Gouty Arthritis free essay sample

Leadership in societal transformation I nterdependence with various stakeholders N urturing desire for harmony of man and nature College of Nursing, Dentistry, Pharmacy and Allied Health Sciences Vision NORSU College of Nursing as a educational institution or preference in the Visayan and Mindanao to become the premier provider of health care and education in the province, region and country. Mission NORSU College of Nursing provides excellent instruction thereby developing competent future health leaders and workers who are intellectually responsive, self-directing and contributing members of the society. Goals Develop innovative approaches to achieving quality teaching, research, service and practice goals. Contribute to the knowledge base of the discipline through an active program of health care and interdisciplinary research that is responsive to the changing health needs of the population. Cultivate the attitudes and skills necessary to the think critically, manage information and assume accountability for independent decision. Maintain awareness of historical trends and legal, social, economic, and political issues related to total health care education To synthesize theoretical and empirical knowledge from the liberal arts and sciences with nursing science to enhance professional practice. To equip would-be health leaders and workers with comprehensive knowledge and skills in administering health services in various health settings. To stimulate the facility and students’ capacity to undertake quality research especially in identified priority areas, for the enhancement of the quality of human life and for local, regional and national development. To establish collaborative and cooperative relationship for the purpose of modelling excellence in Nursing research service and practice. To value every individual as a unique, adaptive person who has worth and dignity and who engages in dynamic, reciprocal interaction with the environment, To collaborate with health consumers and providers in promoting, maintaining, and restoring health and facilitating the provision of accessible cost-effective, quality health care. Acknowledgement We would like to thank to our beloved parents, for the unconditional financial support, understanding, guidance and love as well as the encouragement they have given to us in accomplishing this requirement and of course in pursuing our dreams. To our client and client’s significant others who patiently answer our questions and cooperate with us. To the staff in the Medicine Ward, who allowed and guided us throughout our duty. To the College of Nursing, Dentistry, Pharmacy, and Allied Health Sciences (CNDPAHS) headed by our motherly Dean Dr. Dalisay M. Dumalag, who molded us into a better and competitive student nurses. To our clinical instructor in the Surgery Ward, Mrs. Girlie M. Odonel, who shares her expertise in the Medicine Ward , invaluable asset to the completion of this case presentation and for always answering our numerous questions and providing us with consistent words of encouragement. We would also like to extend a grateful thank to you, to our friends and colleagues batch 2013 at Negros Oriental State University (NORSU). And most of all, to our beloved God Almighty who gave us knowledge, wisdom, strength and presence of mind in doing this case presentation and for giving us life and another day to live. TOPIC OUTLINE Topic Description: This case presentation deals with discussion about the disease condition of our patient who has Gouty with the emphasis on knowing the history of patient for the purpose of determining the prevalent cause of his disease condition, the different nursing care that are needed to be applied and the different concepts that will contribute to our knowledge about taking care of Patients under the disease condition known as Tophaceous Gouty Arthritis The coverage of the topic includes the Patients Data, the history, the diagnosis, the interpretation of the Laboratory works, the overview of the Disease, the Musculo-skelletal system, the Renal System, the Pharmacologic and Non Pharmacologic interventions, the Growth and Development, the Psychological and Psychosocial data that was collected and gathered accurately for further study and analysis. General Objective: At the end of the Case Presentation, the BSN III students of