ACUTE ABDOMINAL PAIN IN ADULTS AND CHILDREN Assignment

ACUTE ABDOMINAL PAIN IN ADULTS AND CHILDREN - Assignment Example The symptoms of acute abdominal pain are nausea and vomiting. Other indications include guarding which is the contraction of abdominal muscles and when pressure is applied to the abdomen. There would be rigidity of the abdominal muscles or rebound tenderness, an increase in severe pain and discomfort when pressure is being applied to the localized area of the abdomen. The patient also has increased white blood cell count. In older patients, presentation delays, coexistent of disease and social and physical barriers complicate acute abdominal pain presentation (Nabi, 2011). There are several diagnostic methods in evaluation of acute abdominal pain. Laboratory tests are done on the blood and urine specimen. The ultrasound is used in the evaluation of abdominal spaces with sound waves while the Computer Tomography (CT) scan is an x-ray technique using a computer program to develop detailed images. The ultrasound and CT are reliable in detecting common diagnoses causing acute abdominal pain. However, the ultrasound misses more cases than CT scan that is more sensitive (van Randen, Lameris, van Es, van Heessewijk, van Ramshorst, Ten, Bouma, van Leeuwen, Bossuyt, Stoker, Boermeester, & OPTIMA Study Group, 2011). Multi-detector CT can be used in evaluating patients with acute abdominal pain. It is an extremely CT noninvasive method for acute abdominal pain diagnosis and management. In the plan of care for patients with acute abdominal pain, the nurse has a key role in the assessment, history taking and management. Assessment is done through physical examination and acquiring diagnostic data. A comprehensive assessment of pain including onset, location, characterization, duration, onset, frequency, quality, and intensity should be performed. Factors such as fear, fatigue and lack of information should be reduced to eliminate factors that may increase the

A critical assessment of the marketing challenges facing an Essay

A critical assessment of the marketing challenges facing an organisation of your choice and recommendations for the development of Competitive Advantage - Essay Example A close analysis of other companies that have survive during harsh market periods will help point out possible opportunities that Ryanair mas use to escape the looming threat. The research will end with workable recommendations that will provide strategies for Ryanair to survive within the market. In the 21st century business environment, companies have to stay on the alert in terms of aligning their business strategy with the ever-changing business environment. Particularly, the international airlines market has become sensitive with rapid changes in the economic structure, increase in competition and government regulation (Cento, 2009). Ryanair, one of the low-cost international airline operators in Europe, has faced a number of challenges while operating in the dynamic market. The purpose of this essay is to make an analysis of the competitive ability of the company, point out specific problems and develop strategic adaptations for the company. Marketing analysis is concerned with the ability of a company within a specific industry to position itself as a top service provider. Hubbard, Rice, & Beamish (2008, p.69) defined industry as, a group of organizations or business units producing close substitutes. â€Å"Market† is a word which use very closely to â€Å"Industry.† Perhaps the most frequent word use as a substitute to â€Å"industry.† However, â€Å"market† defined as a group of consumers with similar needs. (Hubbard, Rice, & Beamish, 2008, p. 97). Evidently, each organization has operates within a particular industry and has a specific target market. Within an industry, organizations compete as a way of appealing to their target customer to purchase their service and products. On the other hand, the customers choose organizations that best suit their needs and purchase from organizations that best satisfy their tastes and

Communication Practices at Abellio ScotRail

Communication Practices at Abellio ScotRail Aim To investigate and establish the impact of internal communication practices on employee engagement and performance at Abellio ScotRail Ltd. Objectives In order to achieve the above aim, the below research objectives have equally been set out as: To critically review the literature on both concepts to enhance the understanding of the concepts and associated theories, and their interaction by exploring the meaning and drivers of employee engagement, as well as internal communications meaning and role as a vehicle to support organisation performance. To adopt a case study strategy, this will facilitate the collection and analysis of both primary and secondary information necessary for the baseline of this research. To critically examine the existing internal communication policy, and practices at Abellio ScotRail Ltd and their contribution to employee engagement. To critically analyse employees and managers perspectives of internal communication and employee engagement at Abellio ScotRail Ltd. To present and then discuss primary research findings through comparison with the literature to date. To draw conclusions from primary and secondary research before providing recommendations where appropriate. Literature Review Employee engagement is recognised as an important factor affecting organisational effectiveness, innovation, and competitiveness (Goodman et al, 2009). Consequently, several authors and professionals have made an empirical contribution towards establishing an explicit meaning and understanding of the concept, however, there are many definitions of the employee engagement as there are authors without any consensus on the subject. This paper aims to make a brief contribution by considering the role of communication in enhancing employee engagement. Goodman et al, (2009) research study identified employee engagement as one of the three top trends facing organisations and the term has its roots more in an academic exercise. Given a global leadership concern about employee engagement, human resources and communication professionals involved in internal communication management need an in-depth understanding of the concept so that they can develop strategies and tactics which would contrib ute to building engagement in the workplace. Additionally, internal communication has been suggested to be an important factor in the development of employment engagement. This study now intends to tackle the gap in the literature with a proposed model of the role of internal corporate communication in enhancing employee engagement. This section intends to firstly provide an overview of the evolution of the employee engagement concept, discussing definitional approaches, and highlighting components of engagement. Secondly, it discusses issues arising from the review concerning the nature of the concept, including its relationship with overlapping and related constructs such as commitment and motivation; and finally, it develops a corporate communication perspective of employee engagement. The Development of employee engagement Analysis of employee engagement literature has enabled the identification of stages in the development of the employee engagement concept, conceptualised here as a series of waves. Wave 1 (1990-1999) The wave begins in the 1990s with academic work on personal engagement been led by Kahn. His work has a significant impact without the direct use of employee engagement as concept in his qualitative research nevertheless, by using personal work engagement, he defined it as the harnessing of organisational members selves to their work roles; in engagement, people employ and express themselves physically, cognitively, and emotionally during role performance Kahn, (1990 p. 694) He further postulate the necessity of three psychological engagement conditions for an employee to engage themselves in their work role performance. Wave 2 (2000-2005) This second wave is characterised by professional consultancy firms that associated high engagement to increase corporate performance. Harter et al. (2003); Harter and Schmidt, (2008) made a report to Gallup Workplace Audit (GWA) questionnaire designed to measure series of elements that are called employee engagement. Consequently, they define employee engagement as a combination of cognitive and emotional antecedent variables in a work environment. Wave 3 (2006-2010) Taking the lead in the third wave of employee engagement work, Saks (2006) regards employee engagement as a concept more rooted in practitioner literature than academic literature. He is in agreement with Kahns view of employee engagement been consists of cognitive, emotional, and behavioural components. Equally in this league is the work of professional body such as the Chartered Institute of Personnel and Development (CIPD, 2006) as well as Bakker and Leiter, (2010) published work that throws more light on work engagement as it was then called William A. Kahn (1990) regard the concept of engagement in a workplace as the harnessing of organisational members selves to their work roles in his research study through which he identified three dimensions of engagement as emotional, physical and cognitive. Kahn (1990) developed the concepts of personal engagement and disengagement which are used in describing the behaviours by which people bring in or leave out their personal selves during work role performances. He defined personal engagement as the harnessing of organisation members selves to their work roles; in engagement, people employ and express themselves physically, cognitively, and emotionally during role performances. Personal disengagement was defined as the extrication of oneself from work roles; that is, people pull out and shield themselves physically, cognitively, or emotionally during work role performances. Kahn (1990, 1992), stated that employees can be engaged on one dimension and not the other. But, the more an employee is engaged on each dimension, the higher his personal engagement. In consequence of this, Kahn concentrated on the emotional, cognitive and physical aspect of engagement in his research study. In the work of Macey and Schneider (2008) engagement is defined along the line of the psychological state, trait, and behavioural engagement which is characterized by feelings of passion, energy, enthusiasm, and activation. Behavioural engagement is described as an adaptive behaviour; Trait engagement as a number of interconnected personalities while attributes relate to state engagement whether directly or indirectly to behavioural engagement. A different definition of employee engagement stems from the positive psychology champion by Maslach and Jackson (1981) with its centre of attention on the positive as against the negative aspects of work described as a burnout. They conducted a research on employee burnout and developed what is now known as the Maslach Burnout Inventory (MBI). According to Maslach and Jackson (1981), burnout is a psychological condition that ensues from persistent interpersonal relations at work. In addition, Schaufeli and Bakker (2004) in their view regard engagement as the exact positive diametric of workplace burnout. This is a reversal model score of the Maslach Burnout Inventory measurement of engagement, Maslach, et al, (2001). This indicated a low score on job fatigue and a high score on professional efficiency are indicators of engagement. Furthermore, Theresa M. Welbourne (2007) defined engagement in relation to the behaviour of the managers when she posits that engaged employees are those that work and prosper in the noncore job roles using a performance model she developed. The model identified six major roles that employees engage at work. These are (i) Core job-holder role, (ii) Entrepreneur/ innovator role, (iii) coming up with new ideas, participating in others innovations, (iv) Team member role, (v) Career role, and (vi) Organizational member role or citizenship role. Going by Saks, (2006) term, employee engagement is job and organisation engagements which are related but distinct constructs. They attributed the rationale for Employee engagement to Social exchange theory explaining that employees will choose to engage themselves to varying degrees and in response to the resources they receive from their organization. The two most dominant roles for most organizational members are their work role and their role as a member of an organization. In the opinion of Robinson et al (2004) employee engagement is an inspirational disposition held by the employee towards the organisation and its values. Gallup, as reported by Dernovsek (2008), compares employee engagement to the employees positive emotional sentimental attachment and commitment to the organisation. The CIPD (2016) recognises employee communication, better known as internal communication, as an essential part of the business and the HR function. It continues that effective internal communication is important for developing trust within an organisation and it is shown to have a significant impact on employee engagement, organisational culture and, ultimately, productivity (CIPD, 2016). This collaborates Boynton and Mishras (2014) earlier research study that examined the role of communication in the public relations (PR) industry and suggested that internal communication can play an important role in building trust and behaviour as shown by public relations professionals in the industry.

jesus :: essays research papers

Christianity: A rise in the Classical Period Even though Christianity developed later than many other religions, and caught on slowly, its ideas were very popular. Some people were disagreeing with Judaism, and therefore reformed their ideas to fit with those of Christianity. Paul of Tarsus (5 c. e. - 67 c. e) was considered the most important religious leader in the developing and spreading of Christian beliefs. For Paul to prove that Christianity is for all people, he wrote letters and epistles. The appeal of Paul’s letters to the Romans helped spread Christianity by setting a universal foundation to different communities all over Europe. The letters Paul wrote later became part of the New Testament of the Bible. Some people did accept Jesus as the Messiah, but others did not. Believers in Judaism were revolting against Jesus and his beliefs. The Roman government took Jesus into their control and Pontius Pilate demanded his crucifixion. However, a number of devoted followers were able to spread the story of Jesus. They pronounced that Jesus had overcome death, been resurrected and rose into Heaven. Of these followers the most important was Paul of Tarsus. Paul of Tarsus was on one occasion Jewish, but converted to Christianity. His strong will and ability to stand up for what he believed in led him to first have the courage to convert himself into Christianity, and to encourage others to do the same. He preached to a number of Jews and gentiles throughout Europe and Asia. Paul’s writings caught the attention and popularity of so many people, mainly Romans, because they were profound, in depth teachings, and words that were new and unfamiliar to many. The writings that Paul wrote accentuated the idea of Christianity being a religion for all people. In many of Paul’s ideas, one main concept was that of the introduction of Greco-Roman ideas, with the inclusion of Roman law. Of his writings, the letter from Paul to the Romans was the building block of the spread of Christianity. In the letters Paul begins to explain the truths of Christianity as they are known and are still used today. The idea of humans being able to be forgiven from sin is the one of the main key concepts included. Paul’s states that sin is an act of disobedience to god, but also states that it is not an act that cannot be forgiven.

