Thursday, May 28, 2020

Construction Project Writing Assignment Payoff Table - 550 Words

Construction Project Writing Assignment: Payoff Table (Research Paper Sample) Content: Construction ProjectName:Institution:Table of Contents TOC \o "1-3" \h \z \u Executive Summary PAGEREF _Toc465015997 \h 3Introduction PAGEREF _Toc465015998 \h 4Payoff Table PAGEREF _Toc465015999 \h 4Decision Tree PAGEREF _Toc465016000 \h 5Expected Monetary Value PAGEREF _Toc465016001 \h 5Conclusion PAGEREF _Toc465016002 \h 6References PAGEREF _Toc465016003 \h 7Appendix PAGEREF _Toc465016004 \h 8Decision Tree PAGEREF _Toc465016005 \h 8Executive SummaryBill Holiday wants to invest his few resources in a construction project. Due to scarcity of his resources, he wants to make an optimum investment decision which will yield best results. Holiday has committed $3,000 for the purpose of carrying out the research to find out the probable results he will get from his investment during the favorable and unfavorable market conditions. To determine whether he should build a quadplex or a duplex, Expected Monetary Value (EMV) under various market conditions have been calculated. The EMV has been extended to find out the expected value of sample information (EVSI). Based on the EVSI, I recommend Holiday to build a quadplex without carrying out the research.IntroductionInvestment decisions, even entirely straightforward ones, can be hard to make in light of the fact that their consequences are frequently not certain. This is an unavoidable truth for most managers, who regularly confront circumstances like the one Bill Holiday is facing: the decision of whether to build a quadplex apartment, construct a duplex building or do nothing. Each of these choices postures clear choices but murky outcomes. But with the decision tree and the payoff table, a project manager can be able to find the maximum expected value from each decision and at the same time minimize the expenses. Therefore the purpose of this study is to identify the best decision which Holiday needs to make to minimize costs and reduce expenses with the help of the decision tree and the payoff table. Payoff TableA payoff table is used to summarize the positive and negative returns of various decisions made by an investor in tabular design. The table shows the decisions which are under the control of the decision maker and choices which are beyond their control. (Camm, 2016). Based on the results from the research results, investor will earn $15,000 under favorable and -$20,000 during adverse market conditions if he settles for quadplex building. Also, Mr. Holiday will get $5,000 during favorable and -$10,000 in the unfavorable market conditions in case he decides to build duplex building. On the other hand, if the investor decides to carry out the project without additional information, the probability of a favorable rental market will be 0.7 while the likelihood of unfavorable rental market will be 0.3. In the event of favorable additional information, the favorable market income will also add up to 0.9. On the other hand, in the case of unfavorable additional information, the rental income will reduce to 0.4 State of nature EMV Alternative Favorable market Unfavorable market Quadplex 15,000 -20,000 4,500 Duplex 5,000 -15,000 500 Do nothing 0 o 0 Probability 0.7 0.3 Decision TreeDecision tree is the schematic form of a tree which shows possible results of making a particular investment decision. The decision tree shown in Appendix consists of 5 nodes. Decision tree is most preferred since their results are easy to interpret. (Damodaran, 2012). The nodes are circular in shape representing the events and 3 squares representing the dec...

