MxPx Self-Titled Album Review free essay sample

Bremerton, WA-based punk rock band MxPx has been going strong for over 25 years. Their quick, raw style of punk/pop-punk has stayed fairly consistent through the years, giving them a distinct, recognizable sound that fans have come to expect. With their tenth album, MxPx turned to crowdfunding platform, Kickstarter, and received overwhelming support from fans. Judging by this success, MxPx’s self-titled tenth has been hotly anticipated. Here I’ll share my thoughts on the album and how I feel it stands up in 2018. After the first listen, one thing is clear: this album sounds like MxPx that fans have come to love. The fast power chords are here, the punchy vocals from Mike Herrera are here, and the songs are just as fun and upbeat as ever before. While songs may start to blend together towards the end, each song individually is a fun experience with a rhythm that can get stuck in your head. We will write a custom essay sample on MxPx Self-Titled Album Review or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page One of my favorite songs on the album is the third track, â€Å"Friday Tonight.† To me, it’s the catchiest song on the album and the punchy chorus really gets me pumped. Clocking in at about three and a half minutes, â€Å"Friday Tonight† is a bit longer than the typical song from MxPx. Usually, I would say that these kinds of punk songs should remain under three minutes, but somehow MxPx manages to craft this song in a way that I never got tired of it during its runtime. This speaks to the masterful songwriting and instrumentation of frontman Mike Herrera. While a few songs on this record do overstay their welcome a bit, it really is a small issue with this great album. Towards the end of this album, I found some of the songs blending together and struggling to find their own identity. This is a common issue of punk/pop-punk albums and I’ve found that this is only a minor issue on this record. While listening to MxPx, I find myself getting lost in the music and just taking in all of the energy produced by the band and especially lead vocalist Mike Herrera. The album closes with â€Å"Moments Like This,† another one of my favorite songs on this album. I mentioned that some songs towards the end struggle to find their own identity, this song is absolutely not one of those. The lyrics are the deepest on the record and obviously very personal to songwriter Mike Herrera. These personal lyrics really elevate the song and it acts as the perfect closer to this wonderful punk album. MxPx do what they do best on their self-titled tenth album release. The songs are as catchy, fun, and upbeat as ever before. Some songs may be too long and may blend into each other slightly, overall this album is very good. After 25 years and ten albums, MxPx proves that they still got it with their self-titled release that has quickly become my favorite album of theirs and one of my favorite punk albums of all time.

When Legends Die essays

When Legends Die essays Protagonist Thomas Black Bull comes full circle in Hal Borland's novel When the Legends Die. A Ute native from Colorado, Tom spends a large portion of his childhood in the wilderness, where he befriends a bear cub and assumes the name "Bear's Brother." His affinity for nature is encouraged by his family, who fled their hometown Pagosa because Tom's father George Black Bull killed Frank No Deer. Learning and living the old Ute ways in the woods brings Tom in tough with his true self. However, Tom is tricked into returning to mainstream civilization. Spending years of his life in misery, Tom eventually returns to the woods at the end of the novel. The peace he feels in the woods is especially profound compared with his struggles in the modernized world and therefore, the old Ute ways clearly offer a better way of life for Tom. After spending many years on the Ute reserve, Tom and his family take some time to adapt back to the old ways. They rely only on a bow and arrow to go hunting. They learn how to preserve meats to store for the long winter. The family seeks an ideal site on which to build a winter cabin and teach Tom the old ways. After several years Tom grows into a traditional Ute boy and knows little else but the ways of his ancestors. When his father dies in an avalanche, Tom is prepared to become a man and carry on the Ute ways of life. Even Tom's transition into adulthood is marked with Ute traditions. The burial of Black Bull and Tom's assuming the name Bear Brother are both in keeping with age-old Ute traditions. Tom learns all about the old Ute ways during his childhood and directly from his parents. Thus in spite of losing his father and being isolated from other people, Tom grows up a strong, self-assured, confident boy. His transition into manhood is eased because of his connection to ancestral ways, proving that boys do not need the trappings of modern civilization to be healthy. In fact, he deals with the death of...

5 Secrets to Getting Never-Ending Job Offers! - Guest Post by David Mensah

5 Secrets to Getting Never-Ending Job Offers! - Guest Post by David Mensah Last week I wrote about the importance of follow-up and feedback for success in your business or job search. The article, Do These * 2 * Things and Get Amazing Results in Your Business OR Job Search, really was about how to have fruitful conversations and build valuable connections. This week, my good friend and long-time business writing client, David Mensah, shares his wisdom on a very related topic: how to create a stream of job and work offers through  the art of talking to people. Guest post by David Mensah Imagine this experience: You’re in the middle of a conversation with a friend, colleague or new acquaintance, when that person suddenly interrupts the flow of the conversation to offer you some form of employment! For most of my life, I have had that experience on a regular basis, and I have ultimately built a career as a leadership trainer and executive coach as a result. So when I started to expand my consulting practice to include career coaching, I wanted to see whether I could train people to do what I have done successfully in my own professional life: generate employment opportunities consistently, both in official interviews and everyday conversations, whether or not they are looking for a job. Here are my top 5 recommendations for creating â€Å"the never-ending job offer†: BE EXCITED: Choose a career that sparks your passion, and let that passion show! Your excitement is contagious. I can always tell when others are passionate about their careers. Genuine excitement is interesting and contagious, while feigned excitement is forced and boring. Discover your true calling, even if it doesnt make sense or scares you (are you an accountant who always wanted to be a dancer?) Your career is as personal as it gets and it’s worth finding out- and sharing- what lights you up. BE INTERESTED IN OTHERS: When people are authentically curious about me, I feel lucky and safe and I want to know more about that person in return. That’s the type of interest you want to create in others. When talking about your life, make sure to make time to explore the lives of those around you. You might ask questions about people’s background, work successes and challenges, or families. Explore their values and what’s important to them. Train yourself to find something interesting about everyone, including friends, networking contacts, and yes, even interviewers! In every conversation I make it my practice to find 10 things I like about the other person in the first 5 minutes. It makes me listen differently. Keep asking questions until you find an area where the other person is energized, and focus there. You might be surprised at the benefits that come back to you. IN AN INTERVIEW, ASK QUESTIONS: Come prepared to every job or informational interview with questions you want to ask. And don’t stop there. Frankly, if you are not interested enough in the middle of an interview to have a few spontaneous questions, you are probably not interested in the job or the company. Questions emerge from a natural desire to know more- to delve deeply into things that matter to you. When you ask people questions, they learn a lot about how you think and feel about them, their company, and, if applicable, the available position. Your questions reveal something about you at the same time as you learn about someone or something else. BE CONNECTED: People hire people they feel good about and this feeling arises from a sense of connection. To create affinity with people where it might not exist automatically, consider telling stories about yourself emphasizing your humanity. I have been known to talk about my most recent business failure or how my ego gets in the way of my dreams. Stories about our failures and flaws allow others to connect deeply with us and push people quickly past the surface differences that keep us separate. While connecting with others comes easily to some, it can be challenging to some people. Do your personal growth work so that you can easily connect to the new people in your life without internal stories about you or them getting in the way. SPEAK ABOUT YOURSELF USING THEIR LANGUAGE: As any conversation progresses, I learn more and more about the person I am speaking with. Once you know enough about someone, it is much easier to tell them about yourself, because now you can reference the parts of their life that help them understand yours. When I am talking with someone who values their family over everything, it is natural for me to use my love and appreciation for my puppy to describe how relationships motivate my professional successes and failures. When I talk to people who care primarily about making a difference for others, I describe my interest in coaching as a way to teach skills that they can pass on to everyone they touch. The more you truly listen to someone, the more you can use the language they use and speak to their values. You will make deep connections with people who feel seen and understood by you, and who will want to find ways to spend more time in your presence- perhaps by offering you a job. When my clients embrace these practices, not just in interviews but in every interaction with others, they start generating job opportunities. Getting excited about your own career and cultivating an authentic interest in others results in others’ sitting up and taking notice. Your never-ending job opportunity will happen one conversation at a time. David Mensah is a leadership trainer and executive coach living and working in New York City. Please connect with him on twitter @DKBWAVE or learn more about his work at www.DKBWAVE.com.

