Tuesday, November 5, 2019

9 Creative Ideas for Teaching Time

9 Creative Ideas for Teaching Time Teaching time can be tricky and frustrating at times, but hands-on and lots of practice will help the concept stick. Judy clocks are excellent clocks for kids to use since the hour hand moves when the minute hand goes around, just like the real thing. The following ideas are from homeschoolers, teachers, and others who submitted creative teaching strategies on an online forum Make a Clock For telling time, you could make a clock, using strong paper and a brad in the middle, and practice telling time. Start with the oclock times, then move on to 30s. After that, show that the numbers around the face have the minute value which is reached when you count by 5s, and practice telling time with the minute hand on the numbers. (Make sure you progress the hour hand as you go. They need to get used to the idea that at 4:55, the hour hand will look like its on the 5.) –Anachan Start with Hours For telling time, we made a clock out of a paper plate and used a paper fastener to attach to construction paper hands. You can move the hands to demonstrate different times. I started with teaching hours (9 oclock, 10 oclock, etc.), then did quarter and half hours, and finally minute increments. –chaimsmo1 Start Later I didnt introduce time and money until toward the end of 1st grade. Its easier to understand quarter-past and half past once you have covered fractions. Of course, we talk about time and money in our daily life long before the end of first grade. –RippleRiver Telling Time Job I always ask her to provide me the time. It is just one of her jobs. It is also her job to adjust the thermostat. She will read me the numbers and I will tell her what to change it to or how many to change it by, etc. –FlattSpurAcademy Count by 5s on Watch For my son, since hed learned how to count by 5s, I taught him to count by 5s on his watch. He picked this up really well. We did have a little adjusting to do with the times that were near the next hour because it always looks like the next hour, but he learned to really pay attention to where the little hand was (just before the next number, etc.). To me, I find it confusing (and a waste) to show a breakdown of hour, half-hour, learn that, then break it down more... the same time could be spent learning the count by 5s. I havent taught him how to count by exact number yet (12:02 example), but will be doing that this year. –AprilDaisy1 Time Story Problems Personally, I wouldnt start with money and time until she has mastered counting by 5s and 10s. This way, it will become very easy for her to understand the principles in figuring out the time and amount of change, etc. My son only knew the value of coins and telling time by oclock and half-past in kindergarten. Now, he is able to make change, count change, and tell time. He is now learning how to figure out time sentence problems (e.g., How much time did it take, etc.) and he is starting 2nd grade. However, while in kindergarten and 1st grade, he was able to add and subtract very large numbers and carry-over, etc. So, dont be surprised if your child is not ready for this- especially if he/she cannot count by 5s and 10s first. –Kelhyder Teach it as it Happens Well, I have a kindergartener and were working on time and money right now. He actually is really good at time because we teach time as it happens. He realizes that his favorite show comes on at 4:00 pm, he knows that his friends come home from school at about 3:00 pm, etc. He learns because he asks. Also, when he went to visit my parents this summer, they bought him an analog watch and taught him how to tell time on it. Hes not perfect at it, but he can get it down to the hour now. But yes, time is definitely better taught as it happens. Thats also how I learned analog time when I was a kid. –Erin The Shiny Pocket Watch To teach my son to tell time, once he understood the basics, we went to a store and he picked out a pocket watch that caught his eye. I told him it was up to him to make sure we always knew the time. He was excited to have any excuse to pull out that shiny watch and use it. It reinforced his time telling skills and now every time he sees it, he can remember that special time we spent together. –Misty Name the Hands I realized it is helpful if you give the names to the following hand: Second hand Second hand (keep it the same)Big hand Minute HandSmall hand Name Hand You can explain now or later that its not really called the name hand, but it will make it easier to learn for now. Start off by teaching the time at the top of the hours. Put the clock at 3:00 and ask what number does the name hand point to? When he says, 3, say that means its 3 oclock. Next, change it to 4. Now what time does the name hand point to? etc. Mix it up after a few times. Once the child seems to understand that, ask him or her to make a time and tell you what it is. If they go to something other than an oclock, (like 3:20), feel free to tell them what time that is, but say that the big hand has to be facing up for it to be three oclock. Explain youll learn the rest of it another day (or teach it to them later after they have mastered the oclock part. Every child will be different.) –Matt Bronsil

