Wednesday, November 27, 2019

buy custom The California Sutter Health Approach essay

buy custom The California Sutter Health Approach essay Sutter Heath is nonprofit organization which is headquartered in Sacramento, California. It provides health care and other hospital services to patients in over a hundred communities in Northern Californian towns and cities. Its doctors and other health service providers share expertise so as to advance access to Medicare. The organization is named after its Californian pioneer, John Sutter. Its establishment followed epidemics that occurred around fort Sutter. These tragic events prompted community leaders to construct a Sutter Hospital with an aim replacing an adobe structure that previously served as an improvised health facility. Sutter Health has been implementing other programs that facilitate patients welfare. For instance, according to Souza and McCarty, the organization is in a process of implementing strategies that are focused on offering discounted medical care to uninsured Californians. As a network of Californias most qualified medical organizations, Sutter Health is able to provide services such as cardiac and cancer care as well as women and children services at an advanced level of safety technology to the less fortunate members of the society (Gamble, 2011). The 21st century technology has facilitated advancement in Sutter Health. In fact, this organization was among the first to employ the bar code technology in its intensive care units so as to increase medical safety. In addition to providing health services, Californian Sutter Health has dedicating effort towards lean practices such as hospital designing. To implement such lean projects, Sutter Health refers to five big ideas which are recommended to project teams (Souza McCarty, 2007). The first idea is collaboration. Design is carried out after an interactive discussion with all stakeholders. Secondly, there are increased relations amongst all the project participants. In building health care facilities, collaboration, innovation and extensive learning are required as these projects are long-term and complex. Failed relations may lead to hindrances such as poor delivery of projects capital and difficulties in altering the design. Thirdly, projects should be networks of commitments. Projects require good coordination and thus, management has a duty to activate and articulate unequaled networks. They are also entitled to bring coherence to such networks in times when uncertain future is evident, thus creating a certain future with other project participants. Fourth, optimize the project as a whole and not in pieces. Priorities should be given to the whole project since failure of one piece is ultimately failure of the whole project. In some circumstances, managers may be forced to press their employees to speed up and lowering the cost of operations, hence a shoddy work being done. In Sutter Health, there is a greater opportunity as well as responsibility to ensuring reduction of workers exposure to risks during the construction of the projects. This results to more than 50% safety improvements on the work site. The fifth and the final idea is learning a firmly couple action. A continuous improvement of schedule, overall project value and cost is possible when project participants learn by effectively engaging in it. In their team selection, Sutter Health looks forward to forming project teams from the construction and design community. Facility Planning and Development Department focuses on forming an all inclusive project team, which does not allow for bosses and slaves but they are based on the principle of equality. The selection of construction managers, and architects is a competitive process and transparent and done early to ensure their innovation and participation. Sutter Health has based its risk management on several approaches. One of them is shared risk, aiming at reducing the risk of the entire project. Commercial terms also require a joint managing of contingency funds that are available to compensate risks that are not eliminated. Sutter Health aims at raising the designs quality by maintaining that design costs be sustained through a resource encumbered work plan. Disputes that arise are jointly managed as well. Sutter Health does this aiming maximization of an opportunity design ed for party-controlled dispute elimination. While developing their incentives, Sutter Health rewards the construction and the design team for achieving a superior performance and having successfully exceeded the project prospects and targets. Again, Sutter Health uses the incentives to encourage a higher performance founded upon their goals (Parrish et al, 2008). Sutter Health puts challenges to their vendors, to learn skills that are required in planning for Lean Project Delivery. Buy custom The California Sutter Health Approach essay