Governments Role in Organizing Big Sporting Events Essay

Governments Role in Organizing Big Sporting Events - Essay Example Decisions of this nature should be based upon and measured against certain basic principles regarding the proper role of government. Functions of a government can be broadly categorized as; In fact these are just indicative types of functions. It is amply clear from these points that the government is supposed to perform a range of tasks in order to look after its people. Now the question arises, "Should the government give financial aid to such projects like the World Cup Soccer, or the Olympics events and why" On the face of it, one ponders to think as to why the government should go whole hog after such an event ignoring its majority of the priority areas. But on deeper thought we realize that there's something beyond the 'apparent truth'. An event of this magnitude gives wide exposure to the country in the international arena. This sort of event generates worldwide interest and people from all over the world flock to the scene of action. Therefore, the government is duty-bound to facilitate such visitors. Governments of the host nations try their level best to make sure that such events become tools for encouraging tourism potential of the country. Towards this end, the government facilitates the organization of this event in different attractive corners of the country. For example during the world cup soccer-2006 sports enthusiasts' came to know about the beautiful historical cities like Berlin, Munich, Stuttgart, Frankfurt etc. while the lesser known cities like Dortmund, Leipzig, Nuremberg, Gelsenkirchen etc. also came on the tourist map. Similarly all efforts are on to make sure that the London Olympics 2012 becomes an opportunity for the world to know more about UK, its heritage, economic potential and the love of British nationals towards sports. In fact, immediately after organizing the highly successful Commonwealth Games in Manchester, UK Govt started lobbying for the 2012 games. The speculated expenditure for organizing an event of this magnitude is around 8 billion pounds, but London Mayor is confident that London Olympics will bring profits for UK. This will result in generation of revenues for the federal governments as well as for the local governments. The real estate industry gets a big boost as the government starts gearing up for modern infrastructural facilities. Government gets revenues in the form of taxes, sponsorships etc. Revenues earned this way, by the country will of course be put to use for the sake of the countrymen. In fact government is also duty-bound to encourage all the sporting events. Sports like Tennis, Cricket having the backing of wealthy sponsors will continue to prosper even if the government looks the other way round, but sporting events like athletics, swimming may suffer if no government backing is provided. In today's market driven economy concept, the art of communication to existing consumers as well as prospective consumers takes a great deal out of the managerial brain storming sessions. Therefore the respective governments make all out efforts to strengthen the communication channel through sporting

Best Holiday Essay Example | Topics and Well Written Essays - 1000 words

Best Holiday - Essay Example Judy and Alex are the customers of the travel agency. They are married couple and want to go for honey moon trip. Best Holiday is a very well reputed travel agency. It offers special discounts to customers. The agency has good reputation for offering detailed tour packages to customers. Judy and Alex felt that they do not need to worry about anything regarding their honey moon trip. Apart from special discounts the agency provides different offers to its customers. All the facilities are available with the travel agency. This is one more reason for choosing the travel agency (Smith, 2014). As it is a honey moon trip for Judy and Alex, so they have chosen Paris as the honey moon destination for them. It is one of the most exotic honey moon destinations in the world. Transportation is a very important part of any trip. In case of this honey moon trip transportation will play a significant role (Archer and Syratt, 2012). Best Holiday will create a hassle free transportation experience for the honey moon couple. The agency has booked the air ticket for Judy and Alex (Kotler, 2008). The honey moon couple will travel by AIR FRANCE flight. Judy and Alex will start their journey on 25th July 2014. They will return on 27th July 2014. The flight will take off from Heathrow airport at 6.20 am and it will reach Paris airport at 9 am. It will take two hours and forty minutes to reach Paris from London. Flight charges for each person will be  £149. For the both occasions, AIR FRANCE will be the airliner for the couple. The agency is set to offer good transportation experience to the honey moon couple which will prepare an appropriate honey moon mood for Judy and Alex. Accommodation is the nerve centre of any trip. Here the importance of accommodation is very significant because it is a honey moon trip. The agency will arrange accommodations for Judy and Alex in hotel Marriott, Paris. It is one of the most beautiful hotels in Paris. The hotel

Fashion Culture Essay Example for Free

Fashion Culture Essay Fashion is a general term for a popular style or practice, especially in clothing, footwear, accessories, makeup, body piercing or furniture. Fashion refers to a distinctive; however, often-habitual trend in a look and dress up of a person, as well as to prevailing styles in behavior. Fashion usually is the newest creations made by designers and are bought by only a few number of people; however, often those fashions are translated into more established trends. [1] The more technical term, costume, has become so linked in the public eye with the term fashion that the more general term costume has in popular use mostly been relegated to special senses like fancy dress or masquerade wear, while the term fashion means clothing generally, and the study of it. For a broad cross-cultural look at clothing and its place in society, refer to the entries for clothing, costume, and fabrics. A. Couture Beginnings The first fashion designer who was not merely a dressmaker was Charles Frederick Worth (1826–1895). Before the former draper set up his maison de couture (fashion house) in Paris, clothing design and creation was handled by largely anonymous seamstresses, and high fashion descended from styles worn at royal courts. Worths success was such that he was able to dictate to his customers what they should wear, instead of following their lead as earlier dressmakers had done. B. Early Twentieth Century Throughout the early 20th century, practically all high fashion originated in Paris and to a lesser extent London. Fashion magazines from other countries sent editors to the Paris fashion shows. Department stores sent buyers to the Paris shows, where they purchased garments to copy (and openly stole the style lines and trim details of others). Both made-to-measure salons and ready-to-wear departments featured the latest Paris trends, adapted to the stores assumptions about the lifestyles and pocket books of their targeted customers. 1990s * The outfits worn by the fashionable women of the Belle Époque (as this  era was called by theFrench) were strikingly similar to those worn in the heyday of the fashion pioneer Charles Worth. By the end of the 19th-century, the horizons of the fashion industry had generally broadened, partly due to the more stable and independent lifestyle many well-off women were beginning to adopt and the practical clothes they demanded. However, the fashions of the La Belle Époque still retained the elaborate, upholstered, hourglass-shaped style of the 19th century. As of yet, no fashionable lady could (or would) dress or undress herself without the assistance of a third party. The constant need for radical change, which is now essential for the survival of fashion within the present system, was still literally unthinkable. The use of different trimmings were all that distinguished one season from the other. 1910s * During the early years of the 1910s the fashionable silhouette became much more lithe, fluid and soft than in the 19th century. When the Ballets Russes performedScheherazade in Paris in 1910, a craze for Orientalism ensued. The couturier Paul Poiret was one of the first designers to translate this vogue into the fashion world. Poirets clients were at once transformed into harem girls in flowing pantaloons, turbans, and vivid colors and geishas in exotic kimono. Paul Poiret also devised the first outfit which women could put on without the help of a maid. The Art Deco movement began to emerge at this time and its influence was evident in the designs of many couturiers of the time. Simple felt hats, turbans, and clouds of tulle replaced the styles of headgear popular in the 20th century. It is also notable that the first real fashion shows were organized during this period in time, by Jeanne Paquin, one of the first female couturiers, who was also the first Parisian couturier to open foreign branches in London, Buenos Aires, and Madrid.

