Bad News Message Essay Example | Topics and Well Written Essays - 500 words - 3

Bad News Message - Essay Example it fell in a bucket of water when a child was attempting to use it unsupervised, it is considered as a personal irresponsibility and the warranty does not cover damage to the products due to personal irresponsibility. So unfortunately, your request regarding the refund or replacement of the hair dryer you purchased cannot be entertained for the following reasons: Our company’s technicians, however, will be more than happy to repair your hair dryer but there will be service charges applicable and answer any queries regarding its maintenance. We assure you that our technicians would be able to repair your hair dryer and make it reusable in no time, as we are here for your service. If you are interested in getting your hair dryer repaired then contact at us at our repair centre and let us know. If you are aware of someone else having similar problems with their products, please recommend us to them as we will be more than happy to help them

The Epidemiology of Infectious Diseases

The Epidemiology of Infectious Diseases Infectious diseases have always existed and have had a major impact on human development. It is widely believed that our immune systems and genetic makeup have evolved over many years under the selective pressure of potentially fatal diseases, such as malaria (Haldane 1948; Weatherall 1996). In addition, epidemics of infectious diseases have decimated entire communities, and have sometimes changed the course of history. Examples In Europe in the 14th Century, there were about 25 million deaths from bubonic plague out of a population of approximately 100 million. In 1520 the Aztecs lost about half of their population of 3.5 million from smallpox, introduced by the more immune invading Spaniards. This has been proposed as an important feature in the defeat of the Aztecs by the Spanish invaders. In 1919, after the First World War, the global epidemics of influenza killed an estimated 20 million people during one year more than died as a result of the war. During the 20th century, important advances in the prevention and control of many infectious diseases were achieved with the development of vaccines and antibiotic drugs. This has sometimes created the impression that infectious diseases are no longer a major threat to public health. However, this is far from being the case. The following is a quote from Dr Gro Harlem Brundtland, the Director-General of the World Health Organization: Illness and death from infectious diseases can be, in most cases, avoided at an affordable cost. It is in everyones interest that these obstacles to development be removed. Because of drug resistance, increased travel and the emergence of new diseases, we may only have a limited time in which to make rapid progress. In the following, you will see some of the reasons why infectious diseases are still an important challenge to public health at the beginning of the 21st century. Mortality Infectious diseases are a leading cause of global mortality, causing more than 13 million deaths a year. They are still the main cause of death among children under 5 and the main single cause of premature death in persons under the age of 45. Morbidity Infectious diseases are also a major cause of global morbidity. They are responsible for a huge amount of disability and suffering in the world as measured in DALYs. DALY Disability Adjusted Life Years, a measure of disease burden. It includes years of life lost due to premature death, and years of healthy life lost due disability or illness. Recurring episodes of illness and long-term disability have a major economic impact on the developing countries most affected by infectious diseases. Role in chronic disease Infectious diseases are increasingly being implicated in the pathogenesis of many important diseases that were previously thought to have a non-infectious origin. Cervical cancer is now known to be associated with human papillomavirus infection. Cervical cancer is the sixth most common cancer worldwide and the most common cancer in women in many developing countries. In the past two decades, evidence has grown on the role of Helicobacter pylori infection in gastritis, duodenal ulcer, gastric ulcer, gastric cancer and gastric-mucosa-associated lymphoid tissue (MALT) lymphoma. Chronic infection with hepatitis B or C can cause primary hepatocellular carcinoma (HCC). HCC is among the most common cancers in many parts of Africa and Asia. Potential for epidemic spread A specific feature of infectious diseases is their ability to be transmitted between individuals. This can result in the occurrence of large outbreaks. Between 1997-2000 there were more than 600 outbreaks of disease considered by the WHO to be of international importance. Outbreak The term used to describe a localised epidemic, e.g. in a village, town or city. The term large outbreak is increasingly being used instead of epidemic, as it is less emotive. With increasing urbanisation and international travel, the world is becoming a smaller place, and the routes for transmission of infection are increasing. Aeroplane journeys enable individuals to travel within the incubation period of most infectious diseases. This allows infections to spread to distant places within very short periods of time. An example of this is the annual global dispersal of meningococcal meningitis by pilgrims returning from the Haj Muslim religious festival (Saudi Arabia). Newly emerging diseases Over the past three decades, over 30 new infectious diseases and pathogens have been identified for the first time in humans. These include diseases with a very high case-fatality rate, such as new variant Creutzfeldt-Jacob disease (nvCJD) and Ebola haemorrhagic fever. Some of these new infections are highly prevalent, for example Hepatitis C and rotavirus. Other infections, such as HIV, have rapidly spread around the world. New variant Creutzfeldt-Jacob disease (nvCJD) A new variant of Creutzfeldt-Jakob disease was described in the United Kingdom in 1996. The agent is considered to be the same as that causing bovine spongiform encephalopathy, a disease that emerged in the 1980s and affected thousands of cattle in the United Kingdom and other, mainly European countries. Ebola The first outbreaks of Ebola haemorrhagic fever occurred in 1976 and the discovery of the virus was reported in 1977. Cases reported to WHO up to June 1997 indicated a case-fatality rate of over 70%. A major outbreak in Uganda in 2000 was thought to be associated with spread of the virus by soldiers moving across the country. Hepatitis C This virus was identified in 1989, and is now known to be the most common cause of post-transfusion hepatitis worldwide. So far, up to 3% of the world population are estimated to be infected, among whom 170 million are chronic carriers at risk of developing liver cirrhosis and/or liver cancer. Rotavirus First recognised in 1973, rotavirus is the most common cause of childhood diarrhoea worldwide. 20% of all diarrhoeal deaths and 5% of all deaths in under-5 year olds are due to rotavirus. HIV Although the Acquired Immune Deficiency Syndrome (AIDS) was recognised in 1981, the causal virus, HIV, was first isolated in 1983. It is estimated that, since the start of the epidemic, 30.6 million people worldwide have become HIV-infected and nearly 12 million have died from AIDS or AIDS-related diseases. Re-emerging diseases In addition to the emergence of new infectious diseases, many old diseases that had previously been under control are starting to appear in increased numbers or in previously unaffected populations. Resurgence of infectious diseases can occur because of any of the following reasons: changes in social or environmental conditions, failure to maintain immunisation programmes, increased drug resistance Drug resistance is currently an increasing problem for a number of diseases worldwide, and we are often in a race to develop new treatments faster than the pathogens can develop resistance. Example Since the mid-1980s there has been a major resurgence of diphtheria in several countries of Eastern Europe, which had previously been progressing towards elimination of the disease. In 1993, 15,211 diphtheria cases were reported in Russia and 2,987 cases in Ukraine. The main reason for the return of diphtheria in these countries was a decreased immunisation coverage due to an irregular supply of vaccines and large-scale population movements (Galazka et al 1995). Example Mortality and morbidity rates from tuberculosis (TB) in industrialised countries declined during most of the 20th century. However, from the mid-1980s onwards, many of these countries have seen an important increase in the incidence of TB. This is mainly due to a decline in TB control programmes, the increased incidence of multi-drug resistance TB and the effect of the HIV epidemic (Grange 1998). Potential for prevention and control The mechanisms involved in many infectious diseases are well understood, from the molecular aspects of the infectious agent to the demographic characteristics of host populations. This level of understanding has enabled potentially very effective prevention and control measures to be developed for some infectious diseases. With efficient intervention strategies and the advent of national public health agencies, elimination of specific infectious diseases has become feasible. In some cases, there has even been the possibility (or reality) of global eradication. Following the successful WHO programme for the global eradication of smallpox through vaccination, the last naturally acquired case of this disease occurred in October 1977 in Somalia. The countries of the Western Hemisphere have set a target for the elimination of measles by the end of the year 2005. Polio and guineaworm are now also on the verge of eradication, after intensive, globally co-ordinated programmes. Strategies to immunise millions of children on the same day have resulted in few countries now reporting cases due to wild poliovirus. Infectious disease epidemiology In epidemiology, we are interested in describing and explaining the distribution of diseases in populations. The distribution of an infectious disease depends on the transmission of the infectious agent within the host population. This is a dynamic process, which is influenced by characteristics of the specific infectious agent, characteristics of the host population and characteristics of the relationship between the infectious agent and the host.

Lawsuits and the End of Sanity in America :: Exploratory Essays

Lawsuits and the End of Sanity in America Not having experienced much of the past is a mixed blessing. What's grotesque, shocking and unheard of to older Americans might seem normal, perhaps just a bit curious, to younger Americans. For example, last year New Orleans Mayor Marc Morial brought suit against gun manufacturers to recover carnage costs in his city. This January, Philadelphia Mayor Ed Rendell met with his advisors to consider whether the City should sue gun manufacturers for creating a public nuisance since guns were used in Philadelphia's 400-plus homicides. The City would seek to recover the cost of everything from cleaning up after bloody murders to the costs of court and social workers for victims. Mayor Rendell's imagination has also led him to discover a new liability for tobacco companies: since some of Philadelphia's fires have careless smoking as their origin, why not sue tobacco companies to recover the city's fire losses? Decades ago anyone suggesting bringing lawsuits against gun manufacturers for homicides, or tobacco companies for fires caused by careless smoking would have been considered a prime candidate for a lunatic asylum. If one generalizes from the lawsuits brought against gun manufacturers because people use their product to commit murder and mayhem, and against tobacco companies for smoking illnesses and fires caused by careless smoking, he would conclude that people are not to be held responsible for anything they do. It is the inanimate object, while incapable of acting, that is responsible. That is, a gun is responsible for murder, not the gun's user. A cigarette is responsible for a fire, not the careless smoker. That being the case, it "logically" follows that manufacturers of the offending inanimate object are culpable. After all had the manufacture not produced the gun or cigarette there would be fewer homicides, smoking-related illnesses and fires caused by careless smoking. This it's-not-my-fault principle could be broadened to include just about anything. If a scantily clad young lady is prancing along the street, distracts my attention, and I have an automobile collision, the it's-not-my-fault principle would hold the young lady liable for my accident. But she might make the case that it is the manufacturer of her mini-skirt who is really liable. If we Americans were to carry the it's-not-my-fault principle to its logical conclusion, we would virtually guarantee poverty. There would be little production. Why should I manufacture irons if I could be held liable for anything a person might do with the iron, including assault or leaving the iron unattended thereby causing a fire.

