...By the 1970s, the thought process behind ACL reconstruction took a more mechanical based approach. Doctors began to conduct strength testing on the various ligaments comprising the knee joint in order to better understand the respective roles of the ligaments involved (6), (7). Through the research published in The Journal of Bone and Joint Surgery by John Kennedy and Peter Flower, it was learned that the medial capsular ligament and tibial collateral ligament failed under rotational loading prior to failure of the ACL (7). Even though the results definitively suggested that ACL failure was induced by isolated trauma, the surgical advancements developed in the era were predicated around resolving the rotational instability of the...
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...Managing Mobility After a Total Knee Replacement November 15, 2011 INTRODUCTION In Kindred Rehabilitation, the patient had a total knee replacement due to osteoarthritis. Osteoarthritis causes degenerative changes, within the joints causing bone stiffening and reactive inflammation. My patient was admitted on 10/21/11 with osteoarthritis and a left total knee replacement. Her PT and INR were a concern because she had developed mild thrombocytopenia which resulted in the elevation and potential bleeding. The physician had to take her off of Lovenox and switch her to an oral anti-coagulant Xarelto at 10mg once daily. During her care I was educated by the interdisciplinary teams managing mobility, safety, and the more modern approaches with a total knee replacement. The purpose of this clinical summary paper is to discuss managing mobility after a total knee replacement. REVIEW OF RELATED LITERATURE In seeking out information on this topic, I used the Amarillo College Library Network and CINAHL database on campus and opened as many articles that I believed would aid in my research. The words I used for searching were: TKR, total knee care, and managing total knee replacement. The contributing factors gave me the articles that related to my patient that I had cared for in clinicals. These searches took me to the information that I was in need of for my paper. Turner’s (2011) primary focus was about care prior to surgery, during, post-operatively...
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...Unit 1 Research Paper 1 Injectable Tissue Engineering Brand Zae GS1140 Injectable Tissue Engineering Introduction Every year more than700,000 Americans undergo a form of joint replacement surgery. The procedure-in which a knee or a hip is replaced with an artificial implant-is highly invasive, and many patients delay said surgery for as long as they can. A doctor by the name of Jennifer Elisseeff , a biomedical engineer at Johns Hopkins University, hopes to change that with a simple and quick procedure that does away with surgery entirely. Dr. Elisseeff and her colleagues have developed a way to inject joints with specially designed mixtures of polymers, cells, and growth stimulators that solidify and form healthy tissue. This form of technology can eliminate the need for many expensive and dangerous surgeries. Surgeries involving muscle development, the cardio vascular system, and even limb repair after a traumatic incident. This form of technology can improve our health care system dramatically and open new windows of opportunity for new forms of medicine. Even the possibility for new cures for diseases that we currently fight every day such as cancer and possibly even HIV, eliminating the need for long and expensive treatments. As well as repairing worn or damaged tissue, this form of engineering can also be used in the future for growing new organs or limbs to replace old damaged or missing ones. If a patient is in need of a new heart...
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...I. INTRODUCTION The purpose of this paper is to analyze the financial performance of Johnson & Johnson. The analysis includes a brief background of the company, discussion over the economic outlook and market competition, followed by its financial performance, and article that talks about the company’s portfolio and credit ranking. Comments about the company’s future are also included along with the conclusion and references. II. BACKGROUND Johnson & Johnson Corporation was founded in 1886 by Robert Wood Johnson, an American entrepreneur and industrialist. Inspired by the developing scientific understanding of proper sanitation and germ theory, Johnson aimed to make antiseptic surgical procedures easier. Through numerous targeted acquisitions and research over the next century, the company steadily diversified its business to encompass pharmaceuticals, medical devices, and consumer packaged goods. Johnson & Johnson (J&J) is one of the largest healthcare firms in the world and one of the most diversified. Its operations are organized into three business segments: pharmaceutical, which generates 47 percent of revenues and 58 percent of operating profits; medical devices and diagnostics, which account for 36 percent of revenues and 31 percent of operating profits; and consumer, which contributes 17 percent of revenues and 11 percent of operating profits. J&J's pharmaceutical products include drugs for family planning, mental illness, nervous system diseases, gastroenterology...
