East Asian literature Essay

Based on Yasutaka Tsutsui’s â€Å"The Standing Woman†, the power of the collective over that of the individual is positive. This can be surmised based on three points of argumentation which are the main character’s thoughts at the beginning of the story, the old man’s revelation in his conversation with the main character, and the main character’s discussion with his wife. At the beginning of the story, we find the main character who is a writer thinking about the story that he finished. He mentions that the story is â€Å"capable of neither harm nor good†. Since he had spoken this to himself then it must be true. Later on it would be revealed in the story that his wife who he loves so much has been turned to a manpillar by the government. Yet instead of being angry and seeking vengeance, the man even at the start of the story already seems defeated by the very society that persecuted his wife. At the middle of the story, the writer converses with an old man who reveals that he had also been a writer but is now too afraid of persecution to write anything at all. The conversation shows that society has also broken the old man without even needing to arrest him and turn him into a mantree. The old man’s fear of getting exposed to the public and being ridiculed had already overpowered him and these fears came from society because it is the collective society that has the greatest power to ridicule. The last proof comes from the writer’s discussion with his wife. His wife who had once been so proud and strong has been reduced to a yielding subject to society’s whims to a point of not even protesting injustices done to her by drunks. In conclusion, the power of a collective society truly does overwhelm the resolve of any particular member.

Ict and Disaster Risk Reduction: National and International Perspectives

The assignment encompasses the idea of ICT and its role in national and international perspective. ICT integration in Disaster Risk Reduction is a contemporary idea. Disaster losses can be some-fold reduced if it can integrate technologies with it. ICT can serve in a broader scheme when it comes to disaster risk reduction. The motto of this assignment is to narrate ICT's contribution internationally and compare it with national DRR measures. The data that are used in here are secondary data. Key words: ICT, DRR, National, International.INTRODUCTIONDue to the geographic location and geological settings, Bangladesh has to endure several life-threatening catastrophes (Islam et al. 2014). Previous disasters snatched so many valuable lives and destroyed a huge amount of property. In this scenario, it is imperative to think about measures that incorporate technologies in disaster schemes. Access to proper, reliable, timely information assists to a great extent in all phases of a disaster. Without reliable information, people often end up guessing a sketchy situation which leads to an uncertain situation (Wattegama 2014). ICTs have their own advantages that effectively serve in the arena of Disaster Risk Reduction (ADPC n.d.). During disaster, receiving proper information becomes one of the basic needs. Proper respond requires correct and timely information dissemination. Thus, technology/ICT can serve in this arena rather than dissemination information manually. Recently, there is a growing awareness regarding incorporating ICT in Disaster Risk Reduction (DRR). ICT can help in shifting paradigm from conventional to comprehensive (Hasan and Ayub 2015). Current policy recognizes the importance of ICT in DRR; per se, Hyogo Framework for Action (ADPC n.d.). ICT provides the scope for proper coordination, management, relief distribution, search and rescue and so on. Although Bangladesh is a disaster prone country, it has set an example in shifting the paradigm of disaster; where ICT plays a role. ICT has contributed to shape the knowledge regarding disaster, disaster risk (Hasan and Ayub 2015). But in spite of having an infrastructural line up, there is no comprehensive system that designates roles and responsibilities among different organizations.PROBLEM STATEMENTThough ICT is a very important tool regarding reduce disaster risk, there are some limitations for which it cannot serve properly. First, there is a severe deficiency of experienced personnel to operate technological sector. Second, a lot of acts are stated but government is reluctant to