Thursday, February 6, 2020

Patient Information Sheet and consent form Essay

Patient Information Sheet and consent form - Essay Example The results of this test will give us more specific data regarding your fitness and cardiac health that will be used to further customise your pulmonary rehabilitation program. In 2014, all the patients, who participate in pulmonary rehabilitation at the Repatriation General Hospital, will be asked to do this maximal exercise cycle test as part of the standard pre pulmonary rehabilitation assessment. Data of this test will be used to further adjust your pulmonary rehabilitation exercises. If you participate in this research project, there is a 50% chance that you will and a 50% chance that you will not get this maximal exercise cycle test (we will decide this with the help of a computer program). If you will not be asked to do the maximal exercise cycle test, you will be offered the same pulmonary rehabilitation program that has been offered in the Repatriation General Hospital until the end of 2013. Instead of the maximal exercise cycle test, data of the walk test will be used to fit the pulmonary rehabilitation program. Programs without maximal exercise cycle test are offered in most of the centers around Australia. At the end of 2014, we will evaluate, whether the use of the extra maximal cycle test leads to further increase of the effects of pulmonary rehabilitation. If this is the case, the standard use of the maximal exercise cycle test will be continued. If not, we most probably decide to go back to the previously used pulmonary rehabilitation approach. If you agree to particiate, we will use the measurements that will be done as part of your pulmonary rehabilitation measurements (at the start, by the 8th week, and end of the program). So, you will be asked to do three sets of measurements: before the start of the program, after 8 weeks, and at the end of the program. All measurements include: completing a set of questionaires, a walking test, and breathing test. You will

Tuesday, January 28, 2020

Creative writing Essay Example for Free

Creative writing Essay On Writing by Stephen King is a memoir of the craft of the job as a published author, mainly aimed toward the aspiring ones. The book is divided up into three sections. The first section titled C. V. was all authentic glimpses into King’s life and featured interesting little episodes that King considered his ‘life lessons’ or things that sparked his sense of humor. It also provided a very important part in the basic aspects of being a good writer: King grew up loving to read and read frequently. He started writing and submitting his work at an early age and that’s where C. V. paints the picture of a real-life struggling novelist: how he had to work at several different crummy, though nevertheless interesting, and inspiring book setting jobs while supporting a family, a drug habit, and a fairly large and fairly flawed manuscript. The second section was titled On Writing, a section I found the most interesting and identified the most with as part of being both an aspiring author and a curious one. In this portion of the memoir of the craft, King gives you, flat-out but not in a patronizing tone, what you need to succeed as a decent writer. The best way to summarize how I felt about the section as a whole is this: when he revealed that he taught high school English for several years before the success of Carrie, I was desperately jealous of those students. But at the end of the day, I suppose any reader that is interested enough in King could always be his student by picking up book after book of his and becoming transfixed by his material and intelligence from cover to cover. Lastly, there’s the last section of the book, where King explores his painful memories of the accident from when an oblivious man in a blue van literally ran King over during one of his notorious thought-processing walks. The man, in attempt to calm down his Rottweiler’s in the backseat, veered off road and took King clear off his feet. This section of the book is about that and his slow road to recovery. It literally wrenched my heart when he talked of his wife setting up a table in the stuffy hall that he sat at to write for the first time. It was obvious that writing is more than just a business occupation and it becomes obvious in this section that King has a true passion for the craft. Despite it being far from the definitive writer’s guideline, this book takes on a unique perspective on creative writing spectrum. King lays down the law and then he teaches it, essentially. He shares his techniques, his pet peeves, and his own personal horrific experiences both as child and adult and he does it all within the defined space of what all he can say on a printed page. And he does it well. He constructs a personal ending with tragedy, growth, and experience within a tight covering of his famous storytelling style. And overall, I think Stephen King wrote this simply because he could. He knew it is a select audience that is going to read it and those fans who don’t ever care to be writers won’t read this book. Maybe I’m wrong and they might with the mindset that they might gain some secret insight into the mind of their idol and let me just tell you firsthand if that is the case, they will be disappointed. In not so many words, King says exactly the same thing himself. â€Å"There is no secret to my storytelling. It just is what it is. As true as I can say it, it’s just a lot of hard work, dedication, time, and exceled patience. All of which, I had to learn on my own,† King writes. Lastly, in the heart of the book, in the section On Writing, King writes, â€Å"Now comes the big question: What are you going to write about? And the equally big answer: Anything you damn well want. Anything at all as long as you tell the truth. Your truth. † That’s the biggest lesson I took away from this. But there is more, believe it or not. You can tell it from his writing. And before he gets to the end, King goes ahead and lets the cat out of the bag when he is writing about beginning again after his debilitating accident. He writes, â€Å"I feel that buzz of happiness, that sense of having found the right words and put them in a line. It’s like lifting off in an airplane: you’re on the ground, on the ground, on the ground and then you’re up, riding on a magical cushion of air and prince of all you survey. That makes me happy because it’s what I was made to do. † As a human, I was touched by his childhood anecdotes and often laughed with him about his insecurities. I am still in awe at what he has recently had to overcome physically. But as a writer, I am grateful for a brief glimpse into his vocational, bright burning world. I gained confidence from learning about things I have been doing right and have changed many bad habits or wrongdoings I’d been screwing up on obliviously the entire time because sometimes the coldest hands to wrap around your neck are the true ones. The only bad thing I can say about this book is that it’s too short, something one rarely has the opportunity to state regarding the beloved author. And a huge thank you goes to the beloved author himself Stephen King for a brief indulgence into the life of a genius storyteller.

