Friday, August 21, 2020
Language and Mongolia free essay sample
I remain before the study hall, uncertain of what I am truly expected to do. I take a gander at the essences of every understudy, all around the age of twelve or thirteen, gazing up at me in expectation. I should show them how to communicate in English, however I donââ¬â¢t realize how to begin, considering I was just given this task about an hour back. I had strolled back to the school at an energetic pace with a million thoughts in my brain of what I could do. When I arrived at the structure however I understood that I had no clue about what the understudies were at that point prepared to do. Anyway remaining here now I would prefer not to appear to be bashful or anxious on the grounds that sincerely Iââ¬â¢m not, and I need to make this as a good time for them as could be expected under the circumstances. I stroll to the front of the room and gave an uproarious ââ¬Å"Sain baina uuâ⬠or hi, to attempt to welcome them unexpectedly I had the entirety of their consideration and the time had come to start. We will compose a custom paper test on Language and Mongolia or on the other hand any comparative theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page This past summer I went through a month voyaging and working in the differing nation of Mongolia. It was my first time abroad and living in a nation where I had never even heard the language. At the point when we had first arrived in their capital city of Ulaanbaatar we hit the ground running, hopping in a flash into Mongolian language exercises and classes about their way of life. These exercises would demonstrate valuable as we made a trip toward the northern region of Khovsgol. While there we finished various network administration ventures, anyway none of them very influenced me as much as instructing English to the Mongolian understudies. This was the task that I had been looking generally forward to, considering I had quite recently been painting floors for three days. This was just the second communication I had with the understudies, yet before I even began they in a split second remembered me. While the others sat quietly, one young lady unquestionably stated, ââ¬Å"You are Abigail, yes? You are excellent at the games.â⬠I perceive the young lady, named Biak, and I review the games we played when we originally showed up at the school with the Mongolian understudies. I rapidly think about the word for thank you-ââ¬Å"bayarlalaaâ⬠. One young lady focuses at me and afterward strolls up and begins to contact my hair. She takes a gander at me anxiously and says ââ¬Å"Yellow?â⬠holding up my plait to show me. I gesture my head rapidly, point at her hair and state ââ¬Å"Kharâ⬠, dark in Mongolian, which makes her grin and run back to disclose to her companions. I am not, at this point stressed over where to begin. In a split second I circumvent the room and begin pointing at hues. A few understudies definitely know every one of them while others excitedly track. While doing this action I hear another understudy notice that she needed a rabbit, so I began drawing pictures of creatures, showing them the names, and invested energy working with every individual until they knew every one of them. We wound up covering a great deal of subjects that day, with every understudy joyfully taking an interest for the whole of the exercise. I could feel the energy in them as we worked. Each understudy was quickly pointing around the room and I could hear yells of ââ¬Å"Red!â⬠, ââ¬Å"White!â⬠, ââ¬Å"Thatââ¬â¢s a horse!â⬠and ââ¬Å"I have a goat!â⬠surrounding me. At that time, remaining before that homeroom, I felt as though I had the option to open their brains while simultaneously they had the option to open mine. The association I had with them was simple and characteristic. I presently understand that the dread I felt toward the start, that vulnerability of how this was all going to function, was superfluous and that you donââ¬â¢t need an exercise plan with the end goal for individuals to learn. Some of the time the most ideal approach to instruct is at the time.
