The Civil War Was A Devastating Time For The United States...

The Civil War was a devastating time for the United States of America. During this time the United States was divided. The Civil War was a four year long battle. It is known as one of the bloodiest battles ever fought. Consequently it was fought between people of the same country. We were divided between the North and the South. The cause of the Civil War was slavery. The North was against it and wanted slavery abolished. On the other hand the South did not want to part with slavery. Both the North and the South were very divided. Part of the divide was different lifestyles, structures of society, traditions, and political views. The term used to describe the divide between the North and South is sectionalism. This difference in opinions sparked hatred between the North and the South. In November 1860 Abraham Lincoln was elected President of the United States. Word of the newly elected president did not sit well with the South. Even before the election of Lincoln to the White House the South threatened to secede. Southerners’ did not want a Republican in the White House. By March 4, 1861 seven states had seceded. Then the Confederate States had been established. The Confederates had Jefferson Davis as their president. Later that year the Civil War begins. In began April 12, 1861 the Civil War began. Although this war was one of the bloodiest wars ever fought. It was a war well fought by women. During this time men played a huge role in the household. UnlikeShow MoreRelatedAmerica s Influence On The American Civil War932 Words   |  4 Pages Through the course of history, America has expanded its influence to a number of countries and regions, which turned America into the world power it is. America has not only become an independent country from England, but has now become a national police force in countries such as Iraq and Afghanistan. America has made itself known around the world and put their influence on many regions all at the same time as gro wing to a world power. The United States, and much of the world today, would not beRead MoreThe Great American Civil War1204 Words   |  5 PagesAmerican Civil War changed and shaped America back in the late 1800s and early 1900s, but little do we know it still has a lasting effect on us today. The Civil War was so devastating back in the 1860s that it helped to develop many new technologies, ideals, and culture. Some of the effects still hang on around us today, and may even influence your everyday life without you even knowing it. On December 20, 1860 the state of South Carolina seceded from the Union, United States of America, to formRead MoreHalf Slave And Half Free Essay1277 Words   |  6 Pagesarose during the Antebellum Era in America that fueled the eruption of the Civil War. 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When the fighting stopped over 50,000 casualties lay dead sprawled across theRead MoreSocial Commentary On Hollywood War Films1282 Words   |  6 PagesHIST2033-001 10 November 2015 Social Commentary in Hollywood War Films Hollywood film is a powerful twentieth century art form that has provided entertainment and social commentary since its creation. Film can be used to portray history on the silver screen. Directors can use their films to portray social commentary about current issues. A popular social issue throughout history is war. Directors can use their war films to promote pro-war or anti-war movements. Films have the ability to influence the publicRead MoreCivil War as the Second American Revolution Essay965 Words   |  4 PagesThe Civil War could easily be seen as the second American Revolution considering it brought about significant change in history in the political, social, and economic aspects. 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What Makes A Bio Printer - 1905 Words

Almost everyone has seen one of those doctor shows where the patient is waiting for a kidney but the wait is too long and they die. This is always the most depressing part of these movies because you had started to associate and connect with the patients. What if it did not have to end like that? What if the patient gets the dearly needed kidney in time and lives a nice full life? Sounds like the plot to an ordinary feel good movie but that could never happen in real life, right? Scientists and engineers everywhere have found a way to make this dream true by making a bio printer. What’s a bio printer you may ask? Well, a bio printer is a printer that prints living tissue. Sounds gross, right? Well yes and no. Yes in the fact we are†¦show more content†¦This is why a biological printer would be such an amazing tool in the medical field, the ethics have been highly questioned, however, the benefits of having such a machine and the efficiency of this new technology would completely outweigh any of the doubts one might have on their mind. To understand a bio printer, one must first understand the normal inkjet printer. This is the machine you go and make copies with in the office. The way an inkjet works is fairly simple: there is a robotic arm in the printer that runs over the paper spraying ink on the paper to form an image; a normal 3D printer will do the same. They have a robotic arm that swooshes back and forth