Care of the patient having Cytotoxic Chemotherapy (GM50Z8) Essay

Care of the patient having Cytotoxic Chemotherapy (GM50Z8) - Essay Example To think that patients are already in a very critical condition, they still have to deal with problems of comprehension. Many are confused especially on the technicality of their disease or treatment. Not everyone can easily understand a doctor’s intellectual explanation. The emergent proliferation of Patient Information Leaflets (PILs) has become an immediate solution to this problem. Leaflets are free consultation take-outs from a trusted doctor; it is an instant consultation. Whenever you forget some details about a disease or a treatment, you can always refer back to your leaflet. The leaflet must contain answers to most frequently asked questions. It can save time and consultation fees. However, the issue at hand is, are they effective? Do patients/relatives/supporters do actually read them. The challenge is to make them read and understand leaflets. Specifically, the main question of this paper is, is the leaflet on Cytotoxic Chemotherapy a helpful guide and preparation for cancer patients and a good source of information for relatives and supporters of these patients? The following paragraphs will be a critical review of â€Å"A Patient’s Guide to Chemotherapy†. The leaflet is aimed to guide adult cancer patients undergoing chemotherapy, their families and supporters as evidently mentioned in the first section of the leaflet. Definitely, they are the target audience of the leaflet and not the patients suffering with any other disease or illness. It would be useless to distribute leaflets to those who will not use them. It is very important that these leaflets must go to the hands of the target audience. Leaflets as mentioned earlier are answers to most frequently asked questions, and the leaflet on chemotherapy should answer a cancer patient’s questions on his or her own chemotherapy treatment. It should clarify any gray areas on the said topic. After reading it, the patient or the patient’s supporter must greatly understand the

Ignatian Spirituality and Discernment Term Paper

Ignatian Spirituality and Discernment - Term Paper Example The most astonishing fact has been that the Ignatian spirituality has quite a few similarities with much practiced religions like that of Christianity, Hinduism and Buddhism. Ignatian spirituality basically deals with the spirituality of the daily life. It focuses on the fact that God is active in our regular lives and ‘his’ presence can always be felt in the world. Ignatian spirituality was formed by Ignatius Loyola, who was a war - wound. Ignatius was also the founder of the Jesuits. Jesuit Gerard Manley Hopkins noted Ignatian spirituality as â€Å"insistence that God is at work everywhere in work, relationships, culture, the arts, the intellectual life, creation itself†. According to the words of Ignatius, the things in the world are presented to us â€Å"so that we can know God more easily and make a return of love more readily†. The Ignatian spirituality focuses upon discerning the presence of God in the everyday activities of our lives (Ignatian Spirituality, n.d.) Discernment has been always a key issue in the Ignatian spirituality. In fact, the main thought of the spiritualism in this segment depends upon the realization and judgment of God in our daily life. Discernment, according to David Lonsdale, a veteran of Ignatian spirituality, â€Å"involves us in a process of sifting our daily experiences by noting and reflecting regularly on our affective responses to God and to life and its events. It means noting, for example, situations and events in which we experience joy or sorrow, peace or turmoil, attractions or revulsions, an opening out to others or a narrowing in on ourselves, a sense of Gods presence or absence, creativity or destructiveness. The purpose of observing and reflecting on these patterns of responses is that they deepen our sense of ourselves and they can show us where, for each of us, our Christian path lies, where the Spirit of God is

Ethical Energy Essay Example | Topics and Well Written Essays - 2000 words - 2

Ethical Energy - Essay Example The paper by analyzing the advantages and limitations of renewable energy sources in relation to the other energy sources will provide the Belinean government the best bid, which can be selected and which will be ethically apt. Any organization will mainly be judged by the success it achieves. Judged in the sense, the company will be appreciated, feted, discouraged, hated etc, etc†¦ by the success or the lack of success (failure), they get. In today’s world, the success of a company is mostly correlated with its achievement in the form high profits, maximum market share, etc. Even though this perspective is not at all wrong, the bone of contention is, how a company achieves those positive things. Whether, they achieve through ethical means or by the ways of fraud, illegality, etc? The primary focus of any organization is to give a clean management based on preset ethics. If the management and the employees of the company are ethically perfect, they will exhibit good discipline, hard work and thus high productivity. Companies that do not have proper†¦ ethics procedures risk severe damage to their reputation, criminal/legal action and regulatory penalties. The consequences could include loss of customers, reduced share price (Advice on management). This ethical concept applies to energy companies as well. Countries all over the world are facing energy shortages due to the raising demands brought on by the raising population, raising industrialization or raising commercialization. Because of these energy shortages, countries and various government organizations as well private organizations are exploring various options to tap and collect or produce energy. But the catch is, energy organizations while cornering on the energy options should need to focus more on the ethical aspects, giving equal or more importance than the economical aspects. This is a key aspect for energy companies because the various energy sources

