Character study on Inspecter Calls by J.B Priestly :: essays research papers

Toward THE END OF MOST PLAY, SOME CHARACTERS HAVE CHANGED AND SOME HAVE NOT. Talk about TWO CHARCTERS: ONE WHO CHANGES, AND ONE WHO DOESN’T IN THE PLAY CALLED â€Å"AN INSPECTOR CALLS† †BY J.B. Holy The play ‘An Inspector Calls† by J.B Priestly, is determined to an April evening in 1912. The play concerns the Birling family and Gerald Croft unobtrusively celebrating over Gerald and (Mr. Birling’s little girl) Sheila Birling’s commitment, when an Inspector shows up out of the blue in the midst of their family festivity to enquire about a self destruction of a youthful pregnant young lady called, Eva Smith. Through addressing, the investigator reveals that they all have an a contribution to the youthful girl’s passing. In the play, a few characters are changed by the Inspector’s appearance and news. A few be that as it may, continue as before. One character who continues as before is Mrs Birling. In Act One, we are given a general impression of her; a polite lady however one who knows her capacity of power (being the spouse of a wealthy agent and the administrator of Brumley Women’s Charitable Society). In Act Two, Mrs. Birling presents herself in a considerate and good way to the auditor (very not at all like the character that she advances into) yet he thinks that its difficult to get data out of Mrs. Birling, this can be appeared with the these statements (taken from soon after the Inspector has indicated Mrs. Birling a photo of Eva); (Controller) â€Å"You perceive her?† (Mrs Birling) â€Å"No. For what reason ought to I?† Later in the play, reality comes out that Mrs Birling had met the young lady in the photograph. Sheila bolstered the Inspector when Mrs Birling wouldn’t give out any data about Eva and attempted to convince her mom to talk however Mrs Birling accepting her as being impolite and ill bred and indicated that she doesn’t like being repudiated. At the point when Mrs Birling tells the Inspector about Eva going to her board of trustees for help, she demonstrated no regret for the little youngster. She took Eva as being insolent when Eva said that her name was ‘Mrs Birling’ and was partial against her case. In this way, she utilized her capacity and authority (similar to the administrator) to impact the others on the board of trustees to surrender her case. Mrs Birling attempted to prevail upon the Inspector about her decisions of Eva and with an unmistakable heart; she said she was, â€Å" . . . entirely defended in exhorting my advisory group not to permit her case for help.

Value Chain Model Research Paper Example | Topics and Well Written Essays - 1250 words

Worth Chain Model - Research Paper Example The guideline point of Audible is to coordinate educated listening so much that it turns into the center device for any individual who is looking for information to be progressively beneficial and all around educated. Audile’s assortment is gigantic. It‘s assortment incorporates more than 85,000 sound projects that have originated from over 1000 substance suppliers. These substance suppliers shift from book recording distributers to supporters to performers to magazines to paper distributers to business data suppliers. The substance can be handily downloaded and played back on different remote cell phones. Discernible is likewise the main supplier of for sound items for Apple’s iTunes Store. (About Audible) Audible’s Value Chain Activities: According to Porter(1885), the basic belief chain exercises are as following: 1. Inbound Logistics 2. Activities 3. Outbound Logistics 4. Promoting and Sales 5. Administration Inbound coordinations incorporate some guidi ng principle chain exercises, for example, getting the crude materials and loading them in distribution centers. In the wake of loading in their stockrooms, the materials are appropriated to the dispersion and from that point to assembling. Discernible is an online store that conveys computerized content. It conveys sound substance and its stock incorporates DVDs and no more. Consequently, its distribution centers are intended to keep CDs and DVDs. Its center plan of action empowers clients to shop, buy and download sound substance from their online store, www.audible.com. The tasks incorporate tweaking the sound substance to the measures that run at discernible; including the perceptible logo the perceptible media substance and duplicate right ensuring. Out bound coordinations don’t include blocks and concrete here. The clients are allowed the chance to download their ideal advanced substance on their preferred media. Showcasing and Sales includes concocting client needs and focusing on them for deals. Discernible markets itself through online media, internet based life and through the online head honcho, Amazon.com. Discernible has a cost free number through which clients can connect with their client administrations office. (Worth Chain Model) The essential exercises in esteem chains are a blend of different things. These incorporate the framework of the firm, its Human asset the executives, its innovation improvement, and its acquirement. Discernible is deliberately