Saturday, November 23, 2019

Exercise in Revising Descriptive Sentences

Exercise in Revising Descriptive Sentences This revision exercise will give you practice in writing with specific descriptive details. Instructions Heres the opening sentence from a students report on what she saw one afternoon on a city street: One brisk afternoon in late September, I took a walk down Prospect Street. What follows are six sentences from the students first draft. Revise each of these sentences according to the suggestions. If you think one of your new sentences is too long, break it up into two or three shorter sentences. Of course, theres no single set of correct answers to this exercise. Rely on your imagination to create details that are precise and vivid. Prospect Street Music thudded out of the shop and mingled with some of the other noises of the city. Identify the kind of music that thudded out of the shop, name the shop, and give specific examples of the other noises of the city. Garbage danced along the sidewalk and lay crushed against the curb. For the word garbage, substitute specific examples of litter. A woman reading a book was sitting there. Briefly describe the woman, identify the book she was reading, and specify where she was sitting. Steam blew out of the air vents of a restaurant, carrying with it various smells. Name the restaurant, and identify some of the smells coming out of it. An old man was talking to Annie, even though he was walking by himself. Describe the old man in more detail. A red-faced man was pleading with a traffic cop as the cop was doing something. What was the cop doing? The answers to this exercise are limited only by your imagination. Example Rewritten Descriptive Sentences Electro-pop  thudded out of Shikis Fashions and mingled with the noise of growling engines, pneumatic drills, and people gossiping, arguing, and bargaining on the busy street.Garbage danced along the sidewalk and lay crushed against the curb: cellophane chip bags, crumpled cigarette packs, wine bottles, empty soda cans, and yellow foam boxes from a burger joint.A shrunken woman, with ragged hair bobby-pinned to her skull, was sitting on the curb, moving her lips as she read a romance novel.Steam blew out of the air vents at Dwights Diner, carrying with it smells of coffee, chili, and chicken noodle soup.An old man with a scraggly beard was arguing loudly with a woman he called Annie, even though he was walking by himself.A red-faced man was pleading with a traffic cop, who was calmly filling out a jaywalking ticket.

Thursday, November 21, 2019

Success in Social Commerce Essay Example | Topics and Well Written Essays - 1750 words - 1

Success in Social Commerce - Essay Example It is a fact well known around the world that social networking has accrued a large scale acceptance and usage amongst the contemporary consumers. Yet, there is no dearth of businesses that have failed to exploit the full potential of the opportunities available at the social networking sites like Facebook and to be able to use them as viable channels to engage customers. However, on the other side there is no dearth of companies that prove beyond doubt that social commerce holds an immense potential for the companies that know how to milk the business potential inherent in the social networking sites. It is a fact that the businesses that know as to how to exploit the large volumes of freely available data at the social networking sites that is self maintained on a continual basis by the potential consumers and are able to personalize that data and the associated portals to enhance the overall consumer experience could accrue much in terms of business success (Shen, 2012, p. 198). T he Future of Social Commerce Though, the skeptics tend to bemoan the fact that social commerce constitutes a mere fraction of the total retail business, yet if one goes by the ongoing trends, it would not be wrong to say that the social commerce is expanding at a pace that is much fast as compared to the offline retail (Griffiths & Howard, 2008, p. 70). Social commerce is bound to expand and could be expected to appropriate a major chunk of the retail business, considering the fact that the contemporary consumers are not only spending a greater time on the mobile devices and social networking sites, but the proactive and innovative companies are enhancing the opportunities whereby the consumers could make purchase on the social networking sites (Griffiths & Howard, 2008). The social networking sites like Twitter and Facebook are making it much easier for the consumer to engage in one-stop-shop experience. Right from the job of purchasing and getting delivered the gifts for the loved ones to buying branded products from a brand’s Twitters hashtag post or its Facebook page, social commerce is extending such opportunities to the conventional consumers that are not only hassle free and easy to use, but are also accompanied by readily available customer reviews, pre purchase assistance and after sale services. Social commerce has the potential to fuel consumer sales by molding and channelizing their shared interest and propensities. It is not a wonder that irrespective of the fact that though the social commerce today is being dominated by the online businesses like Amazon, Macy’s, Target and Apple, the online shopping businesses like Beyond the Rack, HauteLook, and ShoeDazzle are increasing and enhancing their social commerce presence. These companies retain a very strong and engaging presence at Twitter and Facebook. No wonder engaging in social commerce is a potent and viable way not only to enhance a businesses’ online presence, but also to translate into viable online sales. Besides, social commerce could also be adapted and manipulated to accrue much word of mouth publicity. For instance there is no dearth of the consumers who are willing to post a review about a particular business, provide they are offered a lucrative and attractive deal. Social commerce is a double edged sword with innate possibilities and opportunities. By helping the consumers the businesses could help themselves grow and by enervating the consumers

