Net neutrality Research Paper Example | Topics and Well Written Essays - 1000 words

Net neutrality - Research Paper Example In 2010, the FCC imposed network neutrality regulations on both wireless and wired broadband-access providers (Hazlett 1). The agency claims that the design of the internet was such that there would be no â€Å"gatekeepers†. Despite there being disputes, the FCC has moved ahead to vote in new rules that will affect the regulation of broadband internet in the U.S. (Kovach). The FCC’s proposal is bad because exercising of unfettered control over people’s use of the internet creates risks to economic and technological growth, and it poses a real threat to freedom of speech and the future of the United States’ democracy (Hazlett 1). Kovach argues that we have two sides in dispute concerning net neutrality. Providers aim at regulating their broad band so that they can utilize it to pursue their own interests to favor their own internet service provision. On the other side, there are the proponents of â€Å"internet neutrality† who believe that in order to foster economic growth and innovation; the government should regulate the internet. The FCC chair’s proposal says that companies which stream content, if they wish, they should be able to pay internet providers for direct access to customers. This will result in increased streaming speeds. The proposal goes ahead to protect companies that cannot or do not want to pay for the direct access to customers. This means that internet service providers (ISPs) will be prohibited from slowing down the streaming speed for those who eat up more bandwidth and treat those services like any other data. This is not the right solution because it gives huge compani es with a lot of money an advantage over the start up companies, which cannot be able to afford paying for direct access to internet users. According to Gustin, the young firms must rely on the certainty of rules that do not discriminate for them to grow, build new technologies and create jobs. In addition, the consumer will also suffer

Exotic Flowers Ltd Coursework Example | Topics and Well Written Essays - 750 words

Exotic Flowers Ltd - Coursework Example The negative cash flows at the end of each month are a worrying sign for any business but these can be financed by either some short-term financing or long-term financing method. The short-term financing method would include the small bank loans such as overdraft facilities offered by the banking institutions to its clients on a regular basis. Through the overdraft facility, the bank offers some amount to its client and that amount has to be paid off by the client within a short span of time usually 12 months. The long-term financing would include a loan which would be repayable after a long period of time usually 10 years or more but this sort of long term financing would cost more because the banks or the financial institutions would charge higher interest for a longer period of time. The best suitable financing mode for Exotic Flowers Ltd would be to use short term financing facilities such as overdraft facility that would hold little interest charge and the company would be able to repay it as soon as they end up having a positive cash flow. Based on the cash flow results, Adam and Tom should continue with the proposed plan of starting Exotic Flowers Ltd even though the business gives a negative cash flow in the opening year of the business. The business turns into a profitable venture in the second year of operation and the profits are considered to grow at a good rate. This growth in the profit and the revenue suggests that the market for the flower business is a very profitable and growing market and until and unless any stiff competition is faced, the company would grow extensively. The negative balances in the opening year of the business operation and the first month of the second year would have to be financed through short term

Biological Perspective Essay Example for Free

Biological Perspective Essay One client I worked with had very low levels of assertiveness and because of this was often treated very badly by friends, family and work colleagues. This led to her becoming really rather depressed, which meant that she tended to avoid interactions with other people whenever possible, lowering further still her confidence and her ability to deal with social situations. She was becoming increasingly withdrawn. Whilst the counselling helped her to understand how she was contributing towards her own distress by having so low an opinion of herself, the antidepressants helped her to feel well enough to start to re-engage with people and to put into practice some of the ideas and life skills she was learning in therapy. By the time the medication was slowly stopped after her depression had lifted, she had firmly established new patterns of behaviour and relationships. She was easily able to continue this new and more useful way of being, therefore removing the need for further medication. Back to Top The Disadvantages of Antidepressants Many people I know would say that when you are profoundly depressed, there are no disadvantages to taking something that makes you feel better. Certainly I know many clients whose lives have been transformed by taking the right antidepressant, prescribed by their doctor or psychiatrist. Having said that, no medication is without its problems. With antidepressants, the main problems are firstly, finding the right antidepressant and secondly, side-effects. Antidepressants seem to help about half of the people who take them and different antidepressants work better with some people than others. The process of matching the right medication to the person is far from a precise science and one psychiatrist I know will admit that it often comes down to luck and guesswork. Having said that, the choice of antidepressant is usually informed by the exact nature of the symptoms experienced.

