Assessment of the child with complex needs Essay

Assessment of the child with complex needs - Essay Example Overall I feel that despite the set of abilities which the pupil demonstrates, she needs a holistic communication system that aims at making use of all the senses to support her communication, understanding and education. In addition to the diagnoses, reports dated 11.11.2010, 9.9.12.2010, 10.3.2011 by a multi-agency team based at Great Ormond Street Hospital for Children indicate that Pupil Z’s abnormalities in development impact on her motor development, and her visual and cognitive processing that support communication and learning. For example, the cerebral palsy affects her ability to control her body, head and eye movement, and this further impacts her learning and cognitive development. Due to the complexity of her needs she now attends a special school which caters for children with sensory impairments and learning difficulties. Aiming to determine the Pupil Z’s functional vision available for communication and education, led me to a review of literature and con cepts relating to assessment of learners who present significant difficulties for researchers. Addressing the issue of the heterogeneity of deaf-blind / multi-sensory impaired population was essential in selecting an assessment approach to assess functional vision for my pupil (Robson 1993 & 2002). ... There is literature relating directly to assessing vision for learners with multiply disabilities based on systematic investigation. However, I have chosen ‘Vision for Doing’ model designed by Stuart Aitken and Marianna Buultjens (1992) as this approach allows me to assess Pupil Z’s functional vision in the context of multiple disabilities. The strengths and limitations of this particular assessment model have been evaluated below. I observed Pupil Z over three weeks participating in group and one-to-one activities with different people. I noted time of the day; places (classroom, sensory room) and positioning (wheelchair, standing frame) to learn about how she uses her vision for learning. I felt that observations of Pupil Z during routine activities / tasks would be the most effective method of collecting data as it would give me first hand evidence of Pupil Z’s visual abilities. I also felt that well established routine activities will motivate her to us e her vision and try to communicate her responses more. SECTION 3 OBSERVING THE PUPIL Z Pupil Z likes / dislikes Activities: Likes / dislikes Number of observers: 1 Positioning: Pupil Z was observed in a quiet, distraction-free area as well as the busy classroom at a time of the day when she was alert and displaying neutral and communicative behaviors. She was positioned in her wheelchair / stander, 19.7 inch from the screen. Listening / watching to a story / song on the plasma screen: â€Å"We are going on a bear hunt† â€Å"Incy Wincy spider† Observations: During three weeks of observation of Pupil Z despite showing pockets of abilities, she was not consistent in her responses to these activates. We have observed mixed responses to both activities,

Pop-culture Essay Example | Topics and Well Written Essays - 1250 words

Pop-culture - Essay Example The print and the electronic media, entertainment tools like music and television, have done absolute justice to the job of brainwashing the impressionable minds of youth. Traditional culture and ideology have traditionally been the binding forces of the society, but in the contemporary age, spirit of the youth is being systematically destroyed by the onslaught of popular culture. The traditionalists and the modernists are permanently at war over approaches to social issues. While the modernists are positive that their endeavors are directed at development of a new society, the traditionalists lament about the steady demise of the indigenous values. A world of interconnectedness is slowly emerging and no one can precisely estimate how circumstances would shape up in the future. However, a strong view prevails that this interconnectedness is heading toward decay of moral and ethical values rather than leading to the path of cohesion and prosperity. In its attempt to pursue individual happiness, the younger generation has compromised societal values and become distracted and clueless. Ill effects of their activities mostly outweigh their honest dispositions and merits. An offshoot of the popular culture viz. the growth of Jazz provides an example. Jazz music arrived like an avalanche on the American media and became omnipresent in no time. Its growth was not contemplated, like the spread of greenery in the thick jungles of Amazon. The sapling of Jazz grew as it was watered with the agony of the black people. The roots of jazz can be traced back to the times of slavery when slave work songs were made as ‘call-and-response’ to narrate stories for pastime. These songs reflected the blacks’ internal rebellion against the sufferings and cruelties inflicted on them by the white race. Black people brought with them jazz to the big cities as they started to migrate to Chicago and New York with

Hank williams Sr Essay Example | Topics and Well Written Essays - 1250 words

Hank williams Sr - Essay Example He befriended music from the very start and the guitar given to him by his mother when he was eight years old, became his lifeline. Williams' childhood friend Rufus Payne (aka Tee Tot) taught him how to play the guitar and sing the blues. Hank Williams' home (now Hank Williams' Boyhood Home & Museum), surroundings and the initial hard family times influenced the style of his songs. Willing to take music as a career, Williams began performing around the Georgiana and Greenville areas of Alabama in his early teens. Forming a local band in Montgomery called the Drifting Cowboys, they became quite popular and the local radio station played their music regularly. Singing songs of the famous artists and his idol, Roy Acuff, the radio station dubbed him the Singing Kid. Lillie became the temporary manager for Williams and collected gate money, contracted and negotiated for gigs. Looking at the face of stardom, Williams contracted with alcoholism and turned intoxicated for his radio shows and eventually got fired due to his "habitual drunkenness". Audrey Mae Sheppard became Williams' manager and short time later in 1943, his wife. Although at the time Williams was a local hero, but he couldn't make it to big names yet. To get further in the limelight, the couple toured Nashville to meet with a songwriter/music publisher Fred Rose who was one of the heads of Acuff-Rose Publishing. Rose instantaneously liked Williams' songs and recorded two sessions for Sterling Records. This resulted in two singles, both hits. Seeing the success and potential in him, MGM Records signed a contract with him in early in 1947 and Rose became the Williams' manager and record producer. His first single with MGM, 'Move It On Over,' was instant hit and rose to the country Top Five charts. Songs released in 1948 like 'Honky Tonkin' and 'I'm a Long Gone Daddy' peaked in the charts too. Another huge success came in early in 1949 with 'Lovesick Blues,' which remained at number one for 16 weeks and crossing over into the pop Top 25. This song was performed at Grand Ole Opry and received a record six encores from the crowds. During this time, Williams and Audrey had their first child, Randall Hank in 1949. Soon afterwards, Williams gathered the guitarist Bob McNett, bassist Hillous Butrum, fiddler Jerry Rivers, and steel guitarist Don Helms to perform the most acclaimed versions of Drifting Cowboys. He and his band were earning handsomely and most of their shoes were sold out. In the early 1950s Williams made at least seven hits and most of them made it to the Top Five Charts. During these years, a different side of Hank Williams came to be known. He started to record some religious and spiritual records under the name of Luke the Drifter. The change of name was due to the fact that he thought that the dick jockeys and jukebox operators would not play his non-traditional songs and there spiritual songs would hurt his reputation as a country musician. Although the name was chosen to hide his identity, he couldn't cloak his voice. The next year Williams came back with more of the hits to please his fans. H e started taking parts in television shows and package tours to market him further. The music was going great with most songs of 1951 entering the top

Communication in Early Childhood Education Essay Example for Free

Communication in Early Childhood Education Essay Effective communication creates a learning environment where students can learn according to their individual needs in a safe and accommodating environment. Think about your early childhood education (or your child’s early education), was it flexible to suit individual learning experiences or were children required to conform to the teacher’s methods of teaching? If you answered the latter, do you think the former would improve the quality of education? Pedagogues’ in all divisions of education should possess proficiency in different levels of communication, whether  they are teaching primary or secondary students or university alumni, to be able to address a combination of the various age groups (colleagues, students, parents or superiors). Educators will face difficulties in providing a satisfactory level of education without the necessary skills to communicate effectively to these groups of people. Early childhood educators with effective communication skills demonstrate an ability to adapt their teaching methods to suit the needs of their young individual students, which benefits the progression in child development. The teacher’s positive mood determines the emotional climate of the classroom,  creating a healthy and safe learning environment for the children and allows teachers to communicate comfortably with children, parents and colleagues, therefore, resolving issues efficiently. Early childhood educators who communicate effectively with children and parents create a positive classroom atmosphere, where successful learning can take place. Teachers and parents must be able to communicate and cooperate to build a strong relationship for the best interests of the child. Do parents have an innate trust in teachers? (For them to leave their children in the teachers care, in some  cases, almost a stranger) Whether or not this is accurate, teachers must build on this trust to create a supportive parent-teacher relationship. Each situation is different and teachers should be aware of their body language, and use of language, so when speaking with parents their communication should be different when talking to parents than when they are chatting with friends. The first step is establishing a dialogue by approaching the parent first and making them feel welcome and relaxed, as parents may be resistant in making first contact, due to, a bad experience with teachers themselves, as children or bad experiences in other  schools with other teachers (Miller, 2003 Roffey, 2002 as cited by Porter, 2008). There are different strategies teachers can use to maintain effective communication with parents and build strong relationships once they have made communication. Keeping a parents trust is important in maintaining open lines of communication so they can discuss concerns relating to the child and solve issues promptly. Teachers can gain parents confidence by always respecting confidentiality and avoiding rumors. If a parent finds out that, their child’s teacher breached confidentiality or is  a known gossip, parents will find it difficult to confide in them with an issue regarding their child, particularly if it is of a personal nature. Parents are also more likely to approach their child’s teacher if they know they can discuss issues and reach a mutual agreement (Bender, 2005). Teacher-parent communication is all about showing trust and comfort with each other. Frequent communication between these two parties creates less tension, when an issue arises, allowing a constructive discussion to take place and reaching an agreement sooner without hostility. Teachers can increase parent participation in the child’s learning by updating  them in upcoming activities and events, so they can be included in their child’s education, stay informed in their child’s successes and concerns, participate in special events, and contribute to their child’s overall learning process. The activities and responsibilities of the school should not be limited to the school environment and cease once the child has reached home, therefore, teachers and parents should allow room for overlapping (Edwards, 2000). Keeping parents updated on their child’s school progress allows parents to provide the necessary support and encouragement at home, giving them a better understanding of their child’s development. At the same time, teachers should obtain information from parents regarding the child’s progress at home, so teachers can help children accordingly at school. This back and forth communication between parents and teachers will provide students with a supportive network that benefits everyone concerned (Ramirez, 2006). It is also the responsibility of teachers to advice parents when their child is involved in an accident. Teachers should always take detailed notes of incidents, remembering to keep confidentiality (between parents), if more than one student was involved (Koza, 2007).  If a parent became aware about an incident through their child, it may give the parent the impression that the teacher tried to conceal the incident. By keeping parents constantly informed, reinforces the parent-teacher relationship, giving parents’ confidence in the teacher’s ability to care for their child. Teachers need to be flexible in their teaching, to meet each individual’s needs. Teachers must demonstrate various teaching styles to accommodate how each individual â€Å"learnt-to-learn† (Edwards, 2009), by applying the learning methods children are familiar with enables them to accomplish more and feel comfortable in  their new learning environment. The way children learned to do tasks at home is crucial to their learning when they reach early childhood education, since each child learned to follow instructions and complete tasks differently, it would be insensitive to treat all children the same without taking into account their cultural differences and experience (Marotz, 2009). Educators teaching young children must consider the learning methods each individual is already accustomed to and design their teaching methods around the children’s experiences, and so, communication can be  used effectively by incorporating different teaching strategies such as speaking, writing and visual demonstrations. For example, a child who has learned to complete a task by reading instructions will perform more efficiently if they are able to read from the board or paper, instead of following verbal instructions from a teacher. Teachers should make the effort to understand each child’s previous learning experience and background, so they can identify the best teaching method required by each child. Teachers must adopt appropriate methods and language for teaching and should outline the schools (or teachers) code of conduct regarding  language, to parents, so they can enforce the same rules at home to avoid children bringing inappropriate language to school, causing disruptions in the learning of other children and disgruntling other parents. As teachers gain experience with children and parents of different cultures, religions and abilities, they develop their own communication skills so they can provide improved services to the children they teach in the future. A safe and positive classroom is an important environment for the learning and development of a child. As a classroom leader, the teacher must behave and  communicate in a manner that creates a positive emotional climate in the classroom; firstly, teachers must resolve or reduce stress caused by work and personal issues, doing so outside of the classroom, so they can concentrate on the needs of the children when they are in the classroom. Secondly, by displaying self-confidence, a strong sense of self-worth and control over their emotions creates a classroom atmosphere where children are happy, comfortable and safe, as a result, children respond more positively to their teachers and classmates (Marotz, 2009). Ebbeck Waniganayake (2003) stated that young children generally have a  sense of happiness and positiveness in them, but society depresses this and upsets the way children view the world and future, by creating fear in them (the media showing violence, bad behavior, and superficial concerns). However, teachers can empower children by showing them â€Å"how to take their place in society and create a better now and future† (Ebbeck Waniganayake, 2003) and give them a feeling of optimism in everything they try to accomplish. Teachers who build a trusting bond with their students are also better equipped, in understanding each individual, allowing children to open up and discuss personal problems with them. This enables  teachers to speak and listen to each individual easily and identify signs of possible abuse, bullying or other health and safety concerns. In conclusion, effective communication is essential to all learning environments and without it, teachers will struggle to teach and students will face learning difficulties, resulting in a decline in the quality of education. In early childhood education, it is up to the teachers to ensure that each child’s education environment is safe and comfortable for the child, by showing flexibility in teaching to meet individual requirements and showing care and understanding to assist children with concerns. A strong parent-teacher relationship creates a support network where information is exchanged and issues are solved, to allow the child to concentrate on his or her learning and development. Early childhood educators are there to guide and support children in all aspects of life. References Ebbeck, M. Waniganayake, M. (2003). Early childhood professionals: Leading today and tomorrow. East Gardens, Australia: Maclennan Petty Pty Ltd Edwards, MC (2000) Center for effective parenting is a collaborative project of: The Jones center for families, 3. Retrieved from http://www. parenting-ed. org/handout3/Parental Involvement/Communicating with. Teacher Handout. pdf Edwards, S. (2009). Early childhood education and care. Castle Hill, Australia: Pademelon Press Koza, W. (2007). Managing an effective early childhood classroom. Huntington Beach, USA: Shell Educational Publishing. Marotz, L. R. (2009). Health, safety, and nutrition for the young child (8th ed. ). Australia: Cengage Learning Porter, L. (2008). Teacher-parent collaboration: Early childhood to adolescence. Camberwell, Australia: ACER Press Ramirez, L (2006) Parent teacher The benefits of creating a supportive parent teacher relationship. Retrieved from http://www. parenting-child-development. com/parent-teacher. html.