Arthur Machen’s The Great God Pan Essay -- The Great God Pan Essays

In â€Å"The Great God Pan† (1894) Machen uses ancient Greek god Pan to serve as a symbol of spiritual reality that lies beyond human perception and knowledge. Machen’s use of this divine entity and his success in rediscovering a minor figure of the classical pantheon, yet â€Å"mostly neglected by earlier authors of English literature† (Pasi 69), provide what Gilles Deleuze and Felix Guattari argue to be the significant value of a minor author, â€Å"†¦by using a number of minority elements, by connecting, conjugating them, one invents a specific, unforeseen, autonomous becoming† (106). â€Å"The Great God Pan† uses a detective plot and English upper class male characters’ search for an elusive figure, Helen Vaughan, who travels by assuming various identities. Helen, through her changeability of her identity destabilises the humanistic notion of identity as a stable phenomenon, and enters into the domain of becoming Pan. This fluidity a nd indeterminacy of Helen’s character is Machen’s attempt to undo the established notion of canonical subjectivity, and propose an alternative possibility of becoming. Helen’s insistence on entering into the zone of inhuman – god Pan- involves a position of alliance with the elements of her desire, which are beyond human accessibility and control. Helen, with this alliance with the god Pan, which has multiple forms and identities, enters into the flux of becoming Pan. Machen, through the experiment of Dr. Raymond, invokes to reveal the reality behind the veil in his supernatural tale â€Å"The Great God Pan†. In this attempt of removing the veil, Dr. Raymond’s practice of â€Å"transcendental medicine† provides the means to reach out the reality behind the veil: Dr. Raymond surgically changes the structure of a woman’s brain... ...e. How We Became Posthuman: Virtual Bodies in Cybernatics, Literature and Informatics. Chicago: The University of Chicago Press, 1999. Hillman, James. "An Essay on Pan." Pan and the Nightmare. Trans. A.V. O'Brien. New York: Spring Publications, 1972. Jackson, Kimberly. "Non-evolutionary Dageneration in Arthur Machen's Supernatural Tales." Victorian Literature and Culture 41 (2013): 125-135. Navarette, Susan J. "The Word Made Flesh: Protoplasmic Predications in Arthur Machen's "The Great God Pan"." The Shape of Fear: Horror and the Fin de Siecle Culture of Decadence. Kentucky: The University Press of Kentucky, 1998. 178-201. Machen, Arthur. The Great God Pan and The Hill of Dreams. Mineola, New York: Dover Publications, Inc., 2006. Pasi, Marco. "Arthur Machen’s Panic Fears: Western Esotericism and the Irruption of Negative Epistemology." Aries 7 (2007): 63-68.