The Traumatic Brain Injury Health And Social Care Essay

Traumatic hurt of the caput and encephalon has been a serious issue for world since the morning of civilisation. Even early Hagiographas in neurosurgery describe care of head hurt. The encephalon is a partly solid construction that weighs about 3 pounds and utilizes around 80 % of the organic structure ‘s entire volume ingestion of O ( Heegaard ) . When external force is applied, an change in encephalon map may ensue. This change in encephalon map is referred to as traumatic encephalon hurt ( TBI ) ( Menon ) . TBI occurs most normally after a sudden blow or daze to the caput ( Spencer ) . There are 3 primary mechanisms of TBI hurt: blunt, penetrating, and blast ( Nolan ) . TBI may be mild, moderate or terrible. Badness is frequently first determined by an initial test that includes appraisal on the Glasgow Coma Scale, and appraisal of the cranial nervus physiological reactions, which includes an appraisal of student size and responsiveness of the students, corneal physiological reaction, and joke physiological reaction, and a motor scrutiny. An test is besides done to measure for coincident cervical spinal column hurt ( Callahan ) . More advanced appraisal techniques, such as CT and MRI are utilized to measure TBI abuses as hurt advancements. There are two categorizations of TBI: primary abuses and secondary abuses. The primary abuse occurs at the minute of impact. The secondary abuse consists of the complications that result from the primary abuse. For illustration, the primary abuse may dwell of the displacement in encephalon tissues that consequences from a blow to the caput ( Menon ) . The secondary abuse may so dwell of the gradual puffiness that occurs in the injured encephalon. While TBI may look stray and trauma confined to the caput, it is in fact a complex, chronic, and dynamic procedure that requires consistent attending as associated affected organic structure systems are managed ( Losiniecki, Masel ) . Additionally, TBI presents otherwise and must be treated otherwise in different populations. Neonates, kids, and geriatric populations present in different ways and must be treated otherwise in neurosurgical units for both mild and terrible TBI.EPIDEMIOLOGY AND ETIOLOGYTBI is the taking cause of morbidity and mortality after injury ( Berry et al, in Ough ) and nowadayss as the taking global cause of morbidity and mortality in persons under 45 old ages of age ( Werner ) . TBI represents more than half of the injury related deceases in the United States ( Menaker. However, mortality from TBI has improved significantly over the past 2 decennaries as a consequence of betterments made in neurosurgical attention, turning away of serious comorbidities that can happen inmate, and intercessions in the public safety sector ( DeCuypere ) . The estimated one-year incidence of TBI in the United States is about 1.7 million happenings, with about 506 instances per each 100,000 ; this estimation does n't take into consideration TBI sustained by patients evaluated at military infirmaries or Veterans personal businesss, or those who are undiagnosed because they choose non to seek intervention ( Ough ) . Disclosed happening of TBI is greater in developing states ; this is mostly been attributed to increased rates in motor vehicle hurts ( Corrigan et al, in Ough ) . In the United States, major hazard factors associated with TBI are age, gender, and quality of insurance. While the most common causes of TBI are falling, motor vehicle hits, being hit by an object, and assault, age makes a difference when it comes to prevalence of hurt. Across the board, the greatest subscriber to TBI hurts, exigency room visits, and hospitalizations in the U.S. is falling, with the most frequent hurts happening in those under 4 old ages of age or over 75 old ages of age ( Faul, in Ough ) . The greatest subscriber to TBI hurts in persons 15 to 24 old ages of age is centrifugal vehicle hits. Motor vehicle hits besides have the highest mortality rate associated with TBI ( Faul, in Ough ) . In the paediatric population, major causes of TBI vary by age. In babies, inflicted TBI is the major cause of TBI ( Keenan, in Ough ) . In yearlings, falling is the major subscriber to TBI ( Giza, in Ough ) . In older kids and striplings, motor vehicle hits are the chief cause of TB I ( Faul, in Ough ) . Gender besides affairs. Males are twice every bit likely to endure a TBI as were females ( Faul et al, in Ough ) Additionally, uninsured or publically insured patients were twice every bit likely to endure TBI when compared with in private insured patients. In the United States, of the 1.1 million persons who suffer TBI each twelvemonth and are evaluated in the exigency room, 50,000 dice. Children 14 old ages of age and younger history for more than 2,600 deceases, and kids between the ages of 0 – 4 and 15 – 19 have the highest per centum of visits to the exigency room as a consequence of TBI. Adults older than 75 old ages of age have the highest per centum of hospitalizations and decease as a consequence of TBI ( Menaker ) . Initial rating of badness of TBI is similar to the initial rating done on all trauma patients. The initial test includes appraisal on the Glasgow Coma Scale, and appraisal of the cranial nervus physiological reactions, which includes an appraisal of student size and responsiveness of the students, corneal physiological reaction, and joke physiological reaction, and a motor scrutiny. An test is besides done to measure for coincident cervical spinal column hurt ( Callahan ) . From at that place, practicians must be watchful for ever-evolving secondary abuses, hurts that may include hypotension, anaemia, hypercarbia, acapnia, hypotension, intracranial high blood pressure, lesions that work to compact unaffected tissues, intellectual hydrops, and hypoxia.Epidemiology of Mild Traumatic Brain InjuryNinety per centum of TBIs are considered mild, with infrequent intracranial complications that are either life threatening ( 10 % of instances ) or necessitate neurosurgical intercession ( 1 % o f instances ) ( Vos ) . Approximately 275,000 hospital ratings occur every twelvemonth in the U.S. for nonfatal TBI. A concussion is considered a mild TBI ( Callahan ) . One survey ( McCrea et al, in Iverson ) on concussions in athleticss reported that 30 % of high school football participants indicated that they had suffered at least one concussion antecedently ; 15 % of participants indicated that they had suffered a concussion during the present football season. There are about 1.12 million mild TBIs each twelvemonth in the U.S. However, figure may be underestimated, as many persons who sustain mild TBI do non seek medical attending after being injured and are hence non evaluated in the exigency room or admitted into the infirmary ( Sosin, in Iverson ) .MechanismUnderstanding the mechanism of hurt is indispensable for proper intervention. This offers several indispensable chances to the health professional: the first is the chance to be assured that no facet of the initial hurt has been overlooked or missed ( Nolan ) ; the second is the chance to avoid possible complications secondary to the primary abuse. There are 3 primary mechanisms of TBI hurt: blunt, penetrating, and blast. However, it is the conveyance of energy to encephalon tissue that causes the subsequent harm. This conveyance may be summarized as follows: KE = M/2 x V2 in which KE = kinetic energy ; M = mass ; and V = speed. Beginning: ( Nolan )Blunt TraumaBlunt traumatic hurt is the most common cause of TBI. Blunt trauma often consequences from motor vehicle accidents, bike or bike accidents, falls, featuring accidents, or assaults. Motor vehicle accidents account for 50 % of all blunt traumatic hurts. This figure includes accidents that consist of motor vehicles, bikes, bikes, motor vehicle and prosaic hits. ( Nolan ) . Determining force of impact in blunt traumatic hurt, peculiarly in motor vehicle accidents, helps practicians predict badness of hurt, short and long term effects, and likely forecast. In motor vehicle accidents, force is determined by 5 different factors: mass ten acceleration, way, continuance, and rate. To give an illustration: If an unrestrained rider is thrown from an car going at 30 miles per hour, this is the same force of impact as if that individual fell from a 3 narrative edifice. Badness of hurt, and subsequent anticipation of effects can be determined by the per centum of impact the rider absorbs. For case, in a bike accident, the rider absorbs 100 % of the force of impact. TBI in bike accidents causes 75 % of all correlative deceases. However, if the rider wears a helmet, hazard of decease diminutions, because the rider will absorb a lower force of impact in the event of an accident. Similarly, if riders in cars wear safety belts, or are siting in cars equipped with air bags, the hazard of decease diminutions, because the rider will absorb a lower force of impact in the event of an accident than they would hold if they had hit a windscreen or a place unrestrained. It is of import for practicians to cognize if incoming patients with TBI were in accidents with or without keeping devices.Penetrating TraumaPenetrating traumatic hurt is the consequence of a blunt of crisp object perforating the skull. The encephalon is so exposed and the object enters the encephalon. While force of impact is a factor in badness of hurt in perforating injury, factors such as point of entry and angle and deepness of entry must besides be considered when finding extent and badness of hurts. The highest figure of deceases related to perforating TBI are attributable to gunshot lesions. Practitioners are good served in holding basic cognition of ballistic trajectories and kinematics. Put merely, ballistic trajectories trades with the flight mechanics of objects such as slugs. Kinematicss in human gesture trades with the survey of human placement, angles, and speed in assorted organic structure sections ( Richey ) . In handling gunshot lesions, these scientific disciplines may be used to find extent and badness of hurt by first finding flight, force, and gesture. Three factors that determing the extent of hurt in gunshot lesions are frontal country, speed, and distance. The frontal country is the surface country of the slug where it strikes an object. Velocity refers to rush and is cardinal in the general extent of the hurt. Higher speed means higher energyer, which translates into higher force of impact. What this basically translates into is that a little quality slug going really fast can make more harm than a big quality slug going easy, and high speed arms do more harm than average speed arms. Therefore, speed in an hurt is an of import consideration for practicians. Finally, distance refers to how far off the victim was from the arm that caused the harm. When there is great distance between the victim and the arm, there has been chance for air opposition to diminish the speed of the slug, which decreases energy and therefore descreases the subsequent force of impact. This means that cognizing the approximative distance between the victi m and the arm is of import for practicians in finding extent and badness of hurts, every bit good as finding possible secondary complications.Blast TraumaBlast traumatic hurt consequences from a combination of blunt and perforating force hurts and is going more common. Blast traumatic hurt is often seen in soldiers returning from war zones, and understanding the mechanics of blast traumatic hurt is of import for practicians so they can understand how to care for patients who have suffered these injuries.CategorizationTBI hurt may be classified as either primary or secondary.Primary AbusesThe primary abuse in TBI occurs at the minute of impact. The primary abuse is the initial physical supplanting of physical encephalon tissue ( Menon ) . When the impact occurs, the