...I. Use the correct form of verbs in brackets. 1. In all the world, there (be) __________ only 14 mountains that (reach) __________above 8,000 meters. 2. He sometimes (come) __________ to see his parents. 3. When I (come) __________, she (leave) __________for Dalat ten minutes ago. 4. My grandfather never (fly) __________ in an airplane, and he has no intention of ever doing so. 5. We just (decide) __________ that we (undertake) the job. 6. He told me that he (take) __________ a trip to California the following week. 7. I knew that this road (be) __________ too narrow. 8. Right now I (attend) __________ class. Yesterday at this time I (attend) __________class. 9. Tomorrow I’m going to leave for home. When I (arrive) __________at the airport, Mary (wait) for me. 10. Margaret was born in 1950. By the year 2005, she (live) __________on this earth for 55 years . 11. The traffic was very heavy. By the time I (get) __________to Mary’s party, everyone already (arrive) __________ 12. I will graduate in June. I (see) you in July. By the time I (see) __________ you , I (graduate) __________. 13. I (visit) __________ my uncle’s home many times when I (be) __________ a child. 14. That book (lie) __________ on the table for week. You (not read) __________ it yet ? 15. David (wash) __________ his hands. He just (repair) __________ the TV set. 16. You (be) __________here before? Yes, I (spend) __________ my holidays here last year. 17...
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...Findings The Department of Trade and Industry has a semi-automated accounting system. The entity uses Electronic New Government Accounting System (E-NGAS) along with Microsoft Excel, Payroll Credit System (PACS), Land Bank of the Philippines (LBP) Bank Transmittal and Check Preparation System to prepare their payroll. The City Government of Legazpi has a fully automated accounting system. Like the Department of Trade and Industry, it uses Electronic New Government Accounting System (E-NGAS). However, in addition to E-NGAS, the City Government of Legazpi uses a software called Base Bytes Payroll System specifically designed to prepare their payroll. Meanwhile, the Department of the Interior and Local Government is using a manual accounting system. The strengths ans weaknesses of automated accounting information systems do not apply to the manual accounting system used by the Department of Interior and Local Government. Delays sometimes happen and the cashier and employees claim that some errors are found in their payroll. The employees also report complaints. The semi-automated accounting system, as used by the Department of Trade and Industry, is simple, fast and flexible. Data is well-organized and consistent. Storage and accessibility of information is highly reliable and it provides complete and credible information. Using a semi-automated accounting system, reports are released and payroll is distributed on time. Employees support this claim by stating they...
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...Keynes’s theory about market equilibrium To explain briefly the main thing that John Maynard Keynes achieved as an economic theorist in his famous General Theory of Employment, Interest and Money (1936), let us consider first the tr aditional concept of market “equilibrium,” starting with theeveryday notion of the difference between a “buyer’s market” and a “seller’s market.” Bargains – the chance to buy things for lessthan you think they are worth – make for buyer’s market . An abundance of eager buyers (especially if they are affluent) makes for a seller’s market. “Equilibrium” would occur when there is neither a buyer’ s nor a seller ’ s market, i.e. when ( a ) the price(s) that sellerswould be perfectly happy to get and ( b ) the price(s) which buyers are happy to pay are the same, and so no haggling is needed. Youmight imagine that each day in the stock market (back in the old days when it was realistic to consider the stock market as a merelynational thing that closed down overnight), a temporary general equilibrium would be reflected in the prices posted at the end of the day. (And indeed the concept of general equilibrium in the market was invented, in the 1870s, by an economist alert to thatphenomenon.) But if you imagine that during the night some potential sellers and/or buyers must be eagerly awaiting the nextmorn ing because they think the closing prices show how they can profit by further dealing and wheeling, you can see that it’s not really...