Negros Oriental State University under Medicine Ward Rotation will be able to gain knowledge, develop beginning Skills, Manifest Positive and Desirable Attitude towards the care of the client having Tophaceous Gouty Arthritis. Specific Objectives: At the end of the discussion, the BSN III student under Medicine Ward Rotation will be able to: 1. Understand thoroughly the disease process 2. Gain knowledge and ideas that is helpful for them if handling the same Disease condition of the patient 3. Acquire informative behavior about the cause of the disease 4. Implement safe, effective and efficient Nursing Care Plan 5. Have an educative behavior, health promotive skills and efficient understanding about the presentation presented. Introduction Eating the right food, having an exercise and doing the right thing are the components of a good and healthy life. Disorders, as they say, are the ones that results from our carelessness and irresponsibility. Good Moring Everyone, we would like to discuss to you the disease condition of our Client who has Tophaceous Gouty Arthritis. He is 54 years of age, and lives at Sta. Catalina Negros Oriental. He has one son and separated from his wife 10 years ago. He is a retired security guard of a government agency. Currently, he is the one who takes care of their small fishpond. According to him, they have heredo familial disease of having Gouty arthritis. His father suffered from this disease also. He is a heavy alcohol drinker, he is obese, he eats too much foods such as organ meats ( paklay ), more of beans and salty foods. As a result, last 10 years ago, he developed signs and symptoms to quantify and quality Gouty Arthritis. He had his medical intervention and symptoms were relieved. But, he still continues his unhealthy diet, his alcoholism so that after 10 years, he developed Tophaceous Gouty Arthritis which is a terminal stage of gouty arthritis. He is experiencing severe pain and body malaise which urges him to seek medical intervention again. He is currently bed ridden, he has difficulty in flexing, and extending his joint and muscles, his body is so weak that he doesn’t want to move his self. There are deposition of urate crystals on his skin and those were termed as tophus, plural is tophi. It is distributed to both upper and lower extremities. For more information of the disease process of our patient which includes the prognosis, please sit back and relax as we discuss to you those things that you need to know. Demographic Profile Name:Echavez, RosalitoDate of Admission:January 24, 2012 Age:54 years oldCivil Status: Separated Sex:MaleReligion:Roman Catholic Address:Sta. Catalina, Negros OrientalAttending Physician:Dr. Paraiso Admitting Diagnosis:Tophaceous Gouty ArthritisWard:Extension Chief Complaint:Severe pain on the joints associated with body malaise and Hypertension General Appearance: * Received Client lying in bed, weak, body malaise, responsive to verbal and non verbal stimuli, irritable behavior noted and pain sensation felt on his joints especially on his big toe joint and his knee joint. Presence of bed wound laceration on his plantar area. With D5 IMB 1 L inserted at let metacarpal vein, running at 10 gtts/min; infusing well. Vital signs taken: 8:00am T= 38. 4? C, P= 110 bpm, R= 36 cpm, BP= 150/90mmHg. 12:00 nn T= 38. 0? C, P= 115 bpm, R= 34 cpm, BP= 150/90mmHg. Present History of illness: * Patient was diagnosed of having Gouty arthritis 10 years ago, patient was advised to have a diet that will not increase uric acid level but patient failed to do so. Patient developed the signs and symptoms of gouty arthritis but this time it is in severe stage which is having tophi. Past History of Illness: * Has hospitalized 10 years ago, has completed childhood immunization, no allergies to food or drugs. Has experienced common colds and taken OTC drugs to alleviate symptoms. Familial History of Illness: * Heredo familial disease of Hypertension and gouty arthritis Spiritual History: * Our patient is Roman Catholic in religion. He believed that God will provide answers for his prayers and provide solutions in all problems he have. His religion is very important for him, because God is the source of his strength and provide all needs in life. He considered that all things happen with a purpose and whatever it is he only trust God and offer all his suffering, sickness, and hurts.