English Language Teaching and Ict

ENGLISH LANGUAGE TEACHING AND ICT BY BANDELE ADEBOYE SOGBESAN SENIOR LECTURER IN ENGLISH, DEPT OF LANGUAGES, TAI SOLARIN UNIVERSITY OF EDUCATION, IJEBU ODE. INTRODUCTION Language has been described by various scholars over the years according to the perceived roles it plays in different circumstances. Sapir (1921) sees it as a system of arbitrary vocal signs and symbols used for the purpose of communication. It can also be seen in the light of Christophersen’s (1981) view as a conventional tool of self expression adopted by a society in carrying out its socialising functions. Language in both its written and spoken forms, is a vehicle through which man relates with and interpretes the world in which he lives. Various human groups and societies are typified by the language they speak, hence a Yoruba, Igbo, Hausa, French or Ghanaian is identified not just by the geographical boundaries which separate them, but also by the distinct linguistic instrument by which they express themselves. Cultures are integral parts of languages, and it is almost impossible to fully express one cultural experience in another language. It is a mainly human attribute which, going by Chomsky’s claim, is however not inherent but is learned or acquired as part of the normal maturational process. In a second language situation as the English Language is in Nigeria, the learning of a target language is not as easy or involuntary as a first language (L1); apart from the deliberate, planned and largely artificial process of teaching and learning, both teachers and learners are constantly searching for improved ways of acquiring cognitive, affective and psychomotor perfection in the new language. It becomes understandable therefore why over the years, there have been changes in pedagogical approaches to language teaching, ranging from the traditional practice of teaching the rules of the target language, through emphasis on practice and repitition without teaching the rules (Williams, 1999), to the more recent integrative approach. This approach combines the inclusion of useful aspects of various theories with contemporary practices and influences in the wider society. It is in this light that we shall examine the relationship between Information and Communicatins Technology (ICT) with the teaching and learning of English Language at the basic level of education in Nigeria. THE NATIONAL LANGUAGE POLICY The National Language Policy as enunciated in the National Policy on Education (1998 Review) prescribed the language of the environment as the medium of instruction in the first three years of formal schooling while English was to be taught as a subject. English was to become the medium of instruction from the fourth year of schooling upwards. The intent of the policy formulators was to enable the child attain a reasonable level of linguistic competence with its attendant cultural awareness. Ironically, the average Nigerian parent appears to prefer their going ‘straight for English’, a factor which could have engendered the mushrooming of private schools in the country and painting the picture of a failing public school system (Sogbesan. 2006). Unfortunately, a large part of the teaching workforce in the private schools are not so much academically quallified or experienced for effective teaching results. LANGUAGE TEACHING AND ICT In Nigeria, English Language has proved to be the most viable link to the outside world. Myriad textual materials, including books and periodicals, videos, journals exist alongside various softwares on the computer and internetwhich enhance the abilities of teachers and learners alike to improve their mastery of English both as a subject and as a service subject. It is expected that with increased ICT awareness, even the pedagogy of English with the various innovations and new avenues for retraining are available online. Some of the accessible ICT facilities that the English Language teacher can avail himself of accross language skills include; The virtual library, This online library provides access to thousands of books and journals which government, schools and private subscribers can consult regularly to update their knowledge and abilities. Packages like Mirosoft Encarta, Encyclopaedia Britannica e. t. c. provide both online and offline acess to vital information in the areas of content and pedagogy. (instantiate) Audio tutoring facilities like radio, television, e. t. c. The information highway also provides access to news and educational materials on a regular basis. Some of the language teaching-learning uses to which ICT can also be put to include; Aural/Oral drills- e. g. phonetic symbols are available on the computer, words and sentences can be heard in the L1 form. (demonstrate) Vocabulary Development and Semantics- e. g. Online / Offline dictionary, Spell Check, Grammar Check, Translator, e. t. c. Where direct contact with original English language forms is required, various softwares are available for both teachers and students to use. Essay Writing- Models and formats are available and teacher/learner can join groups or networks to exchange essays or have them assessed online and offline (e-pen). Furthermore, imaginative recreation, the hallmark of a good essay, can also be enhanced via access to news (print and electronic), great public speeches and events, e. t. c. Also, creative and interesting drills through games like ‘Scrabble’, ‘Who wants to be a millionaire’, e. t. c. are available. Advantages of ICT teaching/learning include; i. It is largely interractive and individualised- The teacher or learner does not need to go through a period of tutelage to master the use of programmes. He masters the various dimensions of use as he goes along. Each learner can therefore develop at his own rate. ii. It is learner –centred, learner- friendly and often exciting to use, thus making sustained contact with subject content less cumbersome. The young learner is encouraged by the excitement of self actualisation and is easily motivated to carry out independent study. ii. It guarrantees consistently high quality of instructional matter that meets global standards. This is moreso because new packages are constantly being turned out for consumers in a seemingly unending race towards perfection. iv. Information provided is quite contemporary and new trends in pedagogy, as well as quick, cheap and easy exchange of new information is guaranteed. Disadvantages of ICT teaching/learning include; i. ICT hardware and packages ma y not be easily affordable to many students in the public school system. The teacher should however be creative and the school should make available at least the minimal materials needed for teaching and learning. Government and the other stakeholders should be quick to come to the aid of needy schools as the need arises. ii. The erratic nature of public power supply could be frustrating to the average teacher or student, but schools should endeavour to procure necessary support materials to enhance subject delivery. Teachers and students should also visit private service providers like cyber cafes as may be necessary. iii. Many teachers are averse to change . There is therefore an urgent need to continuously reorientate teachers accross all levels of basic education to enhance receptivity to modern trends. iv. Unguarded exposure of underage children to the information highway could expose them to items of information which could be distractive or even destructive for them. CONCLUSION In conclusion, teachers and students at various levels of basic education in Nigeria need to endeavour to catch up with the global trend not only to facilitate teaching and learning, but to also package for the future a generation of Nigerians who are able to hold their own in the contemporary world. REFERENCES Rufai, K. I. (2008). ‘Computer in Human Endeavours’ in Sotonode et al (eds) Effective Teaching and Learning of Primary Science Practicein Public Schools in Ogun State. Ijebu Ode. ACUFES Prints. Sogbesan, B. A. (2006). ‘Teaching in The English Language in a non- native situation:Problems and Prospects in Nigerian Education’ in Ayodele et al (eds) Aspects of Language and Literature: A text for Tertiary Institutions. Ibadan, Olu Akin. Williams David(1999). English Language Teaching: An Integrated Approach. Lagos, Spectrum.

Effects of Teen Pregnancy Essay

A child is like the icing on top of a cake, a finishing touch to a married couple’s journey on earth together. If perfectly planned and periodically monitored, a woman’s pregnancy will be one of the most unforgettable experiences she will ever have. To be able to carry out a safe pregnancy, the ideal age to get impregnated is from the early twenties to the early thirties. This is the time the female reproductive system is fully developed and mature enough to handle multiple activities such as the fertilization of an egg, the carrying of a fertilized egg to fetal maturity, and the nurturing of the newborn by means of milk production (Bullock 1087). Also, if the woman is psychologically ready and wanting to have a child, she will not have a hard time going through the process because of acceptance of the situation, support of the family around her and if married, the spouse’s longing to have a child with her. Unfortunately this is not always the case. The adolescent stage is the period during which the person becomes physically and psychologically mature and acquires a personal identity, from twelve to eighteen years of age (Kozier 385). The establishment of an identity is the psychosocial task of an adolescent according to Erik Erikson’s Psychosocial Developmental Theory. Failure to establish an identity will lead to role confusion (Kozier 387). Role confusion poses a threat to the teenager’s social wellbeing. The teenager maybe at a loss as to what her role in society might be or what career path she would take and if she will even go to college. Adolescents are almost always experiencing a roller coaster of emotions in their search for an identity. They tend to look for people with similar preferences and would not want to be seen with other people who do not share the same characteristics as they have, they begin to idolize a person and want to be just like him or her, they become rebellious, they demonstrate forbidden behaviors, they seek attention and admiration from the opposite sex and choose their career paths. Because of the physical changers that are happening to their bodies, they tend to be curious and experimental with these changes. â€Å"Adolescents are sexually active and may engage in masturbation as well as heterosexual and homosexual activity†(Kozier 387). Statistics show that more than 800,000 teens get pregnant each year which places the United States as one of the highest among industrialized countries (Teen Pregnancy: Reality Check). As to why this happens, people can only speculate and come up with studies, surveys and interview. There are however identified risk factors for teenage pregnancy. â€Å"These include: family situations with regular conflict between members, violence and sexual abuse in childhood, unstable housing arrangements, poor school performance, poor school attendance, low socioeconomic background, family history of teenage pregnancies, low maternal education, father’s absence, low self-esteem, Aboriginal or Torres Strait Islander and living in rural and remote areas† (Teenage pregnancy some facts). Dealing with adolescent pregnancy does not only have serious physical effect, but psychological as well. The adolescent is at risk for PIH, iron deficiency anemia, preterm delivery, and cephalopelvic disproportion because her own physical growth maybe inadequate to support the growth and delivery of the fetus. PIH or pregnancy induced hypertension is the second leading cause of maternal death in the United States. This illness is a combination of hypertension, edema and proteinuria during pregnancy (Bullock 93). Iron deficiency anemia or IDA occurs when there is a considerable lower than normal amount of Iron in the blood. Iron is needed by the blood in order to effectively transport oxygen to various parts of the body. Fortunately this can be easily corrected by taking oral supplements of Iron as prescribed by the doctor (Bullock 356). Preterm delivery, which is 36 weeks of gestation or life inside the woman’s womb, is a serious threat for both the fetus and the mother. The normal term is 37 weeks to 40 weeks and less that that the fetus will not be mature enough to live outside the mother’s uterus. The pregnant adolescent’s nutrition may not also be adequate enough, resulting to malnutrition. Prenatal care may also be delayed because the teenager maybe in denial, hence the fetus might not be well taken care of resulting to deficiencies and fetal abnormalities. As for the infant, he or she is susceptible to having lower birth weights, increased infant mortality, increased risk of hospital admission in early childhood, less supportive environments, poorer cognitive development, and if female, a higher risk of becoming pregnant during the adolescent period, as compared to infants born of older women (Teenage pregnancy: trends). Psychologically, a teenager is prone to postnatal depression compared to older women. Reasons for this include societal attitudes, lack of support from family and isolation, and financial pressures (Teenage pregnancy implications). There is also a tendency for the teenage mother to be abandoned by their male partners, especially during birth. Being alone in a very hard process can sometimes be the hardest thing that teenage mothers go through. Not only are their partners abandoning them, but the stigma attached to teenage pregnancy also affects the family of the teenager. There seems to be feelings of alienation from the teenager’s family. All of these may add up resulting to more negative feelings towards oneself, more questioning of identity hence role confusion, wasted dreams and impossibility of going back to her education. All the emotional stress may even lead to a mental illness. Efforts are being made to lower the number of teen pregnancies. A number of organizations have been established and there are even pregnancy prevention programs for males. Education maybe the key, with these programs discussing the consequences of early sexual activities like unwanted pregnancy and sexually transmitted diseases. Contraception is strongly advocated, even sex education has been really pushed through, and sexual abstinence until marriage has been a strong banner for these programs. The family physician’s or any health care personnel’s role is also significant. They will be able to explain and elaborate more on the nature of the consequences of sexually transmitted diseases and early pregnancy to teens. In fact, in a study entitled, â€Å"Explaining Recent Declines in Adolescent Pregnancy in the United States: The Contribution of Abstinence and Improved Contraceptive Use† it showed how much the pregnancy rates declined over the past 7 years. Improvements in contraceptive use included increases in the use of condoms, birth control pills, withdrawal, and multiple methods and a decline in nonuse. The overall pregnancy risk index declined 38%, with 86% of the decline attributable to improved contraceptive use. Among adolescents aged 15 to 17 years, 77% of the decline in pregnancy risk was attributable to improved contraceptive use† was the result of the study by John S. Santelli, MD, MPH, Laura Duberstein Lindberg, PhD, Lawrence B.  Finer, PhD and Susheela Singh, PhD. Sharing intimacy with another person is always a personal choice. But the responsibilities that come with it are not. The freedom of having a choice comes with a price, the burden of being unprepared to raise your own child. And everything else you pick up the broken pieces after that. It matters how much strength and courage you have, how much you can carry alone. But it is important to know that life does not end when hardships begin, it’s just begun.