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...A Report On Electricity and Magnetism- Source of alternative fuel in Transportation Contents S.No Topic Page 1. Introduction 3-4 2. Hybrid Power 4 3. Smoke free trains 4-5 4. Electricity and renewable fuel alternatives 5-6 5. Magnetism as source of power 6-7 6. Conclusion 7Introduction- In the modern era, Electricity is considered to be the most important and necessary resource in day to day life. People around the world are directly or indirectly dependent on this form of energy. Although it is very important source of energy but its overuse and misuse led to a critical issue of unavailability of it in many rural areas. The utility of electricity is numerous, in fact it is most common source of energy used in every appliances, equipments and machines in industries, households etc. In other words, we can call it to be the basis of livelihood in this world after air, water and food. The usage of electricity was primarily considered to be in household appliances and industries but after the introduction of electricity in the world of transportation, it became a remarkable breakthrough in the field of science and technology. It gave a vision of saving non renewable sources of energy such as coal and petrol for the transportation purpose and also helped to eliminate the problem of ever increasing release of toxic gases which are produced during the burning of coal and petrol. It is a serious matter of concern for the scientists...
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...Case study This paper will use a case study approach to explore the registered adult nurse’s role in the holistic care, in the first 24 hours, given to patient presenting with chest pain, caused by a myocardial infarction (MI). Using clinical guidance and evidence based research. The case study will use the ABCDE assessment framework. The resuscitation council (2006) recommends that nurses should follow the ABCDE method when assessing acutely and critically ill patients as it ensures nurses quickly and accurately identify acute illness and promptly begin management of the condition/ illness (Jevon, 2010). The aim of the assessment is to determine the cause of the chest pain efficiently and prioritise care needed. The main priorities were; pain control, informing appropriate medical staff and the nurse in charge, reperfusion of myocardial tissue, managing anxiety and monitoring for complications of MI and the effects of the treatment given. A MI occurs when a coronary artery becomes occluded, most commonly by a thrombus due to the rupture of an atherosclerotic artery which results in the necrosis of myocardial tissue because of the ischemia the thrombus causes (O’Neil, 1996). For the purpose of this case study and in order to protect confidentiality and anonymity the patient used will be fictitious and given a pseudonym. However the events the case study follows are very much a reality (Edwards, 2002). Case scenario Brian, a 64 year old male, was recovering...
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...Cell Division, Chromosomes, and Inheritance Worksheet Complete all four sections of this worksheet. Section I: Mitosis and Meiosis Part 1: Review the following images on mitosis and meiosis. [pic][pic][pic][pic][pic][pic] [pic] Part 2: Explain the events you observe in the pictures. The top picture is mitosis. The phases listed in order from left to right are: interphase, prophase, prometaphase, metaphase, anaphase, and telophase. During interphase the DNA is replicated and ready for entering of mitosis. During prophase the spindle fibers and centrioles start to move to opposite sides of the cell (2009). This is the longest phase. It is also in this stage that you can begin to see that there are two chromosomes attached together (double helix). In Prometaphase the chromosomes are attached to the spindle fibers and begin to move toward the metaphase plate region (2009). When the chromosomes are lined up it is called metaphase. During anaphase the chromosomes begin to separate into the sister chromatids and start to move toward the opposite poles. Finally in telophase the two sets of identical chromosomes are separated into two new cells. (2009). Web link: Mitosis and the Cell Cycle [Multimedia]. Retrieved from EBOOK COLLECTION: Klug, W. S., Cummings, M. R., Spencer, C. A., & Palladino, M. A., BIO 410 website. The bottom picture is meiosis. The same stages are present but since the amount of chromosomes has to be cut in half first there are...