Saturday, November 2, 2019

A business plan for a restaurant business named Stake House Essay

A business plan for a restaurant business named Stake House - Essay Example tive Summary The report will describe a business plan for a restaurant business named Stake House. The planned restaurant will be located in Moorgate, London in the United Kingdom. The motivation for developing this business plan is to participate in a programme of â€Å"Channel Four†. The programme seeks to encourage young entrepreneurs and it will help the entrepreneurs to grow and will provide support to the business plan by shadowing the entrepreneur for one year. By keeping this factor in view, Stake House will intend to develop a proficient and profitable business plan in which it will be aimed to provide various kinds of burgers, sandwiches, pies and other top quality meals. The foods will be served with snacks and the customers will be provided with their chosen sauces and gravy flavours. The foods of the restaurant will focus on British traditions and will be based on the privileged recipes throughout the UK. The restaurant will also feature early bird menu as well as will comprise of numerous drinks to choose from. There will be space for almost 10–15 people at a time and will increase according to the progress and expansion of business. It is expected that Stake House will become one of the popular meal destinations in London area which will serve local people, especially young customers. 1.1 Objectives Stake House business plan will have three objectives, which are: To participate and seek for support from â€Å"Channel Four† programme in order to initiate the plan To become one of the popular and preferable meal destinations for young professionals and students To deliver high quality food with affordable rate To certify satisfactory transparency in food making process To increase the sales and to maintain a satisfactory profit Every strategy and decision taken in the business plan will seek to fulfil and accomplish those objectives, as it is related with the success of the Stake House. 1.2 Mission The concept of Stake House bu siness is generated from the success of several informal restaurants in London area and high demand of quality meal for young professionals and students. Therefore, the restaurant will seek to provide accessible and affordable food, drinks, and breakfast and lunch menus. In due course of time, Stake House will establish itself as one of the favourite destinations of food for young customers in the metropolitan area as well as for outside visitors. It will be the mission of Stake House to serve high quality burgers, sandwiches and other meals with healthy contents and good taste. Besides, Stake House will also deliver excellent customer service so that customers become satisfied and loyal towards the restaurant. 1.3 Keys to Success The keys for success in this business are: Quality Products: Stake House will provide quality products to the customers by ensuring hygienic items and healthy components Effective Customer Service: Effective customer service is one of the significant eleme nts for success which helps to increase the brand loyalty of customers. Effective Marketing: Stake House will market their product offerings through print media in order to attract potential customers. Efficient Financial Control: Financial control is necessary for making profit. Efficient financial control will help to keep the operational cost down and increase the profitability of business. Strong

Thursday, October 31, 2019

The Concepts, Theories and Critics Arguments Associated With Whistle Essay

The Concepts, Theories and Critics Arguments Associated With Whistle Blowing - Essay Example This research will begin with the statement that whistleblowing is an act of exposing any misconduct, illegal or dishonest activity, which is taking place in an organization. The examples of the misdoings can be any activity that does not comply with the laws and regulations or can even be a direct threat to public interest like, corruption, fraud and safety issues. The whistleblower is often repressed by the organization against whom he spoke, related organizations or by law. Whistleblowing is a practice, which needs to be looked after very carefully. The whistleblowers are the ones who can help to bring insanity in any organizational practice or government, where the incumbents mostly abuse their power or positions by involving in wrong practices for either the companies or self-benefit. It is the whistleblowers who can bring these wrongdoings under check by exposing the wrong-doers in public. Though the whistleblowers work for better public interest, there is no law to safeguard t hem from the imminent organizational pressure. Many attempts have been made to define the process of Whistle-Blowing. According to James, Whistleblowing is â€Å"an attempt by an employee or former employee of an organization to disclose what he or she believes to be wrongdoings in or by the organization.† According to Johnson, whistleblowing is significant disclosure of unethical, illegal as well as harmful practices in an organization to certain authorized and standard groups who have the power to take action. In general, these information disclosures are considered as favoring public interest by exposing any activity that involves unauthorized or improper utilization of public funds, information regarding criminal activities, improper bending of justice and danger to safety or health of an individual or any other malpractice. At the same time, critics have argued that whistleblowing can create the negative impact on interpersonal relationships such s between co-workers in an organization and the whistleblower. They even end up being enemies or completely ignore the whistleblower in order to escape their wrongdoings. Whistleblowers can be external or internal and depend on the party or group to whom the whistleblower complaints.