ESL Newscast Lesson Plan

ESL Newscast Lesson Plan Media is an ever-present reality and one that students are intimately familiar with. As such, diving into the media landscape offers multiple avenues for interesting lessons that will hold students attention. You can start by studying media-related words so that students are familiar with the basics. From there, lesson plans can revolve around anything from watching news videos on YouTube to publishing a class newspaper. One activity that helps students cover a variety of media related themes is to have students create and act out a newscast. The larger the class, the more roles students can take on. Perhaps your class might even put up the final version online. ESL Newscast Lesson Plan Breakdown Aim: Develop a working knowledge of vocabulary related to mediaActivity: Creating a newscastLevel: Intermediate to advanced Lesson Activities Study media-related vocabulary covering the basics of printed and broadcast video.Discuss different roles on news broadcasts including anchorpersons, meteorologists, and sports reporters.  Compare and contrast printed and broadcast media and how they are currently used in our daily lives.Watch a video on YouTube or on TV of a typical newscast together as a class. Its not necessary to watch an entire broadcast. However, students should have a chance to become familiar with a range of reports.Watch the newscast a second time and ask students to take note of typical phrases used to introduce various reports and reporters, as well as make transitions.Review transition phrases in small groups with students matching language functions to appropriate phrases.Ask students to write out two alternate phrases for each language function.  As a class, review possible phrases. Write phrases on the whiteboard, or take note in a document to print out for students.Ask groups to read a transcript of a typical broadcast. Ive included an easy version below, but advanced classes should be able to handle actual broadcast transcripts. Next, students  script out a short newscast in groups of four to six. One student should take on the role of anchorperson, one as the weatherperson, another as a sports reporter. For larger groups, add various reporters as required. For example, one group might have a gossip reporter from Hollywood, another group might have a reporter on assignment in China, etc.  Ask students to work together to write a short newscast with each student responsible for his or her own role / report.Review students scripts as needed and help out with transitional language.Have students practice the newscast until they can deliver the news  comfortably with little reference to the script.  Enjoy the newscasts as a class. If its really good, share the newscast online.  Afterwards, repeat the fun with this lesson on writing dramatic scripts as a class. Newscaster Language Match the following purpose to the jargon phrases that follow. Once youve matched the phrases, come up with two additional phrases that might be used to accomplish the same function: Opening the newscastAnnouncing the headlinesIntroducing the weatherCutting to a commercialTransitioning to a new storyIntroducing live coverageIntroducing the sports segmentInterrupting the newscast for breaking newsUsing pleasant small talk to finish the newsSigning off from the broadcast Broadcast Journalism Jargon Excuse me, we have a developing situation ...Good evening and here is tonights important news.Hi Steve, were on the ground here in downtown ...How about that game last night!Its pretty wet out there, isnt it?Lets get out there and enjoy some of the good weather.Lets turn to a story about ...Stay tuned, well be right back.Thank you for tuning in. Well be back at eleven with important updates.Tonights stories include ...(Answer Key Below) Example News Transcript Read this transcript and take note how transitional phrases are used during a news broadcast. Once you have finished, plan your own newscast with classmates. Anchor: Good evening and welcome to the local news. Tonights stories include the story of a boy and his dog, a look at improving employment figures, and a clip of the Timbers win at home last night. But first, lets check in on the weather. Tom, hows the weather looking?Meteorologist: Thank you Linda. Its been a beautiful day today, hasnt it? We had a high of 93 and a low of 74. The day started off with a few clouds, but weve had sunny skies since two oclock. We can expect more of the same tomorrow. Over to you Linda.Anchor: Thank you Tom, yes its a wonderful time of the year. Were so lucky with our weather.Meteorologist: Thats right!Anchor: Lets turn to a sweet story of a boy and his dog. Last night a dog was left in the parking lot sixty miles away from its home. The dogs owner, a boy of eight, tried everything to find Cindy. Yesterday, Cindy came home and scratched on the front door. John Smithers has more. John?Reporter: Thank you Linda. Yes, little Tom Anders is a happy boy tonig ht. Cindy, as you can see, is now playing in the backyard. She arrived home after having come more than sixty miles to reunite with Tom! As you can see, theyre overjoyed to be reunited.Anchor: Thank you John. Thats good news indeed! Now, lets check in with Anna for a look at last nights Timbers victory.Sports reporter: Timbers hit it big last night. Beating the Sounders 3-1. Alessandro Vespucci scored the first two goals, followed by Kevin Browns incredible header in the last minute.Anchor: Wow, that sounds exciting! Well, thank you everyone. This has been the evening news. Newscaster Language Answer Key Interrupting the newscast for breaking newsOpening the newscastIntroducing live coverageIntroducing the sports segmentIntroducing the weatherUsing pleasant small talk to finish the newsTransitioning to a new storyCutting to a commercialSigning off from the broadcastAnnouncing the headlines

Free Essays on The Comparative Analysis Of The Computer History In The USSR &USA

Introduction Once in a lifetime a new invention will come about to touch every aspect of our lives. Such a device that changes the way we work, live, and play is a special one, indeed. A machine that has done all this and more now exists in nearly every business and one out of every two households. This incredible invention is the computer. The electronic computer has been around for over a half-century, but its ancestors have been around for 2000 years. However, only in the last 40 years it has changed the society. From the first wooden abacus to the latest high-speed microprocessor, the computer has changed nearly every aspect of people’s lives for the better. The very earliest existence of the modern day computer’s ancestor is the abacus. These date back to almost 2000 years ago. It is simply a wooden rack holding parallel wires on which beads are strung. When these beads are moved along the wire according to â€Å"programming† rules that the user must memorize, all ordinary arithmetic operations can be performed. The next innovation in computers took place in 1694 when Blaise Pascal invented the first digital calculating machine. It could only add numbers and they had to be entered by turning dials. It was designed to help Pascal’s father who was a tax collector. In the early 1800’s, a mathematics professor named Charles Babbage designed an automatic calculation machine. It was steam powered and could store up to 1000 50-digit numbers. Built in to his machine were operations that included everything a modern general-purpose computer would need. It was programmed by and stored data on cards with holes punched i n them, appropriately called punchcards. His inventions were failures for the most part because of the lack of precision machining techniques used at the time and the lack of demand for such a device. After Babbage, people began to lose interest in computers. However, between 1850 and 1900 there were great advances... Free Essays on The Comparative Analysis Of The Computer History In The USSR &USA Free Essays on The Comparative Analysis Of The Computer History In The USSR &USA Introduction Once in a lifetime a new invention will come about to touch every aspect of our lives. Such a device that changes the way we work, live, and play is a special one, indeed. A machine that has done all this and more now exists in nearly every business and one out of every two households. This incredible invention is the computer. The electronic computer has been around for over a half-century, but its ancestors have been around for 2000 years. However, only in the last 40 years it has changed the society. From the first wooden abacus to the latest high-speed microprocessor, the computer has changed nearly every aspect of people’s lives for the better. The very earliest existence of the modern day computer’s ancestor is the abacus. These date back to almost 2000 years ago. It is simply a wooden rack holding parallel wires on which beads are strung. When these beads are moved along the wire according to â€Å"programming† rules that the user must memorize, all ordinary arithmetic operations can be performed. The next innovation in computers took place in 1694 when Blaise Pascal invented the first digital calculating machine. It could only add numbers and they had to be entered by turning dials. It was designed to help Pascal’s father who was a tax collector. In the early 1800’s, a mathematics professor named Charles Babbage designed an automatic calculation machine. It was steam powered and could store up to 1000 50-digit numbers. Built in to his machine were operations that included everything a modern general-purpose computer would need. It was programmed by and stored data on cards with holes punched i n them, appropriately called punchcards. His inventions were failures for the most part because of the lack of precision machining techniques used at the time and the lack of demand for such a device. After Babbage, people began to lose interest in computers. However, between 1850 and 1900 there were great advances...

Top skills to put on your resume

Top skills to put on your resume On average, recruiters will only spend six seconds reviewing your resume. In those six seconds, they will decide whether you’re worth bringing in for an interview or not. How do you go about using a piece of paper to convince a complete stranger that you’re qualified for a job? The answer is simple: skills. Skills are basically keywords that highlight how qualified you are. You have to remember, recruiters, aren’t always well-versed in the job you’re applying to. Their knowledge of it may be limited. As such, they will be scanning for relevant skills and keywords to give them an idea as to how qualified you really are. So it’s important to make sure you highlight the right skills.Source:[uptowork]

Vietnam 1962-1969 Essay Example | Topics and Well Written Essays - 250 words

Vietnam 1962-1969 - Essay Example Over a fortnight after Ho Chi Minh plagiarized American Declaration of Independence the first American dies on Vietnamese soil. An OSS officer Lt. Col. A. Peter Dewey was killed by Vietminh guerrillas mistaken for French officer. Ironically Dewey had submitted a report on crisis in Vietnam stating that America "ought to clear out of Southeast Asia." On 26 July, 1956 US government assigns $15 million in military aid to the French in order to deter the spread of â€Å"Communist threat†. That year lots of American military advisors followed American millions to Vietnam. To aid French to struggle against  «monolithic world Communism" Americans establish Military Assistance Advisory Group (MAAG) in South Vietnam. Twelve years later this Agency was replaced by the United States Military Assistance Command Vietnam (MACV). 1962 thus becomes the year of the beginning of the full-scale Vietnam War as we know it so far. In 1964 Southeast Asia Resolution as well as Gulf of Tonkin Resolu tion was passed. The documents authorized to apply conventional warfare in Indochina region. This very year America elected Lyndon Johnson her new president who announced his Great Society program. As any great society America needed a great victorious war so the president announces that his society â€Å"can never again stand aside, prideful in isolation†.