lined up with Random House Inc for the creation and distributing of sound substance. Discernible utilizations different innovations to help esteem creation for its business. Discernible cut down on all the physical costs, for example, paper, printing, warehousing and transportation by settling on online conveyance that not recently guaranteed that the clients were promptly conveyed but at the same time were offered a wide beam of DVDs to choose from. Additionally, Audible likewise made w orth permitting the creators to name in their own voices. In the end the populace and the majority began with drawing themselves from books since they ended up too occupied to even consider reading. Discernible offered them the chance to get familiar with perusing in the midst of their bustling calendars. They weaned away from books and began gazing upward to advanced substance accessible to them to peruse. Before this sound distributers thought that it was hard to transport physical items. An online shop store made it feasible for them to come out of that confinement. Discernible was the principal organization to focus its

Are people on the East Coast friendly

Are people on the East Coast friendly When I applied to MIT, I didnt consider whether the people of Boston would be as friendly as the people of Wisconsin. I probably wouldnt have given it a second (or first) thought, except for a conversation I had with my school librarian. She asked me what I would be doing the next year, and I told her about MIT. Unlike most people I had told, her reaction wasnt just to congratulate me. She said but arent people on the East Coast a bit unfriendly? Now, to be fair, I still cant answer that question entirely. Most MIT students dont leave campus much. There are so many awesome people to meet and activities to try (and so much work to do) at MIT that I havent spent a whole lot of time in Boston. Thats actually point number 1: This isnt a very important question to answer, because MIT is the community you will spend most of your time in, and it is plenty friendly. As for Boston though, it might help to share a few anecdotes to give you a picture of what the city is like. And, in the comments please let us know if you have other anecdotes to add. Anecdote 1: My family came to visit me about a year ago. My mom was always striking up conversations with people on the subway! She would talk to them about their children or where they were going or how to get where she was going, all the time. Most people in Boston would not initiate a conversation with a stranger, but they will talk to you if you initiate the conversation. Anecdote 2: I left my purse on a city bus a few months ago. When I called my phone (which was in the purse) the woman who had found the purse answered, we met, and I got my things back. A similar incident happened a couple of months later; my wallet fell out of my pocket as I was crossing a street, and the man who found it looked me up so that he could return it. Maybe Im just lucky, or maybe this says something about the residents of Boston. Anecdote 3: One of my friends who lives in an apartment in a bit of a shady area (not near MIT) was mugged a few months ago, and was badly beaten up. Anecdote 4: About a month ago, on a cold rainy night, a city employee made me get off of the subway because I had a bicycle. Never mind that I had already paid, never mind that it was miserable out, never mind that people with strollers and large packages are allowed on rules are rules. The guy was also a complete jerk to me. I had to sit around for an hour until 7pm, when I was allowed back on (the reason the rule exists is so that during rush hour the subway doesnt get overcrowded). On the brighter side, once the jerk went off duty his coworker let me back in for free since I had already paid once. Anecdote 5: Yesterday, my boyfriend and I rented a Zipcar. We were way out in Weymouth when the car broke down. The woman whose driveway we ended up in invited us in for tea while we waited for a tow truck to come! Anecdote 6: One day last year I stumbled upon a giant outdoor dance party, put on by the city to increase community spirit. It was nighttime, and colorful lights lit a crowd of hundred of people, dancing in the street outside of City Hall. These certainly dont sum up the whole city, but they can give you an idea of what to expect. Boston is a city, and it can be a little dangerous. On average people are a bit more direct here, which I think is what my librarian had actually picked up on. When they mean no, they are more likely to just say no than sorry, I would, but . In my experience though, most of the people Ive interacted with are decent people who are perfectly willing to help a stranger out. Some will even dance with strangers in the street. Really, I think that you get a similar mix of people here as anywhere else: some friendly, some not, some nice to you if youre nice to them first. What have other peoples experiences been, coming to Boston for the first time? How are people different here? What other questions are admitted students thinking about? (And by the way, congrats if you got in! Come hang out with us for CPW!)

