...Influence is unavoidable; our reality is not of our own making Like a game, reality is dependent on a set of mutual laws and expectations rule-makers agree upon and there are penalties for those who go against the expectations of the majority such as the loss of a “life” or “game over”. Some have a lot invested in the game- wealth, time, effort, goals. Others see it for what it is; a projection of our imagination with a subjective sense of meaning. This game of life is far more complex than any board game like Chess or Monopoly because it represents a reality that offers greater levels of intricacy than which merely mimics or replicates an aspect or semblance of life itself. Reality is transient. Reality is determined through the consensus of the majority and therefore is subject to change when the consensus changes, as happened over five hundred years ago when people began to realise that the then dominant view of the universe as geocentric as flawed. However, such change in the paradigm is inevitably accompanied by conflict as society divides between those who wish to protect the status quo, such as the Catholic Church which attempted to suppress the discoveries of scientists like Galileo, whilst others, like Shakespeare, welcomed new thoughts as shown in the naming of his theatre as ‘The Globe’ built in 1599. Shakespeare was a humanist who explored the exciting new possibilities presented by the rise of science in his society, and in his play As You Like It, Shakespeare...
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...9. Recurrent and Transient States 9.1 Definitions (n) 9.2 Relations between fi and pii 9.3 Limiting Theorems for Generating Functions 9.4 Applications to Markov Chains (n) 9.5 Relations Between fij and pij 9.6 Periodic Processes 9.7 Closed Sets 9.8 Decomposition Theorem 9.9 Remarks on Finite Chains 9.10 Perron-Frobenius Theorem 9.11 Determining Recurrence and Transience when Number of States is Infinite 9.12 Revisiting Statistical Equilibrium 9.13 Appendix. Limit Theorems for Generating Functions 304 9.1 Definitions Define (n) fii = P {Xn = i, X1 = i, . . . , Xn−1 = i|X0 = i} = Probability of first recurrence to i is at the nth step. ∞ (n) fi = fii = fii = Prob. of recurrence to i. n=1 Def. A state i is recurrent if fi = 1. Def. A state i is transient if fi < 1. Define Ti = Time for first visit to i given X0 = 1. This is the same as Time to first visit to i given Xk = i. (Time homogeneous) ∞ mi = E(Ti |X0 = i) = (n) nfii = mean time for recurrence n=1 (n) Note: fii = P {Ti = n|X0 = i} 305 Similarly we can define (n) fij = P {Xn = j, X1 = j, . . . , Xn−1 = j|X0 = i} = Prob. of reaching state j for first time in n steps starting from X0 = i. fij = ∞ n=1 (n) fij = Prob. of ever reaching j starting from i. Consider fii = fi = prob. of ever returning to i. If fi < 1, 1 − fi = prob. of never returning to i. i.e. 1 − fi = P {Ti = ∞|X0 = i} fi = P {Ti < ∞|X0 = i} 306 TH. If N is no. of visits to i|X0 = i ⇒ E(N |X0 = i) = 1/(1 − fi ) Proof: E(N |X0 = i) = E[N |Ti = ∞, X0...
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...Hand hygiene is the primary measure for infection control. The purpose for hand hygiene in the health care setting is to remove microorganisms from the hands in an effort to reduce the risk of nosocomial infections. Handwashing reduces the number of transient organisms on the skin surface. Although hands cannot be sterilized, most transient organisms can be removed by 30 seconds of proper scrubbing with soap and water. Proper scrubbing would include vigorous motion with the hands rubbing together and fingers working in between the finger web space and inclusive of the dorsal and ventral surfaces of the hands. Microbes that reside in sweat ducts and hair follicles of the skin, however, cannot be dislodged readily. Surveys show that one in five medical professionals carry potentially pathogenic antibiotic-resistant pathogens on his or her hands. Failure to wash one's hands before and after each patient contact is probably the most important contributor to the spread of infections. These microbes pose a...
