Answers to Questions About Suffixes

Answers to Questions About Suffixes Answers to Questions About Suffixes Answers to Questions About Suffixes By Mark Nichol Here are a few inquiries from DailyWritingTips.com perusers about additions, trailed by my reactions. 1. Why is cheddar like composed as two words, when doglike and catlike are composed as single words? I frequently go over different words that are joined to like with hyphens. For the most part, words that end with a vowel are appended to additions, for example, - like with a hyphen, instead of straightforwardly joined as a shut compound. (Similar is a special case.) 2. By what method should the word bunch be pluralized? I have consistently utilized handsful, as opposed to bunches. Plurals of words with the postfix - ful consistently take the s after the addition. Be that as it may, you don’t essentially consistently utilize the postfix: When you wish to accentuate the holder, you ought to compose, for instance, â€Å"I discharged a pail loaded with water into the tub† or â€Å"I purged a few basins brimming with water into the tub.† To concentrate on the substance of the compartment, you ought to compose, for instance, â€Å"I exhausted a bucketful of water into the tub† or â€Å"I exhausted a few bucketfuls of water into the tub.† 3. Why you didn't hyphenate warlike in an ongoing post? Once in a while, in a New Yorker article, I’ll see a word with the addition - like hyphenated and another word with a similar postfix not hyphenated. I accept that in the sixteenth release of The Chicago Manual of Style, it is hyphenated. The default setting is to preclude a hyphen in words with the postfix - like. Here’s a post about hyphenation of words with prefixes and postfixes. Chicago doesn't utilize warlike for instance, however as indicated by its general proposals, the word ought to be shut. Need to improve your English in a short time a day? Get a membership and begin accepting our composing tips and activities every day! Continue learning! Peruse the Spelling class, check our mainstream posts, or pick a related post below:What Is Irony? (With Examples)Deck the HallsDozen: Singular or Plural?

Surviving Divorce Essay Example | Topics and Well Written Essays - 1250 words - 1

Enduring Divorce - Essay Example For touchy creatures, it truly is an injury, or might be more than that. To come out of the case shell after the separation, and begin having an ordinary existence, is really an undertaking that requests a ton of assurance, vitality, and quality of character and psyche. Enduring a separation alone isn't that troublesome as it is when there are youngsters. This paper will in general talk about how enduring a separation is troublesome, and how one ought to have the option to endure it, with and without kids. â€Å"More than 40 percent of relationships in America end in divorce† (The Survivor’s Club, para.2). There are many individuals out there who have chosen to get isolated from their companions, have marked the papers, have persuaded their kids that they would be going to carry on with a solitary parent way of life, have moved, and have at long last settled. Along these lines, this isn't something out of the world. Individuals get hitched, and on the off chance that they discover that they won't be good to go through their entire lives with one another, they get separated. Notwithstanding, what occurs next involves reasonableness and great arranging. A not well arranged life after a separation brings about a more noteworthy devastation and a heavier chaos than previously. Then again, a very much arranged life after a separation brings substantially more joy and fulfillment than the time before separate. We all have known somebody who has endure a separation with quality and power; and, we all have additionally known an individual who has decided to be a survivor of awful worry for good, or if nothing else for a long time after the separation, not letting the dim shadows of trouble and misery end. Thus, to endure a separation or be a real existence time survivor of stress and sorrow is every one of the a matter of utilizing sense and reasonableness. Obviously, there is torment appended to the entire thing, however how we diminish the agony, or bear it, is the enchantment stunt. As indicated by Wendy Walsh (para.2): An agony free separation is restricted to the individuals who are

Italian and Northern European Renaissance Free Essays

Italian and Northern European Renaissance The Italian and Northern Europe Renaissances were both a significant imprint in history by changing the beliefs of life, thought, culture, and specialty of the people’s of this time. In this paper I will clarify the rationale in change in these societies, including the similitudes and contrasts of the two societies. The Italian and Northern European Renaissance was the checking point for abandoning the old ways and moving into the more old style goals and civic establishments for Italy and Northern Europe. We will compose a custom exposition test on Italian and Northern European Renaissance or then again any comparative theme just for you Request Now Be that as it may, Northern Europe built up their goals all the more gradually then Italy did. For a certain something, the north clutched Gothic (or â€Å"Middle Ages†) craftsmanship and engineering with a more tightly, longer hold than did Italy† (Esaak, 2010). Both the Greeks and the Romans discovered they expected to rethink the old style standards through their writing and philosophical works, making craftsmanship a significant factor in their choices. The Renaissance time frame for the Italians and the Greeks was increasingly centered around the perfect of a distinct individual, the significance of traditional craftsmanship, writing, and the laws of the nation. The Italian Renaissance assumed a huge job in how people saw and contemplated themselves. The possibility of an individual considering themselves of a person rather than a gathering turned into a huge concentration in philosopher’s compositions. Independence was commended and supported during this time. Early Italian Renaissance likewise denoted the adjustments in social, political, and conservative changes. The improvement in political solidness was because of the expanded contact with different human advancements, and urbanization hit its peak. Expressions of the human experience of the Italian Renaissance mirrored the certainty of the individuals of this time. This certainty is perceptible in compositions by Donatello, and Michelangelo. Despite the fact that the artworks despite everything reflected Christian, and common subjects, the old style beliefs were woven into the work of art. The engineering during the Italian Renaissance depended on the appearance, hypothesis, subtleties, and estimations of old style world design. The traditional angles were utilized to acculturate the Christian and mainstream structures. The High Renaissance in Italy, albeit fleeting, was critical on the impacts of future Italian workmanship. During the High Renaissance the fundamental spotlight on Florence, for expressions of the human experience, moved to Rome because of the influence and riches from the popes. In light of the move from Florence to Rome, the two most significant components of this time, Classicism and Christianity, were converged into one. â€Å"Italian thoughts were likewise brought northward through exchange and business into Europe, where they affected the masterful customs there as well† (Benton DiYanni, 2008). Both the Italian and Northern European Renaissance had enthusiasm for changing their standards in independence, humanism, and elegance, which largy affects their societies, and expressions. A large number of the abstract works of this time communicated similar interests among Italy and Northern Europe. Models can be found in the compositions of Petrarch (Italian) and Michel de Montaigne (Northern European). Both of these essayists communicated the significance and optimism of humanism. The writing during this time was a superb mirror into the likenesses and contrasts of Italy and Northern Europe. Subsequent to taking a gander at the Italian and Northern Europe Renaissances, one can see the numerous likenesses between expressions of the human experience and societies, however the distinctions of these societies are not as effectively observable. One distinction among Italy and Northern Europe was the decay of the Catholic Church in Northern Europe. Europeans started to find new strict practices, and not follow the ordinary Catholic customs. Italy then again, kept on having a solid hang on the conventional Catholic customs, and practices. Another contrast between the two societies, as referenced previously, was the engineering. Italy moved from the Gothic design and stylistic theme while Northern Europe clutched the Gothic style for a more drawn out timeframe. When looking at the likenesses and contrasts between the Italian and Northern Europe Renaissances, one can see the two societies held a significant number of similar convictions, inspirations, and move for change. Workmanship and culture were both significant for these societies and helped lead the path for future improvement of the way of life. References Esaak, S. (2010). The Renaissance in Northern Europe †Art History 101 Basics. Recovered June 6, 2010, from http://arthistory. about. com/cs/arthistory10one/a/north_ren. htm Benton DiYanni, (2008). Expressions and Culture, Combined Volume (third Edition). Recovered June 6, 2010, from The most effective method to refer to Italian and Northern European Renaissance, Essay models