Friday, June 12, 2020
Chemotherapy in Cancer Practice Neutropenic Sepsis - 275 Words
Personal Narrative Chemotherapy in Cancer Practice: Neutropenic Sepsis (Case Study Sample) Content: Personal Narrative: Chemotherapy in Cancer Practice: Neutropenic SepsisName of StudentInstitutional AffiliationInstructorCourseInstitution, StateDate of SubmissionFormative AssessmentOur societies have several people who suffer from various types of diseases and conditions. However, very few of them open up about it for fear of embarrassment. These diseases and conditions are acquired through different ways. As such, the impacts that they have on the patients also differ. Most of such patients prefer keeping their conditions a personal and private affair that they never discuss with anyone outside their family. On some rare cases, some respond to requests to share on their disease or condition. In most cases, they do so especially when there is a promise of medical assistance to follow their story. A similar case happened in the case of collecting data for this report. The patient was also assured that his identity would be protected as it would be kept anonymous thro ughout the compilation and presentation of this report.The primary aim of this narrative was to identify a patient and interview them on their disease or condition. I was also required to collect data from the interview and compile it so that I would present it later. It was also necessary to ensure that the data collected could be used to help in improving patients of a similar disease or condition in the future. As such, I came across one patient who had acquired Nutropenic sepsis as a result of cancer treatment through chemotherapy. As such, she had been receiving home healthcare from her relatives who appealed for medical assistance.I visited her home on a chilly Tuesday morning. I found that she had been left in the care of her granddaughter. Unfortunate, there was no other adult family member to authorize my interview with the patient. I did this because I knew it was illegal to interview her in the absence of the carer. As such, I left to return later.In the evening, I found that the carer had returned from work. I introduced myself as a student and used my school identification card for proof. I also stated my purpose of the visit and why I wanted to interview the patient. After a few minutes, I was given the green light to continue with my interview. The carer offered to participate and help the patient respond to some of the questions.The first thing I wanted was to know what the patient was suffering from. She explained that Neutropenic sepsis is a complicated type of anticancer treatment that is potentially fatal. The carer also added that doctors had informed them that mortality rates of chemotherapy ranged between 2% and 21% of the adult patients. However, the mortality and morbidity rates have been significantly reduced by the use of intravenous antibiotic therapy. That has reduced the need for intensive care management of the patients to around 5% in the case of England.The only worry that patient had faced in the process of chemotherapy was th at the bone marrow could be suppressed by the therapies used to treat cancer so that it responded to the infection. As such, it occurred as one life-threatening ordeal for the patient. However, from my knowledge in class, medical practitioners and researchers have proven that this case is common in the case of chemotherapy, although such suppression can still be caused by systematic radiotherapy. As such, I shared this information with the patient and carer and gave them hope that there was still a chance of survival for the patient.The patient also explained that she had frequent cases of fever and potential sepsis because she was an outpatient. There is also need to explain to the patients who receive chemotherapy that there are several associated dangers that could rise after the therapy has been administered to them. The most common that each patient needs to be educated on is the risk of suffering from neutropenic sepsis. As such, they also need to be taught the symptoms and wa rning signs that they should watch out. There is also need to evaluate ways of improving the outcomes of chemotherapy. That can be done by establishing recommendations that are evidence-based on how the life-threatening condition of cancer treatment can be prevented, identified, and managed.As the interview progressed, I inquired to know how the patient had acquired the condition. The carer explained that it all started as a case of cancer treatment using chemotherapy. The body of the patient had been forced to produce White Blood Cells at a rapid rate because they were replenished at a fast rate during chemotherapy. That forced the bone marrow to produce more of the WBCs to replace their level in the blood. Medical research studies have shown that the ability of the bone marrow to regenerate WBCs is affected by chemotherapy. That leads to a drop in the levels of neutrophil, causing a condition known as neutropenia.It was also worth asking the signs and symptoms that the patient had developed that suggested that she could have been suffering from neutropenic sepsis. She explained that the initial symptoms of the condition had not been recognizable because they were mild. Some of these symptoms that she faced included malaise, fatigue, fever, sweats, urinary complications, and chills. She also complained that the condition had increased her chances of suffering other infections and fever. She was taking medicine to reduce fever at the time I carried out the interview.I also learnt the challenges, effects, and ways of managing the condition. The carer explained that the condition had cost the family financially. The patient required special medication and diet to keep healthy. It had caused her trauma and depression because of losing her job and having to live with a fatal condition. She had also been put under special medical care as required by NICE guidelines. This management care was prescribed by qualified medical personnel. Summative AssessmentThis section presents a narrative on the journey of the patient. It was compiled using the data that was obtained from the interview. It was critical to understand fundamental knowledge before engaging in the review and analysis of the data obtained from the interview.The National Confidential Enquiry conducted an investigation into the Patient Outcome and Death (Holmes, 2015, p. 207). The results were used by the National Chemotherapy Advisory Group to compile a report on the challenges that adult patients face in managing neutropenic sepsis when receiving chemotherapy at the same time (Holmes, 2015, p. 