Monday, May 18, 2020

The Importance Of Collaborative Counselor Client Relationship

The Skilled Helper provides a general framework for the helping process and combines the approaches of problem management and opportunity development to aid students in becoming more proficient helpers. The model is a flexible step by step three stage one with different goals of helping and is illustrated through case examples in sections of the thirteen chapters. The book emphasizes the importance of collaborative counselor client relationship and employs different case examples and techniques for establishing such a relationship. Students are also encouraged to be cognizant of the impact of diversity and multiculturalism in the helping process. Each chapter begins with a clear outline of what is included with brief case scenarios to illustrate what is written. Chapters 1 through 3 provide an overview of the helping model, an illustrative diagram of the model itself and values which drive the helping process. Author’s Background and Credentials: Gerard Egan, a Professor Emeritus at Loyola University of Chicago, works as a consultant, coach and counselor to chief executives, senior managers and their teams and author of over fifteen books (p viii). Scholarly Evaluation: The Skilled Helper provides readers with a comprehensive step by step three stage model through focusing on the culture of helping using a problem management and opportunity development approach. It focuses on values as being the driving force of the helping process and the development of a collaborativeShow MoreRelatedEssay on Traits of an Effective Counselor1065 Words   |  5 PagesCounselor characteristics are also an important part of the therapeutic dynamic. As the case study demonstrates, the professional counselor began with a good rapport and empathy. I believe the session was effective because the client and the counselor worked together with re-evaluating how the client was going to improve his circumstances. In this case study, the counselor establishes a good relationship and empathy with the client, which allows him to be completely honest about his thoughts andRead MoreCounselor Educators : Service Learning858 Words   |  4 Pagesdiscusses the implication of the f indings from the study for counselor educators incorporating service learning. Counselor educators are called to prepare students with the necessary knowledge and skills to work with diverse clients. In addition, counselor educators are charged to create structured opportunities for self-discovery, self-reflection, and understanding of values, skills and knowledge (Moss, Gibson, Dollarhide, 2013). However, counselor educators are often challenged to go beyond the classroomRead MoreTheoretical Orientation Reflection Paper Natasha Cartwright1686 Words   |  7 Pagesdevelopment in working with these specific types of clients is to help all clients have less-useful thoughts as well as allowing the client to identify, change and adapt maladaptive beliefs and behaviors (Kolmes, 2009). Developing their type of theory calls for giving clients homework that consists of tracking their moods and recording feelings. Exploring Your Theoretical Orientation Philosophy of People and goals. Clien ts, with the teamwork of the counselor, are needed to help Cognitive Behavioral TherapyRead MoreThis Paper Will Describe Consultation And Supervision In1112 Words   |  5 Pagespaper will describe consultation and supervision in the counseling profession. Later, the credentialing process for school counselors will be discussed. Finally, the importance of counseling program accreditation will be examined. Consultation Consultation in the counseling profession is when a counselor meets with one or more professionals to improve their performance with clients (Neukrug, 2016). The consultant has a direct impact on the consultees and an indirect impact on a third party (individualsRead MoreCounseling Minors: The Legal Rights of Minors1780 Words   |  7 PagesThe following essay summarizes prescriptions for counselors in the following factors: counseling minors, legal rights of the minors, the rights of the parents, release of records, confidentiality, and reporting suspected abuse or neglect. The ACA and NBCC websites will be accessed for primary material and this will be substantiated by secondary sources. Counseling minors: the legal rights of the minors The minor, according to law, is considered so below the age of 18 since this is the age whenRead MoreEssay On Career Counseling1058 Words   |  5 Pagescounseling a gay client in recovery has several implications that include; accurate assessment, life stage and transitions, cultural counseling, and utilization of role models which will be explored in this article. Assessment To offer effective assistances to gay men, each counselor must utilize traditional career counselor roles, methods, and values. The counselor must be willing to explore established supports, discuss life-style and relationship issues, explore how the client might approach interviewingRead MoreSocial, Cultural, And Economic Systems Responsible For Perpetuating Injustice1522 Words   |  7 Pagesindividuals experiencing social inequalities and injustice through equipping counselors with the skills necessary for becoming agents of change. The author in his 13 chapters examines the social, cultural, and economic systems responsible for perpetuating injustice and inequality with illustrations underlying the importance of counselors’ acceptance of their professional, ethical, and moral responsibility in working with clients in transforming social justice systems. The book is divided into two partsRead MoreThe Client s Thoughts, Assumptions And Inferences808 Words   |  4 PagesT he counselor and the client will work collaboratively on exploring the client’s thoughts, assumptions and inferences. The therapist teaches the client to test these by checking them against reality and against other assumptions. Homework assignments, behavioral experiments, gathering data on assumptions made, and forming alternative interpretations help clients to monitor the frequency with which these beliefs intrude in situations in everyday life. (Corey, 2013). Consistent with the medical modelRead MoreCognitive Therapy ( Cbt ) Or Cognitive Behavior Therapy963 Words   |  4 Pagesresult of my desire of becoming an academic advisor or counselor. As a helper is the counseling aspect of student affairs, I envision myself utilizing this approach to help students struggling with problems such as stress, anxiety, depression, procrastination. Depression among college students derives from lack of sleep, inadequate exercise or lack therefore of, poor eating habits, stress of getting good grades, financial problems, failed relationships, and roommate conflicts. According to the AssociationRead MoreImagine The First Day Of High School Classes. The Beginning1656 Words   |  7 Pagescollege-preparatory math that lies beyond their* knowledge base. Because the counseling office appointments are full, they are not able to see their counselor until the drop date for classes has past. Ideally, every student would have access to the services of the first student. However, the push towards automating some responsibilities of guidance counselors makes the second situation a closer reality. Because automated scheduling software cannot successfully integrate the individual and personal needs