Ascensus and Wealthfront Pursuing Roboadvisor Solution in Nevada

Financial Professional Content Wealthfront has partnered with Ascensus College Savings to pursue a private labeled product. The April 12, 2016 State of Nevada "Notice of Public Meeting" reads: For possible action: Board review and consent to the Wealthfront Private Label Product Agreement between Wealthfront and Ascensus to launch a new Section 529 college savings plans pursuant to the Direct Program Management Agreement; review and approve the resulting Wealthfront 529 Plan Plan Description and Participation Agreement. Minutes from the meeting are not yet published, but it comes as no surprise that roboadvisors are taking a keen interest in the 529 space. Wealthfront would be the first roboadvisor to launch its own state-sponsored 529 savings plan. FutureAdvisor offers 529, Coverdell, and UGMA/UTMA advice on its platform. It is unclear what a Wealthfront product might look like yet, but the aforementioned announcement indicates that it would be its own unique plan. Wealthfront- soon to offer 529 savings plans? Wealthfront is a direct-to-consumer "roboadvisor," offering automated, online wealth management. Wealthfront manages over $3B in AUM. Ascensus College Savings specializes in recordkeeping, administrative, and program management services. They are the largest provider of program management and administration services, serving 31 plans across 17 states - soon to be 33 plans across 18 states with the addition of Rhode Island - with over $71 billion in assets under administration through 3.5 million accounts. Most roboadvisor platforms focus on portfolio management rather than tax and estate planning, which presents a challenge when it comes to 529 plans. It may be difficult for the platform to recognize and account for in-state tax incentives, matching grant programs, and similar state-specific benefits where available. Roboadvisors are high-profile at the moment due to their perceived threat to traditional advisor distribution and rapid growth. Earlier this month, AKF Consulting Group released its own study on roboadvisors and the 529 space. Fidelity, Northwestern Mutual, and Envestment have all acquired online wealth planning software technology, recently. With the launch of FutureAdvisor's college savings solution and forthcoming Wealthfront offering, it would not be surprising to see additional roboadvisor platform integration among plan providers, particularly those that have already purchased roboadvisor technologies, such as Fidelity, and those with access to multiple states nationwide. Financial Professional Content Wealthfront has partnered with Ascensus College Savings to pursue a private labeled product. The April 12, 2016 State of Nevada "Notice of Public Meeting" reads: For possible action: Board review and consent to the Wealthfront Private Label Product Agreement between Wealthfront and Ascensus to launch a new Section 529 college savings plans pursuant to the Direct Program Management Agreement; review and approve the resulting Wealthfront 529 Plan Plan Description and Participation Agreement. Minutes from the meeting are not yet published, but it comes as no surprise that roboadvisors are taking a keen interest in the 529 space. Wealthfront would be the first roboadvisor to launch its own state-sponsored 529 savings plan. FutureAdvisor offers 529, Coverdell, and UGMA/UTMA advice on its platform. It is unclear what a Wealthfront product might look like yet, but the aforementioned announcement indicates that it would be its own unique plan. Wealthfront- soon to offer 529 savings plans? Wealthfront is a direct-to-consumer "roboadvisor," offering automated, online wealth management. Wealthfront manages over $3B in AUM. Ascensus College Savings specializes in recordkeeping, administrative, and program management services. They are the largest provider of program management and administration services, serving 31 plans across 17 states - soon to be 33 plans across 18 states with the addition of Rhode Island - with over $71 billion in assets under administration through 3.5 million accounts. Most roboadvisor platforms focus on portfolio management rather than tax and estate planning, which presents a challenge when it comes to 529 plans. It may be difficult for the platform to recognize and account for in-state tax incentives, matching grant programs, and similar state-specific benefits where available. Roboadvisors are high-profile at the moment due to their perceived threat to traditional advisor distribution and rapid growth. Earlier this month, AKF Consulting Group released its own study on roboadvisors and the 529 space. Fidelity, Northwestern Mutual, and Envestment have all acquired online wealth planning software technology, recently. With the launch of FutureAdvisor's college savings solution and forthcoming Wealthfront offering, it would not be surprising to see additional roboadvisor platform integration among plan providers, particularly those that have already purchased roboadvisor technologies, such as Fidelity, and those with access to multiple states nationwide.

Alexis de Tocquevilles Democracy in America Essay example

Alexis de Tocquevilles visit to the United States in the early part of the nineteenth century prompted his work Democracy in America, in which he expressed the ability to make democracy work. Throughout his travels Tocqueville noted that private interest and personal gain motivated the actions of most Americans, which in turn cultivated a strong sense of individualism. Tocqueville believed that this individualism would soon sap the virtue of public life (395) and create a despotism of selfishness. This growth of despotism would be created by citizens becoming too individualistic, and therefore not bothering to fulfill their civic duties or exercise their freedom. Tocqueville feared that the political order of America would soon become†¦show more content†¦br brAnother means by which Tocqueville believes it is possible to contest individualism is to form associations and write newspapers. He believes that like local governments, associations help people to realize their dependence on their fellow citizens and take interest in public affairs. It is crucial to have institutions and civic duties which force people to look beyond their own interests and think about the problems of the community. As soon as several of the inhabitants of the United States have taken up an opinion or a feeling which they wish to promote to the world, they look out for mutual assistance; and as soon as they have found one another out, they combine. From that moment they are no longer isolated men, but a power seen from afar, whose actions serve for an example and whose language is listened to (407). Seeing as citizens in democratic societies are independent and weak, they need to form associations in order to have some influence. By bringing people together, new thoughts and ideas are circulated with a stronger force behind them. br brNewspapers combat individualism by allowing numerous readers to be exposed to the same thoughts and ideas. There is a shared relationship between newspapers and associations: newspapers aid in the formation of associations, and associations use newspapers as a means of communicating their thoughts and ideas. When there is a notion shared by many individuals, but notShow MoreRelated Alexis de Tocqueville?s Influence Essay596 Words   |  3 Pages Alexis de Tocqueville’s Influence nbsp;nbsp;nbsp;nbsp;nbsp;Alexis de Tocqueville’s observation of the American prison system brought out several interesting facts about America and how it governs itself. He talks of the danger of greed for money, the importance of forming associations, and the power of influence in town government. Although many of his observations have since changed, many of them bring about legitimate points about American government and society. nbsp;nbsp;nbsp;nbsp;nbsp;InRead MoreCritical Analysis of Alex de Tocquevilles Democracy in America1366 Words   |  6 PagesCosby Analysis of Alexis de Tocqueville’s Democracy in America Alexis de Tocqueville’s visit to the United States in 1831 prompted his work Democracy in America. This was supposed to be a chance for him to take a look at the American prison system. However, it was obvious from his writing that he looked at every aspect of American culture. In Democracy in America, he takes a look at how democracy works and the pitfalls that could bring about the downfall of democracy. Throughout his travelsRead MoreEssay about Alexis deTocqueville2501 Words   |  11 PagesAlexis deTocqueville Alexis de Tocqueville was born in Paris on July 29th, 1805. Growing up in Metz, France, the youngest child of Hervà © Tocqueville and Mlle. De Rosanbo, he showed great intellectual promise from his earliest days. By the age of 16, his academic career was a brilliant one, his schoolwork earning him a special prize and two first prizes. He was an avid reader, reading books hardly accessible to a boy of his young age. It was during these years that he developed his criticalRead MoreAlexis de Tocqueville: Weaknesses of Democracy1813 Words   |  8 PagesAlexis de Tocqueville: Weaknesses of Democracy Most of the researches consider publications of Alexis de Tocqueville as longsighted and even prophetic. That actualizes the issues which Tocqueville investigates in his publications and books. For instance, Tocqueville in his â€Å"Democracy in America† foresees the future confrontation of Russia and United States. The reason for that is two different perception of life – for Americans the motive is a freedom, for Russians - service. Another significantRead MoreTyranny And The Social Wellbeing Of Citizens1750 Words   |  7 Pagesconcerned themselves at some point with the issue of tyranny in society. Such writers spanned from Alexis de Tocqueville, to John Stuart Mill, to Karl Marx and Friedrich Engels. The interpretations and approaches taken to the subject of tyranny and how to protect against it, though, were as varied as the collection of authors who addressed it. From de Tocqueville’s stringent observations in Democracy in America, the concept of a purely political tyranny is delineated. In contrast, Mill’s essay On LibertyRead MoreAn Exploration of Individualism as Described by Alexis de Tocqueville in Democracy in America1312 Words   |  6 PagesAn Exploration of Individualism As Described By Alexis de Tocqueville in Democracy In America The classic work Democracy In America by Alexis de Tocqueville has been the reason for scholarly pursuit as well as strife within that same community. Through a brief examination of this text, several of Tocqueville’s arguments helped to define many of the constructs that made America what it was as well as those that have led to what it has become today. Of the many themes and ideas presentedRead MorePolitical Freedom: Arendt and de Tocqueville Essay1461 Words   |  6 PagesPolitical Freedom: Arendt and de Tocqueville Freedom in America emanates from the state of political freedom held by the citizens. Both Hannah Arendt and Alexis de Tocqueville provide criticism of the apparent shape freedom maintains in America as well as insight regarding how they perceive true political freedom. By using the observations and criticisms of de Tocqueville and the vision of Arendt, the position of modern America and its relation to the idealsRead More Marx’s Communist Manifesto and Conrad’s Heart of Darkness Essay1700 Words   |  7 Pagesexploration. In developed nations, agriculturally based economies gave way to manufacturing and trading economies as feudal systems were replaced by democratic societies. What allowed for this shift? According to Alexis de Tocqueville’s Democracy in America (1832), the equality supplied by democracy is what facilitated the entrance into this new economic and political era. Furthermore, Karl Marx’s Communist Manifesto and Joseph Conrad’s He art of Darkness are both texts written in response to the changesRead More Democracy in America Essay2008 Words   |  9 PagesDemocracy in America Throughout the course of history, mankind has been recorded to corrupt itself. Men have grown tired of simply surviving; they have had to take and conquer others. Absolute monarchies control wealth, land, and even lives of men. The conditions of the people were solely dependent on the conditions of the one who was in power in that particular place and time. History has proven that most men rule unwisely in their kingdoms. To avoid tyrannical rule, some make an attempt toRead MoreEssay about Alexis de Tocqueville: Democracy in America1197 Words   |  5 Pages Democracy in America has been a guiding principle since the foundation of the country. Many over the years have commented on the structure and formation of democracy but more importantly the implementation and daily function within the democratic parameters that have been set. Alexis de Tocqueville was a French political thinker and historian born July 29, 1805. He is most famously known for his work Democracy in America. Demo cracy in America has been an evolving social and economic reform, and

