Show Boat Changes Its Wicked Stage - 1709 Words

Show Boat Changes Its â€Å"Wicked Stage† On the night of December 27, 1927 the musical Show Boat opens (Laufe 475). The show ends in silence; no applause or a standing ovation. There was not even a curtain call. (Sheed 120) Producer Florenz Ziegfeld thought that the show had failed. (Sheed 120) What he did not know that night was that Show Boat was to go on to be one of the most influential shows in American musical theatre. Show Boat revolutionized American musical theatre by changing the setting of the average musical theatre work to America to make the show inherently American, by changing and challenging what topics could be discussed, and by making the songs an integrated part of the musical that emphasize the themes, express the emotions of the characters, and move the story along. Show Boat tells the story of a river boat named the Cotton Blossom that travels up and down the Mississippi River and the lives of the people on and surrounding the Cotton Blossom. The Cotton Blossom is run by Captain Andy who has a daughter named Magnolia Hawkes. Magnolia befriends Julie LaVerne, a performer on the ship. Upon stopping in one of the towns Julie is found out to be part black and is arrested on the charge of miscegenation and is forced to leave the ship. Magnolia also falls in love with a man from the same town named Gaylord Ravenal, and she ultimately leaves the boat with him and starts a new life. Eventually Magnolia and Gaylord’s marriage breaks up. Magnolia then returns toShow MoreRelatedTangled Is The Disney Story Of Rapunzel1770 Words   |  8 Pagesfor and herself along the way. Rapunzel and Flynn end up saving each other from the wicked witch and return Rapunzel back to her real family at the palace. The two live happily ever after. Tangled’s main character Rapunzel showcases many topics we discussed in class in her personality and her relationships. Rapunzel shows that she is a late maturing girl, her mother shows a specific parenting style, Rapunzel shows her cognition in friendships and intimacy, and she also plays with decision making.Read MoreWilliam Shakespeares Romeo and Juliet: Act 3 Scene 5 Essay2376 Words   |  10 Pagesleft unaccompanied at the end of the scene, and in a powerful soliloquy, contemplates suicide, and decides to visit Friar Lawrence, the only other person who is aware of her marriage to Romeo. This scene is of great significance, as it changes the whole aspect and direction of the plot. It is an emotional rollercoaster for Juliet, and yet another barrier, in there bid to be together. Furthermore, the audience also have another factor to consider, and sympathise enormouslyRead MoreAnalysis of The Bluest Eye and Other Works2035 Words   |  9 Pagesof this story is Pecola Breedlove she is described as an ugly girl with dark skin and kinky hair that comes from an ugly family. 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All this changes suddenly, though, when Hemingway says masterfully, Everything about him was old except his eyes and they were the same color as the sea and were cheerful and undefeated. This draws attention to a dichotomy between two different types of success:Read MoreThe Diary of Jose Rizal9108 Words   |  37 Pagesthe profound sadness that cities manifest after a tumultuous rejoicing, to a city after the happiest celebration. Two nights ago, that is, 30 December, I had a frightful nightmare when I almost died.1 I dreamed that, imitating an actor dying on the stage, I felt vividly that my breath was failing and I was rapidly losing my strength. Then my vision became dim and dense darkness enveloped me -- they were the pangs of death. 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Physics Of Physics And Engineering Mechanics - 1398 Words

By the time I reached senior high school, I knew I wanted to study mechanical engineering, but I hadn’t decided on a focus. Then, near the end of my junior year, I attended a family function at my aunt and uncles’ house. A number of my siblings and cousins had piled onto their trampoline, and eventually a bracket in the underside of the trampoline failed. Fortunately, no one was hurt, but my uncle, who worked for Elliot Group, mentioned that a simple finite element model should have been able to identify the design deficiency. At the time, I didn’t even know what finite element analysis was, so I did some research when I got home. What I found was a field that exactly suited my interests in applied mathematics and engineering mechanics. Since then, I have taken every opportunity possible to expand my knowledge of computational mechanics, and I hope to further that effort at the University of Illinois. My academic experience began freshman year of college, when I took a course on computational methods in engineering. As it was an honors course, the curriculum was extremely aggressive. We covered basic programming in both C++ and MATLAB, a number of numerical methods, and how to write strong technical papers. Since then, I have taken more advanced courses, but this one had the greatest effect on me because it impressed upon me the vast potential of computation methods. Many of the problems that are difficult to solve analytically could now be solved in the blink of an eye,Show MoreRelatedNuclear Engineering1086 Words   |  5 PagesNuclear engineering is the practical application of the breakdown of atomic nuclei and/or other sub-atomic physics, based on the principles of nuclear physics. It includes, but is not limited to, the interaction and maintenance of nuclear fission systems and componentsÂâ€" specifically, nuclear reactors, nuclear power plants, and/or nuclear weapons. 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Law Commercial Law Assignment