The Growing Problem of Child Homelessness in America Essay -- Becoming

It is something that a lot of us are used to seeing on a regular basis standing at the end of an off ramp holding a sign say â€Å"homeless and hungry.† You will see them wondering the streets digging through trash in search for something to eat. We see them everywhere and our initial reaction when we see them is to ignore them and not look at them. You especially avoid making eye contact with them and automatically label them as someone who is too lazy to go get a job or is a drug or alcohol addict and that they would much rather live on the streets. Homelessness is a continuing growing problem, with more and more not just adults but children forced to live on the streets. Homeless people are humans just like us. Being homeless, you are faced with an everyday constant battle just to stay alive. With the government, creating laws that are against them along with being mistreated by society on a daily basis and with little or no support at all makes it very hard to want to survive. Homelessness affects everyone. No matter their race, age, ethnic background (Rosenheck, 2007). Stewart B. McKinney definition of a homeless person is described as someone who "lacks a fixed, regular, and adequate night-time residence; and has a primary night time residency that is: (A) a supervised publicly or privately operated shelter designed to provide temporary living accommodations (Homeless, 2009) (B) An institution that provides a temporary residence for individuals intended to be institutionalized (Homeless, 2009) or (C) a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human being" (Homeless, 2009). In 1987, the federal government decided to step in and passed the McKinney... ...ues are understood in terms of one’s society, culture, or even one’s own individual values (Mosser, 2010). Relativism, selfishness spread though our society like germs, To find a solution for homelessness and the cause and effects it has on a community as well as the person its self are complex. But no matter what skill, interest, age, or resource, there are always way to make a difference for some of the men, women, and children who are homeless (National Coalition for the Homeless, 2006). Works Cited Bonfantini, M. A., & Proni, G. (1988). To guess or not to guess? In U. Eco & T. A. Sebeok (Eds.), The sign of three: Dupin, Holmes, Pierce (pp. 112-119). Bloomington: Indiana University Press. An excellent essay on reasoning and the basis of guesswork. Wolf, E. (1990). Distinguished lecture: Facing power. American Anthropologist, 92, 586-596.

CT scan of abdomen and pelvis without contrast Essay

ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seen constant with acute appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was seen. PELVIS: Good quality, non contrasted actual CT examination of the pelvis with coronal reconstructions. Prostate, seminal vesicles and urinary bladder appeared WNL. The bowels seen on the study appeared WNL, except for inflammatory changes of the appendix and seccum with acute appendicitis. Osseous structures of the pelvis appeared in tract with evidence of bilateral hip degenerative changes. IMPRESSION: 1. Findings consistent with acute appendicitis 2. Degenerative changes of the hips Paula Reddy NN:EF D: T: DISCHAGE SUMMARY Patient Name: Benjamin Engelhart Patient ID: 112592DOB: 10/05/Age: 46Sex: M Date of Admission: 11/14/2012 Date of Discharge: 11/17/2012 Admitting Physician: Benard Kester, MD General Surgery Procedures Performed: Laparoscopic appendectomy with placement of RLQ drain on 11/14/2012 Complications: None. Discharge Diagnosis: Acute subapperative appendectomy perforated. DIAGNOSTIC/IMAGING LABS: Lab results at the time of admission showed a WBC count of 13. CT scan done in the ED revealed an acute appendicitis with fleggon. HOSPITAL COURSE: The 46 years old Caucasian gentleman presented to the ED with a 3 day history of abdominal pain, however in the last 24 hours and it has________ migrated to the RLQ with anneorixia, guarding and elevated WBC of 13 and CT scan consistent with appendicitis. The patient was taken to the operating room where he underwent a laparoscopic appendectomy that revealed appendix perforation and phlegmon. The appendix was removed in toto with an intact stable line. A drain was placed in the RLQ due to the fleggmonous material. Patient did well over the successive 2-3 days postoperatively with resumption of an oral diet having past flatus with having bowel movement with minimal drain output. However his WBC lowered to 6. His drain has been left intact. Patient is being discharged on the post operative day 3 on a 1 week course of PO gentamicin. The drain left in place. The drain will be removed in my office on 11/24/2012 if the drain output is minimal. Patient is on a PO diet. He was given a script for both antibiotics and PO narcotics. (Continued) PLAN: Post operative visit in my office in 1 week for evaluation and possible removal of JP drain. No heavy lifting for 4 weeks following surgery. Patient is to complete his full course of post operative antibiotics. DISCHAGE SUMMARY Patient is to report to the ED or my office earlier if any redness or foul smelling drainage out of the wound sit. Any swelling, fever, pain or any other concerns. Patient and his wife verbalized the understanding of the agreement with the above plan. Bernard Kester CC: Max Hirsch, MD D:11/14/2012 T:11/14/2012 HISTORY AND PHYSICAL EXAMINATION Patient Name: Benjamin Engelhart Patient ID: 112592DOB: 10/05Age: 46 Date of Admission: 11/14/2012 Emergency Room Physician: Alex McClure, MD Admission Diagnosis: Acute Appendicitis HISTORY OF PRESENT ILLNESS: 46 year old gentlemen with past medical history significant only for degenerative disease with bilateral degenerative disease of the hips. Secondary to arthritis. Presents to the Emergency room after having had 3 days of abdomen pain. It usually started 3 days ago and was generalized vague abdomen complaint. Earlier this morning the pain localized and radiated to the RLQ. He had some nausea without amesis. He was able to tolerate PO earlier around 6am. but now denies having an appetite. Patient had very small bowel movement earlier this morning that was not normal for him. He has not passes has the morning. ‘he is voiding well. Denies fevers, chills or night sweats. The pain is localized to the RLQ without radiation at this point. He has never had a colonoscopy. PAST MEDICAL HISTORY: Significant for arthritis of bilateral hips seen by Dr. Hersch. PAST SURGICAL HISTORY: Negative MEDICATIONS: Piroxicam for degenerative joint disease of bilateral hips ALLERGIES: No known drug allergies SOCIAL HISTORY: Patient admits alcohol ingestion nightly and on weekends. Denies tobacco use and illicit drug us. He is married. FAMILY HISTORY: No history of cancer or inflammatory bowel disease in his family. REVIEW OF SYSTEMS;;12 point ROS was preformed and is negative except noted in above HIP, PMH and PSH. Careful attention was paid to endocrine, integumentary, pulmonary, renal and neurological exam PHYSICAL EXAMINATION: Vital Signs. TEMPERATURE: 101.0, Blood Pressure- 127/179, Heart Rate-129, Respirations- 185, Weight-215. Situations 96% on room air. Pain Scale- 8/10. HEENT-Normal cephalic, atrumatic pupils equally round and reactive to light. Extra ocular motions intact. ORAL: Shows oral pharynx clear but slightly dry mucosal membranes. TMS: Clear. NECK: Supple, No thrangegally or JVD. No cervical,  subclavicular, axilarry or lingual lymphinalpathy. HEART: Regular rate and rhythm. No thrills or murmur heard. LUNGS: Clear to aspiration bilateral. ABDOMEN: Obese with minimal bowel sounds, slightly distended there is RLQ tenderness with guarding and pinpoint rebound. Positive _____. Actuator signs with negative psoas side. RECTAL: No evidence of blood or masses. PROSTATE: WNL. EXTREMITIES: No clubbing, cyanosis, clots or edmea. 1+ pedal pulses bilaterally. NUERO: Cranial nerves 2-12 grossly intact. DIAGNOSTIC DATA: WBC was 13.4, Hemoglobin and hematocrit 15.4 and 45.8, platelets 206 with 89% shift. Sodium 133, Potassium 3.7,Chorlide 99, Bicarbonate 24, BUM and Creatine 18 and 1.1, Lukeuos 146, adermin 4.3, total bulliru,1.7, remainder of the LFTs is WNL. Urinary analysis reveals trace keytones with 100 mg per decimeter with small amount of blood. CT scan was preformed revealing evidence of acute appendicitis with parasitical inflammation as well as facilitation of appendix inflammation and haziness in aperparacifiacal dilation. There is evidence of degenerative joint disease in bilateral hips on the cat scan as well. ASSESTMENT PLAN: This 46 year old Caucasian gentleman has signs and symptoms and radiographical findings consistent with acute appendicitis without evidence of abscesses. The plan is to take him to the operating room for laproscopic possible open appendectomy and possible large bowel dissection should the case resisitated. Plan was discussed with patient with his wife. Risk, benefits and alternatives were discussed. There was no barriers to communication and all questions were answered appropatily The patient understands the plan and desires to proceed . (Continued) The plan was discussed with Dr. Keslerof general surgery who agrees and will take patient to operating room . Alex McClure, MD D:11/14/2012 T:11/14/2012 PATHOLOGY REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/Age: 46Sex: M Pathology Report No: 10-S-9044 Date of Surgery: 11/14/2012 Attending Physician: Bernard Kester, MD general surgery Preoperative Diagnosis: Acute appendicitis Postoperative Diagnosis: Necrotizing acute appendicitis Specimen Received: Appendix other than incidental Date specimen received: 11/14/2012 Date reported: 11/16/2012 CLINICAL HISTORY: Acute appendicitis. GROSS DESCRIPTION: The specimen was received in formily? With patient name, ID and appendix. It consist of a appendix measuring 6 x1.5Ãâ€"1.5 cm there periepdesial fat attached to it measuring 6Ãâ€"4 by1 cm. The cirrosal surface is hemmoraggric. Upon opening the appendix there is percudent exudates material. The wall thickness measures 0.3cm. Representive sections are present is 1 cassettes. MICROSCOPIC DESCRIPTION: Performed MICROSCOPIC DIAGNOSIS: Appendix appendectomy, Necrotizing acute appendicitis. ICD Diagnosis Code: 540.9 (Continued) CPT Code: 8-88304 Georgia Tamato,MD ALW: D:11/14/2012 T:11/14/2012 OPERTIVE REPORT Patient Name: Benjamin Engelhart Patient ID: 112592DOB: 10/05Age: 46Sex: M Date of Admission: 11/14/2012 Date of Procedure: 11/14/2012 Admitting Physician: Bernard Kester, MD General Surgery Surgeon: Bernard Kester, Assistant: Jason Wangner, PAC Circulating nurse: Jimmy Dale Jet, RN Preoperative diagnosis: Acute appendicitis. Post operative diagnosis: Perforated appendicitis. Operative Procedure: 1: Laparoscopic Appendectomy. 2: Placement of RLQ drain. Anesthesia: General endotracheal. Specimen Removed: 1 Necrotic appendix. IV Fluids: 1700 crystalloid. Estimated Blood Loss: 10mL. Urine Output: 300mL. Complications: None. INDICATIONS: This gentleman is a 46 year old Caucasian male that came in with a 3 day history of abdominal pain, however the pain worsened after 24 hours to the RLQ and caused a significant amount of anorixia. He presented to the ER department. CT scan to abdominals and pelvis showed acute appendicitis. Labs showed WBC at 13. Laparoscopic appendectomy procedure was explained along with the risk, benefits and possible complications. Patient voiced his desire to proceed. Patient was started on preoperative gentamicin. DESCRIPTION OF PROCEDURE: Patient was ID’d times 2 in the pre op holding area. A final timeout was held in the nursing area, anesthesia and surgical service during in which the patient ID was confirmed and the surgical site was initialed. He was given preoperative antibiotics. He was taken back to the OR and placed in the supine position. General endotracheal anesthesia was induced. SEDs were placed on his lower extremities. His Left arm was tucked to the side. Foley Catheter was placed. His abdomen was shaved and prepped with betadine solution, and draped in the usual standard fashion. A small semicircular umbilical incision was made to the subcutaneous tissue down to the fascia. And was gasped at either side and was incised. Kelly clamped was easily inserted. Stay sutures made a _____on either side the Hasson trocar was placed and pneumoperitoneum was easily  achieved. 10 mL port was placed in Left abdomen and a 5 mL was placed in the LLQ. Inspection of RLQ showed a significant amount of adhesions and the small bowel trying to wall off perforated appendix. Milky purulent exudates was noted in surrounding area. The small bowel was carefully peeled off the RLQ side wall. Fibrous exudate the vermiform appendix was identified. It was neurotic perforated in appearance The cecum was mobilized by taking down the lateral attachments laterally. The adhesions of the terminal illium through the pelvis were significant, attempts at this time were not made to free them. There was no evidence of obstruction. The base of the appendix was Identified and dissected and lifted free. Stapler loaded with___ was used to transect the base______however again inflammation extended to the level of the cecum. Though the cecum itself was also inflamed. The remainder of the mesoappendix was divided with a Endo GIA loaded with a _____. Appendix was placed into a endo catch bag was brought out through the umbilical cord site and sent to pathology for routine processing. Inspection of the RLQ and the area was irrigated coupsuley, there was no further evidence of purulent exudate. The appendicualr stump remained and doesn’t appear to be inflamed. However____wasn’t bl eeding. There was some fibrous exudate in the area. Consequently I felt like we had 2 options, we either perform a right epicolodectomy, given the intent of the adhesions in the pelvis would likely require a laparotomy or place a drain with antibiotics possibly controlling the fistula until the inflammation resolves. But hopefully it will heal on its own spontatensouly. Consequently we placed a19 French round Blake drain in the RLQ and brought it out through the LLQ in the 5mm port site. It was secured to the skin using a micro suture. Nuenopartiumeum was then desufflated the fascia of the umbilical port site was closed using a 2,o vicro that had been previously placed. All wounds were enthsitized using 1/2% marking solution and was coupsley irrigated. Skin edges approximated using 4 or monocro. The wounds were dressed with beatdine spray and steri strips. Drain sponge was placed around the drain, Foley catheter was removed. The patient was awakened, exubated then taken to recovery PAR in stable condition. Having tolerated the procedu re well. No complications were observed. DISPOSISTION: 1: The patient will be transferred to the floor. 2: He will be kept at least overnight. 3: He will be taught drain care. 4: He will go home with the drain on place. 5: He may require a fistulagram in the future. Benard Kester, MD D:11/14/2012 T:11/14/2012