Activity and Exercise

Chapter 38: Activity and Exercise! Test Bank! ! MULTIPLE CHOICE! ! 1.! The coordinated efforts of the musculoskeletal and nervous system maintain balance, posture, and body alignment. Body alignment refers to! ! a.! A low center of gravity balanced over a wide base of support.! b.! The result of weight, center of gravity, and balance.! c.! The relationship of one body part to another.! d.! The force that occurs in a direction to oppose movement.! ! !! ANS: C! Body alignment refers to the relationship of one body part to another body part along a horizontal or vertical line.Body balance occurs when a relatively low center of gravity is balanced over a wide, stable base of support. Coordinated body movement is a result of weight, center of gravity, and balance. Friction is a force that occurs in a direction to oppose movement.! !! DIF: Remember! REF:! 746-747! ! OBJ:! Describe the role of the musculoskeletal and nervous systems in the regulation of movement.! TOP:! Assessment! MSC:! Te aching/Learning! ! ! ! 2.! A structural curvature of the spine associated with vertebral rotation is known as! a.! Scoliosis.! b.! Osteogenesis.! c.! Osteomalacia.! .! Arthritis.! ! !! ANS: A! Scoliosis is a structural curvature of the spine associated with vertebral rotation. Osteogenesis imperfecta is an inherited disorder that makes bones porous, short, bowed, and deformed. Osteomalacia is an uncommon metabolic disease characterized by inadequate and delayed mineralization, resulting in compact and spongy bone. Arthritis is an inflammatory joint disease characterized by inflammation or destruction of the synovial membrane and articular cartilage, and by systemic signs of inflammation.! !! DIF: Remember! REF:! 749! ! OBJ:!Discuss physiological and pathological influences on body alignment and joint mobility.! TOP:! Assessment! MSC:! Teaching/Learning! ! ! ! a.! 3.! Unlike arthritis, joint degeneration! Occurs only from noninflammatory disease.! b.! Occurs only from inflammatory di sease.! c.! Involves overgrowth of bone at the articular ends.! d.! Affects mostly non–weight-bearing joints! ! !! ANS: C! Joint degeneration, which can occur with inflammatory and noninflammatory disease, is marked by changes in articular cartilage combined with overgrowth of bone at the articular ends. Degenerative changes commonly affect weight-bearing joints.! ! DIF: Understand! REF:! 749! ! OBJ:! Discuss physiological and pathological influences on body alignment and joint mobility.! TOP:! Assessment! MSC:! Teaching/Learning! ! ! The nurse is providing care to a patient who is bedridden. To prevent fatigue, the nurse raises the height of the bed. The nurse understands that balance is maintained by raising the bed to! ! 4.! a.! Prevent a shift in the nurse’s base of support.! b.! Narrow the base of support.! c.! Allow the nurse to bring his or her feet close together.! d.! Shift the center of gravity further away from the base of support.! ! !! ANS:A! Raising the h eight of the bed when performing a procedure prevents bending too far at the waist and causing a shift in the base of support. Balance is maintained by maintaining proper body alignment and posture through two simple techniques. First, widen the base of support by separating the feet to a comfortable distance. Second, increase balance by bringing the center of gravity closer to the base of support.! !! DIF: Understand! REF:! 747! ! OBJ:! Discuss physiological and pathological influences on body alignment and joint mobility.! TOP:! Assessment! MSC:! Teaching/Learning! ! ! ! 5.!Approximately what percentage of all back pain is associated with manual lifting tasks?! a.! 10%! b.! 25%! c.! 50%! d.! 75%! ! !! ANS: C! Half of all back pain is associated with manual lifting tasks.! !! DIF: Remember! REF:! 758! ! OBJ:! Describe how to maintain and use proper body mechanics.! TOP:! Assessment! MSC:! Teaching/Learning! ! ! ! ! The nurse is preparing to position an immobile patient. Before doin g so, the nurse must understand that! ! 6.! a.! Manual lifting is the easier method and should be tried first.! b.! Following body mechanics principles alone will prevent back injury.! c.!Body mechanics can be ignored when patient handling equipment is used.! d.! Body mechanics alone are not sufficient to prevent injuries.! ! !! ANS: D! Body mechanics alone are not sufficient to prevent musculoskeletal injuries when positioning or transferring patients. The use of patient-handling equipment in combination with proper body mechanics is more effective than either one in isolation. Body mechanics cannot be ignored even when patient handling equipment is being used. Manual lifting is the last resort, and it is only used when it does not involve lifting most or all of the patient’s weight.! !! DIF: Understand!REF:! 758! ! OBJ:! Describe how to maintain and use proper body mechanics.! TOP:! Assessment! MSC:! Teaching/Learning! ! ! ! ! ! 7.! The nurse is preparing to reposition a pa tient. Before doing so, the nurse must! a.! Assess the weight to be lifted and the assistance needed.! b.! Attempt to manually lift the patient alone before asking for assistance.! c.! Attempt a manual lift only when lifting most or all of the patient’s weight.! d.! Not use the agency lift team if a mechanical lift is available.! ! !! ANS: A! Before lifting, assess the weight to be lifted and determine the assistance needed and the resources available.Manual lifting is the last resort, and it is used when the task at hand does not involve lifting most or all of the patient’s weight. Use safe patient handling equipment in conjunction with agency lift teams to reduce the risk of injury to the patient and members of the health care team.! !! DIF: Apply! REF:! 758! ! OBJ:! Describe how to maintain and use proper body mechanics.! TOP:! Implementation!! MSC:! Teaching/Learning! ! ! ! ! Isotonic, isometric, and resistive isometric are three categories of exercise. They are cl assified according to the type of muscle contraction involved.Of the following exercises, which are considered isotonic?! ! 8.! a.! Bicycling, swimming, walking, jogging, dancing! b.! Tightening or tensing of muscles without moving body parts! c.! Push-ups, hip lifting, pushing feet against a footboard on the bed! d.! Quadriceps set exercises and contraction of the gluteal muscles! ! !! ANS: A! Examples of isotonic exercises are walking, swimming, dance aerobics, jogging, bicycling, and moving arms and legs with light resistance. Isometric exercises involve tightening or tensing of muscles without moving body parts. Examples include quadriceps set exercises and contraction of the gluteal muscles.Examples of resistive isometric exercises are push-ups and hip lifting, as well as placing a footboard on the foot of the bed for patients to push against with their feet.! !! DIF: Remember! REF:! 747! ! OBJ:! Describe how exercise and activity benefit physiological and psychological functio ning.! TOP:! Assessment! MSC:! Teaching/Learning! ! ! 9.! In planning a physical activity program for a patient, the nurse must understand that! ! a.! Isotonic exercises cause contraction without changing muscle length.! b.! The best program includes a combination of exercises.! c.!Isometric contraction involves the movement of body parts.! d.! Resistive isometric exercises can lead to bone wasting.! ! !! ANS: B! The best program of physical activity includes a combination of exercises that produce different physiological and psychological benefits. Isotonic exercises cause muscle contractions and changes in muscle length. Isometric exercises involve tightening or tensing of muscles without moving body parts. Resistive isometric exercises help promote muscle strength and provide sufficient stress against bone to promote osteoblastic activity.! !! DIF: Understand!REF:! 747! ! OBJ:! Describe how exercise and activity benefit physiological and psychological functioning.! TOP:! Assessme nt! MSC:! Teaching/Learning! ! ! An active lifestyle is important for maintaining and promoting health. In developing an exercise program, the nurse understands that! ! 10.! a.! Physical exercise is contraindicated for patients with chronic illnesses.! b.! Regular physical activity is beneficial only for the body part that is exercised.! c.! Physical exercise has no effect on psychological well-being.! d.! Physical activity enhances functioning of all body systems.! !! ANS: D! Regular physical activity and exercise enhance the functioning of all body systems, including cardiopulmonary functioning, musculoskeletal fitness, weight control and maintenance, and psychological well-being. It is also essential in treatment for chronic illness.! !! DIF: Understand! REF:! 747! ! OBJ:! Describe the benefits of implementing an exercise program for the purpose of health promotion.! TOP:! Assessment! MSC:! Teaching/Learning! ! ! 11.! The nurse is developing an exercise program for elderly patien ts living in a nursing home.To develop a beneficial health promotion program, the nurse needs to understand that when dealing with the elderly! ! a.! Exercise is of very little benefit because the patients are old.! b.! It is important to disregard their current interests in favor of exercise.! c.! No physical benefit can be gained without a formal exercise program.! d.! Adjustments to exercise programs may have to be made to prevent problems.! ! !! ANS: D! Exercise is extremely beneficial for older adults, but adjustments to an exercise program may have to be made for those of advanced age to prevent problems.When developing an exercise program for any older adult, consider not only the person’s current activity level, range of motion, muscle strength and tone, and response to physical activity, but also the person’s interests, capacities, and limitations. Older adults who are unable to participate in a formal exercise program are able to achieve the benefits of impro ved joint mobility and enhanced circulation by simply stretching and exaggerating movements during performance of routine activities of daily living.! !! DIF: Understand! REF:! 759! ! OBJ:! Describe the benefits of implementing an exercise program for the purpose of health promotion.!TOP:! Assessment! MSC:! Teaching/Learning! ! ! The nurse is attempting to start an exercise program in a local community as a health promotion project. In explaining the purpose of the project, the nurse explains to community leaders that! ! 