Thursday, October 31, 2019

Music Listening Personal Statement Example | Topics and Well Written Essays - 1000 words

Music Listening - Personal Statement Example Specifically, these include two pieces which I really like and rates high on my "exciting discovery" meter: Tswana Dance and Shizhane'e. As I am required to do so, I have also chosen the Navajo Sacred Prayer, which from the very start is unappealing and even boring to me. These three compositions are analyzed by looking at two musical elements forms, rhythm, and music culture which are especially salient in highlighting my musical preference. In terms of form, Shizhane'e can be described as having a reverting form because the piece goes back to the original phrase after a digression. Analyzing closely, it becomes apparent that the piece follows an "a-a-b-b-a-a-b-b-c-c-a-a-b-b" form. The first portion (a-a-b-b) is repeated twice before the introduction of a new melody (c-c). However, the piece reverts to the original a-a-b-b theme. I believe that having a distinct pattern enhances my listening experience than having deal with a composition with ambiguous or no form at all. On the other hand, Tswana Dance in terms of form can be musically described as iterative. It should be noted that this piece follows one melodic formula which is repeated throughout. Even though it is quite different from the form used in Shizhane'e, this form appeals to me because of the phrase used is interesting. The continuous repetition of the phrase augments its musical value because it highlights the theme of musical piece. On the other hand, the Navajo Sacred Prayer follows no distinct form. Whenever I hear it playing, it appears to be solely comprised of mutters which are sung at random without any consideration to the listener. Compared to the forms of the two selections, this highly turns me off and degrades the aesthetic value of the piece. The second musical element which highlights my musical preference is rhythm. In my selection of musical pieces, rhythm appears to be a high determinant of my musical appreciation. Shizhane'e's rhythm is characterized as isometric as emphasized by its regular rhythm. It should be noted that throughout the piece, the application of equal rhythm in the interval which makes it more orderly and organized. The presence of regular rhythm is appealing to me because it sounds more relaxing. I am apparently distracted by irregular rhythm because it tends to build up tension. Furthermore, the overall mood of the piece is upbeat as emphasized by the relatively lively tempo. Tswana Dance is also isometric having a 4/4 meter throughout the piece. Compared to Shizhane'e, Tswana Dance's is more festive because of the faster tempo. The regularity of the rhythm coupled with the lively tempo makes the pieces very interesting and appealing. In contrast, the Navajo Sacred Prayer is heterometric, giving it irregular rhythm which I find very distracting. Even though the tempo can be comparable to Tswana Dance, it does not communicate a festive nor lively atmosphere but creates a heavy and dismal feeling to the listener. My musical preference is also highly influenced by music culture. It should be noted that the two selections that I really appreciate, Shizhane'e and Tswana Dance, are both used as accompaniments for dances during festivities. On the other hand, Navajo Sacred Prayer as implied by its name is an appeal or supplication to a divine being. When discussed in the view of current