Monday, January 20, 2020

Ecotage :: Environmental Activism Essays

Ecotage In recent decades, as environmental loss has grown as fast as our population, hundreds of plans, programs, groups and organizations have been established in order to uncover and solve the causes of world-wide environmental destruction. Many of these programs are initiated and funded by federal, state and local government and are mainly targeted at general problems and result in minimal success. Other groups have been formed by private parties who usually hold more compassion and concern for the causes they are working for. However, these organizations are easily hindered by political resistance and result in equally discouraging results. Of course, there have been many instances in which environmental groups have attained victory through political debates and litigation; yet the amount of failed attempts far outweighs the victories. Political debating is incredibly difficult due to the power and financial support given to politicians by special interest groups. However, there is one other form of activism which has had an incredible success rate, at least in gaining attention and forcing their voices to be heard. This form of activism, commonly referred to as ecotage, focuses precisely on the activities of companies and industries which seriously damage the environment. These actions are never aimed at harming individuals, while private property is for the destroying. One common act of ecotage is the driving of long metal spikes vertically through the base of trees. Subsequently, as the logger attempts to saw the 'spiked' tree, the chain on the saw snaps, thus delaying the murder of the tree as well as causing a financial burden for the individual or company. Other activities involve ruining bulldozers by adding sand or similar abrasives to the gasoline, which results in seized bulldozer engines. In times of increased urgency for the protection of our remaining ecosystems, organizations such as Greenpeace and Earth First! have proven their ability to be effective and have their voices heard regarding the permanent preservation of our dwindling environment. While Greenpeace has been the traditional radical environmentalist group of the 70's and 80's, modern, revolutionary type activists feel the 'peace' is now a higher priority than the 'green'. Earth First!, started by Dave Forman, has become the front-runner in civil disobedience and direct, non-violent environmental activism. Their principles are simple, "It is a belief in biocentrism, or Deep Ecology, and a practice of putting our beliefs into action" (Unclaimed, 1997 [see references]). Earth First! feels no regard for the well-being of anyone or thing except the environment and its natural inhabitants, thus the name Earth First!.