Hofstede's cultural dimension australia vs vietnam (management Essay

Hofstede's cultural dimension australia vs vietnam (management subject) - Essay Example Hofstede says that culture â€Å"is the collective programming of the mind that distinguishes the member of one group or category of people from another†(Tjosvoid and Leung, 2003, p 31) Hofstede has captured cultural values in terms of cultural dimensions which are broad attitudes of the people in a society concerned with identification of evil, good, dirty and clean, moral and immoral, irrational and rational.(Tjosvoid and Leung, 2003, p 31) The work of Hofstede stemming out of a lengthy survey of employees of the well known IBM multinational spread over some 70 countries and his later work have categorised the cultural dimensions in five values of Power Distance (PD) , Uncertainty Avoidance (UA), Individualism and Collectivism (IDV), Masculinity and Feminity (MAS) and Long Term v Short Term Orientation (LTO). (Hofstede, 2001) The five values need to be explained before examining the case of Boost juice organisation of Australia entering Vietnam.Power Distance: Classified as high and low power distance, it signifies the extent to which a person can exercise power against the others. It applies to power equation with the Government, employer and with the family members. If the distance is high, power is considered as concentrated in a powerful minority and if low, it is decentralised meaning that people in the society enjoy freedom. According to Hofstede, some cultures are characterized by high power distance and some others by low power distance. In high power distance, individuals accept power as part of society by which superiors consider their subordinates different from themselves and vice versa. Countries such as India, Africa, Brazil, Singapore, Greece, Venezuela, Mexico and the Philippines have high power equation and people there think power and authority are facts of life. Similarly, countries su ch as Austria, Finland, Denmark, Norway, the United States, New Zealand

Sucralose Essay Example for Free

Sucralose Essay Sucralose (1,6-dichloro-1,6-dideoxy-b-D-fructo-furanosyl 4-chloro-4-deoxy-a-D-galactopyranoside), sold under the trade name Splenda (R), is usually categorized as non-nutritive sweetener or flavor enhancer. The molecular formula is C12H19Cl3O8 (1). It exists at room temperature as a white to off-white, crystalline powder, which is freely soluble in water, in methanol, and in alcohol, and slightly soluble in ethyl acetate (1). Sucralose has molecular weight of 397. 64 (2). As a sweetener, it has 400 to 800 times that of sucrose (2). Its melting point has been recorded as 130 degrees Celsius, and the boiling point is between 614. and 724. 4 degree Celsius under the condition of press 760 Torr (3). Sucralose is stable in solution at low pH, and also stable in solution at high temperatures as sucrose. Therefore, it can be stored for several years in liquids (3). The density of sucralose is about 1. 694 g/cm3 (3). The below chemical structure for sucralose was retrieved from the Dictionary of Food Compounds (2): Sucralose was first synthesized by Hough and co-workers at the Queen Elizabeth College at the University of London during the 1970s and was developed commercially as an intense sweetener by Tate Lyle, LLC and McNeil Specialty Products Co (4). Sucralose is made by the selective substitution of three hydroxyl groups of sucrose with three chlorine atoms, which was first approved as a food additive in Canada in 1992 and has subsequently been approved in over 80 countries as an intense sweetener (4). Sucralose can be slowly hydrolyses to the two monosaccharides 1,6-dicholorofructose (1,6-DCF) and 4-chlorogalactose (4-CG) under severe acidic conditions, so the formula cannot be found in natural waters (4). Sucralose is usually used in baked goods, sugars, alcoholic drinks, dairy products, cereals, fruit, beverages and nut products (3). In general, sucralose may cause toxicity to aquatic organisms at concentrations ? 1123 mg/L (4). A range of long-term mammalian toxicity studies indicates that sucralose has no known specific mode of toxic action and causes no adverse effects on major physiological systems (4). Recent research concerns that the potential biological effects in non-target species living in areas receive discharges from anthropogenic activities due to the widespread usage and the high stability of sucralose. The Predicted Environmental Concentration (PEC) for sucralose, based on measured data in surface water, was determined to be 10 ? g/L. During the process, data support that sucralose does not cause toxic effects. In conclusion, the resulting conservative PEC risk quotient is 0. 08, thus indicating low risk to aquatic organisms. Although available data suggest that sucralose is persistent in the aquatic environment, current knowledge also suggests that this intense sweetener should not be classified either as bioaccumulative or toxic using standardized and regulatory valid PBT criteria (4).

