The Strong and Durable Digging Equipment – Excavator and Its Parts

Digging equipments for construction is a very strong and durable one. They are usually made of steel which can carry heavy materials without breaking and dig to the ground with the use of the excavator bucket teeth. This part of the machine is built like this so that it will break down the materials that it will dig and it would be easier for the machine to do its task because of this feature. As a result also, it is easier for the bucket to dig through the earth and scoop it up for easy loading and unloading. Excavation is part of a construction project that requires heavy equipment machinery specifically an excavator bucket. It is an attachment that is very useful in construction projects that requires a lot of digging like in making bridges, trenches, ditches and also in mining. The bucket is an application that can be attached even at cranes, tractors, and other construction machinery. As the word itself, its main purpose is to dig and load a larger volume of material that is of great help and at the same time convenient to the workers at mining and construction sites. The excavator bucket suppliers have designed this very efficient machine for a lot of purposes. In the construction area, it is used to break the soil and remove it for the purpose of making trenches, ditches or bridges. Aside from the soil, it can dig through any materials that are within its capacity. In landscaping, it generally is used to excavate the earth so that the area will be designed according to the plans. Moreover, it is used for mining wherein it clears the ground for different mining tasks. In addition it can even dig to the ground to gather raw materials like ore and rocks. Operation of the excavator bucket requires you to be responsible of maintaining it in good shape. Like other machines, it must be checked for any damage and parts that needs to be fixed for it to work well in the area. You must be responsible in keeping it functional and efficient for you to accomplish your work according to your plans. The excavator parts all work together in order to appropriately perform its task. The bucket has a point of attachment wherein it is designed to move and be maneuvered easily according to the wishes of the operator. The tasks and the area that the machine will be used will determine its size. Large and heavy equipment ones are more preferable if you are going to use it on larger projects. Moreover, a compact or smaller in size construction machinery is recommended for small areas and not so big projects. The excavator bucket is indeed very useful in different areas especially that it is a very durable and powerful equipment in digging up materials based on its capacity. It serves a lot of purposes to workers and contractors. Maintenance is also easier if you do daily checkups and inspection on the equipment daily before you proceed with your tasks. Jaw breakers: http://www. hxjq-crusher. com/1. html vibratory feeder: http://www. hxjqchina. com/product-list_14. html combination crusher: http://www. hxjqchina. com/product-list_16. html