Supervision Of Teachers And Action Plan - 1589 Words

Supervision of Teachers and Action Plan The supervision of teaching scenario presents an interesting case study in that it touches upon the hiring of personnel, supervision of teachers, and designing a teacher action plan. The collaboration between the teacher committee and principal is a solid example of building bridges, between the existing staff and a new principal, along with empowering the staff to take ownership of decisions. Ms. Jones having 20% more behavior referrals than her colleagues, and the borderline chaos in her classroom emphasizes the need for more frequent walkthroughs and supervising teachers more closely. Additionally, the challenges presented by Ms. Jones perception of her situation brings developmental supervision into the forefront of the scenario. Evaluation When meeting with Ms. Jones the first step is to identify, and discuss her strengths and weaknesses in a manner that does not result in her feeling as if she is being unfairly scrutinized. It is important to allow Ms. Jones to talk about her own strengths and weaknesses to create an environment that will allow her to be open to hearing the principal’s perception of her strengths and weaknesses. Echoing her strengths to create a common ground for future growth in other areas is the preferred approach as discussion about her perceived weaknesses ensues. The principal appeared to be operating from an experimentalist philosophy due to the freedom that has been in place for whatever portionShow MoreRelatedEvaluation Of The New Edition Includes Supervision942 Words   |  4 PagesGlickman, Gordon and Ross-Gordan (2014) wrote, Like schools, supervision can be conventional, congenial, or collegial. Throughout most of its history supervision has operated from within a conventional paradigm (world-view), attempting to control teachers instructional behaviors. Based on what we know about successful schools, the time has come to move from conventional schools (still dominant in the United States) and congenial schools (less prevalent throughout the nation) toward collegialRead MorePriority List for Implementing Supervision Instructional Strategies1636 Words   |  7 Pagesflexible with all instructional supervision strategies. An enlightened leader provides constructive feedbacks that improve instruction, and ultimately, student performance; and leads a team of educators to reach their highest potential. Based on my study of the different strategies, the following is the order of my priority: Critical Friends Group, Standards-Based Walk-Through, Peer Coaching, Mentoring, Peer Assessment, Clinical Supervision, Portfolio Assessment, and Action Research. The criteria usedRead MorePart 3 : Tort Walk Essay1493 Words   |  6 PagesPart 3: Tort Walk There is a need that each school, its administrators and teachers should know the law of torts. In order to create a culture of safety principals should manage the risk of negligence to the faculty and students. As Burgett and Schwartz state, â€Å"being a teacher, administrator, board member, school employee, parent, or even a student is tricky business these days† (p.9). Therefore, each decision or actions’ steps should be made based upon ethical and legal principles. The particularRead MoreEthical And Legal Principles Of The School Essay1328 Words   |  6 PagesThere is a need that each school, its administrators and teachers should know the law of torts. In order to create a culture of safety principals should manage the risk of negligence to the faculty and students. As Burgett and Schwartz state, â€Å"being a teacher, administrator, board member, school employee, parent, or even a student is tricky business these days† (p.9). Therefore, each decision or actions’ steps should be made based upon ethical and legal principles. The particular high school putsRead MoreSupervision for Successful Schools1176 Words   |  5 PagesAnalysis of Supervision In every institution the type of leadership style is important for a successful environment. In order to establish a successful school environment to compete globally, the leader should comprehend the basic leadership theories and styles (Glickman et al., 2010). The cultures at schools are important to the success of the students and overall of the school, but also can be very difficult to establish and maintain without the proper leadership knowledge (Waite, 1995). InRead MoreEvaluation Of A Clinical Supervision Project925 Words   |  4 PagesAfter completing my clinical supervision project, I can reflect on multiple things I have learned about myself as a supervisor, including my approach to clinical supervision, my conference skills, and my strengths and weaknesses. I now recognize more than ever that effective supervisors must consistently self-assess their practice and make adjustments as necessary for continuous improvement, just as effective teachers do. Throughout the clinical supervision process, it became apparent that IRead MoreEffective Methods of School Improvement Essays1347 Words   |  6 Pagesalready know more than we need to do that. Whether or not we do it must finally depend on how we feel about the fact that we haven’t so far† (David Boers, personal communication, April 8, 2011). We have the know-how and means; we just need to take action. The key texts and supplementary materials studied in this class illustrate that improvements are possible, we just need to act. Both Marzano and Schmoker provide practical, research-based techniques to improve schools. They describe programsRead MoreEvaluation Of A Functional Behavior Assessment1393 Words   |  6 Pageswell-being. Such a behavior can manifest in the classroom physically and/or verbally. Behaviors should be addressed based on severity with immediate threats to any student’s physical safety attended to right away. Following the Positive Behavior Support Plan, students’ behaviors should be addressed on first on Tier 1, a universal level with standard classroom rules and consequences to address all students behaviors, and if behavior is not addressed with universally support, provide more comprehensive supportRead MoreThe Duty And Breach Of Duty Essay1226 Words   |  5 PagesA school can be held liable for negligent supervision if a plaintiff can prove four elements: the school had the duty to protect the student from foreseeable harm, the school breached that duty, the neglig ence was a proximate cause of the harm, and the student sustained actual injury as a result of that harm. Mirand v. City of New York, 84 N.Y.2d 44 (N.Y. 1994). This memorandum will assume that proximate cause and damages have already been proven in order to explore the issues of duty and breachRead MoreManagement, Supervision, And Evaluation Of Non Instructional Personnel Essay1040 Words   |  5 Pages Building Action Plan #1 - Final Reflective Essay Management, supervision, and evaluation of non-instructional personnel Introduction After careful review of my personal growth plan, one of the areas that I felt needed to master to become an effective leader, is the supervision of non-instructional personnel. Supervision of non-instructional personnel is as critical and valuable as instructional personnel to an educational leader. Qualified, effective, and efficient non-instructional staff plays