How can interactive media encourage students from secondary schools to Dissertation

How can interactive media encourage students from secondary schools to eat healthy and thus contribute to reducing the growing o - Dissertation Example n.d.). Considering the cases of school children, the number of children suffering from overweight has been rising over the years. Records reflect that one out of three children is becoming obese or overweight. These children are also affected with heart diseases, high blood pressure and diabetes that are associated with the increase in weight. It is a matter of serious concern that lead to several challenges for such school children to cope up themselves in situations of the school environment and lead a healthy life (Congress, 2000). Thus there is a need to reduce the problems related to overweight in school children in order to protect them from the above mentioned diseases of the health (Pillitteri, 2010). The present study focuses on the effects of interactive media towards encouraging children from secondary schools to eat healthy and become aware of the growing overweight problems among such children. Meaning of Healthy Eating in Healthcare: By healthy eating in healthcare, it refers to the foods in amounts and types that contain a proper balance between nourishment and power supporting the growth of the children as well as of the metabolism of the adults. In order to eat healthy, such foods need to be selected that contain vitamins for the promotion of the health, as well as minerals that are required by the body. The quantities of fats, cholesterol, sugar and sodium need to be less in such foods (Tassoni, 2002). Thus healthy eating means intake of those foods and nutrients that are actually needed by the food for proper growth and health. The necessary nutrients include protein, carbohydrates, fat, water, vitamins, and minerals (Boyle and Long, 2008). Thus it can be realized that healthy eating is extremely essential for individuals to remain healthy such that they do not suffer from severe diseases that result from overweight problems. With the school children the problems are more since they tend not to understand the problems and the ill effects of u nhealthy foods and their obesity can actually lead to them becoming obese when they are grown up as well (Penn, 2005). Trends and Development in Healthy Diet: Studies have revealed certain trends in health eating. These trends do not include only losing weight and diet regimens. Rather they consider the healthy eating habits in order to bring about a change in the lifestyle, with balanced and proper diet particularly focused on eliminating or reducing the problems of child obesity and overweight problems in school children. In the present times, several individuals, as reflected by the Americans, have turned their focus on improving their diets. Thus diets are obtained to have changed and people are now more concerned to follow the dietary instructions as provided by health departments. Low fat diets have been obtained to have gained attraction among most individuals that reflect a turn towards the positive effect as far as healthy eating is concerned (Weimer, n.d.). The governments in this regard have started playing a significant role. Since dietary constraints have proved to prevent several health problems in individuals, considering the small children as well, hence governments are also taking initiatives to encourage healthy eating among small children and other individuals. They are providing effective nutritional information to

Singapore - Recruitment and selection Assignment

Singapore - Recruitment and selection - Assignment Example Starbucks makes an effort to recruit the best candidates who can be groomed to take up different strategic positions in the organization. The company also uses the strategy of internship to nurture talent among the people still at college. Starbucks America and Singapore are not very different since they have the same vision and they operate using the same business principles and models. Both shops strive to be equal opportunity employers and they accommodate people from diverse backgrounds to work in their shops. There are different recruitment firms and agencies in Singapore and they use their websites to headhunt for talented employees for different placements. According to BlueSteps, the Association of Executive Search Consultants (AESC) has 20 member executive search firms that operate in Singapore. This association specializes in executive recruiting across a diverse group of industrial sectors. Particular attention is paid on senior management roles and regional leaders. Firms intending to hire executive employees can use the services offered by these firms. There are also other employment agencies that offer services related to external recruitment to different organizations in Singapore. These professional recruitment firms are privately owned. ... According to HRM Asia, companies should make an effort to give first preference to locals in terms of recruitment. However, Americans can find it a bit easy to get work permits if they are going to work in American companies in Singapore. The main reason is that the Singaporean companies seek to recruit and attract the best talent from the expatriates going to work in this country. People with work permits can also apply for permits of their dependents so that they can also stay together in Singapore. The Strait Times is the best newspaper to advertise for a job or to search for different types of work available. This paper is very popular in Singapore and the employers and recruiters alike often use it to place advertisements for different jobs. It is comprised of a jobs section and it covers different types of jobs from ordinary to executive posts. The paper also uses online advertisements for different jobs in Singapore. The internet is widely used by the recruiters to search for suitably qualified candidates to fill different vacancies in various organizations. There are also websites such as jobs.com that are used by employers to recruit suitably qualified employees to join their companies. Basically, the structures of advertisements in Singapore and America are not very different. They contain similar information which is basic about a particular job being advertised. For instance, each advertisement has information like job position, tasks to be performed by the incumbent person qualifications as well as experience. The advertisements also have information such as contact details that can be used by the potential candidates to respond to. The advertisements in these two countries are designed in such as way that they are easy to

SYRIA MDG'S Annotated Bibliography Example | Topics and Well Written Essays - 500 words

SYRIA MDG'S - Annotated Bibliography Example El-Khatib et.al point out that the United Nations had less to worry about the Millennium Development Goals in Syria before 2007 (8). Apart from the effects on its own MDG, neighboring countries such as Jordan and Lebanon have been affected by the crisis. This shows the depth in which the crisis in Syria has affected the region’s economic condition (Allison, 801). In an argument by Alison et.al the impact on other countries has further cut down on the potential of Syria recovering from the effects of the war early enough (807). Shojaei, Amir, KazemYoussefi, and Hossein Shams Hosseini."A CDA Approach to the Biased Interpretation and Representation of Ideologically Conflicting Ideas in Western Printed Media."  Journal of Language Teaching and Research  4.4 (2013): 858-68. Print. The article presents a summary of the paper by pointing out that Syria’s MDG has been significantly affected by the crisis. Shojaei, Kazemand & Hossein point out that the UN has cited Syria as the worst affected country by internal violence in the modern day (863). The UN is also keen to note that the country has become less humanity friendly as refugees from Syria are on the increase in Lebanon and Jordan. UNDP."Responding to the Crisis in Syria."  Responding to Crisis in Syria.N.p., n.d. Web. 26 Mar. 2014. . To further examine the impact of the crisis in Syria on its MDG, UNDP highlights data that show the effect on human development. About 100,000 persons have lost lives since the crisis in Syria. In addition, 4 million people are displaced within Syria and another 2 million are refugees in foreign countries. The article further points out that 3 million of 22 million populations of Syrians have been driven to extreme poverty as the poverty levels rise to 8% from almost 0% in 2007. United Nations

Wills, Trusts, and Probate Week CD Essay Example | Topics and Well Written Essays - 250 words

Wills, Trusts, and Probate Week CD - Essay Example method of valuation with which one can find the total profit by subtracting purchases from the calculated amount of the organizations earnings, which is further divided into two parts, for the renter and the landowner. Hence through this renters profits, one will be able to determine the property’s value (Lamance, 2011). This method of valuation is used for determining the value of those properties that are not yet developed or such structure that possibly upgraded or have no value, and expected replacement and destruction (Lamance, 2011). Article three of the constitution prescribes the jurisdiction of the Federal Courts, according to which the jurisdiction mainly regarding Federal queries and variety of cases that are brought between citizens of different states. As probate matters are not frequently involved in federal law that is why federal court do not have jurisdiction over probate matters (Thomas, 2012). Lamance, K. (2011).  Alternative Valuation Method For Gross Estate | LegalMatch Law Library. Retrieved from: http://www.legalmatch.com/law-library/article/alternative-valuation-method-for-gross-estate.html Singaporeprimedistricts.com (2012).  Importance of real estate valuation and the different methods of valuation. Retrieved from: http://www.singaporeprimedistricts.com/importance-of-real-estate-valuation-and-the-different-methods-of-valuation/ Thomas, A.P. (2012).  Florida Probate Lawyer | Florida Probate Blog: Probate, Guardianship & Trust Litigation. Retrieved from:

Pacific Precision Financial Situation Essay Example | Topics and Well Written Essays - 750 words

Pacific Precision Financial Situation - Essay Example Pacific Precision's increasing NWC can be examined by looking at the components of this financial measure. Appendix 1 shows how this is computed for the years 2002-2004. What becomes apparent is the increase in days' sales outstanding and days' sales of inventory. The increase in days' sales outstanding indicates the inefficiency of the company in collecting its accounts receivable. Having its sales tied up in accounts receivable for a longer period means that it doesn't have adequate cash to cover its immediate obligations. Meanwhile, the increase in days' sales in inventory shows that Pacific Precision is not very efficient in moving its inventory into sales. This has negative implications-the company incurs holding cost of inventory and its current asset becomes bloated with less liquid resources. These two ratios simply imply that the company's inefficiency makes it less liquid and hindering it from paying its current creditors, and thus, a higher NWC. 2. 2. What is your assessment of Pacific Precision's profitability Keeping in mind that there are many ways to measure profitability (net income, ROS, ROE, ROA, EVA, etc.), what observations would you make about adequacy One of the ultimate measures of Pacific Precision's profitability is its computed return on equity (ROE). It should be noted that the main goal of a business organization is to maximize shareholder value which is, in turn, measured through the ROE. In order to gain an adequate assessment, the company's ROE must be benchmarked with the other players in the industry. Appendices 2 and 3 show the computed ROEs of Pacific Precision and its competitors from 2002-2004. It should be noted that Pacific Precision's ROE is in an uptrend during the period under consideration. During 2002, the company records a 12% ROE which mounts to 13.34% and 18.18% in 2003 and 2004, respectively. This becomes a good indication of the company's performance as it reflects its ability to enhance its profitability. However, in the benchmark analysis, it can be seen that the company is performing worse than its two competitors. In fact, Company #2 even manages to record an ROE of 20.7% during 2004. Even though Pacific Precision's profitability is improving, it should be noted that it lags behind other industry players. 3. It appears that Pacific is increasingly dependent on short-term debt. What is driving this use, and is it in your estimation a relatively minor or a serious issue for management Over the past years, Pacific Precision has been becoming overly dependent on short-term debt. One reason that the case states is the company's previous attraction to the low interest rates on yen short term loans. However, interest rates have increased making these short term debts escalates. The dependence on short term, debt can also be attributed to the company's inefficiency in managing its working capital. As stated