extent of badness of hurt may be determined by the extent to which intellectual perfusion force per unit area ( CPP ) is adequately maintained. This is gauged by analyzing autoregulation of intellectual blood flow ( CBF ) , which is approximately estimated through ciphering CPP by taking the difference between the average arterial force per unit area ( MAP ) and intracranial force per unit area ( ICP ) . Cerebral blood vass autoregulate and maintain the desired CBF by compressing and distending in response to altering physiologic conditions ( Zwienenberg, in Heegaard ) . However, in the event of injury, autoregulation and CBF are often disrupted. When there is direct tissue harm that leads to dis-regulation of intellectual blood flow, metamorphosis is in bend disrupted, which consequences in anaerobiotic metamorphosis. Anaerobic metamorphosis does non supply sufficient cell energy ; hence, this in bend leads to the depletion of ATP shops and the membrane ion pump fails, as it is dependent on cellular energy. When the membrane ion pump fails, there is aggregate membrane depolarisation and a release of a tide of excitant neurotransmitters. This in bend incites coevals of free groups. These events cascade and lead to necrotic cell decease, which so incites secondary abuses. The extent of alteration to these facets is straight correlated with clinical result ( Heegaard ) . Immediate cell decease is the consequence of the primary hurt, and this harm to the encephalon tissue is irreversible ( Albert-Weisenberger ) . This is why many interventions focus on the suppression of secondary abuse Cascadess to protect the unity of the staying neurological architecture.Secondary AbusesThe secondary abuse consists of the complications that result from the primary abuse. Secondary abuses evolve more easy than primary abuses. Secondary hurts are both the consequence of badness of the primary hurt and may lend to the deterioration of the result of the primary hurt. Additionally, the type and grade of the secondary hurt is a major make up one's minding factor in the concluding clinical result ( Heegaard ) . Secondary abuses can be either extracranial or intracranial ( Maas ) . Examples of extracranial secondary abuses are hypoxia, hypothermia, hyperthermy, and hypotension. Examples of intracranial secondary abuses are intracranial high blood pressure, lesions that work to impact unaffected tissues, and intellectual hydrops. Secondary abuses may hold utmost inauspicious effects should they happen either prehospital or in infirmary, and practicians should watch for happening of these hurts.PATHOPHYSIOLOGYGeneral PathophysiologyOne signature feature of TBI is diffuse axonal hurt, which occurs as a direct consequence of the injury ( Sahler ) . Diffuse axonal hurt consequences from rotational forces that are in drama during traumatic impact. This is an illustration of a primary abuse, or hurt. There is direct tissue harm that leads to dis-regulation of intellectual blood flow and disrupted metamorphosis, which consequences in anaerobiotic metamorphosis. Anaerobic metamorphosis does non suppl y sufficient cell energy ; hence, this in bend leads to the depletion of ATP shops and the membrane ion pump fails, as it is dependent on cellular energy. When the membrane ion pump fails, there is aggregate membrane depolarisation and a release of a tide of excitant neurotransmitters. This in bend incites coevals of free groups. These events cascade to organize a perfect storm that lead to necrotic cell decease. This so leads to secondary abuses that may include conditions such as hypotension, anaemia, hypercarbia, acapnia, hypotension, intracranial high blood pressure, lesions that work to compact unaffected tissues, intellectual hydrops, and hypoxia.Specific PathophysiologyCerebral Blood FlowThe extent of badness of hurt may be determined by the extent to which intellectual perfusion force per unit area ( CPP ) is adequately maintained. This is gauged by analyzing autoregulation of intellectual blood flow ( CBF ) , which is approximately estimated through ciphering CPP by taking the difference between the average arterial force per unit area ( MAP ) and intracranial force per unit area ( ICP ) . Cerebral blood vass autoregulate and maintain the desired CBF by compressing and distending in response to altering physiologic conditions ( Zwienenberg, in Heegaard ) . However, in the event of injury, autoregulation and CBF are often disrupted. The Brain Trauma Foundation offers guidelines for pull offing CPP in patients who have suffered terrible TBI. It is recommended that CPP be maintained at over 60 millimeters Hg in these patients, as it has been shown that a really low CPP carries a important hazard of intellectual ischaemia, which in bend triggers a cascade of damaging pathophysiological procedures that threaten the unity of encephalon constructions ( Zink et al ) .Cerebrovascular AutoregulationAfter TBI occurs, autoregulation of CBF – significance cerebrovascular bottleneck or dilation that occurs in response to either additions or lessenings in CPP – is impaired or wholly destroyed in most patients ( Werner ) . Defective autoregulation of CBF may show itself instantly after the injury or it may develop over clip, and it is either transient or persistent in nature irrespective of the badness of the harm caused. Additionally, autoregulatory vasoconstriction appears to be more immune than does autoregulatory vasodilation. This indicates that patients may be more sensitive to damage from lower instead than higher CPPs.Cerebral VasospasmAn of import secondary abuse that decides patient result ( 37, 51, from Werner ) is post-traumatic intellectual vasospasm, which occurs in over tierce of TBI patients. Vasospasm indicates terrible encephalon harm. The extent of hypoperfusion and temporal profile with post-traumatic vasospasm contrasts vasospasm that occurs post-aneurysmal subarachnoidal bleeding. Onset varies from twenty-four hours 2 to twenty-four hours 15 and hypoperfusion typically occurs in 50 % of patients that develop vasospasm.Cerebral Metabolic DysfunctionCerebral metamorphosis and energy are frequently reduced after TBI ( 15, 12, 18, 23 Werner ) . The grade of decrease or failure of metamorphosis straight relates to the badness of the primary abuse, and result is worse in patients with lower metabolic rates as compared to patients with minor or no intellectual metabolic disfunction ( 72 Werner ) . An alternate event, hypermetabolism, may besides happen ( 4, 9, in Werner ) . This event is driven by the brief ionic fluxation of the transmembrane with back-to-back neuroexcitation that are non sufficiently met by additions in CBF. This failure supports the cascade of secondary ischaemic hurt.Cerebral OxygenationA characterizing quality of TBI is the instability between the bringing and ingestion of intellectual O. This mismatch is induced by several vascular and hemodynamic mechanisms, but the common end point to be discussed is tissue hypoxia. The critical threshold of O force per unit area, as measured in the encephalon tissue of patients enduring from TBI indicates, is 15-10 millimeter Hg PtO2 ( 28, 56 ) . Below this threshold, infarction of the neural tissue occurs. Consequently, the extent and continuance of tissue hypoxia correlates with result. However, want of O to the encephalon with secondary encephalon harm may happen even with normal CPP or intracranial force per unit area ( ICP ) ( 65 ) .EdemaEdema formation is a frequent happening after TBI. Brain odema related to structural harm or osmotic instability prompted by the primary or secondary abuse. Vasogenic encephalon hydrops: Caused by autodigestive or mechanical break or the dislocation of the endothelial cells of the encephalon. This allows for uncontrolled ion and protein transportation from the intravascular encephalon to the interstitial encephalon, which prompts H2O accretion and increases extracellular infinite. ( 16,68 ) Cytoxic encephalon hydrops: The qualifying factor of this hydrops is the intracellular accretion of nerve cells, astrocytes, and microglia. This occurs irrespective of the vascular endothelial cell wall, and is caused by increased membrane permeableness, the failure of the ionic pump as a consequence of energy depletion, and reabsorbtion of osmotically active solutes ( 64, 68 ) Both vasogenic and cytoxic edemic relate to increased ICP and secondary ischaemic abuses ( 41, 42 )InflammationTBI prompts an array of immunological and inflammatory tissue responses. Both primary and secondary abuses prompt the release of free groups, proinflammatory cytokines, and prostaglandins.Necrosis and ApoptosisThere are two different types of cell decease that can happen after TBI. One is mortification, which is the localised decease of cells due to an hurt. The other is apoptosis, or the programmed decease of a cell. Necrosis occurs as a response to major mechanical or ischaemic hypoxic tissue harm associated with an inordinate release of excitatory amino acid neurotransmitters, which is besides accompanied by metabolic failure. Phospholipases, lipid, and proteases later autolyse the membrane and the ensuing cell dust is perceived to be an antigen that is so removed by imflammatory procedure. Scar tissue is later left in its topographic point. In programmed cell death, nerve cells are integral during the period instantly following injury and have equal ATP production. However, programmed cell death becomes evident hours or even yearss after the primary hurt. This occurs because programmed cell death is an immunological response that occurs in reaction to perceived immune menace ( Elmore ) . Immune menace may happen when cells are damaged, and hence programmed cell decease occurs to extinguish damaged cells.SIGNS/SYMPTOMSGlasgow Coma ScaleThe Glasgow Coma Scale is the major graduated table for finding extent and badness of abuse, and for determing the deepness and continuance of coma, as based on verbal public presentation, motor reactivity, and oculus gap to the appropriate stimulations. The GCS offers practicians the chance to estimate the impact of harm related to the primary abuse every bit good as ongoing and germinating harm as secondary abuses present themselves. The graduated table is as follows: Eye Opening Response: 4 Spontaneous – unfastened with winking 3 To verbal stimulation, bid, or address 2 To trouble merely 1 No response Verbal Response: 5 Oriented 4 Baffled conversation, but with the ability to react to inquiries 3 Inappropriate words 2 Inexplicable address 1 No response Motor Response: 6 Obeys bids for motion 5 Motion with intent in response to painful stimulations 4 Withdrawal from painful stimulations 3 Flexion in response to painful stimulations 2 Extension in response to painful stimulations 1 No response The entire mark is so calculated by adding the single tonss from oculus opening response, verbal response, and motor response and caput hurts are classified as follows: A GCS mark of 13 – 15 signifies minor caput hurt ; a GCS mark of 9 – 12 signifies moderate caput hurt ; and a GCS mark of ? 8 signifies terrible head hurt. Beginning: Center for disease control and prevention A patient is considered comatose if he or she has a GCS of 3 – 8, has no oculus gap, no verbalisation of words, and does non hold the ability to follow bids. Glasgow Coma Scale – Modified for Pediatrics ( Pons – Fr book ) Childs who have suffered TBI must be treated otherwise than grownups. The Glasgow Coma Scale has besides hence been modified for rating of kids and is scaled based on the age of the kid, as follows: EYE Opening: 1 twelvemonth: 4 Spontaneously 3 To verbal bid 2 To trouble 1 No response 0 – 1 twelvemonth: 4 Spontaneously 3 To shout 2 To trouble 1 No response BEST MOTOR RESPONSE: 1 twelvemonth: 6 Obeys 5 Localizes hurting 4 Flexion backdown 3 Flexion abnormal 2 Extension 1 No response 0 – 1 twelvemonth: 5 Localizes hurting 4 Flexion backdown 3 Flexion abnormal 2 Extension 1 No response BEST VERBAL RESPONSE: & A ; gt ; 5 old ages: 5 Oriented and converses 4 Disoriented and converses 3 Inappropriate words 2 Inexplicable sounds 1 No response 0 – 2 old ages: 5 Cries suitably, smilings, coos 4 Cries 3 Inappropriate weeping or shriek 2 Grunts 1 No response 2 – 5 old ages: 5 Appropriate words and phrases 4 Inappropriate words 3 Cries or shout 2 Grunts 1 No response The entire mark is so calculated by adding the single tonss from oculus gap, best motor response and best motor response. A GCS mark of 13 – 15 signifies minor caput hurt ; a GCS mark of 9 – 12 signifies moderate caput hurt ; and a GCS mark of ? 