Sunday, October 13, 2019
Essay on Music :: Music Musician
From the rock and roll music of today, to the jazz and big band music of the thirties, all the way to tribal drums and the chanting of monks, music is ever present in society. What is it about music that allows it to transcend time? Music is not something that can be easily explained. How would one define the way simple rhythms and melodies can create an entire world? Music is free and undefined. It is not hindered by language barriers, and its only boundaries are within the imagination of the musician or composer. Music is the essence of passion and contains endless possibilities. To write a piece of music, a composer cannot simply throw together random notes. They have to think about what sounds will capture the feelings and sensations they are attempting to convey. Writing music is a form of expression. The end product shows a piece of the maker. Just as a poet searches for the perfect combination of words, so a composer carefully selects notes and instruments to create a melody. But, as much effort goes into writing music, a musician does not simply read the notes on a page and mindlessly reproduce them. A musician must determine what the music is about, and then portray that message. What makes a musician great is the ability to put a part of themselves into what they are playing. They must make the music come alive. In some cases a musician isnââ¬â¢t even reading music. In many jazz pieces there are improvisation solos. This means the soloist is playing by ear, they have no music to look at. The soloist listens to the chords and harmonies happening within the band and then creates a melody. Improving is about feeling the music and intuitively grasping where it is going. Music is not a science. A musician can play the notes and rhythms written on a page perfectly, but unless they throw themselves into the music and become a part of it, the music will be bland and emotionless. Music is never apathetic. Musicians only connect to their audience by entwining their fervor and passion into each strand of the music.
Saturday, October 12, 2019
Idle Minds and Wagging Tongues: Conversation in Anna Karenina :: Essays Papers
Idle Minds and Wagging Tongues: Conversation in Anna Karenina Perhaps one of the most striking scenes in Anna Karenina is that of Kitty and Levinââ¬â¢s silent declarations of love to each other, etched out cryptically in chalk on a card table, with each understanding innately the exact words the other was saying (362). With the relationship between Kitty and Levin serving as Tolstoyââ¬â¢s model for a strong and successful love, it appears odd that such a relationship should be founded on silence, and in such sharp contrast to the chatter of Society surrounding the couple at the party. How then are we to understand the significance of conversation in the novel, if the most sincere relationships and understandings are not founded upon dialogue, but on unspoken knowledge? Entire subplots and themes are conveyed through conversations between the charactersââ¬âthe peasant problem and farm management, religion, marriage and faithfulness. Everyone is trying to grasp what a good life is, but the ideas expressed in conversation, however, appe ar quite often to contradict both the inner monologue of the characters and their actions, or fall pathetically short of expressing the power of the feelings of characters. For most of the characters, neither Society banter nor intellectual discourse does justice to their real passions, and even personal exchanges are steeped in insincerity. Unless they find a means to express their passions some other way, they are doomed to a life of dissatisfaction at best, or a tragic end at worst. Within the opening conflict of the novelââ¬âStivaââ¬â¢s affair with the French governess and his wifeââ¬â¢s reaction when learning of itââ¬âTolstoy first presents this tension between honesty and speech. Before Dolly and Oblonskyââ¬â¢s exchanges, Tolstoy interposes a short confrontation between Oblonsky and his son, Grisha. Oblonsky is ââ¬Å"conscious of not caring as much for the boy as for the girl, but [does] his best to treat them both alikeâ⬠(7). Although he says, ââ¬Å"Good morningâ⬠to Grisha, Oblonskyââ¬â¢s words are insufficient to mask his inner feelings, and his actions betray him through a ââ¬Å"cold smileâ⬠(7). Grisha, significantly, does not reply. To reply with some pleasantness would be to pretend that Oblonsky was sincere in his greeting, and Grisha is too naà ¯ve to use speech to do anything but to tell the truth. Short of accusing his father of not loving him, which he is already old enough to understand would be entirely i nappropriate, he can only remain silent.
