Monday, September 16, 2019
Letter to Me
Your highschool years are finally here. You may have heard these will be the best years of your life, but I might have to disagree. Unless you are looking forward to an overload of homework every night and making sure you copy all the notes everyday so you dont fail Mrs. Pormento's weekly biology test im sure you will feel the same. I always looked forward to wednesdays, we had gym with Mrs. Moore it was almost like a free period but her health class on the other hand was dreaded by many including myself. Im sure youll enjoy some of the same classes I did,my favorite was Mr. Hanleys english class senior year. Even though we joked around and and he made us laugh most of the period he somehow found a way to get serious and get back on track. Then after our work was done he would goof off some more. The worst class would have to be history with Mr. V, just the sound of his voice telling us to turn page 1092 and do numbers 1 to 10 when we had 8 days of school left would urke my nerves an d i know majority of the class felt the same. Weekend basketball games were exciting and it was somthing to do on a friday night. Now baseball games were never to interesting to me, regardless i never understood what was going on i just never liked many of the baseball players, they had a cockiness about them that made me barely able to stand the sight of them. Throughout these years you should alway have fun and always have a clear mind and NEVER worry about the rumors the other sections girls make up about you. I always just assumed they were jealous and had nothing else better to do, you should do the same. The most important thing here is your school work. No matter what you should always try your best and do all your assignments,handing them in on time would be even better no one can afford ten points off every day its late. Looking back if i could do it all over again i wouldnt change to many things,maybe just some of the friends i had. As the days go by you grow as a person and you realize who your real friends are. Thats why i always say worry about yourself and yourself only. I say this because everyone looks out for themselves and they arent preoccupied about you and your buisness so you need to stay on top of it and make these four years as easy as possible. Each day in highschool is just another lesson, not only a math lesson that you dont understand or another boring book in english class but there life lessons that will make you a better,wiser person. These lessons will show you who you really are and help you develop into the person that you will strive to be one day. Senior year will come much sooner than later and within a blink of an eye you will be at graduation walking down St. Marys church recieving your highschool diploma. Now lets talk about four years that might be a bit more appealing,college. Everyone brags that college is so much better than highschool and how you become independent during those four years but i guess ill jus see for myself in september. Apply to more than one college, dont make the same mistake i did. Believe me youll regret it big time. One more thing take it slow with Sister Anne and try not to make her life so difficult. Try to always keep in mind that she is eighty five years old and has had it with all of us kids who dont seem to listen very well. So make the best out of these next four years and succeed.
Sunday, September 15, 2019
Knee Arthroscopy
KNEE ARTHROSCOPY Procedure Steps: 1. The surgeon marks the anteromedial and anterolateral joint lines and portal positions with a skin marker. 2. The skin areas for portal placement are infiltrated with local epinephrine. If the knee has an effusion, the surgeon aspirates it with a 16-gauge needle on a 60ml syringe, followed by injection of a small amount of distending fluid. 3. After a small stab incision with a #11 or #15 knife blade, the surgeon inserts the irrigation cannula and trocar into the lateral suprapatellar pouch near the superior pole of the patella.Lactated Ringerââ¬â¢s or normal saline solution is connected to the cannula and the joint is distended using gravity or a pressure-sensitive arthroscopy pump. 4. A stab incision is then made laterally or medially 2-3 mm above the tibial plateau or patellar tendon at the joint line. A sharp trocar and sheath are inserted through the stab wound and just through the capsule. 5. A blunt trocar is used to pass the sheath into the knee joint. The surgeon removes the trocar and inserts a 30 or 70 degree scope into the sheath. The light source and video camera are connected to the scope. 6.The inflow may remain in the suprapatellar area, and the tubing is connected to the arthroscope, or the position may be reversed. 7. A spinal needle can be introduced under direct vision to determine the best angle for an opposite portal for insertion of probes and operative instruments. The cruciates and menisci are probed to determine integrity and tears. 