Tuesday, November 19, 2019

Kaizen and T.Q.M Essay Example | Topics and Well Written Essays - 2250 words

Kaizen and T.Q.M - Essay Example Brief History and contribution of Dr Deming: After the Second World War, Dr. Deming who was the expert on statistical procedures and quality management started spreading his expertise in Japan and this gave rise as the foundation brick gave risk to a complete profession in the name of Total Quality Management. Japanese started implementing these principles in the industrial arena and found out its fruits in form of increased yield and customer satisfaction. Deming was assisted in his efforts by Juran and Ishikawa. T.Q.M is acronym for â€Å"Total Quality Management†, as the name implies it takes into account all the factors of organization that can have an impact on the life of organization, its working and its output. T.Q.M is a concept and at the same time a philosophy and hence has a very vast scope. Since, its rules and working mechanism are so flexible which enables this philosophy to be implemented in both the service industry and the manufacturing industry. It is based on the principles of Continuous Quality Improvement (C.Q.I) initiatives which makes improvement and quality maintenance as part of the organizational activities (Roy, 2007). This philosophy is termed as the bench mark towards achieving excellence in the corporate environment since it provides sufficient guidance for all the necessary aspects. T.Q.M can be split into three major parts, totality, quality, and management. Its scope covers all three important areas of an organization and management field. The term totality refers to the coverage scope for all the essential aspects of organization. The totality factor demands participation, commitment from every personnel who is part of the organization. Ranging from top management individuals to supervisors and shop floor workers, each is expected to provide input and contribute in any way possible. Apart from individuals, the totality factor is fully applicable to the teams and departments and divisions within the organizations. The totality factor addresses the human resource management department, marketing, finance, and all other important departments of the network that have can any positive or negative impact on the organization. The totality factor takes into account all the processes that are involved during the manufacturing stages as well the service delivery stage s (kawatra, 2000). Role of Inspectors: Prior to the implementation of T.Q.M, the inspectors were integral part of organizational framework. Their role was to monitor the performance of various departments and individuals associated. This consumed a lot of resources and department had to bear the burden of a special extra department in the name of inspection department. With the advent of Total Quality Management, the inspectors are no more needed, since the system is devised in such a manner which holds each department and individual responsible for their own role and performance. The large amount of resources and time that used to be consumed and wasted by inspection processes is controlled through the implementation of T.Q.M system. The second part of the acronym is â€Å"Q† which stands for quality. Quality is a subjective definition and can be defined in number of ways. However it can have a pretty simple definition which makes work easy both for the organization and the customers. Quality service or product can be defined as that particular service or product which is in accordance with the demand of customer and fulfils the conformance level. In past a small â€Å"q† was used in the field of marketing and organizations. This did not cover all the aspects of organizational structure. With small â€Å"q† in practice, the onus of productivity and responsibility was largely emphasized on