Questions: Scenario: On 3 July 2014 Max Speed, who conducts a second-hand car business, purchased undera written signed contract an inventory of luxury used second hand cars. The carscomprised twelve Audi A7s purchased from Euro Prestige Pty Ltd (Euro Prestige). Thecontract contained a sellers retention of title (ROT) clause whereby Euro Prestige retainedtitle in the cars until Max made the final payment due under the contract. The total price ofthe inventory was $1.2 million and Max took possession of the cars on the day the contractwas signed. On that same day Euro Prestige duly registered in the Personal PropertySecurities Register its purchase money security interest created by the ROT clause.During September 2014 Max sold six of the Audi A7s to various customers and sixremained in his car yard. All sold cars were to bona fide purchasers, buying at fair marketvalue and without notice of any financial difficulties that Max might be in.In November 2014 a creditors petition made by Maxs bank has led to his bankruptcy. Thedate of bankruptcy is 18 November 2014 and its commencement date is 15 August 2014.His bankruptcy was triggered by Maxs default under his 2007 home mortgage with thebank. The amount Max owes the bank under the loan is much greater than the value of hishome.Under the contract for the Audi A7s Max was also in default and now owes Euro Prestigeover $1.2 million. At the date of bankruptcy the remaining six Audi A7s remained in Maxspossession.Maxs debt to his other creditors is vastly more than the value of his assets. His unsecuredcreditors are owed an amount over $2 million. 1. In the above scenario, explain the position of Maxs six customers who purchased the Audi A7s in September 2014. In particular, are their transactions with Max able to be set aside by the trustee-in-bankruptcy? Can Euro Prestige take possession of their cars without it compensating them? Do they have any remedy? What explains their treatment? 2. In the above scenario, explain how the trustee-in-bankruptcy will deal with the six Audi A7s that have remained in the bankrupts estate. In particular will the cars be available to meet the debt of Maxs bank, Euro Prestiges debt or the debt of the unsecured creditors? What explains that treatment? 3. Explain the background to the Personal Property Securities Act 2009 (Cth) including the reasons why it was considered desirable to have a national registration system for personal property security interests. Answers: 1.For establishing the principle of bona fide purchaser for value without notice, there are three main elements that need to be established. First of all, the purchaser should require the legal title in good faith; secondly, the title should be acquired by the purchaser for value and thirdly, the purchaser should have acquired the title without notice of the presence of private equity. Generally, the purchaser is the person who has actually purchased a fee simple in accordance with the contract of sale (McCormack, 2004). However, it has been held in certain cases that the purchasers include mortgagees as well as the lessees of legal estate (Goodright v Moses (1774) 2 Wm Bl 1019). In this way, the bona fide purchaser principle requires that the purchaser should have given some value. This value can be established in case money or something equivalent has been paid for the transaction. However it is not required that the amount of value that has been given by the purchaser should be th e full value of the property. In such a case, it is sufficient if it constitutes good consideration, although it is not necessary that it should be pecuniary in nature. For example, in R v Registrar of Titles, it was held that the allocation of certain fully paid shares constituted valuable consideration in this regard. At the same time, it also needs to be established that the purchaser had acted in good faith. Generally, good faith overlaps with the doctrine of notice. But it needs to be noted that it is a separate test and is also a much wider concept. In case it is difficult to establish that holder of estate took little notice of private equity real estate, still the priority may be deferred if it can be proven that the ensuing holder has not acted in good faith (Midland Bank Trust Co. Ltd. v Green, 1983). The concept of good faith is an extensive and equitable concept and the basis for it is in the principle of appropriate and reasonable conduct. It includes the assessment of the conduct of the purchaser before as well as on receiving the property (Latimer, 2011). In case it can be established that the transaction was induced fraudulently, morally reprehensible or a sham, generally the holder of property may not be able to establish good faith. On the other hand, the principle of bona fide purchaser has been reiterated in property law legislation in all the States. The personal property securities laws have made sweeping changes, with far-reaching consequences for the parties involved. The changes that have been made to the law regarding security interests that are present in personal property replace various laws of Federal and State by introducing only one law called the PPS Act. According to this legislation, a party having security interest and has the obligation to port the world that notice regarding its interest in order to avoid defeat regarding the sale of property or the loss of interest in case of insolvency or the loss of priority as compared to other secured parties. The 'perfection' of security interest in case of personal property can be achieved by having possession of the property or control over it or by registering the interest as required in the PPS register (Calnan, 2004). While in the past, due diligence involved a search of the database of ASIC in order to find if a third party had registered a charge over the assets of the vendor. However according to the PPS Act, the secured parties register their security interests on the PPS register online by filing financial statement which contains basic information like the identity of the secured parties, if the security interests of subordinate to any other security interest, the end time for registration and a limited description of the property. Earlier the holders of security interests and property were generally protected by ownership under rule that provides that a 'person cannot give what they do not have'. However the new rules related with taking property free of encumbrance have shifted the balance in favor of the purchasers. Generally the purchasers take the assets free of security interests if the interest has not been perfected. Due to the reason that it is always open for the secured party to put the world on notice regarding its security interests by perfecting it, the rationale behind such requirement is that the risk of a purchaser acquiring encumbered property needs to be borne by the secured party instead of the purchaser. It will not be practical for the purchaser to know regarding its security interests if the secured party has not been diligent in protecting its security interest (McCormack, 2004). Therefore it will be essential for the purchaser to make a thorough review of the PPS register if they want to take the sailor sex free of encumbrance. In case no security interests have been registered on the sale assets, the purchaser is required to ascertain if any party, apart from the vendor is in possession of control of the property. The reason is that possession or control by third party may suggest the perfection of a security interest (Loxton, 2011). In the present case, the six customers of Max have purchased the Audi A7s in good faith. However, in the present case it cannot be said that the six customers have purchased the cars without notice of the security interest of Euro Prestige. The reason is that soon after finalizing a contract, Euro Prestige has duly registered its purchase many security interest in the PPS Register. As a result, in the present case, it was the responsibility of the purchasers to inquire if the cars were being sold free of any encumbrance. Therefore in the present case, Euro Prestige can take possession of the cars without compensating the six customers who have purchased the cars from Max. The reason is that the security interest has been duly registered by Euro Prestige in the Personal Property Securities Register and as a result, now it was the responsibility of the purchasers to inquire if any interest was registered on the cars or not. 2.In the present case, the creditor's petition that was made by Max's bank has resulted in his bankruptcy. The reason behind the bankruptcy was default of Max under the 2007 home mortgage with the bank. However in the present case, the trustee-in-bankruptcy has to use the remaining cards for dealing with the debt of Euro Prestige as compared to the debt of Max's bank or the debt of the unsecured creditors. The reason behind this treatment is that Euro Prestige has duly registered its security interest in the PPS Register. At the same time, there was a seller's retention of title clause present in the contract according to which the title in the cars was retained by Euro Prestige until the final payment was made by Max under the contract. Therefore in the present case, the trustee-in-bankruptcy will use the remaining cars to deal with the debt of Euro prestige first of all instead of dealing with the debt of the bank or that of the unsecured creditors (Latimer, 2011). 3.The changes that have been made in the law related with personal property and security interests replace the earlier laws by a law that is known as the Personal Property Securities Act. According to this legislation, a party having a security interest in personal property is required to give notice to the world regarding such interest, and perfect that interest, in order to evade loss in case the property is sold or the loss of interest in case of bankruptcy or losing to other parties that are secured. A security interest can be perfected by possession or control over the property. At the same time, it can also be achieved by registering the interest on the Personal Property Securities Register. In this way, the new legislation has a significant impact on buying and selling of businesses and companies. The earlier law had more than 70 legislations under which the registration and search was based on jurisdiction, the type of collateral and also on the type of security. At the same time, in case of certain interests, they have to be registered on several registers in order to achieve protection while in some cases, there was no register present. On the other hand, a single national register for security interests would allow extensive coverage of these interests in all types of personal property and there will be only a few exceptions. Similarly, single regime of security interests also allows the applicability of clear guidelines for ordering priorities in case of opposing interests in such property, defending security holders against loss or subordination of their interests to the probable purchasers and in the same way, protecting third parties like the purchasers of major assets who do not have any knowledge of existing security interests. It was also believed that the complianc e costs for the lenders can be reduced by providing clear priority rules (McCormack,2002). For example, similar reforms that have been introduced in New Zealand have decreased various loan contract forms from 32 to 2 in case of a major bank. In the same way it allows the bank to process a large number of transactions internally without the need of solicitors. Similarly, the lenders are also expected to profit by the ability which allows them to compare interest rates and fees more accurately with the risk profiles of the borrowers, reduced costs required for evaluating and monitoring the capacity to pay of the borrowers and better certainty regarding which assets can be used to meet the loan in case of a default by the borrower. In the same way as this simplification process reduces the entry barriers to financing business, it is expected that the combination will increase in the financing sector and it may result in more innovation in financing products and at the same time, it wil l reduce the cost of borrowing. In this way, the Personal Property Securities Act replaces more than 70 Federal, State and Territory legislations with a single law that is applicable throughout the nation. It also introduces the national online register which is known as the Personal Property Securities Register and can be used for registering all security interests. On the other hand, the failure to comply with personal property securities law can have severe consequences which include the inability to recover the goods sold by the party or recover the payment for such goods by realizing secured assets. At the same time, the personal property securities regime may also prove to be beneficial for the business as it gives a better chance to enforce security interests and at the same time to recover payments that have been difficult to recover and sometimes even impossible (Gillooly, 1994). In this regard, it needs to be noted that the personal property securities act applies to the security interests in the personal property. The term personal property includes frangible as well as intangible property. As a result, stock, motor vehicles, machinery, plant, raw materials, receivables, intellectual property etc. are included in the term tangible and intangible property. However the term property as used in this legislation does not include land. In the same way, security interests include the retention of title causes, chattel mortgages, fixed/floating charges, consignment agreements, our purchase agreements and some leases of goods. The personal property securities register is an online registered and it allows secured parties and potential secured parties to look for and also to register security interest that are present in personal property. The registration of security interest takes place by uploading a financial statement. Depending on the nature of security interest that is being claimed, generally a financial statement contains information like the details of the secured party, the collateral details, the grantor's details and some registration details. It also needs to be noted that the financial statement is only a notice of the security agreement and it is not the actual arrangement that creates the security interest. Therefore it is still required to have a written contract documentation that underlies the registration. In the same way, the Personal Property Securities Register is not the register of ownership and it is only a notification of the security interests. In case no interest is present ove r an asset, it will not be present on the PPS Register. In this regard, it also needs to be noted that it is not compulsory to register a security interest on the PPS Register. But if the security interests have not been registered, in such a case a party may find that it is not able to enforce its rights against third parties like liquidators/administrators and other people who are competing with the party for a payout. Therefore by 'perfecting' the security interest (we generally takes place by registering on the PPS Register), the security interests of the party has priority over an 'unperfected' security interest or over a general security interest. Similarly it survives the bankruptcy/insolvency of the grantor while the unperfected security interest does not. Similarly, in some cases, the perfected security interest survives the sale of the collateral while the unperfected security interest does not. In the same way, if the party choses, it may also cover the proceeds of sale of the collateral. In this regard is also provides that in case an inventory is being supplied by a party to its customer, in such a case, the party is required to register the retention of title (ROT) before the goods have been delivered to the customer. References Diccon Loxton, 2011, The Australian Personal Property Securities Act, the net closes on quasi-securities, 6 Journal of International Business Law and Finance Gerard McCormack, 2004, Personal Property Security Law Reform in Comparative Perspective Antipodean Insights? Common Law World Review 331(3) 1 March Gerard McCormack, 2004, Secured Credit under English and American Law, Cambridge University Press Gerard McCormack,2002, Personal property security law reform in England and Canada, Journal of Business Law Michael Gillooly, 1994, Securities over Personalty, Published in Sydney Australia, the Federation Press Paul Latimer, 2011, Australian Business Law, CCH Australia Limited Richard Calnan, 2004, The Reform of the Law of Security, Journal of International Business Law and Finance.