Democracy as a Form of Government

In today’s time, the call for freedom and democracy echoes all around the world. Democracy simply means freedom for the people staying in a country. A democratic government simply is a government â€Å"of the people, by the people and for the people. † A government which is elected by the citizens of the country, which is been elected of the people and elected for the betterment of the citizens residing in the country, is a democratic government. Democracy is a very popular type of a government that features free elections, periodically. Democracy is a form of government in which the government is elected completely by the people under a free electoral system. In today’s world, democracy is the best form as a government. Democracy simply means freedom; in a democratic government a citizen has freedom to elect a representative (vote), freedom of speech, freedom of rights, and many more. In a democratic government all the citizens have equal access to power. Democracy is also called â€Å"the last form of government. There are two types of democracy; direct democracy and representative democracy. Direct democracy is a pure democracy. Direct democracy is where there is direct participation of the people. Everyone would gather in town meetings and vote on issues concerning the town. Representative democracy, as the name states, is a system in which the people select others to act in their places. For national purposes, America has two representatives from each state. Liberal democracy exists in the United States of America and also in most parts of the world. The term â€Å"liberal† in â€Å"liberal democracy† does not imply that the government of such a democracy must follow the ideology of liberalism. It is merely a reference to the fact that liberal democracies feature constitutional protections of individual rights from the government. The best and the latest example of an evidence of democracy in America is the election of the new president Mr. Barrack Obama. History has been created as for the first time a non-white president has been elected. This is the biggest and the best example of democracy in the United States of America.

Baroque Music essays

Baroque Music essays The Baroque Period began in 1600 with Monteverdi. The term Baroque, was from the Italian word barraco, meaning bizarre. It ended with the death of Handel and Bach in the 1750s. The main shared ideal for the period is the belief that musics principle goal is to move to affections. The Baroque era is the era of style-consciousness. The means of verbal representation in Baroque music were intellectual, pictorial and had richer vocabulary. Opera is one of the important innovations of Baroque era which allowed the realization of extreme affection in music. It represented melodic freedom. The Baroque Period includes many great music composers, for example, Monteverdi, Bach, Handel, Corelli, Gabrieli, Telemann and Schutz. The Baroque era is era of experimentation and expanding the music rules. The Baroque music is able to convey the filling of available space, sound and movement. It allowed the composers to express their emotions in their pieces. The general characteristics of the Baroque Period are the fast harmonic rhythm, dynamics shifts from loud to soft abruptly. The instruments mainly used are orchestral instruments which include wind, strings, brass and keyboard instruments. In Baroque Period, several new forms and designs of music are introduced, which include Operas, Sonatas, Oratorios, Suites, Fuites and Concertos. Modes are finally replaced by Major/Minor keys system. The orchestra took shape; the violins became the dominant instrument. The death of Handel and Bach ended the Baroque Period. It was followed by the Romantic Period. Today, Baroque music is widely performed and enjoyed throughout the world. ...

Network Consultation Proposal Essay Essays

Network Consultation Proposal Essay Essays Network Consultation Proposal Essay Essay Network Consultation Proposal Essay Essay Essay Topic: Equus DesignIT is a in writing humanistic disciplines company that is spread outing concern and has late purchased a new edifice 56’*36’ infinite for the intent of lodging two full clip interior decorators and a receptionist. The new edifice has four cells. one office. one waiter room. one response desk. and a conference room. DesignIT has already relocated one Web Server ( Microsoft IIS Server ) . one File Server ( Microsoft Server 2008 ) . and one more Waiter 2008 ( Small Business Server ) . As a web design adviser. I have been charged with the undertaking of planing and configuring the web for DesignIT. The little company has informed me that the web should include six computing machines. three pressmans. a Firewall. a radio web for portable devices. and a high velocity cyberspace connexion. DesignIT has besides requested me that all the interrelated devices and wiring. along with the velocity should be able to offer the best public presentation. I will plan a Local Area N etwork ( LAN ) for DesignIT. a Local Area Network ( LAN ) is a web of computing machines. and other web devices such as pressmans which exchange informations. and are located under one roof. LAN webs are largely used in little organisations or little concerns. The computing machines in a LAN communicate through protocols and portion informations such as files and electronic mails. Every computing machine in a web is assigned a alone Internet Protocol ( IP ) . When a computing machine communicates by directing a petition to the LAN web. it is routed to a peculiar waiter that has the requested information. The waiter so communicates back to the IP reference of bespeaking computing machine with the information that was requested ( Kenyon. 2002 ) . There are three waiters for DesignIT. the Web Server will be used to link the company to the cyberspace. and the File Server will be utilized for sharing while the Small Business Server will be utilized as a Mail Server. Since DesignIT needs a web that incorporates six computing machines. three pressmans. and a radio web. the web design should therefore take several factors into consideration. These factors will impact on the web costs. velocity. substructure. and functionality. When planing this Local Area Network ( LAN ) for DesignIT. there is besides need to see the web demands. The web should incorporate sound. picture. synchronal. every bit good as asynchronous informations. When planing the LAN web. the organisational ends of DesignIT should be factored in the LAN design. I will besides pay attending to web throughput. line charges. security. and the integrating of newer engineerings in the hereafter. When planing a LAN web. some issues must be considered. one of these issues is the organization’s short. medium. and long term ends. Several factors to be considered include the web equipment. user applications. end-user equipment ( workstations ) . and connectivity to the cyberspace. The LAN web for DesignIT will include other web devices which include gateways. routers. firewall. and overseas telegrams. Without these devices communicating can non be possible from a computing machine to another in the LAN web. A router and switch are the most of import devices of a web. Networks which are good configured and have a good substructure are helpful in be ttering manageableness. public presentation. dependability and cut downing overall operating cost ( Kenyon. 2002 ) . To put up this LAN web for the DesignIT. the following are the hardware and package devices that I would use so as to plan the LAN web for DesignIT. T1 Lines- This is a criterion for informations communicating which was foremost developed in the sixtiess. T1 lines offer a information rate of 1. 544Mbps. I will use T1 nexus from Verizon to link DesignIT to the cyberspace. T1 lines are offer private voice and dependable informations networking. A T1 line typically costs $ 1000 per month. Cisco Linksys Firewall- A firewall is a package or hardware web device that controls incoming and surpassing informations communicating through analysing informations packages and giving permissions whether to let or non based on a set of regulations. A firewall may besides include a default gateway or a placeholder waiter which helps to do web petition on the behalf of a user. I will use Cisco-Linksys BEFSX41 EtherFast Cable/DSL Firewall Router ( 4-Port 10/100 Switch / VPN Endpoint ) for this web. The device costs $ 150. LAN Switch- A LAN Switch performs the same work as a hub except that. a switch does non broadcast packages to every computing machine in the web like hubs. All the computing machines and computing machine devices will be connected to the switch by Ethernet overseas telegrams. The LAN Switch costs $ 150. Linksys Wireless Router- A router is a web device that is used to link two or more computing machine devices in a web. The Linksys Wireless router will be utilized to link wireless devices the LAN web. The Linksys WRT54G Wireless Router that I will utilize in this instance costs $ 150. Ethernet Cables- Ethernet Cables will be utilized to link all the web devices in the DesignIT LAN web. They will link routers. switches. computing machines. and pressmans in the LAN web. I will use CAT5 Ethernet Cables for this web. The Ethernet overseas telegrams will be about $ 100 for DesignIT LAN web. ESET NOD32 Antivirus- an Antivirus is package that is used to forestall. observe. and take malicious computing machine plans. ESET NOD32 Antivirus is a good pick since it besides acts against other types of malware such as worm. Trojan Equus caballuss. back doors. and spyware. The ESET NOD32 Antivirus 6 that I will use for this web costs $ 40 for subscription of one twelvemonth. The edifice will portion one cyberspace connexion ( T-1 nexus from Verizon ) . This connexion will come to Web Server in the waiter room. This will be the entree point of the LAN web of DesignIT. The T-1 nexus from Verizon will link the company to the cyberspace and can besides be utilized to link the LAN web to another LAN or WAN web in instance the company decides to spread out concern in future. The T-1 nexus utilizes frame relay which will supply the edifice with high velocity informations connexion between and among all users. This connexion will besides enable all computing machines to have dedicated connexion at a velocity that every computing machine requires. This connexion will besides be low-cost for DesignIT since it is merely charged for the resources. It costs an norm of $ 1000 per month. Frame relay is an industry criterion engineering for accessing fast package switched. â€Å"cloud computing† informations webs ( Bates. 2000 ) . Through T1 link DesignIT will utilize frame relay as an interface between informations terminal equipment such as routers. switches. and host machines such as waiters. This engineering will supply connectivity via logical channels or lasting practical circuit connexions which will be deployed over dedicated entree installations and shared on a high public presentation exchanging platform. This shared informations platform and anchor makes transport more efficient. such that allusers will have better web throughput which is besides cost effectual. T-1 nexus engineering is an added advantage for DesignIT LAN web since it is flexible to utilize and an first-class platform for many application. Since multiple practical connexions are established over one physical entree line. Frame Relay can cut down the figure of client premises router p orts necessary for LAN applications. The figure of private lines required to achieve mesh connectivity and dependability can besides be reduced. Frame Relay handles terminal to-host. LAN-to-LAN connexions. or applications like imaging. electronic mail and in writing file transportations with equal simpleness. With all of these capablenesss. Frame Relay is an first-class pick for DesignIT. I will configure a Class C web for DesignIT with an IP of 192. 168. 0. 0/16. There will merely be one subnet for this web. I have selected a Class C web because it exhibits the ability to battle spamming of sites located on the same waiter. Search engines have removed associating power from one site to the other in instance they are on the same category C IP. I will take web security steps so as to implement the best security for DesignIT. The security will be designed in respect to the user group in inquiry. this means that the two interior decorators will portion different user groups with the receptionist if need be. I will implement entree control measures such as entree logs so as to pull off what each user should hold entree to in resp ect to the organisational policies and processs. I will besides put in ESET NOD32 Antivirus in the Small Business Server. The Cisco Linksys Firewall will besides be a cardinal device for heightening security ; it will command entrance and surpassing informations communicating through analysing informations packages and giving permissions based on security regulations. The Bus Topology is the best suited for this web ; the coach topology is the simplest web topology. Besides known as additive coach. in this topology all computing machines will be connected to a immediate overseas telegram or a overseas telegram joined together to do it immediate. Ethernet is the common illustration of a coach topology. Each computing machine determines when the web is non busy and transmits informations as needed. Computers devices in a coach apology listen merely for transmittal from other computing machines ; they do non reiterate or send on the transmittal on the other computing machines. It is besides deserving observing that the signal in a coach topology travels to both terminals of the overseas telegram. To maintain the signal from resiling back and Forth along the overseas telegram. both terminals of the overseas telegram in a coach topology will be terminated.