Wills, Trusts, and Probate Week CD Essay Example | Topics and Well Written Essays - 250 words

Wills, Trusts, and Probate Week CD - Essay Example method of valuation with which one can find the total profit by subtracting purchases from the calculated amount of the organizations earnings, which is further divided into two parts, for the renter and the landowner. Hence through this renters profits, one will be able to determine the property’s value (Lamance, 2011). This method of valuation is used for determining the value of those properties that are not yet developed or such structure that possibly upgraded or have no value, and expected replacement and destruction (Lamance, 2011). Article three of the constitution prescribes the jurisdiction of the Federal Courts, according to which the jurisdiction mainly regarding Federal queries and variety of cases that are brought between citizens of different states. As probate matters are not frequently involved in federal law that is why federal court do not have jurisdiction over probate matters (Thomas, 2012). Lamance, K. (2011).  Alternative Valuation Method For Gross Estate | LegalMatch Law Library. Retrieved from: http://www.legalmatch.com/law-library/article/alternative-valuation-method-for-gross-estate.html Singaporeprimedistricts.com (2012).  Importance of real estate valuation and the different methods of valuation. Retrieved from: http://www.singaporeprimedistricts.com/importance-of-real-estate-valuation-and-the-different-methods-of-valuation/ Thomas, A.P. (2012).  Florida Probate Lawyer | Florida Probate Blog: Probate, Guardianship & Trust Litigation. Retrieved from:

The Plan of Marching of the Poor of Martin Luther King Junior Coursework

The Plan of Marching of the Poor of Martin Luther King Junior - Coursework Example 1968 was a year with both good and bad occurrences.   Good because it was the year when Martin Luther King Junior had led the plan of marching of the poor. Luther had intended to mobilize the poor in America to move to Washington on a campaign he dabbed Poor People’s Campaign. At the beginning of 1968, King had been able to travel widely so that he could get more and more support from the poor in America.   In his quest, King intended to bring broad and mixed racial together for a common course, a move that worked in uniting Americans for a common purpose at a time when racism was at its height in United States of America. King was advancing his argument to the wider American poor community with reference to how America had treated the majority poor badly without exposing them to resources to make them productive in the society. King had addressed matters that he believed were ailing America as at that time. He pointed racism, poverty and war as the main problems of America. Specifically, he had condemned the involvement of America with the Vietnam war and described the war as the most unjust war that America had involved itself with. The year was bad because in the same period when King was planning for the march, he was murdered. This made it had for the march to continue successfully. Led by Ralph Abernathy, the march went ahead but it was described as a failure. The march had been marred with rain. The media had given it a wide berth and the congress ignored the event.