Sunday, November 17, 2019

Issues in special education Essay Example for Free

Issues in special education Essay Legal disputes between parents and school officials can be very costly. The cost is not just in dollars. It also involves costs in terms of the diversion of resources, the toll on school personnel, and, most importantly, the breakdown in the relationship between the parents and the school. The best way to deal with a legal dispute is to prevent it from occurring in the first place. In 1975 Congress passed landmark legislation designed to provide the nations students with disabilities with unprecedented access to educational services. Originally known as the Education for All Handicapped Children Act (1975), that legislation is now known by its new title, the Individuals with Disabilities Education Act (1997). The statute, as amended, calls for school districts to provide students with disabilities with an appropriate education in the least restrictive environment. The law also provides students with disabilities and their parents with due process rights, including the right to contest school district decisions regarding the provision of a free appropriate public education. Consequently, since the enactment of the law in 1975, literally thousands of lawsuits have been filed challenging school district decisions. The IDEA is not the only law governing special education in the schools. In addition, section 504 of the Rehabilitation Act and the ADA provide students with disabilities with additional protections. Section 504 prohibits discrimination against individuals with disabilities by recipients of federal funds. The ADA expands section 504s discrimination prohibition to the private sector, but includes provisions applicable to public entities. In addition, all states currently have laws governing the provision of special education. Procedural issues Evaluation and Classification The IDEA requires states, and consequently school districts, to establish procedures to assure that all students with disabilities are properly identified and evaluated (IDEA, Â § 1412, a, 2, 1997). Those procedures, along with the test instruments chosen, may not be culturally or racially biased. In fact, students whose language or mode of communication is not English, must be evaluated in their native language or usual mode of communication (IDEA, Â § 1414, b, 3, 1997). The IDEA stipulates that all assessments are to be administered by trained personnel in conformance with the instructions provided by the test producer (IDEA, Â § 1414, b, 2, 1997). If a student is found to be eligible for special education, the school district is required to develop an individualized education program (IEP) for that child, but the IEP can be invalidated if it is based on a flawed evaluation of the child (Bonadonna v. Cooperman, 1985). The student is entitled to an independent evaluation if the parents disagree with the school districts evaluation. However, the school district is required to pay for the independent evaluation only if the parents can show that the districts evaluation was not appropriate. If the parents do obtain an independent evaluation, the school district must consider the results of that evaluation (Assistance to the States, Â § 300. 503, 1999). However, that does not mean that the school district must adopt the recommendations of the independent evaluator (G. D. v. Westmoreland School District, 1991). Rights of Parents and Guardians Parents are given considerable due process rights on behalf of their children in the special education process. The intent of the IDEAis for them to become partners with school district personnel in the development of IEPs. The school district must provide the parents with proper notice before it proposes to take any action regarding the childs identification or placement (IDEA, Â § 1415, b, 3, 1997). The parents must be invited to participate in all meetings in which the students evaluation or placement will be considered (Assistance to the States, Â § 300.345, 1999). If the parents disagree with any decisions made by school district personnel, they may seek resolution either through voluntary mediation or an administrative due process hearing. If the parents disagree with the final result of the administrative hearing process, they may appeal to the federal or state courts (IDEA, Â § 1415, 1997). Failure to provide parents with the rights outlined in the IDEA can invalidate an otherwise appropriate IEP (Osborne, 1996). Change in Placement Procedures Once a child has been placed in special education, that placement may not be arbitrarily changed. Again, before any change in placement may occur, the parents must be given proper notification. The childs placement also may not be changed while any administrative due process or judicial proceedings are pending absent parental consent or a court order (IDEA, Â § 1415, j, 1997). The actual determination of what constitutes a change in placement can be tricky. For example, if a special education classroom was physically moved from one school to another as part of a school district reorganization, that would not be considered a change in placement as long as the students IEP could be fully implemented in the new location. By the same token, the usual movement of a student from one level to another (i. e. , elementary to middle school) is not a change in placement if the students IEP can be fully implemented after the change (Osborne, 1996). However, any move that would affect the IEP or its implementation would be considered a change in placement. Obviously, changing a child from a resource room situation to a substantially separate class for students with behavioral disorders would be a change in placement. The elimination of a component of the students educational program would also constitute a change in placement (Abney v. District of Columbia, 1988). Minor changes are allowable, however. The key to determining whether or not the change is acceptable is how the modification will affect the students learning (DeLeon v. Susquehanna Community School District, 1984).

Thursday, November 14, 2019

Life in Colors :: essays research papers

How do colors depict lifestyles? I use colors in every part of life. Color is described as a property that surfaces have when light falls on them and is reflected or absorbed. Colors are the basic way that I describe my life. The colors blue, silver, and gold represent a favorite color, an event and or extracurricular activity, and the future that will be committed to after high school. The color blue which represents the time from when I came into this world up to the years before high school. The color blue started the first day of kindergarten when the teacher said lets go over our colors. As she went through them and then said, â€Å"Well, let’s use your favorite color from the one’s we have just gone over.† Of course, the color that went in my hand was the color blue. A few years down the road when I started to pick out clothes, the color blue was in every item that I bought. And to this day the color blue has been my color of choice as long as I can remember. It will always be that color blue that will be in my fancy wardrobe as long as I live. Silver as a dime, nickel, or quarter is the color that makes up the high school years since starting in the ninth grade. Silver is the color of the star on the uniform for the brigade which I serve proudly. The color silver did not become appealing to me until that night when we (the band) were in Statesboro, Georgia, at the first competition, and we (the band) marched out on the field for our performance and the crowd went crazy. That night when the awards were announced and we came in second out of twenty-two bands, that color silver was the most awesome color ever. Then, we came home and the next weekend we went to Palatka, Florida, and did the same placement. The next year came around, same results. Then it was my junior year and a moment that will never be forgotten. We left on Saturday morning around 9:00 am for Inverness, Florida, and performed the preliminary show at 1:15 pm. The scores came in and that color silver became even more meaningful: we were in first place. That ni ght around 9:30 pm, we entered the field for finals competition. We finished the show, the hats of the directors came off their heads, and the crowd went wild.