Miracle of Jesus free essay sample

Miracles Of Jesus A miracle is an extraordinary and surprising happening that may not be explained by normal standards and is therefore attributed to the presence and action of a supernatural or divine power. Jesus Christ Himself was a miracle. From the manner of His Birth, to His Resurrection, and everything in between, He lived a wonderfully miraculous life entirely unlike any other human. A miracle is an unusual event which may or may not bring with it surprise.A miracle is also a significant event, and hopefully to a good purpose. And a miracle can be done to authenticate a person and his or her message. # Throughout the bible Jesus Christ has preformed a great deal of miracles. The miracles that I am going to cover in this essay is the miracle of making water into wine, the feeding of the crowd of 5000+, and the resurrection of Lazarus. There was a wedding that was held at Cana in Galilee, Jesus, his mother, and his disciples were all attending the wedding. We will write a custom essay sample on Miracle of Jesus or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Evidently many of the people had traveled a great distance to hear Jesus. When Jesus arrived, Jesus had found that Lazarus had already been in the tomb for four days. Lazarus had many friends who were still there grieving with Martha and Mary the sisters of Lazarus. Jesus himself was affected, as described in the simple verse, Jesus wept. Jesus tells the disciples â€Å"They do no need to go away. You give the something to eatâ€Å"#, and he asks Philip where they should buy bread to feed the people . Jesus was testing Philip.He already knew what he was going to do. This was a test designed to teach. Jesus wanted them to deal with their own thoughts and their own solutions before he shows them what he is going to do. His goal was for them to come to him and ask him to do it. The master of the banquet had no idea were the wine had come from. He called for the bridegroom aside and said â€Å"Everyone brings out the choice wine first and then the cheaper wine after the guest have had to much to drink; but you have saved the best till now. # This was the first of the incredible signs, Jesus performed in Galilee. After a bri Some topics in this essay: Galilee Jesus, Jesus Jesus, Jesus Christ, Birth Resurrection, Lazarus Jesus, Immediately Lazarus, Lazarus Bethany, Jesus Martha, God Jesus, jesus christ, Lazarus Apparently, jesus christ miracle, master banquet, miracle talk, lazarus jesus, lazarus sick, feed crowd, resurrection lazarus, miracles jesus, christ miracle, days lazarus,

Teenagers play computer games too much Essay Essay Example

Teenagers play computer games too much Essay Essay In modern society. it is really common playing computing machine games. Even though computing machine games are common in our life. they have non merely good effects. but besides bad effects. particularly to adolescents. Furthermore. even though parents know that adolescents play computing machine games excessively much. they do non cognize that why adolescents are widely excited at computing machine games. and what the bad effects of computing machine games are. There are two chief causes that adolescents play computing machine games excessively much. In add-on. playing computing machine games excessively much has two chief effects. The first ground that adolescents play computing machine games excessively much is really simple. because computing machine games are really fun. Computer games’ aims focal point on to alleviate emphasis. Therefore. computing machine games are really glorious and exciting. Clearly. adolescents are dazzled to computing machine games because of this point. In add-on to merriment. computing machine games are easy to pass clip and immerse. Teenagers’ thought has non formed wholly yet. hence. they easy lose their thought while they are playing computing machine games. This province makes that easy to pass clip. Furthermore. adolescents are easy immersed to computing machine games. as computing machine games make brumous adolescents. These two causes affect that adolescents play computing machine games excessively much. We will write a custom essay sample on Teenagers play computer games too much Essay specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Teenagers play computer games too much Essay specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Teenagers play computer games too much Essay specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Adolescents are excited to computing machine games because computing machine games are really fun. and besides computing machine games could pass clip and plunge really easy. Furthermore. computing machine games affect severely to adolescents. Besides. computing machine games affect that adolescents be lazy and do merely thing that they want. Computer games are inactive activity. Teenagers merely remain at place and sit in forepart of computing machines. On the land of that ground. adolescents become lazy. Furthermore. adolescents become as an egoist. Even if adolescents should make something. they do non make that. because they do non desire do that. In brief. adolescents become lazy and self-importance. as they play computing machine games excessively much. The 2nd consequence of computing machine games is that computing machine games make adolescents more violent and misconstruing that they are characters of the games. Computer games are really violent now yearss and adolescents become violently while they play computing machine games. Harmonizing to P. M. Greenfield. who wrote â€Å"Mind and Media† . said in her book. â€Å"Video games have violent content ; Television has violent content ; amusing books had violent content ; films have violent content. There has long been the brief that violent content may learn violent behaviour† ( â€Å"Mind and Media† . 102 ) . Furthermore. Barrie Gunter asserted. â€Å"Extrapolating †¦ from playing computing machine or picture games with violent subjects. such as heightening of perceptual experiences hazard or danger in the existent universe. † ( â€Å"The effects of video games on children† . 90 ) . Besides he declared in same book. â€Å"The power of picture or computing machine games may besides deduce signifier the feeling of control which they stimulate in immature players† ( 93 ) . Therefore. computing machine games drive adolescents more violent. Besides. adolescents could misconstrue that they are computing machine games character. For illustration. in Korea. one male child killed his younger sister with and axe. as he thought that it is merely game. In decision. computing machine games affect to adolescents that they become violent and do non cognize which is existent life. The old causes and effects are bad face of computing machine games. Even if computing machine games have some good effects. in fact. computing machine games have a batch more bad effects than good effects. Therefore. adolescents should be observed. if they play computing machine games excessively much. Plants cited: Greenfield. Patricia Marks. Mind and media. United States of America. Library of Congress Cataloging in Publication Data. 1984. Gunter. Barrie. The Effects of Video Games on Children. England. Sheffield Academic Press. 1998