Business Biblical Worldview free essay sample

This paper will explore what a Biblical Worldview is and present a Biblical Worldview process of contracts, ownership and responsibility. A Biblical Worldview is a view that holds to the belief that there is absolute moral truth; no one can earn their way into Heaven with good deeds; the Bible is 100 percent correct in all aspects; Jesus Christ lived a life free of sin while He was on earth; and God is omnipotent, omniscience, and the ruler of the universe (Barna Group, 2009). We will write a custom essay sample on Business Biblical Worldview or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It has been proven that one’s worldview has a powerful impact on the way he conducts his everyday life and the choices made in any given situation (Barna Group, 2009). One living by a Biblical Worldview is less likely to use profanity; to misuse media; to gamble away money; and to abuse alcohol (Barna Group, 2009). The person with a Biblical Worldview is more likely to be honest; be more civil towards others, and make proper sexual choices (Barna Group, 2009). There exists a belief that a person develops a primary worldview by the time he reaches age 13. The teen and early adult years refine the worldview and then it is passed on to others throughout their life as an adult (Barna Group, 2009). A contract is an agreement that is enforceable by the law. It is created when two or more persons agree to do something or agree to not do something (Liuzzo, 2010, pg. 79). All involved parties must be competent. A competent person is one that is of legal age and possesses normal mental health (Liuzzo, 2010, pg. 80). â€Å"All contracts are agreements, but not all agreements are contracts† (Luizzo, 2010, pg. 9). In business, contracts are used to employ people and to sell goods, and to sell services (Luizzo, 2010, pg. 79). For a contract to be enforceable legally it must contain certain elements. There must be an offer made to one party and acceptance by another party; there must be consideration; all involved must mutually agree; all parties must be competent; there must be proper form; and the expected performance of the contract must legal (Luizzo, 2010, pg. 79-80). Because of the definition of contracts, there is a tendency to view it as a hysical experience with no spiritual implications at all (Chester, n. d. ). Buying, producing, selling and serving take place in the tangible physical world but it is taking place just below the intangible spiritual world connecting them together (Chester, n. d. ). The prophet Elisha saw the connection in 2 Kings 6:17, NASB, †Then Elisha prayed and said, â€Å"O LORD, I pray, open his eyes that he may see. † And the LORD opened the servant’s eyes and he saw; and behold, the mountain was full of horses and chariots of fire all around Elisha. Here in the tangible physical world they appeared to be doomed, however, in the intangible spirit world they were victorious. (Chester, n. d. ). The physical aspects of life must line up with the spiritual aspects in a business with a Biblical Worldview. Any business that lasts is organized to line up philosophically, values wise and has the principles that demonstrate the nature of God (Chester, n. d. ). A contract or agreement that holds to a Biblical Worldview would not mirror the lop-sided contract held between Jacob and his uncle Laban. The contact between Laban and Jacob was legal. Both Laban and Jacob were competent, as they are both equals (Mabee, 1980, pg. 194). Though the agreement had all of the necessary elements of the Biblical time to make it legal, Laban did not adhere to the contract. Laban set out to cheat Jacob at every turn. The initial agreement was for Jacob to work at â€Å"Laban, Inc. † seven years for Rachel’s hand in marriage but he ended up working 14 years for her instead due to Laban’s trickery. Altogether Jacob worked for Laban a total of 20 years with Laban changing his wages (the agreement) ten times, â€Å"You know that I have served your father with all my strength. Yet your father has cheated me and changed my wages ten times†, (Genesis 31:6-7, NASB). As a Christian, the business owner is to honor any made agreements and contracts, as this mirrors the attributes of God. The Bible admonishes the believer to â€Å"Let your no be no and your yes be yes†, and anything outside of that is evil doing (Matthew 5:37, NASB). James 5:12, NASB also warns, â€Å"But above all, my brethren, do not swear, either by heaven or by earth or with any other oath; but your yes is to be yes, and your no, no, so that you may not fall under judgment. Christian business owners who hold to a Biblical Worldview understand and accept the fact that God owns everything (Tacket, 2012). â€Å"Hear, O My people, and I will speak; I am God, your God†¦For every beast of the forest is Mine, The cattle on a thousand hills† (Psalm 50:1-10, NASB). God tells us in Haggai 2:8, NASB that He even owns the silver and gold (money) everyone seeks after, â€Å"The silver is Mine and the gold is Mine,’ declares the LORD of hosts. † Jehovah God is simply loaning it to one and requires good stewardship over the things He has granted.

Workforce Planning The New York State Agencies Document

A Schools Website Makes an Important First Impression

A Schools Website Makes an Important First Impression Before a parent or student physically sets a foot into a school building,  there is an opportunity for  a virtual visit. That virtual visit takes place through a schools website, and the information that is available on this website makes an important first impression. That first impression is an opportunity to highlight the schools best qualities and to show how welcoming the school community is to all stakeholders-parents, students, educators, and community members. Once this positive impression is made, the website can  provide a wide variety of information, from posting an exam schedule to announcing an early dismissal because of inclement weather.  The website can also effectively communicate the schools vision and mission, the qualities, and the offerings to each of these stakeholders. In effect, the school website presents the personality of the school. What Goes on the Website Most school websites have the following basic information: Calendars for school activities, school schedules, and bus schedules;  Policy statements (ex: dress code, Internet use, attendance);School news on individual student achievements or group achievements;Information on the school learning activities including academic requirements, course descriptions, and prerequisite course work;Information on school extra-curricular activities (ex: clubs and athletic program);Links to teacher web pages and also staff and faculty contact information; Some websites may also provide additional information including: Links to organizations or websites outside the school that support the schools academic program (ex: College Board-Khan Academy)Links to software that  contain student data  (Naviance,  Powerschool, Google Classroom)Links to forms (ex: permission slips, course registration, attendance waivers, transcript requests, free and reduced lunch) that can reduce the  costly reproduction of paper copies;Board of Education resources such as contact information for board members, minutes of meetings, agendas, and meeting schedules;District policies, such as those policies on data privacy;Photos of students and faculty;A forum or discussion page for  teachers, administrators, students, and parents to exchange information such as news and calendars of events;Links to school social media accounts (Facebook, Twitter, etc). Information placed on the school website will be available 24 hours a day, 7 days a week, 365 days a year. Therefore, all the information on the school website must be timely and accurate. Dated material should be removed or archived. In real time information will provide stakeholders confidence in the information posted.  Up to date information  is particularly important for teacher websites that list assignments or homework for students and parents to see. Who Has Responsibility for the School Website? Every school website must be a reliable source of information that is communicated clearly and accurately. That task is usually assigned to a schools Information Technology or IT Department. This department is often organized at the district level with each school having a  webmaster for the school website. There are a number of school website design businesses that can provide the basic platform and customize the site according to a schools need. Some of these include Finalsite, BlueFountainMedia,  BigDrop, and SchoolMessenger. Design companies generally provide the initial training and support on maintaining the school website. When an IT Department is not available, some schools ask a faculty or staff member who is particularly technologically savvy, or who works in their computer science department, to  update their websites for them.  Unfortunately, building and maintaining a website is a  large task that can take  several hours a week. In such cases, a more collaborative approach of assigning responsibility for sections of the website might be more manageable. Another approach is to use the website as a part of the school curriculum where students are given the task of developing and maintaining  portions of the website. This  innovative approach benefits both the students who learn to work collaboratively in an authentic and on-going project as well as educators who can become more familiar with the technologies involved. Whatever the process for maintaining the school website, the ultimate responsibility for all content must lie with one  district administrator.   Navigating the School Website Possibly the most important consideration in designing the school website is the navigation. The navigation design of a school website is particularly important because of the number and variety of pages that may be offered to users of all ages, including those who may be unfamiliar with websites entirely. Good navigation  on a school website should include a navigation bar, clearly defined tabs, or labels that clearly differentiate the pages of the website. Parents, educators, students, and community members should be able to travel throughout the entire website regardless of the level of  proficiency with websites.   Particular attention should be given to encouraging parents to use the school website. That encouragement might include training  or demonstrations for parents during school open houses or parent-teacher meeting. Schools could even offer technology training for parents  after school or on special evening activity nights. Whether it is someone 1500 miles away, or a parent living down the road, everyone is afforded the same opportunity to see the schools website online.  Administrators and faculty should see school website as the front door of the school, an opportunity to welcome all virtual visitors and make them feel comfortable in order to make that great first impression. Final Recommendations There are reasons to make the school website as attractive and professional as possible. While a private school may be looking to attract students through a website, both public and private school administrators may be seeking to attract high-quality staff who can drive achievement results. Businesses in the community may want to reference a schools website in order to attract or expand economic interests. Taxpayers in the community may see a well-designed website as a sign that the school system is also well-designed.

Drug Treatment Essay Example | Topics and Well Written Essays - 500 words

Drug Treatment - Essay Example The answer, may be found in the second article. Perhaps if the approach taken was a cultural one, society in general would look at addiction for what it isa disease. Historically speaking, addiction was never looked at through culture but merely as man's weakness for the drink. In the nineteenth century the temperance movement argued that alcohol inevitably provoked loss of control. That is, the nineteenth-century view of alcohol addiction is exactly that which in the twentieth century has been connected to narcotics: that the drug is inherently addictive so that regular use guarantees an enslavement of the individual that leads progressively to moral collapse and death. This idea of progressive, irreversible, inevitable exacerbation of the habit, causing loss of control of personal behavior and of the ability to make moral discriminations, actually retains strong elements of both colonial and temperance moralism. It is therefore not correct to say simply that modern disease notions have replaced outdated "moral" models of drug use. Rather, relabeling misbehavior as a medical consequence of drug use locates the source of evil in the drug and dictates that the addict's moral responsibility is to avoid the substance entirely--that is, to abstain. If the Strengthening Families Program was applied culturally, weakness would not be the focal point. Instead, vulnerability would.