Tuesday, November 12, 2019

Middle-Class Homelessness in America Essay

Can you imagine yourself standing in line in hope for a cot at a shelter to share with your family, or waiting for a warm meal in a soup kitchen? This is what many middle-class American citizens have succumbed to. Has the American dream been lost, has the middle-class lost its position in the American economy, and has the inequality of income cause the demise of the middle-class? By focusing on the health care reform and record low unemployment rate we overlook the underlying problem; the dwindling middle-class, the backbone of our country. Many studies have been conducted to define middle-class without much success. It has been attempted to relate it to annual income. One study states that yearly incomes between $32,900 and $64,000, another between $50,800 and $122,000, and the U. S. census bureau middle 60% of incomes is the largest range of all lies between$ 20600, and $102,000 as what defines middle-class. Dan Horn notes in the Cincinnati Enquirer â€Å"Psychologist Ken Eisold, a contributor to Psychology today, said, though, that the way people describe their social status has more to do with what’s going on in their heads than their wallets. † Eisold goes on to say that â€Å"it’s really more about identity†. Horn adds that Julie Heath, director of the University of Cincinnati’s Economics Center agrees with Eisold that saying, â€Å"We’re a middle-class family has more than a financial connotations to it, it has a salt-of the earth to it. That’s the bed rock. Essentially this shows that Americans do not base their social status on their income alone, but also on their personal accomplishments and views of where they have come from and where they are going. That being said, the bed rock of the middle-class comes from one of the most common descriptions what living in America is all about; the great American Dream. History tells us that this emotion connected with being middle-class started showing up in the 1830’s. In these times people came to America hoping for the best, and they clung to ideas of how they would make it. They believed that if those ideas and values were kept, that they were middle-class, even if they were not financially. This is how the idea of the Leave it to Beaver life style came into being. In the 1950’s men took white collar jobs while women stayed home and maintained their house and families. They bought homes in the suburbs, nice family cars, and made safe investments. This provided them a sense of stability and many believed this is what the American dream is all about. Today, in pursuit of the dream, to maintain their middle-class status many Americans have higher incomes than their parents did but both parents are working. Yet while doing the best that they that they can possibly do, many are watching their dreams shatter. Erin Currier, director of the Pew Economic Mobility Project, said â€Å"stability is one of the biggest threats to the middle class today. † She goes on to say, â€Å"Though born into middle-class, many fall out by adulthood. † This is due to inflation of basic needs such as health care, day care, college funding, and the rise of the inequality of income. One term often referred to when relating to the middle-class crisis is Income Gap. As defined on the internet by investapedia. om, the income gap is the unequal distribution of household and individual income across the various participants in an economy. A sociology and political science professor at the University of Arizona who studies income inequality and poverty, says that over the past three decades â€Å"is slow income growth compared to general economic growth†¦ a bigger and bigger portion of economic growth has occurred to the wealthiest 1 %, whether the measure is basic wages or total compensation,† says Lane Kenworthy. (CQ researcher 3) There is political risk involved with this shift that is greater than economics and family finances. A large middle class, especially one that is politically active, tends to be a kind of anchor that keeps our country from swinging back and forth. There are typical values that middle-class families acquire and pass on to their children and those values tend to be good for democracy,† states Teresa Sullivan, provost and executive vice president for academic affairs at the University of Michigan, and the co-author of The Fragile Middle Class: Americans in Debt. (CQ Researche r 2) The new millennium looked very hopeful for the war on poverty in America. The federal poverty rate was the lowest it had been since 1974 according to CQ Researcher. The next 4 years even better with Housing prices doubling in many cities and increase in home equity loans that brought the Home-ownership rate up to an all time high of 69 percent. In 2008 we would not only see the sand shift out from the false growth of the economy led by the banks and lending companies but our government bail the banks out with $700 billion rescue bill, They did not however bail out the borrower and many lost their homes. Leading to the current middle class crisis. These issues, the rise of the inequality of income and the shattering of the American dream, have led us to the downfall of the middle class. In more recent years the middle-class are finding themselves not only having a decrease in their income due to layoffs and downsizing, but while not able to maintain their dream are losing their homes due to foreclosures. They are now finding themselves sleeping in their cars, if fortunate to still have one. They are waiting in lines for food and shelter, and bathing in gas station rest rooms, standing on street corners and highway exit’s begging for money or work. I have a personal interest in this research because I consider myself a middleclass American who lived through these years of the housing crisis and recession, I have lost a business, I am dealing with the short sale of my home and a threat of foreclosure, I have suffered through divorce and currently I am a struggling single mother. In conclusion the decline of the middle-class has hit very close to home. Although the hope of the American dream dies a slow death in my own heart, because of the continual economic status and burden of the cost of living rising, many like me are losing hope.