Tuesday, October 29, 2019

HCR210 record formats Essay Example for Free

HCR210 record formats Essay Source oriented medical record (SOR), is a traditional patient record format that organizes information about a patients care according to the source of documentation within the record. Patient records are filed under their specific sectionalized areas in chronological order. Many medical facilities use this format. One of the advantages is that it is easy to locate documents. For example, if a physician needs to reference a recent lab report, it can easily be found in the laboratory section of the record. Another advantage is that same source documents can be filed together. Some of the disadvantages of the SOR format is that filing reports can be time consuming, several sections within a record need to be created and it can be difficult to follow one diagnosis. The Problem oriented medical record (POR), was developed by Lawrence Weed in an effort to improve the organization of patient records. This format is a more systematic method of documentation, which consists of four components, database; problem list; initial plan and progress notes. The POR record also utilizes the SOAP structure (subjective, objective, assessment, plan). The database serves as an overview of patient information such as chief complaint, present conditions and diagnoses, social data; past, personal, medical, and social history, review of systems, physical examination and baseline laboratory data. The problem list is filed at the beginning of the patient record and serves as a table of contents, containing a list of all the patient’s problems. Each problem is numbered, which aids in indexing documentation throughout the record. The initial plan, describes what actions will be taken to learn more about the patient’s condition according to three categories, diagnostic/management and therapeutic plans as well as patient education. The discharge summary is documented in the progress note section of the POR, and summarizes patient care, treatment, response and condition. If a patient is transferred, a transfer note is also documented. Some advantages of using the POR are that it is very organized, it facilitates patient treatment and education and that all documentation is linked to specific problem. Some disadvantages are that filing this format is time consuming, it requires specific training and that all data associated with more than one problem must be documented several times. The Integrated record format arranges reports in strict chronological date order or in reverse date order. This format allows for observation of how the patient is progressing and responds to treatment based on and according to test results. Most hospitals integrate physician and ancillary progress notes only, requiring progress note entries to be clearly identified by discipline, which needs to be identified at the beginning of each progress note, (i.e. dietary). The advantages of using this format is that it is easy to use, it is less time consuming to file reports and all information on care is filed together. Some disadvantages of this format are that it is difficult to compare as well as retrieve information from the same discipline.