enact them all. Third, there are not enough backup plans in case of power loss occurs. Because without power, most of the tools will not come in handy. Forth, a mass people are out of reaching the meteorological data, forecasting due to lack of medium.RATIONALE OF THE STUDYThe assignment is carried ou t with a view to acknowledging the existing pattern of ICT in the arena of Disaster Risk Reduction. With adequate references, it compares national and international scheme of DRR and role of ICT in this regard. As the concern of ICT is increasing with the pace of DRR in present time; it is essential to compare ICT in national DRR with international perspective.RESEARCH QUESTIONSThe following research questions were taken into account while doing the assignment. These are – What are the current ICT tools that are in use in DRR of Bangladesh and other countries? Is it possible to bring new dimensions in existing DRR pattern of Bangladesh?RESEARCH OBJECTIVESThe objectives are the following – To get an overview of ICT in DRR in national and international perspective. To suggest some ideas comparing the upper two perspectives.LITERATURE REVIEWDisaster cannot be eliminated totally but the loss due to it can be minimized (Hasan and Ayub 2015). For effective DRR, it needs spec ial attention from all sectors. ICT can help in this regards. It can play a pivotal role for reducing disaster risk. There are some traditional channels and emerging channels to serve in this regard (Wattegama 2014). Bangladesh gained its popularity in the sector of Disaster Management for shifting into proactive measures from reactive measures. This was possible due to largely focusing on early warning, preparedness, welfare of people, reducing vulnerabilities and so on. Complexity and uncertainty is a part of eliminating disaster risk (Hasan and Ayub 2015). It varies with different context, type, distance, time. So, collecting and analyzing data manually is a comparatively hard job (Yap 2011). There ICT plays a significant role to highlight the risk zones, formulate different simulations to understand about upcoming extreme events. Early warning beforehand a disaster was developed with the help of mobile phone, radio/community radio, television, different software, satellite based data, GIS, remote sensing both nationally and internationally (Hasan and Ayub 2015). Among them radio, television, mobile phone is marked as the most valid tool. Because, hardly all the countries have access to internet as most of them are developing countries. But again they have some drawbacks- if they are switched off; people remain in dark about the upcoming disaster (Yap 2011). Satellite-based communication system can come in handy when ground internet, network is not at work. In Asian region, Thaicom's IPStar satellite has established for the broadest service network (Wattegama 2014). Bangladesh should make the best use out of it during disasters. The Indian Ocean tsunami (December 2004) made the world astonished. There was next to no warning measures and thousands of people were suddenly in front of giant killer waves. In the aftermath of the tsunami, several international meetings have been held and they came to a conclusion. That is to build to Multi Hazard Early Warning System in the regime of South-East Asia. Later Bangladesh also showed interest to this early warning system (Wattegama 2014). Lanka Software Foundation founded free and open source based software named ‘Sahana'. Which helped to find missing person showing electronic bulletin, organized donor organization, keep a virtual record of temporary camp, shelter. So, technology can help immensely when it comes to disaster. A disaster database – ‘DesInventar'; that stores up to 30 years of data helped 17 countries of North and South America. Later, inspired by this Orissa (India) created a database that contains data from 1970s. Again, the India Disaster Resource Network (IDRN) is a web-enabled and GIS-based national database that collects and stores information such as different organizational expertise, details of equipment. So that, they can be mobilized quickly in the time of response (Wattegama 2014). A case study shows that during Haiti earthquake in 2010, the distressed people could send a SMS out of cost to the Haitian diaspora community. Then the outside community added location and passed it to different organizations, NGOs to accommodate relief for