Positive Reinforcement †Skinner Essay Sample free essay sample

The best manner to understand the full importance of the applications of B. F. Skinner’s ( 1953. 1971 ) thought and his research consequences is to read his novel. Walden Two ( 1948 ) . The book is about a Utopian community designed and maintained harmonizing to Skinnerian rules of operant behavior and agendas of support. A similar application was made in an industrial state of affairs in the Emery Air Freight instance ( â€Å"At Emery. † 1973 ) . By using Skinnerian rules. which are based on legion research findings. Emery rapidly realised an one-year nest eggs of $ 65O. OOO. Skinner is neither an OD practician nor a direction adviser. but his theory and research are so applicable to direction patterns and to organizational alteration. For Skinner. control is cardinal. If one can command the environment. one can so command behavior. In Skinner’s attack. the more the environment is controlled the better but the necessary component of control. is the wages. We will write a custom essay sample on Positive Reinforcement – Skinner Essay Sample or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page both positive and negative. This necessity is based on a fundamental of behavior that Skinner derived from his many old ages of research. a construct so basic that it may be a jurisprudence of behavior: that people ( and animate beings ) do what they are rewarded for making. Let us see the rules that underlie this fundamental of behavior. The first stage of erudite behavior is called determining. the procedure of consecutive estimates to the desired behavior. When kids are le_arnin2 to walk. they are reinforced by their parents’ promoting remarks or physical stroke but this support typically follows merely the behaviors that lead to effectual walking. Programmed acquisition. invented by Skinner. is based on this rule. To keep the behavior. a agenda of support is applied and. by and large. the more variable the agenda is. the longer the behavior will last. Skinner hence advocates positive support for determining and commanding behavior. Often. nevertheless. when we consider commanding behavior. we think of penalty ( â€Å"If you don’t make this. you’re gon na acquire it: † ) . Harmonizing to Skinner. penalty is no good. His stance is non based wholly on his values or caprices. nevertheless. Research clearly shows that. although penalty may temporarily halt a certain behavior. negative support must be administered continuously for this certain procedure to be maintained. The rule is the antonym of that for positively reinforced behavior. There are two really practical concerns here. First. holding to reenforce a certain behavior continuously is non really efficient. Second. although the punished behavior may be curtailed. it is improbable that the topic will larn what to make ; all that is learned is what non to make. Thus. the manner to command behaviour harmonizing to Skinnerian theory and research is to reenforce the desirable behavior positively and. after the defining procedure. to reenforce the behavior merely on occasion. An attempt~ should be made to disregard unwanted behaviors and non to penalize ( unless. possibly. society must be protected ) but. instead. to pass clip positively determining the coveted behavior. The deductions of Skinner’s work for administrations is that a premium is placed on such activities as establish- ing incentive systems. cut downing oreliminating many of the control systems that contain built-in menaces and penalties. supplying feedback to all degrees of employees sing their public presentation. and developing programmed-learning techniques for developing employees. The application of Skinner’s work to OD did non happen consistently until the seventiess. Therefore. his influence is non every bit permeant as is Maslow’s. for illustration. Skinner’s behaviour -motivation techniques as applied to people besides raise important inquiries sing moralss and values: Who exercise the control and is the receiver cognizant? Therefore. it is non a inquiry of whether Skinner’s methodological analysis plants but instead how and under what fortunes it is used. Mentions: From BURKE. W. W ( 1987 ) : Administration Development. Reading. Massachusetts. Addison-Wesley. pp. 35-37 Mention:â€Å"At Emery Air Freight: Positive Reinforcement Boosts Performance† . Organisational Dynamics. 1 ( 3 ) 41-67 Skinner B. F ( 1948 ) : Walden Two. N. Y. : MacmillanSkinner B. F ( 1953 ) : Science A ; Human Behaviour. N. Y. : Macmillan Skinner B. F ( 1971 ) : Beyond Freedom and Dignity. N. Y. : Knopf.

The Role of Sales Budget in the Production free essay sample

The sales budget is a conservative estimate on the estimated size of the sales, mainly used for the purchase, production and cash flow decisions. Clearly, the marketing budget should not only consider sales forecasts, but also to avoid excessive risk, general sales budget should be slightly lower than the corporate predictive value. Sales budget is usually the starting point of production and operation of comprehensive budget preparation, production, material procurement, inventory costs and other aspects of the budget should be based on the sales budget. The marketing budget costs and sales goals linked. The sales budget is a financial plan, which includes the cost of the marketing budget marketing plan objectives, in order to ensure the realization of the profits of the companys sales. The sales budget is only after the completion of the sales forecast, sales target is broken down into multiple levels of sub-goals. Once these sub-goals are determined, the corresponding cost of sales has also been finalized. We will write a custom essay sample on The Role of Sales Budget in the Production or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Sales budget was based on sales forecast, and which based primarily on the analysis of historical sales of various products, combined with information on a variety of products in the market forecast development prospects, first by product, region, customer and other items to be prepared, and then make merged and summarized. Determine future projected sales and the sales price based on sales forecasts, calculate the expected revenue: Projected sales revenue= the expected sales? xpected sales unit price. According to the companys financial sector statistics for the last few days, in January, fly ash dryer, drum dryer, flotation cells and other equipment accounted for more than 60% of sales in terms of sales. Therefore, we can say these devices are currently in great demand in the market. Among them standard and short head type are popular. Their main differences between are the section shape of crush chamber and parallel band length. The movable cone of standard type inclines steep, the parallel band is short; the short head type inclines gentle, the parallel band is long, the features movable cone of middle type are between the two types.