Sunday, October 27, 2019

Improving personal and professional skills to meet goals

Improving personal and professional skills to meet goals To achieve the personal goals and organisational goals each individual needs a set of certain skills to carry out his / her duties and responsibilities. The improved level of skills the organisation employees have, the more the chances of getting goals and objectives achieved. So for both individual and organisation the personal and professional skills advancement always remains of high importance. The requirement from this assignment is to produce a Personal Development Plan for medium term and demonstrate the steps taken within the plan. Explain methods to improve personal and professional skills to meet organisational and own goals and objectives. Personal and professional skills are those skills which are owned by individuals, personal skills are commonly by nature, but can be developed through certain processes and activities, when an individual use his personal skills for his organisational or professional goals / objectives, then it is referred as professional skill. The most common personal and professional skills are communication skills, management skills, interpersonal relations, innovative skills, analytical problem solving, decision making, social skills, pro activity and much more. Skills development method Skills development methods and techniques are the activities or actions taken by an individual or an organisation to explore the hidden potential of their employees and make their capacity more for performing certain task and activities to achieve the organisational goals and objectives. Through skills development methods and techniques increase the knowledge and skills through a consistent process of learning and education. A professional development program boosts the individuals career, through travel, research, workshops and seminars and by working with professionals who are experienced. People take up a professional development course to build their expertise in business, teaching and nursing and contribute to organizational development. Following are the details of various personal and professional skills development methods use in different organizations to achieve the organizational and individual career goals. Class room Courses / Certificates this method widely used now days at almost all good organisations, to provide their employees the opportunity to enhance their skills and learn the latest knowledge through formal class room courses and they are awarded certificate which may help them in getting better positions in future. Crew Development Program is use by the different multi-national organisations, in which they train their current employees working at operational level in order to take some management position at tactic level or strategic level. For example Mc Donalds, has a very structured program in which they train their crew member for future leadership and management of the company, and is also a very successful one because 40 % of the top 50 mangers of Mc Donalds worldwide join this organisation as crew member. Training and Development is a key method to improve skills of employees, to improve the employees basic skills initially the pre job training is provided and to enhance the capabilities of employees on job training is provided also a series of skill development activities is carried out. Leadership Development Program is an important program in practice in good and well structured organisations. In this program they select the potential employees for taking over the future management positions and then provide them training, and educate them on how to carry out management activities. Social Gatherings is also an important activity through which these companies try to socialise their employees, and provide them opportunity to attend these gatherings alongside with their families to give them insight on how to socialise with different people and for their company they value the most. College / University Placement is the method of skills development in which different organisation arrange different courses for their employees in collaboration with good universities or other degree awarding institutes to cope them with latest knowledge and skills of their field. Award Winning: To have a healthy competitive environment among their employees which may result in the personal and professional skill development, the method of award winning strategy in which the employees producing good results are awarded benefits (both financial and vertical movement in the management hierarchy) is very helpful. For example Mc Donalds have award winning scheme, employees producing better results are awarded benefits as financial, promotions etc. while to provide their employees an opportunity for distance learning they also have e-learning strategy and online resources. Personal Skill Audit Skills audit is a process that can be used to identify the skill gaps for an individual. The outcome is a training and development needs analysis that identifies where training and development programs are needed. Skills audit results in An understanding of the skills required and the gaps the organization currently has. A targeted analysis of development needs. A listing of skills which need development. Information that can be used for dynamic succession planning. Skills Audit Form I have developed the following skills audit form, after completion of this form this provides me clear understanding of my current skills level, my strengths and weaknesses and will definitely help in identification of the Skills Audit Form 1 = wide experience 3 = a little experience 5 = dont know 2 = some experience 4 = no experience Name: Date: Work as part of a team 1 2 3 4 build and develop working relationships with academic staff, peers and colleagues work effectively with others to complete tasks and achieve results empower others to work together as part of a team or group recognise and understand when compromise and accommodating others is necessary interact well with others and work co-operatively as a team member understand how to gain the attention of others in a team or group when required understand how to contribute effectively and co-operatively with others even if they do not share the same ideas and ways of working express self effectively in a group and in one-to-one situations have an understanding of team roles Use your problem solving abilities 1 2 3 4 use an appropriate approach to questioning in order to gain information from which to draw conclusions use an objective approach to relate to others in order to achieve goals make good use of verbal reasoning skills, able to handle complex data and make selective use of information explore more than one solution in order to solve a problem consider the ideas of others to help solve problems manage the process of problem solving over a period of time demonstrate resilience and lateral thinking abilities when applied to problem solving Apply your communication skills, both orally and written, and use ICT 1 2 3 4 5 understand the differences in presenting types of documents, e.g. reports, essays, dissertations, summaries check written work for errors before submission use a range of ICT packages to support work express and convey ideas appropriately and accurately in writing successfully give a presentation or demonstration demonstrate that information being received is understood by using a range of verbal and non-verbal signals understand when people have taken account of your views and you of theirs Reflect upon and review your own personal and career development 1 2 3 4 5 recognise and develop skills and competencies required for learning and future employment develop opportunities for learning activities through current and future roles recognise the importance and value of activities outside the curriculum, e.g. work experience, sports, clubs identify when extra support and help may be useful understand the importance of actively reviewing and maintaining your own development plan in order to set appropriate learning targets maintain positive attitudes to work and understand when a task has not been completed well and identify changes for the future understand how to gain feedback on work or performance Work autonomously and set your own goals 1 2 3 4 5 aspire to and maintain a results-driven approach where appropriate focus on results and performance indicators and use different strategies to achieve targets apply suitable approaches and put in extra effort if required in order to meet tight deadlines work without close supervision and use own initiative identify resources required to complete a set task harness motivation and hard work to assist in the completion of work objectives Plan, monitor and evaluate in order to influence change 1 2 3 4 5 make use of effective planning and preparation in order to anticipate and overcome problems maintain effectiveness in changing environments make appropriate adjustments when undertaking tasks set own goals and review these systematically adjust to meet different work styles work alongside colleagues in different environments Develop time management and organisational skills 1 2 3 4 5 establish a course of action for self and others to achieve goals plan and prepare effectively for assignments, including use of appropriate resources plan day in order to manage time more effectively prioritise own and others work meet set deadlines and understand the process required to meet project outcomes keep track of work schedules and deadlines by applying multi-tasking abilities Creatively apply your academic knowledge in work and non-work related settings 1 2 3 4 5 generate and recognize best practice and apply imaginative ideas to different situations work out a preferred course of action think laterally and encourage others to do so and consider how they approach an unconventional task present complex and unusual ideas to friends and colleagues Understand business environments and other organizations 1 2 3 4 5 understand what is entailed in working in an organization understand the perspectives and expectations of employers, customers, suppliers and employees appreciate business activities such as selling and marketing, budgeting and finance and how these interrelate with one another have an understanding of business issues, such as profit, revenue, productivity, company image have an understanding of own personal budget and awareness of financial trends, e.g. interest rates understand how the significance and impact of an organizations internal politics and business strategy can affect everyday work keep up to date with current affairs affecting businesses