Friday, October 11, 2019
Diploma in Health Essay
There are many different roles within the working environment. This being so, there are many different working relationships, however subtle the difference. When working with another Nursing Assistant there seems to be an immediate understanding of what is required. Although the routine my differ from ward to ward, the tasks largely remain the same and are performed with relative fluidity. When working with a Staff Nurse on something outside of my training, they will take the lead and instruct me in the task. The same can be said for when assisting doctors, physiotherapists and all other professionals. Each has their own role and it is important that they work within the scope of that role, as performing duties not within your skills is breaking with policies and procedures. It is equally as important to be accessible to those who cannot perform certain duties beyond their own remit. Before going to work (I work mainly night shifts) I dress according to the Dress Code, with washed and ironed uniform, sensible enclosed shoes, nothing below the elbows which follows the Hand Hygiene Policy, ID and name badges present. On arrival I gel my hands, put my belongings in the cloakroom and wash my hands before entering the staff room. Before handover we are read the CUBAN which relates to staffing and patient levels, patients with dementia and/or having special needs or one to one care and falls risks. In handover we learn about what has happened during the previous shift, any changes in condition of patients and about new patients needs. All the information is confidential and so the Confidentiality Policy needs to be adhered to. We are all issued with a handover sheet with these details on and I jot down and highlight any tasks that immediately concern me. E.G. Catheters/measured urine, observation times, pressure care, hourly checklists and blood sugars. We are allocated which bays we are to concentrate our efforts on and plan the best course of action, which isà usually standard routine. We then load trolleys with the necessary paperwork and go from patient to patient, checking which paperwork needs replenishing and noting down what time physiological measurements etc. need doing and tidying the bed areas. We then do a hot drinks round and update the fluid and food charts as necessary. Next we help patients into bed. After gaining consent, we help them wash and get into their night clothes. If they need toiletting, the patientââ¬â¢s preferred way of doing so is used. The Dignity Policy is maintained at all times. If it is documented that a patient needs more than one member of staff to transfer them safely then we help each other to do so., thus sticking to Health and Safety and Manual Handling Policies. Usually at this time the trained nurses are available and are easily approachable and willing to help. After the patient is s afely and comfortably in bed, we fill in the repositioning and personal hygiene charts as per Policy. Usually, we start the observations around 22:00, reporting any NEWS score over 3 or anything untoward to the the Staff Nurse who will inform a doctor who may order an ECG, which I would perform and report straight back to him/her. This is an example of how communication and co-operation is so important to working in partnership. Any missing ââ¬Ëcogââ¬â¢ in a machine could spell disaster, especially in the care industry. More often than not, we answer call bells of patients requiring pain relief through the night. We take the drug chart to the Staff Nurse and she will dispense it. Unfortunately we quite often need to wash and change a patient after a mishap. The correct PPE is always used and Infection Control policies are observed as are Waste Disposal policies. At around 05:30 we empty catheter bags and document output in the fluid charts. We also tidy the bed areas again. Observations, urine measurements and toiletting continue throughout the shift until handover to the day s taff.
Thursday, October 10, 2019
Knee Arthroscopy
KNEE ARTHROSCOPY Procedure Steps: 1. The surgeon marks the anteromedial and anterolateral joint lines and portal positions with a skin marker. 2. The skin areas for portal placement are infiltrated with local epinephrine. If the knee has an effusion, the surgeon aspirates it with a 16-gauge needle on a 60ml syringe, followed by injection of a small amount of distending fluid. 3. After a small stab incision with a #11 or #15 knife blade, the surgeon inserts the irrigation cannula and trocar into the lateral suprapatellar pouch near the superior pole of the patella.Lactated Ringerââ¬â¢s or normal saline solution is connected to the cannula and the joint is distended using gravity or a pressure-sensitive arthroscopy pump. 4. A stab incision is then made laterally or medially 2-3 mm above the tibial plateau or patellar tendon at the joint line. A sharp trocar and sheath are inserted through the stab wound and just through the capsule. 5. A blunt trocar is used to pass the sheath into the knee joint. The surgeon removes the trocar and inserts a 30 or 70 degree scope into the sheath. The light source and video camera are connected to the scope. 6.The inflow may remain in the suprapatellar area, and the tubing is connected to the arthroscope, or the position may be reversed. 7. A spinal needle can be introduced under direct vision to determine the best angle for an opposite portal for insertion of probes and operative instruments. The cruciates and menisci are probed to determine integrity and tears. 