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...1.Introduction Relational database design theory is mainly based on a class of constraints called Functional Dependencies (FDs).FDs are a generalization of keys. This theory defines when a relation is in normal form (e.g., in Third Normal Form or 3NF) for a given set of FDs. It is usually a sign of bad DB design if a schema contains relations that violate the normal form requirements. If a normal form is violated, data is stored redundantly, and information about different concepts is intermixed. To reduce the redundancy in a given relation we need to decompose it in two or more sub relations . Decomposition into highest normal forms required maintaining properties like loss less join decomposition and dependency preserving decomposition. To normalize a relation R we have to remove certain dependencies that exist in it like partial dependency& transitive dependency. Basic definitions 1.1 Functional dependency: In a given table, an attribute Y is said to have a functional dependency on a set of attributes X (written X → Y) if and only if each X value is associated with precisely one Y value. For example, in an "Employee" table that includes the attributes "Employee ID" and "Employee Date of Birth", the functional dependency {Employee ID} → {Employee Date of Birth} would hold. It follows from the previous two sentences that each {Employee ID} is associated with precisely one {Employee Date of Birth}. 1.2 Trivial functional dependency A trivial functional dependency...
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...the patient from the onset of their symptoms using the Airway, Breathing, Circulation, Disability framework. The planning and implementing of the care required and evalutaing constantly to ensure that the care provided is working and how I communicated with the relevent medical staff using the ISBAR tool of communication. The timeframe is over a 36 hour period from onset of symptoms to transfer. I will begin by giving a definition of Sepsis, discuss the ABCDE method of assessment and a brief background as to why the patient is in hospital as well as a brief past medical history. Sepsis, a potentially life-threatening complication of a localised infection, can rapidly lead to acute deterioration risking multi-organ failure and death. (Dellinger et al 2008) Sepsis is quite common and it is therefor imperative that every nurse on every ward be aware of the signs and symptoms of Sepsis and the appropriate measures to take to manage it should their patient become Spetic. Having an effective and proven assessment tool such as the ABCDE approach can help assess, treat and therefore improve the outcome for the patient who has become acutely ill (Troels et al 2012) The patient is a 69 year old female admitted to Rehab ward for management of chronic ulcers stemming from severe lower leg Oedma. This lady is morbidly obese and self caring had become an issue prior to admission. She has a number of health issues, she is Afib, has Hypertension, Non Insulin-dependent Diabetes Mellitus, Congestive...
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...This Assignment will focus on demonstrating patient care and to apply my knowledge into the theories and the decision making in caring for an acutely ill patient reflecting on my experience whilst practicing within my role as a health care assistant. I will use a reflective tool to assist in the reflective cycle using Gibbs (1988) ref – university of cumbria www.cumbria .ac.uk/public /liss/document/skills sat cumbria/reflective cycle) I will ensure that I comply with the Nursing and Midwifery council (NMC) in order to achieve this I will write in first person and all names and locations will be changed to protect identity. Ref (NMC 2015). Description My normal day started at 7.30 I was allocated to work in a bay alongside my colleague within my clinical area. An accurate handover of the clinical information was given in relevance to the patient’s continuity and safety of care. (Adams 2012). (Ref- Adams JM, Osbourne-Mckenzie T Advancing the evidence base for a standardized provider handover structure: using staff nurse description of information to deliver competent care. Journal of continuing Education in nursing 2012;43(6):261-6.) My case study is on a 59-year old lady( Appendix 1)who recently had been discharged after surgery on her left neck of femur fracture. This lady had been readmitted to our clinical area following her discharge due to signs of a UTI, fever and the wound site being very red and inflamed. Pam was showing all the signs and symptoms of a severe...
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...This essay will be divided into two parts, one will be focus on the aspects of communication while the second part will be concentrate on the nursing care. In both parts of this essay the focus will be on the same patient Mrs D Campbell which is not her real name. This is to make sure that the patient privacy and confidentiality will be maintain at all times. According with NHS England, confidentiality Policy, (2014) all members of the staff need to understand the safeguarding of patients confidentiality and respect their privacy concerning information. All information that recognise a patient identity must be avoid unless absolute necessary. The name of the ward in which this patient was admitted also will be change to “silver unit” which is a stroke and rehabilitation ward. In this place the staff is specialised in looking after individuals suffering from acute and chronic problems (strokes) as well as help them with their rehabilitation and social needs. Mrs D Campbell is an 82 years old widow from Jamaica, who lived in London for several years with his daughter and son in law, she was a very healthy independent person that was capable of doing everything by herself and also exercise very often. Mrs Campbell was admitted to silver ward with Left Middle Cerebral Artery Stroke (L MCA). In health settings such as hospitals it is indispensable that the health professionals like nurses, doctors, physiotherapies, health care assistants amount others understand the importance...