12.! a.! A sedentary lifestyle contributes to the development of health-related problems.! b.! The recommended frequency of workouts should be twice a day.! c.! An exercise prescription should incorporate aerobic exercise only.! d.! The purpose of weight training is to bulk up muscles.! ! !! ANS: A! A sedentary lifestyle contributes to the development of health-related problems.A holistic approach is taken to develop overall fitness and includes warm-ups, aerobic ex ercise, resistance training, weight training, and so forth. The recommended frequency of aerobic exercise is 3 to 5 times per week or every other day for approximately 30 minutes. Crosstraining is recommended for the patient who prefers to exercise every day. Some patients use weight training to bulk up their muscles. However, the purposes of weight training from a health perspective are to develop tone and strength and to simulate and maintain healthy bone.! !! DIF: Understand! REF:! 796-797! ! OBJ:!Describe the benefits of implementing exercise and activity.! TOP:! Assessment! MSC:! Teaching/Learning! ! ! ! The patient is eager to begin his exercise program with a 2-mile jog. The nurse instructs the patient to warm up with stretching exercises. The patient states that he is ready and does not want to waste time with a â€Å"warm-up. † The nurse explains that the warm-up! ! 13.! a.! Allows the body to readjust gradually to baseline functioning.! b.! Prepares the body and dec reases the potential for injury.! c.! Should not involve stretching exercises because they can lead to injury.! d.!Should be performed with high intensity to prepare for the coming challenge.! ! !! ANS: B! The warm-up activity prepares the body for activity and decreases the potential for injury. It usually lasts about 5 to 10 minutes and may include stretching, calisthenics, and/or aerobic activity performed at a lower intensity. The cool-down period allows the body to readjust gradually to baseline functioning and provides an opportunity to combine movement such as stretching with relaxation-enhancing mind-body awareness.! !! DIF: Understand! REF:! 757! ! OBJ:! Describe the benefits of implementing exercise and activity.!TOP:! Assessment! MSC:! Teaching/Learning! ! ! ! Many patients find it difficult to incorporate an exercise program into their daily lives because of time constraints. For these patients, it is beneficial to reinforce that many ADLs are used to accumulate the reco mmended 30 minutes or more per day of moderate-intensity physical activity. When instructing these patients, the nurse explains that! ! 14.! a.! Housework is not considered an aerobic exercise.! b.! To strengthen back muscles, the patient should bend using back muscles.! c.! Daily chores should begin with gentle stretches.! d.!The patient should stick to one chore until it is done before beginning a new one.! ! !! ANS: C! Daily chores should begin with gentle stretches. Housework is considered aerobic exercise. To make it more aerobic, work faster and scrub harder. Bend your legs rather than your back to prevent back injury. Alternate cleaning activities to prevent overworking the same muscle groups.! !! DIF: Understand! REF:! 757! ! OBJ:! Describe important factors to consider when planning an exercise program for patients across the life span and for those with specific chronic illnesses.! TOP:! Assessment! MSC:! Teaching/Learning! ! ! 15.!The nurse is developing an exercise plan for someone diagnosed with congestive heart failure and exercise intolerance. In doing so, the nurse should! ! a.! Plan for 20 minutes of continuous aerobic activity and increase as tolerated.! b.! Perform 6-minute walks at the patient’s pace at least 2 times a day.! c.! Instruct the patient that he should not take his beta blocker medication on exercise days.! d.! Encourage a high-calorie diet to plan for extra calorie expenditure.! ! !! ANS: B! For the diagnosis of exercise intolerance, the patient should begin by performing 6minute walks at his own pace at least twice a day.The patient would not be able to tolerate 20 minutes of continuous aerobic activity. Patients should be instructed to take medications as ordered. Low-calorie, low-sodium, and high-protein diets are best for this type of patient.! !! DIF: Apply! REF:! 755! ! OBJ:! Describe important factors to consider when planning an exercise program for patients across the life span and for those with specific chroni c illnesses.! TOP:! Implementation! MSC:! Teaching/Learning! ! ! Which of the following exercise activities would most likely provide the opportunity for mind-body awareness?! 16.! a.! Warm-up activity! b.! Resistance training! c.! Aerobic exercise! d.! Cool-down activity! ! !! ANS: D! The cool-down period allows the body to readjust gradually to baseline functioning and provides an opportunity to combine movement such as stretching with relaxationenhancing mind-body awareness. The warm-up activity prepares the body and decreases the potential for injury. Aerobic exercise includes running, bicycling, jumping rope, and so forth, and is the main portion of exercise activity; it precedes the cool-down period.Resistance training increases muscle strength and endurance and is associated with improved performance of daily activities but not with enhancing mind-body awareness.! !! DIF: Analyze! REF:! 757! ! OBJ:! Describe important factors to consider when planning an exercise program for patients across the life span and for those with specific chronic illnesses.! TOP:! Evaluation! MSC:! Teaching/Learning! ! ! The patient is brought to the emergency department with possible injury to his shoulder. To help determine the degree of injury, the nurse should evaluate! ! 17.! a.!The patient’s gait.! b.! The patient’s range of motion.! c.! Fine motor coordination.! d.! Activity tolerance.! ! !! ANS: B! Assessing range of motion is one assessment technique used to determine the degree of damage or injury to a joint. Gait is the manner or style of walking. It may have little bearing on the shoulder damage. Assessing fine motor coordination would be beneficial in helping to assess the patient’s ability to perform tasks but would not help in evaluating the shoulder. Activity tolerance refers to the type and amount of exercise or activity a person is able to perform.Damage to the shoulder would affect this, but this would not have a direct bearing on the am ount of damage done to the shoulder.! !! DIF: Apply! REF:! 752-753! ! OBJ:! Assess patients for impaired mobility and activity intolerance.! TOP:! Implementation!! MSC:! Teaching/Learning! ! ! ! The nurse is examining a patient who is admitted to the emergency department with severe elbow pain. Of the following situations, which would cause the nurse to suspect a ligament tear or joint fracture?! ! 18.! a.! Range of motion of the elbow is limited.! b.! Joint motion is greater than normal.! c.!The patient has arthritis.! d.! The elbow cannot be moved (frozen).! ! !! ANS: B! Increased mobility (beyond normal) of a joint may indicate connective tissue disorders, ligament tears, or possible joint fractures. Limited range of motion often indicates inflammation such as arthritis, fluid in the joint, altered nerve supply, or contractures (frozen joints).! !! DIF: Analyze! REF:! 752-753! ! OBJ:! Assess patients for impaired mobility and activity intolerance.! TOP:! Evaluation! MSC:! Teachin g/Learning! ! ! ! The patient has been bedridden for several months owing to severe congestive heart disease.In determining a plan of care for this patient that will address his activity level, the nurse formulates which of the following nursing diagnoses?! ! 19.! a.! Fatigue related to poor physical condition! b.! Impaired gas exchange related to decreased cardiac output! c.! Decreased cardiac output related to decreased myocardial contractility! d.! Activity intolerance related to physical deconditioning! ! !! ANS: D! When activity and exercise are problems for a patient, nursing diagnoses often focus on the individual’s ability to move. The diagnostic label directs nursing interventions.In this case, physical deconditioning must be addressed relative to activity level, perhaps leading to 6-minute walks twice a day. Physical deconditioning is the cause of fatigue as well, so it would take priority over that diagnosis. Decreased cardiac output and myocardial contractility ar e serious concerns that must be addressed before activity intolerance to keep the patient safe and to help determine the level of exercise that the patient can tolerate, but reconditioning of the patient’s body will help improve contractility and cardiac output.! !! DIF: Apply! REF:! 753| 755! ! OBJ:!Formulate nursing diagnoses for patients experiencing problems with impaired mobility and activity intolerance.! TOP:! Implementation!! MSC:! Teaching/Learning! ! The patient weighs 450 lbs (204. 5 kg) and complains of shortness of breath with any exertion. His health care provider has recommended that he begin an exercise program. He states that he can hardly get out of bed and just cannot do anything around the house. To focus on the cause of the patient’s complaints, the nurse devises which of the following nursing diagnoses?! ! 20.! a.! Activity intolerance related to excessive weight! .! Activity intolerance related to bed rest! c.! Impaired gas exchange related to sh ortness of breath! d.! Imbalanced nutrition: less than body requirements! ! !! ANS: A! The diagnostic label directs nursing interventions. This requires the correct selection of related factors. For example, Activity intolerance related to excess weight gain requires very different interventions than if the related factor is prolonged bed rest. In this case, the intolerance is related to the patient’s excessive weight. He is not on bed rest, although he claims that it is difficult for him to get out of bed.Shortness of breath is a symptom, not a cause, of Impaired gas exchange, making this nursing diagnosis ineffective. The patient certainly has an imbalance of nutrition, but it is more than body requirements.! !! DIF: Apply! REF:! 753! ! OBJ:! Formulate nursing diagnoses for patients experiencing problems with impaired mobility and activity intolerance.! TOP:! Implementation!! MSC:! Teaching/Learning! ! The patient is being admitted for elective knee surgery. While the nurse is admitting the patient, she will! ! 