Sunday, January 12, 2020

Development from conception to age 16 years Essay

E1. 0-3 – Social and Emotional. Babies around the age of 0-3 will learn how to make eye contact, smile and laugh at others, this will get adults attention and start to form good bonds between the baby and mother. Within social development children learn to make friends and understand the importance of social development skills which will help them success in their personal and professional lives. Babies start to socialise and from bond attachments with people who they normally see the most such as their parents and other family members. Children start to understand all different kinds of social skills. For example, babies and young toddlers will learn to share and take turns during activities and normal everyday routines. Babies need a lot of stimulation in order for their brain to develop and to make opportunities to physically use their body. As babies gradually get older and get to the age of 2, you will realise that they start to change and feel a lot more emotions in themselves, such as temper tantrums. 0-3 – Language and Communication. Babies around the age of 0-3 will experience how to communicate well and understand how communication works. They will start to recognise people’s voices such as their parents and other family members. By being able to recognise their voices will help babies realise who they are and who they should turn to. As babies start growing up they can understand different words and sounds that come from their parents in order to start saying things themselves, such as ‘mama’ or ‘dada’. You will find that babies often talk to themselves but as a parent it may be difficult to try understand what they are saying or trying to say. E2. 3-7 – Social and Emotional. Children at the age of 3-7 will have much more of an understanding of their social and emotional development than when they were a baby. Children react differently and will have gained a lot more understanding of what social development is all about. For example children at this age will know a lot more about sharing and taking turns during activities. For example they will realise that sharing and taking turns is important as they will begin school and there will be many more children in which they will be involved in. Most children at this age enjoy playing and working with others but the very few may like to work and play on their own. Socialising is how children learn to relate to other people and follow what is normal in their society. E.g. Manners and toilet training. Children at this age range can have many mixtures of emotions. This aspect helps children how to learn to express their feelings and how to control and manage them. 3-7 – Language and Communication. During the age of 3-4 children are able to use language well and fairly grammatically although there will be some speech immaturity. Children at this age are able to form good sentences and start to ask question such as ‘why?’ and are able to understand what kind of answers adults feedback to them. At the age of 5-7 children are more likely to understand how to do things on their own. For example they can say their own name, how old they are and be able to recognise different information about themselves. At this age children will also have a good interest in reading and writing. This is important for children as it helps them benefit a lot with their language and communication. They are able to recognise and understand bigger words which they won’t have heard before. (Meggitt C (2006) Page what†¦ E3. Explain two theoretical perspectives relevant to the areas of development. Lev Vygotsky. – Vygotsky believed that children understand language and communication by having good interaction skills between themselves and other people. Vygotsky thought that by the age of 2-3 children should use language to control their behaviour and thoughts. This would explain their feelings by talking out loud. Vygotsky also believed that children develop different communication, expressions and explanation by children playing and interacting with other children either at home or in school. Therefore in schools he said that play was significant for learning and children should help each other through play, this will help children understand the importance of socialising. Children use facial expressions and body language in order to understand what has been said to them. Vygotsky suggested that thought and language began as two different activities. When a baby babbles the baby is not using babbling as a way of thinking, therefore the baby is learning to talk. Jerome Bruner. – Bruner believed that all children learn by having to make their own choices and having the change to have different opportunities in able for them to learn. Independence comes into this theory as independence is a massive impact on children as they should learn to do things for themselves instead of asking an adult. Bruner believed that children learn through different activities such as reading, writing and drawing. He felt that adults should guide and support children during activities like these so he or she could reach their potential. Adults guiding and supporting children is called â€Å"scaffolding†, which helps children to develop their knowledge and understanding. E4. Include three observations as appendices. E5. Written Narrative Observation – Narrative Observations is a lot of detailed information about what the child is doing and what you see. Time Sampling Observation – Observing what happens in a short period of time. Tick List Observation – A list of things an observer looks at when observing children. E6/C1. When you work in childcare settings you are always working with young children, their families and other professionals. You should know that confidentiality is a massive impact when working in childcare settings. Confidential information concerning children or their families should never be discussed with anyone, or written down anywhere as confidentiality is the right of every child and parent whether the information is spoken, written down or on a computer. When working on observations it is also important that you maintain confidentiality. When observing children it is important that you write down all correct information about the child and not write anything that is unnecessary. After observing children you should make sure that all information on observations should be stored away properly which means in a safe and secure place. This is so nobody is able to see what has been written down about the particular child except the person who is responsible for the child, for example the child’s name. It is also important that the name of the setting should stay confidentiality as it could be passed on to people who it may not concern. D1/D2. The observations I carried out showed that child A was confident as she showed she could play alongside her friends, by sharing and taking turns within playing with the babies. Child A was acting out different roles such as mum, dad, brothers and sisters and dressing up. Child A showed that she was being independent by different equipment herself which she needed. For example, she decided she wanted to feed her baby therefore she got out the feeding equipment herself and fed her baby independently. Child A showed that she was particularly interested in playing in the home corner as she stuck to this for a long period of time and didn’t change to a different activity. She showed love and affection to the baby treating it as a real human and looked after her. As child A was playing in the home corner she made sure she was including each of her friends by letting them join in with her and playing nicely. By playing in the home corner it supports children’s needs by helping them with their gross and fine motor skills, such as children will try out new thing containing gross and fine motor skills. B1. When you are working on observations it is important that you plan everything before you start the observation in order for you to look back on the planning and know what you are able to do, and follow everything when it comes to doing them. Talk about working alongside with other parents and professionals†¦ Make sure you are doing the correct observations†¦ Knowing if the observation has gone good or bad? Evaluate and reflect on them†¦ A. There are 4 key components of attachment which are Safe Haven, Secure Base, Proximity Maintenance and Separation Distress. John Bowlby used the word attachment so children could experience bonding with more than one person. He was one of the first people to recognise the needs of babies and young children and a strong relationship with their careers. Attachment is about parents being available to meet their child’s needs and being aware of security within their children. He said that bonds which are formed at a young age have a huge impact on children throughout their lives. Babies and young children who do not have bonds or find it difficult creating bond with other people may find it hard to form relationships in their later life, but he suggested that is was important for babies and young children to have some form of attachment or bond with their mother Mary Ainsworth also looked at attachment working alongside with John Bowlby. She is also a theorist who also looks at attachment in young children. Mary Ainsworth looked at how babies reacted when they were left with a complete stranger then being back with their parents again. This links in with behaviour attachment.