8 signifies terrible head hurt. Beginning: Pons – Fr bookDiagnosisIn general, naming TBI requires practicians maintain several things in head: First, while the basic mechanisms of TBI are easy distinctive, each TBI injury is alone and patients react otherwise when it comes to response to both primary and secondary abuses. Second, it is indispensable to detect non merely mechanics but besides to detectTBIIn any TBI, the practician must foremost find the fortunes of primary harm. The primary hurt can be either spread or focal. Focal hurts are customarily caused by direct impact to the caput. These by and large result in vascular hurts, cortical bruise, and bleeding that is accompanied by ischaemia ( Albert-Weisenberger ) . Diffuse hurts are customarily caused by acceleration-deceleration forces that leads to spread axonal harm ( Albert-Weisenberger ) .Mild TBIMild TBI falls onto a really wide spectrum ( Iverson ) . Mild TBI can run from mild neurometabolic encephalon alterations that have rapid recovery clip to permanent jobs that come as a consequence of structural encephalon harm. Mild TBI does n't needfully typically do encephalon harm, but it is errant to presume that it can non do encephalon harm. Given the wide spectrum mild TBI falls on, mild TBI is a really individualised hurt and must be treate d as such. The bulk of people who sustain mild TBI recover rapidly and to the full. However, there are some who sustain mild TBI who have long term jobs and necessitate long term attention. Long term jobs may be caused either by the primary abuse, by secondary factors, or by preexistent or co-existing factors that cause or exacerbate jobs. These preexistent or co-existing factors may include – but are non limited to – factors such as preexistent wellness or mental conditions, chronic hurting, and personality features. It is indispensable for practicians to see these and other factors that can do or worsen jobs after mild TBI in order to find extent of harm to the individual ‘s encephalon and if there is lasting harm. It is besides of import for practicians to find if the hurt is a complicated or unsophisticated mild TBI. This can be determined by using the undermentioned regulation ( Iverson ) : Complicated mild TBI is noted as holding structural abnormalcy that is seeable on neuroimaging Uncomplicated mild TBI is noted as holding normal neuroimaging Diagnosis of complicated versus unsophisticated mild TBI may be accomplished with a computed imaging ( CT ) scan. There are farther diagnostic standards for of both of these: Complicated Mild TBI is diagnosed if: The individual has a GCS mark of 13 – 15 but still shows encephalon abnormalcy of some sort, such as haematoma, bruises, or edema on CT or MRI ; or If the individual has a skull break Uncomplicated Mild TBI is diagnosed if: The individual has no intracranial abnormalcies and no skull break All other standards for badness Muse besides be in the mild scope Concussions are considered mild TBIs. This is the general diagnostic term utilized for mild caput hurts sustained in athleticss and are normally associated with good recovery. However, concussions are on a spectrum, as are other caput hurts in the mild TBI scope, and it is indispensable for practicians to cognize patient history when offering intervention.Traumatic Brain Injury in SportsTraumatic Brain Injury in the Geriatric PopulationTraumatic Brain Injury in Neonates, Children, and AdolescentsTraumatic Brain Injury in Military PopulationsTBI sustained by military populations may differ from TBI sustained by civilian populations, although the extent to which a difference exists, and what that difference may be, is presently unknown ( Maas ) . However, soldiers deployed in combat locations are more likely to endure blast TBI and perforating TBI than are civilians located in non-combat locations. Recent surveies estimated that about 10 % – 20 % of military personnels returning from Operation Iraqi Freedom and Operation Enduring Freedom tested positive for a likely TBI ( Hoge, Vasterling, Schell – in Maas ) . Further, soldiers enduring from mild TBI frequently find that TBI is complicated by post-traumatic emphasis upset ( PTSD ) , although exact incidence of comorbidity as compared to civilian populations is non known, since surveies of civilian populations with TBI do non normally include post-traumatic emphasis upset as a step. However, the issue of post-traumatic emphasis upset must non be minimized in military populations, because its effects may make a distinguishable and alone sensitiveness to the impact TBI has. For case, PTSD may do sleep perturbations, which can worsen TBI secondary abuse.Clinical HistoryIt is of import for practicians to observe whether or non patients who have suffered TBI have a history of old or multiple TBI, as these may both impact result. It is indispensable that each happening of TBI be recorded and that there be an accurate and accessible patient history detailing TBI happening to let for careful intervention of the current TBI.Physical ExamProbesTreatmentNeurorehabilitation is the basic term utilized to depict the general rehabilitation of those persons who have functional damages as a consequence of an hurt or disease that has affected the cardinal nervous system ( CNS ) ( Levine ) . Rehabilitation for TBI may be provided in a assortment of scenes, including ague and subactute installations, place attention, or outpatient attention. The appropriate location for rehabilitation depends on a figure of factors, including the badness of the initial hurt, the attached damages, the degree of demand for ongoing medical attention, and the length of clip that has passed since the initial hurt. Transportation to a rehabilitation scene is by and large considered one time a patient with TBI has been stabilized and no longer requires intensive attention intervention on a uninterrupted footing. However, certain standards must be met for admittance to an ague attention installation ( Levine ) . These include: Medical complexness necessitating specialised nursing expertness in rehabilitation and that a physician be present around the clock. Reasonable outlook that there will be betterment in map and discharge into the community within a sensible sum of clip. Deficits in map that require a lower limit of 3 hours of specialised rehabilitation therapy. Those who do n't run into the standards but who still can non return place because they suffer TBI related damages are to be considered for admittance to a subacute rehabilitation plan. Subacute rehabilitation plans provide less intensive medical and nursing intercession Home attention is intended for persons who no longer necessitateTreatment of Mild TBIEarly intercession is indispensable in people who have suffered a mild TBI, as early intercession, instruction, and confidence of a good result may cut down frequence of post-mild TBI symptoms such as memory loss, concern, and weariness ( Iverson ) . The chief end of early intercession plans is to advance uneventful recovery and the recommencement of normal activities, such as the return to work. Early intercession plans offer patients educational stuffs and appraisals such as neuropsychological testing, meetings with a healer, and entree to a squad that will assist in their recovery ( Ponsford, in Iverson ) . Education attempts are aimed at supplying information sing symptoms, likely recovery times, class and reassurance of recovery, and suggested get bying schemes to cover with post-mild TBI symptoms ( Ponsford, in Iverson ) . Depression is common after mild TBI, although the exact cause of the depression is frequently hard to find, as the cause is often multifactorial. Depression can originate as a reaction to the hurt itself, to life stressors either created in response to the hurt, or it could be preexistent. Depression rates in the first 3 months after a mild TBI have ranged from 12 % – 44 % ( Horner et al, in Iverson ) . Depression symptoms closely mirror those of post-concussive upset, supplying a diagnostic challenge for practicians. Given this, some research workers have merely recommended a class of antidepressant intervention ( Zafonte, 2002 in Iverson ) or cognitive behavioural therapy ( CBT ) ( Mittenberg in Iverson ) with orienting toward intervention of post-concussion syndrome. Other research workers have besides recommended these interventions with the add-on of exercising for mild depression ( Mead et al, in Iverson ) to better temper and self-pride.PrognosisEarly ConsequenceLate ConsequencesTBI incites an inflammatory response that activates the micro-glia in abode every bit good every bit good as white blood cells permeating from the cardinal nervous system. Post-traumatic redness may go on for many months or even old ages after the initial hurt ( Faden ) . TBI besides incites chronic and acute neurodegeneration ( Faden )PreventionTBI may be prevented by supplying persons with proper sa fety instruction on the types of bad behaviours that can take to TBI. Additionally, functionaries can work to place populations that are at particularly high hazard for enduring TBI. In making so, safety steps can so be instituted to assist take down the prevalence of TBI in these populations. Further, offering recommendations on safety cogwheel in high hazard athleticss and educating leaders ( ie managers ) in these countries may take to farther cut downing cases of TBI. Additionally, educating the populace on the difference safety points such as have oning safety belts while driving and siting in autos and have oning helmets while biking or siting a bike can do may take to lowered case of TBI. Besides, educating the populace on immaterial substances that increase the hazard of TBI, such as the usage of intoxicant, would be prudent, as avoiding the usage and maltreatment of such points may assist lower cases of TBI.DecisionTraumatic hurt of the caput and encephalon has been a serious issue for world since the morning of civilisation. When external force is applied, an change in encephalon map may ensue. This change in encephalon map is referred to as traumatic encephalon hurt ( TBI ) ( Menon ) . TBI occurs most normally after a sudden blow or daze to the caput ( Spencer ) . There are 3 primary mechanisms of TBI hurt: blunt, penetrating, and blast ( Nolan ) . TBI may be mild, moderate or terrible. There are two categorizations of TBI: primary abuses and secondary abuses. The primary abuse occurs at the minute of impact. The secondary abuse consists of the complications that result from the primary abuse. While TBI may look stray and trauma confined to the caput, it is in fact a complex, chronic, and dynamic procedure that requires consistent attending as associated affected organic structure systems are managed ( Losiniecki, Masel ) . Additionally, TBI presents otherwise and must be treated otherwise in different populations. Neonates, kids, and geriatric populations present in different ways and must be treated otherwise in neurosurgical units for both mild and terrible TBI. The hereafter of TBI sees research workers acknowledging the importance of and taking intiative in traveling toward standardisation in specifying TBI and informations aggregation across surveies of TBI ( Maas ) .