Saturday, May 16, 2020

An Critical analysis of the poetic elements within the...

Analysis of Literary Technique in John Donne s The Sun Rising John Donne, author of many works of literature, including The Sun Rising, is a master manipulator of literary techniques, which he uses to convey a powerful and profound message to the reader. Published in 1633 in Donne s book entitled _Poems_, The Sun Rising is a poem depicting two lovers disturbed from their bed by the rising sun. Donne s poem, The Sun Rising, is comparable to woven fabric, each literary element tightly woven on the loom of Donne s poetic mind. Donne s expert manipulation of each literary technique, making each literary element work to its fullest potential in conveying his underlying theme, is what defines The Sun Rising as such a splendid†¦show more content†¦This juxtaposition is clear evidence of movement from one point of view to another, otherwise known as a resolution, and its incorporation into The Sun Rising signifies Donne s peace-making with the sun. A second prominent feature of The Sun Rising are Donne s underlying themes, evident in the poem. Donne s entire purpose in writing The Sun Rising lies in his expression of his love for his wife. Grierson concurs, evidenced by his statement Donne s interest is his theme, love and woman, and he uses words not for their own sake but to communicate his consciousness of the surprising phenomena in all their varying and conflicting aspects (29). The second part of Grierson s statement helps the reader to understand Donne s strange choice to convey his theme of love through images of adultery, when Donne s true intent is to depict the love between himself and his wife. Grierson statement explicates this paradox by explaining that Donne s diction isn t meant to be taken literally as Donne s choice of words lies not in their actual meaning, but the words denotation, the thoughts of love and the emotion these thoughts convey. A second theme in Donne s The Sun Rising is the theme of secular lo ve in divine concepts (Daley 3). Daley posits: Another theme found in Donne s love poetry is the juxtaposition of the sacred and the profane, mirroring secular love in divine concepts and expressing

