Saturday, December 28, 2019

The Hunger Games Book Report, 7th Grade Level. Essay

The setting in the Hunger Games is not in the past or present, but in the future. The story takes place in District 12 and in a place called the Arena. District 12 is an old and very run down. It is a very; dull place of mines. The Arena is ;where the Hunger Games take place. It is a dangerous and scary place. The main protagonist is Katnis Everdeen. She is very good and is tryihng to get back to her family. She volunteered for her sister to go into Hunger Games. Cato is the antagonist. He is cruel and wants to kill everybody in the games. He is very selfish, and is part of the career which is bad. The authors purpose was to entertain readers. It was not a book to inform because it doesn’t give facts about anything. It has a†¦show more content†¦She founbd him and cared for him but he was very sick. They grew very close together and lived in a cave together. Katniss got some medicine and it helped treat him. One conflict is she wants to keep Peeta alive and goes through so much trouble. She had to go and find the backpack with the medicine before the other people got to it. They faced a big battle with all the remaining people and they conquered them. But, then at the last moment the announcers said there could only be one Victor and they were in shock. They loved each other too much to kill the other. They came up with a plan to both stick poisonous berries in their mouths and after they hurried and announced they both won they spit them out. That is how they won the Hunger Games. I loved this book so much. There is so much action and is so much better and exciting with so much amazing detail and description. This is one of my favorite books ever. When you read it, you don’t want to put it down and it makes you feel like you are with the characters in the book and you know them so well. I recommend this book to anyone who can read at this level. my Sources were http://www.enotes.com/the-hunger-games andShow MoreRelatedStrategic Marketing Management337596 Words   |  1351 Pages Strategic Marketing Management Dedication This book is dedicated to the authors’ wives – Gillian and Rosie – and to Ben Gilligan for their support while it was being written. Acknowledgements Our thanks go to Janice Nunn for all the effort that she put in to the preparation of the manuscript. Strategic Marketing Management Planning, implementation and control Third edition Richard M.S. Wilson Emeritus Professor of Business Administration The Business School Loughborough University Read MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesOne Lake Street, Upper Saddle River, New Jersey 07458, or you may fax your request to 201-236-3290. Many of the designations by manufacturers and sellers to distinguish their products are claimed as trademarks. Where those designations appear in this book, and the publisher was aware of a trademark claim, the designations have been printed in initial caps or all caps. Library of Congress Cataloging-in-Publication Data Robbins, Stephen P. Organizational behavior / Stephen P. Robbins, Timothy A. JudgeRead MoreEssay on Fall of Asclepius95354 Words   |  382 Pagessimple word. At the same time it was the most complicated word to enter any human language. I mean just think about it... You say that word to anyone before the outbreak and what would they think of? They would, think of those horror movies or comic books where, for no reason what so ever, zombies appear all around the globe in an instance. Thats not how it happened for us. There were signs for over two months. Its just that no one took the time to put the pieces together. I kind of did. I knew there

Friday, December 20, 2019

Sexual Nature And Sexual Differences - 1560 Words

Several of the fundamental shifts in the ideas about the sexual nature and sexual differences occurred in the eighteenth and nineteenth-centuries. During this period the new scientific knowledge is increasingly accepted concerning biological sex, gender, and sexuality, under which the belief that men and women are biologically different emerges. As the acceptance of this discovery grew it creates a new cultural system of proper behavior for men and women, and new constructions of gender. Through the change in the gender/sex system, Rousseau’s ideas about what makes men and women different and the evolution of homosexuality the ways by which behavior is codified as proper or deviant in the eighteenth and nineteenth-centuries is made clear.†¦show more content†¦Under this configuration there are two bodies, male and female, and there are three genders, male, female, and sodomite (Trumbach 193). This change in the sex/gender system created a new construction of gender fo r the population of Enlightenment London. This model, which explains the sexual nature of the body, quickly became ingrained into society to an extent by which social and political regulations of the population occur in accordance to this system. The emergence of Molly-Houses during this time illustrates how the change in ideology around the sexual nature of the body also influenced societal norms and behaviors in the eighteen-century. The expectation of men who were Mollies was that they would play a feminine role within the Molly-House, but conduct life in public as a man (Trumbach 190). This dynamic illustrates how the creation of strong gender identities and norms persuaded sodomites to adhere to proper behavior of the time period, despite their sexual desires or gender. Trumbach explains that sodomites biologically appear to be men and therefore are held to the standards of men in society, even though they are socially less than men (190). Society under the hierarchy created by this system, views specific behaviors, such as sodomy and prostitution, as improper because they go against the defined roles of men as