3 More Sentences Lacking One Word to Be Correct

3 More Sentences Lacking One Word to Be Correct 3 More Sentences Lacking One Word to Be Correct 3 More Sentences Lacking One Word to Be Correct By Mark Nichol Often, when readers stumble on a faultily constructed sentence, the obstacle is merely one seemingly inconsequential word- or, more accurately, the omission of what is actually an essential component of the sentence. In each example below, one missing word throws off the sentence. Discussion and a revision point the way to a coherent statement. 1. Management’s assumptions about markets, customers, competition, technology, regulatory and other external factors are fundamentals that shape the organization’s strategy. This sentence is constructed as if regulatory and â€Å"other external factors† are distinct list items, but they are actually part of the same unit- regulatory and â€Å"other external† each modifies factors, so the sentence must be slightly reorganized to reflect that fact: â€Å"Management’s assumptions about markets, customers, competition, technology, and regulatory and other external factors are fundamentals that shape the organization’s strategy.† 2. What has worked in the past can and will change by the season, day, or even the hour. The article the before season can carry the weight of all three nouns that follow it (â€Å"What has worked in the past can and will change by the season, day, or even hour†), but the sentence flows better if each noun is assigned its own article: â€Å"What has worked in the past can and will change by the season, the day, or even the hour.† Revising the sentence to reflect one alternative or the other is necessary, because if all three nouns do not share one article, day must, like the others, have its own. 3. The above list is not intended to be all-inclusive or suggest that companies not take advantage of resources. The sentence syntax dictates that what precedes or and what follows it be equivalent, so each phrase should be preceded by the infinitive to; otherwise, the implication is that the reader is to understand that the equivalents are â€Å"be all-inclusive† and â€Å"be suggest†: â€Å"The above list is not intended to be all-inclusive or to suggest that companies not take advantage of resources.† Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Style category, check our popular posts, or choose a related post below:Definitely use "the" or "a"Taser or Tazer? Tazing or Tasering?Words Often Misspelled Because of Double Letters

Why is the European Crisis So Much More Severe than the US Crisis and Essay

Why is the European Crisis So Much More Severe than the US Crisis and What Could Be Done to Fix It - Essay Example This crisis first manifested in late 2009 when the sovereign debt crisis was triggered by the increased levels of government debt around the world, and it was worsened by the downgrading of government debts for some European countries. Various causes of economic crises were seen for different European countries and all of these issues converged to form sovereign debts which were further increased by banking bailouts. In some other countries in Europe, their crisis was caused by private debts arising from the downturn of the property market. Greece was one of the countries which were significantly affected by this crisis. However, in general, the impact of the European crisis has been largely extensive. The impact of this crisis however seems to be larger and longer as compared to the US economic crisis as the US is now manifesting improvements in their economy. This paper shall discuss why the European crisis is so much more severe than the US crisis and what could be done to fix it. ... In effect, any economic decision and government solution imposed by the US federal government is a decision which is meant to affect the entire country, not just a particular state (Koba, 2012). For the European community however, the crisis stems from a variety of causes for different countries and any solution to be implemented by the European community would be difficult to implement to all countries (Nelson, et.al., 2012). The European crisis is taking much longer than the US crisis to resolve because it is caused by various issues. These causes seem to include the following or a combination of the following: globalized finance, flexible credit option from 2002 to 2008 which caused high-risk spending, 2007-2012 global financial crisis, global trade imbalance, real estate crisis, 2008-2012 international recession, and bailouts of banks and private bondholders (Kakutani, 2011). All of these elements combined form the European economic crisis. In the last two years, the European Zon e has carried out various considerations on how to handle their crisis. However, Greece, Ireland, Portugal, Spain, and even Italy have experienced a significant rating downgrade of their sovereign debt (Kakutani, 2011). This led to issues of default and a significant rise in borrowing costs. And, while this zone may be prompted to do whatever it would take to resolve the crisis, it would be unlikely for the situation to be resolved in the immediate foreseeable future. This crisis is not a classic currency issue (Sri Kumar, 2012). It is an issue which involves the management of economies in a currency zone, with their related economic and political issues arising from the fact that their citizens are doing

Chain mgmt Assignment Example | Topics and Well Written Essays - 250 words

Chain mgmt - Assignment Example Current research concentrates on the implementation and development of performance measurement systems in supply chains. Chan, (2008) asserts that maintenance of performance management systems in supply chains need to be organized, efficient and methodical in â€Å"monitoring supply chain performance† (p.539). The main components of supply chains revolve around â€Å"six core processes (supplier, inbound logistics, manufacturing, outbound logistics, marketing and sales, end customers) and present input, output and composite measures for each†(Fynes, de Burca & Voss, 2005,p.3306). Performance measurement systems in supply chains has been proven to be effective in catering the needs of the customer and for this purpose, methods of performance measurement systems such as balance scorecard, performance questionnaires, performance matrix, are being used. Tenet Healthcare cooperation can adopt performance measurement systems in their supply chains and focusing on meeting the needs and requirements of the clients. This would assist the company to maintain the â€Å"competitive edge in order to enhance all activities associated with the flow and transformation of goods from the raw material stage through to the end user† (Chan, 2008, p.540).

Electric Field Simulation Essay Example | Topics and Well Written Essays - 2500 words

Electric Field Simulation - Essay Example Through COMSOL Multiphysics we discovered the results after simulating an electric field by using 2D and 3D of the electrostatic module. These modules provided many kinds of movement in the electric field for the three electrodes, which were energised with +1V, 0V, and -1V electrical voltages. Also, the strong and weak points are posted between the three electrodes and show the electric potential of the field. Finally, this paper will show the form of the distribution of electric potential and electric field between the three electrodes for the above mentioned conditions. Introduction: After Michael Faraday discovered the electric field, he developed electricity into something practical that could be used in many technologies, especially microsystem devices. According to James Clear Maxwell, â€Å"the portion of space in the neighborhood of electrified bodies† is called an electric field [1]. At present, there are several applications used that are related to microtechnology a nd are beneficial to our lives. A good application in medicine is biology cells within medical laboratories. In this way, application is applied to the electric field to move cells and separate or analyze cells via impact electric forces. The movement, separation, and analyzing is done through a technique known as AC electrokinetics. This technique occurs when an electric field interacts with dipoles, but it depends on forces between repulsion and rotation by altering the nature of the dynamic field [2]. This new technique is beneficial in biotechnology because of the electric field [3]. Also, the AC electrokinetics technique depends on a delicate process known as dielectrophoresis. This is â€Å"the migration of uncharged particles towards the position of maximum field strength in a non-uniform electric field† [4]. The basic principle operation of dielectrophoresis is by deference of electromagnetic and dielectric properties. For example, the separation of cancer cells is be hind the electrodes, while the natural cells move away from the electrodes due to variations of the electric field [5]. Figure 1 shows the forces of attraction and repulsion between cancer cells and normal cells. Fig.1. Basic Principle of Dielectrophoresis An electric field is a region around a charged particle or object within which a force would be exerted on other charged particles or objects. It is defined as an area between two charges and then there is a force (positive or negative) exerted [6]. The forces exerted on the test charge will be directly proportional to another charge according to Coulomb’s law [7]: Fe ? q1 q2 If divide the forces on the test charge: E=Fe /q ' Where E = electric field (N/C) and F = force (N) and q' = charge on test charge (C) Also, according to Coulomb’s law, we can find E where: = the permittivity of free space Then we can calculate the electric flux by using Gausses’ law [8]: Q = ? E.d There is a relationship between the elec tric field and electric potential if the electric potential is identified in an action area, then we can calculate the value of the electric field by: dV = - E.d. However, the electric potential consists of lines called equipotential lines. There is a direct correlation between the electric field lines and the energy of electric potential because the first one always puts the electric potential of direction that causes dropping electric potential [9], whereas, in this case, we are dealing with an accelerometer that

Relational Dialectics Essay Example | Topics and Well Written Essays - 1000 words

Relational Dialectics - Essay Example Compatibility is an added factor why relational dialectics often appear to be unnoticeable. Most people involved in a relationship tend to test the waters of their harmony and congruence, believing that the stability of their relationships can be won over by a series of trials and errors. Relational Dialectics is a set of contrasting impulses; a waged battle between eccentricity and self-centeredness (represents yourself and your life as a whole) against personal attachments and its emotional appendages (signifies your personal relationships and acquaintances). In a purist’s perspective, the most reliable way to secure the permanence of a relationship is to understand the logical existence of relational dialectics. As defined earlier, these are a load of factors that manipulate a relationship. If one can take hold of the limiting factors of a relationship, which in this case is the relational dialectics, it is absolutely possible to gain your desired upshots for your relations hip. Relational Dialectics can be best embodied in three major pairs of tensions that oppose yet act dependently on each other; openness vs. protection, autonomy vs. connection and novelty vs. predictability. The by-products of all these tensions accurately predict the outcomes of the relationships. In a certain relationship, the comfort of the people concerned relies on the degree of intimacy that these two people share. This is where openness inserts into the panorama. Openness is illustrated between people sharing personal abstract things with each other such as thoughts, opinions, attention and the likes. When openness is very well observed in a relationship, intimacy and emotional links between the people involved are strongly established. This could be a great help in maintaining a relationship however, the openness is being eternally opposed by protection. As part of the human nature, no matter how much a person is so into another one, a room for defense mechanism will always be left saved in order for that someone to protect the most endangered unit of each person’s earthly existence - emotions. Even if the people implicated in a relationship enjoy the intimacy and the substantial understanding they share, it should be assumed that someday and somehow, either or all of them will craft a personal zone that will place distance between them in order to defend each one’s privacy. As openness unfolds, connection between two people will develop. The same goes for protection; if the people concerned in a relationship favors personal protection, their relationship can be considered uncommitted and autonomous. Therefore, the second tension pair which is autonomy vs. connection was derived from the mechanisms of the first tension pair. Autonomy, as defined on most dictionaries, is a personal temperament of being self-reliant, liberate and independent. This tension clashes against connection. The intimacy being shared in a relationship creates the p rofound inner connection between two people but this connection can either be destroyed or prevented from rising because of autonomy. As an individual, having the desire of being autonomous is not a horrific thing at all but such is not applicable in terms of stabilizing personal relationships. Evidently, everyone has the