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...whose work is composed of everyday objects like pencils and toothpicks, has explained, "It's all about perceiving this material from a distance and close up and how the light interacts with it." View more of the artist's work at pacegaUery.com. S R T G IS STUCK. For too long the business world an inflection point. Thefieldof strategy needs to acT AE Y has been obsessed with the notion of building a sus- knowledge what a multitude of practitioners already tainable competitive advantage. That idea is at the know: Sustainable competitive advantage is now the core of most strategy textbooks; it forms the basis exception, not the rule. Transient advantage is the of Warren Buffett's investment strategy; it's central new normal. to the success of companies on the "most admired" lists. I'm not arguing that it's a bad idea—obviously, The Anatomy of a Transient Advantage it's marvelous to compete in a way that others can't Any competitive advantage—whether it lasts two imitate. And even today there are companies that seasons or two decades—goes through the same create a strong position and defend it for extended...
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...However, sometimes amidst the crowd in the classroom someone needs the proper attention and care the most. Maybe one of them suffers transient tic disorder which is common among children below 18 years old. According to the American Academy of Child and Adolescent Psychiatry states that tics affect up to 10 percent of children during their early school years (AACAP, 2012). A child who is suffering from a transient tic disorder exhibits either a single motor or vocal tics or multiple motor or vocal tics uncontrollably. This disorder is three to four times more likely to happen in boys than girls. Grounds with its gender relation are still unfounded and unknown up to this time. Tics will be aggravated if the child experienced pressure, anxious and stressful situations. But it will considerably lessen or possibly stop when the child is fascinated and engrossed with novel and unique things, situations and...
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...A CVA, known more commonly as a stroke, occurs when the blood supply to part of the brain is interrupted or gravely reduced, robbing the brain tissue of oxygen and nutrients. It only takes minutes for brain cells to begin to die. A stroke may be caused by an occluded artery or the leaking or rupture of a blood vessel. Some people may experience only a brief disruption of blood flow to their brain. A transient ischemic attack is also referred to as a “ministroke.” It is a cursory period of symptoms similar to those experienced during a stroke. A brief decrease in blood supply to part of the brain causes TIAs. A TIA can happen when a clot or debris stops blood flow to a part of the brain. A TIA doesn't leave lasting symptoms because the blockage...
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...The risk factors are classified according to their potential for modification into modifiable and non modifiable risk factors. Some risk factors for stroke we simply can not do anything about. According to the vast majority of literature non modifiable risk factors include; advanced age, previous stroke, heredity, race, and gender. 1. Advanced age: It is widely accepted that stroke increases dramatically with age and it is more likely to affect the elderly. The risk of suffering a stroke roughly doubles for each decade of life after age 55. The majority of strokes occur at 7th decade of life and it rarely occurs at the ages below of 35 years old. 2. Previous stroke: People who have previously suffered a stroke or a “mini stroke” (Transient ischemic attack or TIA) are at higher risk. Survivors of stroke or TIA are at risk of new vascular events. Statistics show that a previous stroke or TIA increases the risk of a future stroke in the next 5 years by 25 to 40 percent. 3. Heredity: Risk is greater if a parent, grandparent or sibling has had a stroke. Family history of both parents may be related to increased stroke risk. Genetic predisposition has been documented in humans and studies have shown that monozygotic twins have a 5- fold increase in stroke incidence compared to dizygotic twins. 4. Race: Higher stroke rates are noted in African Americans, Hispanic Americans and the black race compared to the white one. African Americans have a much higher risk of death from...
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...Determining Diagnosis Code Categories • A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack. The physician ordered an MRI to investigate the possibility of a transient ischemic attack. This means that the physician is unsure of the diagnosis. Codes 780-799, used for symptoms, signs and ill-defined conditions, should be used. According to the text, these codes are used for conditions in which a definitive diagnosis cannot be made. If TIA is the diagnosis, I believe it would receive a code between 390-459 (Valerius et al.,2008). • A 44-year-old male presents to the office complaining of intermittent chest pain. The physician orders an EKG to rule out a possible cardiac event. This case, I believe, would also receive a code from 780-799, because of the fact that it states the physician is trying to rule out the "possibility" of a cardiac event. Without further information, that would be my best guess. Now, if the patient were diagnosed with a cardiac event, depending on what it was exactly, it would be coded with a code between 390-459. If the chest pain is not related to a cardiac event, and happens to be related to something in the respiratory system, then it would receive a code from 460-519. Without more information, it is...