21.! a.! Begin to develop a discharge plan.! b.!Plan to wait until after the surgery to plan for discharge.! c.! Place a generalized discharge plan in the record for later use.! d.! Address immediate needs of the patient only and address other needs later.! ! !! ANS: A! The nurse needs to begin discharge planning when the patient enters the health care system. The nurse cannot wait until after surgery to begin to plan for discharge. In addition, the discharge plan is always individualized to the patient and directed at meeting the actual and/or potential needs of the patient.! !! DIF: Apply! REF:! 754! ! OBJ:!Write a nursing care plan for a patient with impaired mobility and activity intolerance.! TOP:! Implementation!! MSC:! Teaching/Learning! ! ! The patient is admitted with a stroke. The outcome of this disorder is uncertain, but the patient is unable to move his right arm and leg. The nurse understands that! ! 22.! a.! Active range of motio n is the only thing that will prevent contractures from forming.! b.! Passive range of motion must be instituted to help prevent contracture formation.! c.! Range-of-motion exercises should be started 2 days after the patient is stable.! d.!Range-of-motion exercises should be done on major joints only.! ! !! ANS: B! When patients cannot participate in active range of motion, the nurse must institute passive range of motion to maintain joint mobility and prevent contractures. Passive range of motion can be substituted for active when needed. For the patient who does not have voluntary motor control, passive range-of-motion exercises are the exercises of choice. Unless contraindicated, the nursing care plan includes exercising each joint (not just major joints) through as nearly a full range of motion as possible.Initiate passive range-of-motion exercises as soon as the patient loses the ability to move the extremity or joint.! !! DIF: Understand! REF:! 759! ! OBJ:! Describe intervent ions for maintaining activity tolerance and mobility.! TOP:! Assessment! MSC:! Teaching/Learning! ! ! The patient has been in bed for several days and needs to be ambulated. Before ambulation, the nurse! ! 23.! a.! Removes the gait belt to allow for unrestricted movement.! b.! Has the patient get up from bed before he has a chance to get dizzy.! c.! Has the patient look down to watch his feet to prevent tripping.! d.!Dangles the patient on the side of the bed.! ! !! ANS: D! Some patients experience orthostatic hypotension—a drop in blood pressure that occurs when the patient changes from a horizontal to a vertical position. Assist the patient to a position of sitting at the side of the bed, and dangle for 1 to 2 minutes before standing. The nurse needs to provide support at the waist so that the patient’s center of gravity remains midline. This is achieved with the use of a gait belt. A gait belt encircles the patient’s waist and may have handles attached for th e nurse to hold while the patient ambulates.The patient should maintain as normal a walking posture as possible with the head erect.! !! DIF: Apply! REF:! 759! ! OBJ:! Describe interventions for maintaining activity tolerance and mobility.! TOP:! Implementation!! MSC:! Teaching/Learning! ! ! 24.! The nurse is ambulating a patient in the hall when she notices that he is beginning to fall. The nurse should! ! a.! Grab the patient and hold him tight to prevent the fall.! b.! Gently lower the patient to the floor.! c.! Jump back and let the patient fall naturally.! d.! Push the patient against the wall and guide him to the floor.! !! ANS: B! If the patient has a fainting episode or begins to fall, assume a wide base of support with one foot in front of the other, thus supporting the patient’s body weight. Then extend one leg and let the patient slide against the leg, and gently lower the patient to the floor, protecting the patient’s head. Grabbing the patient will shift t he nurse’s center of gravity and may lead to a back injury. Allowing the patient to fall could lead to head injury for the patient. Pushing the patient against the wall could also cause the patient to hit his head and cause injury.! !! DIF:Apply! REF:! 759! ! OBJ:! Describe interventions for maintaining activity tolerance and mobility.! TOP:! Implementation!! MSC:! Teaching/Learning! ! ! ! a.! 25.! In assisting the patient to exercise, the nurse should! Expect that pain will occur with exercise of unused muscle groups.! b.! Set the pace for the exercise class.! c.! Force muscles or joints to go just beyond resistance.! d.! Stop the exercise if pain is experienced.! ! !! ANS: D! Assess for pain, shortness of breath, or a change in vital signs. If present, stop exercise. Let each patient exercise at his or her own pace.Assess for joint limitations, and do not force a muscle or a joint during exercise.! !! DIF: Apply! REF:! 759! ! OBJ:! Describe interventions for maintaining act ivity tolerance and mobility.! TOP:! Implementation!! MSC:! Teaching/Learning! ! ! The nurse is developing a plan of care for a patient diagnosed with activity intolerance. Of the following strategies, which has the best chance of maintaining patient compliance?! ! 26.! a.! Performing 20 minutes of aerobic exercise daily with 10 minute warm-up and cool-down periods! b.! Instructing the patient to use an exercise log to record day, time, duration, and responses to exercise activity! .! Instructing the patient on the evils of not exercising, and getting her to take responsibility for her current health status! d.! Arranging for the patient to join a gym that she will have to pay, for so that she does not need to depend on insurance! ! !! ANS: B! Keeping a log may increase adherence to an exercise prescription. Cross-training (combination of exercise activities) provides variety to combat boredom and increases the potential for total body conditioning as opposed to daily aerobic exerci se. â€Å"Blaming† a patient for his or her health status is usually counterproductive.Instead, the nurse should instruct the patient about the physiological benefits of a regular exercise program. Developing a plan of exercise that the patient may perform at home may improve compliance.! !! DIF: Evaluate! REF:! 756! ! OBJ:! Evaluate the nursing care plan for maintaining activity and exercise for patients across the life span and with specific chronic illnesses.! TOP:! Evaluation! MSC:! Teaching/ Learning! ! 27.! The nurse is working with the patient in developing an exercise plan. The patient tells the nurse that she just will not participate in a formal exercise program.The nurse then suggests that exercise activities can be incorporated into activities of daily living. The patient seems to be agreeable to that concept. Of the following activities, which would be considered a moderate-intensity activity?! ! a.! Doing laundry! b.! Making the bed! c.! Ironing! d.! Folding clo thes! ! !! ANS: D! Low-intensity ADLs include doing the laundry, making the bed, ironing, and washing dishes. Moderate-intensity ADLs include sweeping the kitchen or sidewalk, washing windows, folding clothes, and vacuuming.! !! DIF: Evaluate! REF:! 757! ! OBJ:!Evaluate the nursing care plan for maintaining activity and exercise for patients across the life span and with specific chronic illnesses.! TOP:! Evaluation! MSC:! Teaching/ Learning! ! MULTIPLE RESPONSE! ! Bones perform five functions in the body: support, protection, movement, mineral storage, and hematopoiesis. In the discussion of body mechanics, which are the most important? (Select all that apply. )! ! 1.! a.! Support! b.! Protection! c.! Movement! d.! Mineral storage! e.! Hematopoiesis! ! !! ANS: A, C! Bones perform five functions in the body: support, protection, movement, mineral storage, and hematopoiesis.In the discussion of body mechanics, two of these functions —support and movement—are most import ant. In support, bones serve as the framework and contribute to the shape, alignment, and positioning of body parts. In movement, bones together with their joints constitute levers for muscle attachment. As muscles contract and shorten, they pull on bones, producing joint movement. Protection involves encasing the soft tissue organs in a protective cage. Mineral storage helps to strengthen bones but also helps regulate blood levels of certain nutrients. Hematopoiesis is the formation of blood cells.! !! DIF: Remember!REF:! 747! ! OBJ:! Describe the role of the musculoskeletal and nervous systems in the regulation of movement.! TOP:! Assessment! MSC:! Teaching/Learning! ! ! When assessing the activity tolerance of a patient, the nurse would evaluate which of the following? (Select all that apply. )! ! 2.! a.! Skeletal abnormalities! b.! Emotional factors! c.! Age! d.! Pregnancy status! e.! Race! ! !! ANS: A, B, C, D! Factors influencing activity tolerance include physiological factor s such as skeletal abnormalities, emotional factors such as anxiety/depression, developmental factors such as age and gender, and pregnancy status.Race is not a factor because people of all races are faced with similar factors that affect their activity tolerance.! !! DIF: Apply! REF:! 754! ! OBJ:! Assess patients for impaired mobility and activity intolerance.! TOP:! Implementation!! MSC:! Teaching/Learning! ! ! ! In developing a nursing care plan for increasing activity tolerance in a patient, the nurse should (Select all that apply. )! ! 3.! a.! Use generalized therapies because they work for everyone.! b.! Consult with members of the health care team.! c.!Avoid goals published by the American College of Sports Medicine.! d.! Involve the patient and the patient’s family in designing an exercise plan.! e.! Consider the patient’s ability to increase activity level.! ! !! ANS: B, D, E! When planning care, the nurse should consult/collaborate with members of the health care team to increase activity, involve the patient and family in designing an activity and exercise plan (especially if family members are also providers of care), and consider the patient’s ability to increase activity level.Therapies should be individualized to the patient’s activity tolerance. Information from the American College of Sports Medicine serves as a standard that the nurse should use when applying activity and exercise goals.! !! DIF: Apply! REF:! 754! ! OBJ:! Write a nursing care plan for a patient with impaired mobility and activity intolerance.! TOP:! Implementation!! MSC:! Teaching/Learning!