Waging Nonviolent Struggle Essay Example | Topics and Well Written Essays - 250 words

Waging Nonviolent Struggle - Essay Example initial protest rally of more than a thousand people before the building of which housed the communist party’s core committee(Sharp, Gene, &Paulson 103). Then this Latvians presented a solid resistance on the conscription by pretending to not speak Russian and by removing or even replacing avenue signs, signposts, house numbers, as well as place name tablets to be able to confuse the army. This generated a move by the Latvian Supreme court on June 20, 1991 to create nonviolent safeguard center to arrange nonviolent resistance so that you can protect Latvia next to a rumored attack from Moscow, the nonviolent mobility encouraged people to set up small centers of amount of resistance in each of their cities (Sharp, Gene, &Paulson 103). With everyone happy to resist employing nonviolence, the pressure on the Baltic Says and in Moscow. In a planned nonviolent strategy, laying the actual groundwork is fundamentally important. Working upon laying groundwork for nonviolent movements is determined by defining ambitions and aims, choosing tactic and practices, making mishap plans in addition to training. The withdrawal of consent, cooperation in addition to submission can challenge the system as this affects the actual opponent’s options for power. How critically the flashbacks does so will vary with the products the types of the action, the amounts of the activists, and their persistent in the face of repression (Sharp, Gene, &Paulson 103). To balance out repression entails using different degrees of pressure for example, control of communication and information, internal pressure, and confiscation in addition to exceptional

Relational Dialectics Essay Example | Topics and Well Written Essays - 1000 words

Relational Dialectics - Essay Example Compatibility is an added factor why relational dialectics often appear to be unnoticeable. Most people involved in a relationship tend to test the waters of their harmony and congruence, believing that the stability of their relationships can be won over by a series of trials and errors. Relational Dialectics is a set of contrasting impulses; a waged battle between eccentricity and self-centeredness (represents yourself and your life as a whole) against personal attachments and its emotional appendages (signifies your personal relationships and acquaintances). In a purist’s perspective, the most reliable way to secure the permanence of a relationship is to understand the logical existence of relational dialectics. As defined earlier, these are a load of factors that manipulate a relationship. If one can take hold of the limiting factors of a relationship, which in this case is the relational dialectics, it is absolutely possible to gain your desired upshots for your relations hip. Relational Dialectics can be best embodied in three major pairs of tensions that oppose yet act dependently on each other; openness vs. protection, autonomy vs. connection and novelty vs. predictability. The by-products of all these tensions accurately predict the outcomes of the relationships. In a certain relationship, the comfort of the people concerned relies on the degree of intimacy that these two people share. This is where openness inserts into the panorama. Openness is illustrated between people sharing personal abstract things with each other such as thoughts, opinions, attention and the likes. When openness is very well observed in a relationship, intimacy and emotional links between the people involved are strongly established. This could be a great help in maintaining a relationship however, the openness is being eternally opposed by protection. As part of the human nature, no matter how much a person is so into another one, a room for defense mechanism will always be left saved in order for that someone to protect the most endangered unit of each person’s earthly existence - emotions. Even if the people implicated in a relationship enjoy the intimacy and the substantial understanding they share, it should be assumed that someday and somehow, either or all of them will craft a personal zone that will place distance between them in order to defend each one’s privacy. As openness unfolds, connection between two people will develop. The same goes for protection; if the people concerned in a relationship favors personal protection, their relationship can be considered uncommitted and autonomous. Therefore, the second tension pair which is autonomy vs. connection was derived from the mechanisms of the first tension pair. Autonomy, as defined on most dictionaries, is a personal temperament of being self-reliant, liberate and independent. This tension clashes against connection. The intimacy being shared in a relationship creates the p rofound inner connection between two people but this connection can either be destroyed or prevented from rising because of autonomy. As an individual, having the desire of being autonomous is not a horrific thing at all but such is not applicable in terms of stabilizing personal relationships. Evidently, everyone has the

Chromosome Essay Example | Topics and Well Written Essays - 500 words

Chromosome - Essay Example From this paper it is clear that there are various conditions caused as a result of a defect or abnormalities in the chromosomal pairing. These are chromosomal abnormalities, single gene defects, multi-factorial problems and teratogenic problems. In this summary, the reporter will discuss defects caused by chromosomal abnormalities, Chromosome 5 disorder. He chose this particular topic because it interests me to find out what happens during mitosis and meiosis of chromosomes. Moreover, the disorders caused by chromosomal disorders such as inversion and deletion.  As the discussion stresses the salient features of a child who suffers chromosome 5 syndrome may be born with a small head, unusually round and a small chin. Their eyes are set widely, and they skin under their eyes has folds. Their nasal bridge is relatively small and may experience respiratory problems since their larynx develops that differ the norm. They are usually relatively smaller at birth compared to their counter parts. They may experience heart defects, hearing and sight problems. Their muscles are weak, and mass tone is low. As they grow of age, they may experience difficulty in talking and walking. They may be very aggressive. Fortunately, their life expectancy is normal if there are no organ defects.   Today, unfortunately, there is no medical cure for Chromosome 5 condition.  However, the possible gene therapies are; speech and physical therapy can help people with the disorder lead normal lives.

Mobile phones Essay Example for Free

Mobile phones Essay In this high-tech fast world, undeniably, mobile phones became an inevitable part of everybody’s life without any age limit. Although, it has lots of merits, in my point of view, the intense use of mobile phones among children may be discouraged because of its adverse impacts on them. To begin with, mobile phones have numerous benefits. Presently, it is not merely a simple device, which allows an easy connectivity between people. It is supporting a number of other programs such as calculators, alarm clocks, voice recorder and so on. these programs boost their academic performances, if they use it cleverly. For instance, alarm clocks in mobile phones are useful for them to woke up early in the morning or adjust the time duration to write an essay. The easy accessibility of parents and friends make them comfortable and enable them to meet any emergency or unexpected conditions. Parents also will be much relaxed, as they know their children are safe. On the other hand, these wonderful devices have negative sides also. Most importantly, the radiations from these devices are harmful for their developing brains. Researches proved that, these radiations might lead to cancers. The destruction of studies is another matter of concern. The games in the mobile phones create additions to children. Chatting and telephonic conversations with anonymous people may result in insurmountable impacts to their young minds. These contacts may indulge them in bad company and mafia especially drug and sex, spoil their future. Furthermore, easy connectivity to internet attracts them to unhealthy web sites and their total character may change. Additionally, children can effortlessly cheat their parents by convincing a false. To illustrate, if they are enjoying a television program at his friends home, they can make to believe their parents that they are on the way to their tuition class. To conclude, mobile phones are beneficial devices, if we use it sensibly. Children, as they are not mature to handle it effectively, it may leave drastic disadvantages on them. Hence, I believe that mobile phones are not favorable for children, especially if it is used uncontrolled without proper guidance and time limit.