Wednesday, May 6, 2020

Week 5- Final Film Critique - 1421 Words

Week 5 – Final Film Critique Byron Phillips ENG 225 Introduction to Film Instructor Hayes 11 May 2015 FINAL FILM CRITIQUE There’s no doubt that Star Wars is one of the most impactful films of all time, having changed the movie-making game ever since it premiered in 1977. It quickly became a global phenomenon and has accumulated some of the most passionate fans in the universe. Star Wars: Episode IV - A New Hope is a great example to use in order to illustrate the properties discussed throughout the course. In this paper, I will analyze the entire movie. To begin, I will start by giving some basic information about the motion picture, such as the director and type of film. Next, I will provide a brief summary of the film.†¦show more content†¦Science fiction is broadly defined as a film about the future or alternate realities, often but not always set in space, and frequently incorporating horror elements, science-fiction movies are wildly popular among fans (Goodykoontz, 2014). As a subgenre of fantasy, science fiction enables viewers to relate to themes from an idealized alternati ve version of reality (Edwards, 2014). Star Wars: Episode IV - A New Hope is a feature-length film that fits this genre perfectly. Star Wars: Episode IV - A New Hope unfolds as princess named Leia is held hostage by the evil Imperial forces in their effort to quell the rebellion against the Galactic Empire. Luke Skywalker and a smuggler named Han Solo team together with the lovable droid duo, R2-D2 and C-3PO, to rescue the beautiful princess and restore justice in the galaxy. MP 3. – Aesthetic Choices – In this area, you will assess the efficacy of specific techniques and design elements employed in the film as they apply to the overarching narrative and theme of the film. These elements include: science fiction films can often be seen as allegories for things that society may not want to be discussing. These alternative realities allow for the use of allegory in referencing both current events and history, whereas stories set in contemporaryShow MoreRelatedEng 225 Week 5 Film Critique Final Paper836 Words   |  4 PagesENG 225 Week 5 Film Critique Final Paper Click Link Below To Buy: http://hwcampus.com/shop/eng-225/eng-225-week-5-film-critique-final-paper/ Or Visit www.hwcampus.com ENG 225 Week 5 Film Critique Final Paper Focus of the Final Film Critique Throughout this course, you have been compiling a blog and writing essays that analyze various elements of film such as theme, cinematic techniques, and genre. It is now time to combine those elements into a comprehensive analysis of one movieRead MoreEng 225 Week 5 Film Critique Final Paper New831 Words   |  4 PagesENG 225 Week 5 Film Critique Final Paper NEW To Buy This material Click below link http://www.uoptutors.com/eng-225-ash/eng-225-week-5-film-critique-final-paper-new Focus of the Final Film Critique Throughout this course, you have been compiling a blog and writing essays that analyze various elements of film such as theme, cinematic techniques, and genre. It is now time to combine those elements into a comprehensive analysis of one movie. You will be completing this assignment in two stages:Read MoreArt 1011313 Words   |  6 Pagesexamined with respect and their individual styles will be understood according to the traditions and values of each civilization. Students will also identify the common themes of human expression that each culture expresses in its artistic production. 