Recipe for murder literary analysis Essay Example

Recipe for murder literary analysis Essay Example Recipe for murder literary analysis Essay Recipe for murder literary analysis Essay The text presents a blend Of a detective Story, as it deals with murdering, and a story of characters, as it depicts meaningful characters (the typical clever and restrained police inspector and la femme fatal). To my mind, Recipe for murder embraces the principal theme of the criminal investigation and the theme of men-women relationship. The rival theme is mastery of murdering, by-themes are the spouses relationship and French cuisine. The text touches upon eternal concepts of collisions between harassers, flirt, men-women relations and love-hate relationship. Compositionally the text falls into 3 logical parts. In the exposition, the narrator sets the action in the define time: in the middle of the 20th century. The author directly points at the dates (deceased January 1939/ deceased May 1946). We can judge about the place by the names of the characters (Madame Callahan, Lucrative, Jean-Marie Villagers, etc), the titles Madame, Monsieur, the names of dishes and drinks (diminuendos Force ax Maroons, Omelet en Surprise a la Nonpolitical, Outbound etc), the name of the town (Avalanche) and eventually, by the phrase, where the character directly points at her citizenship: Murderess I may be, Inspector, but also a French woman. In the second part of the story Madame Callahan narrates about her background and in the third we can meet the charming and promising denouement of the story. The general atmosphere is strain, provocative, gripping and mistrustful. The author introduces to us a place of murdering, which, nevertheless, looks like a dream place: Guilt, clamorous with flowers, the cobalt blue of the Mediterranean twinkling outside the tall endows of the salon where they sat, Through the open window a vagrant whiff of air brought him the scent of her. Or was it the scent of the garden? These theatrical descriptions, full of epithets which brighten up the scene of action, make an antithesis with the story and create a quite ambivalent atmosphere. There are two main characters in the story: Madame Callahan, in her forties, a rich widow, who lost her husbands, and Inspector Minor, about 44, from the Paris police. Thus, we can imagine the hunter-prey relationship, but we cant be sure, which one of them is the hunter. It is a little action story, s the plot is centered round one event -? murdering. It is chronological, because all the events are presented in their logical order. Inspector Minor pays a visit to Madame Callahan, who is suspected of murdering her two husbands, to reveal her. During the conversation Madame Callahan confesses to having committed the crime. Charmed by her wisdom and finesse beauty, Inspector invites her to the casino. The climax lies in the episode, where the emotional strain reaches the peak: I forced them to gorge to bursting, sleep, gorge again; and drink too much wine that they might gorge still more. How could they, at their ages, live -? even as long as they did? A silence like the ticking of a far-off clock. Inspector Minor stood up, so abruptly that she started, whirled. She was paler. You will come with me to Nice this evening, Madame Callahan. It is followed by the surprising and unpredictable denouement, where the author gives us grounds for suspense: To the police station, Inspector Minor? To the Casino, Madame Callahan. For champagne and music. We shall talk some more. The ending is half-opened and needless to say, the writer gained by ending the story where he does. The story is narrated from the third person. The story is filtered and reflected through the prism of his mind and eye, we can easily trace where his sympathy lies with the help of his interpretations, suggests, judges. In addition, we plunge in thoughts and reasoning of the inspector and see Madame Callahan through his eyes. It provides our taking into the story, feeling ourselves as the characters. There is one main conflict in the story: between the inspector and Madame Callahan. Major characters are masterly depicted with different methods of presenting. Madame Callahan, at forty, fitted no à ©tagà ¨re of murderers; she was neither Cleopatra nor blamed with the litotes in this sentence the author reflects inspectors embracement and apprehension. He doesnt know what to expect, therefore he sizes her up very guardedly. With the help of the allusion the author helps us to form the opinion of this woman. Then he uses the antinomian and the allusion A Minerva of a woman to hint us about her wisdom. Indeed, she is wise, she is cool-blooded, she is prudent She attacks first to become the master of the situation. It is obvious in her phrases with the epithets: With a tiny smile now: You have called about my poisoning of my husbands, she stated flatly. Madame! Again he hesitated, nonplussed. Madame, You must already have visited the Prefecture. All Avalanche believes it, she said placidly. In addition to it, her self-confidence is proved in her words about her fellow-countrymen and other inspectors who suspect her in murdering quite depreciatingly. It is well-reflected with the metonymy: All Avalanche believes it. Her manner to speak (flatly, placidly, her tone, just short of caressing) reflects her good breeding and noble background. For he space of the story we come across inspector Morons jerky, but careful glances at her: Whose large, liquid eyes were but a shade lighter than the cobalt blue of the Mediterranean. She raised the small glass to her full Madame Callahan went to the window, let her soft profile, the grand line of her bosom be silhouetted against the blue water. The bosom swelled with her long breath. To my mind, this method of describing her appearance is the perfect way to combine both stepwise made impression of Madame Callahan and inspector Morons charming and confusing near this gorgeous woman. She flirts with the inspector in a very refined and s killful way. Her statements with litotes: l refuse the attitude of the man, not the law. She raised the small glass to her full lips. L shall not refuse you, Inspector Minor. Her eyes were almost admiring and descriptions with the epithets just prove it. Returning to inspectors glances, we can notice that Madame Callahan can definitely sell herself in the most benefit way. There is no denying, she enchanted and defeated the inspector. Speaking about her actions, We can make a conclusion that she is an eccentric and strong-willed person. Her confession of murdering and trying to argue her crime let us make a conclusion, that she counts herself as a sort of a judge or even an avenger. She believes that she has a right to kill somebody disgusting for the common good: M. Wiser, I learned within a fortnight, was a pig a pig of insatiable appetites. A crude man, inspector; a belcher,14 a braggart, cheater of the poor, deceiver of the innocent A gobbler of food, an untidy man of unappealing habits. Murderess I may be, Inspector, but also a French woman. So I decided without remorse that Callahan should die, as Wiser died. Her first cue is full of emotionally colored words and epithets to highlight her hatred and irritation towards her ex-husbands. The author used the metaphor and the hidden simile in the statement M. Wiser was a pig for the same purpose. The antithesis reflects her confidence in being right. Thus, the description of her husbands, full of metaphors, epithets, climax reflects her erudition and sophistication. These stylistic devices also reflect her effort to acquit herself, because despite being self-confident and self-restrained she worries about inspectors judgment and decision. Her reaction, described with emotionally colored words, betrays her true feelings: Inspector Minor stood up, so abruptly that she started, whirled. She was paler. In spite of everything, I feel sympathy for her wisdom, resolute, contradictory and strong-willed nature. I do not presume to judge her as Im charmed by her exactly like the inspector. Another reason for it is that she possesses the character traits that I evaluate in every person. This woman-enigma, a very much woman definitely is a brilliant character, one Of the most impressive and flawless that Ive ever read bout. The second main character, inspector Minor, is a bachelor of forty- four, not too bad to look at, he has been told. . We have no direct descriptions of his appearance as the author focuses on the Madame Callahan. Owing to such obscuration of him, we can feel at his place and see the situation inside-out. His occupation type is the true detective: smart, reserved, attentive, intent and prudent. Let me prove it with the quotes: It was neat. Too neat? A dangerous woman. A consumedly dangerous woman. the repetition, rhetorical question and the climax here points out his incarceration and professionalism. It also reflects the density between the characters. The way he speaks characterizes him as an attentive, unflinching, self-confident man (he said forcefully/ regarded her closely). These traits are also typical for the people of this profession. His vigilance and watchfulness, appropriate for the true detective, are also shown it the way how he resists Madame Salons enticement in the beginning: You are most flattering. In the scene when Madame Callahan, suspected in the poisoning, offers him vine, the author demonstrates us this character showing overstraining and losing intro for a moment with the help of the epithets: His reflex of hesitation lit a dim glow Of amusement in her eyes, which her manners prevented from straying to her lips. Thank you. Annoyed with himself, he spoke forcefully. Madame! Again he hesitated, nonplussed. Madame, I He adjusted his composure to an official calm. But soon after he comes to himself. It makes the reader think that the inspector is a bit sensitive man, because its easy to unsettle him. At the same time, we can say that he is a strong-willed person, as he is able to take control over the situation. The features mentioned be fore and another example vivified with litotes, hyperbole and metaphor of Madame Salons husbands: l am not a great catch, but still, not one to be despised : l wish to die. Let us make a conclusion, that he is as well-educated and finesse as Madame Callahan. Thus, we can say that they are really match each other and see how the author conveys his idea about men-women relationship. Ellipsis in his statements (To the Casino,20 Madame Callahan. For champagne and music. We shall talk some more. Listen to me, Madame. I am a bachelor. Of forty- four. Not too bad to look at, I have been told. Have a sum put away. ) not only fleet his excitement, but also characterize him as a man of action.