The Jameson Raid, December 1895

The Jameson Raid was an ineffective attempt to overthrow President Paul Kruger of the Transvaal Republic in December 1895. There are several reasons why the Jameson Raid took place. Tens of thousand of uitlanders had settled in the Transvaal following the discovery of gold on the Witwatersrand in 1886. The influx threatened the political independence of the recently formed republic (negotiated at the 1884 London Convention, three years after the 1st Anglo-Boer War). Transvaal relied on revenue generated by the gold mines, but the government refused to grant the uitlanders the franchise, and kept upping the period required to qualify for citizenship.The Transvaal government was considered to be excessively conservative over economic and industrial policy, and the various non-Afrikaner mining magnates in the region desired a greater political voice.There was a significant level of distrust between the Cape Colony government and that of the Transvaal republic over Krugers attempt to claim control of Bechuanaland in contravention of the 1884 London Convention. The region was subsequently declared a British protectorate. Leander Starr Jameson, who lead the raid, had first arrived in Southern Africa in 1878, lured by the discovery of diamonds near Kimberley. Jameson was a qualified medical doctor, known to his friends (including Cecil Rhodes, one of the founders of the De Beers Mining Company who became premier of Cape Colony in 1890) as Dr Jim. In 1889 Cecil Rhodes formed the British South Africa (BSA) Company, which was given a Royal Charter, and with Jameson acting as emissary, sent a Pioneer Column across the Limpopo River into Mashonaland (what is now the northern part of Zimbabwe) and then into Matabeleland (now south-west Zimbabwe and parts of Botswana). Jameson was given the post of administrator for both regions. In 1895 Jameson was commissioned by Rhodes (now prime minister of Cape Colony) to lead a small mounted force (around 600 men) into the Transvaal to support an expected uitlander uprising in Johannesburg. They departed from Pitsani, on the Bechuanaland (now Botswana) border on 29 December. 400 Men came from the Matabeleland Mounted Police, the rest were volunteers. They had six Maxim guns and three light artillery pieces. The uitlander uprising failed to materialize. Jamesons force made first contact with a small contingent of Transvaal soldiers on 1 January, who had blocked the road to Johannesburg. Withdrawing during the night, Jamesons men tried to outflank the Boers, but were finally forced to surrender on 2 January 1896 at Doornkop, approximately 20km west of Johannesburg. Jameson and various uitlander leaders were handed over to British authorities in the Cape and sent back to the UK for trial in London. Initially they were convicted of treason and sentenced to death for their part in the plan, but the sentences were commuted to heavy fines and token prison stays - Jameson served only four months of a 15 month sentence. The British South Africa Company was required to pay nearly  £1 million in compensation to the Transvaal government. President Kruger gained much international sympathy (the Transvaals David verses the Goliath of the British empire), and bolstered his political standing at home (he won the 1896 presidential election against a strong rival Piet Joubert) because of the raid. Cecil Rhodes was forced to retire as prime minister of the Cape Colony, and never truly regained his prominence, although he negotiated a peace with various Matabele indunas in his fiefdom of Rhodesia. Leander Starr Jameson returned to South Africa in 1900, and after the death of Cecil Rhodes in 1902 took over leadership of the Progressive Party. He was elected prime minister of the Cape Colony in 1904 and lead the Unionist Party after the Union of South Africa in 1910. Jameson retired from politics in 1914 and died in 1917.

The Biological Theory And Gender Essay - 1298 Words

This has been a very interesting class and while reviewing for this paper, I realized I will take away more than I originally though in the way of instruction and understanding. When I first started, I assumed gender communication was how male and females communicate. While I still hold to some of my original theory’s regarding gender, many of my views have changed. Additionally, this study as made me aware of what a complicated issue gender is going way beyond the male female sex. In our reading, Wood states (2009) We are born male or female (sex), but we learn to act in masculine and/or feminine ways (gender) (Woods, p. 23). We examined three theoretical approaches to Gender in an effort to understand why we act