...N435 Virtual Family Health Assessment Project Winona State University Family Structure and History: "Tom" is a 44 year old male with a 42 year old wife and a 13 year old son. Tom, his wife and son are Caucasian, with Tom's parents being first-generation German immigrants. His father died from a CVA at 72, and Tom's only sibling died in a motor vehicle accident. His mother-in-law died at age 64 from ovarian cancer. Tom's mother and father-in-law are retired and in overall good health. His brother-in-law works as a carpenter and has no pressing health concerns. Tom's mother lives in a ground floor apartment of their home, which is built on a farm owned by his father-in-law. There are thus 5 people in Tom's immediate family. Tom works as a welder in a local manufactory, and his wife is employed by the county as a court stenographer. Tom's 13 year old son attends public school in the 7th grade. Father (CVA) Mother Father-in-law Mother-in-law (Ov. CA) Brother (MVA) MAIN "Tom" Wife Brother-in-law AFIB, DM II Son "Tom" (Primary Patient) Health Issues Atrial...
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...Following a July 1940 conference in Kiel, the Abwehr (German intelligence) launched an espionage campaign against Britain involving both intelligence gathering and sabotage. The spies were sent over from Europe in various ways; some parachuted or came off a submarine. Others entered the country on false passports, or posing as refugees.[2] Public perception in Britain at that time was that the country was full of well trained German spies who were deeply integrated into society. There was widespread, as Churchill put it, "spy-mania". The truth was that between September and November 1940 fewer than twenty five agents arrived in the country; mostly of Eastern European extraction, badly trained and poorly motivated.[2] The agents were not difficult to spot - a task made still easier by the cracking of the German's Enigma encryption. MI5, with advance warning of infiltration, had no trouble picking up almost all of the spies sent to the country. Writing in 1972, John C. Masterman (who would later head the Twenty Committee) said that by 1941 MI5 "actively ran and controlled the German espionage system in [the United Kingdom]." It was not an idle boast; post-war records confirmed that none of the Abwehr agents, bar one who committed suicide, went unnoticed.[2][3] Once caught, the spies were deposited in the care of Lieutenant Colonel Robin Stephens at Camp 020 (Latchmere House, Richmond).[4][Note 1] After Stephens, a notorious and brilliant interrogator, had picked apart...
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...staff on topics such as sexual harassment in the American and German restaurants etiquette, larger errors in business practice and management settings remain unchanged. So both brands could contain preserved different cultural class: • James Holden, the President of Chrysler from September 1999 to November 2000 described what he saw as "married up, marry down" phenomenon. "Mercedes, perceived as a fantasy, a particular brand, and Chrysler, Dodge, Plymouth and...
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...‘Made in St Petersburg’. Discuss this assessment of the outbreak of general European war in 1914. The spark that led directly to the outbreak of war was the assassination of the Austrian Archduke Franz Ferdinand in Sarajevo on 28 June 1914. The events that took place in Europe prior to 1914 have to be focused upon as being pivotal motives in the outbreak of war. Russia deeply influenced and played a key role in the outbreak of World War One, but it is difficult to say she was the sole cause. The different alliance groups, Nationalism, economic stability, domestic tensions and the divergent Foreign Policies in the Central European countries were collectively the reasons that brought about a general European war. Russia’s history preceding 1914 constituted to the decision making of the July Crisis. The Russo-Japanese war of 1904 left Russia defeated and powerless both economically and militarily. [1]‘Russia suffered 400,000 casualties, lost two of its three fleets and denuded its western frontier fortifications of troops and armaments.’ The defeat to Japan caused Russia a major embarrassment and Russia was intent on building up her military strength for the countries social security. By 1910 the ‘Small Program’ followed by the 1913 launch of the ‘Great Program’ enabled Russia to add additional spending to the army and military but Russia’s military strength still lacked its initial power. World War One may have been a way in for Russia to regain her losses...