them. This set an example for two-way communication, which is very much significant during disaster. But this measure is absent from Bangladesh's disaster scheme (ADPC n.d.). Also, GIS is flourishing platform in DRR for creating baseline information for risk assessments. But due to lack of experts, the sector is remained untouched. In Bangladesh, National ICT Policy was enacted in 2009; and there is a wide range of activities are stated with a view to protect citizens through effective ICT management. It comprises reote sensing technologies for disaster management and mitigation, SMS based disaster warning system, efficient relief management and post-disaster activities monitoring, GIS based systems to monitor flood ; cyclone shelters, GIS based systems to ensure equitable distribution of relief goods and identify hard to reach areas and so on (MSICT 2009). Space Research and Remote Sensing Organization (SPARRSO), Bangladesh Meteorological Department (BMD), Flood Forecasting Warning Centre (FFWC), Center for Environmental and Geographic Information Services (CEGIS), Institute for Water Modeling (IWM) and other organization work relentlessly in DRR sector with the help of technology in Bangladesh (MSICT 2009). And they are trying to add new dimension in early warning system as a part of disaster risk reduction.RESEARCH GAPBangladesh is lagged behind when it comes to technological advancement. There is much opportunity to contribution in this section. For example, in the previous section, there is mentioned about the two-way communication system that helped Haitian distressed people. As that is absent from Bangladesh DRR implementation, it could be introduced from a new angle. Two way communications cannot help only during disaster, but also in pre-disaster situation. There could be a free portal/line that would only take suggestions, com plaints regarding the existent problem for a specific society.METHODOLOGYThe assignment is conducted by reviewing and using secondary sources. The assignment mostly followed the researches, papers, articles where secondary data are used immensely and qualitative in manner. Conceptualization was the first step doing this assignment. A mind map was created while selecting and reviewing the data. The data were collected in the manner that supports the idea of the topic.CONCLUSIONICT is only a tool that can be used for mitigate, preparedness, response purpose. The effect of ICT lies in how it is used for reducing disaster risk. This is the key challenge. Again, most of the disaster prone countries are developing countries. They have little access to internet other than radio, television. In this situation it is difficult to set an ICT-based DRR system. Some governments are also negligent when it comes to incorporate ICT in the national disaster scheme. It is time to realize that ICT is not only a mere tool; actually it can serve in a broader sense for reducing disaster risk and achieving sustainable future. It can be beneficial to all concerned stakeholders, non government- government bodies, donor agencies and more. An all out effort should be made for proper cooperation and coordination, building experts and last but not the least mainstream technology in the existing disaster risk reduction practices.ReferencesAsian Disaster Preparedness Center (ADPC) n.d., ICT for Disaster Risk Management, viewed on 11 October, 2018, link: https://www.preventionweb.net/files/47520_ictfordisasterriskmanagement.pdfAyo, CK, Adeboye, AB and Gbadeyan JA 2011, Application of ICT to Resource and Disaster Management, Sustainable Development and Environmental Protection, vol. 1, no. 1, pp. 77-86.Hassan, M and Ayub, A 2015,  Role of ICT in natural disa ster management of Bangladesh (Doctoral dissertation, BRAC University).Islam, ARMT, Tasnuva, A, Islam, MT and Haque, MR 2014, Management Approach to Disaster Scenerio in Bangladesh: An Overview, Int. J. Sci. Res. Pub, vol.4, no. 3, pp. 1-7.Ministry of Science and Information ; Communication Technology (MSICT) Government of the People's Republic of Bangladesh, 2009, National ICT Policy – 2009, July 2009Wattegama, C 2014, ICT for disaster management.Yap, NT 2011, Disaster management, developing country communities & climate change: The role of ICTs,  Manchester: Report, eds. R, Heeks and A, Ospina for IDRC, Centre for Development Informatics, Insitute for Development Policy and Management, University of Manchester.