feminine or masculine. These theories not only provide information, but influence our thoughts and behaviors towards others (Woods, p. 39). The Biological Theory maintains biological characteristics are the bases of gender differences a sub group within this is Sociobiology or the evolutionary theory whose focus is on reproduction to ensure survival. (Woods, p. 40,41). Interpersonal theories include the psychodynamic theory stating it is the first relationship that establishes gender identity, Psychological theory focusing on communication as the key to gender identity, Social learning theory states we learn how to act masculine and feminine from the responses of those around us, with the Cognitive Development theory focuses on gender consistency an d thatShow MoreRelatedThe Importance of Biological Factors in the Development of Gender Identity766 Words   |  4 PagesThe Importance of Biological Factors in the Development of Gender Identity The biosocial theory suggests that gender identity develops as a result of the obvious biological differences between boys and girls and the hormonal differences between the sexes which can be observed in the foetus from about six weeks (Durkin, 1995). 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Most Important Mnemonics for Step 2 Cs Free Essays

HISTORY PHYSICAL EXAMINATION HPI (history of present illness) ALL CASES: OPD CSF AAA PAIN: OPD CSF LIQR AAA OPD CSF ABCDO FLUIDS: (Vomiting, Diarrhea, constipation, cough, vaginal discharge) O Onset of the symptom + precipitating factors P Progression D Duration C Constant /Intermittent S Settings F Frequency L Location of the symptom (forehead, wrist†¦ ) I Intensity of the symptom (scale 1-10, 6/10) Q Quality of symptom.. BCDSPP(burning,Cramping,dull,Sharp,pulsating,pressure like) R Radiation of the symptom ( to left shoulder and arm) A Associated symptoms ( palpitations, shortness of breath) A Alleviating factors (sitting with my chest on my knees) A Aggravating factors (effort, smoking, large meals) A Amount B Blood C Color C Consistency C Content D Duration O Odor UG Hx: OPD-CSF-AAA + FINISH PUBC F Frequency (How frequent do u have to pass urine? ) I Incontinence (Do u have trouble holding Ux until u get to BR? ) N Nocturia ( do u have 2 wake up @ Night to go to BR? I Incomplete emptying (do u feel fullness even after Ux) S Stream (How is ur flow of urine? is it cont. We will write a custom essay sample on Most Important Mnemonics for Step 2 Cs or any similar topic only for you Order Now or is there any dribbling after Ux? ) Strain (Do u have to strain during Ux) Stone (have u passed stones in the past? ) H Hematuria (did u notice any blood), Hesitancy (do u have 2 wait b4 starting Ux) P Pyuria (was there any pus in ur Ux? ) U Urgency (do u have 2 rush to BR to Ux? ) B Burning (dysuria) (does it burn) C COLOR 1 drkhalilezekiel@yahoo. com PMH (past medical history) PAM HUGS FOSS P Previous presence of the symptom (same CC), Past Medical problems (^BP, ^BS,U , idney prob. Rhinitis,Sinusitis, sthma,) A Allergies (drugs, foods, chemicals, dust †¦ ) M Medicines (R U taking any prescription medications/any over-the-counter med. ), H Hospitalization for any illness in the past (Trauma, surgery) U Urinary changes ( esp if diabetic, elderly†¦ ) G Gastrointestinal complains (diet changes, bowel movements†¦ ) S Sleep pattern(difficulties falling/maintain asleep,wake up,snoring,med. to help sleep, how many hour, nightmares) F Family history (similar chief complai nts/serious illness)/ Fevers, Chills/ Fatigue O OB/GYN history (LMP, abortions, para†¦ LMP RTV CS PAP S Sexual habits (active/preferences/STD/no. of partners/contraception/pregnancy/ last pap smear) Q 1. â€Å"Mr. John, Are you Sexually Active? † Q 2. â€Å"How Many Partners are you active with? † Q 3. â€Å"Are your partners male or female or both? † [Unless the SP says wife or husband in Q 2] Q 4. â€Å"Do you use protection during intercourse? † Q 5. If yes in Q. 4 â€Å"What kind of protection do you use? † Q 6. Ask about anal intercourse in male homosexuals Q 7. h/o STD’s; Rx for STD’s S Social Hx (job/house/smoking/alcohol/recreational drugs/†¦.. ) WAD SAD TOES Social Hx WAD SAD TOES W Weight A Appetite D Diet S Smoke (cigarettes, marijuana, how much, how many years) A Alcohol (what type of alcohol, how often, how much ,consider doing CAGE question. ) D recreational Drugs (what drug, how do you use it, any IV drug use? ) T Travel /Trauma O Occupation (what do you do for living? ) E Exercise S Stress HEADACHE OPD CSF LIQRAA + DIAGRAM Head trauma/Seizure/Weak,Numb Tears / visual changes Flu Vomit/ Speech Neck stiffness 2 drkhalilezekiel@yahoo. com Ped Hx (Child with fever) CUB FEVERS + PAM IF BIG