Leadership Essay Example | Topics and Well Written Essays - 1000 words - 25

Leadership - Essay Example An important skill that leaders must possess is communication skills. A good leader must have superb verbal and written communication skills. Verbal communication skills are required to inspire others to achieve a higher level of performance. Managers are responsible over the performance of the company and its entire staff. Excellent communication skills are needed by managers because they are require to submit different reports to a variety of stakeholder groups which include lenders, employees, suppliers, government, board of directors, and investors. Active listening skills are important for leaders to possess. The use of active listening implies fully concentrating on what is being said rather than just passively ‘hearing’ the message of the speaker (Skillsyouneed). A leader must have excellent analytical abilities due to the fact that leaders are exposed to vast amounts of information. He must be able to dissect information in order to make good operating decisions. Since leaders have to interact with lots of persons the leader must have good people and interpersonal skills. â€Å"Interpersonal skills are measures of how adept you are at interacting with others† (Ncsu). Leaders are assertive and have confidence in themselves. Two important abilities that leaders have are collaboration and teamwork. Teamwork has become a critical success factor in the 21st century. Leadership skills can be enhanced through the use of teamwork. Negotiation skills are also a part of the skill set of a leader. An important role that a leader must perform is to motivate others. A technique that leaders such as managers can use to motivate others is intrinsic and extrinsic rewards. An example of an extrinsic reward is offering financial incentives such as bon uses, while an intrinsic reward could be giving an employee a pad in the back for a job well done. Using teamwork can help develop the leadership, communication, and problem solving skills of the staff. A

Organisational Culture and Leadership Essay Example | Topics and Well Written Essays - 1000 words

Organisational Culture and Leadership - Essay Example The definition of leadership is founded on the possession of a distinctive skill to influence people towards attaining set goals and objectives (Tsai, 2011). Since each organization has its own culture that governs it, the result is that there is no universally acceptable leadership style or leader. However, it is believed that provided a leadership takes into consideration the culture within the organization, the results will be great (Tsai, 2011). The first dominant framework on leadership was the Trait Theory or the â€Å"Great Men† Theory which was proposed in the early twentieth century. The theory considers â€Å"personality, social, physical or intellectual traits to differentiate leaders from non-leaders† (Shoup, 2005, p.2). This theory ascribes conventional qualities like ambition and energy, honesty and integrity, self-confidence, intelligence, and knowledge to leaders and holds that leaders are born, not made. Mid-twentieth century saw the rise of the Behavio urist school of leadership which emphasized on the actions and dominant behavior of the leaders and highlighted the leaders’ behavior on the job, use of authority and task-relationship orientation. Later, scholars such as Fred Fiedler realized that a leader must match his/her situation and leadership style should vary depending on the situation and context. This gave way to the third phase of leadership studies, known as the Contingency school, which focussed on job constitution, leader-member association, and power position.

Teen Literacy Essay Example for Free

Teen Literacy Essay This affect stays with people through out their lives and affects adults as well. There are cures but they do take a while to work. If people don’t practice the cures everyday then they will not be as effective. Teachers have noticed many grammar mistakes in children’s writing and on their homework. It is the teachers responsibility to correct the children’s mistakes. A new language has developed through the social medium of text messaging. Abbreviations and slang have replaced vocabulary. Is it possible that text messaging is disintegrating children’s knowledge of proper sentence structure? Texting is a huge part of teenagers lives. Teenagers start to receive cell phones at the age of 12. . I believe this is a really young age to start receiving cell phones. Teenagers literacy is affected by texting. If they receive phones younger, their literacy gets worse as the years progress. Girls literacy is affected more than guys because girls are more bound to text than guys. 2/3 of teens surveyed in the Pew research claim they are more apt to text with their phones than actually speak. The cure to fixing teenagers literacy is making them write. If you make your son or daughter write long paragraphs and point out where they abbreviated or spelt something wrong, it will make them want to correct what was wrong because they don’t want to do it again. Although, many teenagers do not want to practice writing, they do not only have to practice by writing, they can practice while texting. If they start to spell words out while texting, they will learn the proper way to spell it and won’t want to abbreviate, because they will realize that spelling the whole word out properly only took two more seconds than abbreviating. . School also plays a big role in affecting teen literacy. Teachers take on a huge roll for students writing, and literacy. It is the teachers job to correct teens when abbreviating a word in an essay. If teachers don’t correct students, students will think it is okay to keep writing the way their writing and will never want to fix it. . Considering most teachers also texted when they were teens and still text now, it is harder for them to find some of the mistakes an older teacher would find, because their minds have been corrupted with the texting world. Teachers also enjoy using abbreviations while texting because it does same time, when trying to type or write something really long. No one is destroying the English language, the English language just keeps changing. This is due to texting, there is no one to blame. It has been proved, that â€Å"hyper-texting† does exist, but what is â€Å"hyper-texting†? â€Å"Hyper-texting† is sending more than 120 texts a day. This can lead if an increased risk of smoking, drinking, physical violence and sexual activity. Since texting has become a huge part of peoples lives, cell phone companies have tried to figure out a way to improve peoples spelling mistakes and abbreviations. Recently, all cell phones have been give auto correct. This helps everyone learn how to correctly type a message and fix any mistakes that may have been created. Teen literacy has been affected in many ways, texting is only one but major way it has been affected. Teen’s grammar appears to really be changing in homework. It is the teacher’s responsibility to do their job and correct children when they are wrong, but teachers were once teenagers and don’t always catch mistakes because they abbreviate as well. There is a social as well as a physical impact on teenagers lives. Many people try to present change as a negative way, but its not a good idea. Children are just going with society, there is no one to blame but society. With texting, teens always feel connected with their friends, they’re never alone. â€Å"About 75 percent of 12- to 17-year-olds in the United States own cellphones, and 75 percent of these teens send text messages.

Philosophy for Children Essay -- Philosophy Philosophical Metaphysica

I. The concept of the Community of Inquiry Central to the heart of P4C lies the notion of a community of inquiry. Originally a term from Pierce to reference interaction among scientists, the concept of "COI" dominates the discussion of educational revisionism as presented by commentators on the P4C movement. The key description marking a COI is: a group (a social setting) of individuals who use dialogue (interaction among participants) to search out the problematic borders of a puzzling concept (inquiry as philosophical.) Implicit in the ideal workings of this group are two key concepts: a demonstration of thinking that is caring (each member is supported and allowed to be an integral member of the community), creative (new ideas are sought out and encouraged) and critical (good reasons are expected for one's ideas and positions). fallibilism (a willingness to be corrected and an acknowledgment of possible error or perspectivalness). Thus, the COI offers us a dual message of promoting critical thinking and encouraging an obligation to one's fellow inquirer. As such the concept of COI attempts to address contemporary challenges to education to produce better thinkers and more caring members of society who can tolerate differences at the same time they can submit conflicts to reasonable scrutiny. In a COI all participants must respect one another as thoughtful persons who seek communally to better understand the issue at hand. In describing the COI as central to philosophical inquiry with children I have tried to achieve a certain degree of metaphysical neutrality by focusing upon the methodological structure of the discussion. However, once we probes beneath the surface definition we discover a cache of important meta... ...e Communities," Analytic Teaching, vol. 15, no. 1, pp. 3-16. Schleifer, Michael. "Philosophy and Community in Education: A Critique of Richard Rorty," Analytic Teaching, vol. 17, no. 2, pp. 27-34. Sharp, Ann Margaret. "The Community of Inquiry: Education for Democracy," Thinking, vol. 9, no. 2, pp. 31-37. _________. "What is a 'Community of Inquiry?", Journal of Moral Education, vol. 16, no. 1, pp. 37-45. _________. "Feminism and Philosophy for children: The Ethical Dimension," Thinking, vol. 11, no. 3/4, pp. 24-28. Slade, Christina. "Conversing Across Communities: Relativism and Difference," Analytic Teaching, vol. 17, no. 2, pp. 3-12. Thomas, John C. "Community of Inquiry and Differences of the Heart," Thinking, vol. 13, no. 1, pp. 42-48. Traverso, Gabriela. "Community and Hermeneutic Rationality," Analytic Teaching, vol. 17, no. 2, pp. 21-26.

Critically appraise the education provision available for people with Diabetes. Education on prevention of Foot Ulcers in Diabetes.