207). One of the primary problems associated with the condition is that it leads to unavoidable, untimely deaths of the patients. The report also revealed that there are no proper systems to conduct urgent assessment of the condition. Further still, most organizations lacked proper policies to deal with neutropenic sepsis (Holmes, 2015, p. 207). As such, this narrative also presents a summary o f the recommendations and guidelines that have been issued by National Institute for Health and Clinical Excellence (NICE) on how to identify, prevent, and manage neutropenic sepsis in cancer patients undergoing chemotherapy (Kelly, Morgan, Ellis, Younger, Huntley, and Swann, 2010, p. 1056). The guidelines are the most recent and apply to all patients regardless of their age.How Chemotherapy Causes NeutropeniaOne of the lessons from the interview was how the patient had contracted neutropenia. White Blood Cells are constantly replenished because they survive for only three or four days in the blood circulation (De Naurois, Novitzky-Basso, Gill, Marti, Cullen, Roila, and ESMO Guidelines Working Group, 2010, p. 256). That bone marrow is thus forced to produce more of them to replace their level in the blood. The ability of the bone marrow to regenerate WBCs is affected by chemotherapy. That leads to a drop in the levels of neutrophil, causing a condition known as neutropenia (Freifel d, Bow, Sepkowitz, Boeckh, Ito, Mullen, Raad, Rolston, Young, and Wingard, 2011, p. 93). Neutropenia is a condition that is normally silent, but it is the most common condition that patients develop as a result of undergoing chemotherapy. The initial symptoms may not be recognizable because they are usually mild. They include malaise, fatigue, fever, sweats, urinary complications, and chills. Chemotherapy-Induced Neutropenia increases the patients chances of suffering other infections and fever (Aapro, Bohlius, Cameron, Dal Lago, Donnelly, Kearney, Lyman, Pettengell, Tjan-Heijnen, Walewski, and Weber, 2011, p. 31). These are the symptoms that the patient had been experiencing before she was diImplications of Neutropenia to the PatientThere were several implications that the condition had on the patient. I noted that Chemotherapy-Induced Neutropenia had led to a condition that is known as febrile neutropenia (Bow, 2011, p. 545). Febrile neutropenia requires the patient to be hospital ized so that the condition may be evaluated and antibiotics such as broad-spectrum are administered if there is a need. The resulting conditions may be severe and sometimes lead to death. Individuals who have neutropenia also have to delay undergoing chemotherapy (Bow, 2011, p. 545). The clinical outcomes of chemotherapy may even be compromised if the treatment is not reduced. In such situations, medical practitioners can use the so-called Prophylactic Granulocyte-Colony Stimulating Factors (G-CSFs) to ensure that the dose of chemotherapy is maintained and that the severity and duration of neutropenia are reduced significantly (Lambertini, Del Mastro, Bellodi, and Pronzato, 2014, p. 118). These implications were evident on the patient. The patient was on a prescribed Prophylactic Granulocyte-Colony Stimulating Factors (G-CSFs) to manage the condition. Identification/Recognition of NeutropeniaThe interview revealed...
Sunday, May 17, 2020
Wednesday, May 6, 2020
Boomer Generation Disadvantages - 1012 Words
Generations are funny things. Stereotypes dictate that older generations are conservative, and that younger generations are liberal. However, generations only play a small role in shaping an individual s identity. Family, technology, politics, education, society, and the economy all play an important role in shaping a person s destiny. Shocking differences and surprising similarities exist between all generations; the Boomers and the Millennials are no different. The most important determining factor is definitely family. Most of us take our families for granted, but when you don t have perfect families, life can be very different. Subject A, of the Boomer generation, was raised by her grandmother. She had one sibling, aâ⬠¦show more contentâ⬠¦Mr. B lived most of his life in Germantown, the second most diverse city in the United States. His close neighbors included Blacks, Latinos, Asians, mixed-Europeans, and Middle Easterners. This multicultural background led to his acceptance of all ethnic backgrounds at a young age. Technology has affected everyone since the invention of the wheel in the Bronze Age. Ms. A believed the typewriter to be the best example of accessible technology during her childhood. During adulthood the first men walked on the moon; later on, personal computers and cell phones arrived. Her children always had access to a computer, showing the sharp contrast in generational technology. Mr. B grew up with personal computers and cell phones accessible. Smartphones and 3D printing arrived during teenage years, culminating in quantum networks and the development of human Mars transport during early adulthood. The most amazing technology at the moment are the potential benefits and banes of artificial intelligence. Politics are, well, politics. However, laws and government operations affect a person s society, so they affect the person. The post-WWII era of Ms. A s childhood led to increased anti-war efforts by activists around the world. However, America s endless wars led to increased PTSD among veterans and a growing universal rebuke of war. The nuclear arms race led to increased fear until the Soviet Union reached its climax in 1991. Ms.Show MoreRelatedThe New VW Beetle Case Study Essay1746 Words à |à 7 PagesWhether they would like to go with Baby Boomers or whether they would like to with young generation. If the Company was to target the Baby Boomers segment with a value proposition of Ãâindulging in nostalgia then the problem faced was that the recent trend shows that these baby boomers were changing preference to larger cars and also the company had changed its strategy of positioning the brand behind the Drivability of the car to target the younger generation. 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The Human Resource Function of Harrison Brothers Corporation free essay sample