The Empire State Building

Empire State Building The Empire State Building Outline THESIS STATEMENT: The Empire State Building did not cause much trouble for New York; instead, its construction had many positive effects. Reasons for the Building I. Raskob wanted to make money by renting offices to tenants. A. He wanted to construct a building that offered him the largest number of offices at the lowest price. B. He didn’t care for innovation and style , but he wanted a building that sticks with his budget. II.In addition, constructing the Empire State Building was a part of an intense rivalry to win the â€Å"World’s Tallest building† title. A. This dream appealed to John Raskob. B. He made sure that his design’s height would exceed the competing buildings. Constructing the Empire State Building I. To design the building, Raskob hired William F. Lamb. Lamb knew that it was a special chance to create something historical, so, although the mission was almost impossible, he decided to accept the project. A. He was able to finish the first design in four weeksB. His design fascinated John Raskob. II. Lamb found many problems with designing such a huge building. A. Designing an elevator was a trouble for William lamb B. Maintaining a fire system capable of reaching the higher floors was a challenge. C. Storing Materials was impossible. III. Just when everything seemed on track, Raskob and his partners received a striking new. A. Chrysler changed his plans in an attempt to beat Raskob B. Raskob decided to add a mooring mast to the building. C. He bet Chrysler plans by his idea Effects of the buildingI. In 1931, the Empire State Building became the highest building in the world. A. It raised the Americans’ spirits. B. It was opened during the Great Depression. II. Soon after the building’s completion, it became a major tourist attraction site. A. It attracted famous visitors like Albert Einstein. B. It has attracted over 117 million visitors. III. At le ast 32 people committed suicide by jumping of the building. A. Unidentified man jumps of the building’s roof B. Evelyn McHale jumped from the 86th floor after she left her fiance. ConclusionThe Empire State building is no longer the tallest building in the world; however, it remains an important historical figure. The Empire State Building still attracts millions of tourists yearly, and it remains a sign for America’s powers since it is was an innovation in the world of construction. Towers and skyscrapers have become an icon for development; countries now compete to build towers to attract visitors and activate tourism. Some towers are built for telecommunications and broadcasting; however, towers and skyscrapers remain an evidence for the country’s wealth and well-being.Recently, a new trend is prevailing: countries and businesspersons are competing to build the tallest building in the world. Many attempts for achieving this goal succeeded for a while, but not hing is permanent; newer and taller buildings are always built! John R. Raskob financed the Empire State building’s construction to enter the intense competition of constructing the highest building in New York (Construction: Building The Impossible 117). The Empire State Building didn’t cause much trouble for New York; instead its building had many positive effects.Reasons for the Building Raskob wanted to make money by renting offices to tenants, and he wanted a tall skyscraper that would offer him the largest number of offices for the lowest amount of money. He did not want a stylish or innovative building; he just wanted profit, but he wanted a building that sticks to his budget and deadline (117). In addition, constructing the Empire State Building was a part of an intense rivalry to win the â€Å"World’s Tallest building† title. This dream appealed to John Raskob, but this meant that he his building had to exceed 295 meters.He had to compete with Ch rysler building and the bank of Manhattan (118). Raskob’s building had to be roughly 305 meters high, and this height had to fit on the 122 by 61-meters area he had purchased on fifth avenue. Constructing the Empire State Building To design the building, Raskob hired William F. Lamb. Lamb knew that it was a special chance to create something historical, so, although the mission was almost impossible, he decided to accept the project. After fifteen trials, Lamb was able to reach a design that met the city’s zoning restrictions and Raskob’s requirements.The basic design was finished in four weeks; the project turned out to be more fascinating in appearance that Raskob has thought (119). Lamb found many problems with designing such a huge building. He faced the challenge of installing a safe elevator that is capable of transporting people such great distances. He split the elevator systems into sections. â€Å"The section serving the lower levels ended at mid-leve l where the building had to be set back; the upper elevators were placed in the central core (120). † How would water reach the upper stores in case of fire?Lamb designed a unique fire-safety system using giant steel water tanks at different levels. He included 400 hose connection and an alarm connected to the city’s fire station. Also, he ordered that bricks and limestone, fireproof materials, should be used in construction (120). Since construction was happening in one of the busiest cities in the world, the huge amount of materials-for example, tons of marbles from France and Italy, 6500 windows, and 10 million bricks- could not be stored; everything had to be used directly after its delivery.William Lamb completed the detailed project in six month, and the R. H. Shreve