Sunday, November 10, 2019

Human Sexuality Essay

Teresita went to a fraternity party because she’d heard that this fraternity â€Å"really knew how to have fun† and she really needed fun after a disastrous academic week. She knew that some women had been taken advantage of at previous parties, but she put that out of her mind, as she downed one drink after another. Just when things were getting dull, the coolest guy on campus took her by the hand, led her upstairs and talked her into having sex. The next day, Teresita noticed that her vagina was bruised and bleeding. She barely recalled having sex, but knew who was responsible for her condition, and filed rape charges against him with the campus administrator. Phillip was alone on the beach. Midnight was his favourite time of day, there were no other people around and he could really enjoy the sound of the waves and smell of the ocean breeze. He was almost asleep when he felt two women sit down next to him. One of them held down his arms while sitting on his chest. The other woman pulled down his bathing suit and began fellatio. In spite of his struggling and his anger, he got an erection. Both women took turns sitting on his erection, and left him when they were done. Phillip was confused — he couldn’t tell if he had been raped or not. He knows he didn’t want to have sex with these women he didn’t know, but can’t understand why he couldn’t fight them off (they were both smaller than him) and why he had an erection. Monica is seventeen and has been having sex with guys since she was fifteen. Gary is twenty-one and heard that Monica was â€Å"hot stuff† in bed. They go out and have consensual sex. Next day, Gary’s friend tells him he raped Monica. Is Gary’s friend correct?

Thursday, November 7, 2019

Alien and Sedition Acts essays

Alien and Sedition Acts essays The debate over the Alien and Sedition Acts of 1798 unraveled bitter disagreements on a number of separate issues. While these acts seemed to be very undemocratic in the sense that it pretty much discriminated against a citizen not born in America, but it is vital to realize the struggles and hardships young America was undergoing as a fledgling nation. When debating over the Alien and Sedation Acts, one must be able to comprehend the foreign affairs in which America was involved. The United States was caught up in the French Revolution and also the XYZ Affair, both quite dangerous to the existence of the country. These acts were very controversial and developed for a reason. One can look at the Alien and Sedation Acts from numerous perspectives. In Notes on Virginia, Thomas Jefferson can be quoted as saying "we are to expect the greatest number of emigrants. They will bring with them the principals of the governments they leave...with their language...they will share with us the ! legislation...and bias directions. At the time, the US was receiving a mad dash of immigrants and many, like Jefferson, were worried. They were worried that some immigrants would bring some radical political views to America and upset balance of society. They did not want America turning into a theocracy or a monarchy. With an infiltration of non-democratic ideology, one can see why the Alien and Sedation Laws were such a big deal at the time. The leaders of our country felt the need to crush any political beliefs that were non-democratic for the good of the Union. Otherwise, the country was in danger of going into a frenzy. This urgency to quell political differences can be seen again in Hamiltons draft of Washingtons Farewell Address, there is another (cause) which it is necessary to be on our guard; I mean the petulance of party differences of opinion. From this viewpoint one could view the Alien and Sedition Acts of 1798 a...

Tuesday, November 5, 2019

Conjugate the Japanese Verb Kuru (to Come)