DEALS-T C Colds-runny nose,cough,chest pain, fast respirations,SOB-CRYâ€Å"how is ‘cry of ‘baby? U Urination-increased or decreased urination, # of diapers, any odour, colour of urine Ulcers in mouth B Bowel changes: Diarrhea-frequency, onset, mucus/pus/blood in stool, any crying during defecation Discharge Q’s (ABCD-O: Amount, Blood, Content, Consistency, Color, Constant/Intermittent, Duration, Odor/Onset) F Fever chills E Ear pulling V Vomiting E Ea r/eye discharge, Ear hearing, Eye vision R Rash S Seizure-any jerky movements, which part of body? Any leakage of urine or stool during fits, and postictal irritability or loss of consciousness. Stress (bet wet, DM) P Past medical/Past surgical Hx / Previous Hospitalizations. A Allergies, effect on child/parents (bet wet, DM), Activities M Medications, Menstruating (female child 10yo) I Ill contacts F family history B Birth Hx I Immunizations G Growth n development, ht, wt, milestones SSC-WTD: S(1), S(6),C(9),W(12),T(15), D(30) smile, sit, crawl, walk, talk, dress wks: 1,6,9,12,15,30 D Day care / Difficult swallowing E Eating habits, feeding of baby A Appetite L Look of the baby or appearance, Last check-up S Sleep T Travel recently Premenopause : H Hot flashes A Atrophy of vagina D Dryness of vagina O Osteoporosis (council) C Coronary artery disease HADOC drkhalilezekiel@yahoo. com ObGyn Hx : LMP RTV CS PAP L LMP (when was ur LMP? ) M Menarchae (how old were u when u had ur 1st period? P Period (how many days ur period last? ) R Reglarity ( R ur periods regular? ) T Tampoons (how many pads do u use in a heavy day? ) V Vaginal DID: discharge, itching , dryness (have u ever had any vag discharge? ABCDO. do u have any vag. Itching? ) C Cramps (Dysmenorrhea) do u have abd cramp with ur period? S Spotting ( intermenstrual / post coital ) have u ever bled (. ) ur cycles? Did u ever notice any bleeding after intercourse? P Pregnency ( Hx complications) have u ever been pregnant? How many times? A Abortion/miscarriage (Any miscarriages or abortions? In ? month of ur pregnancy? ) P PAP smear(have u been getting regular PAP sm ? when did u have the last PAP sm ) (any Female50 yo:ask about:1-R u taking vit D Ca,2-have u ever tried HRT? ) If suspect abuse SAFE GARDS S Safety inquiry (Do you feel safe at home? ), Sex ever forced? A Alcohol abuse (does your hubby abuses alchol? ), Attacked Children? F Friends/Family who are aware( Dos any1 f ur friend/Fam know of this) Fractures (Abuse ever resulted in fractures? ) E Emergency plan (u have emergency plan? ), Ever tried to leave/divorce? why not? G Guns at home (are there any weapons @ home? Attacked with it? ) A Afraid of husband R Relationships with husband (how is ur relationship with husband? do you feel Threatened when he is around? For how long? D Depression (lost wt/appetite/sleep), Drugs (does husband use recreational drugs) S Suicidal (idea/plan/attempt) (ever felt like ending it all up? ) 4 rkhalilezekiel@yahoo. com Diabetic pt â€Å"FU/Med Refill† D Duration of disease I Insulin regimen/ oral hypoglyemics regimen A A1c hg - Gluc. monitoring (fast, home, HgA1c) B Blurry vision (retinopathy) E Extremity (foot ulcer/infection T Tingling/numbness (neuropathy) I Infections (resp/urinary) C Cardio Risk Factors (HTN, CHOL, Heart disease) Counseling DM HTN M Medications (regularity) E Exercise ( for obese/sedentary lif e styles) D Diet Modification( Salt/Fatty foods) O Opthalmoscopic exams (annual routine) W Weight Management (/control) S Sugar Check ups DIABETIC MEDOWS Neuro cases â€Å"LOC† P Palpitations A Aura â€Å"b4 problem† S Shaking (duration) S Spinning/ lightheaded B Bladder incontinence / Bowel incontinence L Loss of consciousness (duration) T Tongue biting/ tinnitus hearing loss S Speech difficulties/ Sleep disturbance A Ataxia â€Å"gait† N Numbness/nausea vomit D Difficulty breathing W Weakness I Injury (trauma) fall C Confusion after the event / Visual disturbance H Headache PASS BLT SANDWICH -And to make sure you got it completely don’t forget the MinMental Stat. Exam 5 drkhalilezekiel@yahoo. com MINI MENTAL O Orientation X3 â€Å" time, place, persons† R Registration â€Å"I’m going to say 3 objects†Ã¢â‚¬ ¦ then repeat A Attention â€Å"spell world backwards† R Recall what were those 3 items again? L Language â€Å"Repeat after me.. â€Å"No, ifs, ands, or buts† 2 Identify two objects â€Å"what is this.. pen.. and this†¦ paper† 3 Obey 3 commands â€Å"take a piece of paper, fold in ? , put on floor† R â€Å"Read 3 commands on this paper and do what it says† W Write a sentence D Draw, copy the image ORARL23RWD Forgetfulness/ Memory Loss / Dementia/ Alzheimer’s FORGETS HIM + DEATH SHAFT F FAINTING / Flashes/ FHx of Alzheimer 0 ORTHOSTATIC HYPOTENSION R RUNNING URINE â€Å"INCONTINENCE† G GAIT E EYE[VISION] T TRAUMA, TINGLING S STRENGTH,SEIZURES H HEADACHE I INFECTION [SYPHILIS, MENINGITIS] M MOOD ADL – Activities of daily living D Dressing E Eating A Ambulation (can you find your way thru home) T Toiletry (do you manage your toiletry unassisted) H Hygiene IADL – Instrumental activities of daily living S Shopping H Housekeeping A Accounting F Food prep (do u do your cooking ) T Transportation (do you drive? How is your sight, hearing? 