arranged the actual construction. (120-121). Just when everything seemed on track, Raskob and his partners received a striking new. Walter Chrysler, the owner of the Chrysler building, revealed his tr ue plans that he was hiding; he was determined to have the world’s tallest building. He added a dome to his building that raised its height to 319 meter, just a few meters higher that Lamb’s design. Raskob could not afford to redesign his building to beat Chrysler, but Raskob found a solution. A hat! † he cried. â€Å"That’s what this building needs-a hat†. At Raskob suggestion, Lamb added a 61-meter top called a mooring mast. It allowed blimps to dock and discharge their passengers. It was not practical and was used only once; however, it gave the Empire State building the title of the world’s tallest building (120-122). The labors completed the steel frame in sixth month, and one year after laying the first piece of steel the construction was completed with a height of 443. 2 meters, easily within the dead line (125). Effects of the BuildingIn 1931, the Empire State Building became the highest building in the world. The building opened in t he midst of the Great Depression; it lifted the spirits of many Americans in one of the nation’s hardest times. Celebrating what they named the eighth wonder of the world, people were psychologically lifted by the building’s construction (The Empire State Building: Skyscraper Symbol of America's Power). Soon after the building’s completion, it became a major tourist attraction site. It attracted many famous people from all over the world including Albert Einstein, the French prime minister, and Queen Elizabeth.The building became an international icon, and it has attracted over 117 million visitors (Empire State Building-Facts). At least 32 people committed suicide by jumping of the building (Empire State building-Facts). For example, An unidentified man got past a guard on the staircase leading from the 102d-floor observatory of the Empire State Building to the top floor yesterday, and leaped to his death (Leaps To His Death Off Empire Tower). Another woman, Ev elyn McHale, jumped of the 86 floor of the Empire State building after leaving her fiance. She left a note saying â€Å"he is much better without me†¦.I wouldn’t make a good wife for anybody† and jumped to her death (Life 42). Conclusion The Empire State building is no longer the tallest building in the world; however, it remains an important historical figure. Today Burj Khalifa, found in UAE, is the tallest building in the world (828 meters) (Empire State Building), but as the competition continues who knows where the next tallest building is going to be? The Empire State Building still attracts millions of tourists yearly, and it remains a sign for America’s powers since it is was an innovation in the world of construction.Works Cited Book: Nathan Aaseng. Construction:Building The Impossible. The oliver press. Mineapolis. 2000. http://books. google. com. sa/books? id=nVd8CCmafP0C;printsec=frontcover;hl=ar;source=gbs_ge_summary_r;cad=0#v=onepage;q;f=true Magazine : No author mentioned. Picture of The Week. Life. 12 May 1947. 152 pages http://books. google. com. sa/books? id=ZEgEAAAAMBAJ;source=gbs_navlinks_s Internet: Thomson Gale. The Empire State Building: Skyscraper Symbol of America's Power. BookRags. Copyright @2005-2006.Science and its times. Visited April 9, 2012. http://www. bookrags. com/research/the-empire-state-building-skyscrape-scit-06123456/#bro_copy No author. Empire State Building. Emporis. Copyright @2000-2012. visited April 9, 2012. http://www. emporis. com/building/empirestatebuilding-newyorkcity-ny-usa No author. LEAPS TO HIS DEATH OFF EMPIRE TOWER. The New York Times. November 4, 1932. Retrieved October 4, 2011. Visited April 10, 2012. http://select. nytimes. com/gst/abstract. html? res=FB0610FF355516738DDDAD0894D9415B828FF1D3

Apple Inc., 2008 Case Study

Executive Overview Apple has been established for over 30 years since Steve Jobs and Steve Wozniak founded Apple Computer in 1976. During Steven Jobs’s tenure as CEO, Apple’s mission was to bring an easy-to-use computer to market. However, Apple was not performing as good as Jobs projected, so he resigned in 1985. In the following 12 years, Apple experienced three different CEO’s and still could not be brought back to life. Under John Sculley, Apple worked to drive down costs by switching much of its manufacturing to subcontractors. But these efforts were not enough to sustain Apple’s profitability. During the Michael Spindler years, international growth became a key objective for Apple. Yet despite Spindler’s efforts, Apple lost momentum. Soon after Gilbert Amelio replaced Spindler as CEO, he proclaimed that Apple would return to its premium-price differentiation strategy. Despite some austerity moves, Apple lost its competitiveness and could not regain its share in the market. In 1997, Steve Jobs came back again as the CEO of Apple. This time he had a new game plan, and Apple started to focus on the digital lifestyle for consumers. Internally, Jobs worked to streamline operations and to reinvigorate innovation. This proved to be Apple’s most successful business strategy to date because a once ineffective company now has ruled the computer world. In order to understand this situation, Apples competitive advantages and industry forces must be analyzed. Competitive Advantages Apple has been in business since 1976, and has built quite a few competitive advantages along the way. Obviously, innovation has been at the forefront of Apple’s ability to compete in the world market. Other than that advantage, brand