Case Study And A Oncology Health Assessment

Case Study And A Oncology Health Assessment This case study concerns a patient, Mrs. Singh who is diagnosed with stomach cancer and is being managed with chemotherapy. Mrs. Singh, a 78yr. old female, presents to the oncology center with the chief complaint of feeling weak and hugging the wall while walking. Mrs. Singh is a known diabetic, and was accompanied by her daughter to the clinic. A thorough focused health history accompanied by a focused physical examination was done to ascertain possible nursing diagnosis related to Mrs. Singhs presenting complaints, current diagnosis, and treatment used presently. Health History Using COLDSPA, this information obtained will allow for a focused health history of the presenting problem. (Weber Kelly 2007) Patients vital signs will be assessed temperature, pulse, blood pressure, respiration and oxygen saturation. Blood pressure in lying, sitting and standing will be assessed. If needed, (any nasal flaring, use of accessory muscle of respiration or difficulty breathing) oxygen via nasal cannula will be administered. The character of the weakness The onset when did the weakness begin, is it better or worse since it began? Location where exactly is the weakness, does it spread to other parts of the body? Duration how long does the weakness last, does it recur? Severity how bad is it on a scale of 1-10? Pattern what makes it better, what makes it worse? Associated factors what other symptoms accompany the weakness, is it possible to do work or engage in other activities such as leisure/exercise during this? (Weber Kelly 2007) A biographical data is part of the health history, and would be obtained prior to entering the center (see Appendix). However, key features that the nurse takes into account will be discussed. Weakness can be caused by a variety of medical conditions, such as: dehydration, stroke, myasthenia gravis (or other autoimmune disorders), electrolyte disturbances, anemia and infections. The obtaining of a current medical history and family history is vital in order to link other possible complications involved. (McGraw Hill Medical 2010) Assessment will be directed towards: neurological (combining musculoskeletal and peripheral), cardiovascular, and gastrointestinal systems (including nutritional). (Merck Manual 2010) Health History Mrs. Singhs chief complaint is a history of weakness, being unable to walk without hugging the wall. This weakness, according to Merck Manual (2010), may be due to the disease process of stomach cancer, diabetes mellitus as well as from the chemotherapy that she is presently having. Mrs. Singhs age, is an indication that she is postmenopausal, (Manson 2008), which can also contribute to her being weak as well as the possibility of hormonal treatment she may be receiving. (National Institute of Aging 2010) An inability to stand for long periods of time due to weakness is also a presenting symptomatology of menopause, according to Mayo clinic (2010) Mrs. Singh is a diabetic; this can cause weakness, due to diabetic polyneuropathy. However knowing the type of diabetes Mrs. Singh has will also assist the nurse in verifying the drugs Mrs. Singh is presently taking. Hypoglycemia can also present as weakness. These symptoms can be also related to an overdose of insulin (if insulin dependent) or other hypoglycemic agents as well as not eating on time. Blood glucose monitoring via a Diascan would be done at this point in time. Renal involvement will also be assessed as this may be secondary to DM. Electrolyte blood values will be assessed (Merck Manual 2010) Mrs. Singh is diagnosed with stomach cancer. Time of diagnosis as well as the management for the stomach cancer will be taken as part of the health history. This is very important, as the patient with stomach cancer may have had different types of surgery done to treat this. Also the staging and grading of the cancer is important to verify the possible metastatic sites. Endoscopic mucosal resection, subtotal or total gastrectomy with or without lymph node removal may cause complications afterwards, such as abdominal pain, gastro esophageal reflux, weakness related to vitamin deficiencies and inabsorption. (American Cancer Society 2009) Another study showed postoperative complications for stomach cancer resulted in cardiovascular complications, hemorrhaging, septic shock, anastomotic leakage and abdominal and wound infections. (Japanese Journal of clinical oncology 2010) Dumping syndrome can also result in extreme weakness, which may result from surgery for stomach cancer. This occurs as there is a rapid movement of nutrients directly into the small intestine. (Merck Manual 2010) The type of chemotherapy that Mrs. Singh is presently having as well as her compliance to it is also taken as part of the history. Chemotherapy drugs used for stomach cancer are: Fluorouracil Doxorubicin, Epirubicin, Methotrexate, Etoposide, Cisplatin, Irinotecan, Paclitaxel, Docetaxel, Mitomycin C, Vinblastine, Cyclophosphamide, Cytarabine and Vincristine. Knowing the type of chemotherapy drug is relevant to assessing and monitoring possible side effects, even though most chemotherapy agents causes severe bone marrow depression leading to anemia. Methotrexate can lead to central neurotoxicity, Vincristine, peripheral neuropathy; together with Vincristine can cause serious weakness. (BC Cancer Drug Agency 2006) Cisplatin may lead to ototoxicity causing problems with balance, which Mrs. Singh may have as she is holding on to the wall to walk. Neurotoxicity is also caused by this drug, and may also contribute to severe weakness. Doxorubicin may cause cardiovascular abnormalities which may present as myocardial infarctions, causing weakness, an inability to stand and walk without assistance. This is treated as a medical emergency. Hence during cardiac assessment, a 12 lead ECG should be done to assess heart rhythm for pending supraventricular tachycardia, myocardial