...Diabetes Simulation (DKA) Fall 2015 Preparation Questions 1. Describe the pathophysiologic changes in DKA. In DKA, insulin deficiency causes the body to metabolize amino acids and triglycerides for energy instead of glucose. This leads to the production of ketones which are acidic and cause metabolic acidosis. Hyperglycemia in DKA causes osmotic diuresis in kiidneys and ketones, water, Na, and K are excreted. 2. What are the commonly seen blood glucose levels? 70-130 is for normal non DKA, In DKA levels are 250-600+. 3. What fluid and electrolyte disturbances commonly occur and why? Hyperglycemia due to insulin deficiency causes an osmotic diuresis that leads to marked urinary losses of water and electrolytes. Urinary excretion of ketones causes additional losses of Na and K. If serum K is not monitored and replaced as needed, life-threatening hypokalemia may develop. 4. What acid-base disturbances commonly occur and why? Insulin deficiency causes the body to metabolize amino acids and triglycerides for energy instead of glucose. This leads to the production of ketones which are acidic and cause metabolic acidosis. 5. Describe the medical management and nursing management of a patient in DKA. Hydration – fluid replacement initially rapid 0.9% NS to restore fluid balance Insulin – rapid or short acting insulin IV to bring blood glucose below 250. Electrolytes – Na deficiency treated with 0.9% NS. Once fluid balance restored may switch to lactated ringers...
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...“To Autumn” It has been postulated that John Keats composed his poem, “To Autumn” after a stroll he had on an autumnal evening near the town of Winchester in Hampshire England. This poem is an ode in which Keats adeptly uses formal language, highly vivid and effective images along with the use of personification to describe three different aspects of autumn: its fruitfulness, its labour and its ultimate decline. Undoubtedly, Keats poem, “To Autumn” is a subtle and sophisticated one. Evidently, the title of the poem is different from that of other odes. Normally, an ode’s title begins with, “Ode to…” which provides a hint to certain characteristics of an ode; that is, being dignified and serious. However, the title of Keats, “To Autumn” suggests a less formal form of poetry and hints at intimacy. The level of intimacy is evident especially in the first stanza of the poem in which the sun and autumn is seen conspiring to bring about fruitfulness. Additionally, on the surface the poem seems like a mere description of the main characteristics of autumn’s human and animal activities, but can be interpreted as much more than that. Keats “To Autumn” consists of three stanzas corresponding to the classical divisions of strophe, antistrophe and epode. Each of the stanzas has eleven lines with variable rhyme scheme. The first stanza has a pattern of ABABCDEDCCE, while the second and third stanzas have a pattern of, ABABCDECDDE. However, there is uniformity in the first four lines of...
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...2056 TA S TAT E B A N K O F I N D I A RECRUITMENT OF PROBATIONARY OFFICERS IN STATE BANK OF INDIA (DATE OF WRITTEN EXAM : 28.04.2013) INFORMATION HANDOUT Central Recruitment and Promotion Dept., Corporate Centre, Tulsiani Chambers, 1st Floor, ( West Wing), 212, Free Press Journal Marg, Nariman Point - Mumbai 400 021. INTRODUCTION This Booklet gives you detailed information about the objective type Competitive examination for recruitment of Probationary Officers in State Bank of India. This post was advertised in the Employment News/Rozgar Samachar issue dated 9-15 February, 2013 and on the Bank’s website www.statebankofindia.com and www.sbi.co.in. The terms and conditions, period of probation, emoluments etc. were given in the advertisement. You should ensure that you are eligible in respect of age, educational qualification, nationality as stipulated in the advertisement. Details of tests are given ahead in the booklet. 1. 2. 3. GENERAL INSTRUCTIONS Particulars to be Noted : Please note carefully your Roll Number, Registration Number, date, time and venue for the examination given in the call letter. Punctuality in Attendance : Candidates should be present at the examination hall at the time given in the call letter. Candidates arriving late will not be permitted to enter the Examination Hall. Call letter to be Surrendered : Affix firmly a copy of your recent passport size photograph in the space provided for it in the call letter and bring it with you alongwith...