Conjugate the Japanese Verb Kuru (to Come) The word kuru is a very common Japanese word and one of the first that students learn. Kuru, which means to come or to arrive, is an irregular verb. The following charts will help you understand how to conjugate kuru and use it correctly when writing or speaking. Notes on Kuru Conjugations The chart provides conjugations for ​kuru in various tenses and moods. The table begins with the  dictionary form. The basic form of all Japanese verbs ends with -u. This is the form listed in the dictionary and is the informal, present affirmative form of the verb. This form is used among close friends and family in informal situations. This is followed by the  -masu form. The suffix -masu is added to the dictionary form of verbs to make sentences polite, an important consideration in Japanese society. Aside from changing the tone, it has no meaning. This form is used in situations requiring politeness or a degree of formality and is more appropriate for general use. Note also the conjugation for the  -te form, which is an important  Japanese verb  form to know. It does not indicate tense by itself; however, it combines with various verb forms to create other tenses. Additionally, it has many other unique usages, such as speaking in the present progressive, connecting successive verbs, or asking for permission. Conjugating Kuru The table presents the tense or mood first in the left column, with the form noted just below. The transliteration of the Japanese word is listed in bold in the right column with the word written in  Japanese characters  directly below each transliterated word. Kuru (to come) Informal Present(dictionary form) kuruæ  ¥Ã£â€šâ€¹ Formal Present(-masu form) kimasuæ  ¥Ã£  ¾Ã£ â„¢ Informal Past (-ta form) kitaæ  ¥Ã£ Å¸ Formal Past kimashitaæ  ¥Ã£  ¾Ã£ â€"㠁Ÿ Informal Negative(-nai form) konaiæ  ¥Ã£  ªÃ£ â€ž Formal Negative kimasenæ  ¥Ã£  ¾Ã£ â€ºÃ£â€šâ€œ Informal Past Negative konakattaæ  ¥Ã£  ªÃ£ â€¹Ã£  £Ã£ Å¸ Formal Past Negative kimasen deshitaæ  ¥Ã£  ¾Ã£ â€ºÃ£â€šâ€œÃ£  §Ã£ â€"㠁Ÿ -te form kiteæ  ¥Ã£  ¦ Conditional kurebaæ  ¥Ã£â€šÅ'㠁 ° Volitional koyouæ  ¥Ã£â€šË†Ã£ â€  Passive korareruæ  ¥Ã£â€šâ€°Ã£â€šÅ'ã‚‹ Causative kosaseruæ  ¥Ã£ â€¢Ã£ â€ºÃ£â€šâ€¹ Potential korareruæ  ¥Ã£â€šâ€°Ã£â€šÅ'ã‚‹ Imperative(command) koiæ  ¥Ã£ â€ž Kuru Sentence Examples If youre curious about how to use kuru in sentences, it can be helpful to read examples. A  few sample sentences will allow you to peruse how the verb is used in various  contexts. Kare wa kyou gakkou ni konakatta.Ã¥ ½ ¼Ã£  ¯Ã¤ »Å Ã¦â€" ¥Ã¥ ­ ¦Ã¦   ¡Ã£  «Ã¦  ¥Ã£  ªÃ£ â€¹Ã£  £Ã£ Å¸Ã£â‚¬â€š He didn't come to school today. Watashi no uchi ni kite kudasai.ç § Ã£  ®Ã£ â€ Ã£  ¡Ã£  «Ã¦  ¥Ã£  ¦Ã£  Ã£   Ã£ â€¢Ã£ â€žÃ£â‚¬â€š Please come to my house. Kinyoubi ni korareru?金æ›Å"æâ€" ¥Ã£  «Ã¦  ¥Ã£â€šâ€°Ã£â€šÅ'ã‚‹ï ¼Å¸ Can you come on Friday? Special Uses The website  Self Taught Japanese  notes that there are several special uses for  kuru, particularly to specify the direction of an action, as in: OtÃ… sanha arigatÃ…  tte itte kita. (㠁Šçˆ ¶Ã£ â€¢Ã£â€šâ€œÃ£  ¯Ã£â‚¬Å'㠁‚り㠁Å'㠁 ¨Ã£ â€ Ã£â‚¬ Ã£  £Ã£  ¦Ã¨ ¨â‚¬Ã£  £Ã£  ¦Ã£  Ã£ Å¸Ã£â‚¬â€š) My dad said thanks  to me. This sentence also uses  kita, the informal past (-ta form). You can also use the verb in the -te form to indicate the action has been going on for some time up until now, as in: Nihongo o dokugaku de benkyÃ…  shite kimashita. (æâ€" ¥Ã¦Å" ¬Ã¨ ªÅ¾Ã£â€šâ€™Ã§â€¹ ¬Ã¥ ­ ¦Ã£  §Ã¥â€¹â€°Ã¥ ¼ ·Ã£ â€"㠁 ¦) Up until now, I’ve studied Japanese on my own. Self Taught Japanese adds that in this example, it’s difficult to capture the nuance in English, but you can think of the sentence meaning that the speaker or writer has been gathering experience before arriving at the present moment.