infarctions or other dysrhythmias. (BC Cancer Drug Agency 2006) Neurological assessment: level of consciousness, posture and body movement will be assessed. A score will then be obtained (G.C.S) in order to ascertain Mrs. Singhs neurologic status. Cranial nerve assessment will then be performed together with posture, all reflexes, mood, speech, facial expression and cognitive status. (Weber Kelly 2007) This will allow the nurse to ascertain whether the weakness is due to a neurological problem, as Mrs. Singh is a known diabetic. The use of the chemotherapeutic drugs can also affect her neurological status as well, hence the importance of this assessment. Observations for any stroke or history of same will be done. Drooping of face or any side of the body will be assessed for. Since Mrs. Singhs balance is affected, a thorough assessment for balance, using the Rombergs test would be done. (BC Cancer Drug Manual 2006) Gait and balance, together with strength of muscle and tone will be assessed. Nutritional assessment: Patient will be assessed for anorexia, dyspepsia, weight loss, abdominal pain, constipation, anemia, nausea and vomiting as these may all be related to the weakness she is experiencing. The daughter will be asked to answer as well as Mrs. Singh. (Weber Kelly 2007) Cardiovascular assessment Observation of the jugular veins for venous pulse and pressure would be done. Carotid arteries would be ascultated for bruits and palpated to determine the pulse. This can indicate hypovolemia, if the pulse is weak and may be associated with weakness. (Health Medicine 2010) The precordium will be inspected for any pulsations. Any heaves, lifts observed on the precordium, and abnormal pulsations palpated, may be an indication of an enlarged ventricle from an overload of work. This can be caused by chemotherapy agents such as doxorubicin (cardiotoxicity). Mrs. Singh being a diabetic as well could develop cardiac complications secondary to the diabetes. (Cecil 2002) Auscultation of heart rate, rhythm, heart sounds and extra heart sounds may be an indication of cardiac abnormalities such as aortic regurgitation. (Weber Kelly 2007) Nutritional status will be assessed, which will involve what is her daily intake: food and fluid, her weight will be assessed and compared to her baseline weight. Mrs. Singhs intake and output will be assessed in the last 24 hours with any supplements/ vitamins taken. For a vitamin deficiency can lead to peripheral neuropathy. Patients blood values as per laboratory chart will be assessed: hemoglobin levels, WBC count platelet levels for any abnormalities. Can pt. tolerate a full diet or what is the intake, what food can she eat or any changes in eating habits as well as presence of mucositis. Skin, hair and nails would also be assessed for dehydration. The patient will be asked if any bleeding was observed in stools. The nurse will assess occult blood in laboratory reports. (Weber Kelly 2007) Observation of body build, muscle mass and fat distribution will be taken in accordance to weight and height. (Body mass index). Assessment of Mrs. Singhs skin for turgor, moisture and venous filling will show fluid volume status. Observation of the neck veins will also identify fluid volume status. The tongue will be observed for hydration (furrows), as well as, the eyes position and coloration for signs of dehydration. Palpation of the eyeball will verify any dehydration. Auscultation of lung fields will identify any fluid present in the lung. (Weber Kelly 2007) Inspection of abdomen The abdomen will be observed for colour. A purple discoloration of the flanks will indicate bleeding within the abdominal wall. Abdomen will be inspected for jaundice (yellowing), paleness, swelling, hernias, abdominal movement, contour, symmetry, striae, vascularities, scars, lesions and rashes as well as, aortic palpations and peristaltic waves. Umbilicus will be inspected for colour, deviation from midline, contour. (Weber Kelly 2007) Auscultation of bowel sounds, vascular sounds and friction rubs over liver and spleen will be done. Absence of bowel sounds can ascertain any abdominal surgery being done or can be an emergency. Bruit over abdominal aorta, renal, femoral or iliac arteries may indicate an aneurysm. Friction rubs heard over liver or spleen may indicate metastases. (Weber Kelly 2007) Percussion of the abdomen is done for tone. Dullness over the liver or spleen may indicate hepatomegaly or splenomegaly. Measuring the span of liver and spleen will also allow the nurse to assess any decrease or increase in size from the normal. Light and deep palpation of the umbilicus, liver, aorta, spleen and kidneys would allow any masses to be verified which may be related to tumor growth or presence, aneurysms or metastases. Shifting dullness and fluid wave test will be done. (Weber Kelly 2007) Possible Nursing diagnoses Weakness related to diabetic polyneuropathy and side effects of chemotherapy (anemia) as evidenced by displayed weakness. Imbalance related to chemotherapy side effects as evidenced by pt. inability to stand. Nutritional imbalance: less than body requirements related to chemotherapy or G.I. surgery as evidenced by displayed weakness. Impaired physical mobility related to impaired balance as evidenced by Mrs. Singh hugging the wall to walk Powerlessness related to chemotherapy and inability to perform activities of daily living as evidenced by inability to maintain balance and walk (RN CENTRAL 2010) Conclusion A thorough health assessment of Mrs. Singh was done which included a focused health history as well as a focused physical assessment in order to formulate nursing diagnoses for appropriate nursing interventions and referrals to be made as immediate as possible. This allowed for the chief complaint to be logically analyzed for a plan of care to be developed for Mrs. Singh. A framework was provided (COLDSPA) as well as, scientific literature to validate all assumptions made.