Friday, October 25, 2019

Napoleon Bonaparte :: History

Napoleon Bonaparte Napoleon Bonaparte, who is also known as the "little Corsican", was born on August 15,1769 in Ajaccio, Corsica. His family had moved there from Italy in the 16th century. His original name was Napoleone. He had 7 brothers and sisters. His original nationality was Corsican-Italian. He also despised the French. He thought they were oppressors of his native land. His father was a lawyer, and was also anti-French. One reason Napoleon may have been such a great leader and revolutionary because was he was raised in a family of radicals. When Napoleon was nine, his father sent him to Brienne, a French military government school in Paris. While there he was constantly teased by the French students. Because of this Napoleon started having dreams of personal glory and triumph. From 1784 to 1785 Napoleon attended the Ecole Militaire in Paris. It was there that he received his military training. He studied to be an artillery man and an officer. He finished his training and he joined the French army when he was just 16 years old. His father died after that and he had to provide for his entire family. Napoleon was stationed in Paris in 1792. After the French monarchy was overthrown in August of that year, Napoleon started to make a name for himself and become a well known military leader. In 1792 Napoleon was promoted to captain. In 1793 he was chosen to direct the artillery against the siege in Toulon. Soon after that Toulon fell and Napoleon was promoted to brigadier general. Napoleon was made commander of the French army in Italy. He defeated many Austrian Generals. Soon after this Austria and France made peace. Afterwards Napoleon was relieved of his command. He had been suspected of treason. In 1795 he broke up a revolt and saved the French government. He had earned back respect and he was once again give command of the French Army in Italy. He came up with a plan that worked very well. He would cut the enemy's army in to two parts, then attack one side of them before the other side could help them. This worked very well against the Sardinian troops, he defeated them 5 times in 11 days. After this Napoleon was almost impossible to stop. This was when he began conquering most of Europe. The first country he defeated was Austria. He collected lots of money and sent it back to Paris, this helped the weak economy of France.