Lighting Techniques Used In Murder My Sweet Film Studies Essay

Lighting Techniques Used In Murder My Sweet Film Studies Essay The visual effects performed in various film noirs was not to give the viewer the perception of an ordinary setting, but to provide a visual manifestation of terror and abnormality into human emotion through twisted plots and camera techniques. The plot is twisted and complex, taking the viewer into dark, terrorizing, and incomprehensible place. The camera techniques used in the visuals seen in Murder My Sweet instills these feelings, which are common in horror films. Art cannot be rushed and cinematographer Harry Wild had a nightmarish vision for this piece, to invoke fear and chills into everyone who watched it (Dmytryk Chandler, 1944). The visual motifs seen across all film noir are filled with the lighting and shadow effects needed to consume the viewer with moods of paranoia, phobia, and despair. Such attributes are acknowledged in an article by Janey Place and Lowell Peterson; Some Visual Motifs of Film Noir. Nearly every attempt to define film noir has agreed that visual style is the consistent thread that unites the very diverse films that together comprise this phenomenon. These moods could not be created just by reading the script alone; the effects desired results wound not happen. The lighting and shadows in Murder My Sweet are typical among the horror genre. The opening sequence in the movie takes the common creation of shadows and bright light a little further with low key lighting. This technique creates a deep shadow effect which is a key tool to produce a character that is mysterious and unknown. The use of low key lighting is not uncommon among film noir, but Murder My Sweet takes it to the extreme. Other noirs like The Big Sleep and Detour utilize the same technique, but to a lesser extent resulting in a more gray monotone-like image. It all boils down to the narrative reasons, and the usage in the opening sequence makes clear to the audience that the person is crucial and sets the tone in which the viewer interprets the rest of the film. Philip Marlowe, the main character, is shown with consistency throughout the film. His facial expressions are barely visible because the majority of his face is always in deep shadow. He has just enough light to give the impression to the viewer that he is hardcore and tough; existing in life with very little emotion. By using this type of lighting, the character gets situated such that he appears to be trapped or lost in a nightmare (Mubi Online Cinema, n.d.). In the article, Towards a Definition of Film Noir, Borde and Chaumetom uses qualities like nightmarish, weird, and cruel as pivotal. These qualities are encompassed in the film and define Marlowes character; as can be seen by the way he is lit or visually manifested. The lighting schemes used on Philip Marlowe are in direct contrast with the ones used on the female characters in the film. Not only are they in contrast with Marlowe, but also with female characters in other films; the soft diffused lighting in melodrama. This is easily noticeable in the opening sequence when Moose Malloy questions the woman in the bar. She is just sitting in direct hard light with no shadow at all. To achieve the desired results of the scene, the bright lighting gives the illusion that she is in some sort of interrogation room. The shadows in the movie suggest mystery and secrecy, so by using high key lighting, all shadows are eliminated. The way she is lit or visually manifested is to set the record straight that she has nothing to hide and does not know anything with regard to the whereabouts of Mooses girlfriend (Mubi Online Cinema, n.d.). Jessie Florian, the second female in the first sequence, carry a little bit more shadow than the girl in the bar, but still much brighter than Marlowe. When Marlowe interrogates her at her apartment, his lighting is still deep in this setting but she is not as lit up as much. In contrast to the woman in the bar, the light shadow gives the impression that Jessie might be a little mysterious or hiding something. Though her face has a light shadow, her face is fully visible, allowing the viewer to see facial expression and think about her motive. A little snippet is when Marlowe peaks through the window after leaving to verify if she was drunk or not; she was not drunk and unsuccessful in deceiving him (Mubi Online Cinema, n.d.). The lighting and shadow differences of male and female characters continue throughout the film. The extremes and exaggerations of light and dark, low key, indicate the level of mystery of the character; in Marlowes case, nightmarish. Murder My Sweet transforms these normal people into twisted people living in a dark world with dark events. Borde and Chaumetom discuss the removal of physiological reference points to take consume the viewer, to take the viewer away from reality. The lighting techniques of the characters are not the only tellers of the story, the physical locations of the events are telling as well. What is so interesting is that the mood s tends to be consistently different in interior and exterior locations. The interiors of My Murder Sweet are not safe, secure, and warm. They are shot in a way that seems chilling, creepy, and ominous; filled with blinding light and deep shadows. The intent is to instill fear into the viewer that something terrible is about to happen (Mubi Online Cinema, n.d.). Even the darkest character, Marlowe, appears scared in his own office. His feelings of unease are amplified by the lighting. While in his office, he is shot or framed close up cutting out much of the office. By cropping out the rest of the office and the ominous setting created by the lighting, there is a feeling that he is not alone and that he is not in control. This chill can be seen when Marlowe sees Malloys reflection while staring out of the window. The sudden surprise along with no noises announcing his arrival scares him (Mubi Online Cinema, n.d.). The exterior scenes provide a much different feeling; it is more subdued with few high contrast areas. This lighting scheme, along with voice over moments, makes Marlowe feel more relaxed. The voice overs are monologues about drawing conclusions on events which have happened thus far or contemplating his next move; giving the impression that he is on top of the situation. Interior shots are consistently of close-ups, the exterior shots are created such that there is much more space. Marlowe is no longer in a boxed in setting, the wide framing allows the viewer to see much more of the scene (Mubi Online Cinema, n.d.). These dynamics of space pertain to all characters, but Marlowes character is the most common. Not only how the characters are represented in both dark films and horror films like Murder My Sweet are very important in setting tone, how the movie is pieced together is crucial as well. How the elements are tied together is a special craft that cannot be overlooked. Film editor Joseph Noriega was truly an artist who made a mark film noir (Mubi Online Cinema, n.d.). The movie follows the classic Hollywood structure with spatial and temporal progressions and flashbacks, but the shot to shot editing is highly irregular, as can be seen in the opening interrogation when the shots of Marlowe blindfolded are pieced together into a circular motion (Murder, My Sweet (1944), n.d.). The purpose of this style of editing is to not allow the viewer to relax. The constant chills and paranoia felt by the viewer can only be achieved through the use visual techniques, settings, and unsettling characters. Murder My Sweet uses a dark and twisted plot to take the viewer to an alternate reality that is very uncomfortable. In his book The Dark Side of the Screen, Forest Hirsch says American films gravitate toward a neutral rendering of a recognizable physical reality rather than toward the delirious inner landscapes, the overwrought transmutations, of full-fledged expressionism. The camera techniques, the sounds, mise-en-scene, and editing produces an environment that is nightmarish from beginning to end.