Utilization of Plastic Waste Production of Hollow Blocks and Bricks

The objective of this IP is to prove that plastics can be recycled into reusable hollow blocks/bricks and help the environment by lessening plastic waste. In this experiment, plastics were cut into small pieces to use them in bricks/hollow blocks.The objective of this project is to help prevent water pollution that causes flood, by collecting and using plastic wrappers in making hollow blocks and bricks. Plastic materials are commonly used in or daily lives. Plastic bags, wrappers, and other related products were introduced to substitute paper products. But now different problem arise because of the use of these materials. Land and water pollution are most common. Those plastic materials are improperly dumbed cause flood because plastic waste takes years to decompose. So one way to lessen those problems is to utilize those plastic waste products, instead of dumping them, and make them reusable. In this experiment we will demonstrate how plastic waste can be used in making hollow bloc ks and bricks.The product can only be used as decorative block and is not intended for building houses and the likes. Every day, we throw away large quantities of polymer in the form of plastic bottles, cartons, and yogurt pots. Experts estimate that 25 percent of polymer waste is unsuitable for recycling for three main reasons; it is economically unprofitable; and it is too dirty. Now, researchers from the Latvian Technological Center and the Institute of Polymer Mechanics at the University of Latvia have come up with a solution. Working with Hormigones Uniland, a Spanish cement company, the researchers have succeeded in turning thermoplastic polymer waste into a binding substance that could be mixed with other materials, like sand, to generate cement-free polymer concrete goods.â€Å"The polymer concrete bricks look like ordinary bricks made from cement,† says Dr. Juris Balodis, project manager at the Latvian Technological Centre. However, he points out that the polymer con crete absorbs less water† so it is very good for resisting temperature variations like freezing.† Both the European market and consumers are expected to benefit from this material, which can work well in a wide range of products,  including street furniture and street curbs. Dr. Balodis and his team are now researching how to accelerate the production of bricks. The current rate is three bricks per minute, but the team wants to increase production to between 30 and 60 bricks per minute.METHODOLOGYMaterials Plastic waste wrappers Cement Red cement Wafer PVC pipes Molder Basin Measuring cup StrainerPROCEDUREThe waste plastic materials were collected and cut into tiny pieces. A basin was prepared for the cement and plastic wrappers. Thirteen cups cement and 13 cups of plastic wrappers were poured into the basin and mixed well. A molder was prepared for the hollow blocks. Eleven cups of plastic wrappers and 11 cups of cement were mixed thoroughly. The mixture was then pour ed into the molder and allowed to dry for two days to ensure that it is firm before it is removed from the molder. For the bricks, two cups of cement, one cup of plastic wrappers, and one cup of red cement were mixed thoroughly. The mixture was then poured into the molder and allowed to dry for at least two days.Results and DiscussionThe following are the observations made on the resulting products: Ordinary Hollow Blocks†¢Long †¢Somewhat Brittle †¢Thick †¢Grayish White Ordinary Bricks †¢Hard †¢Thick †¢Wide †¢Easily Breaks †¢Brown Hollow Blocks with Plastic †¢Smaller in Size †¢More Durable †¢Thicker †¢Dirty White Bricks with Plastic †¢Harder †¢Thinner †¢Wider †¢Durable †¢Light RedConclusionWe therefore conclude that plastic waste can be used in the production of hollow blocks and bricks.Suggestion and RecommendationsThe Researchers recommend collecting plastic wrappers as well as other plastic waste and use or turn them into alternative products to and help the environment. This project can prove useful in homes. Those plastic wastes can be reused in a more profitable way. Lesser waste means lesser pollution in the environment.

DESCRIPTIVE ESSAY

DESCRIPTIVE ESSAY As we all know that an essay is a form of short piece of writing that is created to share authors point of view. An essay is a pedagogical tool used to teach and to improve students writing skills. One of the most common and widely-used essays is descriptive essay. Descriptive essay can be categorized as the type of academic writing that majorly focused on picking up of sensory sort of details. Â  Sensory details mean an authors perception like getting and understanding the sensory information. Sensory information is obtained through physiological capabilities of the body and processed through mind perception. By describing your own sensory perception in the descriptive essay, you are appealing to the readers. You major goal is to draw in the reader’s attention through his emotional, physical and intellectual involvement. While writing your descriptive essay, consider your audience, focus on getting the strong impression, use variety of linguistic descriptive tools to receive audience reaction. DESCRIPTIVE ESSAY Writing descriptive essay is an academic skill that requires some practice. The major knowledge about descriptive essay is actual knowing exactly what this type of writing requires. Initially, descriptive type of essay implies the excessive use of description methods. Prepare your mind to give the reader a full picture of the events that took place. Think of yourself as a reporter that is here to provide detailed descriptions of all things that happened at the specific time. By giving a full picture that may include momentary face expressions of participants or eminent gestures, the reader will be able to create a picture in his mind that is proven to fit the reality of description by 99%. To open up a secret to you, while many people agree that the information is perceived by the mind, but the actual information processing oftentimes is being conducted with the help of our subconscious mind as well. That is the reason that stands behind a good descriptive essay that is able to show all events in a format of descriptive writing to all readers in the same manner.

Waves in physics Essay Example

Waves in physics Essay Example Waves in physics Essay Waves in physics Essay Application of different type of waves in medicine Assessment type(s): MAP Criteria: A: One world, B: Communication in science Word count: 1000+ Explain the use of different waves in medicine. Your essay should: -explains how different type of waves are used to diagnose / cure different diseases. -discusses the effectiveness of science and its application in solving the problem or issue. -discusses and evaluates the implications of the use and application of science interacting with at least two of the following factors: moral, ethical, social, economic, political, cultural and environmental. You should also: -use sufficient scientific language correctly. -communicate scientific information effectively. -fully documents sources of information correctly, appropriate to the task The application of waves in medicine: Shock wave: Shock wave is one of the wave which is used in medicines. This wave was introduced 20 years ago. This application changed the treatment of Urologists. The formation of stony concretions in the bladder or urinary tract. Shock waves can treat kidney and urethral stones. Shock waves have also been used to treat fractures. The concept of orthopedic is that the shock wave reactivates healing, surrounding tissue and bones, by micro disruption which means disorder of vascular tissues to grow on local bases. It basically helps in healing and recovering tissues. Radio wave: We have learned about the understanding of radio waves by the experiments of Hertz. Radio waves are used to transfer the pattern of a patients heartbeat by a monitor to a patients home or to a nearby hospital. They are also used to convey the condition of a patient from an ambulance to a hospital so that they are ready for the tangents emergency. Radio waves are used in medicine when paramedics who is a person trained to do medical work are connected to the scene where they are to do for the upcoming patient. Electromagnetic wave: Electromagnetic waves are produced by the motion of electrically charged particles. These waves are also called electromagnetic radiation because they radiate from the electrically charged particles. They travel through empty space as well as through air and other substances. Electromagnetic waves at low frequencies are referred to as electromagnetic fields and those at very high frequencies are called electromagnetic radiations. Electromagnetic wave plays a big major role in daily life. Electromagnetic waves are used in communications, radio and television broadcasting, cellular networks and indoor wireless systems. From the results of innovations, the use of this field is very high as people prefer more of new technologies now a day. The increasing number of mobile phones users rise significant concerns due to its potential damage on people exposed by radionuclide waves. Since mobile phones are used in positions very close to the human body and require a large number of base station antennas, the public and the scientists have doubts on its damages on human body. Ultra sound: In sound waves, waves are send into bodies and are reflected back at the interface between tissues. The time taken by the waves to reflect and return tells the depth of the reflected area. The research for sound wave went across human life and had affected since the world war 2 when the research was being done during the war of sound negotiation and ranging. In sasss for gray scale images, in 1965 for real time imaging. And today used in medical imaging. Sound waves have two types of waves, specula which means reflection from large surface and scattered which means reflection from small surface. Ultra sound waves are used as medicines as it captures the internal organs and structures . Ultra sonic waves: The application of ultrasonic wave in medicine is that it used n x-rays and magnetic imaging. Among the various modern techniques for the imaging of internal organs, ultrasonic machines like x ray are very expensive including its treatment. Ultrasound is also used for treating Joint pains and for treating certain types of tumors for which the mentioned problems are heated. A very effective use of ultrasound deriving from its nature as a mechanical vibration is the elimination of kidney and bladder. One of the important advantages of ultrasound is that it is a mechanical vibration. It can also be used in places where x-ray is damaging. Ultrasound, on the other hand, gives good contrast between various types of soft tissue. All the included waves have advantages and are helpful in humans daily life. Some waves are also lawful in places where other medical machines are dangerous like ultrasonic waves instead of x-rays. Application of these waves also helps in economic development as more and more patients will do their surgery through these waves in medicine. Bibliography: Medical Physics Ultrasound. (n. D. ). Genesis Networks. Retrieved September 15, 2013, from Genesis. Net. AU/?a]s/pro]sects/medical ultrasonic (physics) : Medical applications Encyclopedia Britannica. (n. D. ). Encyclopedia Britannica. Retrieved ultrasonic/64038/Medical-applications Shock wave treatment in medicine. J Bios. 2005] Pumped INCUBI. (n. D. ). National Center for Biotechnology Information. Retrieved September 1 5, 2013, from Incubi. Ml. NIH. Gob/pumped/15933416 Radio. (n. D. ). Saint Mars Roman Catholic Church I Saint Mars Roman Catholic Church. Retrieved September 15, 2013, from Starry. Was/highlights/ physics/radio_l ultrasonic (physics) : Medical applications Encyclopedia Britannica. (n. D. ). Encyclopedia Britannica. Retrieved September 15, 2013, from http:// www. Britannica. Com/Upchucked/topic/613488/ultrasonic/64038/Medical-applications

Liquid and Other Types of Lunch

Liquid and Other Types of Lunch Liquid and Other Types of Lunch Liquid and Other Types of Lunch By Maeve Maddox Until recently, I’d assumed that lunch was a clipping of luncheon. Come to find out, the words originated separately. According to the OED, luncheon is of uncertain origin, but lunch is thought to have come from Spanish lonja, â€Å"a slice.† Both luncheon and lunch first referred to a thick piece of something, such as â€Å"a hunk of bread.† In time, both words came to mean â€Å"a light repast between mealtimes.† On the Ngram Viewer, lunch and luncheon cruise along in tandem until about 1880, when lunch pulls ahead. Luncheon peaks in the 1920s and then declines. By then, some middle class speakers had come to believe that lunch was a slang word derived from luncheon and complained about its use by the younger generation. Both words still refer to a meal lighter than dinner, but now have markedly different connotations. A Google search shows 625,000,000 results for lunch compared to 43,200,000 for luncheon. The latter has acquired connotations of formality and a kind of prissiness that do not attach to lunch. One â€Å"has lunch† but â€Å"attends a luncheon.† A Web search suggests a certain gender bias: â€Å"ladies’ luncheon† brings 374,000 results compared to 34,900 for â€Å"men’s luncheon.† The word lunch has found its way into several idioms. out to lunch A person who is â€Å"out to lunch† is unaware of what is going on around him: One [presidential] candidate is simply out to lunch, unaware until recently that there was even such a thing as Common Core. to lose one’s lunch â€Å"To lose one’s lunch† is â€Å"to throw up or vomit†: Once  the sight  would have  made me lose my lunch, but it didnt anymore. Was it a bad sign that I didnt throw up on the corpses anymore? to eat your lunch To have someone â€Å"eat your lunch† is â€Å"to be soundly defeated in some competition†: If you don’t develop a marketing strategy, your competitors will eat your lunch. no such thing as a free lunch All services, gifts, and ostensibly generous gestures will have hidden costs that the recipient must pay in the end: On the Internet, as elsewhere in life, there is  no such thing as a free lunch. [Free or low-cost online services need to be paid for somehow.] liquid lunch A â€Å"liquid lunch† is a â€Å"midday meal that leads to drunkenness.† An alarming 76 per cent of employees are coming back to work drunk after taking a â€Å"liquid lunch,† according to a new survey. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:Arrive To vs. Arrive AtFor Sale vs. On Sale40 Words Beginning with "Para-"