Thursday, October 24, 2019

Antiretroviral Therapy Essay

There is no other field of medicine that has been through such dramatic developments as that of antiretroviral therapy. In September 1995, the results of Eurpean-Australian DELTA study, and the American ACTG pointed out that two nucleoside analogues were more effective than monotherapy. This led to the belief, thatlonger survival was possible in HIV. Protease inhibitors (PIs) came about in 1995, and in June 1996, the first non-nucleoside reverse transcriptase inhibitor (NNRTI) neviparine arrived, and so did Nelfinavir which was a new PIs. This led to the start of HAART (Highly Active Anti-Retroviral Therapy). Antiretroviral drugs have been divided into a number of groups on the basis of the phase of the retrovirus life-cycle that the drug inhibits. 1  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Nucleoside & nucleotide reverse transcriptase inhibitors (NRTI) inhibit reverse transcription by incorporating   into the newly synthesized viral DNA and slowing its elongation. Apricitabine (AVX-754) is a heterocyclic cytidine analog, which may enter the market in 2009. Elvucitabine   is currently in phase II trials. Stampidine is 100 times more potent than AZT and has potential role against HIV mutants 2  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Non-nucleoside reverse transcriptase inhibitors (nNRTI) inhibit reverse transcriptase directly by binding to the enzyme and not allowing its function. Efavirenz has been the agent that has been most successful, but is facing lot of viral resistance. Rilpivarine has a long half life of 40 hours. 3  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Protease inhibitors (PIs) target viral architecture by inhibiting the activity of protease, an enzyme used by the virus to form new virons from the older protein framework. PL-100 is given as a prodrug and is active against multi PIs resistant strains. It has a long half life of 37 hours, and can act as a co-drug. 4  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Integrase inhibitors inhibit the enzyme integrase, (integrates   viral DNA into   DNA of the infected cell). Raltegravir became the first to receive FDA approval in October 2007. it is   the most exciting of all anti HIV agents in the market. It acts against HIV-2 also. Elvitegasir has a potential as monotherapy. 5  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Entry inhibitors (or fusion inhibitors) prevent the   binding, fusion and entry of HIV-1 virus into the host cell. It acts via the gp 120 envelope protein to the CD 4 receptor. Maraviroc and enfuvirtide are marketed agents of this group. 6  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Maturation inhibitors- inhibit the last step in gag processing in which the viral capsid polyprotein is cleaved, thereby blocking the conversion of the polyprotein into the mature capsid protein (p24). These virons are thus incomplete and thus uninfective.   Two drugs in this group   are under investigation, bevirimat,`and Viveconâ„ ¢. Immunotherapy. IL-2 is a cytokine from the activated T – cells, which induces proliferation in T, B, and NK cells. It causes an increase in CD 4 and CD 8 cells. It is useful in patients with poor immunological response to antiretroviral therapy to stimulate the immune system. G-CSF, GM CSF are used for treatment of prolonged neutropenia in patients with advanced HIV infection to reduce bacterial infection. Why is treatment of HIV difficult ? The retrovirus has an extremely short life span, as short as 1 ½days. In addition the protective enzymes which prevent mutation in RNA to DNA conversion via reverse transcriptase in absent in the virus. Thus the virus mutates very rapidly, and produces many genotypes, some of which escape the cytotoxic effect of the antiretroviral drugs and proliferate. When the antiretrovirals are combined, the number of genotypically active virons is low, and so combinations are a must, as no single agent has been shown to suppress virus for long. Fixed dose combinations A major change in the therapy today has been the advent of fixed doses combinations. Earlier patients had to take larger number of tablets per day, but now combinations of these complex regimens are available in single tablets, which increases the compliance of patients, thus reducing chances of treatment failure. Current treatment guidelines for HAART The status of ‘hit hard, hit early’ approach which was recomneded earlier has now changed. Some clinicians use the 350 and 500 CD4+ T cells/mm ³ levels to initiate treatment, but this needs individualization. Today it is recommended that HIV patients should start ART after confirmation of the HIV disease and the presence of Clinically advanced HIV disease – WHO Stage IV HIV disease, irrespective of the CD4 cell count; WHO Stage III disease with consideration of using CD4 cell counts less than 350/ µl to assist decision making; WHO Stage I or II HIV disease with CD4 cell counts less than 200/ µl. the guidelines for adults and adolescents for the USA are set by the United States Department of Health and Human Services (DHHS). In this all patients with history of an AIDS-defining illness or severe symptoms of HIV infection regardless of CD4+ T cell count receive ART. Antiretroviral therapy is also recommended for asymptomatic patients with less than 200 CD4+ T cells/ µl. Asymptomatic patients with CD4+ T cell counts of 201–350 cells/ µl should be offered treatment. For asymptomatic patients with CD4+ T cell of greater than 350 cells/ µl and plasma HIV RNA greater than 100,000 copies/ml, most experienced clinicians defer therapy but some clinicians may consider initiating treatment. Therapy should be deferred for patients with CD4+ T cell counts of greater than 350 cells/ µl and plasma HIV RNA less than 100,000 copies/mL. Treatment regimes Important aspects are that the first regimen offers the best chance to the patient, meaning that the viral load must be below detectable level within 3-6 months of treatment initiation. The combination used initially consist of two nucleoside analogs plus a PI or either a NNRTI. A regimen containing an NNRTI is often the regimen of choice for initial antiretroviral treatment when adherence is expected to be good because of convenience, superior virological suppression, lower rates of toxic effects, and fewer interactions between drugs than with boosted protease inhibitor regimens Thus various acceptable regimens are (Wikipedia) two NRTI’S + One NNRTI two NRTI’s + PI. For initial regimens that include a protease inhibitor, those that are ritonavir boosted are recommended because of the improvement in protease inhibitor pharmacokinetics and potency Threre NRTI ( referred to as triple nukes) once daily combinations – like emtriva. This regimen needs strict compliance, as if one dose is forgotten, then that days therapy is lost The preferred initial regimens are (Department of Health and Human Services) 1  Ã‚  Ã‚   efavirenz + zidovudine + lamivudine 2  Ã‚  Ã‚   efavirenz + tenofovir + emtricitabine 3  Ã‚  Ã‚   lopinavir boosted with ritonavir + zidovudine + lamivudine 4  Ã‚  Ã‚   lopinavir boosted with ritonavir + tenofovir + emtricitabine Referance Cahn P, Cassetti I Wood R etal. Efficacy and tolerability of 10 day monotherapy with apricitabine in antiretroviral naà ¯ve, HIV infected patients. AIDS 2006, 20:1262-8. Department of Health and Human Services (August, 2006). HIV and Its Treatment: What You Should Know. Accessed on 31 mar, 2008 United States Department of Health and Human Services (2004). A Guide to Primary Care for People With HIV/AIDS, 2004 Edition Antiretroviral drug – Wikipedia, the free encyclopedia – en.wikipedia.org/wiki/Antiretroviral_drug HAART, HIV Treatment HIV Medicine 2007, 15th edition. Hoffman C, Rockstroh JK, Kamps BS. Flying Publishers. HIV Therapy: Highly active antiretroviral therapy (HAART)