Thursday, December 12, 2019

Health Variations Case Study

Questions: Brian Jones (aged 50) presented to his GP with a nine month (9/12) history of a change in his bowel habits, abdominal pain and fatigue. His GP ordered Faecal Occult Blood testing which confirmed the presence of blood in Brians stool. Following this, Brians GP referred him to a gastrointestinal specialist. The specialist recommended Brian have a colonoscopy. During the colonoscopy, a biopsy was taken of a lesion located in Brians rectum. The biopsy results confirmed a Stage IIA rectal carcinoma. Brian was admitted to hospital for an abdomino-perineal resection and the formation of a colostomy. Brian returned to the surgical ward postoperatively. On his return, Brian has a patient controlled analgesia (PCA) infusion of 50mgs of Morphine in 50ml NaCl running at 4mL/hr, 0.9% NaCl (Sodium Chloride) IVI running at 125mL/hr via an IVC in his left arm, a sigmoid colostomy with a small amount of haemoserous fluid evident, 2 x Haemovac drains in situ on suction with 100mls frank blood in total , a nasogastric (NG) tube in situ on free drainage with 4/24 aspirations, an indwelling urinary catheter (IDC) with 50mls of urine output, regular medications ordered metronidazole (Flagyl) IVI 500mgs in 100mLs 8/24 paracetamol (Panadol) 1g IVI 6/24, enoxaparin (Clexane) 40mgs sub cutanously daily, and metoclopramide (Maxalon) 10mgs 8/24 PRN. 1. Describe the pathogenesis of Brians colorectal cancer from the initial cellular mutation to the diagnosis of stage IIA colorectal cancer 2. Describe two (2) modifiable and three (3) non-modifiable risk factors for colorectal cancer and explain how these risk factors may have contributed to the development of Brians colorectal cancer 3. a) Describe the action and mechanism of action of metronidazole (Flagyl) in relation to its administration to Brian. b) Describe the action and mechanism of action of Morphine in relation to its administration to Brian. 4. Discuss the nursing responsibilities with associated rationales in relation to admin istering Morphine to Brian. Answers: 1. The development of cancer in the colon or rectum is known as colorectal cancer. It is also known as bowel cancer, rectal cancer or colon cancer. The abnormal growth of cell and blood present in stool is the main problem of this disease. The symptoms and signs of colorectal cancer are hepatomegaly, enlarged lymph nodes, loss of appetite, jaundice, pain in the hip or buttock, severe abdominal pain, breathing problems and buildup of fluid in abdomen. Three symptoms are common in Brian Jone. And his general physician referred him to a gastrointestinal specialist. After examining the biopsy results confirmed a stage IIA carcinoma (National Cancer Institute, 2015) . Pathogenesis of Brians colorectal cancer: Stage 0: Fig1: Pathogenesis of stage zero colon cancer of Brian Jone. Colon wall shows abnormal cell growth For this stage In the inner most layer of mucosa of colon wall the abnormal growth of cells are seen. This abnormal growth of cells produce cancer and then spread througt out the colon. The other name of zero stage is carcinoma in situ. Stage I: Fig2: Pathogenesis of stage I colon cancer of Brian Jone. From the colon wall it is spread to the muscle layer. Colon cancer. In this stage the colon cancer is already produced. It is formed in the inner most layer of mucosa of colon wall in stage I. In this stage the cancer is spread over the colon. It has spread from the inner most layer of mucosa of colon wall to the submucosal layer which is found under the mucosa. Stage IIA: Fig3: Pathogenesis of stage IIA colon cancer of Brian Jone. There are three parts of this stage :IIA, IIB and IIC. Brian has stage IIA rectal carcinoma. In stage IIA through the colon walls muscle wall it has spread to the serosas outer most layer of the colon wall. 2. Risk factors are the risk by which the chance of getting disease enhances. The risk factors are different for different diseases. By the researchers it is found that there are many risk factors for colorectal cancer. The risk factors are not everything for a patient. Central deposition of adiposity, excess body weight and physical inactivity are the modifiable risk factors of coloractal colon cancer. There are many risk factors which produces colon cancer. Those are life style related factors, certain type of diets, physical inactivity, obesity, smoking, alcoholism, age, personal history of colorectal cancer, personal history of inflammatory bowel disease, family history of colorectal cancer, inherited syndromes. Modifiable risk factors of colorectal cancer are life style related factors,certain type of diets, obesity, physical inactivity, alcoholism, smoking etc. For Brian Jones all are applicable. The life style of Brian Jones or habit to consume alcohol or obesity