The Effect Of Pokemon On Childrens Culture

The Effect Of Pokemon On Childrens Culture The impact on childrens culture of anime, manga, video games and trading cards of Pokà ©mon Japans popular culture industry is very vigorous in recent years. The popular culture consists of anime, manga, video games and trading cards. These media have a great impact on childrens culture in Japan and also other countries. Pokà ©mon is a very successful case. Pokà ©mon first appeared in the game of the Nintendos Game Boy, and then quickly diversified into manga, anime, movies, trading cards and toys in those years, and Pokà ©mon phenomenon is appeared in Japan in 1996. These products revolved mainly around children and youths and had impacts on them. This essay will examine the impact of Japanese popular media culture on childrens culture using Pokà ©mon as an example. The impacts which will discuss in this essay are effects on childrens literacy, the social effects, effects of addiction and violence. I will use two case studies to argue some effects on childrens literacy. Data have been collected from two articles. The author of the articles was a primary school teacher and she collected data from the classes she was teaching. Besides childrens literacy, there are many impacts in other aspects. Furthermore, negative impacts are much more than positive impacts. This will be discussed at the end of the essay, also the future of childrens culture under the influence of Japanese popular culture. The anime Pokà ©mon is diversified from its video game. This anime talks about Satoshi, a 10 years old boy, and his friends travels the world catching Pokà ©mon and battling Pokà ©mon trainers. This is the primary source of the essay. Allison, A. 2004. Cuteness as Japans Millennial Product. In: Tobin, J. Pikachus Global Adventure: The Rise and Fall of Pokà ©mon. Durham: Duke University Press: 34-52 Anne Allison is a Professor of cultural anthropology at Duke University in the United States, specializing in contemporary Japanese society. Her current research is on the recent popularization of Japanese childrens goods on the global marketplace and how its trends in cuteness, character merchandise, and high-tech play pals are remaking Japans place in todays world of millennial capitalism. In Cuteness as Japans Millennial Product, she finds that Pokà ©mon is a successful case of childrens entertainment product with media mixes. Its success follows the previous waves of successful Japanese products which started in the late 1980s, and have impacted childhood consumption around the world. These products impacted childrens lifestyle in new interactive ways. Pokà ©mon is game-based makes it more interactive than a mere anime or movie. This article provides information that supports my arguments, children buy lots of Pokà ©mon-related products other than video games or comics, and Po kà ©mon create or facilitate a common culture among children. Arthur, L. 2001. Popular Culture and Early Literacy Learning, Contemporary Issues in Early Childhood, 2(3): 295-308 Dr Leonie Arthur is a senior lecturer in early childhood education at the University of Western Sydney. She has taught in long day care, preschool and school and is an active member of a number of peak early childhood organizations, including Early Childhood Australia. She currently works with undergraduate and postgraduate students at the University of Western Sydney in areas of early childhood curriculum and literacy. This article reports on research findings which indicate that while childrens home and community literacy experiences and texts are increasingly digital and connected to popular media culture experiences and texts in educational settings are predominantly book-based and generally exclude popular media culture. In practice, childrens literacy is affect by television, videos, computers, comics, trading cards and magazines rather than childrens books. It also examines the role of popular media culture in childrens lives. This article provides support for my arguments whi ch related to childrens literacy and violence: media restricts childrens creativity and promotes violence. Buckingham, D. and Green, J.S. 2003. Structure, Agency, and Pedagogy in Childrens Media Culture. Culture and Society 25(3): 379-399 David Buckingham is the Professor of Education and Director of the Centre for the Study of Children, Youth and Media at the Institute of Education, London University. His research is on childrens and young peoples interactions with television and electronic media. Julian Sefton-Green is the Head of Media Arts at WAC Performing Arts and Media College, an informal learning centre in North London, England. He has researched and written widely on many aspects of media education and new technologies. The authors point out that Pokà ©mon as a phenomenon is a controlled and calculated commercial strategy aimed manipulatively at the childrens market. They examine some positive and negative effects of the Pokà ©mon phenomenon on children. Pokà ©mon engages children visually through television, video games and as consumers through the range of products available. This article provides information that support my argument, Pokà ©mon create common culture among children, makes children spend lots of money to collect valuable trading cards and children bully others to grab their cards. Ito, M. 2006. Japanese Media Mixes and Amateur Cultural Exchange. In: Buckingham, D. and Willett, R. Digital Generation: Children, Young People, and New Media. Mahwah: Lawrence Erlbaum Associates: 49-66 Mizuko Ito is a Japanese cultural anthropologist who is an Associate Researcher at the Humanities Research Institute at the University of California, Irvine. Her main professional interest is the use of media technology. She has explored the ways in which digital media are changing relationships, identities, and communities. She sees the move toward new media as an interaction between long-standing and emergent media forms, rather than a shift from old analog to new digital media; while most of the essay explores the low-tech media of trading cards and comic books, The article is about young peoples relationship to media. Ito argues that these analog media forms are being newly infected through digitally enabled sociality. She also examines the trading cards activities. This article supports my argument that children play trading cards class whenever they have time and a people as their competitor. Marsh. J. 2009. Writing and Popular Culture. In: Beard, R. and Myhill, D. and Riley, J. and Nystrand, M. The SAGE Handbook of Writing Development. London: SAGE Publication Ltd: 313-324 Jackie Marsh is Professor of Education and Head of the School of Education at the University of Sheffield. Her research focuses on the role and nature of popular culture in young childrens literacy development. She has conducted research projects that have explored children ´s access to new technologies and their emergent digital literacy skills, knowledge and understanding. This chapter examines the potential role that popular culture can play in writing curriculum in schools. She examines how popular culture affects children and young peoples written texts in classrooms. She considers the adaptation of out-of-school popular cultural writing practices for educational purposes, and explores the way in which these practices are challenging the boundaries of writing as it is instantiated in the curriculum. This article provides information that support my argument, popular culture restricts childrens creativity/ McDonnell, K. 2000. Kid Culture: children and adults and popular culture. Annandale: Pluto Press. Kathleen McDonnell makes her living writing in a variety of genres, from playwriting to junior fiction to social criticism. Besides her many books, she writes articles and opinion pieces for the Globe and Mail, Toronto Star, Chatelaine, Macleans, and Utne Reader, and also contributes to CBC Radio and Canada AM. Her plays have been produced throughout Canada. She explained that the reason she writes about children: I find that childrens stories are usually the best medium to express what I want to say; and about because I have a burning interest in kids and their culture, how they think and feel about the world theyre growing up in. The book explores children and popular culture and help adults better understand the role of popular cultures plays in childrens lives. Kathleen McDonnell offers a balanced and engaging perspective on the power and influence of childrens culture. This book supports my argument that trading cards encourage gambling addiction. McGray, D. 2002. Japans Gross National Cool. Foreign Policy. June/July 2002: 44-54 Douglas McGray writes about social and political issues, science, and culture for the New Yorker, This American Life, the New York Times Magazine, the Atlantic Monthly, the Los Angeles Times, Wired, and Time. He is a contributing writer of Foreign Policy magazine. He spent the spring of 2001 in Japan as a media fellow of the Japan Society. In Japans Gross National Cool, McGray argues Japans street culture, from fashion to art to music, has become ever more vibrant and is having an unprecedented influence on the rest of the world. He analyzes what made Japan a superpower more than just a wealthy country. He examines the globalization of Japanese culture. This article provides information of how Japanese popular culture affects other countries. Squire, K. 2003. Video games in education. International Journal of Intelligent Simulations and Gaming (2) 1. Dr. Kurt D. Squire is an associate professor at University of Wisconsin-Madison, and Director of the Games, Learning Society Initiative, and best known for his research into game design for education. The article examines the history of games in educational research, and argues that the cognitive potential of games have been largely ignored by educators. Contemporary developments in gaming, particularly interactive stories, digital authoring tools, and collaborative worlds, suggest powerful new opportunities for educational media. Squire analyzes educational games refers to some checklists ad frameworks. He promotes case studies and design experiments as a research method that doesnt study isolated variables. He states that there are four concerns of video games, which are encouraging violent or aggressive behavior, employing destructive gender stereotyping, promoting unhealthy attitudes and stifling creative play. This article provides information that support my argument, popular culture restrict childrens creativity and children imitate violence in media. Willett, R. 2004. The Multiple Identities of Pokà ©mon Fans. In: Tobin, J. Pikachus Global Adventure: The Rise and Fall of Pokà ©mon. Durham: Duke University Press: 226-240. Dr Rebekah Willett is a lecturer in Education on the MA in Media, Culture and Communication and the MA in ICT at the Institute of Education. She is a member of the Centre for the Study of Children, Youth and Media. She has conducted research on childrens media cultures, focusing on issues of gender, literacy and learning. Willett discusses the multiple identities of Pokà ©mon fans. She uses a cultural studies model to make sense of the identity work children do in their story writing. She finds that Pokà ©mon thrives in childrens culture by providing a variety of subject positions for children to adopt as they perform and shift their identities in a variety of context in their daily lives. This article supports my argument, children use too much dialogue and insufficient amount of description when writing story because of popular culture, and children isolate others who do not familiar with Pokà ©mon. Willett, R. 2005. Baddies in the classroom: Media education and narrative writing. Literacy 39, 3: 142-148. Dr Rebekah Willett is a lecturer in Education on the MA in Media, Culture and Communication and the MA in ICT at the Institute of Education. She is a member of the Centre for the Study of Children, Youth and Media. She has conducted research on childrens media cultures, focusing on issues of gender, literacy and learning. This article relates findings from a classroom study focusing on childrens media-based story writing. The study examines how children write their own stories under the effects of media, that is, how they consume media and how they produce new media texts. Willett finds that childrens media-based stories make explicit some of implicit knowledge of new media forms. Baddies in the classroom: Media education and narrative writing provides information that support my argument, children write too much dialogue and insufficient amount of description, story with unpronounceable names and incomprehensible plots, also unnecessary violence.

Cyrano the Bergerac Love in Cyrano de Bergerac :: Cyrano Bergerac

Cyrano the Bergerac     Love      When we think about the force that holds the world together and what makes humans different from animals, one answer comes to our minds - that humans can love.   Love is a state of mind that cannot be defined easily but can be experienced by everyone. Love is very complicated.   In fact it is so complicated that a person in love may be misunderstood to be acting in an extremely foolish manner by other people.   The complexity of love is displayed in Rostand’s masterpiece drama Cyrano de Bergerac.   This is accomplished by two characters that love the same woman and in the course neither one achieves love in utter perfection.        First of all the question rises what is love.   Love is having a sense of security in someone.   When we love someone we usually mean that we can turn to that person comfortably if all other doors of the world are shut to us.   This is the one person that we trust and like to be in company with.   In the novel Cyrano de Bergerac, Cyrano loves Roxane more than anyone else but he is shy to tell her so.   When he finds out of her feelings towards another character Christian, who she likes because of his looks, Cyrano finds a way to express his love to Roxane.   He decides that he would write to her in the name of Christian who comparatively is a poor writer and "wishes to make Christian his interpreter"(II,85).        Both Christian and Cyrano love Roxane but Roxane loves only the person that has been writing to her.   It was actually Cyrano, who was writing to her but she thinks it was Christian.   Cyrano had said, "..And we two make one hero of romance." (II,85)   Since Cyrano was suffering with an inferiority complex, as he had a gigantic nose, he was shy to ask Roxane whether she wanted him or not.   He had assumed that she would not like him because of his deformity.   He one said , "..I adore Beatrice Have I / The look of Dante?" (I,42)   What he had not considered was that Roxane loved him for what he was from the inside, not outside.   Once she had told Christian that , "If you were less charming - ugly even - I should love you still.

Misic as communication Essay

I believe music on its own is a letter and it meant to communicate to us as people. The kind of music you listen is who you are, its either you are rough, soft or just tempo. Music can also be used as a mood enhancer, when you are sad and listen to sad music you will remain sad but if you are sad and listen to positive music it will take you to some place else and make you happy. Its the one thing that can bring people together even if they don`t understand the language. When people are happy they dance and its really fun because everyone dances anyway they want because the song speaks to all but in different ways. It is about the message which was the music want to conveys on us. There are musics composed to help people to live on their own style. Infinitely, music is the every beat that pumps every heart to live. Music as what other say, the only free thing that would inspired you even your alone sitting along the corner of desperate world. Music is very important to all it can hea l those broken.You can be able to see the light because of music.It will pamper everything it makes your life easier and comfortable. In generation music will change it depends on how life you have,in times of sadness and sorrow you can always be feel that the music is one of the bridge in other door to awake and open their mind. They said,that this is the window of the soul.You can share your feelings by expressing it through the different instruments that we have. Music has an interesting effect on people. It sets moods, alters moods†¦ I saw an amazing documentary called â€Å"The Musical Brain† and it’s all about the connection between music and the brain. In it, there were many artists (Sting from the Police, Michael Bublà ©, Wyclef Jean, Feist) talking about how powerful music is. It’s crazy! And, There are so many styles and genres out  there. You can never know enough about music and how much of an impact it has on our actions and behaviour. I love it. An enormous chunk of my day is spent listening to music, acutally.