building up a physical model. So when the hurdle of a bio printer was first addressed, scientists tried to make a normal 3D printer shoot out cells on a plate, eventually building up a group of cells in a graft or (whatever was being attempted at the time.) The rate of cell survival, according to the Australian Broadcasting Network is 95 percent. This is absolutely incredible. This method is more effective than even the original way: implanting another person’s bones or organs into the patient, which has an extremely high risk of infection, it also has a chance for the body just to reject it and send antibodies to kill the new organ. Although the ink jet method is an effective method, it is not the most practical. There is a different method that was invented because the ink jet method still destroys a

Zipcar Individual Case Brief Free Essays

Zipcar Company is affected by several general environment factors including the following: Sociocultural: There is very well developed public transportation system available in the urban areas and people can easily get the mobility through public transportation. Easy access to the public transportation affects Zipcar’s business to minimize its revenues. Economic: Due to the high gas prices, it is not easy for the companies like Zipcar to compete in the market but the Zipcar can come up with hybrid cars to overcome this threat. We will write a custom essay sample on Zipcar Individual Case Brief or any similar topic only for you Order Now Technological: Zipcar has now its own application to select the cars and this application makes the process easy for the customers in selecting the right vehicle. Technology is helping the company to better facilitate its customers. Zipcar company is attractive for the new entrants and the business has enough potential to generate above average profits. Following are the most important of five forces affecting the Zipcar business: Threat of new entrants: Threat of new entrants is high for this company. There are many other companies like Enterprise car rentals can also offer car sharing services. Threat of substitute products: Zipacar is a unique business model and the threat of substitute product is low because it needs a big business setup to establish business model similar to the Zipcar. Following are the two main companies that are in the competition with the Zipcar. Enterprise rent a car: Enterprise rent a car is a big car rental business and if they start the car sharing service in the future so it will become more competitive for the Zipcar to generate above average revenue in the market. Hertz car rental service: Hertz car rental can be another direct competing firm to the Zipcar. They are second largest in terms of fleet after Enterprise. Most important of the value chain factors are discussed in the following paragraph. Marketing and sales: Are very important factors that are important for the company. This business needs some proper marketing strategy to create awareness in the minds of the target audience. This factor is superior among the both competitors. Technological development: It is important for the Zipcar is a company and the company can use new technology including smart phone applications to attract new customers. This factor is superior among both competitors. Zipcars net profit margin for 2012 was 5. 26 million as compare to Hertz profit margin of 2. 69 million. The company has a social responsibility of keeping the environment clean and Zipcar is adding environment friendly cars to its fleet to keep the environment clean. Zipcar company is aligned with the market trend and this is the major strength that is attracting more opportunities and limiting threats to the company. Due to the seasonal demand for the vehicles Zipcar experiences low return in certain months that limits the opportunities and enhances the threats. Zipcar is offering the service that is valuable and rare but it is not costly to imitate for big competitors and there are also substitutes available in the market with little modification in terms and conditions. The competitive advantage for Zipcar is temporary. Zipcar’s business level strategy is highly focused on differentiation and offering environment friendly products. Corporate level of the strategy is not that developed yet and the company is having slow growth due to the income only from one sector. The company had a merger with Flexcar in 2009 and they also made alliance with Avancar in Spain due to its cooperative strategy. Company has not given a good international strategy even though they are also working in several other nations but they still need better business model to work internationally. Overall, the company has to work on the corporate level to compete both locally and internationally. Company is pursuing its business level strategy to win the market share. Firm needs to recruit more staff because there is a strong lack of customer service in their current business model and today, the companies with strong customer service are the one who has a big market share in the businesses. Most important 7’s factors are following: System: Company has uniform working criteria everywhere they work. Staff: Company works hard to boost the motivation of their employees. Skills: By hiring the right people and continuous training procedure the company is having edge over other competitors. Q1: How the company takes care of its stakeholders as they are major part of the process to generate above average returns? Q2: What strategy does the company have to response to the hyper-competition? How to cite Zipcar Individual Case Brief, Papers