Social Netwoking Essay Example | Topics and Well Written Essays - 1000 words

Social Netwoking - Essay Example Nowadays joining websites such as Facebook and Myspace have become a norm for the whole society. Increasingly it is seen that the younger generation is being diverted to these networking habits. Social networking has become a topic of debate these days as it is seen that many researches are being carried out to find out the pros and cons of it. This essay would revolve around the pros and cons of social networking and would present a conclusion as to what should be done with regard to the problems that it actually poses (University of Minnesota 2008). The stigma of social networking is spread all over the world to places like Pakistan and India. It has been found that social networking has many benefits when it comes to the younger generation. A study done by the researchers of University of Minnesota concluded that around 94 percent of the people use internet in which around 77 percent of them had a profile on a social networking site. The research found out the positives of social networking and related it to the skills of technology. It has been found that social networking helps in increasing technological skills along with creativity. A researcher was stated as saying â€Å"What we found was that students using social networking sites are actually practicing the kinds of 21st century skills we want them to develop to be successful today† (University of Minnesota 2008). These social networking sites can help the educators to inform the younger generation about possible topics through these social networking sites. The educators can use these social networking sites as a tool to inform and educate their audience in a way that an interest is created amongst the students (Warner 2008). Another positive of social networking websites lies in the communication that it may provide in times of emergency. Researchers have found out that these networking sites can prove to be a great tool for the transmission of information from one area to the other. In natur al disasters such as earthquakes or human influenced disasters one can easily transmit information on these social networking websites faster than the traditional media. It can help in the diffusion of information from one area to another so that everyone is informed about the calamity. It is also found that the social networking websites such as Facebook have allowed disaster management organizations to work on the website so that they can create awareness amongst the masses of the society (Inderscience Publishers 2010). Social networking also helps people to integrate with the society if they are suffering from problems. People who are suffering from social diseases such as autism are at ease when talking on the internet. Thus these social networking websites provide an advantage to these socially impaired people to talk and get engaged in conversations. It has also been found that social networking is helping people to communicate easily. While social networking has its own benef its it also has certain disadvantages which should be kept in mind when analyzing these portals. The most potent drawback of these websites is that of privacy when it comes to certain issues. It is seen that these social networking websites do not have strict privacy settings when it comes to its users. A research found that personal information of users is leaked out to the websites which help in tracking the users. A social networking

OpenChannel Flow Lab Report Example | Topics and Well Written Essays - 250 words

OpenChannel Flow - Lab Report Example A minimum specific energy indicates a steady flow with parallel streamlines especially in channels characterized with very small slopes. Hydraulic jump, a phenomenon that depends on initial fluid velocity, occurs when the transition velocity increases abruptly. As a result, the transition front breaks and curls back upon itself in conjunction with violent turbulence and eddy currents. The introduction of a weir along the channel of fluid flow results to an increase in the fluid level. An increased fluid head or level is determined by measuring the upstream of the hydraulic structure. According to ToolBox (2014), the rate of fluid flow over the weir relates with the level of the weir. To determine the discharge constant for the weir, individuals should conduct some fluid analysis and calibration tests. In most cases, the discharge coefficient remains constant for a given set of head ranges. A specific energy diagram determines the possible heights and depths of weirs. A low level that supports critical flow results to a decrease in the fluid level without affecting the upstream (Kay, 2015). After achieving the critical flow, an increase in the weir level leads directly affects the upstream fluid level. Typically, a subcritical flow produces a low vitality state while a supercritical state creates a faster and shallow flow. During a supercritical condition, waves produced by downstream eddies cannot travel upstream. On the other hand, subcritical conditions initiate upstream travel of waves produced at the downstream due to the slower flow of fluids. The diagram below demonstrates the water profile along the flow channel with various regions where subcritical and supercritical flows