8. The scope is moved to the opposite portal to facilitate complete examination. 9. The joint is irrigated periodically and at the end of the procedure to maintain good visualization and clear the joint of blood and tissue fragments. 10.Necessary repairs are made using special arthroscopic instruments, drills, shavers, or implants. 11. The surgeon closes the portals with nylon or undyed polyglactin suture and ? inch wound closure strips. 12. Local of surgeonââ¬â¢s c hoice (usually with epinephrine 1:200,000) may be injected intraarticularly to minimize bleeding and postoperative pain. Vaginal Hysterectomy Procedural Steps: 1. A patient is placed in lithotomy position, prepped and draped. 2. A weighted speculum is placed in the vagina for exposure. 3. A uterine tenaculum is passed to grasp the cervix and two hand held retractors are placed for additional exposure. . The anterior vaginal wall is opened with a transverse incision in the vesicovaginal layer of fascia. Space between vaginal wall and cervix is opened. 5. Bladder is dissected off the cervix and lower uterine segment anteriorly. Bladder is advanced on the cervix to vesicouterine fold. 6. Posterior vaginal wall is mobilized off the cervix by extending transverse vaginal skin incision posteriorly to encircle cervix. Cul-de-sac is entered and the incision extended to the ligaments, clamped, ligated, and incised at their attachment to the cervix. 7.Uterosacral ligaments are exposed, clampe d and doubly ligated bilaterally at their attachment to the cervix. Uterine vessels are clamped, incised, and ligated. 8. Bladder is retracted upward and cervix pulled downward. Peritoneal cavity is opened and uterine body is grasped, marking suture is placed on peritoneum. 9. Peritoneal incision is extended laterally until the anterior surface of uterine body can be delivered. Ovaries and tubes are inspected to determine if they need to be removed. 10. Round, ovarian, broad ligaments and fallopian tubes are clamped and ligated.This is done bilaterally. Mobilization of the uterus continues until it is completely free. The uterus then is removed as the specimen. 11. Next the bladder flap is closed with a 2-0 absorbable suture then the peritoneum also with a running absorbable suture. 12. Excess peritoneum is dissected to a point in front of the rectum. Edges are approximated in the midline and sutured. 13. Additional sutures are placed anterior to the rectum to provide additional str ength and support of the vaginal vault. 14. Peritoneal cavity is closed with a purse string suture.
Wednesday, October 9, 2019
Restructuring Costs Essay
Pharma Co. is a U.S. subsidiary of a U.K. entity that prepares its financial statements in accordance with (1) U.S. GAAP for reporting to its U.S.-based lender and (2) IFRSs in reporting to its parent. Pharma Co. is considering the relocation of a manufacturing operation from its present location to a new facility in a different geographic area as part of the restructuring a business line. The relocation plan related to the following facts: Facts Financial affection Dec 15, 2010, issued a press release to terminate the lease of the old facility. Jan 31,2011,at which time it will sign the lease termination agreement, Pharma Co. plans to vacate the Plant A facility. The lease is an operating lease with termination fee is $1.3M. The lease was entered into in Feb 2004 with a term of 10 years. The written notice is required for early termination. Dec 27, 2010, communicated the main features of a one-time, nonvoluntary termination plan to its employees. The reduction includes approximately 120 employees, which represents 10 percent of workforce without identified the specific employees. The workforce reduction is expected to be completed by Jan 31, 2011, and is expected to cost approximately $3 million. Pharma Co. has entered into irrevocable contracts with certain other relevant parties to affect the restructuring plan. Relocation cost: $500,000 Staff training cost: $1.5M. Pharma Co. stated its intention to dismantle the existing operation. The cost to dismantle the existing manufacturing operation is estimated to be $1M. There is no legal obligation for dismantling plants when abandoned. Issue How should Pharma Co. account for the restructuring program for the yearà ended Dec 31, 2010 under U.S. GAAP? Analysis FASB Accounting Standards Codification (ASC) Subtopic 420-10 Exit or Disposal Cost Obligations presents the relevant guidance on cost obligations. Per ASC 420-10-25-12, Contract Termination Costs include: ââ¬Å"A liability for costs to terminate a contract before the end of its term shall be recognized when the entity terminates the contract in accordance with the contract terms ( for example, when the entity gives written notice to the counterparty within the notification period specified by the contract or has otherwise negotiated a termination with the counterparty)â⬠Although Pharma Co. issued a press release to terminate the lease at Dec 15, 2010, this fact did not reach an agreement. So Pharma Co. do not need record the $1.3 termination fee until Jan 31,2011, which was the date sign the termination agreement. One-time employee termination benefits Under ASC 420-10-25-4 requirement, an arrangement for one-time employee termination benefits should meet all the following requirements: ââ¬Å"a. Management, having the authority to approve the action, commits to a plan of termination. b. The plan identifies the number of employees to be terminated, their job classifications or functions and their location, and the expected completion date. c. The plan establishes the terms of the benefit arrangement, including the benefits that employees will receive upon termination (including but not limited to cash payments). In sufficient detail to enable employee to determine the type and amount of benefits they will receive if they are involuntarily terminated. d. Actions required to complete the plan indicate that it is unlikely that significant changes to the plan will be made or that the plan will be withdrawn.