6 drkhalilezekiel@yahoo. com Foot / Heel / Knee / Back pain OPD-CSF-LIQORAAA +WET SURF-D -‘CIS’ W Work /Weakness / Walking habits /Wt loss E Eye infection redness T Trauma to foot /Tingling Numbness / Tender S Stifness in other joints/leg Swelling /long Standing hours/morning Stiff/sound U Urethral discharge /ulcer R Ras h/ Redness of skin of joint F Fever chills night sweat D Deformity / Dysurea IN CASE OF BACK PAIN ADD: CIS; Cancer Hx /IV DRUGS/ Steroids 4 long time Depression: (Psychiatric Hx Checklist) SIGME CAPS DHAT +2 (+MMSE: ORAL23RWD) S Sleep (difficulties falling/maintain asleep, wake up, snoring, med. o help sleep, how many hours, nightmares), Stress, Support I Interest, What do you do in your free time? How are you doing in your job? do you enjoy what you do? G Guilty M Mood. ( anxious, sad, hopeless, lonely? Memory problems E Energy C Concentration A Appetite, changes in your Weight P Psychomotor agitation/retardation (do you feel easily agitated or angry/do u feel not to do anything? ) S Suicide: thoughts, plan, attempts(do u have pills/guns @ home? D Delusions/Drugs H Hallucinations/Hopes A Attitude towards life (positive negative frame of mind) T Thyroid dysfunctions (ABCD HV for HYPOTHYROID) also need to ask : Do u realize that u have problem ? Do u want help? ( if patient was sent or asked by anyone to consult doc ) HYPOTHYROID APPETITE BOWEL-constipation COLD INTOLERANCE DEPRESSION HAIR FALL VOICE-Hoarseness 7 drkhalilezekiel@yahoo. com ABCD HV Hearing loss: P Pain D Discharge F FB I Imbalance N Noise R Ringing S Spinning T Trauma Dx ABD Signs PDF IN RST CKMG MIOR (MIOR assoc. ith Appendicitis) C Cullen $- periumbilical discoloration (Retroperitoneal He,pancreatitis, AAA rupture) K Kehr $ –sever Lt. Shoulder pain- Splenic rupture, ectopic pregnancy M Muphy’s $- Abrupt interruption of inspiration on palp of RUQ- acute cholecystitis G Gray-Turner $, Discoloration of flank (same as Cullen $) M Mc Burney’s $- Tenderness 2/3 from ASIS to Rt of umbilicus I Iliopsoas $, Hyperextention of R hip Cx ABD pain O Obturator $- Internal rotation of flexed R hip Cx ABD pain R Rovsing $- RLQ pain upon palpation of LLQ DD Nasuea Vomiting A Anorexia M Metabolic( DKA)/Meds O Obstruction (pyloric /Intestinal) P Pregnancy I Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID) N Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess G Gastroenteritis A MOPING 8 drkhalilezekiel@yahoo. com Cranial Nerves: 2 optic 3 4 6 5 7 Oculomotor Trochlear Abducent Trigeminal -Test visual acuity -Test pupillary reflexes (direct) -Test accommodation reflexes -Assess pupillary reactions to light -Assess corneal reflection -Perform H-test for EOM -Sensory: close eyes,touch face where? Motor: Assess strength of muscles of mastication;bite down and palpate masseter Ask patient to; -smile -wrinkle forehead, -blow out cheeks -close eyes -whisper, -Weber -Rinne tests Assess movements of the soft palate; swallow and palpate neck Assess strength of trapezius sternocleidomastoid muscles; -shrug shoulders up -move neck to side against resistance Ask patient to protrude tongue (assess for fasciculation, atrophy Deviations) -stick your tongue up -move it side to side facial 8 Vestibulocochlear 10 vagus 11 accessory 12 hypoglossal 9 rkhalilezekiel@yahoo. com – Mr. ? – Good morning Mr. , I am Dr. Khalil, an attending physician in this hospital. SHAKE HANDS First I’ll ask u few Qs. and do brief physical exam. Meanwhile if u have any Qs, feel free to ask me, ok? – Let me make u more comfortable DRAP PT. – I’ll be sitting writing some notes while we’re talking, is that ok? †¦THANK U. – Please tell me what brought u in today Mr. ? †¦Ã¢â‚¬ ¦.. – I. C. , can u tell me more about †¦Ã¢â‚¬ ¦.. â€Å"c. c. † Mr. I’d like to ask u few Qs. about ur health in the past, is that ok? Mr. now I’d like to ask u few Qs. bout ur habits, is that ok? Now I’d like to ask u few personal Qs. I assure u that all info. Will be kept confed. ok? Now, let me ask u few Qs. about health of your family members, ok? Does any body in ur family have any med. Conditions? Mr. thank u. I am done e history, let me summarize for it, As u mentioned, u have †¦.. Do u have any Qs. for me? Mr. Now I need to examine