8. The scope is moved to the opposite portal to facilitate complete examination. 9. The joint is irrigated periodically and at the end of the procedure to maintain good visualization and clear the joint of blood and tissue fragments. 10.Necessary repairs are made using special arthroscopic instruments, drills, shavers, or implants. 11. The surgeon closes the portals with nylon or undyed polyglactin suture and ? inch wound closure strips. 12. Local of surgeonââ¬â¢s c hoice (usually with epinephrine 1:200,000) may be injected intraarticularly to minimize bleeding and postoperative pain. Vaginal Hysterectomy Procedural Steps: 1. A patient is placed in lithotomy position, prepped and draped. 2. A weighted speculum is placed in the vagina for exposure. 3. A uterine tenaculum is passed to grasp the cervix and two hand held retractors are placed for additional exposure. . The anterior vaginal wall is opened with a transverse incision in the vesicovaginal layer of fascia. Space between vaginal wall and cervix is opened. 5. Bladder is dissected off the cervix and lower uterine segment anteriorly. Bladder is advanced on the cervix to vesicouterine fold. 6. Posterior vaginal wall is mobilized off the cervix by extending transverse vaginal skin incision posteriorly to encircle cervix. Cul-de-sac is entered and the incision extended to the ligaments, clamped, ligated, and incised at their attachment to the cervix. 7.Uterosacral ligaments are exposed, clampe d and doubly ligated bilaterally at their attachment to the cervix. Uterine vessels are clamped, incised, and ligated. 8. Bladder is retracted upward and cervix pulled downward. Peritoneal cavity is opened and uterine body is grasped, marking suture is placed on peritoneum. 9. Peritoneal incision is extended laterally until the anterior surface of uterine body can be delivered. Ovaries and tubes are inspected to determine if they need to be removed. 10. Round, ovarian, broad ligaments and fallopian tubes are clamped and ligated.This is done bilaterally. Mobilization of the uterus continues until it is completely free. The uterus then is removed as the specimen. 11. Next the bladder flap is closed with a 2-0 absorbable suture then the peritoneum also with a running absorbable suture. 12. Excess peritoneum is dissected to a point in front of the rectum. Edges are approximated in the midline and sutured. 13. Additional sutures are placed anterior to the rectum to provide additional str ength and support of the vaginal vault. 14. Peritoneal cavity is closed with a purse string suture.
Saturday, September 14, 2019
How to Make Rotel Dip
How to Make Rotel Dip Rotel dip is my favorite dip to make for the football games on Saturday! Itââ¬â¢s something easy and delicious that everyone likes. When I was younger I used to make my mom make if just because. So finally one day she made me learn how to make it so I could make it myself. Rotel dip is a fun food that you can serve as an appetizer or entree. With less than 30 minutes of preparation time, Rotel dip is easy to make, and it's ideal for parties, a child's sleep over or for a movie-night snack. You can learn how to make Rotel dip in just a few steps.First you have to gather your ingredients, make sure you have all the utensils you will need, then prepare your food. I. Gathering your ingredients. A. 1 can of Rotel dip. 1. you can choose different flavors of rotel as in mild or hot B. 8 ounces of velveeta cheese C. some kind of meat. 1. it could be deer meat or hamburger meet, whichever you prefer. D. 1 bag of tortilla chips II. Make sure you have all the untensil y ou will need A. first you will need a large skillet 1. this is to cook your meat in. B. you will need a spatula to flip your meat to get it to cook. C.You will then need a drainer to drain all the grease from your meat. D. Next you will need a knife to cut your cheese into small squares. E. Most important thing you will need is a crockpot where you will cook all the ingredients together and you will use a large spoon to stir it periodically. III. Finally you will get to prepare your food A. Turn the crockpot on medium heat. 1. Slice the Velveeta cheese into cubes and add them to the heated crockpot. B. Turn the stove on medium-heat 1. add the ground beef to the skillet and us the spatula to flip and stir the ground beef. 2.Cook the meat until brown and drain the grease. C. Add the can of Rotel sauce and the meat to the crockpot and stir. 1. cover the crockpot for about 3 mins. D. Check to see if the cheese is melted and stir again. E. Place the tortilla chips on a plate and pour the rotel dip over the chips and serve. Now you have a great way of making an easy chip dip for any occasion. I would suggest cooking it about 2 hours before time to serve it for best results on making sure the cheese is nice and melted and everything is combined evenly. I hope you enjoy what I consider the best rotel dip around.