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...How to perform a PM Service on a Semi-Tractor Steven H. Fudge ENG/222 July, 14 2015 Elaine Boyle How to perform a PM Service on a Semi-Tractor Table of Contents Page 1. Purpose 3 2. Safety 3 3. Research & Time Intervals 4 4. Engine 5-7 5. Transmission 8-9 6. Drivetrain 10 7. Suspension 11-13 8. Body and Frame 14-15 9. Paper Work 16 10. Final Inspection 17 11. References 18 Purpose The purpose of a PM Service on a Semi-Truck is to add longevity to the life of the vehicle. It allows the mechanic to fully inspect every component of the vehicle and make any necessary repairs as needed. This allows a safe and well maintained vehicle to transport any number of goods for a very long time. Safety Shut engine off! Lock and Tag if necessary! Chock wheels to prevent unintentional rolling of vehicle! Coolant and Oil may be extremely hot and under pressure! Low clearance under or around vehicle can cause injuries! Sharp objects may be present! Research & Time Intervals It is important to research the vehicle you are performing a PM Service on. Verify you have the proper filters, oil type, oil viscosity, and grease type so as to not cause damage to important components of the vehicle! Be sure that the service is performed within the scheduled time. A vehicle that does not get a PM Service at the recommended date can cause unnecessary failures...
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...essay. I knew going in to this exploratory research assignment that I would be challenged to think outside the box and ask problematic questions about relevant topics. I thought about it and decided to write my paper on something that is familiar to me. I wanted it to be about something that I am experiencing at this very moment. After reading through more and more of the assignment it occurred to me I had never really researched an issue like this. I’ve been listening to a lot of Politics lately and shocked to hear stuff about what is happening to our country. I then found the Embry Riddle Aeronautics University’s HUNTS library. I never knew anything about APA style writing and to be honest, at the beginning, it is a lot to learn in a very fast way, in a short period of time. I found myself questioning if I could even complete this assignment, let alone this course. I have never been one to give up though, at least not in this stage of my life. Anyway, since I did that HUNTS Library training online I thought, HEY! This could be useful to find good information about issues that I hold dear, issues that I believe are borderline and just about to go over the edge, into the never ending black hole of immorality. I could finally research my question in a “scholarly” way. That word is a new one to my vocabulary! Sometimes it is hard to get into the zone and just write. So after I find how useful the HUNTS Library is, I began my research. Since my question had to do with the future...
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...submission past 10 days results in an automatic 0% for coursework and the student will be barred from the final examination. B. Deliverables Students must submit all materials supporting their coursework listed in the deliverable section. ▪ The coursework must be done INDIVIDUALLY and must be entirely your own work. Please make sure that you are aware of the rules concerning plagiarism. If you are unclear about them, please consult your program coordinator/lecturer. ▪ The coursework should exhibit formal research skills i.e. with a table of content, proper citations, references, and appendixes. ▪ The coursework write up must be able to demonstrate critical analysis and application of both theory and practical issues to the company that you have selected. ▪ Student may include additional relevant data/information apart from the proposed guidelines in conjunction to your research. Additional marks will be awarded for such attempt. ▪ Your coursework should not be more than 2500 words. ▪...
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... Accounting plays a very significant role in the success of any business organization as it helps its users make decisions. Different accounting principles grew out of the divergent economic and social environments of various nations and regions. Difference among national accounting become more disconcerting when trade barriers between nations were reduced due to international cooperation developments. Efforts have increased during the past decade to move nations toward using international standards. The International Accounting Standards Board (IASB) is an organization that regulates the accounting standards which are accepted globally by almost all the countries in the world. This paper will first discuss the history of IASB. Next it will explain the structure of IASB. After that, the paper will talk about how International Financial Reporting Standards (IFRS) are created. Finally, it will describe the effort to converge IFRS with Generally Accepted Accounting Principles (GAAP). History of IASB International Accounting Standards Board was first known as International Accounting Standard Committee (IASC) which existed from 1973 to 2001. It was responsible for developing the International Accounting Standards (IASs) and promoting the use and application of these standards. After nearly 25 years of achievement, the IASC concluded that it must find a way to converge between national accounting standards and practices, and create high-quality global accounting standards...