“Click” by John Barth Essay

Barth insight on the worlds technological advancement with computers gave him a good start on an interesting story. By incorporating today’s living with literature he turn out Click. â€Å"Click† some hated it, but some liked it. I think the lack of understanding of this story is what caused those people to dislike the story; the fact that the story was very long also had something to do with it. I will present the in-depth thought that made me understand and really like the story. Also I will put some points from the elements of fiction. I really like the concepts â€Å"Click† presented when I read it. There were some thoughts that the writer expressed, then there were some that was more in-depth and you had to think about. So lets begin the argument. One explicit theme to ‘Click’ is told best by Barth, â€Å"The Hypertextuality of Everyday Life†(73). Where each word can take you further and further into a maze of choices. The choices can go deeper which defines the terms of what you read. Those terms travels along side the paths of day by day activities. Until you get to an endless sea of terms, â€Å"given time and clicks enough, you will have ‘accessed’ virtually the sum of language, the entire expressible world. That’s ‘hypertext,'(75). I understood the combination of these words that are expressed to the fullest extent to be part of this story. The author gave so many side notes in parentheses or any other expressible notation that it could have drove the reader to throw the book against the wall. So, as Barth does so when he goes to express himself with the following â€Å"(because all these digressions, suspensions, parentheses, and brackets are setting the Narrator’s t eeth on edge†¦.)†(77). The text will be to long to show an example from the story. Lets try it anyway â€Å"(Parenthesized elements in this case = amplification that might indeed be cut, but might instead well be ‘hypertexted’ behind the bare-bones description, to accessed on demand, just as further amplifications [not given, but perhaps hypertexted] might lie behind {any highlighted/underlined words})† (76). With this quote you can click on the word that you want to get the information on. If you haven’t figured it out yet hypertext is usually used on a computer thus comes the title â€Å"Click†. Where the computer is the gateway to many passages to more information than any one human brain can handle. Where someone well rehearsed can crack the  highest of security codes with the whelms of their thought; all the way through to the illiterate who use two fingers instead of ten. Wait I’m getting sidetracked, which brings me to my next point of the story. Where â€Å"the flashy home page of their Web-server program, actually encouraging her (the character) to sidetrack here and there in the What’s new? And What’s Cool? Departments† .(78) Where the web give you so many options to go down. I don’t know if any one person can honestly navigate through the entanglement of â€Å"the World Wide Web (WWW), [without] the deployment of ‘bookmarks’ as shortcuts through that electronic labyrinth, the black hole of leisure and very antidote to spare time.† (77) It would have been to frustrating and so over whelming to be focus on one particular thing. Although once you start the journey that’s all one has is time when getting on the internet. Clicking is an action with a choice in a computer’s world. You can get lost with that massive instrument. You can also get lost with the twists of everyday life too. If you assume â€Å"everybody knows, after all (or believes that he or she know,) what ‘everyday life’ is, different as may be the everyday lives of , say, Kuwaiti oil sheikhs and American felons serving life sentences in maximum-security prisons without possibility of parole†.(74) You just deal with all the little conflicts and dilemmas. Where some one’s life can be painstakingly slow. While another’s is speed right through. The point of view of life will always be held by that individual. Where the authors point of view in this story varies. It goes from the third to the first then to the audience. The story is letting’s us experience the everyday life of each character. It is how their lives intertwine that make the story. A good story is drawn on many basis. Barth bring ups the point if a story has â€Å"this constant sidetracking, this what’s-the-rush digression, can take the edge off the main event by the time one gets to it, the way some restaurants lay on so many introductory courses and side dishes that one has no appetite for the entrà ©e†. (82) This concept with drain the life out the story or overly stuff them with tedious details. The audience will lose interest which will distract them from what the author wants to get through to them. If the story holds the â€Å"full agenda [which] was a single item, [the] top  priority always and only the bottom line, [the] eternal (and infernal) Let’s get on with the story in fact a Let’s get done with the story, for the reason†, (83) of a means to an end. The story will be so short that you won’t have much to go on to understanding the story in the first place. These two concepts alone causes a story to tarnish and be a waste of paper in some since. It is the combination of the two that makes a great story. â€Å"Its between fundamentally opposite views of and modes of dealing with the infinitely complex nature of reality† (87). The center of narrative gravity pulls us to the perception of reality on this story. Without the ying there is no yang that holds the boundaries of a story. â€Å"Their tendencies represent contrary narrative impulses of equal validity and importance.† (90) The opposites of each other that counterbalance themselves. Give us â€Å"[a] satisfyingly told story requires enough [Ying]—that is, enough detail amplification, and analysis— to give it clarity, texture, solidity, verisimilitude, and empathetic effect.† (90) The detail terms that can be taken out of the parenthesis sometime with give that require information (that hypertexted). â€Å"It [also] requires equally enough [Yang]—that is, efficiently directed forward motion, ‘profluence,’ on-with-the-storyness– for coherence, anti-tedium, and dramatic effect.† (90). The story has to keep to a single track, because if you split it up to much you have multiple stories with no ending. Where â€Å"CNG’s interactive E-fiction serendipitously supply the terms ‘Expediter’ and ‘Enhancer’ to shorthand the characterological differences that erupted†,(87) expediter being Mark and the enhancer being Valerie. Valerie the ying of the story. The one who you need to fill the story in with enough details to help the reader understand what it is all about. Where Valerie validates what Marks role have to do with the story by saying his concept is â€Å"who gave a damn?–[Mark’s] idea of living life was the same, Let’s get done with it, [an example of her situation] every time she saw him ready and fidgeting in the car a full ten minutes earlier than he knew as well as she they needed to leave for work, she was tempted to suggest that they drive straight to the funeral parlor and get done with it.† (83) That is what the expediter can’t help but do. Val’s statement † ‘I thought you  were the big moving-onner and I was the over-dwelling-on-things.’ â€Å"(88) The author gave us a foreshadowing uncharacteristic of, the intrapersonal relationship with Mark, Valerie where â€Å"(Val ‘s better than Mark, we remember, at shrugging of f their infrequent blowups)†. (87) Although by the end of the story you have â€Å"Val (who, decidedly herself even after deciding to be more Marklike)†, (91) Which we will confront of Marks behave. Then there is Mark the yang of the story. You need him to get to the point of the story and not to lead you to different paths that are available to access in the story. Where his thoughts were â€Å"having no timetable or deadlines doesn’t mean having no agenda or priorities†, (82) to give and example â€Å"Expediter and enhancer in the Supermarket, he with grocery list in one hand, pencil in other, and eye on watch, she already examining the (unlisted) radicchio and improvising new menu plans down the line†¦Ã¢â‚¬ , (79). Where that is the Enhancer for you, the person who comes up with more of the story and gives you a better â€Å"taste† variety. Where his uncharacteristic foreshadowing is shown with, â€Å"He’s less ready to take offense, but slower to put their occasional tiffs behind him.† (81). Also â€Å"(Val’s better than Mark, we remember, he tends to forget that and to project from his own distress [of dwelling on their argu ment longer ])†, (87). When toward the end â€Å"Mark (inescapably himself even when determined to be more Valish)† (91). The contradictory of the two characters gave the story its base. The â€Å"anonymous oddball whose homepage [was] http://www.epiphs.art† (78) alias CNG â€Å"who happened just then to be passing by and sympathetically so saw and heard them [at that horrible Saturday quarrel], or a couple not unlike them, toe-to-toeing it, and who then subsequently was inspired to imagine.† (84) Created and gave us the fictional story of Irma and Fred, who are the replacement to Valerie and Mark. They where part of the beginning (of the end) of the story. They along with millions of other names in the world are made up identities in order for its users to surf the web freely. It could also represent the wants of that individual to be someone else other than themselves. Although we are not going to get into that ordeal. The setup of the story begins with the near ending which in Marks case is â€Å"Lets be done with it† morality. CNG who is the supposedly author/narrator of the â€Å"Click†Ã‚  story. Kind of at first threw me off, because I thought the story was going to be a third person point of view. Well once the ideal of the end of the Irma and Fred story here comes the bulk of the actual story, where the Val morality is used. When the end of the end came it left me wanting more. â€Å"Valerie lifts one [long] [lithe] [cinnamon-tan] leg up and with her [left] [great] toe gives the Mac’ master switch a† (92). WHAT? I would have yell if I wasn’t in a crowded area when I read that last page. It leaves you with the daunting of the hypertexts of choices. Since this is a book you wouldn’t be able click on any of the above words to get the ending. You left tittering on the edge of a cliff that drops for days on ends. The taunting the author leaves you by not using the Mark in any good story. Yet that was his aim even for the ending to turn out to be happy and open to imagination.