The Fencing Problem | Mathematics Problem

The Fencing Problem | Mathematics Problem The Fencing Problem. A farmer has exactly 1000 metres of fencing and wants to fence off a plot of level land. She is not concerned about the shape of the plot, but it must have a perimeter of 1000m. Which shape, with a perimeter of 1000m has the maximum possible area? Let us start off with a isosceles triangles. The area of an isosceles triangle can be computed by using the Area=  ½ base x height formula.   Let us start of with the equilateral triangle. Then each side has length 1000/3=333.4. We need to calculate the height. For this we use trigonometry. The height(h) divides the triangle in two identical right angles. All the angles are equal and add up to 180 ° so angle C is 60 °. Then,   since, tan C= height/adjacent we have that height=tanC x adjacent So area of triangle is  ½ x 166.67 x 333.34 x tan 60 = 48114.4 Next suppose we shorten the base so that it’s 300 m in length. Then the other two sides are 350 m each.   Here we don’t know the angles but we can use Pythagoras’ theorem to obtain the height. We get 150^2+h^2=350^2 which means h^2= 350^2-150^2=100000 and h=316.2 So area of triangle is  ½ x 300 x 316.2=47434.2 Next we shorten the base consecutively another four times and perform the same calculation. The results are displayed in the table below. Base m Side m Area m^2 334.34 333.34 48114.4 300 350 47434.2 250 375 44194.2 200 400 38729.8 150 425 31374.8 100 450 22360.7 It is clear from the table that the area decreases and that the equilateral triangle has the largest area. Next we consider rectangles. A square with a perimeter of 1000 m has sides of length 250 m and thus the area   250250=62 500 squared meters. Let us stretch the square by 25 meters to 275. To keep the 1000 m perimeter the horizontal sides shorten to 225. The area is 275225=61875. We repeat this procedure and show the results in the table below. Hight m Width m Area m^2 250 250 62000 275 225 61875 300 200 60000 325 175 56875 350 150 52500 375 125 46875    We can see that the squre has the greatest area and that the area decrases as the square is stretched. We can see that the area would eventually be zero as the wiidth gets smaller and smaller and close to zero. Also we see that the the square has a greater area than the triangle. Let us examine shapes with more sides to see if the area increases. Thus we should calculate the agrea of a   regular pentagon.   It can be divided into 5 isosceles triangles with each of the sides as a base. Using the same procedure as when we calculated the area of the equilateral triangle we can calculte the area of the triangle in the pentagon. Multiplying by 5 we get the area of the pentagon. Each side has length 1000/5= 200. The angle at the centre is 360/5=72. As this is an isosceles triangle we get that the other two angles are (180-72)/2=54. So height=tan54 x 100 and the area of the triangle is  ½ 200 x tan 54 x 100=13763.8. Now we need to multiply by 5 to get the area of the triangle. We get Area= 68819.1 m This is bigger than the square. Let us construct a formula for the general n-sided polygon. The length od each side is 1000/n. The central angle is 360/n. So the other two angles are (180-360/n)/2 which simplifies to   90 –180/n. That gives the formula for the height h=tan(90 –180/n) x (1000/2n) and the area of triangle is    ½ 1000/n x tan(90 –180/n) x (1000/2n). We need to multiply the number of sides which gives Area=500 x tan(90 –180/n) x 500/n. Using this formula we calculate areas for a n sided polygon as n increases. The results are shown in the table below. Number of sides Side length Area 5 200 68819.1 6 166.7 72168.8 7 142.9 74161.5 8 125 75444.2 9 111.1 76318.8 10 100 76942.1 11 90.1 77401.9 15 66 78410.5 30 33.3 79286.4 1000 1 79577.2 It is clear that as the number of sides increases so does the area. But as the number of sides increases we get closer and closer to the shape of a circle which can be thought of as the an infinitely sided polygon. Thus the shape with the largest area is the ciscle. What is the area of a circle with perimeter of 1000m? 2x Pi x radius=1000 so radius=159.2. From the formula for the area of a circle, Pi x r^2, we get the area 79622.53 The Sarbanes–Oxley Act of 2002: Overview and Impact The Sarbanes–Oxley Act of 2002: Overview and Impact Sarbanes Oxley Companies Abstract The Sarbanes–Oxley Act of 2002 was passed on July 30, 2002 and only the public companies are now feeling its impact. This act frequently called the â€Å"most significant accounting or auditing legislation since the securities exchange Act of 1934†. After the implementation it has established its demands to the companies for proper management and disclosure of risk. Nortel networks is a giant corporate in telecom industry and as it is expected they also have faced the challenges come from the SOX act. Some of them are in favor and some are against the Nortel. ‘SOX’ has manipulated a larger impact on Nortel internal employee and external customers as well as their financial statement. The outcome of the Nortel is clearly different from before implementing the SOX. This paper is to develop a deeper understanding of the SOX, how it governs the public corporate, financial disclosure and practice of public accounting in general sense. Besides this it will focus on the outcomes of Nortel network after implementation of SOX and its financial statement. Introduction There have been found a number of corporate financial scandals (e.g. Tyco International) that provides various type of weakness in the governance and auditing practice in the organization. It represents the failures in controlling the reliability and integrity to the stock markets. The scandals cost billions of dollars for the investors when the affected companies were collapsed. As a result, these scandals make upset the public confidence in the nation’s security markets. The Sarbanes–Oxley Act was passed in positive response by the American congress on July 30, 2002 in response to a number of major corporate and accounting scandals and these scandals in result of decreasing the investors or shareholders confident on investing on the share market. To restore their confident, a new regulation from SEC (Security and Exchange Commission) is implemented. The act was granted by a vote of 423-3 by the House and by the Senate 99-0. So, it can be said that the act had not to face approving challenges. The Sarbanes–Oxley Act gives the government a strong control. This act is commonly known as Sox or Sarbox act and it consist of eleven titles. Each title contains different sections and setting from further corporate board tasks to criminal penalties. The Sarbanes–Oxley Act was named after senator Paul Sarbanes and Representative Michael G. Oxley. President George W. Bush signed it into law, stating it included, â€Å"the most far reaching reforms of American business practice since the time of Franklin D. Roosevelt†. The established legislation is applicable for all U.S. public company boards, management and public accounting firms. This new legislation is an enhancement to standardize the process for all US public companies; the companies will become more transparent on company board, Management and public accounting firms. For example, the Tyco International case reduced the confidence and shocked the investors in the listed companies in the share market and the liable reporting authorities. So, the purpose of the act was to recover the confidence and make tight the government rules and regulations on the companies to keep them under control. The consistent financial reporting process is ensured by this act. Consequently, the reliability to the public in accordance with disclosure is increased. The telecom professionals found themselves under the force to fulfill the regulation within a short time. By doing this they can keep away from any criminal accusations. The most important provisions of  the  Sarbanes–Oxley Act include: Accelerated reporting of trades by insiders Public reporting of CEO and CFO compensation and profits. Auditor independence and a prohibition on audit firms offering value-added services. Companies are now required to have an internal audit function, which must be certified by external auditors Certification of financial reports by CEOs and CFOs. This paper presents a real understanding on the Sarbanes–Oxley Act and its impact on the telecom industry. It also provides the controls adopted by the authority to maximize the financial reporting process. Besides these, it would give a clear idea that will act as a guideline on what possible interface control may need to implement to the telecom governance and accounting process. Literature review From a number of financial scandals the act Sarbanes Oxley has been evolved. This act provides some important and practical provisions for the public companies. There are eleven titles under the Sarbanes–Oxley Act of 2002 and these are: Public Company Accounting Oversight Board (PCAOB), Auditor independence, Corporate responsibility, Enhanced financial disclosures, Analyst conflicts of interest, Commissions resources and authority, Studies and reports, Corporate and criminal fraud accountability, White collar crime penalty enhancement, Corporate tax returns, Corporate fraud accountability. All these titles provide fifty seven sections overall. The public accounting, public corporate or financial disclosure, all these are the boundary of Sarbanes–Oxley Act. The impact of Sarbanes Oxley 2002 on the Nortel networks in the telecom industry in regarding to its internal employee and external customer. Moreover, the outcomes of the Nortel telecom after the implementation of Sarbanes–Oxley Act. Some implied recommendations from this act and also some limitations of different sections. An overview of SOX act Public company accounting oversight board (PCAOB) Title one has nine section and it establishes public company accounting oversight board. This public company accounting oversight board is to provide independent oversight of public accounting firms providing audit services. It also deals with the auditors registering, defining the specific process, subject to the securities laws, and related matters. It is to ensure the public confidence in the preparation of informative, accurate and independent audit reports. The board will be termed as a body corporate, operated as a nonprofit organization. Auditor independence Title two also consists of nine sections and it establishes the independence of the auditors. This act provides a standard for the external auditors which limit the conflicts of interest. Furthermore, it also refers the approval requirements for the new auditors. Partner rotation policy, conflict interest issues, auditor reporting programs are in this boundary. According to the section 201, it is not approved to do other kind of business for the auditing companies, which are apart from with the same clients. Corporate responsibility Title three consists of eight sections and it emphasizes on the responsibility of the senior executives. The senior executives will be responsible for the accuracy and validity of corporate financial reports. It also establishes the responsibility by the corporate officers about the accuracy and completeness of the corporate financial reports. Besides this, the interaction between external auditors and corporate audit committees has been specified through this act. There would be no improper manipulation on conduct of audits. Forfeiture of certain bonuses and profits, officer and director bars and penalties, insider trades during pension funds blackout periods, fair funds for investors, all these will be treated as the corporate responsibility. For example, according to the section 302, it is implied that the company should be responsible for approving the integrity of their company financial reports. Enhanced financial disclosures There are nine sections in the title four and it mandates the requirements for financial transactions, such as off balance transaction. In addition, pro-forma figures and stock transactions of corporate officers are described under this act. The accuracy and validity of financial reports and disclosures is dependent on the internal controls to be ensured. There is the possibility of material change in financial condition. It enhanced conflict of interest provisions of personal loans to executives. This act provides the disclosures of transactions involving management and principal stockholders. Management assessment of internal controls, exemption, code of ethics for senior financial officers, disclosure of audit committee financial expert, enhanced review of periodic disclosures by issuers, real time issuer disclosures are the section included in this title. Analyst conflicts of interest This title consist only one section and it emphasizes on to restore the confidence of the investors in the reporting of securities analyst. This title defines the code of conduct that is applicable for the securities analyst and it emphasis the disclosure of knowable conflict of interest. Commissions resources and authority This title six consists of four sections and provides practices to recover the confidence in securities analysts. It also defines the authority of Security Exchange Commission to censure or bar securities professionals from practice. It also provides the information about which person can and cannot be barred from practicing as a broker, advisor or dealer. Studies and reports Title seven consists of five sections and enhances the conducting research to prevent the violence that may occur by the SEC registrants and auditors. Effects of consolidation of public accounting firms or role of credit rating agencies in the operation of securities market or securities violations and enforcement actions, and whether investment banks assisted and others to influence earnings and obfuscate of true financial condition are the boundary of this title. Corporate and criminal fraud accountability Title eight ‘corporate and criminal fraud accountability’ consists of seven sections and it is referred to as the â€Å"corporate and criminal fraud act of 2002†. Specific criminal penalties for fraud manipulation and destruction or alteration of financial records or other interference with investigation all these are provided by this act. White collar crime penalty enhancement Title nine â€Å"white collar crime penalty enhancement† consist of two sections and this section is also known as â€Å"white collar crime penalty enhancement act of 2002†. This section of title nine defines the criminal penalties that associated with white collar crimes and conspiracies. It provides the more reliable guidelines and specially adds failure to certify corporate financial reports as a criminal offense. Corporate tax returns Title ten â€Å"corporate tax returns† consists of only one section which states that the chief executive officer should sign the company tax return. Corporate fraud accountability Title eleven â€Å"corporate fraud accountability† consists of sevens sections. According to the section 1101 it has been recommended that this title can be named as â€Å"corporate fraud accountability act of 2002†. This act is to find out the corporate fraud and records which could temper the criminal offenses. It identifies these offenses and joins those offenses to specific penalties. This not only provides this description but also revises sentencing guidelines and strengthens their penalties. Conceptual framework of this study This paper conducts a study about the impact of SOX act on the telecom company. The Sarbanes Oxley 2002 act is to present a detailed report on a company’s internal controls over the SEC. in addition, the overall review of SOX in a short way to understand deeply is the framework of this study. It would be difficult to get the right information from the respondents. The respondents may be unaware about the significance of the survey. Besides this, complexity in data collecting system may hamper the study paper. Multifaceted questions and difficult language is an obstacle to get the proper records. So, easy and understandable language will be used. Sarbanes–Oxley Act 2002 and the practice of public accounting According to the Sarbanes–Oxley Act 2002 all public accounting firms who wish to provide auditing function for the purpose of publicity traded companies need to register with the board. This act provides the scope of audit practice and reports, details investigation and defines conflict-of-interest prohibition. The SOX itself has changed or affect the practice of public accounting system of Nortel. Nortel believes that all adjustment is necessary for presenting a fair financial statement. It expected to everyone that the practice of public accounting will be fair in a manner. Before the Sarbanes–Oxley Act passage, the firms did not have to usually disclose stock-opinion grants to the Security and Exchange Commission unless the close of the business year. The firms had to disclose the stock-opinion within two business days after issuance. Sarbanes–Oxley Act has become now a law. Accounting, financial reporting and tracking of sales activities all these are affected by this act. Sarbanes Oxley is to be said as a mandatory which is applicable for all listed companies in the U.S. whether foreign or not and compliance is not an option. In case of Nortel the effects of SOX has begun. Like much of the business community, the public financial report is very crucial to present in a systematic way. The growing number of restatement and so many other certain public accounting practices which shake the public confidence in the financial reporting system has been seen for a long time. Although it is difficult to measure the effect of accounting issues on the investor confidence, various efforts to find out investor confidence have been made. For example, a survey based index provides the public opinion in regarding to the accounting practice. Public cite public accounting practice as a difficult and complex issue, which has negative impact on the stock market. Some surveys indicate that after implementation of Sarbanes–Oxley Act in July 2002. â€Å"Other sources such as empirical research studies and academic experts generally suggest accounting issues have negatively affected overall investor confidence and raised questions about the integrity of U.S. markets†. (GAO October, 2002). According to the Sarbanes–Oxley Act 2002 in the audit committee at least one member would be financially literate. The audit committee consists of minimum three members. However, SOX puts a strong emphasis on audit committee function with respect to the company’s relation with an external auditor. As a result the audit committee of each issuer becomes directly responsible appointment, compensation and oversight of the work of any registered public accounting company employed by that issuer. (Didenko Pavel) At first Sarbanes–Oxley Act creates a nonprofit corporation that is â€Å"public company accounting oversight board† or PCAOB. Its â€Å"five SEC-appointed members (of whom two will be CPAs), financed by new public company fees, will register, inspect and discipline public accounting firms, including foreign firms in certain cases, as well as establish and enforce auditing, quality control, and independence standards.†(McTamaney, Aug 9 2002). Because of the new Sarbanes–Oxley Act the audit firm itself now will turn around its guide audit partner every five years. Hence, the sec 103 of the Sarbanes Oxley enhances public accounting firms to prepare, maintain and continue a period of time which is not less than 7 years. Section 104 allows the advisory board to maintain and review all audit papers for a period of 5 years from the end of the fiscal period. The section 105 of SOX provides the authorization to the oversight board to perform a wide investigation of auditing firms. Besides the auditing firms associated persons are to be conducted through broad investigation and the act authorizes the board to â€Å"require the production of audit work papers and any other document or information in the possession of a registered public accounting firm or any associated person thereof.† (Patzakis John, 2003). Accounting did not cause the recent corporate scandals such as Enron and WorldCom. Unreliable financial statements were the results of management decisions, fraudulent or otherwise. To blame management’s misdeeds on fraudulent financial statements casts accountants as the scapegoats and misses the real issue. Reliable financial reports rely to a certain extent on effective internal controls, but effective internal controls rely to a large extent on a reliable management system coupled with strong corporate governance. (A management system is a process of planning, executing, and control for all business processes in an organization.)

Physics of Cooling Lava :: physics lava volcano

On January 23rd 1973 a new volcano unexpectedly erupted in the Vestmannaeyjar archipelago, southwest of Iceland. The new volcano was a fissure 1.25 miles long and only 1100 yards from the center of town, also named Vestmannaeyjar. The new volcano was named Heimaey. The town was mostly evacuated over the next few days and the lava slowly flowed towards town and the mouth of the harbor for the next seven months. Vestmannaeyjar is the only good harbour in that part of Iceland, and was the base for a large fishing fleet that produces a significant part of Iceland’s GNP. As the lava threatened to overrun the town and close off the harbor, a decision was made to try to slow and divert the lava by cooling it with sea water. The idea was initially scoffed at, but when small initial efforts seemed to have an effect the scale of the operation was increased. Over seven months eight million cubic yards of sea water were pumped onto the lava flow; they cooled 5 million cubic yards of basal t lava to solid rock. The harbor and much of the town survived the eruption, likely as a result of the efforts to cool the lava. Iceland is known for its volcanic activity. A few years before Heimaey erupted; a nearby sub oceanic eruption formed the new island of Surtsey. The town of Vestmannaeyjar already had an extinct volcano on its outskirts, the volcano was known as Helgafell. It was thought to have been extinct for several hundred years. In January 1973 a new fissure opened up a few hundred yards from the extinct volcano. It went clear across the island and into the ocean on both sides. Boats escaping the harbor saw red magma under the water, and sub oceanic power and water lines from the mainland were broken by the eruption. In the initial eruption a curtain of lava 500 feet erupted from the fissure, after a few days the eruption was mostly from a single vent, with a cinder cone 300 feet tall. The lava flows from the eruption were a viscous slow moving basaltic magma. Average speeds for the lava flows were 3 to 9 yards a day. These relatively slow speeds are what made it possible to try and cool and div ert the lava. The lava was initially cooled with fire pumps and hoses, later in the effort large pumps were leased from the US military and several fire fighting boats were used.