5. Life Skills: Students will be able to identify and describe how the language of aesthetics is used to express complex human relationships through an understanding of the visual elements and principles of design. They will analyze and describe thisRead MoreOn the Job Training Methods1695 Words   |  7 Pagesone full school year. During this period the student is expected to use the things he/she has learned and put them into practice. This way the student gains work experience in their field of study. The gained experience will be helpful to finish the final year of study. Example: * Plumbers, mechanists, draftsmen and electricians etc. train on the job by polishing their skills and knowledge about the job. 2. Job Rotation   Sometimes called cross training For the executive,  job rotation  takes onRead MorePhi 103 (Informal Logic) Complete Class2642 Words   |  11 Pagescom/PHI-103-Informal-Logic-Complete-Class-1457.htm?categoryId=-1 If You Face Any Problem E- Mail Us At Contact.Hwnerd@Gmail.Com Week 1 DQ 1 Arguments and Their Components. Consider an argument you have recently had with a friend, family member, manager, co-worker, or someone else. Identify the topic of the argument and present that argument in premise-conclusion form, identifying both the premises and conclusion Week 1 DQ 2 The Scope and Limits of Logic Logic can do a great deal in helping us understand our argumentsRead MoreDifferences Between The Film And Novel For The Hobbit2127 Words   |  9 Pages Earlier this week, I turned in the fourth and final draft for an argumentative essay about the difference between the film and novel for The Hobbit. There were chapters in the book that we could argue on, but we didn’t get to choose our topic, it was chosen through the color of the graphic organizer passed out. The color I received was green, â€Å"Queer Lodgings,† which I was nervous and irritated at since I had the least amount of information on the chapter between the other choices, to be honestRead MoreDoes Health Food Film And Television Shows Influence Overall Health Decisions?2782 Words   |  12 PagesDoes Health Food Film and Television Shows Influence Overall Health Decisions? Viewing television and films about health and nutrition can be effective in how college students make their food choices and consequently will promote or hinder their health and lifespan. The significance of researching how television and film influence young adults is to find out how and why they are making their food choices. This research is important because what people eat directly affects their health. UnhealthyRead MoreThe Visceral Politics of V for Vendetta: On Politica Affect in Cinema6851 Words   |  28 PagesOn Political Affect in cinema. By Brian L. Ott* pages 39-54 Abstract This essay concerns the role of political affect in cinema. As a case study, I analyze the 2006 film V for Vendetta as cinematic rhetoric. Adopting a multi-modal approach that focuses on the interplay of discourse, figure, and ground, I contend that the film mobilizes viewers at a visceral level to reject a politics of apathy in favor of a politics of democratic struggle. Based on the analysis, I draw conclusions related toRead MorePersonal Experience: My Teaching Philosophy2434 Words   |  10 Pagesandfaulires and be able to communicate this effectily to members of a team. Through this students further their skills as creative professionals in the creative process and production pipeline. Through encouragement, engagement and invaluable honest critique, I feel that my students flourish in the classroom environment. This is carried with them into their professional endeavors.Hearing from them years later, it always makes me feel like I am in the right place as an educator, when they kindly rememberRead MoreTraffic, Directed by Steven Soderbergh Essay3306 Words   |  14 PagesDennis Quaid. USA Films, 2000. Blow. Dir. Ted Demme. Perf. Johnny Depp, Penelope Cruz, Paul Reubens, Ray Liotta. New Line Cinema, 2001. 1. Just as the intoxicating sensations of different drugs are incommensurable with one another, so films about different drugs tend to have radically different themes and effects. In American popular culture perhaps the illegal drug with the longest cinema history is marijuana. From propaganda films of the 30s to Cheech