Model Stock Research for the Time-Warner Company Essay

Macroeconomic Review Being one of the fastest-paced and highest-profile industries in the world, the media sector has been in a whirlwind of change this past decade. There has been an explosive boom and bust and, of late, boom again, of internet technology. This has dramatically influenced media delivery. Clampdowns on shady accounting practices, assets changing hands and a more discerning and demanding media audience have also ensured that changes in the industry occurred at break-neck speed. This is why global media giant, Time Warner, has sought to embrace these challenges of the Information Age. Indeed, Time Warner had uniquely positioned itself to benefit from the explosive changes. Their size and resources make them a formidable competitor in the media arena because of their efficiency in an increasingly global environment. In front of the media arena, the average US citizen is confronted by more than 1,500 dailies, over 5,700 weekly newspapers, some 17,000 magazine titles, 10,000 commercial radio stations and more than 1,600 TV stations. Nielsen Media Research reported that as of January 2003, 98.2% of the over 100 million households own at least one TV set, with 69.8% of them hooked up to cable. The US also exports a massive amount of its media, which has become almost staple fare around the world. CNBC alone boasts a reach of 192 million households worldwide, with 82m of them in the US and Canada. The latest available GDP statistics from the US Bureau of Economic Analysis show that the radio and TV industry contributed $72.9 billion to the US GDP in 2001, up from $71.1 billion in 2000. Total US GDP for 2001 was $10,082 billion. In 2006, the US GDP is estimated at 3.2%, while the interest rates are at 8% (See Table 1). Table 1. United States – Country Data and Market Indicators (EIU, 2006). Series Units 2001 2002 2003 2004 2005 2006 Gross Domestic Product Key indicators GDP (% real change pa) 0.8 1.6 2.5 3.9 3.2 3.2 Fiscal and monetary indicators Interest rates Lending interest rate (%) 6.9 4.7 4.1 4.3 6.2 8.0 Inflation and wages Consumer prices (% change pa; av) 2.8 1.6 2.3 2.7 3.4 3.3 Demographics and income Population M 285.1 288.0 290.8 293.6 296.4 299.7 GDP per head ($ at PPP) PPP 35524.2 36352.8 37691.7 39894.3 42023.7 44110.0 Population Population M 285.1 288.0 290.8 293.6 296.4 299.7 Population (% change pa) 1.0 1.0 1.0 1.0 1.0 1.1 Labour force M 143.8 144.9 146.5 147.4 149.3 151.4 Recorded unemployment (%) 4.7 5.8 6.0 5.5 5.1 4.6 Income GDP per head US$ 35524.2 36352.8 37691.7 39894.3 42023.7 44110.0 Private consumption per head US$ 24745.9 25523.4 26491.1 27969.4 29495.1 30960.0 GDP per head ($ at PPP) PPP 35524.2 36352.8 37691.7 39894.3 42023.7 44110.0 Real GDP growth per head (% pa) -0.2 0.6 1.5 2.9 2.2 2.1 Personal disposable income bn  LCU 7486.8 7830.1 8162.5 8681.6 9036.1 9580.2 Personal disposable income (US$) M  US$ 7486840.0 7830080.0 8162530.0 8681560.0 9036100.0 9580150.0 Real personal disposable income (US$ at 1996 prices) M  US$ 6860090.0 7074210.0 7231140.0 7493920.0 7581650.0 7811600.0 Real personal disposable income (% change pa) 1.9 3.1 2.2 3.6 1.2 3.0 Average real wage index (LCU, 1996=100) 107.3 108.9 109.4 108.9 108.1 108.6 Average real wages (% change pa) 1.0 1.5 0.4 -0.5 -0.7 0.5   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Fact remains that US is the world’s biggest media producer as well as consumer. Advertising is the main source of revenue, although some sectors also create revenues from subscriptions. Media concerns with entertainment arms have additional sources of income through takings from gaming, distribution rights, amusement park entrance fees and spin-off merchandise. Also, entertainment is one of America’s top exports. In 1999, in fact, film, television, music, radio, advertising, print publishing, and computer software together were the top export, almost $80 billion worth, and while software alone accounted for $50 billion of the total, some of that category also qualifies as entertainment—video games and pornography, for example. Hardly anyone is exempt from the force of American images and sounds. . . . American popular culture is the nemesis that hundreds of millions—perhaps billions—of people love, and love to hate. The antagonism and the dependency are inseparable, for the media ï ¬â€šood—essentially American in its origin, but virtually unlimited in its reach—represents, like it or not, a common imagination. However, media availability is somewhat disproportionate to the time an average American has to consume information. But the industry is a lucrative one and media spinners are finding new ways to make the public continue to consume media and pay for it. In 2001, companies in the media industry recorded total revenues of $261.7 billion. Although this was a growth over 2000’s $255.2 billion, operating income had been steadily falling since 1998. This can be attributed largely to the fact that cable and satellite providers experienced rising maintenance costs and were investing heavily in new technology. The decline in income is expected to ease over the next few years as investments on new delivery channels start to bear fruit. Because of this, many companies started holding back on advertising activities following the recession in 2001. The 9⠁„11 tragedy, the subsequent wars in Afghanistan and Iraq and their accelerator effect on the economic downturn, brought increased uncertainties to the stock markets and exacerbated the advertising slowdown. This downtrend was reversed throughout most of 2002 as many believed a swift end to the Iraqi invasion would emerge. Market jitters returned in the third quarter of 2002 and earlier in 2003, which somewhat stalled advertising expansion as the Iraqi situation refused to look as good as the President’s claims. However, tentative cheers on US trading floors and moderate improvements in the job market slowly built up advertising momentum in the third quarter of 2003. For example, Time-Warner’s strategy has insisted on managing their costs aggressively. In 2005, they undertook difficult, but necessary, restructurings at a number of our divisions to ensure that their costs are aligned with their long-term business needs. At Warner Bros., for example, they streamlined their management to create a single Home Entertainment Group to oversee the digital delivery of entertainment to consumers. Looking ahead, they plan to reduce costs by $1 billion across their businesses in 2006 and 2007. Trade disputes with the EU and China and persistent trouble for US interests in Europe and the Middle East are forming grey clouds over the economic horizon. Also, big budget media advertising, with the exception of outdoor advertising, is invariably sparse at year-end when readership and viewership are traditionally down due to a lack of new programs and major sporting events. Consumers are usually on vacation or out holiday shopping at year-end, rather than at home reading or sitting in front of ‘the box’, giving media advertising less reach. However, prudent companies are aware that a prolonged advertising drought can adversely affect brand recall and consequently spell slower product movement. Thus, although advertising revenue increases were more modest than expected in 2003, with the exception of cable television, syndication and Spanish network segments. This income source is predicted to grow in 2004. As Time Warner moves forward with these external challenges, the foundation of their strategy is to invest our financial resources in a disciplined manner to provide the best possible return to their shareholders. This means focusing on the right businesses. Their board of directors and management continuously evaluate Time-Warner’s businesses to ensure that they meet their standards for financial performance, growth and return on investment. Industry Overview The United States market for cable and satellite TV services has grown by 6.5% since 2003 to reach a value of US$57.6 billion in 2004. Over 2001 to 2005, value sales increased by 36.5%. Over 73 million American households subscribed to cable television services with 34% of them having digital service in 2004. In 2004, the average monthly price for expanded basic programming packages was US$38.23. Satellite TV services are expected to continue to increase in popularity. Satellite TV is offering aggressive pricing packages relative to cable, an increasing number of special interest channels and local channels in all markets. Local channels were previously unavailable to subscribers. Despite the spate of satellite TV, Time Warner’s networks and cable segments have been posting consistent revenue growth in recent years. Revenue from the networks segment increased from $8,434 million in 2003 to $9,611 million in 2005, representing a growth rate of 7%. Revenue from the cable division increased from $7,699 million in 2003 to $9,498 million in 2005, representing a growth rate of 11%. These two segments together contribute more than 42% of the total revenues of the company. Increasing segmental revenues have contributed in the company’s overall revenue growth of 3.7% in fiscal 2005 over fiscal 2004. This is why cable television will likely continue to generate healthy revenue growth for owners of those networks, though gains may well be slower than over the past several years. Beneficiaries of ongoing strength in cable include Viacom, Time Warner, News Corp. and Disney. The most significant changes in the media industry in the past decade have been in its adoption of the internet technology. The internet has evolved from being just a communications tool to becoming an important entertainment, business and marketplace platform. Catching up is the cable segment, which is embracing broadband technology in earnest and is rapidly overtaking the role of traditional dialup technology in supplying telephony and especially internet services to North American homes. From 1996 through 2003, the US cable industry spent $75 billion in private capital on plant and equipment as well as infrastructure upgrades, according to NCTA. The cable industry in its totality is moving from analog to digital technology to compete with the high-quality, low-interruption signal transmission broadcast by DBS companies, which have been offering high quality, encrypted digital transmission almost since day one. The competition between cable and satTV is becoming more intense. Apart from normal TV programs and movie line-ups, both offer interactive (cable TV being a recent entrant) and internet technologies on their systems. Both are taking the TV experience to new heights. Not only can the viewer play interactive games on TV but they can also interact with programs they are watching, for example responding to interactive surveys or making immediate purchases on shopping channels via the remote control. Latest technological advancements also allow viewers to record, pause, forward and reverse live programs or watch them in slow motion or instant replay using digital⠁„personal video recording (DVR or PVR) and video on demand (VoD) devices for satTV and cable TV, respectively. Unfortunately, the digital revolution is bringing problems to some in the industry. Content and program providers are anxious over the dent DVRs and VODs may make in their earnings. How serious their concerns are remain to be seen, but observers of the industry are noting that a predecessor of DVRs and VODs, the VCR, was greeted with the same disquietude, which was soon replaced with blithe indifference as the technology propagated a new earning capacity, that is, the sale of videos. An issue that bothers media executives is their loss of control over viewers. Viewers can replay scenes they like during a commercial break, thus effectively bypassing messages from advertisers, who happen to be program sponsors. This could force advertisers to see TV as a less effective advertising channel than it used to be and give them better leverage at commercial slot price negotiation or cause them to adopt other advertising media. As viewers become more discerning, they are demanding greater viewing variety and higher quality programs. They are also getting hi-tech, seeking a greater, more interactive TV viewing experience much as they have come to expect from their personal computers. The FCC, the federal regulator for the media and telecommunications industry, is aware of this and is pushing the industry to hurry the digital transition. The FCC has mandated that all TV broadcast stations have High Definition TV (HDTV) broadcasting capability by 2006. This will mean a bigger outlay for broadcasters and cable companies in the coming few years: Broadcasters and program networks will have to invest in new cameras, titling and editing equipment and tape machines that support the digital TV (DTV) format and revamped rigs for DTV friendly TV vans. Cable operators need to convert all their equipment and set-top boxes. However, for viewers with HDTVs, the set-top boxes are bypassed. Time Warner had responded to this challenge through Warner Bros Entertainment, a subsidiary of the company when it tied up with CBS Corporation to form a new broadcast network. This new network, The CW, to be launched in late 2006, can significantly expand Time Warner’s customer base. Time Warner’s Cartoon Network channel entered into a joint venture with VIZ Media to form Toonami Jetstream, a new broadband service to provide streaming episodes of animation series. Toonami Jetstream will allow users to view episodes of Cartoon Network in their own time and also provide an alternative distribution vehicle for Time Warner. These alliances and joint ventures can provide Time Warner with a competitive advantage over its peers and enable it to enhance its revenue position. Expanding broadband market Most players in the cable industry have begun the digital journey but consumers may still need to dig into their pockets to enjoy the digital experience and make the analog age a thing of the past. They have to either buy new set-top boxes, which convert digital signals to analog, or buy HDTV sets, which range between just under $1,000 to almost $10,000. Early in June 2003, when the FCC eased its decades-old restrictions on the size of media entities, controversy erupted. Large media companies hailed the move. Consumer groups condemned the decision as bad news for democracy and local content. The new rule, which allowed media companies to have US penetration cap of 45% instead of the old 35%, was good news to media giants who were operating at close to the 35% limit. They had been lobbying hard for the lift, including Viacom, whose $40.6 billion purchase of CBS makes it the US’ largest single operator of TV and radio stations, reaching 41% of the total national broadcasting market. The 45% rule looked set to open the floodgates for other media liberalization that would allow TV, radio and newspaper owners much more room for consolidation. If a large TV station acquired a small, one-paper town market, the community would be dominated by that entity. This would threaten local content in the community’s media. However, the 45% rule was blocked by Congress in a massive 400 to 21 vote in July 2003. This was followed by a stay order by a federal court some few weeks later. Should the FCC fail to appeal to have the new cap reinstated, media giants who have exceeded the old limit will have to shave off their access assets and those nearing the demarcation point will need to strike out expansion as a way to increase income. Time Warner, which garners some revenues from films, should grow its studio profits well. It is releasing several DVDs of popular titles. Film profits generally sway on the timing of releases. Viacom, Disney, and Dreamworks Animation also have large stakes in the sector, which will likely move further towards home viewing via digital cable and the Internet. Having many cities that are highly cosmopolitan, the US has various minority and ethnic groups which are looking for more than just generic programs that do not necessarily depict their lifestyles or cater to their tastes. Many minority group communities have been addressing these issues by producing their own newspapers, TV programs and radio broadcasts. As their respective populations