Friday, September 13, 2019
Comparing city planing,green policy between city of beijing China and Assignment
Comparing city planing,green policy between city of beijing China and city of Seoul, Korea. providing suggestions to Seoul Metropolitan Government - Assignment Example The city planning and the green policies enacted by the Seoul Metropolitan Government are meant to address these challenges. This paper explores the city planning measures and green policies enacted by Seoul Metropolitan Government and makes suggestions on how they could be improved. The paper then briefly explores Beijingââ¬â¢s city plans and green policies and draws lessons that could be learned by the Seoul Metropolitan Government to help improve Seoul. Seoul has had a series of urban plans since it started flourishing in the 1960s. Like most cities, the population has continuously been growing during this period. As people move towards the city, the space has continuously become a determining factor necessitating measures to be put in place so as to ensure right planning that supports sustainable development and growth of the city (SMG, 2006). The first plan was implemented between 1972 and 1981 and was geared towards growing the cityââ¬â¢s facilities and infrastructure. The second plan was enacted between 1982 and 1991 and the thematic issue was distribution network. The third city plan was implemented between 1992 and 1999 and was geared towards the local development. The current Seoulââ¬â¢s city plan started being implemented in 2000 and is to be implemented until 2020. The current city plan is geared towards increasing Seoulââ¬â¢s international competitiveness (SMG, 2013). Seoulââ¬â¢s fourth city plan is known as the Master Plan. It has taken a different approach towards urban development. The Master Plan represents a paradigm shift from the traditional growth-driven models which focus on quantitative growth to a growth-management model which focuses on qualitative growth (SMG, 2013). The previous growth models that were implemented by Seoul Metropolitan Government were designed to achieve rapid growth. This was understandable given the fact that Seoul still had untapped potential and had not reached its optimal growth level. But now, faced with
Thursday, September 12, 2019
Case study Essay Example | Topics and Well Written Essays - 500 words - 2
Case study - Essay Example Franchise contract can be beneficial on the part of Delissa in the sense that Agria could easily penetrate the Japanese market through its business partner Nikko. At the same time, Delissa could easily make use of Nikkoââ¬â¢s existing market distribution to deliver Delissaââ¬â¢s yogurt in the market. One of the main factors that contribute to the failure of Delissaââ¬â¢s business strategy of entering the Japanese market has something to do with communication / language and culture gap. There is basically no single stakeholder on the part of Nikko who could speak English. For this reason, it becomes a challenge for the two companies to establish a clear vision and implement market strategies to increase the businessââ¬â¢ profitability. Due to lack of communication, mistrust between the two parties becomes unavoidable. (p. 9ââ¬â11) The initial marketing plan that was implemented is inappropriate due to the fact that it was not effective in establishing a good market position and differentiation for Delissaââ¬â¢s product-line. Based on the research survey result, 55% of the respondents were not clear on what the company is trying to communicate with regards to Delissa product. (p. 9ââ¬â11) Based on the companyââ¬â¢s recent media planning, Delissa is targeting children and young people between 13 to 24 years of age. For some reason, Nikko and SRT International Advertising Agency has been running TV spots between 11:15 to 12:15 at night. Obviously, the companyââ¬â¢s target consumers are mostly asleep around that time. (p. 9ââ¬â10) Aside from the ineffective advertising campaign used in the business, the ordering system and market distribution of Dalissa product is very slow due to some internal bottlenecks that causes delay in the delivery of products in the market. (p. 9ââ¬â8) Ole Bobek ââ¬â Agriaââ¬â¢s director of international operations was constantly negotiating with Nikko regards to the business franchise. Even
Wednesday, September 11, 2019
Employment Law Research Paper Example | Topics and Well Written Essays - 2000 words
Employment Law - Research Paper Example Having independent contractors makes the business owners to avoid paying some accounting burdens such as overtime charges, workers compensations, health insurance costs, pension plans, and other employee benefits i.e. off duties, time rest periods like lunch breaks, and meals allowances. The business is also able to avoid such employees cost fulfilling business laws and regulations and the necessary charges. However, many workers may also decide to independent contractors in order to reduce expenses that employees face such as individual income tax return. Given all these benefits of classifying employees as independent contractors, what is the reason why employers would not treat his workers as independent employers? This is may be because of the consequences that may result if the Internal Revenue Service or even court finds out that a certain worker is an employee rather than independent contractor (Berson 50). If IRS gets an employer in such situation, the employer will pay full amounts for FICA portion, unemployment taxes, and compensation to the employee during the period in question. Additionally, all involved business directors and officers will be required to pay a penalty of 100% for the compensation of all withholding taxes, which are not paid. Following the recent introduction of the