Full Kinetic Chain Manipulative Therapy on the Knee

Full Kinetic Chain Manipulative Therapy on the Knee The relative effectiveness of full kinetic chain manipulative therapy and full kinetic chain rehabilitation in the treatment of osteoarthritis of the knee. Brief Synopsis of the Research Therefore in this study we aim to establish the effect of the KFC manipulative therapy alone, FKC rehabilitation alone and the combination of the two interventions on osteoarthritis of the knee. This will be done by means of a quantitative randomised comparative clinical trial. 60 patients will have been diagnosed with osteoarthritis of the knee according to the inclusion and exclusion criteria, and will be randomly divided into 3 groups. The first group will receive 6 treatments using FKC manipulative therapy alone, the second will receive 6 treatments using FKC rehabilitation alone, and the third group will receive 6 treatments using FKC manipulative therapy combined with FKC rehabilitation. Subjective (Beck Depression Inventory, McMaster Overall Therapy Effectiveness Tool, Western Ontario and McMaster Universities Osteoarthritis Index and Berg Balance Scale) and objective (Inclinometer) measures will be taken at baseline, 1 week and 1 month follow up. These results will be recorded and the data analysed using SPSS statistical package at a 95% confidence interval. Section B: To be typed in Arial 12-point font in one and half line spacing (expand sections to fit contents, but keep within the specified maximum lengths) 1. Field of Research and Provisional Title The relative effectiveness of full kinetic chain manipulative therapy and rehabilitation in the treatment of osteoarthritis of the knee. 2. Context of the Research 1. Osteoarthritis is a very common condition, affects 9.6% of men and 18% of women aged >60 years worldwide (Woolf and Pfleger, 2003). 2. Although multi-factorial, falls cause nearly two-thirds of all non-intentional injury related deaths in older adults (Hawk et al., 2006). One of the causative factors is loss of hip and knee proprioception secondary to increased joint degeneration, thus by addressing these problems with the rehabilitation and/or adjustment there may be a decreased risk of fall. 3. There is research to suggest that applying manipulative therapy and rehabilitation to the full kinetic chain yields greater benefits for KOA patients than at home rehabilitation alone (Deyle et al., 2005), however this combination of treatments has never been compared against full kinetic chain manipulative therapy alone. 4. KOA stiffness, pain and dysfunction was shown by Deyle et al., (2000) and Deyle et al., (2005) to improve better when adding manipulative therapy to a rehabilitation program as compared to placebo and exercise alone, respectively. 3. Research Problem and Aims Aim: The relative effectiveness of full kinetic chain manipulative therapy and rehabilitation in the treatment of osteoarthritis of the knee. Objectives: i) To determine whether manipulative therapy alone is effective in the short term treatment of KOA in terms of subjective and objective measurements. ii) To determine whether manipulative therapy alone is effective in the intermediate term treatment of KOA in terms of subjective and objective measurements. iii) To determine whether rehabilitation alone is effective in the short term treatment of KOA in terms of subjective and objective measurements. iv) To determine whether rehabilitation alone is effective in the intermediate term treatment of KOA in terms of subjective and objective measurements. v) To determine whether manipulative therapy combined with rehabilitation is effective in the short term treatment of KOA in terms of subjective and objective measurements. vi) To determine whether manipulative therapy combined with rehabilitation is effective in the intermediate term treatment of KOA in terms of subjective and objective measurements. vii) To compare short term results and intermediate results, respectively. viii) To determine whether manipulative therapy combined with rehabilitation is effective in decreasing the risk of fall according to the Berg Balance Scale. ix) To determine whether rehabilitation alone is effective in decreasing the risk of fall according to the Berg Balance Scale. x) To determine which treatment method is more effective in decreasing the risk of fall according to the Berg Balance Scale. 4. Literature review Osteoarthritis is a chronic degenerative disorder with a complex aetiology (Felson, 2000). It is characterized by focal loss of articular cartilage within synovial joints, associated with hypertrophy of bone (osteophytes and subchondral bone sclerosis) and thickening of the capsule, resulting in alterations in biomechanical properties (Woolf and Pfleger, 2003). It is a very common joint disorder, affecting mostly those above the age of 60 and can occur in any joint but is most common in the hip; knee; and the joints of the hand, foot, and spine (Symmons, Mathers and Pfleger, 2003). As many as 40% of people over the age of 65 suffering symptoms associated with knee or hip OA (Zhang et al., 2008), resulting in OA becoming the fourth leading cause of disability in the years 2000 (Symmons, Mathers and Pfleger, 2003). Although no cure exists, a number of treatment options exist to provide symptomatic relief as well as improvement of joint function. Amongst these are non-pharmacological in terventions, such as rehabilitation, manual therapies, acupuncture and electromodalities, as well as pharmacological measures such as oral medication and intra-articular injections. In severe cases, where nonsurgical interventions have failed, more invasive approaches may be needed (Scher and Pillinger, 2007). McCarthy (2004) compared the effectiveness of an at home exercise program on its own or when supplemented with a class-based exercise program. There was found to be a greater improvement in WOMAC score in the class-based exercise group (20.6%) than the at home group (8.8%). These relatively modest effects may be owed to inability of exercise to address a number of factors that prevent patients from maximising results from their exercise program. Fitzgerald (2005) identified quadriceps inhibition or activation failure, obesity, passive knee laxity, knee misalignment, fear or physical activity and self-efficacy as examples of such factors. The necessity for additional interventions to address these factors therefore becomes apparent. Tucker et al. (2003) compared the relative effectiveness of knee joint manipulation versus a non-steroidal anti-inflammatory drug (NSAID), and found manipulation to be just as effective as NSAIDs in the treatment on KOA. Fish et al., (2008) had similar results when comparing the effectiveness of knee joint mobilisation against Topical Capsaicin Cream. Capsaicin has been previously demonstrated superior to placebo in many painful disorders including knee and general osteoarthritis. Pollard, Ward, Hoskins and Hardy (2008) applied a manipulative therapy protocol, consisting of soft tissue mobilisation and an impulse thrust to the symptomatic knee joint complex. This was found to have a statistically significant improvement in knee pain, mobility, crepitus and function when compared to the control group (interferential current set at zero). Pollard et al. (2008) also noted that knee treatment had a significant improvement in hip movement of those in the intervention group compared to the control group. This may be owing to the effect that treatment to a single joint may have on the full kinetic chain (hereafter FKC). A number of studies have been conducted on various joints of the full kinetic chain of the lower extremity to determine their effect on the knee. Cliborne et al., (2004) aimed to determine the short-term effect of hip mobilization on pain and range of motion (ROM) measurement in patient with knee osteoarthritis (OA). It was demonstrated that the presence of hip pain and pain on squatting, restricted hip flexion and/or a positive scouring test predicts a better knee OA outcome. Currier et al., (2007) suggest that pain over the hip, groin or anterior thigh; limitations in passive knee flexion and internal rotation of the hip; as well as pain with hip distraction predicts a favourable short-term response to hip mobilizations. In fact it was found that, based on the presence of one variable, the probability of a successful response was 92% at 48-hour follow-up, which increased to 97% if 2 variables were present. Iverson et al., (2008) suggest that the strongest predictor of whether adjus ting the lumbopelvic spine will decrease knee pain (in patellofemoral pain syndrome) is if there is a side-to-side difference in hip internal rotation greater than 14 °. The presence of this variable increased the likelihood of a successful outcome from 45% to 80%. These studies collectively show that correcting the various dysfunctions within the kinetic chain will have a favourable effect on knee joint dysfunction. However, there has yet to be a study that seeks to improve knee osteoarthritis by treating all indicated joints in the full kinetic chain. Few studies have looked at what effect combining manipulation and rehabilitation would have in the treatment of KOA. Deyle et al., (2000) applied manual therapy to the knee as well as to the lumber spine, hip and ankle as required. Additionally patients where given to knee exercise program to perform in the clinic on treatment days and at home. WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) scores are used to detect changes in the patients perception of function and quality of life, specifically related to the disease process. In this study, there was a 55.8% improvement in the treatment group as compared to a 14.6% improvement in those patients receiving placebo (subtherapeutic ultrasound), thus proving the effectiveness of combining manipulation and rehabilitation. Using similar methodologies, Deyle et al., (2005) compared an at home versus in clinic physical therapy program. Those being treated in clinic received supervised exercise, manual therapy to the F KC and a home exercise program, while a second group received at home exercise only. Significant improvements where seen in both groups, however the clinic treatment group had an improvement in WOMAC scores of 52% and only a 26% improvement was seen in the home exercise group. The author attributed this difference between groups to the application of manual therapy to the full kinetic chain. However, the clinic group performed the exercises under supervision and where corrected where necessary while the home group were largely unsupervised and may have performed the exercises incorrectly as a result, thus decreasing the benefit such exercises would have. One should therefore not consider the difference in group performance to be solely due to the addition of manual therapy. To date there is no study which compares the effect of manual therapy alone versus the above mentioned treatment combinations. Therefore there is a need for a study to determine whether FKC manual therapy combined with a standardised rehabilitation program is more effective than either intervention alone in the treatment of osteoarthritis of the knee. 5. Research Methodology Design type: Quantitative comparative clinical trial conducted at the Durban University of Technology Chiropractic Day Clinic (hereafter DUT CDC). Advertising: [Appendix A] Old age homes and retirement villages throughout the greater Durban region will be approached, as well as advertisements placed on notice boards of DUT, community halls, shopping centres and places of worship. Sampling procedure: A sample size of 60 (n=60) will be selected by means of convenience sampling (Brink, 2006). Those individuals responding to the advertisements will be screened and accepted based on the inclusion and exclusion criteria. Telephonic interview: Patients are required to contact the DUT CDC telephonically to determine whether they meet the requirements of the study. This will be determined by asking the patient the following questions; * Are you between the ages of 38 and 80? * Have you had knee pain for longer than 1 year? * Do you have a history of trauma or surgery to the lumbar spine or lower limb? * Are you able to stand and walk on your own, with minimal need and/or without significant dependence on canes and walkers? * Do you suffer from a chronic medical condition that would require you to take regular medication? * Would you be prepared to have radiographs taken of your lower limb? If the patient meets the criteria for the study, a consultation will be made, at which they will be presented with a letter of information and informed consent form [Appendix B], which they will be required to sign. The following inclusion and exclusion criteria will be assess using a case history [Appendix C]; physical exam [Appendix D]; lumbar and pelvis [Appendix E]; hip [Appendix F]; knee[Appendix G] and; ankle and foot [Appendix H] regional examinations. Inclusion Criteria: A. Criteria, as developed by Altman (1991), requires a minimum of one of the first three clinical criteria below (#1, 2 or 3) for diagnosis of KOA (sensitivity 89 % and specificity 88%). 1. Knee pain and crepitus with active motion and morning stiffness ≠¤ 30 min (with age 38 ≠¤ 80 years of age). 2. Knee pain and crepitus with active motion and morning stiffness >30 minutes and bony enlargement (with age 38 ≠¤ 80 years of age). 3. Knee pain and no crepitus and bony enlargement (with age 38 ≠¤ 80 years of age). B. The following 4 criteria are all required: 4. Knee pain of ≠¥ 1 year duration and able to stand and walk without severe varus/valgus deformity and/or severe instability (Kellgren and Lawrence, 1957). 5. Diagnosis of concurrent subluxation/or joint dysfunction (S/JD) complex: a. Diagnosis of S/JD will be supported throughout using the PART(S) system. 6. A patient must have a score of ≠¥720 mm (≠¥30%) on the WOMAC scale to be included (Tubach et al., 2005). 7. No history of meniscal or other knee surgery in the past 6 months (Pollard et al., 2008). 8. A diary will be kept to monitor whether medication consumption is increased, decreased or stays the same. Exclusion Criteria: 1. Significant visual disorders, severe vestibular disorders, neurological and peripheral sensory disorders which may be a contra-indication to exercise 2. History of knee or hip joint replacement, severe varus or valgus deformity, instability, fracture and severe osteoporosis, Rheumatoid arthritis, or frank avascular necrosis with or without moderate or severe deformity, 3. History of significant lumbar herniated disc injury with sequela, 4. Severe balance and proprioception problems (i.e. inability to stand with and/or without marked spinal or hip deformity) 5. Symptoms of moderate to severe osteoarthritis in both knees and/or hips: Note: both knees can be treated if there is KOA or joint dysfunction in the opposite knee and otherwise no other severe complications as noted above. However, only data collected from the worst knee will be used for the purpose of the study. 