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...Determining Diagnosis Code Categories HCR/220 June 7, 2013 Donna DeGrio Determining Diagnosis Code Categories • A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack. The physician ordered an MRI to investigate the possibility of a transient ischemic attack. This means that the physician is unsure of the diagnosis. Codes 780-799, used for symptoms, signs and ill-defined conditions, should be used. According to the text, these codes are used for conditions in which a definitive diagnosis cannot be made. If TIA is the diagnosis, I believe it would receive a code between 390-459 (Valerius et al.,2008). • A 44-year-old male presents to the office complaining of intermittent chest pain. The physician orders an EKG to rule out a possible cardiac event. This case, I believe, would also receive a code from 780-799, because of the fact that it states the physician is trying to rule out the "possibility" of a cardiac event. Without further information, that would be my best guess. Now, if the patient were diagnosed with a cardiac event, depending on what it was exactly, it would be coded with a code between 390-459. If the chest pain is not related to a cardiac event, and happens to be related to something in the respiratory system...
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...Funny enough that the value of oneself is their own’s, but still needs to rely on the projections of other’s words and actions. In “Transients in Arcadia”, by O. Henry, the two main characters hide their identities to fit into a wealthy resort to escape the reality. On the other hand, the plot in “identities”, by W.D Valgardson, pushes towards the end with an idea of one’s identities can be alternate by others belief. One’s appearance can tell a lot about oneself, but they can change their appearance to mislead people. In “Transients in Arcadia”, Mamie Siviter (aka Madame Beaumont) portray as a wealthy first-class woman. This identity assists her in fitting into the resort. Henry describes her as the “fine air of the elite” and “preserved the stated of a queen”. Siviter’s desire for living an alternative life for a short period of time hoping to make her feel better about herself. It’s possible for Henry to suggest that many people in our society eager to have a chance to escape the normal life. We as human eagers for many things, about what we want ourselves to be, but your own value all depends on what others think of you. Henry’s use of words leaves an optimistic idea of identity changing and showing us that the going of the story is towards a...
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...Focus Assessment Date: 11/14/2013 Client Initials: B.M Age:93 Sex: F Code Status: DNRCC-A Primary Medical Diagnosis: CVA Allergies: Sulfonamides, iodine, iodine contrast dye. Significant Medical History and/or Other Medical Diagnoses Hypertension, Hyperlipidemia, Colon cancer, Uterine cancer, CVA, legally blind, macular degeneration, Ileostomy, renal insufficiency. Current Treatments & Interventions for the Client Anticoagulation therapy, Transfer with 1 person assist, physical therapy consult, occupational therapy consult. Recent Tests & Procedures and the Results CBC: High hematocrit, low platelets, normal WBCs CT Scan of Head: 2 areas of ischemic attacks. EEG: Signs cerebral ischemic attacks parietal and occipital lobes. Assessment Focus Assessment (specify): | Data: Pt. stated she woke up during the night and noticed the right side of her body was weak and she found it difficult to move her right arm and right leg. Pt. brought to the ED where a CT scan was performed. This showed areas of ischemic attacks. Pt. is alert and oriented to place and situation. The patient is aware of time but is unable to give the exact time. May or may not be attributed to her being legally blind. Pupils round equal and reactive bilaterally. Right hand grasp slightly weaker then left. Lungs bilaterally clear and diminished in bases. Bowel sounds active times 4 quadrants. Pt. has ileostomy which is pink, draining watery...
