FORCE • development of other forces (reactions or internal forces) • deformation of the body • acceleration of the body Applied Force Prev Department of Engineering Sciences Jump to… Stop Show Next Statics of Rigid Bodies Development of other forces ...
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...Aim The aim of this experiment is to determine the loss coefficient (K) for a number of bends and fittings, then to compare these results with results obtained from other more accurate sources such as textbooks. According to the results from textbooks the calculated disturbances in flow proves that velocity and pressure is lost through heat and friction. Experimental * The water inlet * Water collection basin * Rubber ball * Hydraulic bench * Stopwatch Procedure Before the experiment is conducted the pump is turned on to bleed the air from the lines. Once this is done the flowrate it gradually increased by the individual to the highest possible value, without the menisci going to a point where it cannot be read. The next task is to identify the key components of the systems and the direction of water flow. An initial reading of the manometers is then taken from both the H1 and the H2. Once this is done 5 more readings are to be obtained with varying flowrates, this is done by adjusting the flow control valve. Results and discussion The full results and raw data gained from the experiment is shown in Appendix A. Examples of the calculations are given in Appendix B. The loss coefficient vs head loss graph above represents the gradual loss in velocity over the length of the piping. Due to factors such as friction and heat energy is lost from the fluid. It is also clear that the diameter variations shown in the enlargement and the contraction...
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