Political Transitions in America Essay -- American History, Politics a

As life began in the new world many people that have traveled wanted to live in a new atmosphere. People sought out wealth, fortune, freedom and wanted to express their ideas and beliefs as they could have not in their own countries. The new world gave these settlers an opportunity to start their new lives and way of life. One aspect of their new lives was how they wanted to be ruled and their political ideas. Political transitions have occurred throughout the beginning of the settlement of the new world from the British colonies to the first president with a central government then the secession of the south and Civil War until Richard Nixon and the Watergate Scandal. The English colonies were the starting basis of the new world. Jamestown, Massachusetts, and Pennsylvania all had their own ways of governing their people. Jamestown’s first political structure was the House of Burgesses which was the first government and was limited by the governor and Joint Company to decide. Also all free men could vote, but later on this was limited to white land owners. Many of their political problems were mainly expansion because farmers wanted more land and problems with the Native Americans. One notable issue was Bacon’s Rebellion which was a revolt against the royal governor of Jamestown who refused to fight back against the attacking Native Americans. About 300-600 people marched into Jamestown and burned down the city and Bacon also died, furthermore this was one of the beginning issues of western expansion. Another starting settlement was Massachusetts whose government was highly tied to the church. The members of the church congregation ha d full legal rights to making laws in the land. They were Calvinists who believed that God had... ...in D. Roosevelt has been elected as President. During this presidency Roosevelt introduced two major New Deal programs that were aimed at the industrial and agricultural recovery from the great depression. The first was the National Recovery Administration where labor leaders were equally determined and workers had a maximum work hours and minimum wage was created. Then the focus on the new deal changed from recovery to reform. (Divine, #646- Throughout American History the Political transitions that have occurred helped create a strong hope in the people today. The colonies that began in the new world have prospered into this great nation going through many conflicts and problems, from the war for independence to secession and the civil war to the great depression and recovery. These political transitions helped make America be what it is today; A great nation.