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...following on social networks and life satisfaction. Two different studies were conducted. The first studied the scale, scope, and nature of envious emotions related to Facebook use. The second study observed the role of envy and how it affects passive following on FB and life satisfaction. 584 Facebook users took online surveys, answering questions regarding emotions experienced while on and after using Facebook. Researchers asked open and closed-ended questions. The first question asked participants how they felt after they used Facebook. Researchers found that 46% of the sample reported positive feelings and the majority of negative emotions (36.9%) were boredom, anger, frustration. Envy was at the bottom of the list with only 1.2% of users admitting to it. The experimenters believed that people were reluctant to admit to being envious as it is socially unacceptable to envy others. The second question was asked as a general question rather than a direct question; what causes others to feel frustration on Facebook? Envy was the most frequent answer as 30% of the sample attributed envy as the cause of other people’s frustration. Question three was also worded as a general inquiry; what causes other people to feel envy on Facebook? Travel and leisure posts were linked to envy on FB (56.3%), social interaction was the second highest at 14.1%. The study found that envy is the mediator between...
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...Presentation: 1. Strategy – understanding your audience and its needs. 2. Structure – preparing your content. 3. Support – making sure you have sufficient evidence. 4. Style – delivering the material confidently and appropriately. 5. Supplement – calming the nerves by being well prepared for key questions and arguments. Formulate Your Strategy common purposes include: To motivate. To inform. To persuade. To demonstrate. To teach. Action: Think about a situation where you have in the past (or might in the future) needed to present to people, persuading them to take a specific action. Fill in the Presentation Strategy Triangle on the next page. answer these questions: What is the subject of the presentation? Write the subject in one sentence or less. What is the general purpose of the presentation? Is it to persuade, inform, teach, motivate? What is your specific purpose? Use the following questions to guide you: What do you want the audience to learn? What behaviors or attitudes do you want the audience to adopt? How do you want the audience to feel afterwards? What are the next steps once the presentation is finished? Also, when you answer these questions, think about your audience: Who are they? What are their skills, and how do you think they’d want information presented to them? Are they likely to like or dislike statistics, formulae, pictures, quotes, processes, diagrams, cartoons…? What do they passionately care about,...
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...To begin with Willy is not successful yet he embodies his definition of success. For example on page 57 when Linda is telling her boys how irresponsible they are she says, “He (Willy) has to go to Charley and borrow fifty dollars a week and pretend to me that’s his pay for the week.” This quote explains how Willy is not successful and deep down, he know it. Willy believes success is based off of how well you are liked and he is well liked in general terms, but this quote from the book clearly shows that Willy is not successful yet he is “well-liked.” Another example that suggests the thought that being “well-liked” does not get you places is Bernard. He is not well-liked yet he is the more successful one in the book. On page 33 when Willy is talking to his boys outside he asks, “Bernard is not well liked?” His boys tell him that he is not and Willy follows up with, “Bernard can get the best marks in school, y’understand, but when he gets out in the business world, y’understand, you are going to be five times ahead of him.” Willy is telling his boys here that since they’re well liked they will succeed because that is the only way one can be successful. This is an incorrect thought because Bernard is not “well-liked” yet he is currently smarter and more achieved. In opposition to these, one could argue that on page 33 Willy is saying how his boys will be more successful than Bernard in the business world. On page 22 when Biff and Happy are reminiscing Biff states his happiness...
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...We all know love. We have all loved in some kind of way. We love our parents, significant others and even our friends. But we can also love other things like animals or material things. But what is the difference between loving and liking? And is it better not to love and feel pain or to love and be hurt in the progress? Jonathan Franzen seeks to answer these questions in his essay “Liking Is for Cowards. Go for What Hurts”. The essay “Liking Is for Cowards. Go for What Hurts” is, as mentioned, written by Jonathan Franzen and published in The New York Times, May 28, 2011. Jonathan Franzen is born in 1959, and he is an acclaimed American novelist and essayist. The essay is based on the commencement speech he delivered at Kenyon College in Ohio, USA. “Our technology has become extremely adept in creating products that correspond to our fantasy ideal of an erotic relationship, in which the beloved object asks for nothing and gives everything, instantly. (…)” As Franzen claims in his essay, many people can feel like they love their technological object. It gives them a satisfaction, which human interaction maybe wouldn’t. Franzen however thinks, that people in general don’t love material things: they like them. There is a major difference between loving and liking – even though it might appear small. “Liking, in general, is commercial culture’s substitute for loving.” Products are made to be likeable, but if that concept in transferred to a person, you would instantly see...