Sunday, November 3, 2019

Human Digestion Essay Example | Topics and Well Written Essays - 500 words

Human Digestion - Essay Example The wall of the gastrointestinal tract (GIT) is composed of muscular layers which allow two types of movements: the mixing movements and the propelling movements. Mixing movements are found in small tracts of the GIT and allow rhythmic contraction of the wall while the propulsive movements are wavelike and are also called peristalsis, pushing the mass of food into the next part of the GIT (Boland, Golding, & Singh, 2014). Mouth is the first place of food digestion and breaks food into smaller protions. Saliva also contains the enzyme salivary amylase which breaks the food starch into smaller molecules. In the oral cavity, lingual lipase is also secreted which has a very small impact on fat digestion. Saliva mixes with the food adding mucus to it forming the food bolus. The food bolus is transferred into the esophagus, which propels the bolus through persitaltic movements into the stomach. The stomach produces hydrochloric acid which is important to kill several pathogenic organisms in the food and also aids in protein digestion by converting pepsingen into pepsin. Pepsin breaks the protein into smaller chains so that they can be absorbed. Gastrin is also a part of the stomach secretions and aids in stmach motility and also stimulates the secretion of other gastric secretions. Intrinsic factor is key component in the absorption of vitamin B12, which basically ocurrs in the small intestine, terminal il leum. Without intrinsic factor, absorbtion of vitmain B12 will not be possible (Insel, Ross, McMahon, & Bernstein, 2014). Most of the digestion in the small intestine occurs in the duodenum which receives the secretions from the gall bladder, pancreas and also from the intrinsic duodenum glands. Pancreas secretes major enzymes for the digestion of fats, carbohydrates and proteins. Pancreas also secretes bicarbonate secretions to aid in digestion. The presence of bile

Friday, November 1, 2019

Bipolar and Personality Disorders & Dehydration and Diarrhea Research Paper

Bipolar and Personality Disorders & Dehydration and Diarrhea - Research Paper Example This concern is due to the vulnerability these disorders pose (Lesley, 2009). Symptoms Varied research indicates that close to 20% percent of patients with Borderline Personality Disorder might have experienced Bipolar Disorder at certain intervals (Goodwin, 2009). Like Borderline Personality Disorder on the instability of temper as well as the reluctant effect noted on the conduct of a patient can be found on Bipolar Disorder through inconsistent character of temperamental. Most cases of Borderline Personality Disorder and Bipolar Disorder portend incidents of Manic and Hypomanic states. This causes a person to feel very animated and superior or in circumstances of mania the affected person might feel very low and depressed during the episode. Relative NANDA research reports provided that at least 10% of persons affected by other psychological disorders indicated to have bipolar disorder concurrently (Lesley, 2009). For instance, persons suffering from BPD experience grave degrees o f irritability and varied emotions while those affected with Bipolar Disorder exhibit impulsiveness. However, this evidence might not be accurate according to other results and therefore requires that substantial facts be provided in future (Lesley, 2009). Pharmacological intervention Evidence indicates that environmental aspects have significant roles in the development and course of Borderline Personality Disorder and Bipolar Disorder. Defectiveness in the structure and or performance in certain brain circuits could be a cause Borderline Personality Disorders and Bipolar Disorder (Lesley, 2009). National Depressive and Manic Depressive Association (MD MDA) argue that persons experiencing Borderline Personality Disorder Bipolar Disorder exhibit worry and confusion episodes. Such episodes might magnify the sate of Borderline Personality Disorder and Bipolar Disorder based on the pattern and length of episodes experienced. For example, aggravation of both ailments might occur in case s where the episode frequency is longer in duration (Lesley, 2009). Treatment A condition of Borderline Personality Disorder and Bipolar Disorder are easily treatable due to major advances in contemporary medicine (Lesley, 2009). Applying benefit versus risk for treatment plans. Lithium drug has been identified and certified as an effective medicine that would help patients Borderline Personality Disorder and Bipolar Disorder to overcome their conditions. Experts argue that this drug basically has the capacity to regulate mood disorder caused by frequent episodes. However, there are those who observe that 40% of people who use do not get cured of Borderline Personality Disorder and Bipolar Disorder. It is claimed that the drug causes grave side-effects that can damage the ability of its users to cope up with pain (Ketter, 2010). Anticonvulsant medicines are best applicable to people who are not contented with the use of Lithium as medication of Borderline Personality Disorder and Bi polar Disorder. Conditions of extreme Mania from the two are treatable by neuropeltic medications (Goodwin, 2009). There is an option of administering Benzodiazpenes neuroleptics. This drug has a lower damaging side effect for patients of Borderline Personality Disorder and Bipolar Disorder. Teaching patient Interrelations of Borderline Personality Disorder and Bipolar Disorder patient require attention from psychoeducational that