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...Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/camh20 Life-review therapy with computer supplements for depression in the elderly: A randomized controlled trial Barbara Preschl , Andreas Maercker , Birgit Wagner , Simon Forstmeier , Rosa M. Baños a c d a a b a , Mariano Alcañiz , Diana Castilla & Cristina Botella e f d f Department of Psychopathology and Clinical Intervention , University of Zurich , Zurich , Switzerland b Clinic for Psychotherapy and Psychosomatic Medicine, University Hospital Leipzig, Leipzig , Germany c Departamento Personalidad, Evaluación y Tratamientos Psicológicos , Universidad de Valencia , Valencia , Spain d e f CIBER Fisiopatología Obesidad y Nutrición (CB06/03), Instituto Carlos III , Spain LabHuman , Universidad Politécnica de Valencia , Valencia , Spain Departamento de Psicología Básica , Clinica y Psicobiología, Universitat Jaume I , Castellón , Spain Published online: 13 Jul 2012. To cite this article: Barbara Preschl , Andreas Maercker , Birgit Wagner , Simon Forstmeier , Rosa M. Baños , Mariano Alcañiz , Diana Castilla & Cristina Botella (2012) Life-review therapy with computer supplements for depression in the elderly: A randomized controlled trial, Aging & Mental Health, 16:8, 964-974, DOI: 10.1080/13607863.2012.702726 To link to this article: http://dx.doi.org/10.1080/13607863.2012.702726 PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes...
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...Susan Parkinson HEA3004 SEDATION PRACTICE IN CRITICAL CARE The Department of Health (DoH), 2011 published statistics derived from a bi-annual census of adult critical care beds in The United Kingdom. The results show that on the census day 2,075 intensive care beds were occupied by level 3 patients, defined by The Comprehensive Critical Care document (DoH, 2000) as ‘patients who need advance/basic respiratory support and other organ support and complex care for multi organ failure’. Due to the complexity of patient’s illnesses at this level in a critical care setting (DoH, 2000) most patients who require sedation, defined as a ‘drug –induced depression of the level of consciousness.’ (The British Society of Gastroenterology, 2003), are often ventilated via an endotracheal tube, to promote effective ventilation and tube tolerance, (Rowe and Fletcher 2008), and to relieve anxiety, pain and to promote comfort and sleep’ (Punn and Dunn, 2007). It is widely acknowledged that the practice of sedation within this area can be complex and difficult and there are many different elements to be considered, (Woodrow, 2006). During the care management of critically ill patient’s sedative and opioid medications are often a typical part of care, (Jacobi et al., 2002) This is mainly to improve comfort and to assist mechanical ventilation, but also to minimise physical and psychological stress, (Woodrow, 2006), however Bray et al., 2004, argues that ‘sedative drugs can be seen as a chemical...
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...The Health Care reform bill has the creation of an Institute for Comparative Effectiveness as a key component with the hope of improving quality and reducing health care costs. The institute would have the authority to make official determinations of the clinical effectiveness and cost-effectiveness of medical treatments, procedures, drugs, and medical devices. President Obama's initial nominee as Secretary of Health and Human Services (HHS), former Senator Tom Daschle (D-SD), has likewise proposed the creation of a supremely powerful Federal Health Board, which would have similar authority to make decisions that would be binding on health plans and providers financed by federal taxpayers, and potentially on private health insurance coverage.[2] While Senator Daschle has withdrawn his name from Senate consideration, the concept of such a board or institute is strongly indicative of the Obama Administration's policy orientation toward centralized health policy decision-making. Last year, congress has passed the American Recovery and Reinvestment Act (H.R. 1, which would establish a Federal Coordinating Council for Comparative Effectiveness Research. The bill provides $1.1 billion for the new council and delegate spending authority to the HHS Secretary to investigate the effectiveness of different drugs and medical devices.[3] Of course, there is no reason why anyone should not have access to information on what works and what doesn't. There is no reason...