Tuesday, October 29, 2019

Immigration reform Term Paper Example | Topics and Well Written Essays - 1750 words - 1

Immigration reform - Term Paper Example Immigration reform targets both legal and illegal immigrants. The proponents of the immigration enforcement argue that immigrants cost tax payers an estimated $338.3 billion dollars. Immigration reform includes the involvement of various state organs stemming from the executive to the judiciary; with each playing a unique role as stipulated in the Constitution. Constitutional Position The United States require a new immigration policy that is based more on realism rather than wishful thinking. The policy should be inclusive with each state organ playing a distinct contributory role in liaison with other organs. It is unwise for the government to waste vast resources in enforcing arbitrary numerical restrictions to immigration policy that have no impact on the economic situation. The government will gain economically if the economic reform undertaken collectively with the involvement of all governance structures. Branches of Government Engaged In Immigration Reform Office of the Presi dent The Office of the President’s role in the reform is putting the necessary judicial line-up in place for reform realization. Such roles include the appointment of the Supreme Court judges and judges of appeal or district courts. The office of the president can also use its powers to influence the senate to changing the immigration reform agenda. The political influence on the debate can also be influenced by the intervention of the president as a state figure. The office of the president has of late remained mum on the issue owing to the political interests vested on the issue. The political orientation determines the decision that the president is expected to take. Although the office of the president continues to insist on a pledge to uphold sustainable immigration policy reform, many critics state that the lagging in the policy implementation signifies lack of commitment to the promise. Executive Bureaucracy The executive is spearheaded by the president and his deputy and is more inclusive in terms of governance as compared to the office of the president. Some of the executive institutions involved in immigration include; the Department of Homeland Security, immigrations and naturalization service, Bureau of Immigration appeals, immigration judges serving in immigration courts and the Executive office of Immigration Review (Serow & Ladd, 2011). Some of these arms of the executive have been involved in bureaucratic actions while dealing with the immigration issue. For instance, the immigration and Naturalization Service has been accused of possessing backlogs on family and employment-based immigration applications. Most of the delays are exacerbated by the numerical visa issuance that faces numerous legal limitations. For instance, the recent statistic states that an estimated 5.8 million individuals that attained the approval for family base immigrant visas have not yet received them up to date. The Customs and Border Patrol agency has been accus ed of using militaristic approaches when dealing with illegal immigrants along the borders. This has fuelled violence, migrant death and anti-immigrant hostility. Yet, the executive regards the departments as efficient in maintaining security along the borders (Kohli and Varma, 2011). The immigrations and customs enforcement (ICE) institution has been accused of targeting innocent illegal migrants and those with petty crimes