6. Long term chronicity combined with multiple treatment failure especially multiple failure with previous physical treatment (≠¥ 3), with and/or long term severe pain, and/or a severely complicated or complex disorder (such as multiple co-morbidities combined with KOA such as a mix of: knee, hip and lumbosacral OA, and/or cardiovascular and/or auto-immune disease), or a severely disabled and/or a patient with severe and decreased functional ability and/or a severe clinical depression, may lead on a case by case basis, to exclusion. A basic guide for #6 to be used on a case by case basis: I. Pain: The patient gives a history that can be interpreted as having stayed constantly or chronically at a high level of an estimated verbal analogue score (VAS) of ≠¥ 7 or WOMAC score of 1680-1920mm (70-80%) (out of a maximum worst score of 2400mm) for 3 to 5 years or longer. II. Complicated or complex: 3 or more disorders at one time in the same patient (with KOA) as listed from #1-5 above. III. Severely disabled: dependent on a cane, brace or walker 75 to 100% of the time when ambulating; severe cardiovascular disease; severe instability in the knee or other joints or possibly less than, or markedly less than half the normal ROM. IV. Clinically depressed: determined by history and use the Beck Depression Inventory (BDI). The BDI has been validated for measuring depression in clinical and nonclinical settings (Beck et al., 1961). Radiological analysis: Although diagnosis of KOA will be made primarily through clinical examination, knee x-rays will be taken on patients who qualify and consent to participate in the clinical trial. The purpose is to determine the grade of osteoarthritic change (according to the Kellgren-Lawrence scale (reference)), to confirm suspicions of contra-indications to treatment, or to rule out a pathology outside of OA. Additionally, the subjects history and physical examination may indicate the need for lumbosacral/pelvic, hip, ankle and/or foot x-rays (see exclusion criteria below). Procedure: Time Baseline 2 weeks 4 weeks 6 weeks 1 week F/U 1 month F/U # Rx 2 2 2 Outcome measurement WOMAC ROM BBS BDI WOMAC OTE ROM BBS BDI WOMAC OTE ROM BBS BDI Once accepted into the study, patients will be randomly allocated into 3 (three) groups using a randomised allocation chart (reference). Interventions: Group A will be treated with only manipulative therapy of the FKC. Group B will be treated with only rehabilitation of the FKC. Group C will be treated with manipulative therapy combined with rehabilitation of the FKC. Manipulative therapy: [Appendix I] FKC manipulative therapy (manipulative therapy to the knee, and any indicated axial or appendicular joint dysfunction, such as to the spine, hip, ankle, and foot) for KOA has been hypothesized as superior to localised manipulative therapy (Deyle et al., 2005). Treatment will focus on carefully restoring knee flexion and extension by lesser grades of mobilization as recommended by Deyle et al., (2005) and Fish et al., (2008), and patellar mobilization as per Pollard et al., (2008), along with careful high velocity low amplitude axial elongation of the knee joint as per Fish et al., (2008). Additionally, manipulative therapy will be applied where needed to the full kinetic chain using other diversified techniques, such as HVLA manipulation or mobilization as outlined in Shafer and Faye (1990), and/or Peterson and Bergman (2002). Also, the hip technique, as outlined by Hoeksma et al., (2004) and the use of HVLA knee manipulation methods from Tucker et al., (2005) will also be utilized when indicated. The particular joint dysfunction also known as the subluxation complex or manipulable lesion will be chosen based upon findings in the regional examinations. Rehabilitation: [Appendix J] Rehabilitative therapy will include exercises, focused soft tissue treatment and stretch to the knee and elsewhere along the full kinetic chain where needed based upon functional assessment (Deyle et al., 2005). Also included in rehabilitation will be patient advice, education and home exercise recommendations for managing their KOA. The rehabilitation protocol will be standardised across groups B and C, with minor case by case variations. Intervention frequency: All patient will receive: 6 treatments in the first three (3) weeks (2x treatments/week). Training in a rehabilitation program, to be completed daily. Regular telephonic communication (every 1-2 weeks) following the completion of the 6th treatment. All groups will be required to return to the clinic no more than one (1) week after the 6th treatment and at the one (1) month follow up to have readings taken. Measurement Tools: All data will be collected previsit 1, no more than 1 week after 6th treatment and at 1 month follow up, with the exception of OTE which will not be collected at previsit 1. Subjective data will b obtained by means of; Beck Depression Inventory [Appendix K] The McMaster Overall Therapy Effectiveness (OTE) Tool [Appendix L] will be used to assess patient satisfaction and general improvement. o The OTE is a valid and reliable questionnaire that allows the patient to classify the change in their health status: whether their KOA symptoms, or overall quality of life has improved, remained the same, or worsened since the last visit (Chan et al., 2006) The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) [Appendix M] detects change in function and quality of life in patients suffering from KOA using multiple questions with the visual analogy scale (VAS). o The WOMAC is valid and reliable for KOA, and has a long history of being broadly and frequently utilized to assess knee and hip OA, thus allowing comparison to a large number of studies and trials (Bellamy et al., 1988). Berg Balance Scale (BBS) questionnaire [Appendix N] is a predictor of fall risk and will be delivered if the one legged standing test is failed (Hawk et al., 2006)). KOA patients who are +ve for the Berg Balance Scale (BBS) will be monitored as a subgroup (with a + OLST and BBS) at all clinic assessments Objective data will be obtained by means of: Inclinometer [Appendix O] readings for knee flexion and extension only to evaluate the patients range of motion (ROM) (reference). Statistics: The latest version of SPSS will be used to analyse the data. 6. Plan of Research Activities Provide a summarised work plan for each year of the project giving information for each research activity per year, under the following headings: Activity Timeframes (target dates for the duration of the project) 7. Structure of Dissertation / Thesis Chapters 1. Introduction 2. Review of the related literature 3. Subjects and methods 4. Results 5. Discussion 6. Recommendations and conclusions 7. References 8. Potential Outputs  § Provide details on envisaged measurable outputs (e.g. publications, patents, students, etc.);  § Expected national and/or international acclaim for the research and contribution of research outputs to building the knowledge base;  § Exploitability of outputs, e.g. applicability to community development, improved products, processes, services in SA, region and/or continent;  § Expected effects of research results. 9. Key References Brink, H. 2006. Fundamentals of research methodologies for health care professional. 2nd edition. Juta and co. Cape Town. Cliborne, A., Wainner, R., Rhon, D., Judd, C., Fee, T., Matekel, R., and Whiteman, J. 2004. Clinical hip tests and a functional squat test in patients with knee osteoarthritis: reliability, prevalence of positive test findings, and short-term response to hip mobilization. Journal of Orthopaedic Sports Physical Therapy, November; 34(11): 676-685. Currier, L., Froehlich, P., Carow, S., McAndrew, R., Cliborne, A, Boyles, R., Mansfield, L., and Wainner, R. 2007. Development of a clinical prediction rule to identify patients with knee pain and clinical evidence of knee osteoarthritis who demonstrate a favourable short-term response to hip mobilization. Physical Therapy, September; 87(9): 1106-1119. Deyle, G., Allison, S., Matekel, R., Ryder, M., Stang, J., Gohdes,D., Hutton, J., Henderson, N., and Garber, M. 2005. Physical Therapy Treatment Effectiveness for Osteoarthritis of the Knee: A Randomised Comparison of Supervised Clinical Exercise and Manual Therapy Procedures versus a Home Exercise Program. Physical Therapy, 85(12): 1301-1317. Deyle, G., Henderson, N., Matekel, R., Ryder, M., Garber, M., and Allison, S. 2000. Effectiveness of Manual Physical Therapies and Exercise in Osteoarthritis of the Knee. Annals of Internal Medicine, 132(3): 173-181. Felson, D. 2000.Osteoarthritis: New Insights Part 2: Treatment Approaches. In: National Iinstitute of Health Conference, Annals of Internal Medicine; 133: 726-737. Hawk, C., Hyland, J.K., Rupert, R., Colonvega, M. and Hall, S. 2006. Assessment of balance and risk for falls in a sample of community-dwelling adults aged 65 and older. Chiropractic and Osteopathy, 14(3). Haynes, S. and Gemmell, H. 2007. Topical treatments for osteoarthritis of the knee. Clinical Chiropractic; 10: 126-138. Iverson. C., Sutlive, T., Crowell, M., Morrell, R., Perkins, M., Garber, M., Moore, J., and Wainner, R. 2008. Lumbopelvic manipulation for the treatment of patients with patellofemoral pain syndrome: development of a clinical prediction rule. Journal of Orthopaedic Sports Physical Therapy, June; 38(6): 297-312. McCarthy, C., Mills, P., Pullen, R., Roberts, C., Silman, A., and Oldman, J. 2004. Supplementing a home exercise programme with a class-based exercise programme is more effective than home exercise alone in the treatment of knee osteoarthritis. Rheumatology; 43: 880-886. Pollard, H., Ward, G., Hoskins, W. and Hardy, K. 2008. The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. Journal of the Canadian Chiropractic Association, December; 52(4): 229-242. Symmons D, Mathers C, Pfleger B. 2003. Global burden of osteoarthritis in the year 2000 [online]. Geneva: World Health Organization. Available at: URL: http://www3.who.int/whosis/menu.cfm?path=evidence,burden,burden_gbd2000docslanguage=english Tucker, M., Brantingham, J., Myburg, C. 2003. Relative effectiveness of a non-steroidal anti-inflammatory medication (Meloxicam) versus manipulation in the treatment of osteo-arthritis of the knee. European Journal of Chiropractic, 50: 163-183. Woolf, A.D. and Pfleger, B. 2003. Burden of major musculoskeletal conditions. Bulletin of the World Health Organization, 81 (9). Zhang, W., Moskowitz, R. W., Nuki, G., Abramson, S., Altman, R. D., Arden, N., Bierma-Zeinstra, S., Brandt, K. D., Croft, P., Doherty, M., Dougados, M., Hochberg, M., Hunter, D. J., Kwoh, K., Lohmander, L. S. and Tugwell, P. 2008. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis and Cartilage, 16:137-162. Appendix L The McMaster Overall Therapy Effectiveness (OTE) Tool (for general improvement and patient satisfaction) Patient No.â‚ ¬Ã…’â‚ ¬Ã…’â‚ ¬Ã…’â‚ ¬Ã…’ Visit No. Page No. . Overall Treatment Evaluation KOA We would like to find out if there are any changes in the way you have been feeling since treatment started: after 6 treatments, and also at the 1st week and 1st month follow ups. Since treatment started, has there been any change in your ACTIVITY LIMITATION, SYMPTOMS AND/OR FEELINGS related to your knee osteoarthritis? Please indicate if there has been any change by checking ONE of the three boxes below (Better/About the same/Worse): Better About the Same Worse ⇓ ⇓ If you have checked ABOUT THE SAME, ⇓ Please stop here. ⇓ If you have checked the box If you have checked the box BETTER: WORSE: How much BETTER would you say How much WORSE would you say your ACTIVITY LIMITATION, your ACTIVITY LIMITATION, SYMPTOMS AND/OR FEELINGS SYMPTOMS AND/OR FEELINGS have been since treatment started? Have been since treatment started? Please choose ONE of the options Please choose ONE of the options below: below: Almost the same, hardly better at all Almost the same, hardly worse at all A little better A little worse Somewhat better Somewhat worse Moderately better Moderately worse A good deal better A good deal worse A great deal better A great deal worse A very great deal better A very great deal worse Patient No.â‚ ¬Ã…’â‚ ¬Ã…’â‚ ¬Ã…’â‚ ¬Ã…’ Visit No. Page No. . Overall Treatment Effect CHF, continued Answer the following question whether or not you answered BETTER or WORSE and what your response was. Note if you have improved, the change will be important since you likely will be able to carry out your responsibilities with greater ease and comfort compared to before the study. If on the other hand you are worse, then you will have more difficulty carrying out your responsibilities; this will also be important for you as you have more difficulty with your activities. Is this change (BETTER/WORSE) important to you in carrying out your daily activities? Not important Slightly important Somewhat important Moderately important Important Very important Extremely important THANKS FOR YOUR COOPERATION! Description of scales and how they will be assessed: * Pages one and two are graded separately. * Page one is graded on a 15 point scale. Scored from +7 to -7 * If the answer to the first question is Better then you have a + integer * If the answer to the first question is About the Same the score is 0 * If the answer to the first question is Worse then you have a integer * With a + or integer, the answers below the better or worse response are numbered sequentially from top to bottom. Almost the same, hardly better is a 1 and A very great deal better is a 7. * Page two is graded on a 7 point scale. Scored from 1 to 7 * The answers are numbered sequentially from top to bottom. Not important is a 1 and Extremely important is a 7 Later we will dichotomize the scores on page one between scores > 1 (improved) and Appendix M The WOMAC Western Ontario and McMaster Universities osteoarthritis index KNEE OSTEOARTHRITIS Name:_________________________________________________ Date:___/___/______DOB:___/___/_____ In Sections A, B and C questions will be asked in the following format and you should give your answers by putting a straight vertical (up-and-down) mark on the horizontal line. Note: 1. If make a straight vertical (up-and-down) mark on the line, at the left-hand end of the line, i.e. NO PAIN EXTREME PAIN Then you are indicating that you have no pain. Note: 2. If make a straight vertical (up-and-down) mark on the line, at the Right-hand end of the line, i.e. NO PAIN EXTREME PAIN Then you are indicating that you have extreme pain. 3. Please Note: a) that the further to the right-hand end you place your straight vertical (up-and-down) mark on the line, the more pain you are experiencing b) that the further to the left-hand end you place your straight vertical (up-and-down) mark on the line, the less pain you are experiencing c) Please do not place your straight vertical (up-and-down) mark on the line outside the markers. You will be asked to indicate on this type of scale the amount of pain, s