Tuesday, October 22, 2019

Effective People, Communication and Information Essay

There are many different methods of communication. These can be divided into two different categories: Electronic (non-written), and Non-Electronic (written). Read more:  Reasons for communication  essay Methods of communication that would come under Written Communication would be things like: * Letter * Memos * Reports * Fax * Invoices * Flow charts * Publicity materials * SMS (Text Message) Methods of communications that would come under Electronic Communication would be things along the lines of: * Telephone * Video conferencing * Meetings Both Written Communication and Electronic Communication have their advantages. These advantages differ depending on the audience which is being addressed. The recipient is very important when it comes to the type of communication that is being used. Within The Organisation Within the organisation the methods of communication that I would use would be things like: * Memos – To help the staff members who are higher up on the food chain remember certain tasks that have set upon them. * Reports – To view any progress or falls being happening within the organisation. Reports are a good way to do this as they are detailed. * Meetings – In an organisation, it is inevitable that there will be meetings held. These are usually used to discuss improvement, the current status of the organisation, and to get staff to contribute their ideas. Customers These are the methods of communication that I would use to communicate with the customers: * Publicity Materials – To tell the truth, this is an obvious one really. The way to get customers is through publicity. If your organisation is a well known one, it is more likely to prosper. * Advertisements – In my opinion, advertisements should be used by all major and even small organisations. These should outline things like services provided and special offers to attract more customers. Suppliers Here are some of the methods of communications I would use to communicate with suppliers of goods etc.: * Letters – These are a great way of communicating and people have been using them for centuries. I would use letters to communicate with suppliers because it is not a long time consuming method of communicating. You just write what you need to say, put it in an envelope, post it, and the recipient gets it the next day. * Telephone – This is one of the simplest, most direct ways of communicating with people today. Talking with suppliers on the telephone would mean that all of the business involving matters like deliveries, times, amounts, and other things can all be sorted out in a matter of minutes.