Plastics Essays - Plastics, Thermoplastics, Dielectrics, Free Essays

Plastics Essays - Plastics, Thermoplastics, Dielectrics, Free Essays Plastics The Recycling of Thermoset Materials into Thermoplastic Composites Abstract Thermoset process scrap costs companies millions of dollars annually. Specific thermoplastics could benefit from the addition of recycled thermoset material. The incorporation of thermoset regrind into thermoplastic material would provide a viable alternative for the thermoset scrap that is currently sent to the landfills. Theory and Background When a thermoset part has been cross-linked, that material either has to be used in the application it was intended for, or thrown out. In process scrap, generally shear sand/saw grindings and other waste, is shipped to the landfill for disposal. The lack of recycling in the thermoset industry results in higher final prices for the consumer. Developing a practical method to recycle thermoset materials would create a commercially feasible composite material. The addition of the regrind would reduce the requirement for expensive virgin material, decreasing the composite materials price. This would provide the thermoset and thermoplastic industries with substantial savings. Thermoset regrind, from Haysite Re-Inforced plastics, polypropylene co-polymer from ExxonMobil, and Silane Q1-6106 from Dow Corning were used to create the new composite. At Haysite, the regrind is a by-product of the sanding of large laminate sheets of fiberglass-reinforced polyester. Each sheet is sanded to final size, with the waste dust being sent to the landfill. The dust used in this study was taken from Haysite's EMD product line. This regrind consists of approximately 30% glass fibers, 31.5% calcium carbonate filler, 20% polyester resins, and the final 18.5% of the mixture is comprised of organic catalysts, pigments, and trace amounts of highly concentrated chemicals. The silane acts as a coupling agent between the polypropylene and the regrind on a molecular level. The silicon and oxygen molecules, present in the silane, form strong ionic bonds between the glass particles in the regrind. This part of the silane-coupling agent also forms secondary force bonds with the chains of the propylene polymer. Van der wal forces may create bond strength between the glass fibers and the polypropylene as well. The polyester resin portion of the reground material also utilizes van der wal forces. These forces weakly bond the resin molecules to the virgin propylene. The resin and glass fiber portion of the regrind is best if bonded to the polypropylene directly. The silane does not provide any bonding forces between the calcium carbonate and propylene molecules. Calcium carbonate is also hygroscopic which may necessitate material drying if properties are affected by the water absorption. Dow Corning's Silane Q1-6106 is a high viscosity liquid, and compares best to a waxy gel. The addition of the silane provide significant wetting between the materials, which causes clumping. Multiple, less expensive materials can reproduce the wetting characteristic of the silane, however, the molecular bonding benefits are not duplicable with these other materials. Experimental Mixing Originally, it was proposed that the material be compounded through extrusion and palletizing with subsequent injection molding. A regrind level of 20% and 30% was selected to ensure the financial benefits would outweigh the costs associated with silane and the compounding of the composite material. Also, a less expensive alternative was desirable as the costs of the overall process would rise and detract from the cost savings provided by the use of the thermoset regrind. When it became evident that the material could be directly injection molded, this alternative was selected over the extrusion operation. Overall, the procedure followed was clean, efficient, and could be used to produce large quantities of the composite material in a short period of time. Mixing was preformed to the following guidelines. A five-gallon bucket was lined with two garbage bags, and filled with 4.35 kilograms of the virgin polypropylene. Next, the resin was wetted with 0.17 kilograms of silane. The mixture was then tumbled to avoid clumping in a specific area and to prevent poor distribution of the silane. The second wetting also consisted of the 0.17 kg of silane and a second tumbling. The regrind was then integrated into this mixture by splitting the amount in half, and adding the regrind in two batches of 0.99 kg each. After each addition of regrind the material was tumbled. To produce the 20% loaded parts, half of the 30% regrind loaded parts were reground into normal pellet size and mixed with

Choosing an existing company, write a BUSINESS REPORT which recommends Essay

Choosing an existing company, write a BUSINESS REPORT which recommends a marketing strategy and tactics for a new product or bra - Essay Example The demographic profile chosen for the products of Soul Mate are boys and girls both aged between two to eighteen. The name itself presents the affection towards the kids. The company is in the market for the last four years. The primary markets are USA and Canada. The lion part of the revenue comes from the US market. The company is one of the most innovative toy making companies in the market. The sell their products through exclusive Soul Mate stores across The USA and also through some selected retail outlets in US and Canada. The company is relatively new in the segment. However, it is privileged with the 15 percent market share in US toy market. The main successful formula of the Soul Mate is the best quality products with best service in the industry. Soul Mate is having a successful journey for the last four years in USA and now it is planning to show its supremacy in the international lucrative markets like India and Brazil. Vision of the Soul Mate: The Vision of the company is to be one of the ethically acclaimed leading innovative toy manufacturing companies in the world. Mission of the Soul Mate: The mission of the Soul Mate is to provide high quality products and services to the prospective customers to gain the trust and distribute the knowledge and happiness among the kids. Soul Mate wants to become the soul mate of the kids for ever so kids can cherish their beautiful childhoods. SWOT analysis: Strength: Soul Mate is full of ambition and lust to achieve. The company is having a name which connects to the heart of the kids. The company is there in the market for more than 4 years. It is having its own retail outlets where they sell their products exclusively. The company is equipped with well trained research team who are monitoring the new trend in the market. And the main strength is the trust it has built among the kids and the real buyers that is the parents. They have the old toy replacement policy with the exchange with new one which works as a big strength of the company. Weakness: Weakness is a factor which is most of the time invisible but it is visible after something goes wrong. However, the main weakness is the product range. It is having a product range which is not too long. The product range is consisting of spy gadgets, board games, dolls and scale models and video games. They don’t focus on the cars and remote controlled toys. Opportunity: Toy market is not saturated and few big names are there in the industry, so the opportunity is there to be grabbed. Soul Mate has a promising future plan to focus on the unexplored lucrative markets like India and Brazil where people are having high spending habits but they don’t get quality products. Opportunities are waving hands toward the Soul Mate, it just has to react over it. Threat: The product life cycle of a toy is not too long. And with the passing of time the formation and psychology about the toys are changing very fast. Extinction is one of the main threats. The company needs to be innovative to survive among the highly competitive business world. However, the interactive website is a big problem solver for the Soul Mate Where Kids can Play Demo Games and may be some free online games which would be licensed under Soul Mate. Product line and the depth and breadth of the line: The product line of the Soul Mate is not too long.