Introduction Currently I am working in a nursing home where the elderly residents have various illnesses including the after effects of strokes and dementia. Due to their age and particular care needs the education for health support workers, senior carers and nurses who are at the centre of this care provision is fundamentally important. The aim of this assignment will therefore be the appraisal of this education, meaning their training and ongoing monitored development, with a specific focus on the prevention of foot ulcers in patients who suffer from diabetes mellitus. This is an important area for consideration because at the moment health care support workers have no formal education in the prevention of foot ulcers in diabetes patients and can be ignorant of its symptoms. As with nurses it is reasonable to expect that they should have attained a certain level of knowledge in this area as the consequences of foot ulcers can be very serious and in cases can lead to amputation. This ultimately has a significant impact on the quality of life of the diabetes sufferer and the carer therefore has a duty of care to protect their patient against this preventable outcome. It should be noted that 85% of cases which end in amputation can avoided (Garay- Sevilla et al., 2002, 81-86). In order to carry out this critical appraisal the first step is to consider the causes of diabetic foot ulcers, it signs and symptoms, treatment and prevention. The assessment of these factors is necessary because it deconstructs the knowledge required by health care workers and subsequently allows the provision of education to be accordingly evaluated for its accuracy and comprehensiveness. The next point to discuss is the current state of education on offer. This will be assessed in terms of how far it provides the level of knowledge needed by people who are in the position of diagnose and treat diabetic foot ulcers. Recommendations for best practice will then be make. Causes of diabetic foot ulcer One of the effects of diabetes is decreased immunity and poor wound healing. In the absence of normal blood flow specific lesions of the arteries, particularly in the extremities, can occur. Diabetic foot syndrome is one such complication and occurs in 15% of all patients with diabetes. These changes are a consequence of the existence of diabetic neuropathy. Motor neuropathy in diabetes leads to muscle atrophy and impaired co-flexors and extensors whilst also effecting deformation rate. Sensory neuropathy, sensory disturbance of pain by temperature and touch, increases the risk of injury which in turn contributes to the formation of ulcers. Autonomic neuropathy results in the formation of arterial venous fistulas and impaired blood oxygenation which leads to disorders affecting the trophic ulcers (Rubin & Peyrot, 1998, 81–87). The syndrome occurs in the later stages of the disease and is one of its most severe complications as it can lead to death. It manifests itself in compl ex changes in the joints and foot nerves, limb deformation, and deep tissue damage. It is also associated with damage to blood vessels, nerves, skin and bones. The initial abnormality takes the form of a pressure point which can be caused by, for example, ill-fitting shoes which cause blistering, cuts, and bites caused by foreign bodies. Vascular disease, resulting in decreased blood flow, contributes to poor healing and infections can be caused by numerous microorganisms (Manson & Spelsberg, 2004, 172–184). Patients who experience sensory disturbances find that pain is suppressed and consequently they might not recognize the seriousness of their situation leading to a delay in treatment. The treatment that is required must be prompt and responsible but it can also be protracted (Lustman et al., 2000, 934–943). Foot problems can affect anyone who has Diabetes regardless of whether they are being treated with insulin, non-insulin, tablets, injections, a controlled diet or physical activity. Signs and symptoms of diabetic foot ulcer In order that treatment is successful it is necessary that health care professionals and care workers can recognize the signs and symptoms of diabetic foot ulcers especially when caring for the elderly who are unable to detect the signs and symptoms. The main features of the disease include explicit sores, prolonged healing sores, changes in the shape of limbs, and, in later stages, gangrene. In the early stages symptoms usually coincide with complaints of fatigue which is accelerated by walking and standing, a sense of gravity, and freezing feet due to the deformation problems with wearing familiar footwear. One of the most pressing reasons for a good standard of education in diabetic foot ulcers is the variety of forms it might take. This means that the health care worker must be able to recognize the condition in different scenarios. The neuropathic foot is the most common form with 70% of cases of diabetic foot falling into this category. It takes the form of a hot pink color with a palpable pulse and impaired deep sensation (Wysocki & Buckloh, 2002, 65–99). Another form is known as ischemic. This condition is caused by peripheral vascular occlusive. Diagnosis includes history (hypertension, hypercholesterolemia, smoking) and intermittent claudication. The foot assumes a cold bluish tinge and has no palpable pulse. The sufferer experiences a pain in motion and severe pain at rest (Lustman et al., 2000, 934–943). The final form is neuropatyczno-ischemic. This is characterized by the worst prognosis (Morisaki et al., 2004, 142–145). The main course of action is to preserve the integrity of the skin. This is because the main danger lies in the wounds and fractures where if infection takes hold the result will be purulent inflammation and necrosis. Severe pain or numbness, sores, blisters, and peeling require the most urgent medical intervention because these can lead to gangrene and ultimately amputation of the affected limb. As the only quantifiable sign of inflammation, which indicates tissue lesions, is skin temperature it is necessary to used infrared thermometers. These can be used to determine the temperature of the skin in different areas of the foot. Dermal thermometers are also useful in the interpretation of the different phases of Charcot foot and in determining the most appropriate orthopodologic treatment in each phase. However, these are specialised tools and are unsuitable for carers to use nursing homes. Methods There is very particular method which should be implemented for assessing the health of a diabetes suffer’s feet. It is this type of information which should be included in an educative strategy used to train health care workers. Before measuring the temperature of the skin in the feet, the patient should be barefoot for at least five minutes before the examination to avoid a rise in temperature due to footwear or hosiery. The result should then be recorded. The next step is to repeat the measurement in the same area of the contralateral foot and compare the results obtained. This should be done for all the high risk areas. A difference in temperature of less than 2? c can be considered normal. Once infection has been ruled out, differences greaterthan2? C in diabetic patients are highly suggestive of Charcot activity. When the examination is done in a patient with Charcot foot and the difference is less than 2? C it shows that the acute period has come to an end. If the patie nt observes a difference in temperature greater than 2?C in self-examination on two consecutive days, he or she should contact a healthcare professional to determine the cause of the difference (www.diabeticfootjornal.net). Unfortunately there is no effective treatment for diabetic ulcers but reducing the load on the feet does offer hope of saving the affected limb. Alternative treatments can involve the use of hydrotherapy and ulcer surgery to remove necrotic tissue. Algorithm for the treatment of infected feet includes glycemic control (insulin), strain rates (shoe inserts, crutches, plaster casts), antibiotics and surgical procedures (drainage, incision, removal of dead tissue). Prevention of diabetic foot ulcer One of the most effective treatments is preventative. All patients with Diabetes Mellitus should be screened when there is a sensation of numbness or pain exists even if there are no visible lesions or ulcers (Morisaki et al., 2004, 142–145). The education of health care workers in foot ulcers therefore needs also to take into account prevention. Inspection of the stop should be performed as often as possible. If the skin of the foot shows sign of a scratch or crack you cannot use adhesive, alcohol or fat-containing ointments as these tools lead to further irritation. Redness or paleness, the presence of edema, blunting of the sensitivity, fungal lesions, and the overall deformation of the foot should be examined for deviations from the norm. If identified treatment should start immediately. In addition, from time to time, it is desirable to perform a neurological examination to determine the tactile, thermal, and vibration sensation of the foot. Angiographic diagnosis of vasc ular leg reveals the presence of thrombus. Basic steps can also be taken to prevent the occurrence of gangrene. These include the maintenance of desired blood sugar levels, the monitoring of the hygiene of the feet, making regular visits to an endocrinologist and follow their recommendations. (Clement, 1995, 1204–1214). Good foot care Education is important because good foot care has lots of pitfalls. Using the wrong cream, overcutting toe nails, walking barefoot, wearing the wrong shoes or socks can increase the chances of foot ulcers. It is necessary that the carer should be able to advise diabetes sufferers in all the dos and don’ts when it comes to looking after their feet in the proper manner to decrease the chances of contracting a foot ulcer in the first place (www.patient.co.uk). Some of these dos and don’ts are as follows; In contrast to what might seem like common sense it is vital to avoid using items such as moisturising oils or cream designed for dry skin and the prevention of cracking. Look out for athletes foot (common minor skin infection) as it can cause flaky and cracked skin The space between toes can become sore and can become infected. It is essential to monitor this. Cut your nails by following the shape of the end of the nail. Do not cut down the sides of the nails as this may cause damage or lead the nails to develop an ingrown nail. It is important to wash feet regularly and dry them carefully, especially between toes. Do not walk barefoot even at home You right treads Always wear sole or shoes or other footwear however don’t wear too tight socks around the ankle as they may affect circulation Shoes, trainers and other foot wear should; Fit well to make into accounts any awkward shapes or deformities Have broad front and plenty of room for toes Heels to avoid pressure on toes. Have good laces, buckles to prevent movement and rubbing of feet in the toes When you buy shoes, wear the type of socks that you usually wear Avoid slip on shoes, shoes with pointed toes, sandals, or flip flops. Always feel inside foot wear before you put footwear on to check for stores, rough edges etc. Tips include avoiding food burns and water burns – checking the bath temperature with your hand before stepping in to it It important to avoid using items such as hot water bottles, electric blankets or foot spas. Do not sit too close to fires. Further measures include looking very carefully at the feet each day including between the toes. This involves examining the area for reduced sensation in order to not miss any vital signs of the inset of a foot ulcer. It is also necessary to look for any cuts, abrasions, bruises, blisters, redness or bleeding. If any of these symptoms are spotted carers should immediately inform the nurse who is in charge who should in turn carry contact a podiatrist or similar specialist. Existing education provision To date education in diabetic foot ulcers takes several forms. NICE recommends that all people with diabetes should be offered structured education as an integral part of their diabetes management (www.nice.co.uk). The purpose of this is to raise awareness of the side-effects and complications of diabetes in those who suffer with it. This increases the chance for early identification of foot ulcer symptoms. The XPERT Programme was launched in 2007 to provide education to all health care professionals across Wales so they are able to give structured advice to patients with type2 diabetes. In addition the National Service Framework (NSF) (2001) for diabetes set out a ten year programme for change. It outlined evidence-based standards for the planning, organising, and delivery of diabetes services. This programme represents the Welsh Assembly’s strategy for improving diabetes and through the progressive implementation of the NSF the quality of care and treatment for those living with diabetes (www.wales.gov.uk). However within this long-term plan there is little direct reference to patients in residential or nursing homes. This is also the case with the Desmond, Dafne and Bertie programmes which have little relevance for the care of the elderly. Clearly there is a significant gap within the education of health care professionals. This gap is apparent in the nursing home where I work as none of the staff have received any particular training specifically related to diabetes mellitus. This clearly puts the residents of the home in an at risk category because the chances of their carers recognising the early symptoms of foot ulcers are substantially reduced. Within the nursing home and home care system however there does exist a health care specialist with the expertise to assist in raising awareness about the causes and prevention of foot ulcers; the podiatrist. The work of a podiatrist is overseen by the Chiropody Code Of Conduct which states that chiropodists and podiatrists must be able to work, where appropriate, in partnership with other professional support staff, service users and their relatives and carers. They should also ‘be able to demonstrate effective and appropriate skills in communicating information, advice, instruction and professional opinion to colleagues, service users, their relative s and carers’ (Standards of proficiency, Health Professions Council, 2009). However, in practice this is frequently not the case. The health support workers are not currently included in visits and are not given the opportunity to learn or ask questions when the podiatrists are called to review residents. Neither do they pass on information about their findings to staff on duty. Evidently there is an issue of communication. The podiatrist is not the only person with a professional duty to assist health care workers with their treatment of foot ulcers. The NMC code of conduct states that nurses should work with others to protect and promote the health and wellbeing of those in their care, their families and carers and the wider community. Therefore, the nurse in charge should ensure that learning opportunities are facilitated and that staff have feedback from these specialist visits which help to inform and improve the care delivered to residents. Education – best practice The current provision of education demonstrates that the education of health workers is largely at the discretion of their employers. If individual employers do decide to provide their staff with training there is little in the way of advice to follow and this can result in poorly informed, ill-conceived or simply inadequate education. At the same time it creates a situation whereby health care workers have to rely on experience gained on the job to identify the symptoms of foot ulcers or their own inclination to acquire further knowledge. For new members of the staff who lack experience there might exist a worrying amount of ignorance on the subject. There is however much potential to improve this situation. In best practice education takes a variety of forms. This may include formal study sessions, workplace booklets or posters and online education programmes. Therefore there is potential for foot ulcer education to be flexible and made to suit the particular needs of a workplace. At my workplace none of these options have been made available. Ideally the best situation would be a formal study session where the expert knowledge of a specialist can be imparted and where full training can be given. The information gained should then be reinforced at the workplace through posters or leaflets. Conclusion Conclusively it is very important that diabetic foot ulcers are prevented at all times while treating patients with diabetes, especially in the elderly who might for other reasons associated with dementia and impaired movement find it harder to care for themselves. Education of health care professionals is key in achieving this. They should have the necessary knowledge to help prevent foot ulcers, to recognise the first symptoms of one, and to provide effective treatment. They must also be able to advise the diabetes sufferer on how to care for their feet and how to avoid the contraction of a foot ulcer in the first instance. Despite this clear need for knowledgeable clinicians the situation as it currently stands fails to provide health care workers who look after the elderly with the training they require to the provide the best standard of service possible. Whilst measures are in place for the education of both diabetic sufferers and nurses, more work needs to be done on identifyi ng the educational requirements of those who care for elderly patients. Best practice in education should be drawn upon and formal training sessions organised alongside the better provision of information within the workplace. The expertise of specialists such as podiatrists should also utilised more effectively so that staff within the nursing home are well informed and understand the treatment their patients are undergoing and their specific needs. Communication is at the heart of this.