â⬠Pharma Co. already approved the employee termination plan in the appendix B with 120 employees at current location. This wo rkforce reduction was expected to be completed by Jan 31, 2011. Although there is no details in appendix B, employees still can information of termination benefit from communication with CEO. Since this is a nonvoluntary termination plan, we are sure that Pharma Co. should recognize the one-time employee termination benefits for the year ended Dec 31, 2010 under GAAP requirement. One-time employee termination benefitsAs the appendix B posted, the employees are not terminated their service or received their benefits. According to the ASCà 420-10-30-5, ââ¬Å" If employees are not required to render service until they are terminated in order to receive the termination benefits (that if, is employees are entitled to receive the termination benefits regardless of when they leave) or if employees will not be retained to render service beyond the minimum retention period, a liability for the termination benefits shall be measured at its fair value at the communication date.â⬠Therefore, $3M approximately cost could not record instead of its fair value at Dec 27, 2010. Relocation Cost and Staff Training Cost Although Pharma Co. has entered into irrevocable contracts with certain other relevant parties, since they do not mention the specific time to start the relocation program, it is not need to recognized those future expense until it is really paid. Dismantling Cost As ASC 420-10-25-15 notes about associated costs, ââ¬Å"The liability shall not be recognized before it is incurred, even if the costs are incremental to other operating costs and will be incurred as a direct result of a plan. A liability for other costs associated with an exit or disposal activity shall be recognized in the period in which the liability is incurred (generally, when goods or services associated with the activity are received).â⬠So the main point here is whether the dismantling activates happened, not what it is related to. Therefore, Pharma Co. should not recognize the dismantling cost for the year ended Dec 31, 2010.
Tuesday, October 8, 2019
Packaging Power Proposal Assignment Example | Topics and Well Written Essays - 250 words
Packaging Power Proposal - Assignment Example The new proposed packaging will be made up of plastic. The plastic will have a similar shape to the traditional packaging used, but the packaging will have the capability of individually packaging each egg. The packaging can be separated into 12 individual mini boxes that protect each egg. There are many advantages to the new packaging design. The customers who buy the dozen will be able to separate the eggs which will save the customers freezer space. The stores who sell eggs including supermarkets will have the ability to sell eggs by the single unit instead of forcing the customers to buy 12 eggs. For a single person 12 eggs are sometimes too much since the person will not be eating eggs every day. Another advantage of the new packaging is that companies can put designs in the plastic material to make the product more attractive. Appendix A: Packaging of eggs (Babylon, 2011). References Babylon.com (2011). Dozen egg carton. Retrieved June 10, 2011 from http://search.babylon.com/?q =dozen+eggs+carton&babsrc=HP_ss&s=img&as=0
Monday, October 7, 2019
Viewing the Globe in 2006 and 2056 Part2 Essay Example | Topics and Well Written Essays - 500 words
Viewing the Globe in 2006 and 2056 Part2 - Essay Example Luckily, I am receiving a fair amount of salary. Software engineers in the company are highly paid. Since I am single, I always have enough money to satisfy my earthly desires. My company is located in Houghton, Michigan. Actually, I can just walk from our house to the workplace. Our family also lives in the City of Houghton. The city is named after Douglass Houghton, an American geologist (ââ¬Å"Houghton,â⬠n.d.). This particular city is among the ââ¬Å"one hundred best small towns in Americaâ⬠(Crampton, 1993). I love my life in this town. It is a safe and quite place to live in. Houghton is far from the populous areas in the state of Michigan. Immigrants in this city are only few. Majority of the people are white. Winter or summer, one can enjoy the beauty of the place. It also offers a lot of outdoor sports like figure skating, ice hockey, hiking, camping, sailing and many others. When I donââ¬â¢t have a work, I go sailing in a nearby lake with my friends and workm ates. In a typical day, I only have two places to go, work and home. It has been my routine to eat boiled potatoes and drink fresh milk every morning. When I go to supermarkets, I always buy potatoes, fresh milk, carrots and bananas. These foods are rich in calcium and vitamin A for strong bones and good eyesight. Being a software engineer, I am always on my chair facing the computer.
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