Physical Assessment Demographic Data

Question: Write about thePhysical Assessmentfor Demographic Data. Answer: Introduction This is a case study of Katie McConnell, a 23-year-old lady presenting with a subdural hematoma due to mild traumatic injuries to the brain after a car accident. Demographic data on Subdural Hematoma A Subdural hematoma is not a usual complaint about the age group which Katie McConnell belongs. Older patients with trauma tend to have an acute subdural hematoma (Vollmer, Torner, Jane, Sadovnic, Charlebois, Eisenberg Marshall, 2001). Studies show that the average age of patients with trauma but no acute subdural hematoma is around twenty-six years of age. However, the average age of patients who have subdural hematoma is around forty years. Therefore in our case study, that was an infrequent incident since the patient is only twenty-three years. A Subdural hematoma is commonly associated with old age because the older population has a substantial atrophy of the brain since it allows a shear force (Davis, Richardson, 2015). A Subdural hematoma is not a usual complaint about women. Men are normally more affected as compared to women. Clinical Presentation The normal range of heart rate is between 60bpm and 100bpm. The normal blood pressure range from 120/80 to 140/90. Katie presents with increased heart rate of 87bpm and increased blood pressure 142/78 due to the rise in the intracranial pressure. The average oxygen saturation of blood levels is between 94% and 99%. The standard respiratory frequency for a healthy individual is between 12 to 20 breaths per minutes. Katie had SpO2 OF 96% and 13 breaths per minute which show that she might have had only a mild respiratory distress. Glasgow coma scale is a neurological scale that is used to record the conscious level of a patient (Teasdale, Maas, Lecky, Manley, Stocchetti Murray, 2014). The score is between 3 and 14. A score of about 3 points shows deep unconsciousness while a score of 14 shows full consciousness. Katie has a Glasgow Coma Score of 14 which indicates that she is fully conscious. In traumatic brain injury leading to subdural hematoma, the patient exhibit memory loss, and confusion. Katie presents with memory loss as she finds difficulties in recalling recent information unless prompted. Valuable information that is missing from the information and is useful is if gait and balance were okay. Individuals with traumatic brain injury and subdural hematoma tend to have an abnormal gait and loss of balance. There is no information on personality change which is common in similar cases. Presenting Problem The clinical presentation shows that the case of Katie is a mild traumatic brain injury. In instances where the patient has no history of previous head trauma, the subdural hematoma is usually considered as mild (Katz, Cohen Alexander, 2015).). Therefore, Katies subdural hematoma is mild since from her medical history she has had only a painful ankle which she had acquired while playing basketball. There is a mild loss of consciousness, confusion, and disorientation. In such cases, the MRI and CT scans usually show normal results. Katie is expected to present with cognitive problems which include difficulty in thinking, attention deficit, frustration, headache, mood swings and memory problems. The patient also can exhibit fatigue, loss of balance, visual disturbances, depression, and seizures. The assessment for mild traumatic brain injuries starts with checking of vital signs. The presence of tachycardia and hypertension should be assessed since these are associated with increased intracranial pressure (Friedman, 2014). A full neurological examination should be performed regarding pupil size, reactivity, and papilledema that also shows raised intracranial pressure (Karrar, Mansour Bhansali, 2011). The presence of any external trauma to the head and other body parts should be determined. The various cognitive domains that are affected by mild traumatic brain injury needs to be assessed. Higher cognitive abilities, information processing, memory, and attention should be thoroughly examined (Carroll, Cassidy, Cancelliere, Ct, Hincapi, Kristman, Hartvigsen, 2014). A standard assessment to determine the presenting complaint is through a detailed clinical interview. Katie should be asked about the highest level of education that she has attained. Then she should mention if th ere are any pre-existing learning difficulties. Katies medical and also psychological history should be given. Previous head injuries as early as childhood should be inquired. Focused Health Assessment Understanding the severity, nature and even the modalities of the cognitive complaint is evaluated using the neuropsychological assessment. Neuropsychological testing helps in diagnosis, treatment as well as the rehabilitation process (McCrea, Nelson Guskiewicz, 2017). As noted above, the process starts with medical history taking and proceeds to tests. Various specific and focused