Nurse Leader Interview Essay Example | Topics and Well Written Essays - 1250 words

Nurse Leader Interview - Essay Example Being honest and fair to everyone, besides sharing information with everyone and operating an open door policy, should dominate the character traits of an effective leader. The leader should go deep to ensure that they have personal contact with their employees through either face-to-face meetings or phone calls to clarify issues or seek for suggestions. In case of a problem, the leader encourages everyone to listen and learn from one another in order to build cohesion and interactivity at the workplace. A good leader does not perceive one’s position as a status but, instead, a responsibility; the leader also understands that assigned authority means that the buck stops with them. For this reason, they bear the ultimate responsibility of making the final decision. Changes in Leadership Style Because of Evolving Leadership Role From my understanding, leadership is dynamic and nursing leaders find themselves adopting new leadership styles depending on situations. Long-term exper ience in leadership and circumstances opens nurse leaders to new leadership roles that make them adopt new styles of leadership. For instance, I have made tremendous changes in my leadership style over the recent years with a notable change being adoption of facilitative and transformational leadership traits. This change has been propagated by the new demands of the medical system, which requires nurse leaders to participate in strategic decision-making and facilitate growth and development in healthcare provision. There is no doubt that our healthcare system has been facing several challenges over a long period. However, there is a sigh of relief, as the system seems to be undoing a transformation process considering the newly enacted laws in the recent past that seek to fill in the existing gaps in the system. The Congress has been steadfast to address key concerns about the ever-escalating costs and variable quality that have dogged our system for a considerably long time. The P atient Protection and Affordable Care Act is one of such incredible roles played by the Congress to address major healthcare system challenges of the 21st century (Nordal, 2011). This law in real sense cannot just be seen as a big thing in the healthcare industry – it must be valued for being transformative. This law, among other things happening in the healthcare industry, both good and bad ones, is a clear manifestation that leadership in healthcare is not just about performing a job, but all about bringing difference. This means that nurse leadership will be about not only motivating, guiding and directing teams but also facilitating change and progress. The evolving role of healthcare leaders demands that they become part of the solution to the diverse challenges the healthcare system is facing nationally and at a professional level (Nordal, 2011). In other words, leaders should be adopting facilitative and transformational leadership traits as the healthcare industry is undergoing a transformation process characterized by standardized quality and increased access for all citizens. New recruits need to be integrated into the strategic objectives of the organization to ensure that they share the same vision with the existing veterans who already understand the facility’s strategic direction. Because I understood my new roles of leading my team into the vision of the medical system, I had to start by thinking about improvements and development as it is a great requirement for a transactional

Gun Control Research Paper Example | Topics and Well Written Essays - 1000 words

Gun Control - Research Paper Example In these regards, gun control had no real impact on the murder rate in these nations. An even more startling fact is that despite gun control in many nations, the murder rate has often risen; this again demonstrates that there is no direct correlation between gun control and reduced murder rates. When considering the statistical correlation between gun control and increased or decreased crime rates, there are a number of startling facts that demonstrate gun control is an effective policy. One of the most prevalent such examples of these trends occurs when statistically comparing Canada and the United States. In both 1991 and 1995 Canada enacted increasingly stringent gun control laws, while the United States largely held onto a liberal policy regarding gun control. Rather than demonstrating a reduction in crime relative to the United States, this period witnessed an actual rise in the rate of theft and violent crime throughout Canada (‘Gun Control Fact-Sheet.’). Similar statistical trends have also been demonstrated in European countries. In 1997, the United Kingdom passed some of the most stringent anti-gun laws in the Western hemisphere. In the wake of these regulations, it was demonstrated that in large part violent crimes rates did not increase but rose by as much as forty percent (‘Gun Control Fact-Sheet.’). ... In fact, statistics demonstrate that over the last seventy-years the United States has experienced noticeably lower murder rates than the United Kingdom. While the lot of this statistical evidence is open for interpretation, a general qualitative analysis demonstrates that rather than decreasing crime, gun control laws allow criminals increased levels of freedom as they can now commit crimes unhindered by the threat of lethal self-defense. In these regards, firearms can substantially be seen to be prominent self-defense mechanisms. In developing increased gun control laws countries are in-effect reducing citizens abilities to effectively defend themselves. In addition to the statistical evidence that demonstrates a correlation between gun control and increased crime rates, general quantitative and statistical research has demonstrated that in large part gun control laws are misguided. One of the most prominent research elements related to gun control considers it in relation to self- defense. While this essay has earlier demonstrated that the use of guns for self-control can be inferred from rising crime rates in nations that implement stringent gun control laws, further research attests to the actual use of guns in these self-defense actions. In fact, guns have been implemented in self-defense over 2.5 million times annually (‘Myth #3: Gun Control Has Reduced The Crime Rates In Other Countries’ ). When one considers this from another perspective, it indicates that more than 6,000 times a day guns are used for self-defense. Within the United States itself quantitative research has examined the Brady Law in regards to crime rates. The Brady Law is

English Only Debate Paper Assignment Example | Topics and Well Written Essays - 750 words

English Only Debate Paper - Assignment Example Schools should provide the language classes our immigrants and their families need, as long as their purpose is the teaching of EnglishBut we must stop the practice of multilingual education as a means of instilling ethnic pride or as therapy for low self-esteem or out of elitist guilt over a culture built on the traditions of the West." Those who support English Only tend to be United States citizens interested in preserving our long-held common language, those who want to avoid ethnic strife, those fighting civil rights improvements for minorities, those who long for national unity and civic responsibility, those who fear assimilation will be discouraged by bilingual education and voting, those with animosity towards immigrants, those who believe Hispanics and Asians already enjoy unfair advantages, those in political leadership attempting to set a tone of isolation, racists, and those who are threatened by the concept of diversity (Crawford, 1997). According to the National Education Association (2001, pg. ... My Personal Opinion I tend to take the neutral stance on highly controversial debates because I am not one to willingly face strong confrontation. However, if I had to choose a side, I would support the English only initiatives. The reasoning that opponents to the issue give actually supports the very reason why the initiative should go through. They say it is important to preserve native culture and language, and that's one of the main reasons why they are opposed to it. Well, what about the people that were raised in the United States Do they not deserve to have their culture and language preserved as well Conclusion The purpose of this assignment has been to compare and contrast both sides of the controversial issue and explain the writer's opinion on the English Only debate. Whereas both sides make convincing arguments, it still seems only natural that a country would get to keep its native language as its own. If too many cultures and languages are supported, the United States will become something its not and may very well come apart. References Crawford, J.W. (1997). The English Only movement. Issues in U.S. Language Policy. Retrieved March 16, 2008, from http://ourworld.compuserve.com/homepages/jWCRAWFORD/engonly.htm English Only. (2001). National Education

Quantitative Research Study Critique Article Example | Topics and Well Written Essays - 1750 words

Quantitative Research Study Critique - Article Example The main problem is that this study is unique and it does not involve human factors so it may not be reliable to use the researches conducted by other people since they may not be directly linked to the problem identified. In other words, it may appear as if the results of this particular study are generalizations of the results found by other researchers. This entails that there is no new information generated from the study since it is mere reproduction of known information that is only interpreted in a different way. 2. The study presents well organized literature review from published medical researches on the quality education literature during the last five years. The study also utilises good citation. For instance, Cook, Berkman & Bordage (2007) reviewed articles reporting experimental studies in medical education in published in six well respected medical journals from 2003 -2004 (Yucha et al, 2011). Somehow, the literature provides rationale for the study. To a certain exten t, it can be noted that the literature reviewed is related to the area of study given that it focused on aspects impacting the quality of research in medical education such as funding. ... For instance, 45 % contained literature review, 55 % presented a theoretical framework, 76% presented a statement of study purpose. This shows the shortcomings of the literature reviewed which should be taken into consideration in order to ascertain the validity and reliability of the literature used in the study. 3. The framework of the study is explicitly stated since it is mentioned that the research will specifically focus on reviewing published literature related to quality methodological and scientific impact of nursing education reports. They state from the onset that the selection criteria for the articles to be used in this study will be based on variables such as purpose, objectives, rationale, design, evaluation, interventions and significance of the study. Yuchi et al (2011) also state that article inclusion also involves factors such as quantitative research, focus on nursing students, featured descriptive, experimental as well as observational design. They also indicate that article exclusion would involve qualitative research, meta analysis, systematic and literature review. This gives us a clear framework of the study as well as the basic areas to be covered in the research. It can be observed that the framework map for the study is quite clear since it outlines the issues for inclusion as well as exclusion in the study. In other words, the map of the study narrows the focus of the study to the desired research context. The stated framework of the study is related to nursing since it clearly outlines the intention and purpose of the research. The study indicates that literature will be reviewed for the purpose of identifying the link between quality and nursing education in relation to aspects of

Art History Final Project Essay Example | Topics and Well Written Essays - 500 words - 1

Art History Final Project - Essay Example The Italian Renaissance is one of the longest periods of art. The Italian renaissance started from the 14th century to the 16th century. Italian Renaissance marks the development of art from the medieval period to early European Modern paintings. Why then are there only a few paintings existing today that were painted during this period? Well, the answer is quite simple. Since the world had not yet experienced globalization during this era, only a few paintings were spared and saved during this era. However, there were many painters in this era but only a few of them became famous. Most painters during this period, and the art periods before this did not gain fame from their art. This also explains the reason that Italian Renaissance paintings are rare and very expensive when compared to newer paintings. Italian Renaissance began in the city of Florence. Florence also developed the appreciation of art in value, when the rich people of Florence started viewing art as a valuable item. This then led to painters and artists viewing art as not only a hobby but also a way to make money (Benton & DiYanni 47). During this period of art, artists began viewing art as not only a part-time hobby but they made it a full-time job. This way, artists began to dedicate all their intellect, passion and time to painting thus improving the nature of their artworks from simple art forms to realist paintings. The Renaissance era also created a platform for genius painters to improve their skills, specializing more in art development. Innovative ideas and new ways of painting began to develop amongst many painters. Another major characteristic about the era was the fact that it not only led to improvement of art, but also the development of a philosophy termed as humanism. Humanism made people to question the wisdom and knowledge they had acquired and

Use atleast 2 primary sources and analyze those sources that are Essay

Use atleast 2 primary sources and analyze those sources that are historical events in American history after 1900 - Essay Example When the First World War was declared in 1914, America adopted a policy of isolation and neutrality because many Americans could not believe Europe was ready to descend into greater depths in war, as depicted by the trench warfare adopted in the course of the war (Zieger 63). Even though small groups in America like American-French and American Germans supported the country’s involvement in the war, the majority of Americans favored Woodrow Wilson’s approach to remain neutral, as he needed to listen to public opinion in order to guarantee re-election in 2016 (Zieger 4). As a result, Wilson took control of foreign policy issues because the causes of war extended beyond race, as seen in the world war. America’ neutrality was based on a premise that a European war would not interfere with American interests, as trade continued unabated, but threatening America’s interest after Germany sank the Lusitania prompted America to join the war in 1917. The French, British, Germans, and Austro-Hungarians who led their nations to war after the assassination of Archduke Franz Ferdinand made many errors, but their worst miscalculation was neglect of the American factor, especially in case of a prolonged war (Zieger 104). America keenly followed rapidly unfolding events in the international arena and seized the opportunity to influence the war transformed international arena positively in its favor by declaring war on Germany in 1917 after the sinking of Lusitania. America exploited its neutrality not only to facilitate trade in the international arena in the event of war, but also to strategize to take the glory of the war and challenge Western hegemony, and the Zimmerman note provided an opportunity for America to prepare for full-scale war in 1918 (Zieger 160). The Zimmerman letter was a telegram sent by Arthur Zimmermann, German