Sunday, October 27, 2019

Intrathecal Chemical Neurolysis With Phenol

Intrathecal Chemical Neurolysis With Phenol CANCER PAIN Intrathecal neurolysis with 6% phenol for intractable and opiate resistant perineal pain secondary to terminal bladder cancer . Name : Dr R Srivastava Department: Heart of England NHS Trust, Solihull. E-mail: [emailprotected] Abstract Background: Intrathecal chemical neurolysis with Phenol is a neurodestructive technique to provide saddle anaesthesia for perineal pain, in patients unresponsive to pharmacological therapy or not ameneable to surgical treatment. Its use has been advocated in patients with terminal illness with a short life expentancy of less than a year. Phenol’s neurodestructive mechanism relies on precipitation of proteins in the nerves with myelin sheath separation and axonal oedema, resulting in fibrosis. Neurolysis can be induced with chemicals like phenol or alcohol or by physical methods of radiofrquency or cryoablation Neurolytic saddl block is a high risk procedure leading to almost irreversible neuro-destruction with significant risks including failure, paralysis and incontinence.Careful patient selection and psychological evaluation is mandatory and comprehensive risks and benefits assessment should be carried out before embarking on this technique. Communication with patient is vital due to the resultant side effects of the block. Results: Patient was extensively evaluated for the procedure with all co-morbidities and life expectancy considered and underwent subarachnoid chemical neurolysis with hyperbaric 5% phenol leading to drastic pain relief and significant reduction in opiate consumption. Case Report: Mr JJ ,a 73 year old gentleman was referred form a hospice with complaints of severe abdominal and anal pain due to a surgically inoperable bladder tumor with extensive pelvic involvement and distant metastases . He was referred to our clinic from hospice with severe opiate resistant pain. Mr JJ was diagnosed with the Transitional Cell Carcinoma: T2a N0 MX(Pulmonary nodules) G3,TCC Bladder, eight months ago when he initially presented with back and pelvic pain. He had pulmonary metastases and bladder biopsy and cystoscopy revealed a large tumor on the back wall of the bladder. Mr JJ underwent a radical course of radiotherapy. Subsequently he was admitted to the hospital with rectal pain . Examination under anaesthetic revealed a large mass extending from the bladder in to the prostrate. MRI scan confirmed the tumor with invasion of seminal vesicles and of the prostrate.He underwent ureteric stenting for his right hydronephrosis and hydroureter. His background included history of chronic obstructive airway disease, hypertension, diabetes, Ischaemic heart disease(Coronary stenting 5 years ago) and hypothyroidism. His pain at the time remained unsettled with associated symptoms of tenesmus, nausea and vomiting and profound weakness. Mr JJ lived alone and was unable to cope on his own and was referred to hospice for further palliative care. He was initially treated with Zomorph 30mg twice a day and with Oromorph as a PRN dose for breakthrough pain. Pain worsened over a period of six weeks when it was decided to start him on a syringe driver of diamorphine 30 mgs and metoclopramide30 mgs. Inspite of some relief, he remained extremely confused and constipated. His syringe driver was changed to alfentanil 5mgs and haloperidol 3 mgs to reduce the confusion and drowsiness. Subsequent increment of alfentanil dose via the syringe driver did not resolve his rectal pain. In view of his worsening symptoms and prognosis ,saddle block with phenol for rectal pain remained the only viable option. After a careful assessment and explanation of the risks ( double incontinence and possible paralysis) and benefits of the procedure explained, patient was transferred to our centre as a day case and underwent intrathecal neurolysis with phenol. 1 ml of 5% phenol in glycerol was injected intrathecally and flushed with 0.2 mls of 0.5% hyperbaric bupivacaine. Patient was sat up for 30 minutes to achieve a saddle block. In recovery he seemed to be pain free with no loss of motor power. Mr JJ was transferred back to the hospice the same day. During follow up it was noted that within a few days Mr JJ’s alfentanil infusion was stopped and he was more awake and was managing on small doses of oral morphine of up to 40 mgs a day. His tenesmus completely disappeared but he still complained of some dull aching and deep visceral pain. Case discussion: There are more than 5000 deaths/year related to bladder cancer in the UK and it is the seventh commonest cause of cancer related deaths. Our patient had an extensive spread of his bladder tumor resulting in a combination of background visceral pain involving the rectum causing intractable tenesmus Prevalence of cancer pain in patients with incurable or advanced disease ranges from 43 -63%. More than one third of the patients complain of significant pain during the terminal stages of the disease.[1] Pathophysiological Mechanisms: The mechanisms involving cancer pain are complex and can not be solely attributed to either nociceptive ,musculoskeletal , visceral or neuropathic pain . Pain presents itself as a combination of various mechanisms, which would be dependent on the characteristics of disease progression. Visceral pain as was the case with our patient has both spinal and vagal innervation with feature of dull and diffuse pain with poor localization. Cancer cells in combination with the stromal cells will result in release of inflammatory markers like endothelin, bradykinin , tyrosine kinase and proteases which would lead to sensitization of the nerve fibres. Tyrosine kinase seems to play an important role in the sensitization of the afferent nociceptors.