u. may I proceed? But 1st let me wash my hands. Ok? Mr. Thank u for ur cooperation. I am done e phys. Exam let me give my impression. Based on ur Hx my PE, it seems that u might have†¦.. ut it could be something else/ †¦or†¦, so to arrive at right D, I ‘ll run some tests order imaging studies such as †¦.. once I’ve result we’ll meet again discuss various ttt. Options. – Do u have any Qs. for me? SHAKE HANDS LEAVE ROOM 10 drkhalilezekiel@yahoo. com HISTORY HPI: OB/GYN: LMP†¦, regular periods every†¦.. Weeks ,lasting†¦.. Days. Menarche at age†¦ Uncomplicated NSVD at full term.. Years ago. ROS: negative except as above. Allergies: NKDA Medications: none PMH: PSH: SH: smoke /alcohol / illicit drugs/sex / job /exercise FH: noncontributory PHYSICAL EXAM Patient is in no acute distress OR looks .. anxious,tired, †¦) ( The source of information is the patient’s mother. the mother of a †¦. -month/year-old female/male c/o her child having †¦.. ) VS: WNL (except for temp. Of †¦) HEENT: NC/AT, PERRLA, no conjunctival pallor. No fundoscopic abnormalities. Nose,mouth and pharynx WNL Neck: Supple, No LAD, thyroid normal, no carotid bruits. Chest: no tenderness, clear breath sounds bilaterally. Heart: RRR, normal S1/S2, no murmurs, rubs or gallops Abdomen: soft, non-tender, non-distended, +BS, no guarding, no hepatosplenomegally Extremities: no edema, normal DTR in lower extremities Skin: no rash Neuro: MMSE: AOx3, spells backward, recalls 3 objects, Cranial nerves: 2-12 grossly intact, Motor: strength 5/5 throughout -sensory: intact to soft touch and pinprick, DTR: symmetric 2+ in all extremities (or lower extremities), – Babinski bilateral, Gait: normal, Cerebellar: – Romberg, rapid alternating movement and heel to chin test normal and symmetric 11 drkhalilezekiel@yahoo. com UWShort UWLong 1 16-31-37 2 1-13-1925-35-39 24 25 4-5-1822-24 29 15 28 20 21-40 12 7 43 10 FA Full 19 1-2 38 6 3 FA Mini CASE 23-24 Urine problem Alcoholism 19 Abd pain Heel pain Chest pain 13 8 31 5 6 7 4 6-26 10 38 42 34 11 UL pain 31 Shoulder pain 21 Knee pain 27 32 Back pain 37 Calf pain Vomiting â€Å"adult† 18 Vomiting â€Å"child-TEL† 7-8 33 Fever â€Å"child† 5-28 20-22 Diarrhea Rectal bleeding Constipation 9 Night sweat 21 Hemoptysis 9-10-40 12 Chronic cough 15-16-17 8 Fatigue 15 Wt loss 16 Wt gain 17 dysphagia 18 1 Headache 3 Depression 4 psychosis Anxiety Seizure à ¢â‚¬â€œnew onset Amenorrhea Menopause 25 26 Menstrual problems 26 Vaginal discharge 12 drkhalilezekiel@yahoo. com 12 23 13 30 9 33 14 16 17 18 19 20 21 22 23 12 36 13 27 23 6 2 22 41 30 36 41 3 17 32 34 14 11 39 30 14 15 30 10 5 7 6 27 28 14 8 32 27 29 11 2 drkhalilezekiel@yahoo. com 35 33 26 31 4 29 29 11 25 34 Forgetfulness Frequent falls DM New DM drug refill BA drug refill HTN drug refill HIV drug refill Vaginal bleeding Obesity Spells â€Å"LOC† Terminal cancer Confusion Tremors Pre-employment Domestic violence Sexual assault Insomnia Dizziness Numbness-weakness Jaundice â€Å"adult† Jaundice â€Å"Neonate† Enuresis Palpitations SOB Smoking cessation Hallucinations +ve Pregnancy test Pain with sex MVA Sore throat Difficult swallowing Hearing loss Blurred vision Erectile dysfunction Behavioral problem â€Å"child† Skin rash 3 FA cases GIT Trauma Resp Cardio Ped Neuro Endo Psych Renal ObGyn Pain DM/HTN Jaundice Fever Fatigue 1-2-5-11 3-21-27-31-37-38 4 -9-10-41 6-20 7-8-28-30-36-39-40 12-14-18-22-23-29 13-24 15-16-17-34-35 19 25-26-32-33 FA cases 1-2-3-21-38-6-27-37 13-20-36 11-39 7-8 15-16-17 14 drkhalilezekiel@yahoo. com How to cite Most Important Mnemonics for Step 2 Cs, Essay examples

Who can be an entrepreneur Essay Example

Who can be an entrepreneur Essay Roxanne Quimby is an example of the type of person who can be an entrepreneur. She identified in herself the skills and personality traits that enabled her to be successful: a strong will to be self-reliant and independent, ability to take risks, and vision for a future direction. Willingness to work hard, make difficult decisions, and take initiative are also traits that seem to be necessary. To run a successful company, Roxanne claims, all one needs to do is earn more than you spend. Having exposure to other businesspeople also gave Roxanne a general orientation to what business meant. Another thing that emerged as significant was her passion for the entrepreneurial spirit, for generating products and income, bringing something useful and productive into the world.2.  