loyalty, product differentiation, superior quality, and retail strategy are also its advantages when competing with other brands. Innovation Steve Jobs and Steve Wozniak sparked the PC revolution, making the world of computers on Apple’s head. The Apple II launched in 1978 drove the PC industry to $1 billion in annual sales in less than three years. Even if initially regarded as a toy by many other businesses, Apple soon revealed itself as a feasible substitute to the traditional mainframe. It continued to demonstrate its ingenuity. For example, it was the first to introduce a computer with color, a graphical interface, and many other firsts. These inventions defined Apple and its business strategies. On the basis of its all bundled package of hardware and software, Apple became synonymous with usability. Brand Loyalty In 1998, Jobs recognized that customers really wanted a Macintosh. Apples brand commitment is strong. Since 1970s, Apple user communities have been founded to connect together with enthusiasms. One of the main reasons to this is Apples ease of use. Adding extra hardware and software to a Mac is almost as easy as plugging speakers into a stereo system. Due to this advantage, Apple forms a strong relationship with its consumers, especially within the education and desktop publishing industries, which accounted for 60% and 80% of its market position respectively during the Spindler years. Product Differentiation Apple’s system continues to be one of the advantages because its closed operating system is not subject to the computer viruses and hacking that often destroy the Microsoft Windows operating system. In marketing its Mac products, Apple stressed characteristics that differentiated them form other PCs while also highlighted their interoperability with other machines. Apple trumpeted the Mac as an â€Å"Everything-ready† device that worked well with other devices. The feature of the closed system while incorporating well with other devices makes Apple more unique than other PCs. Superior Quality Apple’s high-quality bundled software distinguished the Macintosh line, such as iLife suite and iWork. In 2001, Apple introduced MAC OS X, offering a steadier environment than previous Mac platforms. In addition, Apple always urged its users to upgrade OS X every 12 to 18 months, with the aim of always providing a stable operating system to its users. Retail Strategy After Jobs returned to Apple, he revamped Apple’s distribution system, removing relationships with many smaller outlets and extending its presence in national chains. In 1997, Apple also started a website to sell its products directly to customers. Its retail strategy was regarded as a huge success. More importantly, people who visited the stores for iPod products usually checked the Mac too. This â€Å"halo effect† greatly benefited Apple’s Mac business. Porter’s Five Forces Analysis of Apple Current Competition Apple’s current rivalry is very competitive and intense. The PC industry has quite low switching costs, so the current competition is pretty high. Apple confronts tough competition from IBM, Dell, HP, and etc. Threat of Substitute Products The more differentiation of the product, the less likely the change to a substitute will happen. Apple’s operating system differentiation can always require higher pricing. However, owing to technology improvement, the â€Å"digital convergence† of PC and CE (consumer electronics) products has become more substantial in the PC market. Many different alternative devices have started to replace PCs. Therefore, this threat is becoming higher to Apple. Threat of New Entrants This threat is low since the existing companies have established powerful brand awareness. The computer industry is very saturated and new entrants would be reluctant to enter this industry. Bargaining Power of Suppliers There are two types of suppliers: microprocessors and operating systems with few sources as well as memory chips, disk drives, and keyboards with many sources. The bargaining power of the former one is high since there are mainly two sources: Intel and Microsoft. The bargaining power of the latter one is low since numerous suppliers exist in this industry. Bargaining Power of Customers As mentioned earlier, the switching costs are low. Such situation places the customers in a strong position that only companies with high product differentiation could increase the switching costs. Since product differentiation is one of Apple’s advantages to compete in this market, the bargaining power of buyers is not high to Apple. Conclusion Generally speaking, the PC industry is an intensely competitive segment. With technology undergoing paradigm changes, it could make life hard for Apple to deal with these shifts. These dynamics does not seem advantageous for Apple but simultaneously Apple has been able to maintain its technological brain and designer approach to walk away from this difficult position. Actually, Apple could transform some of these problematic features into opportunities. We all know that a key factor in bringing people into the stores is the popularity of the iPod. Most of the time, the purpose of People coming to the stores is not for Mac. No matter what brings customers to Apple stores, Apple should take advantage of this chance. This halo effect needs to be capitalized to the maximum extent. In addition, although some people complain Apple’s closed operating system, it is still seen as a secure, safe, and reliable system. Apple should try to make its system less closed, incorporating more other devices. Thus, people can use Apple more easily without too much restriction.