may be contro lled by him. So this all are modifiable risk factors for colorectal cancer of Brian Jones. Non modifiable risk factors of colorectal cancer are age, personal history of inflammable bowel disease, personal history of colorectal cancer, family history of colorectal cancer, inherited syndromes etc. As we know Brian Jone had a history of nine month of a change in his bowel habits. This is the main reason and most imporatantly it helps to enhance the chance of colorectal cancer of Brian Jones (Cancer.org, 2015). The family history of colorectal cancer is not a modifiable risk factor. So if there was any family history of cancer of Brian jones then it was not possible to control by the Brian Jones. In some cases the colorectal cancer is produced by inherited gene defects or mutation. The chances of colorectal cancer is increase after age 50. As we know Brian Jones is 50 years old. So this is a also a possible reason for the colorectal cancer of Brian Jones. 3 a) Anaerobic bacteria and protozoa are killed by metronidazole. It is an antibiotic belongs to nitromidazole group. The metronidazole was prescribed intravenous infusion (IVI) 500mgs in 100 mls 8/24. Metronidazole with metoclopramide has so many drug intaractions over the time. The toxicity is enhanced by the administration of the metronidazole over time. Fig4: mechanism of action of metronidazole. b) Morphine is prescribed to Brian Jones post operatively for pain remove(Australianprescriber.com, 2015). The pharmacological action of morphine is produced by the receptor which are present on the neuronal cell membranes. Neurotransmitter release is inhibited by the presynaptic action of morphines. In the nervous system neurotransmitter release is the major effect. Morphine drugs are pharmacologically worked by the opoid receeptors. Three types of opoid receptors are found, m, k and d. All the receptors are cojugated by G- protein. The pharmacology of opoid receptor is characterised by the opoid receptors. 4. The administration of morphine should be controlled by the nurse. There are some standard procedure which offer safety of a patient for administering the intravenous morphine and it will offer the relief from pain(Morphine, 2012). Morphine is called as good standard opoid analgesic in management of pain. Some guidelines are produced for appropriate and safe administration of morphine intravenously. The nurse should be trained properly for administering the morphine intravenously(WENDLING, 2009). The responsibility directly goes to the clinical mangement team. In the case of Brian Jones the nurse sholud monitered the administration of morphine as well as the dose of morphine. First of all the morphine is prescribed for the severe pain. And it is the responsibility of nurse to check proper dose and the route of administration of morphine which is written is the prescription(The New Gold Standard in Infusion Nursing, 2011). The result or side effects is monitored by the paient. If th e pain is less the dose will less. Same case is for the Brian Jones. If he reports to the nurse that he feels better than before then the dose will reduce(Duse, Davi and White, 2009). It is the responsibility of nurse to check the contraindications of morphine. The doctor prescribed four drugs to Brian post operatively. It is the responsibility of nurse to confirm the interactions of the drugs with morphine(Golembiewski, 2003). The nurse should monitor all the factors: respiratory rate, observation of infusion site, medication identification, response totherapy, confirmation of dosage, level of consciousness, side effect profile etc. References Australianprescriber.com, (2015).Opioids - mechanisms of action - Australian Prescriber. [online] Available at: https://www.australianprescriber.com/magazine/19/3/63/5 [Accessed 6 Mar. 2015]. Cancer.org, (2015).What are the risk factors for colorectal cancer?. [online] Available at: https://www.cancer.org/cancer/colonandrectumcancer/detailedguide/colorectal-cancer-risk-factors [Accessed 6 Mar. 2015]. Duse, G., Davi, G. and White, P. (2009). Improvement in Psychosocial Outcomes in Chronic Pain Patients Receiving Intrathecal Morphine Infusions.Anesthesia Analgesia, 109(6), pp.1981-1986. Golembiewski, J. (2003). Morphine and hydromorphone for postoperative analgesia: Focus on safety.Journal of PeriAnesthesia Nursing, 18(2), pp.120-122. Morphine. (2012).Reactions Weekly, NA;(1394), p.32. National Cancer Institute, (2015).Colon Cancer Treatment (PDQ). [online] Available at: https://www.cancer.gov/cancertopics/pdq/treatment/colon/Patient/page2#figure_261_e [Accessed 6 Mar. 2015]. The New Gold Standard in Infusion Nursing. (2011).Journal of Infusion Nursing, 34(1), p.11. WENDLING, P. (2009). New Pain Guideline Takes Aim at NSAID Use in the Elderly.Clinical Psychiatry News, 37(7), p.20.