Tv And Violence :: essays research papers

Violence on Television We hear a great deal about violence on television these days. Nearly everywhere you turn there is something being written about it, or a program dealing with the issue of it, or a news story about a child somewhere who was influenced by it to do something harmful. The subject permeates our collective consciousness. Maybe this is due to the ever-increasing number of gangs in our urban centers. Maybe it's due to the ever-increasing crime rate that we hear about almost nightly on the news. Whatever the reasons behind its being such a concern, the fact remains that violence on television is a very real problem that is quite definitely a contributing factor to increasing violence among children and, yes, even among adults. Cartoon violence has been around as long as cartoons have - and that's a long time. The first animated Disney cartoons featured a rabbit named Oswald back in 1928 and the cartoon industry grew from there. So for seventy years now we've been treated to the antics of various characters, either through the opening Looney Tunes at the movies or the five hours of Saturday morning cartoons that were a ritual with us all growing up. There was Tweety Bird always getting the best of Sylvester the Cat, Bugs Bunny always outsmarting Elmer Fudd and Daffy Duck, Foghorn Leghorn constantly getting bruised by the awkward antics of his little chicks, Yosemite Sam getting his head blown off at least once a week and of course, the memorable Wyle E. Coyote who never, in all his forty-odd years of pursuing the Roadrunner ever bought anything from the Acme Co. that ever worked right (Siano, 20). They were truly funny and, in some respects, cathartic for us and it is this writer's opinion that cartoon violence is quite probably the least of our worries as far as what is corrupting the minds of our children today. We grew up on it and there is not one single documented case of a violent criminal who ever claimed that he ended up the way he did because he ingested a steady diet of Roadrunner episodes. Let's get serious. Most of these violent criminal types weren't home with the family watching Saturday morning cartoons when they grew up. They were out tying cats' tails together and throwing them over somebody's clothesline so they could watch them kill each other. Or they were torturing the neighbor's new puppy while Mom was at work, Dad was non-existent, and all 3 or 4 or 5 kids were left to raise themselves. Or they were busy learning violence first-hand from their alcoholic father whose chief mission in life seemed to be

Medicare Assignment Essay

Medicare Assignment What is Medicare? What governmental agency administers it? Medicare is a national social insurance program; it is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease known as a permanent kidney failure requiring dialysis or transplant. Medicare helps cover different specific medical cost. As a social insurance program, Medicare spreads the financial risk associated with illness across society to protect everyone, and thus somewhat different social role from for-profit private insurers, which manage their risk portfolio by adjusting their pricing according to, perceived risk. Medicare is managed by the Health Care Financing Administration (HCFA), a division of the U.S Department of Health and Human Services which also administers Medicaid. Who is eligible for Medicare? Who is not eligible for Medicare? People who are at age 65 or older qualifies if he or she is A U.S citizen or a permanent legal resident  He/She or their spouse has worked long enough to be eligible for Social Security or railroad retirement benefits – usually having earned 40 credits from about 10 years of work He/She or their spouse is a government employee or retiree who has not paid into Social Security but has paid Medicare payroll taxes while working. Note that He/She can qualify for Medicare on their spouse’s work record if he or she is at least age 62 and he/she is at least age 65. They may also qualify on the work record of a divorced or deceased spouse. Following the Supreme Court’s ruling on the Defense of Marriage Act in June 2013 people in same sex marriage may qualify on their spouse’s work record if they live in the state where they were wed or in another state that recognizes same-sex marriage, or if they are civilian or military employees of the federal government. People who are under age 65 qualifies if he or she is Have been entitled to Social Security disability benefits for at least 24  months ( which need not be consecutive) Receive a disability pension from the Railroad Retirement Board and meet certain conditions Have Lou Gehrig’s disease ( amyotrophic lateral sclerosis), which qualifies them immediately Have permanent kidney failure requiring regular dialysis or a kidney transplant , and either he/ she or their spouse has paid Social Security taxes for a certain length of time depending on their age. People do not qualify for Medicare if they do not meet the above requirements. How do you apply for Medicare? Check whether he/she qualifies to receive, by verifying whether or not he/she qualify to receive government assistance through its Medicare program. They must be low-income, income is measured against the Federal Poverty Level, for FPL, which changes annually but is currently set $23,550, are pregnant, are elderly (65+) and younger (under 21), are blind or disabled, have no health insurance, guardians of a minor but have restricted sources of income, are SSI eligible. Go to your state of residence’s Medicare website to get more detailed information on state eligibility requirements. Individual state links are posted at the Center for Medicare & Medicaid Services’ website. This site also provides a detailed listing of what services are and are not covered under Medicaid. State eligibility sometimes differ. Federal law requires states to cover certain mandatory eligibility groups, but allows them to provide coverage to other population groups. Some states do, other states don’t. This means that state eligibility laws will differ from state to state. Check with your state and learn the eligibility requirements. Many states are expanding coverage, especially for children. Read over the application form in its entirety before inputting your information. Make sure answers are accurate as Medicare fraud is a serious offense that carries equally serious penalties. Schedule a time to meet with a Medicare officer or a social or human services representative if he/she has any questions or concerns about eligibility. Organize all the documents necessary to apply for Medicare. The state will need to verify information on the application by cross-referencing it with certain documents you may be in possession of. In order to do this, you should make  duplicate copies of: 1) birth certificate, social security number or guardianship papers 2) Driver’s license and vehicle registration 3) Proof of residency in the state in which you are applying for 4) Any pay stubs or other proof of income 5) Names of your financial institutions and any bank accounts numbers 6) Real estate deeds 7) Unpaid doctor or health care bills 8) Medicare Benefit Card Consult with an elder lawyer or one who specializes in family law before submitting your Medicare application. This is especially important if the person who is applying for Medicare will be entering a skilled nursing facility. Inquire as to the average turnaround time for reviewing an application. It generally takes 45 days for the state to process an application that does not involve a disability. It can take up to 90 days to process an application associated with a disability. Be sure to follow up on the status of your application if you don’t receive a response within a reasonable time after that. Know that you can combine Medicaid and Medicare coverage if you meet certain eligibility requirements. Renew your eligibility once a year What types of coverage does Medicare provide? What does it not provide? Medicare covers services (like lab tests, surgeries, and doctor visits) and supplies (like wheelchairs and walkers) considered medically necessary to treat a disease or condition. If you’re in a Medicare Advantage Plan or other Medicare plan, you may have different rules, but your plan must give you at least the same coverage as Original Medicare. Some services may only be covered in certain settings or for patients with certain conditions. Part A: Hospital care, Skilled nursing facility care, Nursing home care, Hospice, Home health services Part B covers 2 types of services Medically necessary services: Services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice. Preventive services: Health care to prevent illness (like the flu) or detect it at an early stage, when treatment is most likely to work best. You pay nothing for most preventive services if you get the services from a health care provider who accepts assignment. Part B covers things like: 1) clinical research 2) ambulance services 3) durable medical  equipment (DME) 4) mental health 5) inpatient 6) outpatient 7) partial hospitalization 8) Getting a second opinion before surgery 9) Limited outpatient prescription drugs What are the â€Å"options† under Medicare (ie. can you pick your own doctor, can you pick your own drug plan? Etc.) In most cases, people can choose their own doctors, other health care provider, hospital, or other facility that’s enrolled in Medicare and is accepting new Medicare patients. However for drug, most prescriptions aren’t covered in Original Medicare but people are given the choice to join a Medicare Prescription Drug Plan. Each Medicare Prescription Drug Plan has its own list of covered drugs, many medicare drug plans place drugs into different tiers on their formularies. Drugs in each tier have a different cost. A drug in a lower tier will generally cost less than a drug in a higher tier. Do you have to pay for Medicare benefits? Yes, generally people have to pay for Medicare benefits. Part A usually cost $441 each month if a person is not eligible for premium free. For part B, a person pays a premium each month for Medicare Part B (Medical Insurance). Most people will pay the standard premium amount. However, their modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, they may an Income Related Monthly Adjustment Amount (IRMAA). IRMAA is an extra charge added to premium. Part B for $ 147 and Premium B for; If your yearly income in 2011 was You pay (in 2013) File individual tax return File joint tax return $85,000 or less $170,000 or less $104.90 above $85,000 up to $107,000 above $170,000 up to $214,000 $146.90 above $107,000 up to $160,000 above $214,000 up to $320,000 $209.80 above $160,000 up to $214,000 above $320,000 up to $428,000 $272.70 above $214,000 above $428,000 $335.70 Are there co-pays associated with Medicare? Yes. In traditional Medicare ( Part A and B) you pay 20% of the Medicare- approved amounts for most Part B services. In Part A, after meeting the deductible you pay nothing more for up to 60 days in the hospital in any one benefit period, but additional days may require daily copays. If you grandpa had severe dementia and needed 24 hour care, but your family wanted to keep him out of the nursing home, would his care be reimbursed through Medicare? Medicare has the choice to not reimburse the cost because it is not under the beneficiaries. Is Medicare working or is it just a broken socialized medicine program that needs to be redone? Why? I think that Medicare should be redone, it has too many processes to it, and it doesn’t make any sense if it’s for society who are poor and old, why do people still need to fork out so much of money per month to keep their Medicare benefits? Also, the paper work needed to apply for Medicare is tedious and not exactly friendly for somebody who is trying to apply for it. How easy was this information to find? How would a person with less education then you navigate this system? The Medicare website was rather easy to find, however the information was not the easiest thing to grasp especially when they have so many terms and conditions and different tiers to it. A person with less education will definitely have difficult time trying to navigate through the system and to get the right paper work done to apply.