[2] Growth of the tumor may cause direct compression of the nerve fibres resulting in ischemia related neuropathic pain. Cancer induced bone pain is a result of proliferating osteoclasts which lead to bone resorption. This also leads to stimulation of TRPV1 and acid sensing channels expressed on the nerve fibres resulting in cancer associated bone pain. Periosteal sensitization of afferent fibres in an acidic melieu contributes to the persistence of cancer pain.[3] Assessment of cancer pain remains complex and is influenced by patient population, variability in assessment tool ,scoring systems and under reporting of severity of pain by patients.[4] Assessment of patients with cancer requires a multidimensional approach in order to evaluate the physiological, psychological and social impact on life. A careful assessment of history, symptoms, signs and disease progression is crucial. Patient’s expectations with regards to treatment should be discussed and the impact of pain on patients functional activity should be assessed. Patients with cancer complain of background pain and exacerbation of pain (Breakthrough Pain), which might be related to movement or due to progression of tumor resulting in compression of underling tissues and organs . Metastases to the bone can be the primary cause of pain in up to 75% of the patients. Assessment of localization, severity, duration, exacerbating and relieving factors is a must. Cancer pain patients are often on high dose of opiates for their pain control, which may have a detrimental effect on their daily living due to side effects of tolerance to opiates, opioid induced hyperalgesia, leading to inadequate pain control. Management of cancer pain: Cancer pain management in a palliative patient is challenging and requires consideration of all aspects of pain in the terminally ill. Optimum control can only be achieved if pharmacological and bio-psycho-social element of treatment are carefully reviewed. Most patients understandably are depressed and more than 75% suffer from moderate to severe pain. Surgical management is rarely appropriate in patients with distant metastases but may be indicated in some circumstances like internal fixation for pathological long bone fracture. Chest drainage may be required for patients with mesothelioma for recurrent pleural effusion. Radiotherapy which can be localized or wide field and may be useful in patients with metastatic bone disease with proven efficacy of up to 60%. and 25% respectively. Radioisotopes like strontium are also used to treat metastatic bone disease but may not be cost effective in all healthcare systems. Chemotherapy may be helpful in some types of cancer,provided that the tumor remains chemo-sensitive. Assessing the benefits of chemotherapy with regards to prognosis and life expectancy is crucial as the side effects of chemotherapy may be more detrimental to the patient than the pain itself. Hormonal therapy has been useful in prostrate and breast cancer with anti-androgen and anti-oestrogens as both types of cancer are hormone sensitive. Pelvic pain may result from the tumor invasion to organs and The World Health Organisation (WHO) 3 step analgesic ladder of 1986 recommends a staged approach from non-opiods like paracetamol and non-steroidal anti-inflammatory drugs to weak opioids and if necessary ,strong opioids for moderate to severe pain. However, the role of adjuvants like tricyclic anti-depressants, selective serotonin reuptake inhibitors and anticonvulsants like gabapentin and pregabalin should be considered and individualized depending on the symptomatology of the patient. NMDA antagonist like ketamine may help reduce central sensitization[6] Heavy reliance on strong opioids can lead to troublesome side –effects which should be appropriately managed with laxatives and anti-emetics. Opioid rotation should be considered for opioid induced hyperalgesia as in the case of Mr JJ where diamorphine was substituted for alfentanil infusion. Evaluation of psychological factor of perception of pain and the behavioural responses has a significant impact on patient’s lifestyle. Cognitive behavioral therapy may help elicit these perception and help individuals with chronic pain ,forming coping strategies. Pain management programme is helpful for the patient in identifying all aspects of pain and are aimed at improving the quality of life. Physical therapy for pain is aimed at improving functionality and reducing the physiological deconditioning. Lifestyle adjustment in terms of daily routines ,tasks and adapting to new envoirement should be planned for facilitating any coping strategies. Intervention techniques are aimed at targeting the source of pain involving destructive and non-destructive techniques which could involve local anesthetics and steroids for nerve blocks .Continuous infusions of local anaesthetics and opioids via a catheter placed intrathecally, can be used for spinal cord modulation and pain control. Catheter is connected to a programmable pump to administer the desired dose. Nerve destructive techniques should be only considered in a multidisciplinary framework . Patient selection and progonostication of the illness is paramount. It is important that the patient has a full understanding of the procedure and the benefits at the expense of the undesired consequences of such a block like incontinence or motor paralysis. Trial of local anaesthetic is