cheese :: essays research papers

Rotten Cheese   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬ËœThe Farmer and the Dell’ is a rhyme meant for children. I am the Cheese, by Robert Cormier, is a book meant for no one. The story begins with an odd child, Adam, riding his bike to Rutterburb, Vermont (1). Throughout the story, Adam tells his history and childhood to man called Brint in a small room like a psychiatrist’s office, which seems to be in the future compared to Adam’s bike-riding story. As Adam tells his story to Brint, he slowly remembers pieces of his earlier childhood that were unknown. The bike marathon part of the story ends up actually being part of Adam’s imagination. All of the people he meets are actually workers/patients at a mental institution where he is being interrogated by Brint. Cormier uses this confusing attempt at a story to develop Adam’s character and the style of the story.   Ã‚  Ã‚  Ã‚  Ã‚  Throughout the story, Adam develops in many ways. Cormier uses the ways Adam reacts to other people and situations to show how Adam develops. Indirectly, Cormier uses the dog attack on Adam to show Adam’s fear of dogs (35). Cormier also directly states that â€Å"the dog is ferocious and I am terrified,† (35). Adam was also a calm reclusive child until he met Amy (55). She helped to bring out Adam and helped him to share his feelings ( ).   Ã‚  Ã‚  Ã‚  Ã‚  Cormier uses the time and place to show the passage of time between storylines and the background of the story. The setting changes when the storylines change, such as when Adam is taking his trip to when he is telling Brint his story. The point of view of the story also changes. When Adam is riding his bike, the point of view is from Adam. This is used effectively to show Adam’s feelings and reactions. The point of view then changes, while Adam is talking to Brint, to third person. This is also effective by allowing the reader to ‘witness’ Adam’s thoughts. Events that occur are told in third person to help the reader understand how Adam is feeling even without telling the story from his point of view.