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...CAM Therapeutic Modalities Paper In today's world, there are many treatment methods for the different ailments people encounter. Although traditional medical practices are the predominant choice among Americans, many also use complimentary or alternative medicine (CAM) to treat certain conditions. According to NCCAM Clearinghouse (n.d.), CAM is defined as "a group of diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine" (Defining CAM). In this paper alternative, complementary and integrative medicine will be defined and differentiated, and the role of conventional medicine in these medicines will be discussed. There will also be a comparison of the regulations and oversights in conventional and non-conventional medicine in the United States, a review of the CAM philosophy, and a description of the domains of therapies according to the NCCAM website. Finally, a CAM treatment modality within one of the domains will be described and evaluated. Alternative medicine is the use of CAM as a replacement for conventional medicine such as faith healing ("alternative medicine," 2014). Conventional medicine does not play a role in alternative medicine because the conventional methods are discarded for the alternative methods. "An example of an alternative therapy is using a special diet to treat cancer instead of undergoing surgery, radiation, or chemotherapy that has been recommended by a conventional doctor"...
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...SECTION C: GENERAL REQUIREMENTS TABLE OF CONTENTS TABLE OF CONTENTS 1 1.0 GENERAL 3 2.0 SCOPE OF WORKS 3 3.0 RULES, REGULATIONS AND STANDARDS 4 SECTION C: GENERAL REQUIREMENTS Clause Page 1. General 2 2. Scope of the Works 2 - 3 3. Rules, Regulations and Standards 3 - 4 4. Monitoring Defects of Building 5 5. Operation and Maintenance Works and Housekeeping Services 5 6. Consumables to be supplied by the Contractor and deemed to be included in the 6 Contract Sum 7. Operation and Maintenance Staff 6 - 8 8. Records and Reports 8 9. Workmanship 8 - 9 10. Equipment and Materials 9 11. Drawings and Technical Details 9 12. Operation and Maintenance Manual and Spare Parts Books 10 13. Access of E.R to the Works 10 14. Handover at the end of the Contract Period 10 15. Schedule of Rates 11 16. Certificate for Non Compliances 11 17. Health, Safety and Environmental Management 11 - 13 18. Building audit 13 19. Service level agreement and performance measurement 14 20. Documentation 20 1.0 GENERAL 1.1 The Contractor shall carry out the management, operation and maintenance of non-comprehensive maintenance of the Services as detailed in the Scope of Works below and in the Technical Specification of the tender document incorporating the specifications for the respective services for the Biotechnology Park in Nusajaya, Wilayah Iskandar, Johor Bharu, Johor. 2.0 SCOPE OF WORKS 2.1 The Contractor shall liaise with the relevant authorities,...
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...Rules ….…………...........................………………………………………………………….7 Analysis........................………………………………………………………………………..9 Conclusion….…………………………………………………………………………………11 References…………………………………………………………………………………….12 Introduction Plaintiff: Mr. Paul Boudreau; Counsel: Katherine A. Cotton Defendant: Professor Jimming Lin; Counsel: Daniel Mayo Defendant: University of Ottawa; Counsel: Kathryn Prud’ Homme The case between Mr. Paul Boudreau and Professor Jimming Lin took place in the Ontario Supreme Court (General Division) presided by Métivier J. The hearing was on the March 3, 4, and 5, 1997 while the judgement was rendered on August 20, 1997. The Judges opening remarks to the case:- The plaintiff, Mr. Boudreau, asserts that a paper he prepared for his University course was published by the defendant, Professor Lin, who is an employee of the University of Ottawa without his permission and acknowledgment as the author. The action is being brought forward as an infringement of copyright. Facts Paul Boudreau was employed by a high-tech firm, Nortel, where he was the head of the Operations...