Employee Misclassification Prevention Law, and the preferred increment of $25 million dollars in 2014 federal budget for the labor department, employers can be sure of increased inspection by the government on classification of workers (Emerson 254). The Internal Revenue Services has also made announcement of inspecting over 6,000 businesses in the next three years in the firms, which are believed to have high rate of workers misclassification. Those employers who will be guilty will be forced to pay the set penalties. Although the mentioned industries by the Internal Revenue Service does not include, insurance, those employers found to use reasonable number of independ ent contractors will be a highly targeted. This will happen to be a great loss to such employers because of the penalties payments. In addition to such tax consequences due to worker misclassification as an independent contractor, if the law court was to make such determinations of whether a particular worker is not an independent contractor, the business owners will be subject to pay the claims that the worker could get. Such claims include; health allowances, retirement pension, and other employeesââ¬â¢ fringe of benefits. The business will have to pay these benefits out of its own revenues. For instance, if such a worker was injured while working in business, the business will be liable to pay compensations to that particular worker and other benefits that the worker would have received from insurance if he had been a member of workerââ¬â¢s compensation insurance. The business may also be subject to suffering, pain, punitive, and pay penalties for failing to register its wo rkers with the workerââ¬â¢s compensation insurance coverage. Therefore, it is now easy to understand why an employer must be keen when making decisions on whether to classify a particular worker as employee or independent contractor. An error in classifying a certain worker as an independent contractor, instead of employee may be very expensive to both the business and the owner. Generally, business owners should use the ââ¬Å"common lawâ⬠definition of employment to determine whether to classi
Tuesday, September 10, 2019
JR Face to Face street art Essay Example | Topics and Well Written Essays - 1250 words
JR Face to Face street art - Essay Example JR Face to Face street art Starting his art career from the streets of Paris, the work of JR has often challenges the wide perceptions of images propagated by advertising channels and the media. He seeks to combine art and action dealing with commitment as well as identity and limits. He has been described differently by different people. à Fabrice Bousteauà introduces him as the figure already being regarded as Cartier-Bresson of the 21st century. He began his art career as a teenage graffiti artist who was pulled by the passion and interested in making a mark in the society rather than the interest of changing the world. His work then targeted conspicuous places like rooftops, subways, train and sidewalks and framed them so that they would not be confused with advertising. At the age of 17, he and his friends after finding a camera begun taking photographs and pated them on walls in a bid to send certain messages to the people. His biggest intention of doing art in a large scale was basically to influenc e people to change the world. The particularly aimed at changing the perceptions of the people and their thoughts in order to create a better society, which people are mindful of one another. Without any payment, JR and his friends started out in different cities around the world taking photographs and pasting them on building walls.In the period between 2004 and 2006, he created what is commonly referred to as the portrait of a generation, a project that included young people who were included in the housing program. In large format, he pasted these pictures in large format of walls of houses and commercial buildings in order to bring art closer to the people who do not visit the museums. Initially, it was deemed illegal, but was later legalized and when the City of Paris put his photos on buildings2. Project face to face was meant to bring the true identity of the true Israelis and Palestinians by putting photos of different people face to face. In eight cities of Palestine and Is rael, Marco and JR took the initiative of painting the pictures. While some of the people opposed the move especially the authorities, most of them were excited and supported their work. They volunteered to be photographed and allowed them to paste their pictures anywhere they wanted. In the project, they were constrained with resources. They had no money, and relied heavily on well-wishers3. They got two ladders, which were very old and rusty, a single camera and 20,000 feet of paper. The project however was a big success. They managed to photograph different kinds of people who did different kinds of work. From taxi drivers to cooks, carpenters and teachers, they sought to include all kinds of people in any profession. At one point they put two photographs of a Palestinian and an Israeli and asked people to tell the difference of who was who. By drawing reference to two photographs from the project, this paper will look at the face to face project, comparing them using their simil arities and differences and try to evaluate the impact they had on the people. More importantly however, it will seek to answer the question as to whether JR and his six friends succeeded in their mission. Were they successful in proving that what is perceived to be impossible could be possible? During the whole project, JR and his friends were dedicated to prove to the world that all people were similar regardless of
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