desirable in most cases to predict efficacy of further neurolysis. Neurolytic blocks necessiate the need for close monitoring and evaluation of patient’s pain scores in order to titrate the strong opioids accordingly. Indications and contraindications to Intrathecal neurolysis: Although there has been a decreasing trend in the use of intrathecal neurolysis following advancement in the techniques of spinal blocks with infusions of local anaesthetics and opioids; intrathecal neurolysis has its place in a select subset of patients in whom the pain remains refractory inspite of conventional therapies and treatment with strong opioids . The distinct advantage with neurolysis is of reduction in the opiate consumption and the associated side effects. Complications of subarachanoid block include bladder and bowel dysfuction along with motor weakness .[5]. Pain relief associated with neurolytic blocks is short lived(less than 6 months), and disease progression may lead to refractory pain .In view of our patient’s limited life expectancy of less than two months with pre- exsisting bowel and bladder dysfunction ,intrathecal neurolysis was the quickest and the most cost effective way to provide pain relief. Neurodestructive techniques used in clinical practice range from cryoablation, radiofrequency lesioning to chemical neurolysis with Alcohol (50-100%),Phenol (7-12%) , Hypertonic saline and glycerol. Intrathecal neurolysis: It involves the destruction of nociceptive afferent fibres ,both myelinated and unmyelinated leading to almost instant pain relief. It is effective in well localized pain. The effect of neurolysis is short lived but it involves a short period of hospitalization in comparision to neurosurgical procedures like cordotomy. Phenol(7-12%) causes nerve destruction by coagulating protein in both small and large fibres which leads to degeneration of the nerves within the nerve roots involving more of the posterior than anterior columns. Nerves tend to regenerate faster with phenol than alcohol . Phenol is hyperbaric and when mixed with glycerol, it tends to diffuse more slowly out of the solution causing a more targeted destruction compared to alcohol. It can be mixed with water but the nerve destruction will be more extensive. Phenol compared to alcohol is not painful on injection and for this reason alcohol injections are administered with a local anaesthetic. In concentrations of lower than 5%, phenol tends to exert local anaesthetic action rather than neurodestructive. Phenol when mixed with glycerol or radiopaque dye can provide a higher concentration of up to 15%. Neurolysis with phenol in comparision to alcohol is milder and short lived. Due to the hyberbaric nature of phenol in comparision with alcohol, the patient is positioned with the affected side down to target the dorsal roots. Phenol being highly viscous requires a wider bore spinal needle for injection. Phenol can cause skin and tissue necrosis along with neuritis if the nerve destruction is incomplete. For patients undergoing neurolysis with alcohol the targeted side is positioned up due to the hypobaric nature of the solution. Patients are initially in the lateral position followed by proning to 45 degrees to target the dorsal roots. Alcohol may cause mild burning on injection. Hypertonic saline(10-15%) for intrathecal neurolysis can provide a significant relief of more than 50% but has significant side effects. Conclusion: Management of cancer pain is very complex and challenging and requires considerable expertise in providing appropriate care to terminally ill patients. Significant reliance on strong opioids is not without it’s side effects and a multifaceted approach towards pain control is warranted. Our patient was treated with chemical neurolysis as a last resort since all other measures had failed. Although it helped in reduction of opiate requirement and drowsiness, it still remains difficult to judge the correct dosage and concentration of phenol and balance it against the duration of pain free interval with minimum side effects for the patient before leading to death. Intrathecal neurolysis is not a routine procedure and outcomes of this type of intervention are variable. The extreme complications of this procedure and availability of other techniques makes clinicians reluctant to use in their regular clinical practice. However, cancer pain treatment needs to be tailored in accordance with the patients condition and chemical neurolysis may perhaps be the only option to relieve pain in specific patients. References: [1]M. H. J. van den Beuken-van Everdingen, J. M. de Rijke, A. G. Kessels, H. C. Schouten, M. van Kleef, and J. Patijn, â€Å"Prevalence of pain in patients with cancer: a systematic review of the past 40 years,† Ann. Oncol. Off. J. Eur. Soc. Med. Oncol. ESMO, vol. 18, no. 9, pp. 1437–1449, Sep. 2007. [2]S. Pezet and S. B. McMahon, â€Å"NEUROTROPHINS: Mediators and Modulators of Pain,† Annu. Rev. Neurosci., vol. 29, no. 1, pp. 507–538, 2006. [3]â€Å"Review of Cellular Mechanisms of Tumor Osteolysis.à ¢Ã¢â€š ¬Ã‚ ¯: Clinical Orthopaedics and Related Research,† LWW. [Online]. Available: http://journals.lww.com/corr/Fulltext/2000/04000/Review_of_Cellular_Mechanisms_of_Tumor_Osteolysis_.13.aspx. [Accessed: 23-Nov-2014]. [4]C. Shute, â€Å"The Challenges of Cancer Pain Assessment and Management,† Ulster Med. J., vol. 82, no. 1, pp. 40–42, Jan. 2013. [5]A. Watanabe and M. Yamakage, â€Å"Intrathecal neurolytic block in a patient with refractory cancer pain,† J. Anesth., vol. 25, no. 4, pp. 603–605, Aug. 2011. [6]Cancer Pain Management. The British Pain Society 2010