Gournia summary sheet essays

Gournia summary sheet essays First discovered by archaeologist Harriet Boyd Hawes on May 20th 1901 Ruins of the settlement were visible before any excavation took place. Nearby villagers named the location of the ancient city Gournia from the stone basins or gourni visible in the area. Gournia is now one of the most excavated sites on the island of Crete. Located on a small hill, a couple hundred metres away from the sea in the Gulf of Mirabello, close to the north end of the Ierapetra Isthmus Situated near the centre of the town at the top of the hill, making it the dominant central building of the town, surrounded by cobbled streets, blocks of houses and overlooking the nearby ridges. Close to coast, enabling a shorter distance to travel when transporting goods for trade. Gournia was well known as one of Minoan Cretes major porting towns. This palace was not the centre for the production of goods as many other palaces were, however it still stored many of the towns trading goods. It is thought that there must have been an individual or small group of people to organise and supervise the workers responsible for the construction. On the basis of burial customs and the agglutinative structure of the towns such as Gournia there may have been a clan social structure. (1) There was a governing body in these palaces, possibly a king that was not only a ruler, but also a war leader, administration leader and a religious leader. (2) Minoan architects was to create a palace that is aesthetically pleasing from both inside and out Architects did not in fact plan their palaces, that they rather focused on a central room (or central court) and built a number of rooms around it - agglutinative There is no attempt to arrange them systematically, but ...

Managing medical error disclosure Essay Example | Topics and Well Written Essays - 2000 words

Managing medical error disclosure - Essay Example Incidence of medical errors has been on the increase (Mazor et al 2006). Medical errors are also called euphemistically as adverse events. A report titled â€Å"To Err is Human† had talked about frequency of medical error about a decade ago (Levinson, 2009). In spite of high incidence of serious medical errors, there had been no guidelines from professional bodies as to how to deal with medical errors until a few years ago (Bratton, 2007). Disclosing medical error to the patient has been high on the agenda of ethical practitioners in the medical profession contrary to what time and again insurance companies and their attorneys have advised against disclosure (Guadagnino, 2005). Medical error is the fifth leading cause of death in the U.S. and the Institute of Medicine (IOM) has estimated the related costs at $ 29 billion (Rajendran, 2001). Medical errors are not necessarily related to an individual’s negligence. It can be due to systemic deficiencies (Howe, 2000). Medical errors are so rampant that they are now considered a public health issue endangering safety of patients. Medical error had been recognized as early as in mid 1950s. But there had been no change in medical practice until recent times aimed at avoiding them. For example, in the case of tonsillectomy debated for the past more than two decades as an unnecessary procedure , it was only after the public scandal involving death of children during early 1970, that the medical profession woke up to the realty (Millenson, 2002). There are more than one million adverse events which end up in 44,000 to 98,000 patient deaths in the U.S. (Basanta, 2003).However much the efforts are being taken to avoid medical errors, it has not been possible to totally eradicate them as they are now daily routine to be confronted with by the health industry as whole at some place or other. Hence, in order to put the patients and their relatives at ease, the policy makers have made

Service Value Assessment Essay Example | Topics and Well Written Essays - 750 words

Service Value Assessment - Essay Example Authors who carried out studies concerning service  value  indicated their interest in the aspects and techniques used to determine the value of service in hotels. Moreover, there was recognition of the natural characters of services like heterogeneity, concurrently, expiring and indefinable, on the hospitality business, and other features such as seasonal requirements and  inaccurate  values.  This discovery led to some difficulties in defining and measuring the value of service (Salazar, Costa & Rita 383). For instance, assessment of  quality  values such as being good,  caring  and  courteous  may have  diverse  analysis  depending on the client. It can as well be a  demanding  activity, involving the development of an organizational tradition, which involves  daring  people to  perform  better than they already are, and acknowledging and rewarding when they do so. According to these writers, listening is one of the features that are  fund amental  to  service  value improvement. Furthermore, there is a  climax  phase  of  time  where  order  is higher, like depart or  high  period, which makes yet more complex, to  convey  a  reliable  level  of value. Spending money in a manner that will not  develop  the  service  is one of the most  regular  mistakes industries  make. ... Research from clients displays the strengths and limitations of a firm. Researches from non-clients  inform  us about rivals’ performance, and this can be utilized as a set of assessment (Salazar, Costa & Rita 384). Anticipations  better  fulfilled by rivals  signify  the  way  of action to  follow. An  outstanding  service is a  beneficial  policy, since it will  involve  more customers, extra  business  with real clients, fewer customers lost, a bigger  separation  from rivals’ prices and fewer errors resulting in conveying once more the  service. Advantages that  occur  from value include customer fulfillment. Better value reinforces the  business’ competitiveness by  better  status, more recurring  business  and few  invisible  customers lost. Another advantage is efficiency and profitability. Reduction of wasted resources as a result of lack of  value  will enable the  business  to  spare  expenses and improvements in operations. Human resources whereby members of staff that  give  expert  services will have a  constructive  approach toward work  atmosphere  and better presentations. One author disagrees that segregation through value guards the  company  from rivals by improving loyalty, reducing their responsiveness to price and evading other competitive powers that  decrease  price/cost borders. This study took place in three parts: in the first phase, two forms  were experimented  in the Portuguese hospitality  division- SERVQUAL having  straight  formulation and SERVPERF. A  reliable  model  was utilized, and 532 questionnaires  were gathered  in thirty two hotels. The  evaluation  was determined  using the  fortitude  coefficient from the weakening form that connected