How does McCain view her role as human resource manager? As a human resource manager she seems interesting in promoting the organisational performance. She said she is so much busy in defining various gaps and making planning to fill those gaps. She seems much busy in interview and selection process and also helping in training to the new staffs. She is found to be initiating for establishing the systematic disciplinary action. She is also involving in enhancing the performance by creating commission/incentives for the sales person who sales more than breakeven. By all these facts, what I found is she is doing the analysis of the previous gaps and planning and initiating the gap fulfilment strategy but has been suffering staffs and time constraints. But due to the lack of staff in HR section she have to give more time in selection process and not been able to better coordinate with other department. We will write a custom essay sample on The Human Resource Function of Harrison Brothers Corporation or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page So as a HRM she is doing well even though there are many things to do. 2. What is Harrison brother business strategy? The Harrison brothers business strategy is to promote the employee quality and performance. Also they want to generate neither more income from nor performing sector by converting its utilisation patterns. They wanted to hire the staff have good understanding of the merchandise skills and who can understand the customer needs. Basically they are in aggressive marketing strategy where they can enhance their brand loyalty customers. They want to reduce the cost by using innovative technique and forecast systems. And mostly they want to improve the productivity of the staffs especially of the head of department. They wanted to reposition of their old style of marketing. And wanted to be the top retail store in the north. 3. What is the structure and staffing of HR? The HR system in the organisation seems less comparatively as per the requirement. The HR manager is leading the HR Function and has very few staffs under. There are many staffs consisting of 15 department and only one manager and some assistant level are doing HR function. So what I see the most critical part is they have high turnover in the organisation and HR manger is always busy in selection process and training. And she was not getting good time to develop the coordination. So she was not been able to find out the actual cause of turnover from the origination. Every other manager has the department head to assist them but in HR section no HR focal person working in the department. So the staffing and the coordination part is lack. 4. Analyse the data in Exhibit 1. 4. What are its implications? From the table we can interpret the perception of the managers. Here store managers seem interesting in most of the portfolio. Store manager given equal ranking for HR function and conceptual part where as HR manager given high priority for staffing only and performance management only. The strategy of the organisation is directed towards change management but HR manager is more concentrate in the staffing and performance only. So as per my view the store manager is more aware in the change process. The turn over is high in organisation but both the manger are not giving it high importance because they rank compensation and safety in low. Store manger seems interested in giving training but HR manger not giving high importance. So in this table what we can say that the coordination is weak and the focus is different. Event though the focus should be different but it should be in line with the organisation strategy. So first what I want to say that all manager need to be trained on the strategic movement and need to develop the action plan and prioritise the task. In many organisations they fail is due to the overlapping of the function, here we also can see the same scenario so the HR function should be the focus of more on HR and supporting from Store managers only. But here store managers seems getting more focus on every angle of the job which need to be done by other department. 5. Given the organisations size and strategic goals, evaluate the development of the human resource functions at Harrison Brothers. What problem do you see? How could its major human resource functions be improved? In this case what I get the point is: * Organization strategy is different and department head strategy is different. * Gap are high in HR function because of the limited time and resources * HR seems only involving in selection process and not making other attention because of resource gap * HR department is lead by manager and not been able to perfor well. Staff turnover is high * Slow process of management response * Duplication of the function * Less effective staffs So to improve the function of HR, there is high need of the vice president who will lead the HR function and need to increase the HR manager to support in each department. There is need to develop the HR guidelines as per the strength and weakness analysis. Motivation factor for the good workers need to be incorporated to reduce the high turnover. Interdepartmental corporation need to be the focus intervention etc. Comment space:
Saturday, April 11, 2020
The Best Essay Topics For a Term Paper
The Best Essay Topics For a Term PaperA lot of people who are considering doing a term paper are wondering what the best essay topics are. They are also wondering why it is best to write the essay at the beginning of the term rather than at the end, and many more.The first question that they may ask is about essay topics. The truth is that there are a number of essay topics. It depends on the requirements of the essay.People who are writing papers for exams may be more concerned about the topic because it can be used in solving the exam questions. On the other hand, if you are writing the essay for a college course, it is more likely that you are writing for a class or discussion course. And as the main idea is to get information, having a specific topic is a good idea.But the fact remains that there are a lot of possible essay topics. But only those who are really serious about writing the essays will know about these and the subjects that interest them the most.It will also be diff icult for the students to read through the essays that the professors have assigned so they have to select different types of essay topics that they feel are suitable for them. One of the things that you should consider when it comes to essays is that you can choose to have them written by using a variety of topics to help you get the best one.Essays for papers can be written in such a way that it is interesting to read. But the essay topics can also be written in such a way that it is very interesting for the readers. It is important that you think about the subject that you want to write it well.In the end, the essay can be written in such a way that it would attract the reader to read the essay and find out the reason behind the paper. There are a lot of topics that are popular among the students. You just have to make sure that your paper has a popular topic.