Needing Wolves in Yellowstone :: Yellowstone National Park Wildlife Essays

Needing Wolves in Yellowstone WHY THERE HAVE BEEN NO WOLVES IN YELLOWSTONE: A Brief History Around 1930, the last wolf was spotted in the Yellowstone Area by a paid hunter, he got a shot off but his aim was not true. That was the last recorded sighting of a gray wolf in the Yellowstone Park land. From 1918 to 1935 government scouts recorded killing 35 mountain lions, 2,968 coyotes and 114 wolves (Phillips 1996). Those are total numbers, since a wolf hadn't been seen since 1930, the 114 wolves had been exterminated in the early 1920's. In 1933, the Park adopted a slightly humanistic policy, taking a stance on limiting the unnecessary killing of predators in the Park, but it was too late; Humanity had successfully extinguished canis lupus along with its food sources and habitat from the west (Phillips 1996). (Canis rufus is the red wolf, which has been restored to the southwest since 1987). From the 1800's through the 1930's was a time of horrific destruction in the west. Between the United States Government and the newly formed National Park Service, predatory animals were s laughtered continuously. Even the urging of the President of the United States could not slow this thirst for dominance and desecration. President Theodore Roosevelt wrote a letter to the Superintendent of Yellowstone imploring the army to stop the killing, yet it went on relentlessly. Times have changed. In 1972, thoughts of restoring the wolf to Yellowstone National Park, as part of its original biodiversity, began to circulate. In part, the new philosophy of wildlife management (verses wildlife destruction) came into being with the help of a man by the name of Dr. Starker Leopold, chairman of the Interior Secretary's Advisory Board. He authored a paper later to be known as the 'Leopold report', which stated "As a primary goal, we would recommend that the biotic associations within each park be maintained, or where necessary recreated." (Phillips 1996). This document began to outline the critical areas of preservation and helped to turn people's thoughts from consumption to conservation. There were many others before him who tried to warn people of the loss of our wild areas, such as John Muir, Aldo Leopold (who advocated the reintroduction of the wolf to Yellowstone as early as 1944), and a significant political force, Theodore Roosevelt, but it was not until th e public began to realize that the environment was in terrible shape, and was not responding well to the continuing pattern of rape and pillage, that support for wolf restoration started to gain momentum.