Wednesday, December 4, 2019

Commercial Law of AustraliaMarine Construction Limited

Question: Discuss about theCommercial Law of Australia forMarine Construction Limited. Answer: Introduction The instant case is regarding construction of a hotel which is later to be converted to a hostel. The effort is taken by a regional university of Western Australia and for that to happen, they have approached Marine Construction Limited (MCU) for carrying out the work. The terms of the contract have ambiguous content where only time of completion and price of the project is put into perspective. Issues For deriving the issues of the case, facts of the case needs to be deeply looked into. A contract was entered into between the university from Western Australia and Marine Construction Limited (MCU) where the main objective was to build a hotel to be converted into a hostel to accommodate students. The expenditure incurred was $ 200,000. In the initial month MCU ran into deep waters. There were several structural glitches including rotten beams, studs and other timber to be replaced. It was realised by MCU that with the present predicament it was impossible to complete the project within 1st March, 2016. Moreover the university Vice Chancellor had declared 150 overseas students were due to move into the hostel premises very soon. When this information was given to the authorities of the University they were appalled and seeked for a remedy. The company told them to increase the project budget by $500,000 due to which additional labourers could be employed who would work day and night to ensure the work is done within the given deadline. The university was compelled to accept the unjust offer as the deadline was near and shifting of the students would be jeopardised by the fiasco[1]. The work was completed within the time frame. However the council of the university brooded over the extra expenses and contemplated for legal recourse[2]. Hence the following questions arise from the above discussed scenarios: Did the company made unjust enrichment by asking for an extra $500,000 from the university? Did the company cause breach of contract by not completing the construction by the given deadline? What remedies does the University have towards the defaulting construction company? Law and Its Application In the instant case MCU has caused breach of contract by not completing the project within the stipulated period. In any commercial contract, term of a contract is of primordial importance. When a time period is fixed it is imperative for the parties to the contract to go by it else resulting into a major breach issue. However due to time crunch, they took unfair advantage of the situation and elicited additional $ 500,000 for completing the project. There is a statutory provision under the Competition and Consumer Act of 2010 which speaks of the statutory prohibition of misleading and deceptive conduct. Section 18 of the Australian Consumer Law speaks that no person in trade or commerce should engage in conduct which misleading or deceptive in nature. This change of object was excluded from the ambits of the contract and can be termed as illegitimate monetary gain. They had already breached the contract by not completing the said work within the stipulated time frame. They further m isappropriated the situation to their own advantage and made unfair benefits of the extra funds provided by the university. In a way an act of misrepresentation was committed by them for which they can be penalised[3]. They did not show genuine effort in their work and unnecessarily made the project costly. These extra funding could be curbed had they finished their work in time. The commencement of the second contract was completely based on the insufficiency of the past consideration. The second contract was result of economic duress which means that the construction company forced them to deviate from the original contract by citing frivolous economic reasons[4]. Remedies The university has an option of legally warn the construction company of the implications of not fulfilling the work within the time frame provided. They can file cases of fraud and economic duress in Australian Courts and ask for monetary compensation[5]. Moreover the company was bound by the concept of promissory estoppel. They have flouted the rule by wavering from the stipulated time frame. The University had to spend more for the said work which resulted in monetary losses. Hence liquidated damages can be claimed from the construction company for the loss caused to the university due to their careless acts. Conclusion Hence it is noticed from the instant case that a breach of contract is caused by the construction company when they did not finish their work within stipulated work. This caused monetary loss to the University and moreover they were made to spend an unnecessary extra amount of money to complete the same work in the same time frame. The construction company had misled the university for their own economic benefit. Bibliography Fletcher, K. L and K. L Fletcher,The Law Of Partnership In Australia(Lawbook Co, 2007) Gillies, Peter and Niloufer Selvadurai,Law Of Contract(Federation Press, 2009) Monahan, Geoff and Susan Carr-Gregg,Essential Contract Law(Routledge-Cavendish, 2007) Turner, C. F,Australian Commercial Law(LBC Information Services, 2001) Willmott, Lindy, Sharon Christensen and D. A Butler,Contract Law(Oxford University Press, 2005)