Friday, October 25, 2019

Susan Glaspells Trifles - Some Observations :: Trifles Essays

Trifles I would like to make three major points. Major #1: Since this is the first play we’ve read, the stage direction really caught my eye and I tended to consider it very seriously in determining the meaning of the work. The most obvious direction, which the essay by Parrish discusses, is that neither Mr. nor Mrs. Wright ever appear in the play, and Glaspell was the first to use this type of direction (which was later recognized as uniquely her own.) Other important examples of the play’s direction (not spoken lines) are: ( ... she is disturbed now and looks fearfully about as she enters.) (Stops, his face twitches.) In a manner of returning to familiar things.) Glaspell uses this direction several times. (Silence; then as if struck by a happy thought and relieved to get back to everyday things.) (Mrs. Hale glances in a covert way at Mrs. Peters.) (Pulling herself back.) this is an emotional direction, not a physical one Glaspell’s decision to present "Trifles" as a play instead of its short story original form (titled :"A Jury of Her Peers) gives the reader an opportunity to "see" the action better than usual, and therefore get a clearer understanding of the author’s meaning. Major #2: What is the significance of "preserves?" I see the literal meaning, but what is Glaspell saying about a woman’s act of preserving things? The action in the play keeps going back to this jar of preserves (example: if the jar gets too cold, it breaks; preserves make a sticky mess; they don’t want to let Minnie know the jars broke and are not preserved.) Major #3: Does anyone know about quilting? I’m looking for more specific information on knotting vs. quilting? I think Glaspell is using this craft (and it is a way of expression like writing and painting) very subtly to get her message across, but I don't have enough information to see it, although I do see the significance of knotting and the knot around Mr. Wright’s neck that killed him. Can anyone help? Parrish writes in her essay that Glaspell wrote and produced many plays, and won the Pulitzer Prize for Drama in 1931. It is interesting and meaningful to read drama because it finds yet another way for women to find and express their voices. Parrish states that Glaspell’s writing focused on women’s "desire for equality and acknowledgement in a "man’s world.