Comapring Adolescence in A Separate Peace and Alices Adventures in Wonderland :: comparison compare contrast essays

Adolescence in A Separate Peace and Alice's Adventures in Wonderland      Ã‚  Ã‚  Ã‚  Ã‚   Through life, we travel down a yellow brick road, oftentimes meeting friends and foe, whilst dreaming of making our way back home. However, unlike Dorothy, or her friends traveling through Oz, our struggles on this journey as pilgrims to our fate cannot usually be solved by clicking our heels together, saying "There's no place like home." Instead, we must find our lost souls and confirm them into a new being, one with a defined name and role. It is much like purgatory, a time in which one cannot give alms to receive redemption, and where one must make decisions. This journey, our quest for confirmation, is much like that of love in that it is difficult yet cannot be forced into existence. It is difficult to say "Then I defy you, stars!" (5.1.24) when our futures appear to be solidly built, with little room for deviance from the precharted course. It also must be accomplished solely as "each man finds out for himself, in his own way, [that] each man is the world" (Saroyan 130). Adolescence is a time during this pilgrimage when many discover where their navigation system is leading them and who they are to be when they reach that place "like a rainbow after the rain" (Hansberry 151).    This pilgrimage is a difficult journey to attempt, and many are afraid of the process or the outcome. As children evolve into adults, there is a loss of innocence. No longer is one able to act in the same manner or perform the same actions; instead, as a body falls further into the more "mature" world, the individual is expected to perform at a higher level and to conform. To lose this innocence is a difficult procedure and often hurts as it leads to loneliness; so many try not to fall over the cliff into adulthood, or bite from the tree of knowledge as the serpent tells them to. After this experience, many people, like Salinger's Holden Caulfield, try to protect others from the experience by dreaming of becoming the "catcher in the rye." Once thrown over the cliff, a whole new world is placed upon a person's shoulders, where one realizes, "I knew a lot of things, but I didn't know the half of it, and maybe I never will either. Comapring Adolescence in A Separate Peace and Alice's Adventures in Wonderland :: comparison compare contrast essays Adolescence in A Separate Peace and Alice's Adventures in Wonderland      Ã‚  Ã‚  Ã‚  Ã‚   Through life, we travel down a yellow brick road, oftentimes meeting friends and foe, whilst dreaming of making our way back home. However, unlike Dorothy, or her friends traveling through Oz, our struggles on this journey as pilgrims to our fate cannot usually be solved by clicking our heels together, saying "There's no place like home." Instead, we must find our lost souls and confirm them into a new being, one with a defined name and role. It is much like purgatory, a time in which one cannot give alms to receive redemption, and where one must make decisions. This journey, our quest for confirmation, is much like that of love in that it is difficult yet cannot be forced into existence. It is difficult to say "Then I defy you, stars!" (5.1.24) when our futures appear to be solidly built, with little room for deviance from the precharted course. It also must be accomplished solely as "each man finds out for himself, in his own way, [that] each man is the world" (Saroyan 130). Adolescence is a time during this pilgrimage when many discover where their navigation system is leading them and who they are to be when they reach that place "like a rainbow after the rain" (Hansberry 151).    This pilgrimage is a difficult journey to attempt, and many are afraid of the process or the outcome. As children evolve into adults, there is a loss of innocence. No longer is one able to act in the same manner or perform the same actions; instead, as a body falls further into the more "mature" world, the individual is expected to perform at a higher level and to conform. To lose this innocence is a difficult procedure and often hurts as it leads to loneliness; so many try not to fall over the cliff into adulthood, or bite from the tree of knowledge as the serpent tells them to. After this experience, many people, like Salinger's Holden Caulfield, try to protect others from the experience by dreaming of becoming the "catcher in the rye." Once thrown over the cliff, a whole new world is placed upon a person's shoulders, where one realizes, "I knew a lot of things, but I didn't know the half of it, and maybe I never will either.

American History Research Paper: Was Entering The Vietnam War A Good Idea?