Evidence-Based Practice Implementation in the Treatment of Breast Research Paper

Evidence-Based Practice Implementation in the Treatment of Breast Cancer - Research Paper Example As the paper states evidence-based practice is a way to deliver healthcare to patients that targets problems in the existing system by integrating the practices that yielded the best results through research of relevant studies and accurate patient-care data, along with the expertise of specialists and the input of patients with regards to their preferences and values. The best patient outcomes can be realized when EBP is conducted in the context of care, within a supportive organizational structure and if it is integrated into the organization’s culture. Over the years, many healthcare institutions have adapted EBP in making clinical practice guidelines for the treatment and care of patients afflicted with various diseases. From this report it is clear of the diseases that EBP has been applied to, the most important can arguably be breast cancer. Breast cancer is still the leading cause of cancer-related deaths in women worldwide and it is the most common type of cancer to afflict females with over 1.1 million new cases diagnosed each year. Breast cancer is also considered as the single most prevalent cancer in the world because more than 4.4 million women diagnosed with breast cancer in the last five years are currently alive and are taking in-patient and out-patient care from different healthcare institutions worldwide. It has been theorized that with the aid of EBP to improve clinical practice, 5-year survival after breast cancer treatment could increase by up to 10%.... 5-year survival after breast cancer treatment could increase by up to 10% (Sainsbury, Haward, Rider, Johnston, and Round, 1995 as cited in Sacerdote et al., 2013). Sacerdote et al. (2013) conducted a study in Piedmont, Italy to evaluate the difference in breast cancer patient care quality before the implementation of an EBP guideline and after the implementation of the EBP guideline. The guideline that Sacerdote et al. evaluated was the Piedmont guideline (PGL) and it constitutes the compliance of 14 quality-of-care indicators in accordance to EBP. The focus of their study is to evaluate the effects of EBP on breast cancer treatment and to determine how well the PGL has been implemented. Summary of the Study Since Sacerdote et al.’s study was concerned with the status of breast cancer care before and after the implementation of the PGL, two patient groups were selected. Breast cancer patients diagnosed and treated during the 1st half of 2002 were the pre-PGL group while patien ts who were diagnosed and treated after 2004 were the post-PGL group. The practices recommended in the PGL were already being done in the regional hospitals even before the implementation of the PGL. Between 2002 and 2004, 8 indicators out of the 14 moved towards the expected standard, however only 4 of these 8 improvements were statistically significant. It is highly recommended for patients with medium-to-high risk of distant metastasis to undergo chemotherapy or radiation after Breast Conservative Surgery but for patients with low risk of distant metastasis, the exposure to radiation and chemo may actually worsen their condition or hasten the recurrence of cancer. Following the recommendations of nurses and specialists using EBP, the percentage of low risk patients that took chemo- and

Study Guide Essay Example | Topics and Well Written Essays - 1000 words

Study Guide - Essay Example Many scholars think â€Å"Q† is important since they believe that the similarity was not coincidental and that it came from divine inspiration. H) The gospel of Matthew written by a Jewish scribe, however, some people believe that the book written by Mathew. It’s estimated that the book written in the 60’s. The purpose was to show that Jesus was the Messianic king. The gospel of the mark was written by peters interpreter. Some scholars believe the author was peters secretary. It is estimated that the book was written in the late 50s or early 60s. The purpose of the book was to show that Jesus was the Messianic servant. The book narrates the life of Jesus from when he baptized to his resurrection. The book of Luke written was by a gentile Christian in the 60 AD. The purpose was to show that Jesus is the universal