The Effectiveness of Using Ict in Teaching English

The Effectiveness of Using ICT in Teaching English ABSTRACT This research is aim to establish the effectiveness of using ICT in improving English knowledge among the Year Six students. Particularly, this research will investigate to what extent the effectiveness of using ICT in language teaching and learning features, for instance the content of the lesson contributes to the process as well as interest and motivation among the students. This research will be carried out to an experimental group in which language will be used in their lesson. All the data required for this research will be gathered via the instruments used which are observations, sets of questionnaire and guided journal writing and will finally be analyzed based on the†¦show more content†¦At the same time, the government is really concerned about improving the ability of the young generation to use English effectively. To realise the government’s aspirations, teacher motivation and attitude as well as the various problems that the English language teachers fac e in using the computer must be looked into seriously. 1.3 Objectives of the Study a) To identify whether student’s performance in English learning will improve via ICT using. b) To see the differences of student’s changes in their attitudes and perceptions toward their learning. c) To determine the effectiveness using ICT to arouse student’s interest and motivation. 1.4 Research questions a) Can teaching English with ICT change the students’ performance? b) Can the method decrease the fear and boredom of students toward English lesson? c) What is the student motivation level before and after experiencing ICT in their English language classroom? 1.5 Definition of terms The definition of an important term used in this study is given below: a) Information and Communication Technology (ICT) ICT is the technology required for information processing, in particular, the use of electronic computers, communication devices and software applications to convert, store, protect, pricess, transmit and retrieve information from anywhere, anytime. ICT began to be used on a large scale throughout in Malaysia School system as a teaching aid inShow MoreRelatedThe Education Context For My Edc3100 Professional Placement961 Words   |  4 Pagesthe same topic for Science, History and English, with differentiation to suit student ability. In Mathematics and Lem Phonics the students are in ability groups. The class routine includes a morning session where the students present news items and are read a chapter of a fictional story. Individual students are regularly removed from the class for specialist teaching and reading and this needs to be considered in planning of lessons. Class and School ICT Environment and Processes The classroomRead MoreUsing Tablets in Teaching English as a Second Language1191 Words   |  5 PagesT oday’s education faces a lot of challenges. The swirling changes and developments in teaching and learning all seem promising and yet are still at their infant stages. The Philippines is one of many developing nations that have turned to information and communication technology (ICT) as a tool to improve teaching and learning. Integrating technology in Philippine education has taken a lot of turns. The unprecedented advances in interactivity and multimedia capabilities together with a myriad ofRead MoreThe Effectiveness of Mobile Computing Devices in Classroom Instruction743 Words   |  3 PagesThe Effectiveness of Mobile Computing Devices in Classroom Instruction Most schools, both local and international, are now venturing into using mobile computing devices for classroom instruction. Thus, La Salle Green Hills (LSGH) pioneered the use of tablets in the classrooms at the later part of 2012 and named this endeavor as the PERsonal Learning device (PEARL) program. During its initial stage, students of the honors classes were selected as its participants. On the following year aroundRead MoreGroup B. Understanding And Using Inclusive Teaching And1633 Words   |  7 PagesGroup B Understanding and Using Inclusive teaching and learning approaches in education and training Shaun Brown 1.1 Describe features of inclusive teaching and learning What is inclusive teaching? Inclusive teaching means teaching in ways that do not isolate students, accidentally or intentionally, from opportunities to learn. Making sure the needs of students with a variety of backgrounds, learning styles and abilities are addressed. These strategies contribute to an overall inclusive learningRead MoreThe Concept Of E Learning Inclusion Into An Education Essay1555 Words   |  7 Pagesproblem for many teachers is transition of teaching in manner than accommodate the use of technology. Mining how they have previously been teaching with the use of technology which gives birth to e-learning. In e-learning, Technology is simply a mean that teachers may use in different ways in the new environment than can affect students and results.A teacher mulls to make use of technology needs to think how it may give a solution a problem of teaching they have within their learning environmentRead MoreInformation Technology And Its Impact On Education Essay2249 Words   |  9 Pagesthe Infor mation Communication Technology (ICT) which is the combination of Information Technology (IT) and Communications Technology (CT). Information Technology is characterized by wireless mobility, multimedia devices, interoperability, peer-produced information and an expectation of abundant access to powerful computing resources (Aksoy DeNardis, 2008). Computer Technology (CT) is then the study of the hardware and software. With the implementation of ICT, South African public schools are delayedRead MoreMy Philosophy Of Teaching And Learning Programs Essay1612 Words   |  7 PagesMy philosophy of teaching involves creating an environment that promotes student well being by welcoming open collaboration and participation, setting high expectations and developing positive, safe and respectful relationships with all members of the class.(Vrankovic, M, 2016). My learning philosophy is derived from the constructivist philosophy whereby students are active participants in their learning in order to be able to transfer information into new situations to promote deeper levels ofRead MoreIct And Its Effect On Education1957 Words   |  8 PagesICT are stands for Information Communication Technology where it is widely used in education today. In some counties, there are some small percentage of education institute demand high levels of ICT to change and support many subject areas in the way of teaching and learning process. Traditional teaching practice like face-to-face contact teaching in the classroom has been outdated and some educationalist suggest using of ICT to replace the traditional teaching practice. There are many ways ICTRead MoreCommunication Between Sender And Receivers1539 Words   |  7 Pagesconstruction. (uwm.edu, 2014) Inclusive learning and teaching is about involving all our learners, treating them equally and fairly, without directly or indirectly excluding anyone, creating interesting varied and inspiring learning opportunities for all learners and ensuring that all learners contribute. Also make sure that learners are not disadvantaged by methods, language or resources, embed sufficient minimum core in lesson plan. Use wide range of teaching strategies and learning materials, give sufficientRead MorePtlls L 4 Unit 009 Essay1347 Words   |  6 PagesJames Pitman Level 4 PTLLS Unit 009 Oct/Nov 2012 Analyse learning and teaching strategies used in own specialism Strategy | Strengths | Weaknesses | Group discussion | A good way of exploring a topic in depthUseful to assess a learners knowledge and understanding of the topicAll learners can be encouraged to be involvedDiverse characteristics and backgrounds of learners will ensure a well rounded view | Some learners may not feel confident contributing – good ice-breaker required Other