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...Radial etc. | Capillary Refill Time | Capillary Blood Glucose | Temperature site and method used | Psychological assessment | No airway risk | Asymmetrical chest movements | Quality of pulse volume | AVPU | Hypo/Hyperthermia | Social assessment | Adjuncts used | Wheeze | Blood Pressure | GCS | Rashes | Tracheostomy | Talking in full or short sentences, monsylabells | Skin Assessment | Pain Assessment | Wounds | Laryngectomy | Use of Accessory muscles | Cold, clammy, dry | Pressure Ulcer Risk Assessment | Last ate/drank | Cough- dry, productive | Urine Output | Analgesia – time given | Skin integrity and score | Peripheral/central cyanosis | Oxygen saturation | Peak Flow | Prescribed oxygen delivery | Chest drain insitu | | | ABCDE | No airway risk, Patent airway, Larygectomy/trachy, Adjuncts used, Obstructed fully/partialRR, rhythm, rate, depth, stridor, assymetrical chest movement, accessory muscles, cough, talking/not, o2sat/delivery (route), chest drain institu (bubbling or swinging), cyanosisHR, qualityof pulse volume(Force of blood being pumped out of d left ventricle, hitting the aortic arch), BP, skin assessment, cold & clammy, urine output (BP must be maintained above 80 for the kidney to function effectively), CRT (cappilary refill time) AVPU (if patient is only responding...
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...Mbps – High – Easy to install, Flexible, Good resistance, Inexpensive – Short length cable, Unsecure, Not good between building Coaxial (Thicknet) – 5 Km – 100 Mbps – High – Easy to install, Flexible, good resistance. Inexpensive – short length cable, unsecure, not good between buildings MMF – 2 km+ - 100 mbps – Medium- slow and does not travel as far as SMF SMF – 10 km+ - 1 GB – High – Travels fast and far 4.3.1 Htt[:/vskills.in/certification/;learning-resources/professional Ethernet=lan-media-and-cable-lengths 4.3.2 1-SMF – is the fastest and travels further distance 2- MMF – slower than SMF but not as slow as UTP and also travels far in distance 3 – UTP – the slowest but easy to install Tevis Ector 4.3.3 Clients ABCDE use CAT 3 UTP of CAT’s S1 to R1 should use CAT-5 because of speed R1 to R2 10 base 5 coaxial cable covers a distance of 500 m S2 to clients FGH use CAT-5 4.3.4 For the routers use 1000 base MMF/SMF 1 Gbps Use 10 g base 5MMF from client A through client H because the distance this cable needs is 25-82 m which is more than enough with bandwidth of 10Gbps 4.3.5 Cost plays a big role in this setting. I would use UTP cables which are non-expensive but, it will still give you the speed that will be needed to...
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...Head injuries are among the most common types of trauma encountered in emergency department (EDs). Many patients with severe brain injuries die before reaching a hospital, with almost 90% of prehospital trauma-related deaths involving brain injury. The prime goal of treatment for patients with suspected traumatic brain injuries (TBI) is to prevent secondary brain injury. Providing adequate oxygenation and maintaining blood pressure at a level that is sufficient to perfuse the brain are the most important ways to limit secondary brain damage and thereby improve the patient’s outcome. Subsequent to managing the ABCDEs, identification of a mass lesion that requires surgical evacuation is critical, and this is the best achieved by immediately obtaining a computed tomographic (CT) scan of the head. Obtaining CT scan should not delay transfer process to a trauma centre that is adept of immediate and definitive neurosurgical management....
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