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...Headache and Migraine Effects on Brain People have always wondered why they have headaches and migraines. With all the different causes of headaches, will a headache enable your brain functions? However there are many different reasons you can have headaches and migraines. Researchers say migraines and headaches start in brain stem. Female having headaches can come from there hormones, and estrogen. There is a type of headache called clusters headaches which make your eyes hurt. The hippocampus controls this type of headache. Also smoking and drinking can trigger this headache. Most people take over the counter drugs to treat a headache. If you use this method you have to take drug when first signal the brain sends. You can also take a nap to let your brain cure the headache inflammation. Another way is to put warm towel on your head so it cools brain nerves. This helps relieves muscles in your head which helps the headache. Migraines have effects on the brain stem. If migraines are painful enough it can cause brain stem infractions. Although migraines cannot cause permanent damage to the brain. Exercise that causes adrenaline can help make migraines go away. Headaches and migraines can be caused by cerebrovascular accidents. People don’t know what yet exactly causes headaches. It may be caused by nerve cells on the brain. It also can be over stimulated blood vessels, which leads to inflammation. Estrogen and progesterone can cause migraine and headache in women. Migraines...
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...1. What is the title/name of the art piece? (There may be information in the museum to tell you this, check the walls around the exhibit) San Jose Museum of Art in downtown San Jose Around the Table, Stage One: Epilogue, 2010-2011. 2. Who made this work? (Be sure to write down details that will help you research further on the internet or in published materials) Jitish Kallat 3. What does the artist do to influence your perception with this piece? (What is the context? what visual cues add information?) The artist depicts the phases of the moon with what looks like chips. After further researched I learned it was small comfort foods like pita, tortilla, and injera. 4. In what way(s) does this piece demonstrate an interaction of culture and art? (Do your best to identify this, there usually isn't really any one answer) This art piece takes food that we eat and creates a story out of it. Although the art piece seems pretty simple and meaningless, until you really stand there and stare at the wonder of what it depicts. 5. How does the work reflect that cultural association? (Does it contain symbols, text, design elements, content, etc. that reflects a specific perspective?) The use of food that he would eat and is apart of his culture is an element of the art piece. The moon shape represents the journey of life through the phases of the moon. 6. Explain why you chose this particular item: (what is it that caught your interest or attention - give...
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...Picture going about a normal day when suddenly you become dizzy and nauseated. You start to vomit. You try to get to the bathroom but the world feels like it’s tilted and it’s hard to walk. You keep falling to the right as you try to make your way through the house. As you pass by a mirror, you see that your right eyelid is drooping. When trying to drink some water, you struggle with swallowing and your right hand feels numb. These are some of the many symptoms caused by lateral medullary syndrome which is a stroke in the brainstem. Although there are many other types of strokes that are even more debilitating, this particular kind can be hard to diagnose due to the wide range of symptoms that overlap with other illnesses and issues. Lateral medullary syndrome involves an infarct of the posterior inferior cerebellar artery affecting the lateral region of the medulla oblongata. There was a case in which a 49 year old man named Chase W. arrived at his doctor’s office complaining of a sudden onset of the above symptoms along with decreased 2 point discrimination in his right hand and decreased pain and temperature sensation on the right side of his face and left upper extremity. Mr. W had a history of moderate hypertension and smoking but he told his doctor he had quit a year ago because of his high blood pressure. The results of his CT scan came back normal, but the MRI showed that he had a small diagonal lesion in the dorsolateral part of his medulla oblongata and an obstruction...
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...何梓涵 12010007 To Professor Hou Yiling English Literature The Transient Sublime and Mortality in “Ode to a Nightingale” Composed during the most creative period in Keats’s brief poetic career, “Ode to a Nightingale” has long been regarded as one of the most refined works of his poetry. Previous criticism has comprehensively explored its themes of nature, beauty and mortality, as well as its demonstration of Keats’s notion of Negative Capability. But based on my research, few critical reviews have touched upon the point which I find clearly suggest itself in this poem: that the poet’s experience here depicted is not merely an escape into the realm of ideal beauty, but also an intoxication with the Romantic sublime. Between the sublime and his anticipated death, Keats builds an analogical connection from which he gains insights into both. Hence it is my endeavour in this paper to illustrate that in “Ode to a Nightingale”, Keats describes the entire process of his journey into and back from the sublime, after which he has to face again the transience of the sublime and the mortality of human life. Traditionally, most critics agree on the poem’s theme being the conflict between reality and the Romantic ideal of uniting with nature, among many other contrasts that are present throughout the poem. The most representative interpretation comes from Richard Fogle, who defines the principal stress of the poem as a struggle between ideal and actual, containing more particular antitheses...
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