Heated and Humidified High Flow Oxygen Therapy Essay Sample free essay sample

This research article was written after a randomised survey was done to measure the effects that heated and humidified high flow O therapy has on patients that suffer from hypoxemic respiratory failure. In general when a patient is admitted to the infirmary and placed on a high flow O device there is no heat or humidness added to the auxiliary O the patient is acquiring. As anyone might conceive of take a breathing in a high flow of cold. dry O could do existent hurting and uncomfortableness. In the yesteryear there have been multiple surveies done on the humidification systems used during endotracheal mechanical airing. but few surveies have been done on the results of utilizing humidified and non-humidified O therapy on spontaneously take a breathing patients. The findings from this survey every bit good as a few others that I looked at were rather interesting. This survey was a randomised single-center test because it was merely conducted in one infirmary. The randomised test took topographic point from December 2009 until December 2010 in the medical ICU of Hopital Henri Mondor in Paris. France. As for how the topics were chosen it was simple. back-to-back patients were included if they required at least 4 L/min of O to keep a SpO2 above 95 % . There was some exclusion standards put into topographic point ; any of the patients that required noninvasive or invasive mechanical airing were non truly applicable for the survey. The patients besides had to be in the right province of head for the survey because they would be required to rate the waterlessness and penchant for one of the two O bringing systems. One of the chief methods used in supervising the patients was acoustic rhinometry. it is used to measure whether or non there is any type of rhinal airway obstructor. In this instance that is something that would perchance do a difference on the degree of uncomfortableness a patient could hold. The survey was set up for the topics to randomly receive criterion O therapy or heated and humidified high flow O therapy ( HHFO2 ) via a rhinal cannula for 24 hours and so the patients would be switched to the other device for 4 hours. The patients were monitored every four hours but because of clip and patients acquiring either worse or better the survey was set for 24 hours with the drawn-out switch that took topographic point for 4 extra hours. Initially there were 37 randomised topics for this survey. but 7 of the topics were unable to finish the survey. 5 topics were dismissed due to the fact that their status deteriorated while they were in the ICU and they required mechanical airing. The other 2 topics became better and no longer needed to go on on with O therapy that went above 4 L/min. There was a scope of complaints amongst the topics: infective pneumonia. acute chest syndrome. pneumonic intercalation. cardiogenic pneumonic hydrops. pneumonic high blood pressure. acute interstitial pneumonia. and haemorrhagic daze. As for the consequences. it is already known that the group shrank by 7 which leaves 18 in the standard O group and 19 in the HHFO2 group. At hr 0 when the acoustic rhinometry measurings were t aken between the 2 groups they had either been placed on 12 L/min if they were in the HHFO2 group and 9 L/min for standard O group. and there were no important differences. Each group was really kept at the same O flow throughout the survey until the crossing over was done. Initially both groups reported the same waterlessness tonss at the olfactory organ. oral cavity. and pharynx. As the survey moved frontward in the 4th hr the standard O group did hold a higher average nasal waterlessness mark whereas the HHFO2 group showed a lessening in tonss. By hr 28 the crossing over was now afoot intending both groups have switched. a big figure of topics preferred HHFO2 over the standard O. Nine of the topics involved in the survey did province that they truly didn’t attention one manner or the other. It should be brought to attending that all of the topics that prefer the HHFO2 were patients that required the O to be delivered at the higher flow rate. The lone ailment about the HHFO2 was the noise that was made by the device. In the terminal the result shows that O therapy delivered to critically ill patients is often associated with uncomfortableness. chiefly due to rhinal waterlessness. When a high flow of het and humidified O was given these symptoms were greatly reduced. The survey did demo that there were no differences between the two groups when it came to mensurating the rhinal airway quality. It seems as though there may hold been a deficiency of information when it comes to the