Ã‚  Ã‚  Ã‚  Ã‚   What are the risks, benefits, and tradeoffs of a lifestyle business vs. a high potential business- one that makes $5 million in sales and grows substantially?Having a lifestyle business can be more fulfilling than having a high potential business since a lifestyle business is based on the individual’s choices of how to live, whereas high potential businesses may be motivated more by ambition to make money or succeed, and may detract from a person’s broader life goals. On the other hand, one can make more money by having a high potential business, which can be very fulfilling. For example, Roxanne has to choose between living in Maine – which she loved in a lifestyle business, or relocating to North Carolina where she could expand the business and make more money. A high potential business requires the hiring of more talented professionals, since it would be too much for one person to do all the work. This is beneficial to the owner in the sense that s/he has fewer tasks to complete personally, but it can also be frustrating because having division of labor causes bureaucracy and can lead to inefficiency.   A perk to having a high potential business is t he visibility and media attention a bigger business might have over lifestyle businesses.What is the difference between an idea and an opportunity? For whom? What can be learned from Exhibits C and D?Whereas the banker in charge of granting loans would have viewed Roxanne’s proposition for Burt’s Bee’s company as just an idea, and not something that seemed likely to be created and succeed, Roxanne saw Burt’s beehives as an opportunity for a great business. The difference, then, between an idea and an opportunity is being able to see a things’ potential. Exhibits C can teach us that over the years, more companies were developing. Cost of materials increased, as did value of shipment. Each year, companies in the toilet preparations industry become more and more expensive to operate.   Exhibit D demonstrates that even compared all other manufacturing sectors, operating and maintenance costs for the toilet preparation industry rose over the years.Why has the company succeeded so far?Roxanne and Burt succeeded so far since their product appealed to urban consumers for its simplicity and taste of nature.   Also, Roxanne was able to make split second decisions about the business on her own, which enabled her to take risks necessary for success. Her vigilance about never allowing the business to be in debt also helped the company’s success. The outstanding chemistry of the two owners contributed to the success of the company, since there were no disputes and only agreement; Burt was so nonchalant and entrusted Roxanne with most of the important business decisions.What should Roxanne and Burt do and why?Their options are (1) moving completely to NC and becoming facial cream company, (2) going back to Maine and restarting the Bee business after negotiating lower taxes, or (3) selling the company and moving to India.   Burt and Roxanne would seem to be the happiest if they could move back to Maine and run a lifestyle busine ss of the products they are used to selling. Roxanne said herself that if Maine offered them even half the tax break of North Carolina, she would have stayed in Maine, so Maine is really where she wanted to be. Also, being in North Carolina instead of Maine would detract from the natural, rural appeal to Burt’s Bee’s which so much pleased consumers.Finally, labor is very expensive in North Carolina, and Burt might have a difficult time readjusting to life outside the forests of Maine. Ultimately, this would be choosing a lifestyle business over a high potential business, and though moving back to Maine may mean that it will take longer for Roxanne to earn enough to be able to retire and travel to India, she will be more content all those years she will be working, since she will be living the best way she can. Moving to North Carolina is allowing business prospects dictate and overrule lifestyle choices; it would be a shame if Burt had to cut his long wild-man white ha ir just to fit into society in North Carolina.Another risk to moving to NC is that then they would have to share the stock of the business with other parties. This would hamper Roxanne’s ability to make business decisions that may seem counterintuitive and risks but really are the right decisions, since every decision would have to be agreed upon by the shareholders they shared the stock with. Roxanne does not do well under circumstances of rigid supervision, and one of the things she loves about business is the opportunity it grants her for being independent and self-reliant. Moving to North Carolina will strip her of the things she loves about business, leaving her dissatisfied. If she is dissatisfied with her role in business, she is likely to abandon the company, which would be a shame since she worked so hard and gained so much pleasure in running the company.