I. Intro Going to Vietnam was a good thing for the U.S. It is, however, the most hated and protested war in all of U.S. history. However, it was a needed war. We went to Vietnam to stop the spread of communism, and for the most part succeeded. Even thought it was the most military drafts ever given out, and it caused massive inflation in the U.S. The Vietnam War was an effect of the Cold War, which was an arms build up between Russia and the U.S. Then Russia tried to turn Vietnam into a communist country, so the U.S. intervened. In the following you will see that entering the Vietnam War was a good thing and that otherwise communism would still be very popular today, even though it was the only war the U.S. ever lost. II. Evidence The first reason that going to Vietnam was a good idea was that we needed to stop the spread of communism (Brownell 12). It was a growing threat, and needed to be stopped as quickly as possible (Brownell 87). We entered the war, and for the support of France and to stop communism in its steps (Welch 2). With little success in both areas at first, in the long run we were successful in our main goals (Welch 7). The spread of communism started the Vietnam War and The Korean War. Both wars had the same objective, stopping the spread of communism (O'Brien 1). We succeeded in both wars with this idea, but we pulled our troops out of Vietnam towards the end of the war (Brownell 5). The war officially ended in 1974 when the North Vietnamese took control of South Vietnam and made the entire country communist governed (Brownell 5). They may have been communist in the end, but much of the surrounding countries remained democratic (Welch 98). So we lost the country of Vietnam to communism, but gained many of the surrounding countries (O'Brien 2). So we went in to stop the spread of communism, and we did stop it from spreading, it just got Vietnam in the end (Welch 7). Another reason entering The Vietnam War was a good idea was that we gained the support of the French. They initially started the war, but we entered and helped them out (O'Brien 3). We entered the war with the intention of stopping the spread of communism, and we gained the support of the French. In doing this we gained a little help from them in future wars (O'Brien 3). We also gained some financial gain from the war. With people buying war bonds and the draft, we didn't need to worry too much about money (Welch 12). Plus, with the withdraw of our soldiers we had an excess amount of money (Welch 13). So we gained the support of the French and got some money, but unfortunately it was at the cost of 58,168 U.S. troops (Maraniss 307). A huge reason that entering The Vietnam War was that it really helped boost our economy as a country. When we entered we had a mad rush of people buying war bonds to help support our troops and the war cause (Maraniss 256). Then when we pulled out of the war, we actually didn't spend all our money on the war. So we gained some money. Unfortunately a lot of the money went missing with President Nixon resigning (Brownell 56). Some speculate that he took it and spent in on more private things, while others claim he hid it away if he was ever run out of the country. The ideas continue into the improbable all the way to the just insane (Marraniss 25). Yet it is still very curious as to where all that money disappeared to. Many consider it one of the main reasons President Nixon resigned before congress could impeach him. However, it was nothing compared to what was left (Brownell 56). Most of the money went to covering up and paying off the officers involved it the drug trade that took place during The Vietnam War. Instead of it rightfully going back to the people, or the troops, it went right into the pockets of traitors and lying drug junkies. Yet what remained mostly went into repairing roads of all things. So we traded a war for not getting caught up in another one of the government's scandals, and nice roads (Brownell 57). III. Contradictions One of the reasons that entering The Vietnam War was a bad idea is that it is the most protested war in all of U.S. history (Brownell 12). We had more people voice there protests against The Vietnam War than ever in U.S. history, even more than The Korean War (Brownell 13). Another reason is that we lost more men in The Vietnam War than in any other war, except The Civil War. It was mostly protest because of the draft (Welch 26). The draft was 1,728,344 people, but only 17,000 were accounted for in deaths (Brownell 1). It was so protested that many of the people who were drafted left the country and fled to Canada. The people who didn't go after the war were pardoned (O'Brien 5). The last reason that it was a bad idea entering The Vietnam was that it was the only war we ever lost. However, many people believe it was a good thing because it showed the world that America could infact lose a war, that we weren't all powerful (Welch 10). IV. Conclusion With the facts given, it is obvious that going to Vietnam was a good thing for the U.S. Even it was the most protested and hated war in all of U.S. history; we still accomplished the main goal of what we went there for. This was to stop the spread of communism. We also got, sort of, a head start in The Cold War. Even though the Vietnam War was technically caused by the beginning of The Cold War. Not to mention that it was the most military drafts ever give. However, you can't really deny the fact that it was a necessary war, that without it, communism would be still popular today.