acoustic rhinometry. It is said that the lessening in upper air passage waterlessness may be a conducive factor of lessened upper air passage opposition. but because the survey did non concentrate chiefly on the acoustic rhinometry measurings or airway opposition this shall stay unknown. As seen in the ICU more times than non patients show uncomfortableness. and this sheer uncomfortableness could be caused by the devices that are assisting them acquire better. The added uncomfortableness a patient feels while in the infirmary can sometimes be avoided by something every bit easy as exchanging out their standard O therapy for HHFO2 therapy. It was noted that one time the topics had been on HHFO2 therapy they requested to go on on with it even after the survey was over. Again. the chief disadvantage of HHFO2 that the topics reported was the noise. The positive manner to look at this is that even thou gh there was noise it helped the topics and the per centum of topics that preferred the HHFO2 system was greater than those in the standard O group. Out of the full group merely 2 of the topics complained of the heat generated by the HHFO2 system. It appears that in the terminal it was a great success. When I foremost started to read this instance survey I felt that I already knew what the result would be. It seems as though this would be a common pattern. In making some research for this paper I really ran across some information where they even questioned merely utilizing a bubble humidifier on patients. and that merely seemed to be a small on the eldritch side. I think that if anyone was to put themselves on a rhinal cannula and turn it to 10 L/min at that minute they would see the demand for heating and moisturizing the O. This was truly a great survey to demo something that could easy be done to heighten patient comfort. In researching assorted web sites and even the Egan’s text edition I was unable to happen anything demoing that there were negative results on moisturizing a patient’s O. Actually in every instance it showed that the patients experienced less uncomfortableness by holding heat and humidificat ion or merely humidification entirely added to their regular high flow O regimen. At the terminal of the twenty-four hours I feel it is of import to make what is best for the patient. and their comfort or uncomfortableness is portion of your job so wholly you have to make is repair it. I feel as though adding heat and humidness is an easy hole and I will decidedly maintain this in head when be givening to patients in the hereafter. Bibliography †¢Kacmarek. Robert M. . James K. Stoller. Albert J. Heuer. and Donald F. Egan.Egan’s Fundamentals of Respiratory Care. 10th erectile dysfunction. St. Louis. Moment: Elsevier/Mosby. 2013. Print †¢http: //www. rcsw. org/storage/journal_club/Humidified_HFNC_during_Respriatory_Failure_in_the_ED. pdf †¢http: //www. ncbi. nlm. National Institutes of Health. gov/pubmed/19294365 †¢Respiratory Care Journal October 2012 Vol. 57 No. 10. hypertext transfer protocol: //www. rcjournal. com/ †¢http: //www. vtherm. com/_pdfs/10734_VT_Wpaper_Rev1_v1US. pdf

Tuesday, May 5, 2020

David Kersh free essay sample

Recently up-and-coming country music star David Kersh performed at in Rutland, Vermont. It was an amazing night of music and fun. David took the stage to thunderous applause, screams, and whistles. He opened with Breaking Hearts And Taking Names, a song off his debut album, Goodnight Sweetheart. He got the crowd going by running and dancing across the stage. He went on to sing every song off the album, including the title track and the current single, Another You and more. He sang covers of classic George Strait songs likeOvernight Male. The crowd hit its collective feet for a rousing version of Sweet Home Alabama and parody of Metallicas Enter Sandman. David has an incredible stage presence and high energy level thats infectious. He demands attention with his clear voice and interaction with the crowd. He jokes with the band members and keeps things lively. When hes onstage, you can see that he truly loves performing and the music hes singing. We will write a custom essay sample on David Kersh or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page He is a true entertainer in every sense of the word. I had the chance to meet David before the show at an autograph-signing session. He is extremely nice and sincere. His friendly, outgoing personality, Southern charm, and dazzling smile melted more than a few hearts. This is the second time Ive seen David Kersh in concert. I hope to see more of his shows. If you like great music and lots of fun, go see him. I definitely recommend his show to anyone. I guarantee youll have a good time! .