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...surrounding area as the focus for your paper, and ask who is the individual there who holds the position you wish to research. 3. Identify an appropriate individual; (not a relative, a professor or another student) who holds an HR position with responsibilities in the area you are researching. Don't be timid about asking - companies are usually very receptive to students. Schedule a 20-30 minute interview with them. Don't wait until the last minute for this - interviews sometimes must be rearranged to accommodate travel schedules, emergencies and other priorities - give yourself plenty of leeway! 4. Develop appropriate interview questions. The questions must be in written form and a copy of your questions will need to be attached to your paper as an appendix. You'll probably want to read up on your subject before you formulate the questions. Many of your questions should center around the career path that the individual has followed to get them to their current position and the duties that make up their day. 5. Conduct your interview with your subject, and analyze your interview results, comparing the information you obtained to the expectations you had going into the interview. 6. Prepare a typed, double-spaced paper (no less than five full 12 font pages and no more than seven)...
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...Checkpoint Week Two Incident 2-2: Bad Times at Quality Shoe I think that Mack’s approach to the problem seems like he is asking Ralph and the other 16 employees to come up with ideas so that he doesn’t have to worry about what could be done. He should be there at the meetings that Ralph and the other employees have so that he can answer any questions they may have. Also he could do some brainstorming with them to help come up with ideas too. It would be a great comfort to Ralph and the other employees knowing that Mack is there to help and answer any questions that might arise. It would give them moral support in a way that it would show them that Mack is really trying to help and not put his job off on Ralph. If it were me I would call the employees together and hold a meeting like Mack wants. The only difference is that I would attend the meeting so that I could give my own ideas and so that the employees could ask me questions. Together we could come up with ideas so that the company might see that they would not have to lay off people at that time. We could present the idea that there could be pay cuts or some procedures that the company does might be discontinued if they are not necessary. If Mack doesn’t think that any of the ideas that the group come up with are not of any use, then I believe I would cut production by seniority. Employees seem to go with that idea better than any because they understand that they were hired last and the...
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...com/solutions/sapbusinessobjects/customers/index.epx. Now this site deals solely with SAP Business objects. Here my objective is to choose between one and three of these solutions of a module and create a 2-3 page report on. A few of the questions that I will briefly but clearly explain are what do I think of the purpose of the tool represented? What do I think can be learned from these tools? In what situations do I think these too would be useful? How can or could I apply these tools in my organization, career, or personal life? And last but not least my overall evaluation of the tools mentioned? Purpose The purpose of the SAP business object is for the NCIS is to have the opportunity to track all criminal activity in real time, identify crime trends, and allocate resources effectively. NCIS also uses this software to report to the U.S. Congress and justify funding. The next question asked was what I learned from these tools? A few of the items that I learned that I thought could not be possible was how amazing how this tool provided NCIS the opportunity to become proactive. NCIS went from solving crimes to actually preventing, investigating and solving them before they actually happen. The other question that I was asked to discuss was how I think that this tool would be useful. According to Ofelia Perotti, who is a analytical cell division chief at NCIS. She states within this article that “Congress allocates...
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...Julia’s Food Booth Kenneth W. Dayton Strayer University 11/25/2011 Math 540 Quantitative Reasoning Julia Robertson is a senior at Tech University and wants to find a way to make extra money to finance her final year at school. She is considering leasing a food booth outside the Tech stadium during home football games. Julia knows the games sell out and the crowd eats a lot of food. Julia has spoken with Ken a consultant and has agreed to investigate her leasing a food booth. Ken will look at the following items to determine if it is a good decision. The first item is creating an L.P. model (linear progression) to help understand the constraints and how to maximize her profit. Julia was asking if she should borrow money from a friend so this will also be evaluated. Julia wants to hire friend to help her with the booth and she is uncertain about the impact of the model. By looking at the L.P. model Ken can determine her best course of action and if she should lease the booth. The first step is to create the L.P. model to determine an objective function. The objective function ken determines to use is Max Z= .75p+1.05h+1.35b which can be done by looking at the information available such as items being sold, how much those items cost Julia to buy, how much she plans to sell each item for, looking at how one item can sell as much as or more than another item. Julia wants to sell Pizza, Hot Dogs, and Bar-B-Q sandwiches. Julia is going to have a Pizza company deliver a 14 inch...