grow, so has the amount of business of their specialty media. Having long observed the growth of these niche markets, bigger players are now making moves toward grabbing a slice of the ethnic specific media pie that serve large minority communities. Previously, being culture sensitive meant placing non-Caucasian actors in supporting roles but, belatedly, major media companies are dedicating whole TV and audio channels to specific ethnic groups. In the media industry, the basic services were the largest sector, accounting for 53.1% of sales in 2004, worth US$30.6 billion. Advertising was the most dynamic sector. Growing from US$8.5 billion in 2000 to US$15.9 billion in 2004, this sector achieved 87% growth. Pay-per-view movies grew by US$400 million over the review period, to account for 2.8% of sales in 2004. In 2004, premium channels accounted for US$9.5 billion, or 16.5% of the market, realizing 13% growth. Cable TV continues to dominate the premium TV market with 76 percent of households and its market penetration is still increasing. Table 2. United States – Media Market Sectors US$ billion 2000 2004 Advertising 8.5 15.9 Basic services 24.1 30.6 Pay-per-view movies 1.2 1.6 Premium channels 8.4 9.5 Source: Euromonitor International In terms of performance, Comcast Corporation was the leader of cable and satellite TV services in the United States in 2004 with 32% market share. It maintained its leading position through product innovation and differentiation including its ON DEMAND offerings, increased regional sports programming and its leading Comcast.net portal. Time Warner Inc had the second largest market share in 2004 at 17.2%. This was an increase of 9.5% in 2003. AOL Time Warner was able to increase its position by taking a lead role in offering new products to its customers including High Definition Television, the Digital Video Recorder, Wireless Home Networking, and Digital Telephony service. Through expansion of its US market, Cox Communications Inc. increased its market share by 7.7% from 2003 to 9.7% in 2004. Charter Communications saw its market share decrease to 9.3% in 2004. Table 3. United States – Media Market Share % value of market sector 2004 Comcast Corporation 32.0 AOL Time-Warner Inc 17.2 Charter Communication 9.3 Cox Communications Inc 9.7 Adelphia 8.2 Source: Euromonitor International In the global arena, Hollywood’s long-standing tensions with China has taken its toll as Time Warner is pulling out of an ambitious, four-year theater venture in the country because of tightened restrictions on foreign ownership. The decision was announced in November 2006 came after its Warner Bros. unit tried unsuccessfully for more than a year to negotiate a compromise with the Chinese government over a July 2005 ruling requiring outside investors to cede control in ventures to their Chinese partners. Warner’s decision underscores Hollywood’s frustrations operating in China. Although studio executives consider China to be the world’s best growth opportunity for U.S. entertainment, they also are wary of expanding there, in part because of what they believe are burdensome government rules. Although the media market is fraught with competitors, Time Warner had been a formidable competitor because it offers diversified, yet complimentary products and services. The company operates in print media, television, cinemas, internet, cables services and wired broadband segments. Leveraging its operations in complimentary segments the company has been able to reproduce the same content in various formats to generate additional sales. Its wide product portfolio has also allowed the company to offer superior bundles to the customers. Company Analysis – Time-Warner Time Warner is one of the world’s leading media and entertainment companies. Its major businesses encompass an array of respected and successful media brands. Among the company’s brands are HBO, CNN, AOL, Time, Fortune, People, Sports Illustrated, and Time Warner Cable. CNN operates in nearly 200 countries, while AOL is the world’s leader in interactive services with 19.5 million subscribers in the US and 6 million in Europe at the last count. Time Warner’s cable business, Time Warner Cable (TWC), is the second-largest cable operator in the US while Warner Bros is one of the worlds leading studios. These are well established brands with global brand recall. The company can leverage the equity of its brands to generate sales. New developments continue to stream in Time-Warner. In 2004, Time Warner Cable announced the creation of a new business unit, Time Warner Cable Voice Services. This creation was responsible for overseeing the rollout of its residential telephone service, known as Digital Phone. During the same year, AOL Europe, and Google, announced a new multi-year agreement to provide targeted advertising from Google’s AdWords advertisers for the subscribers of AOL Europe. In February 2005, Warner Home Video announced the formation of CAV Warner Home Entertainment Company, a joint venture with China Audio Video. The company entered into a joint venture with New Line Cinema to form Picturehouse. AOL announced the acquisition of Weblogs, a blogging company. AOL also acquired an online digital music subscription company called MusicNow in November 2005. During the same month the company, along with several other cable companies concluded an agreement with Sprint. According to the agreement, the companies would form a joint venture for providing wireless and wireline entertainment product. AOL acquired Truveo, a pioneer in internet video searching in January 2006. In the same month Time Warner entered into an agreement with CBS to launch a new television network, The CW. Cartoon Network formed a joint venture with VIZ Media to create Toonami Jetstream, to provide broadband video services in April 2006. Time Warner has been continually profitable. The company recorded revenues of $43,652 million during the fiscal year ended December 2005, an increase of 3.7% over 2004. For the fiscal year 2005, the US, the company’s largest geographic market, accounted for 79% of the total revenues. Time Warner generates revenues through its five business divisions: filmed entertainment (26.4% of total revenue during fiscal year 2005), networks (21.3%), cable (21%), AOL (18.3%), and publishing (12.9%). During the fiscal year 2005, the filmed entertainment division recorded revenues of $11,924 million, an increase of 0.6% over 2004. The networks division recorded revenues of $9,611 million in fiscal year 2005, an increase of 6.2% over 2004. The cable division recorded revenues of $9,498 million in fiscal year 2005, an increase of 12% over 2004. The AOL division recorded revenues of $8,283 million in fiscal year 2005, a decrease of 4.7% from 2004. The publishing division recorded revenues of $5,846 million in fiscal year 2005, an increase of 5% over 2004. By geography, the U.S. remains Time Warner’s largest geographical market, accounted for 79% of the total revenues in the fiscal year 2005. Revenues from the US reached $34,469 million in 2005, an increase of 2.7% over 2004. Other international countries accounted for 6.7% of the total revenues in the fiscal year 2005. Revenues from other international countries reached $2,907 million in 2005, an increase of 4.5% over 2004. The UK accounted for 6.6% of the total revenues in the fiscal year 2005. Revenues from the UK reached $2,886 million in 2005, an increase of 15.1% over 2004. Germany accounted for 2.8% of the total revenues in the fiscal year 2005. Revenues from Germany reached $1,233 million in 2005, an increase of 6.2% over 2004. France accounted for 2.2% of the total revenues in the fiscal year 2005. Revenues from France reached $941 million in 2005, an increase of 7.1% over 2004. Canada accounted for 1.4% of the total revenues in the fiscal year 2005. Revenues from Canada reached $625 million in 2005, an increase of 24.3% over 2004. Japan accounted for 1.4% of the total revenues in the fiscal year 2005. Revenues from Japan reached $591 million in 2005, a decrease of 13.7% from 2004.    Financial Statement Analysis Company Posted Sales Fiscal Year Total Sales 2003 39565 2004 42089 2005 43652   Profitability Ratios 2007* 2006* 2005 2004  Ã‚  Ã‚  Ã‚   2003   Sales Gross Margin Operating Margin (%) Pre-Tax Margin (%) Net Profit Margin (%) Accounts payable Net Expenses Inventories Revenues per share Cash-Flow per share Earnings per share 46500 0.4 30    8.3          12.9 3 1.1 44900 0.4 30    11.4          11.8 3.12 1.35 43652 0.043 26.06 9.37 6.65 1,380,000 13,676,000 1,806,000 9.705 1.374 0.62 42089 0.042  Ã‚  Ã‚      32.008 11.66  Ã‚  Ã‚   7.99 1,494,000   13,094,000   1,737,000   9.354 2.076 0.68 39565 0.041   30.68 11.42   6.67   1,629,000 12,559,000 1,390,000 9.03 2.024 0.68 *Projected (Source: Valueline Investment Survey). Time-Warner remains to be an otherwise bright entertainment conglomerate. The company’s networks and cable segments have been posting consistent revenue growth in recent years. Revenue from the networks segment increased from $8,434 million in 2003 to $9,611 million in 2005. Revenue from the cable division increased from $7,699 million in 2003 to $9,498 million in 2005. These two segments together contribute more than 42% of the total revenues of the company. Increasing segmental revenues have contributed in the company’s overall revenue growth of 3.7% in fiscal 2005 over fiscal 2004. After trying to devise a way to maintain AOL’s subscription service in a high-speed world, management finally threw in the towel and decided to give AOL’s services away for free, focusing on advertising revenue. The move may have been late, but not so late that it won’t help stem AOL’s user base. The big concern is if advertising revenues will be sufficient to offset subscription losses. Still, this property is an important part of the company’s overall collection of media-related businesses. Moreover, the performance of the filmed entertainment segment and AOL segment has been weak in the past three years. Revenue from the filmed entertainment segment grew by as little as 0.6%. Revenues from the AOL segment declined from $8,598 million in 2003 to $8,283 million in 2005, representing a growth rate of -2%. The two segments contribute around 45% of the total revenues of the company. A weak operating performance by these segments indicates that the company has been losing ground to its competitors. The reason for this projection and forecasts is that TWX remains to be garnering operating profit. Although net profit have declined in fiscal 2005 compared to fiscal 2004, operating profits and net profits declined 26.7% and 13.6% respectively in fiscal 2005. The company’s operating margin declined from 14.6% in fiscal 2004 to 10.4% in fiscal 2005, while the company’s net profit margin declined from 8% to 6.6% in the same period. Declining profit margins indicate increasing costs and can adversely affect the company’s long term financial position. Declining cash from operating activities Time Warner’s cash flows from operations have been declining in recent years. Cash from operations have declined from $6,601 million in fiscal year 2003 to $4,965 million in 2005. Declining cash flows can force the company to borrow external capital to fund its growth plans, which could prove to be expensive. TWX Dividend Rate Per Share ($) Shares Outstanding (M) Ave. Daily Volume (M) Beta Shareholders Market Cap ($M) Institutional Holdings (%) Yield (%) 12-month P/E   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   0.22 3972.58 23.44 2.0329 56,500 83066.5 72 1 24.6 We can use the dividend discount model to estimate the cost of common stock. The difference between common stock and preferred stock is in our assumption about the growth pattern of future dividends. With common stock, we typically assume that dividends grow at a constant rate into perpetuity. Then we can write the present value of the assumed dividend stream as P 0   = D 1 ————————- ( 1 + k s ) where, P0 = the common stock price per share. D 1 = the dividend per share one year from now. ks = the required rate of return on common stock. If we solve for ks, we get: ks   = D 1 ————————- P0 At present, TWX’s stock price was at $20.14. TWX has historically paid out about 40 percent of its earnings as dividends. Therefore, with a forecast of about $0.55 per share in earnings for next year, TWX’s dividend would be forecast to be $0.55 Ãâ€" .40 = $0.22 per share. So, the dividend yield, defined as D1/P0, is $0.22/$20.14 = .0109, or 1.09 percent. TWX’s Key Growth Rates and Averages Past Growth Rate (%) 1 Year 3 Years 5 Years 9 Years Sales 3.71 2.56 29.05 49.46 Net Income -9.47 Ratio Analysis (Annual Average) Net Margin (%) 6.65 7.41 LTD of Capitalization (%) 19.48 21.01 20.71 21.15 Return on Equity (%) 4.71 5.32 8.18 Pricing/Earnings Recent Price 20.14 P/E Ratio 15.612 P/E (Trailing) 14.183 P/E (Median) NMF Rel. P/E Ratio 0.724 Ratings Financial Strength B++ Stock’s Price Stability 40 Price Growth Persistence 20 Earnings Predictability 20 Relative Value Year 2000 2001 2002 2003 2004 2005 2006 2007 2008 Free CFs 11.8 12.8 13.5 13.9 16.0 17.9 20.1 22.5 PV of FCFs 10.17 9.58 8.65 7.68 7.62 7.36 7.10 WACC = 16% Long run g = 12% MV of Debt = $202 million No. of shares = 50 PV of FCF1-7   = 50.97 TV at Year 7 of FCF after Year 7 = FCF8/(WACC – g) = $448.00 PV at of TV at Year 0 = TV/(1+WACC)7 = 183.88 Sum = Value of the Total Corporation = $234.85 million Less: MV of Debt and Preferred = $202 million Value of Common Equity = 32.85 Divide by No. of Shares = 50 Value per Share = Value of Common Equity/No. Shares = $0.66 Assuming that beginning in the fourth year, the free cash flows are to grow by 10% less than previously predicted:    Year Old FCF New FCF 1 2001 $11.8 $11.8 2 2002 $12.8 $12.8 3 2003 $13.5 $13.5 4 2004 $13.9 $12.5 5 2005 $16.0 $14.4 6 2006 $17.9 $16.1 7 2007 $20.1 $18.1 8 2008 $22.5 $20.2   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   We will assume that the long-term growth rate and WACC will be the same as previously assumed. From this information, we can do the following calculations. Total PV of New FCF’s, Years 1-7 =$55.09 FCF 8   = $20.23  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   $20.23 TV   at Year 7: $505.76  Ã‚  Ã‚   = ——————- PV of TV: $178.95  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   4%  Ã‚   = WACC- gL Market Value of Total Company =   $234.05 Less: MV of Debt = $202 Market Value of Equity = $32.05 No. of Shares = 50 Value Per Share = $0.64 versus $ 1.37 under original assumptions. Therefore, a 10% reduction in some of the cash flows leads to a 53.28% decline in the value per share. As of September 30, 2006, TWX had net debt of $202 billion (including $11 billion on the Adelphia deal), and a net debt/EBITDA ratio of about 3.0X. In 2005, TWX paid out $2.8 billion related to a government settlement. Including the acquired systems, management sees low double-digit adjusted EBITDA growth in 2006 (off a restated base of about $10 billion in 2005), with 35% to 45% conversion of EBITDA into free cash flow. Management plans about $1 billion of cost cuts in 2006 and 2007 (excluding the $1 billion of cuts at AOL as previously mentioned). We project free cash flow of over $11 billion in 2006 and 2007 combined. Pursuant to a $20 billion share buyback program, TWX plans to repurchase about $15 billion of its shares in 2006, and the remainder in 2007. Over the longer term, the company targets a 3X leverage ratio. TWX began paying a quarterly cash dividend of $0.05 per share on its common stock in the 2005 third quarter (about $900 million a year), raising it to $0.055 in July 2006. TWX would also receive about $600 million in cash from the dissolution of its cable joint venture with Comcast. TWX undertook several asset divestitures in the past few years to enhance its financial flexibility, notable among which are the 2004 sale of its Warner Music Group (for $2.6 billion in cash), a 50% stake in Comedy Central ($1.2 billion), a DVD/CD manufacturing business ($1 billion), and two NBA and NHL professional sports teams (undisclosed). Also, in 2006, TWX sold its book publishing business for $532 million in cash, and its Turner South network for about $375 million in cash. TWX also raised $239 million from the sale of stock in Time Warner Telecom.