Friday, April 3, 2020
Productive Tips for Good Informative Essay Topics That You Can Use Today
Productive Tips for Good Informative Essay Topics That You Can Use Today You can discover some inspiration about how to compose a wonderful essay hook here. Even simple personal opinion may be the top theme. Just keep in mind that while you're supposed to present the topic objectively, you still ought to use a sophisticated style. For that reason, it's wise to write about a few interesting, complex, and engaging themes. It is essential to finish the entire informative essay on an epic note in the event the author wants the reading audience to remember his brilliant thoughts and go on researching the issue. Moreover, if you're among the aspiring writers it's most effective to check everything. On the flip side, finding informative essay ideas will hardly be an issue. The standard of your topic will decide on the grading of the paper. Enable the professional academic writers help to your informative paper! Just locate some issue in your major and research anything you are able to find about doing it. Many absolutely free examples of various academic papers on various topics are available on the internet, and we suggest to get a look at one of the many top samples. What You Don't Know About Good Informative Essay Topics Therefore, to begin with, it's critical to say a couple words about a default meaning of an informative essay. Bear in mind your essay has to be flawless in regards to format, punctuation, and grammar. You need to begin by presenting the topic with a couple of sentences. There are a lot of topics to talk about and such a brief period to prepare your speech. Ideas, Formulas and Shortcuts for Good Informative Essay Topics Every essay page needs to stay logical. Thesis statement it's an element of an informative essay that has the short written the most important point of the essay. You shouldn't find it particularly hard to compose an informative essay. If you prefer to learn to compose an informative essay, it's important to go over the entire process step-by-step to allow it to be clear. The essay should handle an issue that's important to them. Just make sure that your essay doesn't sound simply factual. You've got to compose an informative essay. Informative essay is an opportunity to explain important facts. The ideal thing is to pick a topic that will provide you with an opportunity to present new ideas or a fresh perspective on a problem. The first thing you've got to do is think of a topic that you wish to right about. The most important thing you ought to know prior to picking a precise topic for your informative essay is it has to be simple to write about and be something you truly feel passionate about. It can be challenging to think of a topic off the surface of your head. The Good Informative Essay Topics Game To be able to graduate from any educational establishment, one needs to accomplish a great deal of writing assignments successfully. It is critical to bear in mind that accomplishing academic essays needs an important timeframe. Have a sc hedule so you submit the job in time. As soon as you decided on the subject, it's time to sit down and spend a few hours or more based on the assignment's volume on the informative essay outline. The method is precisely the same. Your essay might incorporate the explanations for teen pregnancy and talk about the present rates of teen pregnancy and potential solutions. Once you get your topic, approach identified and conducted your initial research a good way to start is to list out all your important findings and supporting data. Ruthless Good Informative Essay Topics Strategies Exploited You want to choose a topic that it is simple to find info about. In a case where the topic is decided by your instructor, and you discover that it's challenging to decipher its requirements, you could always obtain aid from our experts. Research-based topics require students to collect information till they write. Great topics for speech on sociological questions can cause positive outcome and self-education. Religious radicalization Getting the ideal topics for informative essay writing is just one of the most crucial stages in the practice. There are many topics readily available today which form a terrific foundation for the upcoming informative essay. If you are a newcomer to writing informative essays or simply struggle when it has to do with thinking of informative essay topics, then there's a great chance you might be searching for some help. The greatest informative essays aren't only educational, they're also intriguing and thought provoking.
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