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...online. They immediately were intrigued by this and started asking questions. Is it harder online? “No,” it’s easy. You just have to have a routine. Everything is done in weekly blocks. There is a calendar that shows exactly what assignments need to be done within the week. You see all the course materials, and even an online library. There is no need to even buy textbooks. How does the assignments work? All the assignments are accomplished through “Forums,” similar to Blogs. The teacher posts a discussion questions and other assignments in the forum. All the classmates respond to the discussion questions and you receive feedback from the other students. All the responses thread onto each other creating what is called, “Threaded Discussion”. Are your conversations Live? “Well,” Probably not, but it is possible. What is great about forums is I can post my responses at anytime of the day from any computer. All the students post their assignments and Discussion Questions when they find it convenient for them, just as long as they are not late turning in their assignments. This is called, “Asynchronous Communication” How do you have time for school? The flexibility of this Asynchronous Communication allows time to do all the other thinks I need to do. The assignments are not too hard and do not take that much time. What do you do if there is a question you need answered? I can post a Question for the teacher in my private forum called, “Individual forum”...
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...“Problems to solve by lucy kellaway & the Financial Times” Do I have to invite co-workers to my wedding? This is a very interesting question. When you see it if no one asks you to think about it one is likely to think “what a stupid question, that has an obvious answer”, but you would be wrong. A person that works in a company will most likely spend more time there then at home. It shouldn't be to much of a predicament if the person holding the wedding gets is friends with everyone at work, which might happen if you work for a small company, and the work space consists of a small work force. What if you don’t like some one in your work place? or even if one feels that the time they spend with their colleagues is more then enough? It really depends on the person who is about to take the ultimate step in a relationship. One can invite everyone and just have to deal with those who are not to their liking, which will prevent any future resentments. One can invite just the ones they get along with, this with the notion that others will find out about the happening, and might result in future quarrels in the future. A politically correct approach can be taken by not inviting their co-workers to the wedding using the expenses as an excuse. As a person that has never worked in an office environment, and hasn’t even pondered on the idea of getting engaged, it is hard to considered the approach that I would take. Based on school environment birthdays, I believe if I was eccomicly...
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...Lawyers are Made not Born by: Kristina C. de Vera To enter Law school is probably one of the toughest decisions one will ever make. First thing that come to our minds when we thought of studying Law is its difficulty. Frequently asked question for law students is “Is it really hard?” The answer would always be a YES but it’s fun. Actually it’s more exciting than you’ll ever think. The set-up is entirely different to what we used to during our College years, with the Socratic mode of teaching in law school, where the professors asks you a series of questions that help you to further understand the law and will help you get away with its ambiguity for the law is ambiguous and we have to accept that. At first, you’ll be nervous and that’s for sure. Be sure not to come to class unprepared because once you are called to recite you are like a salami being sliced by professors asking you questions you either don’t understand nor read or heard before. Studying law is not that facile, and we all know that. There were times that you need to suffer sleepless nights studying statutes, digesting cases and reading more than two books just to understand a single provision of the law. Sometimes it may seem that understanding reasons behind each provisions and jurisprudence never fail to make things difficult but when you learn to enjoy what you are...
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...Reasons why a person might consider data or information to lack validity, credibility, or reliability depends on what type of data it is. One reason would be what method was used to collect the information. Is the data accurately represented to what it is claiming? An example would be if 400 people were surveyed on a college campus about alcohol use. How would a person know if those 400 people are representative of the college itself? Are these people in an equal proportion to the social economic status, age, race, academic interest, religion, and employment to the entire college campus? This is not likely. Also, a person should look precisely at the questions that have been asked and the questions that have not been asked. A person might have a problem if you ask people if they are drinking and driving and not asking if they have a driver’s license or not. Also, look at who has done the collecting of the data or information. Does this person have a lot of interest to the outcome to the data that has been collected? An example would be a person collecting data on a project that they have little interest in. By not having much interest in the project they are not going to put much effort behind finding the best data that is validated, credible, and reliable. Does this person also have the training and education need to interpret the data that they have collected? If a person doesn’t have the right training or education then they might not know how to put the data they have gather...
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