Saturday, January 4, 2020

The Discovery Of Leonardo Da Vinci - 1529 Words

History Leonardo da Vinci made a concept of a step less continuously variable transmission in 1940 but the first patent for a friction-based belt CVT was filed in Europe by Daimler and Benz in 1886 and a US Patent for a CVT was granted in 1935.Also In 1910 Zenith Motorcycles built a V2-Motorcycle with the Gradua-Gear which was a Continuously VariableTransmission. This Zenith-Gradua was so successful in hillclimb events that it was eventually produced widely so that other manufacturers could give there racers a chance to win. A Continuously Variable Transmissions, called Variomatic was designed and built by Hub van Doorne the co-founder of Van Doorne s Automobiel Fabriek in the late 1950s specifically to produce an automatic transmission for a small affordable car. The first DAF car using van Doorne s CVT was the DAF 600, which was produced in 1958. Van Doorne s patents were later transferred to a company called VDT Van Doorne Transmissie B.V. when the passenger car division was sold to Volvo in 1975 its CVT was used in the Volvo 340. Many snowmobiles use a rubber belt CVT and also in 1974, Rokon offered a motorcycle with a rubber belt CVT. CVTs are used in some ATVs, The first ATV equipped with CVT was Suzuki s LT80 in 1987. In the late 1990s Nissan designed its own CVT that allowed for higher torque and included a torque converter. This gearbox was used in a number of Japanese market models; Nissan is also the only car maker to bring a roller-based CVT to the market inShow MoreRelatedAnalysis Of Vasari s Work, Reflection And European Society903 Words   |  4 PagesVasari s work -- reflection to European society in Renaissance Beside discovery, the world history often left its trace through written words, and we never would have understood the Renaissance period without the brilliant writer Giorgio Vasari. 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Friday, December 27, 2019