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...automotive sector also has most auto suppliers located close to the manufacturing locations of OEMs, forming regional automotive clusters. Broadly, the three main clusters are centred around Chennai, Pune and the NCR. The Indian automotive component industry is highly fragmented. There are nearly 6,400 players in the sector, of which only about 6 per cent are organised and the remaining 94 per cent are small-scale, unorganized players. In terms of value added, however, the organised players account for nearly 77 percent of the output in the sector. The auto ancillary industry caters to three broad categories of the market: 1) Original equipment manufacturers (OEM) or vehicle manufacturers, that comprises of 25% total demand 2) Replacement market, that comprises 65% of the total demand 3) Export Market, that comprises primarily of international Tier I suppliers and constitutes 10% of total demand. The organized sector has about 425 firms who serve more than 20 big vehicle manufacturers. There are nearly 50 leading companies who account for a major share of the output. These companies have access to technology due to their tie-ups with some of the foreign collaborators. At present, there are nearly 450 foreign...
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...Globalization and Income Inequality in U.S. Globalization is the process of international integration, which the nation-states culturally, political, and economically interact with each other, creating a global society. Developing countries are modernizing, economies are constantly shifting, and technologies are advancing; however, as fascinating as globalization can be, it has several side effects. One of the key problems that is caused by globalization is income inequality between and within nations. The rich are getting richer and the lower class people are struggling to survive in this world. One example is the United States. Since the 1970s, its income inequality has been worsening, causing several major problems. This paper looks at US income inequality demonstrating the existence of this problem, the importance of addressing it, and the connection between such disparity and globalization, particularly economic and technological globalization. According to the data retrieved from the U.S. Census Bureau (See Appendix 2), it can be proved that income inequality exists. The real family data show that before 1975, all classes shared the prosperity, growing at a similar rate. Starting from 1973, the 95th Percentile (the level separating the 5 percent of the richest from the rest) rose at the same pace and increased approximately 60 percent; however, the growth of both the median (the level separating the half of the richer families from the other half) and the 20th Percentile...
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...Nursing Research Nursing is often incorrectly regarded as a subset of the medical profession; in reality, the profession of Nursing is a unique, distinct science with its own knowledge base and skillset. In accordance with the requirements of a scientific profession, there is a need for scholarly inquiry and nursing research in order to maintain autonomy and distinction of the Nursing perspective separate from other disciplines. An editorial published in the Journal of Nursing Scholarship noted that “the distinguishing feature of a profession is how its practitioners use knowledge to make a difference” (Hegyvary, 2007). The evidence generated by Nursing scholars influences global health initiatives and policy worldwide. The need for field wide scholarly inquiry, the application of rigorous scientific standards to research, and the importance of stringent ethical and legal protection for research subjects has been the subject of numerous articles, books, and papers. The Nursing Profession has a responsibility to engage in scholarly research for many reasons that will be discussed in depth within this paper. Importance of Nursing Research to the Nursing Profession As noted in the introduction, in order to maintain its status as a unique, autonomous profession, Nursing as a field must continually refine and expand its scientific knowledge base. The AACN position statement summarizes the importance of research to the profession by stating “The essence of a discipline is...
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...Medical Tourism Medical Tourism Introduction Medical tourism is the act of traveling to other countries to obtain medical, dental or cosmetic care. Medical tourism is a new term but thousands of years old act. People have been traveling across the continents in search of cures for any imaginable illnesses and making therapeutic trips for health wellness. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, Asklepios at Epidaurus, and from the 18th century wealthy Europeans have been traveling to spas from Germany to the Nile. In recent years, medical tourism is becoming more popular with patients seeking treatment for health and well-being purposes abroad. Medical Tourism is also known as Medical Travel, Health Tourism, Surgical Tourism, Health Travel, Treatment Abroad, Surgeries Abroad, and Medical Outsourcing. Medical Tourism Concerns Though many are eager to be the right pieces in the puzzle, many are still struggling to get the right fit. There are a number of concerns and risk factors for patients getting treatment much less seeking them abroad. Some concerns for patients include a consistent quality of care, lack of extensive dialog between the patient and the doctor, lack of post-op follow up, cultural differences and difficulty in obtaining sufficient insurance coverage. In order to mitigate the risk, it’s essential that the patient works with well reputed facilitators. Medical Tourism Accreditation ...
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