Most Important Mnemonics for Step 2 Cs

HISTORY & PHYSICAL EXAMINATION HPI (history of present illness) ALL CASES: OPD CSF AAA PAIN: OPD CSF LIQR AAA OPD CSF ABCDO FLUIDS: (Vomiting, Diarrhea, constipation, cough, vaginal discharge) O Onset of the symptom + precipitating factors P Progression D Duration C Constant /Intermittent S Settings F Frequency L Location of the symptom (forehead, wrist†¦ ) I Intensity of the symptom (scale 1-10, 6/10) Q Quality of symptom..BCDSPP(burning,Cramping,dull,Sharp,pulsating,pressure like) R Radiation of the symptom ( to left shoulder and arm) A Associated symptoms ( palpitations, shortness of breath) A Alleviating factors (sitting with my chest on my knees) A Aggravating factors (effort, smoking, large meals) A Amount B Blood C Color C Consistency C Content D Duration O Odor UG Hx: OPD-CSF-AAA + FINISH PUBC F Frequency (How frequent do u have to pass urine? ) I Incontinence (Do u have trouble holding Ux until u get to BR? ) N Nocturia ( do u have 2 wake up @ Night to go to BR? I Incom plete emptying (do u feel fullness even after Ux) S Stream (How is ur flow of urine? is it cont. or is there any dribbling after Ux? ) Strain (Do u have to strain during Ux) Stone (have u passed stones in the past? ) H Hematuria (did u notice any blood), Hesitancy (do u have 2 wait b4 starting Ux) P Pyuria (was there any pus in ur Ux? ) U Urgency (do u have 2 rush to BR to Ux? ) B Burning (dysuria) (does it burn) C COLOR 1 [email  protected] com PMH (past medical history) PAM HUGS FOSS P Previous presence of the symptom (same CC), Past Medical problems (^BP, ^BS,U , idney prob. Rhinitis,Sinusitis, sthma,) A Allergies (drugs, foods, chemicals, dust †¦ ) M Medicines (R U taking any prescription medications/any over-the-counter med. ), H Hospitalization for any illness in the past (Trauma, surgery) U Urinary changes ( esp if diabetic, elderly†¦ ) G Gastrointestinal complains (diet changes, bowel movements†¦ ) S Sleep pattern(difficulties falling/maintain asleep,wake up ,snoring,med. to help sleep, how many hour, nightmares) F Family history (similar chief complaints/serious illness)/ Fevers, Chills/ Fatigue O OB/GYN history (LMP, abortions, para†¦ LMP RTV CS PAP S Sexual habits (active/preferences/STD/no. of partners/contraception/pregnancy/ last pap smear) Q 1. â€Å"Mr. John, Are you Sexually Active? † Q 2. â€Å"How Many Partners are you active with? † Q 3. â€Å"Are your partners male or female or both? † [Unless the SP says wife or husband in Q 2] Q 4. â€Å"Do you use protection during intercourse? † Q 5. If yes in Q. 4 â€Å"What kind of protection do you use? † Q 6. Ask about anal intercourse in male homosexuals Q 7. h/o STD's; Rx for STD's S Social Hx (job/house/smoking/alcohol/recreational drugs/†¦.. ) WAD SAD TOES Social Hx WAD SAD TOESW Weight A Appetite D Diet S Smoke (cigarettes, marijuana, how much, how many years) A Alcohol (what type of alcohol, how often, how much ,consider doing CAGE question. ) D recreational Drugs (what drug, how do you use it, any IV drug use? ) T Travel /Trauma O Occupation (what do you do for living? ) E Exercise S Stress HEADACHE OPD CSF LIQRAA + DIAGRAM Head trauma/Seizure/Weak,Numb Tears / visual changes Flu Vomit/ Speech Neck stiffness 2 [email  protected] com Ped Hx (Child with fever) CUB FEVERS + PAM IF BIG DEALS-T C Colds-runny nose,cough,chest pain, fast respirations,SOB-CRYâ€Å"how is ‘cry of ‘baby? U Urination-increased or decreased urination, # of diapers, any odour, colour of urine Ulcers in mouth B Bowel changes: Diarrhea-frequency, onset, mucus/pus/blood in stool, any crying during defecation Discharge Q’s (ABCD-O: Amount, Blood, Content, Consistency, Color, Constant/Intermittent, Duration, Odor/Onset) F Fever & chills E Ear pulling V Vomiting E Ear/eye discharge, Ear hearing, Eye vision R Rash S Seizure-any jerky movements, which part of body? Any leakage of urine or stool during fits, and postictal irr itability or loss of consciousness. Stress (bet wet, DM) P Past medical/Past surgical Hx / Previous Hospitalizations.A Allergies, effect on child/parents (bet wet, DM), Activities M Medications, Menstruating (female child >10yo) I Ill contacts F family history B Birth Hx I Immunizations G Growth n development, ht, wt, milestones SSC-WTD: S(1), S(6),C(9),W(12),T(15), D(30) smile, sit, crawl, walk, talk, dress wks: 1,6,9,12,15,30 D Day care / Difficult swallowing E Eating habits, feeding of baby A Appetite L Look of the baby or appearance, Last check-up S Sleep T Travel recently Premenopause : H Hot flashes A Atrophy of vagina D Dryness of vagina O Osteoporosis (council) C Coronary artery disease HADOC [email  protected] com ObGyn Hx : LMP RTV CS PAP L LMP (when was ur LMP? ) M Menarchae (how old were u when u had ur 1st period? P Period (how many days ur period last? ) R Reglarity ( R ur periods regular? ) T Tampoons (how many pads do u use in a heavy day? ) V Vaginal DID: discharg e, itching , dryness (have u ever had any vag discharge? ABCDO. do u have any vag. Itching? ) C Cramps (Dysmenorrhea) do u have abd cramp with ur period? S Spotting ( intermenstrual / post coital ) have u ever bled (. ) ur cycles?Did u ever notice any bleeding after intercourse? P Pregnency ( Hx & complications) have u ever been pregnant? How many times? A Abortion/miscarriage (Any miscarriages or abortions? In ? month of ur pregnancy? ) P PAP smear(have u been getting regular PAP sm ? when did u have the last PAP sm ) (any Female>50 yo:ask about:1-R u taking vit D & Ca,2-have u ever tried HRT? ) If suspect abuse SAFE GARDS S Safety inquiry (Do you feel safe at home? ), Sex ever forced? A Alcohol abuse (does your hubby abuses alchol? ), Attacked Children?F Friends/Family who are aware( Dos any1 f ur friend/Fam know of this) Fractures (Abuse ever resulted in fractures? ) E Emergency plan (u have emergency plan? ), Ever tried to leave/divorce? why not? G Guns at home (are there any we apons @ home? Attacked with it? ) A Afraid of husband R Relationships with husband (how is ur relationship with husband? do you feel Threatened when he is around? For how long? D Depression (lost wt/appetite/sleep), Drugs (does husband use recreational drugs) S Suicidal (idea/plan/attempt) (ever felt like ending it all up? ) 4 [email  protected] com Diabetic pt â€Å"FU/Med Refill† D Duration of disease I Insulin regimen/ oral hypoglyemics regimen A A1c hg -> Gluc. monitoring (fast, home, HgA1c) B Blurry vision (retinopathy) E Extremity (foot ulcer/infection T Tingling/numbness (neuropathy) I Infections (resp/urinary) C Cardio Risk Factors (HTN, CHOL, Heart disease) Counseling DM & HTN M Medications (regularity) E Exercise ( for obese/sedentary life styles) D Diet Modification( Salt/Fatty foods) O Opthalmoscopic exams (annual routine) W Weight Management (/control) S Sugar Check upsDIABETIC MEDOWS Neuro cases â€Å"LOC† P Palpitations A Aura â€Å"b4 problem† S Shaking (duration) S Spinning/ lightheaded B Bladder incontinence / Bowel incontinence L Loss of consciousness (duration) T Tongue biting/ tinnitus & hearing loss S Speech difficulties/ Sleep disturbance A Ataxia â€Å"gait† N Numbness/nausea & vomit D Difficulty breathing W Weakness I Injury (trauma) & fall C Confusion after the event / Visual disturbance H Headache PASS BLT SANDWICH -And to make sure you got it completely don't forget the MinMental Stat.Exam 5 [email  protected] com MINI MENTAL O Orientation X3 â€Å" time, place, persons† R Registration â€Å"I’m going to say 3 objects†Ã¢â‚¬ ¦ then repeat A Attention â€Å"spell world backwards† R Recall what were those 3 items again? L Language â€Å"Repeat after me.. â€Å"No, ifs, ands, or buts† 2 Identify two objects â€Å"what is this.. pen.. and this†¦ paper† 3 Obey 3 commands â€Å"take a piece of paper, fold in ? , put on floor† R â€Å"Read 3 commands on this paper and do what it says† W Write a sentence D Draw, copy the image ORARL23RWDForgetfulness/ Memory Loss / Dementia/ Alzheimer’s FORGETS HIM + DEATH SHAFT F FAINTING / Flashes/ FHx of Alzheimer 0 ORTHOSTATIC HYPOTENSION R RUNNING URINE â€Å"INCONTINENCE† G GAIT E EYE[VISION] T TRAUMA, TINGLING S STRENGTH,SEIZURES H HEADACHE I INFECTION [SYPHILIS, MENINGITIS] M MOOD ADL – Activities of daily living D Dressing E Eating A Ambulation (can you find your way thru home) T Toiletry (do you manage your toiletry unassisted) H Hygiene IADL – Instrumental activities of daily living S Shopping H Housekeeping A Accounting F Food prep (do u do your cooking ) T Transportation (do you drive? How is your sight, hearing? 6 [email  protected] com Foot / Heel / Knee / Back pain OPD-CSF-LIQORAAA +WET SURF-D -‘CIS’ W Work /Weakness / Walking habits /Wt loss E Eye infection redness T Trauma to foot /Tingling& Numbness / Tender S Stifness in other join ts/leg Swelling /long Standing hours/morning Stiff/sound U Urethral discharge /ulcer R Rash/ Redness of skin of joint F Fever & chills& night sweat D Deformity / Dysurea IN CASE OF BACK PAIN ADD: CIS; Cancer Hx /IV DRUGS/ Steroids 4 long time Depression: (Psychiatric Hx Checklist) SIGME CAPS DHAT +2 (+MMSE: ORAL23RWD) S Sleep (difficulties falling/maintain asleep, wake up, snoring, med. o help sleep, how many hours, nightmares), Stress, Support I Interest, What do you do in your free time? How are you doing in your job? do you enjoy what you do? G Guilty M Mood. ( anxious, sad, hopeless, lonely? Memory problems E Energy C Concentration A Appetite, changes in your Weight P Psychomotor agitation/retardation (do you feel easily agitated or angry/do u feel not to do anything? ) S Suicide: thoughts, plan, attempts(do u have pills/guns @ home? D Delusions/Drugs H Hallucinations/Hopes A Attitude towards life (positive negative frame of mind) T Thyroid dysfunctions (ABCD HV for HYPOTHYROID) also need to ask : Do u realize that u have problem ? Do u want help? ( if patient was sent or asked by anyone to consult doc ) HYPOTHYROID APPETITE BOWEL-constipation COLD INTOLERANCE DEPRESSION HAIR FALL VOICE-Hoarseness 7 [email  protected] com ABCD HV Hearing loss: P Pain D Discharge F FB I Imbalance N Noise R Ringing S Spinning T Trauma Dx ABD Signs PDF IN RST CKMG MIOR (MIOR assoc. ith Appendicitis) C Cullen $- periumbilical discoloration (Retroperitoneal He,pancreatitis, AAA rupture) K Kehr $ –sever Lt. Shoulder pain- Splenic rupture, ectopic pregnancy M Muphy’s $- Abrupt interruption of inspiration on palp of RUQ- acute cholecystitis G Gray-Turner $, Discoloration of flank (same as Cullen $) M Mc Burney’s $- Tenderness 2/3 from ASIS to Rt of umbilicus I Iliopsoas $, Hyperextention of R hip Cx ABD pain O Obturator $- Internal rotation of flexed R hip Cx ABD pain R Rovsing $- RLQ pain upon palpation of LLQ DDNasuea & Vomiting A Anorexia M Metabolic( DKA )/Meds O Obstruction (pyloric /Intestinal) P Pregnancy I Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID) N Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess G Gastroenteritis A MOPING 8 [email  protected] com Cranial Nerves: 2 optic 3 4 6 5 7 Oculomotor Trochlear Abducent Trigeminal -Test visual acuity -Test pupillary reflexes (direct) -Test accommodation reflexes -Assess pupillary reactions to light -Assess corneal reflection -Perform H-test for EOM -Sensory: close eyes,touch face where? Motor: Assess strength of muscles of mastication;bite down and palpate masseter Ask patient to; -smile -wrinkle forehead, -blow out cheeks -close eyes -whisper, -Weber -Rinne tests Assess movements of the soft palate; swallow and palpate neck Assess strength of trapezius & sternocleidomastoid muscles; -shrug shoulders up -move neck to side against resistance Ask patient to protrude tongue (assess for fasciculation, atrophy & Deviations) -stick your tongue up -move it side to side facial 8 V estibulocochlear 10 vagus 11 accessory 12 hypoglossal 9 [email  protected] com – Mr. ? – Good morning Mr. , I am Dr. Khalil, an attending physician in this hospital. SHAKE HANDS First I’ll ask u few Qs. and do brief physical exam. Meanwhile if u have any Qs, feel free to ask me, ok? – Let me make u more comfortable DRAP PT. – I’ll be sitting & writing some notes while we’re talking, is that ok? †¦THANK U. – Please tell me what brought u in today Mr. ? †¦Ã¢â‚¬ ¦.. – I. C. , can u tell me more about †¦Ã¢â‚¬ ¦.. â€Å"c. c. † Mr. I’d like to ask u few Qs. about ur health in the past, is that ok? Mr. now I’d like to ask u few Qs. bout ur habits, is that ok? Now I’d like to ask u few personal Qs. I assure u that all info. Will be kept confed. ok? Now, let me ask u few Qs. about health of your family members, ok? Does any body in ur family have any med. Conditions? Mr. thank u. I am done e history, let me summarize for it, As u mentioned, u have †¦.. Do u have any Qs. for me? Mr. Now I need to examine u. may I proceed? But 1st let me wash my hands. Ok? Mr. Thank u for ur cooperation. I am done e phys. Exam let me give my impression. Based on ur Hx & my PE, it seems that u might have†¦.. ut it could be something else/ †¦or†¦, so to arrive at right D, I ‘ll run some tests & order imaging studies such as †¦.. once I’ve result we’ll meet again discuss various ttt. Options. – Do u have any Qs. for me? SHAKE HANDS & LEAVE ROOM 10 [email  protected] com HISTORY HPI: OB/GYN: LMP†¦, regular periods every†¦.. Weeks ,lasting†¦.. Days. Menarche at age†¦ Uncomplicated NSVD at full term.. Years ago. ROS: negative except as above. Allergies: NKDA Medications: none PMH: PSH: SH: smoke /alcohol / illicit drugs/sex / job /exercise FH: noncontributory PHYSICAL EXAM Patient is in no acute distress OR looks .. anxious,tired, †¦) ( The source of information is the patient’s mother. the mother of a †¦. -month/year-old female/male c/o her child having †¦.. ) VS: WNL (except for temp. Of †¦) HEENT: NC/AT, PERRLA, no conjunctival pallor. No fundoscopic abnormalities. Nose,mouth and pharynx WNL Neck: Supple, No LAD, thyroid normal, no carotid bruits. Chest: no tenderness, clear breath sounds bilaterally. Heart: RRR, normal S1/S2, no murmurs, rubs or gallops Abdomen: soft, non-tender, non-distended, +BS, no guarding, no hepatosplenomegally Extremities: no edema, normal DTR in lower extremities Skin: no rash Neuro:MMSE: AOx3, spells backward, recalls 3 objects, Cranial nerves: 2-12 grossly intact, Motor: strength 5/5 throughout -sensory: intact to soft touch and pinprick, DTR: symmetric 2+ in all extremities (or lower extremities), – Babinski bilateral, Gait: normal, Cerebellar: – Romberg, rapid alternating movement and heel to chin test normal and symm etric 11 [email  protected] com UWShort UWLong 1 16-31-37 2 1-13-1925-35-39 24 25 4-5-1822-24 29 15 28 20 21-40 12 7 43 10 FA Full 19 1-2 38 6 3 FA Mini CASE 23-24 Urine problem Alcoholism 19 Abd pain Heel pain Chest pain 13 8 31 5 6 7 4 6-26 10 38 42 34 11 UL pain 31 Shoulder pain 21 Knee pain 27 32 Back pain 37 Calf pain Vomiting â€Å"adult† 18 Vomiting â€Å"child-TEL† 7-8 33 Fever â€Å"child† 5-28 20-22 Diarrhea Rectal bleeding Constipation 9 Night sweat 21 Hemoptysis 9-10-40 12 Chronic cough 15-16-17 8 Fatigue 15 Wt loss 16 Wt gain 17 dysphagia 18 1 Headache 3 Depression 4 psychosis Anxiety Seizure –new onset Amenorrhea Menopause 25 26 Menstrual problems 26 Vaginal discharge 12 [email  protected] com 12 23 13 30 9 33 14 16 17 18 19 20 21 22 23 12 36 13 27 23 6 2 22 41 30 36 41 3 17 32 34 14 11 39 30 14 15 30 10 5 7 6 27 28 14 8 32 27 29 11 2 [email  protected] com 35 33 26 31 4 29 29 11 25 34 Forgetfulness Frequent falls DM New DM drug refill BA drug refill HTN drug refill HIV drug refill Vaginal bleeding Obesity Spells â€Å"LOC† Terminal cancer Confusion Tremors Pre-employment Domestic violence Sexual assault Insomnia Dizziness Numbness-weakness Jaundice â€Å"adult† Jaundice â€Å"Neonate† Enuresis Palpitations SOB Smoking cessation Hallucinations +ve Pregnancy test Pain with sex MVA Sore throat Difficult swallowing Hearing loss Blurred vision Erectile dysfunction Behavioral problem â€Å"child† Skin rash 3 FA cases GIT Trauma Resp Cardio Ped Neuro Endo Psych Renal ObGyn Pain DM/HTN Jaundice Fever Fatigue 1-2-5-11 3-21-27-31-37-38 4-9-10-41 6-20 7-8-28-30-36-39-40 12-14-18-22-23-29 13-24 15-16-17-34-35 19 25-26-32-33 FA cases 1-2-3-21-38-6-27-37 13-20-36 11-39 7-8 15-16-17 14 [email  protected] com