Thursday, October 24, 2019

Jeffersonian Republicanism vs. Jacksonian Democracy Essay

Thomas Jefferson and Andrew Jackson were two influential political figures in two very different eras, ranging from 1800-1808 and 1808-1840 respectively, that established two very different political philosophies. Each formed their own system that helped shape the way people think about American government. Liberalism is a political philosophy that goes against the established status quo at the time in order for change, where as a conservative is one which adheres to principles established by that same status quo. The Jeffersonian Republicans image of the common man was one vested in the educated and independent farmer, who by no stretch of the imagine had the capabilities to serve in government. The Jacksonian Democracies image of the common man expanded from farmers to include laborers, planters, and mechanics. Jackson saw these people as the true representatives of the Government, and thus its true servers. The image of the common man for each the Jeffersonians and the Jacksonians differed in the fundamental principle of the true chosen class, and its real role in Government. Although Jeffersonian Republicanism established a more liberal status quo in comparison with the old Federalist policies, Jacksonian Democracies conservative maintenance of Jeffersons status quo did more to assist the common man in regards to the political, social, and economic aspects of his era. In contrast to the Jeffersonian era, Jacksonian democracy promoted the strength of the executive branch and the Presidency at the expense of Congressional power, while also sought to broaden the public’s participation in government. The belief in a weak national government was held by the Jeffersonians; they contended that government officials who used their powers too much were in fact abusing them (Ambiguous Democracy in America, 1800-1848). In Jeffersons time the two highest voted candidates became the President and the Vice-President of the United States. Jeffersonians believed more in the power of legislature, because it was a type of power given to the educated masses. Jacksonians however, believed in universal white manhood suffrage, rather than just the propertied class being able to vote, and supported the patronage system that enabled politicians to appoint their supporters into administrative offices, arguing it would reduce the power of elites and prevent aristocra cies from emerging. In the age of  Jackson, a candidate was chosen by a nominating convention and the President and Vice-President ran for their offices separately. The people demanded elected (not appointed) judges and rewrote many state constitutions to reflect the new values. Jackson saw no reason not to use force to achieve his goals exemplified in his handling of the Nullification Crisis of 1832, with the passing of the force act to force any law necessary (Brinkley, Alan, and Davis Dyer). Jacksonians believed in a stronger government, but it was a type of self government. In this system of beliefs, the president was considered to be a representative of the people, and thus he found no reason in his mind not to veto a law which he did not see fit. Jackson used Jeffersons policies to bring into fruition the ideals of the true common man in government. While Jeffersons ideas of social mobility reflected a growing sense of equality for all classes, Jackson established his idea of the true chosen class, and specifically geared his policies of social mobility towards this. Jefferson doubted that white civilization and Indian savagery could coexist and although he said that men were born to freedom, not to slavery, he still held many slaves. He felt strongly that women had a single purpose in life: marriage and subordination to a husband. Jefferson saw no reason to let them vote since women were never called upon to discuss politics. One of the many bills Jefferson proposed was the Bill for General Education, which allowed everyone to have as much free education as each person was fitted for (Cunningham, Noble E.). Jefferson believed education would be the cure of all evils. In the same manner, Jackson veered away from extending equality to slaves and women received little betterment, although many reforms were taking place in the time of the Jacksonian Democracy. Jackson forced thousands of Native Americans to march from Georgia to Oklahoma on the infamous Trail of Tears with his Indian Removal Act, thus showing his hatred for the Native Americans (Brands, H. W.). Jacksonians opposed programs such as educational reform and the establishment of public education. They believed that schools restricted individual liberty by interfering with parental responsibility. The importance of the Jacksonian Era was not that the gap between rich and poor had narrowed, but that there were now few barriers that prevented people from gaining wealth and power. Because  Jackson eradicated the Indian threat (a major concern for common people), and belittled the importance education, his party symbolized that a man could come from nothing, and become president, which was a source of inspiration and hope for the common man. Both Jefferson and Jackson did what they felt would economically benefit the common man however Jeffersons maintenance of the Hamiltonian economic system, which benefited the upper class, did less for the common man then Jackson, who advocated for the ideals of economic success for all. Jefferson encouraged State banks and was originally opposed to the national bank, however once in office he saw the true benefits of such a bank. Jefferson feared the consequences of industrialization, and thus didnt support it. In Jeffersons government corporate charters were granted to favorites of state legislators & often implied monopoly rights to a business, thus the common man had no chance for economic success. Jackson won the Bank War by having federal income deposited in state banks, while he continued to draw money out of the national bank by putting it into his state (Wildcat) Banks, because he saw the bank as a tyrannical source for the wealthy (Feldmeth, Greg D). Jacksonians accepted industry as essential to American economy, and thus further supported the common man. Jacksonians believed that corporate charters should be available to all who chose to risk starting a business, and thus anyone could make money (Jeffersonian & Jacksonian Democracy Comparison). This idea was exemplified in the Charles River Bridge v. Warren Bridge decision on corporate monopolies. Both mens ideas cause a state of relative economic turmoil, however each was generally looking out for the common man. Jeffersons policies however were still partially geared towards the elite, and thus do not help the common man as much as Jacksons economic system, which was entirely geared towards the common man. Both Jefferson and Jackson advocated for the common man, but it was Jackson that is seen as the true champion for the rights of the common man, and he was thus their true server. Jeffersonian Republicanism is characterized as liberal because from the Federalists to the Jeffersonians they changed the basic political ideology. The Jacksonians however are considered to be conservative because from the Jeffersonians to the Jacksonians the basic  political ideology didnt change, that is, advocating for the common man. Jeffersons ideas had the common man rooted in its intentions. Jefferson when in office however didnt act on these policies and Jeffersonian Republicanism was thus characterized as a system that advocated for the common man but didnt fully act for the common man. The Jacksonians embodied the American spirit, and so perfectly displayed the ability to climb from the very bottom to the very top. Jacksonians personified hope in a nation where hope was desperately needed. The growing lower and middle classes fought endlessly for their rights, which were continually denied by those in power. Jackson knew the plight of the poor, and during his administration, he made many efforts to return the country to the people. Both Jeffersonian Republicanism and Jacksonian Democracy were based on the beliefs in the freedom and equal rights of all men. However, Jacksonians acted more thoroughly on these ideas. While these two men essentially shared many of the same beliefs and ideas, there was a noticeable difference to how they acted on them and spoke out about them. Thus it can be seen that Jacksonian Democracy advocated more for the common man than Jeffersonian Republicanism. Works Cited â€Å"Ambiguous Democracy in America, 1800-1848.† 9 Nov. 2008 . Brands, H. W. Andrew Jackson : His Life and Times. New York: Doubleday, 2005. Brinkley, Alan, and Davis Dyer, eds. The Reader’s Companion to the American Presidency. Boston: Houghton Mifflin Company Trade & Reference Division, 2000. Cunningham, Noble E. In Pursuit of Reason : The Life of Thomas Jefferson. New York: Louisiana State UP, 1987. Feldmeth, Greg D. â€Å"U.S. History Resources.† Jacksonian Democracy. 31 March 1998. 9 Nov. 2008 . Jeffersonian & Jacksonian Democracy Comparison. 9 Nov. 2008 .