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...The Cold War Whodunit? Different views regarding the post war world order caused the Soviet Union and their leader, Joseph Stalin, to have conflicts with their allies (United State and Great Britain) after World War II. During the Second World War, the Allies had the common objective of defeating Nazi Germany and their ruthless leader, Adolf Hitler. Once the war was over, their difference in ideology led to Cold War which lasted much longer than World War II and it had a large impact on the economic, political, and cultural landscape of the world. The debate on who is responsible for the start of the Cold War has been debated for many years and is very complex. The Iron Curtain Speech by Winston Churchill plays a key role for future actions taken by the United States. The introduction of the Truman Doctrine is an example of a reactionary measure undertaken by the Allies that may not have occurred if Churchill did not give his famous speech. This essay will argue that the actions taken by the Western Allies between 1945 and 1948, albeit aggressive, were merely reactive, precautionary and preventative measures in response to the aggressive actions already taken by the Soviet Union. The outbreak of the Cold War can be tied to the aggressive nature of the Soviet’s actions behind the “Iron Curtain”, not the reactive, aggressive measures taken by the remaining Western Allies. The Iron Curtain Speech given by former British Prime Minister Winston Churchill was a warning to the United...
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...The crusade notes By: Travis Finney Date: 4-8-13 Decline of Byzantium * Muslim saliqus won an important victory at manzikert in 1071. Byzantium factions then turned on each other in civil war allowing the saliqus almost free rein in Anatolia. * The Byzantium emperor asked Pope Urban 11 to help him against the Muslim’s. Pope Urban 11 * Urban’s speech would help launch the first of several crusades. Reasons for the crusades * The Pope hoped to unite the entire eastern Mediterranean and the divided Christian faith under the banner of the Latin Church. * Italy with large navies supported the crusades for commercial gains and trading routes. * The Byzantine Empire was in severe decline and no longer could act as a butler between the Muslim east and the Catholic west. * Christian pilgrims visiting the holy sites in Jerusalem began experiencing increased harassment and danger. The First Crusade * The word “Crusade” comes from the Spanish Crusade which means “marked with the cross” * The first Crusaders met the Muslim forces and won victories at Nicaea on June 19, 1097 and Anita on June 3, 1098. * By June 7, 1099 after a three year campaign 12,000 of the original 30,000 crusaders reached Jerusalem. * On July 15, the crusaders went over the city walls and unleashed unbridled carnage. Moslem counter attack * Most of all the crusaders returned to Europe after freeing Jerusalem creating a manpower shortage. * Moslem...
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...General Certificate of Secondary Education 1 General Certificate of Secondary Education The General Certificate of Secondary Education (GCSE) is an academic qualification awarded in a specified subject, generally taken in a number of subjects by students aged 14–16 in secondary education in England, Wales and Northern Ireland and is equivalent to a Level 2 (A*- C) and Level 1 (D- G) in Key Skills. (In Scotland, the equivalent is the Standard Grade.) Some students may decide to take one or more GCSEs before or afterwards; people may apply for GCSEs at any point either internally through an institution or externally. The education systems of other British territories, such as Gibraltar,[1] and the former British dominion of South Africa, also use the qualifications, as supplied by the same examination boards. The International version of the GCSE is the IGCSE, which can be taken anywhere in the world, and which includes additional options, for example relating to coursework and the language used. When GCSEs are taken by students in secondary education, they can often be combined with other qualifications, such as the Business And Technology Education Council (BTEC), the Diploma in Digital Applications (DiDA), or diplomas. Education to GCSE level is often required of students who study for the International Baccalaureate or to GCE Advanced Level (A-level). GCSE exams were introduced as the compulsory school-leavers' examinations in the late 1980s (the first exams being taken...