Software as a Service Is Going to Be the Center of the Next Wave of Information Management

Software as a Service Is Going to Be the Center of the Next Wave of Information Management Software as a Service General Overview of the Issue The internet becomes the greatest sources of information and means of communication. Different applications that were available for download from the web are now available for online use.Advertising We will write a custom essay sample on Software as a Service Is Going to Be the Center of the Next Wave of Information Management specifically for you for only $16.05 $11/page Learn More In this respect, it is necessary to consider the issue of ‘software as a service’ as the center of the next wave of information management. As suggested by Chee and Franklin (2010), â€Å"The new trend is that Web-based applications neither have to be limited to the boundaries of a Web browser nor do they necessarily mean a compromise in the user interface† (p. 69). The information management is aimed at promoting the most needed and used practices, services, and goods. So, such concept as ‘software as a service’ appears mostly with ‘cloud computing’ which enables users to apply software without installing it on the computer. Difficulties Related to Organizational Implementation of the Model The major problem related to all software applications and systems concerns the implementation of the model. For instance, when cloud computing is implemented, it is necessary to take into account a number of issues. The matter of primary importance is the platform for this model. as reported by Peng, Cui and Li (2009), â€Å"The data storage and computation capability are the major factors of the cloud computing platform, which determine how well the infrastructure can provide services to end users† (p. 6). Every user that applies cloud computing should realize that potential capability of this platform is related to the data storage capacity and the technological innovation. So, analysis of the capability of the model can influence the potential popularity of the c loud computing model. However, it is also necessary to recognize that â€Å"cloud computing can cut costs associated with delivering IT services† (Amrhein and Quint, 2009). Nevertheless, tools remain the major cornerstone for implementation of this model.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More All-To-Apparent Complications Some authors do not consider the cloud computing, which is also referred to as Saas, to be something new or innovative. The thing is that the companies such as Google were providing such services through Hotmail and Gmail (Schneier, 2009). As such, the burning issue of this model is that people recently started recognizing benefits of such technology and decided to discuss it whereas the discussion gave rise to the entire philosophy which is currently discussed at web. In other words, the ‘software as a service’ model is one of the m ost needed and stable ones with regard to the popularity of Gmail from Google. Access to information is ensured through the system of passwords and every user can enhance the cooperation on this issue by inviting friends to discussion. Innovation The implementation of the ‘software as a service’ model can be beneficial for users and companies that provide services. Besides, companies can apply this technique to spend more time on business than they currently do. In this respect, Microsoft can be considered one of the companies that design and promote ‘software as a service’ applications. As reported by Babcock (2010), â€Å"The application was created and run in Microsoft’s Azure cloud† while it was applied by the Outback. Moreover, the innovativeness of the application, as reported by different authors, is disputable and the effectiveness of this model has been proven by such applications as Gmail and hotmail. Reference List Amrhein, D., and Quint, S. (2009) Cloud computing for the enterprise: Part 1: Capturing the cloud. IBM Corporation. Retrieved from ibm.com/developerworks/websphere/techjournal/0904_amrhein/0904_amrhein.html Babcock, C. (2010) Microsoft pushes platform as a service in cloud. InformationWeek (November 8). Retrieved from informationweek.com/news/software/hosted/showArticle.jhtml?articleID=228200447subSection=ApplicationsAdvertising We will write a custom essay sample on Software as a Service Is Going to Be the Center of the Next Wave of Information Management specifically for you for only $16.05 $11/page Learn More Chee, B., and Franklin, C. (2010). Applications for clouds. In Cloud Computing: Technologies and Strategies of the Ubiquitous Data Center, 67-90. Retrieved from http://media.techtarget.com/searchSystemsChannel/downloads/Cloud_Computing_Techn_Strat_of_the_Ubiq_Data_Cent_Chapter_4.pdf Peng, B., Cui, B., and Li, X. (2009). Implementation issues of a cloud computing pla tform. IEEE. Retrieved ftp://ftp.research.microsoft.com/pub/debull/A09mar/cuibin.pdf Schneier, B. (2009). Cloud computing. Schneier on Security. Retrieved from schneier.com/blog/archives/2009/06/cloud_computing.html

User Needs Essay Example

User Needs Essay Example User Needs Essay User Needs Essay I am going to create a database for a cinema organiser/manager to help them keep on task with the cinema club that the students go to, an up to date with their members. At the moment the data is held on a paper based document, this can cause problems because paper can easily be lost or damaged and back-ups are some times impossible or hard to deal with because to copy all the information out again will take a long time.My database will be electronic, which means I can save changes and make back-up copies of the data easily. My database will allow them to do searches and queries to find data. The database is going to include a list of names, genders, addresses and telephone files. This database will be professional, reliable and easy to use; particularly if the owner does not know the necessary ICT skills. The database will be able to print out reports and present data.The user will need the necessary software and hardware to run the software and also a printer to print out reports. T hey will need to have a back up storage facility e.g. another drive, memory sticks or floppy disks.The plan of my databasePlan for the Card Holder Table:Field NameField TypeFormat/LengthRequired?Primary Key?Personal Reference NoNumberIntegerYesYesSurnameText20YesNoFirst NameText15YesNoSchoolText30YesNoGenderText1YesNoDate of BirthDateMediumYesNoAddressText150YesNoPost CodeText8YesNoPlan for the Schools Table:Field NameField TypeFormat/LengthRequired?Primary Key?School NameText30YesYesHeadteacherText25YesNoAddressText150YesNoPost CodeText8YesNoTelephoneText12YesNoSetting up the databaseI choose to set up the tables in design view, so that I could control how the tables were going to be formatted. After opening the design view the blank design form can be typed into so that you can create your own field names. Data types and field lengths.Relationships in my databaseTo make the relationship database work I had to form relationship between the two tables by clicking on the relationship icon and dragged one key field to another to create it (shown below on the left of the screen shot). Because one school can have many pupils I chose a many to one relationship, between my tables. On the right hand side of the screen shot shows the relationship editing window which shows that I have created a one-to-many relationship which means one school in the schools table will relate to many schools in the card holders table.How I entered data into the databaseWhen entering data you should not enter data straight into the tables particular if you want someone to enter data for you. Its easier for a novice to enter data because its more accurate and secure if they use an input form. I created an input form for both tables by clicking on the Forms tab in the database window and using the form report wizard to createCard holders form School formTo move through the records or check and edit them you have to use the navigation button at the bottom of the form box.Checking and correc tingSearching/Sorting the databaseReporting using the databaseI created two reports from my two queries by using the report wizard. To do this you should click on reports in the database window and then create report by using the wizard. This will take you through various steps to create the report. You can choose the data source, the style of the report, the layout, the fields you want to include and how to sort the report. I created two reports from my two queries. In the first one I chose one style for the report and in the second I chose a different one to look at the more suitable style. The two reports are shown below. One is landscape to get all the data in (even then I had to amend the formatting in design view because the first and last fields did not fit on the paper). The bottom one is much neater and professional looking and has fewer fields so that it can fit in a portrait orientation.Backing UpYou need to back up your data regularly in case there is system rash or othe r data loss of some kind. Backing up ensure that you have another copy that you can refer to if you lose the original copy.