investigations need to be carried out to determine the condition of Katie. These assessments are mostly imaging techniques. Since Katie has signs of raised intracranial pressure, urgent neuroimaging is needed. CT scan and MRI tests should also be performed to detect the extent of subdural hematoma (Yuh, Mukherjee, Lingsma, Yue, Ferguson, Gordon Manley, 2013). Secondary injuries, for example, cervical spine structure should be radiologically surveyed. An electroencephalogram (EEG) should be performed on Katie to show the electrical activity of her brain. A person who does not have traumatic brain injury w ill show normal brain structure while viewed through MRI, CT scans, and X-ray. Katie will demonstrate the element of brain damage. The EEG values of Katie will show either beta activity or delta activity while those of an average person shows alpha activity. Detailed Assessment As noted above, various types of neurological tests are carried out during assessment in mild traumatic injury. These tests are grouped into two; those that evaluate the function of the brain and those that examine the structure of the brain after an injury. The CT scans and MRI evaluate the structure of the brain. EEG and SPECT scans are used to determine the function of the brain. The MRI and CT scan radiographically slices the brain into slabs. The MRI utilizes the magnetic fields while the CT scan uses x-ray (Levin Diaz-Arrastia, 2015). These two tests can be used to show the extent of damage to Katies brain caused by trauma due to the car accident. The EEG will be used to monitor Katies brain electrical activity using various wires attached to her scalp. The healthy brain usually discharges signals at a frequency of between 8 and 13 cycles per second, which is referred to as alpha activity. Faster cycles are known as a beta activity, and slower cycles are known as delta activit y. These findings should be recorded to determine the brain activity of Katie. Skull x-rays to be taken. Headache history should be provided by Katie including a migraine, tension and substance withdrawal. One should also characterize visual complaints, evaluate ocular motor skills, describe pain complains that Katie presents. Dizziness, dyscoordination, and imbalance should be assessed by single-foot standing, star-march or Romberg. The cardiac status and also serum glucose level of Katie should be evaluated as these are a possible contributing factor to dizziness. To ensure adequate medical assessment of Katie, overall fitness, conditioning, sensation, muscular strength, proprioception and range of motion should be evaluated. Conclusion Neurological emergencies are common in a clinical setting. Medical history taking is the most crucial process in the assessment and management of patients with traumatic brain injury that leads to the subdural hematoma. To be able to understand the presenting complaint, thorough interview and examination of the patient are paramount. After the physical examination, a focused health assessment is done followed by a more detailed evaluation to enable the health practitioner to make the differential diagnosis. The assessment should be systemic, and use of EEG, MRI and CT scans is paramount. Through the careful medical history taking and physical examination, we can formulate a differential diagnosis and even management plan for Katie. References Carroll, L. J., Cassidy, J. D., Cancelliere, C., Ct, P., Hincapi, C. A., Kristman, V. L., ... Hartvigsen, J. (2014). Systematic review of the prognosis after mild traumatic brain injury in adults: cognitive, psychiatric, and mortality outcomes: results of the International Collaboration on Mild Traumatic Brain Injury Prognosis. Archives of physical medicine and rehabilitation, 95(3), S152-S173. Davis, L. E., Richardson, S. P. (2015). Traumatic Brain Injury and Subdural Hematoma. In Fundamentals of Neurologic Disease (pp. 225-233). Springer New York. Friedman, D. I. (2014). Papilledema and idiopathic intracranial hypertension. CONTINUUM: Lifelong Learning in Neurology, 20(4, Neuro-ophthalmology), 857-876. Karrar, E. E., Mansour, N., Bhansali, A. (2011). Cranial and spinal trauma: Current concepts. Disease-a-Month, 57(10), 543-557. Katz, D. I., Cohen, S. I., Alexander, M. P. (2015). Mild traumatic brain injury. Handbook of clinical neurology, 127, 131-156. Levin, H. S., Diaz-Arrastia, R. R. (2015). Diagnosis, prognosis, and clinical management of mild traumatic brain injury. The Lancet Neurology, 14(5), 506-517. McCrea, M. A., Nelson, L. D., Guskiewicz, K. (2017). Diagnosis and Management of Acute Concussion. Physical Medicine and Rehabilitation Clinics of North America. Teasdale, G., Maas, A., Lecky, F., Manley, G., Stocchetti, N., Murray, G. (2014). The Glasgow Coma Scale at 40 years: standing the test of time. The Lancet Neurology, 13(8), 844-854. Vollmer, D. G., Torner, J. C., Jane, J. A., Sadovnic, B., Charlebois, D., Eisenberg, H. M., ... Marshall, L. F. (2001). Age and outcome following traumatic coma: why do older patients fare worse?. Special Supplements, 75(1S), S37-S49. Yuh, E. L., Mukherjee, P., Lingsma, H. F., Yue, J. K., Ferguson, A. R., Gordon, W. A., ... Manley, G. T. (2013). Magnetic resonance imaging improves 3?month outcome prediction in mild traumatic brain injury. Annals of neurology, 73(2), 224-235.