Essay about Persuasive Speech We Must Fight Homelessness

Specific Purpose: To persuade my audience to help fight homelessness Central Idea: With more help for the homeless we can make America better for everyone Attention I. Imagine for a moment that youre not in this classroom. A. Instead your outside, but you not walking to class or your dorm, your living there. B. Imagine for a moment that you yourself are homeless. 1. You have no shelter 2. When it rains your wet 3. When its cold your freezing 4. You have no money C. This is what life is like for many Americans each day D. Today I would like to encourage you to donate your time or money to†¦show more content†¦C. Declining wages have put housing out of reach for many workers. 1. In every state, more than minimum wage is needed to afford a one or two bedroom apartment. 2. According to a study by the U.S. Conference of Mayors in 1998, a minimum wage worker would have to work 87 hours a week to afford a two bedroom apartment. 3. This insufficient income leaves many people homeless. D. Another contribution to homelessness is serious health problems. 1. Over 41 million Americans have no health care insurance according to the U.S. Bureau of Census. 2. Homelessness severely impacts health and well being a. With the exception of obesity, strokes, and cancer, homeless people are far more likely to suffer from every category of severe health problem. b. Conditions which require regular, uninterrupted treatment, such as HIV/AIDS, addictive disorders, and mental disorders are extremely difficult to treat or control among those without adequate housing. c. Housing is the first from of treatment for homeless people with medical problems. (Transition: It should be clear by now that the homeless epidemic in the U.S. is a problem, so let’s look at some ways we can help.) Satisfaction I. Homelessness is not a problem that will just go away, but we can help fight the problem A. One way to help is to volunteer your time. 1. Working at soup kitchens not only benefit the homeless, but alsoShow MoreRelated Animal Farm and A Modest Proposal Essay2687 Words   |  11 Pagessituation of homelessness in Ireland. Also, both of the pieces are satirical. Animal Farm ridicules the ordinary Russian people for being gullible, and A Modest Proposal mocks politicians who ignore sensible suggestions and come up with extreme ones. In the build up to his speech, Old Major first clears his throat, to gain all of the animals attention. The fact that all he has to do is clear his throat to do this, gives the impression that he is authoritative, and in control. We are given theRead More Criminalization of Poverty in Capitalist America Essay3029 Words   |  13 Pagesbelieve we all will agree that the United States is a nation of criminals. From its inception as a settler nation, exiled British criminals stole the land and lives from Native Americans and Africans. They justified their actions with making and defining the law of the land, for example defining Africans as 3/5 of a man during slavery. Hence the power to define is an awesome power. It is the power of propaganda. It is the ability to manipulate our ideas, to limit our agenda, to mold how we see, andRead MoreWe Need Talk About Kevin8189 Words   |  33 PagesText Title – We Need Talk About Kevin Text Type - Visual Author – Lynne Ramsay The movie is shoot in the past and present going back and forth, where Tilda is experiencing the aftermath of her family’s death, and the past, delving deeper into the way her son treated her. We need to talk about Kevin tells us the story about a fractious relationship between a mother and her son. Tilda goes through intense grief and violence after a homicidal massacre where Kevin had killed 15 people with this bowRead MoreDeveloping Management Skills404131 Words   |  1617 PagesWorksheet 661 APPENDIX I GLOSSARY 673 683 APPENDIX II REFERENCES NAME INDEX 705 709 713 SUBJECT INDEX COMBINED INDEX xvi CONTENTS P R E FA C E What’s New in This Edition? Based on suggestions from reviewers, instructors, and students we have made a number of changes in the eighth edition of Developing Management Skills. †¢ Added new skill assessments in Chapter 1 and a new case in Chapter 3. †¢ Revised parts of the book to reflect suggestions and feedback from instructors and students

Wednesday, December 18, 2019

Informative Speech Outline-Kab Essay - 816 Words

Informative Speech Outline General Purpose: To Inform Specific Purpose: To inform Students about The Keep-A-Breast Organization Central Idea: I’d like to inform students about The History of Keep-A-Breast Organization, Who the Keep-A-Breast Organization is, and how they get young adults interested in Prevention of Breast Cancer. Introduction I. Breast Cancer. An uncontrolled growth of breast cells referring to a malignant tumor that has developed from cells in the Breast. In 2010, an estimated 207,090 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along†¦show more content†¦Both Darden and Gehrig had an amazing expertise in Fashion Design, photography, and event production 3. They Created a awareness campaign like no other using the power of art to communicate to the world about health and the female form, and ultimately about breast cancer. B. KAB has produced fundraising events throughout the U.S., Canada, Australia, and Europ e 1. On behalf of more known organizations throughout the world. C. KAB has touched base with some of Today’s most progressive artists, celebrities, and athletes and has shown their dedication at various events. 1. Sheppard Fairey, Dita Von Tesse, pro surfers Lisa Anderson and Layne Beachley, musicians Tom Delonge of Angels and Airwaves, Katy Perry, Pink, Maya Ford of the Donnas, The Foo Fighters and many more. Transition: As a Result, The History of KAB is quite amazing; But, who exactly is Keep-A-Breast? II. Who KAB really is. A. Choosing Keep-A-Breast as the organizations name. 1. The name was different, understandable, and related to breast cancer prevention. B. abreast means to stay up to date with latest news and information. 1. KAB strives to keep up with the latest news on breast cancer 2. Once the world knows the knowledge of breast cancer, you have the power to reduce breast cancer, hence keep