savior. The book contains details of the events of the life of Jesus from birth to his ascension. I) The book of Acts was written by Luke. J) The basic p attern of the narrative structure within the book of Acts is paradigmatic. K) The book of Acts was written around the 62-70 AD. The book is believed to be written by Luke who was a gentile. The book was written to Theophilus. The word Theophilus means the one who loves the God. Therefore, the book was written for anyone who loves God (Rock and Anna 64). The main theme in this book is the significance of the Holy Spirit. L) Peter was one of Jesus disciples who denied Jesus three times. M) Paul was a follower of Jesus who preached the gospel to all nations. N) John was a disciple of Jesus. O) The gospel according to John was written to prove that Jesus was the son of God. The book was written by John the son of Zebedee. It was written around 85-90 AD. The book was written for the new believers and seekers. The main theme in the book of John is the revelation of God to man. P) Jesus turned water into wine, healed the noble man’s son, healed the man at the pool, fed the 5000, wal ked on water, healed the blind man and raised the dead. These were important to show that he was the son of God. Q) An epistle is a letter that was written to a person or a group of people. R) Who wrote the epistle? Who was the epistle addressed to? S) The book was written by Paul to the Galatians. It was written about 49 AD. The main theme is about faith and that people should believe in Jesus so to be accepted into the kingdom of God. The book was written to rubbish the claims of Judaizers who believed that Christians should follow the Jewish laws. Question 2 A) This one of the most popular Bible verses in the world. The verse shows the love that God has for humankind. That is why God sacrificed his only son. The verse also goes on to say that whoever will believe in the son of God will have eternal life. It, therefore, promises eternal life to the people who will follow the teachings of Jesus Christ. B) This verse is all about love. It speaks of the importance of love in the chur ch. Loving one another is not optional but it is a command from God (Rock and Anna 89). It also stresses on the importance of loving one another regardless of whether one is a Christian or not. We all should love one another. C) The verse goes to show that Jesus performed many miracles that are not documented in the bible. The miracles go to show that Jesus is the son of God. This is the main purpose why the book of John was written to show that indeed Jesus is the son of God. D) Faith brings Christians together and in the eyes of Jesus we are one

Cloud Computing Essay Example | Topics and Well Written Essays - 500 words - 2

Cloud Computing - Essay Example Given the close linkages between financial services firms and cutting edge technology, it makes for eminent business sense to remain on top of the â€Å"convergence† that is happening between IT and financial services. Cloud computing is altering the way business is done and the way business services are provided by bringing about a paradigm shift in the way excess computing power and storage space can be used. Cloud Computing works by aggregating the computing power of individual computers and then centralizing the same so as to derive maximum advantage for the users. Since UVW does not have to invest in additional capacity whenever it takes on more users, we stand to gain from the double benefit of efficiencies from economies of scale and cost savings because of outsourcing our requirements to providers of cloud computing services. For UVW to remain competitive in the financial services market, we need to embrace next generation IT services like what other global financial conglomerates like Goldman Sachs are doing by renting out cloud providers to host their data and provide them computing power. The use of offshore datacenters by these financial services firms has helped them to cut their IT costs significantly. In the context of the financial services firms undergoing an era of rapid change in the way they do business, it is necessary for UVW to embrace innovation and be at the forefront of emerging technologies. By embracing cloud computing in its business, UVW can thus remain competitive as well as ride the wave of change that is sweeping the financial services