Art History Final Project Essay Example | Topics and Well Written Essays - 500 words - 1

Art History Final Project - Essay Example The Italian Renaissance is one of the longest periods of art. The Italian renaissance started from the 14th century to the 16th century. Italian Renaissance marks the development of art from the medieval period to early European Modern paintings. Why then are there only a few paintings existing today that were painted during this period? Well, the answer is quite simple. Since the world had not yet experienced globalization during this era, only a few paintings were spared and saved during this era. However, there were many painters in this era but only a few of them became famous. Most painters during this period, and the art periods before this did not gain fame from their art. This also explains the reason that Italian Renaissance paintings are rare and very expensive when compared to newer paintings. Italian Renaissance began in the city of Florence. Florence also developed the appreciation of art in value, when the rich people of Florence started viewing art as a valuable item. This then led to painters and artists viewing art as not only a hobby but also a way to make money (Benton & DiYanni 47). During this period of art, artists began viewing art as not only a part-time hobby but they made it a full-time job. This way, artists began to dedicate all their intellect, passion and time to painting thus improving the nature of their artworks from simple art forms to realist paintings. The Renaissance era also created a platform for genius painters to improve their skills, specializing more in art development. Innovative ideas and new ways of painting began to develop amongst many painters. Another major characteristic about the era was the fact that it not only led to improvement of art, but also the development of a philosophy termed as humanism. Humanism made people to question the wisdom and knowledge they had acquired and

Critique a Research Study Essay Example for Free

Critique a Research Study Essay The nursing research study I chose at the beginning of the semester was Impact of health literacy and patient trust on glycemic control in an urban USA population. The research article begins with a description of Diabetes, its consequences of the disease process, complications, economic cost, and the public health crisis that is foreseen over the next few decades. Research has shown that improvement of glycosylated hemoglobin concentration (HbA1c) in diabetics can have a significant positive impact on this impending critical condition. The second component of the article evaluates the impact health literacy and patient trust has on controlling and maintaining glycemic control in diabetics. The purpose of this article was to research a â€Å"quantitative study conducted to examine health literacy and patient trust as predictors of glycemic control (Mancuso, 2010)†. I believe the credibility of the research article was trustworthy, based on the research topics evaluated that are known in medicine to be accurate and valid. As a nurse, I am well aware of the impact health literacy and patient trust effect disease process and glycemic control. The research sample size evaluated by the article included one hundred and two participants with diabetes selected from two urban primary care clinics in the United States. Although I believe the sample size could’ve been larger, the final conclusions of health literacy and patient trust showed how important those factors are in influencing glycemic control. According to Polit, the presumed cause is the independent variable, and the presumed effect is the dependent or outcome variable (Polit Beck, 2014, p. 43)†. The Quantitative type of research design used in this study was Non-experimental/Observational study on the effects of health literacy and trust on glycemic control. â€Å"When researchers study the effect of a cause they cannot manipulate, they design correlation studies that examine relationships between variables. Correlation studies can be detected through statistical analysis ((Polit Beck, 2014, p. 159)†. The independent variables consisted of health literacy, patient trust, knowledge of diabetes, performance of self-care activities, and depression. These variables were measured with testing at the beginning of the study that yielded statistical results used to associate between variables. The dependent variable was the Hemoglobin A1c. Often the dependent variable can have multiple causes, which are examined in the article. The study also considered other related factors such as: demographics, socio-economic status, diabetes knowledge, self-care activities, and depression. I would categorize these variables with health literacy and patient trust as independent variables. The variation of factors can have a significant influence on the final outcome of HbA1c. This is the reason that research is essential for diabetes, to determine the influence these factors have on glycemic control. Evidenced-based interventions and approaches to improving glycemic control in the US population will help improve the current health crisis this country is facing, and will continue to face in the decades to come. â€Å"This was a cross-sectional study of patients with diabetes, utilizing several survey instruments and data sources (Mancuso, 2010)†. These 102 participants with diabetes were chosen from two free primary care clinics in the U. S. that met the criteria for the study. Reading comprehension test, scales, and screening through the use of surveys examined the independent variables. Testing for Hemoglobin A1c, a blood test, was conducted every six months to measure glycemic control for research purposes. I believe the design was appropriate because it was particular on the types of participants used for the study and factors that influenced the outcome according to the research article. Regardless of the level of participants, results of the study based its findings on the needs of the diabetic population. One of the strengths I identified early on in the research article was the research design chosen to evaluate glycemic control. The cross-sectional study of patients with diabetes utilized several survey instruments and data sources. The framework of the study helped to assess and predict the relationships between variables. Second, I felt the methods used to gather data was appropriate and beneficial to the research study. The data received was sufficient enough to research and observe. Finally, another strength I identified in the article was its reliability that correlated to Evidenced-Based data that guides clinical practice in nursing today. The final findings of the article support that the data collected and examined would help patient’s outcomes on increasing their glycemic control. Distinct weakness in the research study I identified first was the size of the sample that was chosen. With only one hundred and two participants from two different clinics, I felt that the sample size could have been more effective with larger numbers studied and in more areas of the country. The study also identified the recruited participants were from an uninsured population and identified the groups to have poor glycemic control. I believe the research study should have had a more diverse population of patients that would demonstrate how the US really is. Finally, the research article was evaluating health literacy; I believe that most patients who are illiterate would have been reluctant to participate in the study for fear of judgment and humiliation, thus not portraying the most accurate recruits. Evidenced-Based research is an essential component for the continual evolution of professional nursing practice. Research provides us with a solid foundation to ensure that nursing practice and interventions are based on scientific principles that have been proven to be effective. As professional nurses, we should strive to achieve the best outcomes for our patients. Through nursing research, we can expand our nursing knowledge and development to deliver healthcare based on guided research decision-making. In studying my research article, I believe that the strengths outweighed the weaknesses because the findings did correlate with Evidence-Based practice already known. After critiquing the research article, I support its findings on health literacy and glycemic control; they definitely contribute to Evidence-Based practice that should be implemented in nursing practice. Diabetes is a major health problem in the United States and also a major risk factor for other types of disease processes related to it. Health literacy, the ability to read, comprehend and comply with medical instructions is directly related to improved glycemic control. The research article I have chosen reflect the effects between health literacy and glycemic control in the United States population. Conclusions from the articles emphasize the need to communicate and educate patients effectively with low health literacy. As an emergency room, healthcare teaching plays an important role when discharging patients home with the correct information and education to manage their symptoms and disease processes. This research article applies to my nursing practice by pointing out the need to assess health literacy in-patients sent home or admitted with Diabetes. When we can determine that health literacy impacts glycemic control, we can take measures to help patients maintain their diabetes effectively. By understanding the relationship between education and health care outcomes, nursing can make a significant impact through effectively assessing the needs to provide adequate healthcare teaching. References Mancuso, J. (2010). Impact of health literacy and patient trust on glycemic control in an urban USA population. Nursing Health Sciences, 12(1), 94-104. doi:10. 1111/j. 1442- 2018. 2009. 00506. x Polit, D. F. , Beck, C. T. (2014). Essentials of nursing research: Appraising evidence for nursing practice. Philadelphia, PA: Wolters Kluwer Health /Lippincott Williams Wilkins.