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...deliberate attacks (pogroms) yet have managed to survive as a group and as a religion. * Nazi policy towards the Jews was the most brutal and horrific example of anti-Semitic behaviour in history * Nazis developed a deliberate policy to kill the Hews who lived in Germany — In 1922, 60% of the worl’d’s population of Jews occupied land in German and its area. By 1945, 2/3 of the Jewish population had been killed * By the 19th Century: German-Jews had won greater acceptance in that they made very important contributions to the intellectual, financial, educational and cultural life of the nation. * During WW1, 100 000 Jewish soldiers died during the conflict. * In the Weimar Republic, Jews enjoyed equal rights with all other Germans and some even rose to high positions in the civil service and the government. * Late 19th Century: Jews represented a challenge to the concept of the nationalism, especially when there was a development of the Volkisch movement. * Bt the start of the 20th Century, ideology of the racially pure was being embraced by all, and the Jews were not part of it. * German Historian Heinrich von Treitschke in the 1880’s said that ‘The Jews are our misfortune’ — A quote which was quickly adapted by the Nazis in the 1930s * Hitlers hatred of the Jews was at the heart of his view of the world — an ‘obsession’ that never waned * In Hitlers view, civilisation and nations decline when they failed to maintain...
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...physical characteristics that occur in the course of a day (circadian is Latin for "around a day"). Most circadian rhythms are controlled by the body's biological "clock." This clock, called the suprachiasmatic nucleus or SCN, a pair of pinhead-sized brain structures that together contain about 20,000 neurons. The SCN rests in a part of the brain called the hypothalamus, just above the point where the optic nerves cross. Light that reaches photoreceptors in the retina (tissue at the back of the eye) creates signals that travel along the optic nerve to the SCN. Signals from the SCN travel to several brain regions, including the pineal gland, which responds to light-induced signals by switching off production of the hormone melatonin. The body's level of melatonin normally increases after darkness falls, making people feel drowsy. The SCN is synchronized with the sleep/wake cycle, including body temperature, hormone secretion, urine production, and changes in blood pressure. Sunlight or other bright lights can reset the SCN, our biological cycles normally follow the 24-hour cycle of the sun, rather than our innate cycle. Circadian rhythms can be affected to some degree by almost any kind of external time cue, such as the beeping of your alarm clock, the clatter of a garbage truck, or the timing of your meals. Scientists call external time cues zeitgebers (German for "time givers"). Circadian rhythms is the sleep/wake cycle. Chronic circadian rhythm sleep disorders are internal abnormalities...
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...TRANSLATION QUALITY ASSESSMENT Translation quality assessment has become one of the key issues in translation studies. This comprehensive and up-to-date treatment of translation evaluation makes explicit the grounds of judging the worth of a translation and emphasizes that translation is, at its core, a linguistic operation. Written by the author of the world’s best known model of translation quality assessment, Juliane House, this book provides an overview of relevant contemporary interdisciplinary research on translation, intercultural communication and globalization, and corpus and psycho- and neuro-linguistic studies. House acknowledges the importance of the socio-cultural and situational contexts in which texts are embedded, and which need to be analysed when they are transferred through space and time in acts of translation, at the same time highlighting the linguistic nature of translation. The text includes a newly revised and presented model of translation quality assessment which, like its predecessors, relies on detailed textual and culturally informed contextual analysis and comparison. The test cases also show that there are two steps in translation evaluation: firstly, analysis, description and explanation; secondly, judgements of value, socio-cultural relevance and appropriateness. The second is futile without the first: to judge is easy, to understand less so. Translation Quality Assessment is an invaluable resource for students and researchers...
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...History 5 Government 10 Economy 12 Industry 15 Educational System 20 Famous Historical Germans 23 Culture 25 Landshut 29 References...
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... . . . . . . . . . . . . . . . . . .3 History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Economy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Industry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Educational System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Famous Historical Germans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 Landshut . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Geography Located in north Central Europe, Germany is one of the continent’s largest and most populated nations. Germany border is made up of 9 neighboring European countries and also includes northern sea borders contained by...
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