Smoking and the Effects of It Essay - 1185 Words

Smoking and the Effects of It Smoking is known as one of the worst habits to break. Most people who start never quit just because it is just too hard to quit or they are just so addicted to the chemicals that the tobacco companies use in their cigarettes and dont see the real problems that smoking can cause. If smoking did the same thing as it did on the outside as it does on the inside, how many people do you think will smoke then? Everyday, about 3,000 teenagers smoke their first cigarette. About half of those teenagers become addicted and then regular smokers before the age of eighteen. About one third of these teenagers will die of lung cancer, heart disease, leukemia, or some other smoke related problems or diseases.†¦show more content†¦Studies show that people dont just die from smoking, but from second-hand smoke as well. About 40,000 non-smokers die each year from second-hand smoke. It causes lung cancer and heard disease just like smoking does to a smoker, but to someone who doesnt. Do you really think thats fair to the many non-smokers everywhere? They try to separate the smokers from the non-smokers by two different sections in restaurants and other public places, but the truth is that they all know it doesnt work. If you stop smoking your health will increase drastically and you will notice some big changes like: #61656; 20 minutes after you quit: blood pressure falls and pulse rate return to normal #61656; 48 hours: taste and smell is enhanced #61656; 2 weeks to 3 months: blood circulation improves and lung functions increase up to thirty percent #61656; 1-9 months: lung functions continue to improve #61656; 1 year: excessive risk of heart disease is half that of a regular smoker #61656; 5 years: rate of lung cancer death drops by almost half. Risk of stroke is also reduced to that of a non-smoker five to fifteen years after quitting. The risk of cancer of the month and throat is cut in half. Heart disease, some types of cancers, and other respiratory diseases are some of the many effects that smoking puts on a person. About 40,000 AmericansShow MoreRelatedThe Effects Of Smoking On The Smoking2594 Words   |  11 PagesThe Effects of Smoking Smoking remains one of the most prevalent habits in society. The effects of smoking are wide ranging and devastating. Despite having the knowledge of these effects on human health, there has been no significant change in the smoking trends. Smoking involves inhalation of smoke from burnt substances. Some of the substances burned have major effects on the nervous system and the smoker is intoxicated after smoking. An example is marijuana, which has catastrophic effects on theRead MoreThe Harmful Effects Of Smoking And Smoking1380 Words   |  6 Pagestime they light a smoke. 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