Environmental Studies Lecture Notes Case Study Example | Topics and Well Written Essays - 1500 words

Environmental Studies Lecture Notes - Case Study Example Next he went over the homework assignments and the reading assignments. As we finally got started with the class itself, he started a discussion what renewable sources of energy are. Essentially it's an energy source that renews itself without effort; they can be used over and over again. These kinds of sources can include solar, wind, biomass, hydrogen, geothermal energy, hydroelectric energy, and ocean energy. This class is focused more on production more than previous classes in the program because it's more cost-effective to conserve energy before you try to produce it. Each of these sources of energy have some positive and potentially negative elements that might come into play. Some of the first vocabulary he went over was solar constant, which is the amount of energy that goes by the earth. Insolation talks about how much solar radiation hits the ground and there are three different kinds - direct, diffuse, and reflected. One sun is another term that will come up often and ref ers to the amount of sun an area gets in a day. Azimuth and altitude angle. Altitude is the height of the sun in the sky. Azimuth angle is the angle from the south. This has an effect on where and what orientation we build solar panels to achieve maximum power source. The optimum is to go south, west is better than east, and consider areas of shade. The angle of the solar panels should be equal to the latitude, but can be adjusted in consideration of the uses of the project (summer, winter, other environmental conditions like fog). Although some utilities will pay you for excess power you produce, but they aren't obligated to do so by law. Basics of PV cells is that it is a semi-conductor electron pump that creates about .5 volts of DC power per cell, a number of cells are collected to create a module and a collection of modules is an array. Types of PVs are stand alones (sometimes with batteries) or Grid intertie (tied into the grid and the meter goes backwards), and they're made o f crystalline silicon (multicrystalline is the most popular right now), thin film, and concentrators or tracking devices to add greater efficiency. Building integrated PV means a low efficiency PV system that works with the building to provide additional comfort and collect power at the same time. After going over a normal set-up and some examples, we discussed the need for battery backup systems - 3-5 days of backup is typical and should provide power for the essential systems such as refrigerator, etc. There's a lot of estimating about installing a system - you have to estimate the load and the production, the available sunlight, and the reliability of the system. Have to know the difference between kW (unit of power) and kWh (energy). Factors that affect output include temperature, dirt, wiring losses, and AC to DC conversion. Then we discussed how to calculate energy. We ended the lecture with an introduction to solar thermal - heating hot water, space heating, or pool heating - and replaces the need for natural gas. Again, conservation takes precedence over efficiency. Systems are better than they used to be in the 70s. Types of thermal systems are batch heaters (collection and storage are together) and flat plate collectors (collection and

A7-Chpt 9 Assignment Example | Topics and Well Written Essays - 250 words

A7-Chpt 9 - Assignment Example 1-8). For example, Facebook and other social media sites allow users to design their own page. Wikipedia, on the other hand, allows users from all over the world to make changes to the pages where they perceive necessary. There are limitless applications of Web 2.0 to business organizations. For example, the interactive feature of the websites allows businesses to obtain feedback from their clients and thus tailor their products to suit the specific needs of their customers (Chui et al. 1-8). For example, most business websites and blogs allow the readers to leave comments, a feature that was only enabled by Web 2.0. In addition, Web 2.0 is a platform that can be used by business employees to share information among themselves (Chui et al. 1-8). This is a very important feature of business because it lowers the costs of communication and allows workers to have interactive forums where they can all participate in sharing and distribution of information. Web 2.0 also has applications in marketing. For example, all social networking sites use Web 2.0. Businesses use these sites to connect to customers and advertise new products. In fact, social networking sites are merging as the best advertising platforms (Chui et al. 1-8). They increase the application of Web 2.0 to