What extent could government policies affect house prices

What extent could government policies affect house prices In 2009 British house prices has first to their annual decline since at least 2002. According to the British media, home prices in London actually faced the worse prices down 5.3%. The London Housing Prices are perhaps one of the most popular issues of discussion in UK. To some extent this is due to the fact housing prices have nearly trebled since the mid 1990s. Because of this landlords have seen huge gains of wealth which has left with a apparently impossible task for those trying for buying a house. Since the Wall Street crash in 1929, the economies situation in 2009 was described as the worst financial crisis. The unemployment, credit crunch, failing banks and businesses led the economy into a prolonged recession. The UK housing market is cyclical and is quite familiar with the booms and busts of the economic cycle. The UK housing market is very fundamental sector in the economy. The country performance as a whole is closely related with the performance of the housing market. Before the crises the situation of the countrys economy was that there was huge amount of money flowing in the economy, due to attractive demand banks were confident to lend the money, but the dealings of 2009 came about when the banks failed to collect all the money back they lent, therefore they reduced their lending which leads to collapse of large banks in the market. Ultimately the result effected the consumers that now it became difficult for them to obtain a mortgage from banks. Now the only way to get hold on a house left with cash transaction which results in fall in demand for housing. People started to rent a house rather buying. Therefore, a decrease in demand for housing results in house prices were failing. This is perhaps due to the factors that determine the prices of houses in a free market. So if we study the last three years of the housing market it will show us a very interesting picture. But at this stage we need to take into consideration those factors which affect the housing prices. Following are the key factors that play a very important role to determine housing prices in a free market Source: http://www.mortgageguideuk.co.uk/house-prices/what-factors-effect-house-prices/ Factors That Affect House Prices in UK House prices are affected by a combination of supply and demand factors. Demand Side Factors: These are the basic factor which plays an important role in determination of the house prices. If demand is higher than the supply housing prices will increase and if demand for the house is lower than the supply ultimately prices will decrease. The new housing societys development is very low in UK as compare to demand, which is the fundamental reason for higher housing prices. For house prices to fall, the demand would need to fall extensively. Of course there are many factors that determine demand for houses. Economic Growth / Real income. High economic growth and diminishing unemployment increases disposable income meaning people can spend more on buying a house. It also increases confidence in buying a house. Moreover, the significant rise in Per Capita Income enables people to spend more on buying a house in a free market. By tradition, the mortgage ratio was 3 times of the salary. For instance, if there is a person who earns  £20,000 the building society would led him  £60,000. Therefore, rising incomes leads to rise in housing demand which further enables house prices to rise. On the other hand if the economy goes into a recession and unemployment rises, the demand for buying houses would fall significantly. Interest Rates Interest rates affect the cost of paying for a mortgage. Mortgage Interest Rate is the most important factor that affects housing prices. The cost of interest payments on mortgage depends on the interest rate set by the Bank of England. If interest rates are raised, the cost of mortgage repayments rises this discourages people from buying and it may force people to sell. For instance, in 1992 interest rates were rose over 12% which caused a large fall in demand for housing and house prices fell. However, in 2009 interest rates have been cut very low (1.5%) but demand is still falling. Though it is cheap to pay a mortgage, but, this is outweighed by the fact mortgage availability is low and confidence is low. Availability of Mortgage Finance Study shows that in 50s, 60s and 70s, there were strict restrictions about the availability of finance. However, with the increase in deregulation of the banking sector there has been rise in competition in the number of mortgage products like interest only, self certification mortgages and mortgages up to 6 times income have enabled people to get more mortgages, which leads to increasing demand for housing. However, during the credit crunch of 2008, the number of mortgage products on offer fell due to a deficiency of finance in the money markets which leads to decrease in demand. Demographics / Population The growing levels of net migration are increasing demand for houses. The immigration from Eastern Europe, like Poland and Romania are enhancing the UK population. Therefore, initiating increase in demand. Moreover, growing number of households are demographic changes such as number of people living alone. E.g. rising divorce rates have raised number of single people living alone. Future Price Expectations. There is an aspect of hesitant buying in the housing Market. This is mainly the case in the buy to let market. When people look forward to falling house prices in 2008, it may give confidence to people to sell and cash in their capital gains. If we are not careful falling prices can create a multiplier effect where others are positive to sell. Obviously, most people buy a house to live in, not as an investment. But, diminishing prices will encourage some prospective homeowners to rent rather than buy. Speculation Everyone doesnt buy a house to live in it. An increasing number of property investors buy houses to try and make both capital gains and income from renting. During the past few decades the number of buy to let investors in the UK has risen. Although UK house prices have increased faster than inflation, renting has also become expensive which is the main substitute to buying a house. Supply side Factors This is a second most important factor that affects the housing prices in a free market. A decrease in supply is also responsible to raise housing prices, especially in long term. Some predict UK housing prices will significantly rise in long term due to long-term shortage of supply. In the US housing market, they currently have a surplus of supply so a bounce back in the property market is unlikely. In the short run Supply of housing is fixed because it takes time to build houses. Therefore in the short run demand affects prices more than supply. However if the supply of housing is inelastic then an increase in demand will lead to a big increase in price. In the long Run the supply of housing is affected by many factors: Market Reaction If people observe house prices increasing and they expect prices to keep on rising, more people will buy a house. Also, when confidence in the market is high, lenders are more willing to lend mortgages with small deposits / large income multiples. But now in 2009 confidence is very low, people see house prices falling so dont want to buy and banks dont want to lend mortgages without a big deposit. Location The locality causes major variations in UK house prices by geographical area. Even within different areas of London, house prices can vary terrifically. Availability of planning permission. This is difficult to obtain in rural areas. Opportunity cost for builders e.g. are there better returns from other types of investment. Existing houses may be knocked down because they are deemed unfit to live in. An increase in the cost of building new houses will shift supply to the left. In the UK, it is argued there is a significant shortage of housing is this explains why house prices have risen much faster than inflation and earnings. However, in the US, the supply of housing increased in the period upto 2008 and therefore, the excess supply and falling demand led to a big fall in demand. However, it is important to note that house prices can still fall, even if there is a shortage of supply. In 1992, house prices in London fell over 20%, even though we can say supply is inelastic. A shortage of supply just means they will be on average higher. It doesnt mean they are incapable of falling. http://www.uk-houseprices.co.uk/housing_market/factors_affecting_prices.html Why House Prices are falling in the UK Since the peak in July 2007, UK house prices have fallen considerably. Following are the main reasons for falling house prices: Difficulty of Getting Mortgage due to credit crunch. Low affordability (high house price to income ratios) Economic recession and rising unemployment. Nobody wants to buy when house prices are falling. Government Interventions in Determining the Interest Rate in UK It is the responsibility of Monetary Policy Committee (MPC) and Bank of England to set Interest rates in UK. The MPC works independently from the Government. Before 1997, interest rates used to be set by the Chancellor. It was argued, with a degree of justification, interest rates were subject to political motivation. The government now just sets the MPC an inflation target of CPI = 2% +/- 1. The MPC aims to keep inflation as close to this target as possible. If inflation is above or below this level, the governor of the Bank of England has to write a letter of explanation to the chancellor. In theory, they only target inflation; however in practice they may consider the effects of interest rate changes on economic growth, unemployment, and to a lesser extent the housing market and the exchange rate. http://www.articleclick.com/Article/Factors-that-Affect-Property-Value/2491 The Government is in a way trying to prevent house prices falling by: Bailing out banks and encouraging them to lend e.g. RBS, Northern Rock etc. The MPC is drastically cutting interest rates to make borrowing cheaper. The government is putting pressure on the banks to pass these rate cuts on. Reduction in VAT and increased spending, could limit the extent of the recession. On the other hand, in the current economic crises it is difficult to see any government policy which could successfully prevent house prices fall. This is due to that there is a very strong negative momentum in houses prices, people think that they are overvalued and banks dont want to lend. Hence it doesnt make any difference what so ever government says or tries to do. The only policy which really would have stabilized house prices would be better stabilization of the credit boom and bust. If the government had forced banks to save more and share credit in the boom, the boom would have been less and banks would now have more resources to maintain lending in the current recession. So, the government cant really stop house prices falling. But, they should find much better policies to prevent a repeat of the boom and bust we have experienced twice in the past 17 years. London Housing Market Problems in the London Housing Market First Time Buyers struggling to get on Property Ladder The house prices have been increasing faster than incomes, which is making it more difficult for first time buyers to get on the property ladder. According to the Halifax the first time buyers in London need an average deposit of over  £41,000. So it becomes difficult for them to arrange the huge initial investment to get hold on a house. Supply Growing slower than demand The number of new houses and housing societies being built in London is very low. The main reason for this is the limited area of land within the city where new houses can be built. However the demand for various factors is keep on growing, such as net immigration and changing demographic factors. Shortage of Housing for Key Public Sector Workers The high rise in house prices to earnings means that there are many public sector workers like; nurses, teachers, fireman, policeman and civil servants are struggling to get hold on the property. For instance, comparing the average income of teachers in Greater London, the ration of House Prices has increased 4 times income (2003) to 7 times income (2009). With a shortage of key public sector workers the NHS, for example, has to encourage the migration of foreign nurses to fill the many gaps in its London hospitals. Speculative Buying creating potential for Boom and Bust There is a significant rises in house prices has been seen by the London Housing Market, regardless of the monetary falls in the early 1990s, it is seen as a good investment. As a result it has encouraged investors from abroad and UK to buy a house and make huge capital gains. In response to this the market has squeezed by increase in demand. Facts about London Housing Market There are over three million households in London. The amount of new developments of houses and housing societies in London represents a very tiny proportion of the total stock even less than 0.5 percent. London House Prices Average London property price is :  £351,028 April 2007 The most expensive area is Kensington, Knightsbridge and Chelsea average house price is  £918,000. The cheapest area in London is Barking and Dagenham where average house price is  £181,802. 1990s the market witnessed falling prices with some house owners experiencing negative equity. The supply and demand graph show what has happened, due to declining incomes and consumer confidence and growing unemployment, the demand for housing shifted to left from D1 to D2. The Initial price was at P1 but due to surplus supply where demand go beyond supply) there was downward force on prices to decline to P2. Therefore the housing market in this case restricted from area 0P1E1Q TO 0P2E2Q. The supply curve for housing at any moment is actually unchanging. So a decrease in demand decreases prices rather than Quantity. After the utmost recession the UK economy jumps into action with an increase in GDP of 0.1%. The current position of the housing market in the UK is quite astonishing. House prices have been increasing constantly since May 2009 according to nationwide. With the low interest levels of 0.5% by the Bank of England have helped make mortgages more reasonable. Some argue that house prices have risen due to a shortage in supply since home owners are tentative to sell at current prices. The diagram shows a pointed recover in the prices of houses from early 2009, and a constant rise up till now. Source: http://www.bankofengland.co.uk A further explanation for this sharp rise in prices could be due to a lack of supply in the housing market. There is ambiguity in the market which is averting people from putting their estate on the market, this theory of hesitation and reluctance to put the property on the market can be down on a supply and demand diagram below. Source: http://www.nationwide.co.uk/hpi/archive.htm S2 P3 S S1Higher demand with squat supply has lead to the situation in the diagram. Due to low interest rates, affordability of housing has improved, lifting demand from D1 to D2. At the same time reluctant home owners have not put their properties on the ladder, leading to a fall in supply for houses from S1 to S. Overall this creates an upward force on prices from P1 to P3. Q2 Q Prediction: Anticipating amidst such an unsure economic environment can gently be depicted a challenge. Reviewing at the data of house prices it can be said that in the short-term future prices are probable to increase, as they have done in recent times, but in the medium to long-term are possible to fell down. House prices are possible to change with respect to region; London is most probably going to see a relative raise in prices as other area may not see such a positive coefficient of growth in prices. It is essential to be rational in ones judgement since interest are indubitably going to rise, an signal that mortgage rates will rise thats why demand will decrease in the housing sector, gloomy prices. Pay rates are likely to increase again in the next few years, results in more confidence and belief in buyers so one could argue demand may rise. Assumption will also play an important role; housing is generally seen as a good investment, and buying a property during the start of the growth ca n lead to great rewards, if house prices go on increasing. But it is simple said than done, the economy is on a feeble improvement, increased taxes are likely and the public is expected to cut back their expenditure as people will wish to cut the size of their liability load. Interest rates will play a important role, there are many factors that will keep interest rates low; the UK budget deficit is increasing to 12% of GDP, this shows a deprived financial position of the government. To get better their position the government will compel lofty taxes and lower expenditures. But if taxes rise, this depreciation fiscal policy could slow down improvement so interest rates are likely to stay low. Given the overall fragile revival the Central Bank is to be expected to keep interest rates low. Given the increase of VAT back up to 17.5%, expanding oil prices and growing house prices the government may raise the traditionally low interest rates to stop any future inflationary anxiety, but i n my judgment interest rates if they will raise in the near future are not likely to increase before the end of 2010. Source: http://www.economicshelp.org/ onomics/uk-economy-2010/ http://www.mortgageguidk.co.uk/blog/interestinterest-rate-predions/http://www.statistics.gov.uk/cgget.asp?id=19 Conclusion In general it seems that the UKs housing market has seen the poorer, and is expected to enjoy its boom days in the near future. But it is hard to evaluate the healing as it will depend upon the future interest rate. The size of the interest rate will have its according impact, if we experience a reasonable increase in the interest rate than we can anticipate a good constant recovery while mortgage repayments will not shoot up and people will have time to adjust to the increase, expecting that peoples earnings rise along with the interest rate. A big raise in the interest rate might slow down the Housing market growth, since there will be a rapid variation in the mortgage repayments, this may further discourage the housing market transferring the economy into a double-dip recession. The performance of the economy is a key role in the next few years, and this is extremely dependent upon government policies. To risen the overall economic growth, government may try an augmentation strate gy, but this again will be very arguable as the government is already in a poor financial picture. So the government wishes to play around with its tools it has in hand to twist the economy back into a secure position, which will then along with it lead to a health UK Housing market.