Are good intentions necessary for moral action

The intention of the man to return the phone is enough to account for moral action. But, consequentiality like Bethel believes that the consequence of the moral action determines whether the actions are right or wrong not the intention, even though the intention may be good; the means justifies the end. For example, if the man who finds the phone and thinks to return it but forget, his act is morally wrong because the consequence of his action did not bring out a good outcome. The phone of the owner is still missing. The consequence of the action seems to be a better determinant for oral action rather than good intentions.Sometimes, no matter how pure the good intentions are, they do not always lead to good outcomes. Good intentions could bring about disaster such as in case of terrorism. People fail to think about the outcome of the intention before acting out. The object and circumstance also play important roles in determining the moral action. Therefore, it cannot be the necessar y component of moral action unless the outcome is good. Terrorist to us seem like bad people who should be locked up or worse, deserve to die. Even though, we do not see this, terrorists believe they are sighting for a just cause.For example, the 9/1 1 attack in 2000, the terrorists believed they were fighting for the rights of Muslims who have experienced hate violence. So, to some people they were freedom fighters or soldiers like during a conventional war. According McPherson, terrorism, if compared to conventional war, is not wrong because they both attack non combatants. And sometimes, conventional war causes more harm than terrorism (Can p; 279). Terrorism is still wrong, the innocent are still killed and there is no side effect of justice being carried out.In fact, terrorism often does the opposite of what it sets out to achieve and produces tyranny forcing people to surrender or die. Unlike conventional war, terrorism often takes it too far and it is mostly an indirect form of confrontation like suicide bomber, a bomb planted on the street or even a person shooting people of a particular group out of nowhere. They do not consider the outcome of their actions. There is no way terrorism is a justifiable act, it is a threat to political party but to the public in general. They do have any remorse for vulnerable group such as children, hey take out their attacks on anyone (Can p; 272).It does not matter if the intentions of terrorist group are good and often they are not, the outcome of the action is worse and it causes a lot of disaster and damage to individuals and their family. Therefore, in the form of morality, terrorism breaks all form of moral codes and is wrong. Good intentions often go bad quite easily because we as individuals has different views about life and what seems good to us might be terrible to another. Sometimes, we treat others how feel we should treated not considering they may not like that.We often hear the expression, â€Å"it is the thought that counts,† but you cannot guarantee that the person will be thinking the way you are when you perform the action. All the individual sees is the action and not the intent. For example, if I bought my friend threw my friend a surprise party without knowing she hates surprise parties because she has a disorder. She walks and everyone yells surprise and she starts screaming in panic and ends in a hospital. The intention was good but the outcome not so much, although, all people see is a bad friend.The fault with good intention is that it tries to please everyone which is not possible and ends up making situations worse than they are. Sometimes, people never consider thinking about the outcome before they play it out the action. For example, in political campaigns when the politicians promise the crowd pleaser such healthcare, decrease in poverty etc and they are elected. A few months into the term, and there is no observable action on a better healthcare system or a decline in poverty rates because there is a decline in the economy and tax is increased, the citizens will complain.It will not matter f the politician has a good intention because the outcome was not good. You can not sell a car mentally to a person; therefore, you cannot mentally assume that people know your intention is good. Good intention is not relevant component of moral action unless the outcome of the action is good. In order for an action to be morally good, the three components must be good or at least neutral in its object with consideration of the circumstance and have a good intention (Curran & McCormick p; 221). This means that even though the intention is good as long as the object or circumstance of the action is bad, the action is bad.The aim or purpose of the act determines the object. The ‘Voodoo, why, where, how and by what means† determines the circumstance of the moral act. For example, let us take the case of a suicide bomber named Hosannas. A m an, Hosannas, is forced to commit suicide bombing to save his family. He commits suicide bombing and about 200 people are killed in the mall. In this scenario, the object of the act, killing of innocent people, is bad. The intention is good, sacrificing his life for his family, therefore preserving life.The circumstance of the act is bad: (who) about 200 innocent people doing their jobs or shopping in the mall dies; (why) Hosannas was killing to protect his family; (where) Hosannas is the mall filled with innocent people;(how) he blew himself up along with the entire building; (by what means)with a bomb. Therefore, the moral action is bad despite the intention being good. Let us take another scenario, where Hosannas is a Muslim who believes the Muslim terrorist group are fighting for the Muslims and defending the religion. So, he takes matters into his hands and commits suicide bombing in the name of Allah and kills about 200 people in mall.In this scenario, the object of the act, k illing innocents, this is bad. The intention is good or indifferent, defending the Muslims against injustice. The circumstance of the act is bad: (who) about 200 innocent people doing their jobs or shopping in the mall dies; (why) Hosannas was defending the Muslim honor in the name of Allah; (where)Hosannas is in the mall filled with innocent people; (how) he blew himself and kills everyone the building too; (by what means )with a bomb. This scenario also shows another wrong action with the intention not being important.So, therefore, the object and circumstance play important roles in shaping the act as either being morally good or bad. As Saint Bernard of Calvarias said â€Å"the road to hell is paved with good intentions. † This is true, as we see that, although, good intentions mean well, it does not always take the form of justice or morally right. That is people with good intentions end up doing the exact opposite of what they set out to accomplish. And Consequentiality like Bethel, unlike Kantian ethics sees this point as being true because the outcome Of the act is what counts not the intent.In the case of terrorism, we see that terrorism can be in form of good intent and not distinctively wrong. It can also seem as act of heroism in the case of people defending their religion, but it is not. It always ends up bringing destruction and death of the innocents. Terrorist acts do not follow moral code and have no remorse for anyone. Good intentions do not always bring about great success because we cannot expect people to think the way we think. Also, people often fail to think ahead about the outcome of the act before playing it out. This often leads to bad results even with the purest of intent.

Chapter 1 analysis of Daisy Buchanan †The Great Gatsby Essay

Daisy Buchanan is Nick’s cousin and Toms wife. She lives with the rich old-money population of New York on East Egg. From Nick’s first visit, Daisy is associated with otherworldliness. For example, the first image we have of Daisy in Chapter One is as one of a pair of women, lying on a couch and surrounded by fluttering, moving material – from the curtains to their white dresses, nothing is safe from the breeze blowing through the room. This sense of constancy in a sea of movement – indicated by her being sat on â€Å"the only completely stationary object in the room†¦ an enormous couch† – and the hints of purity or innocence attached to her – her white dress, â€Å"buoyed up† as though â€Å"though they had just been blown back in after a short flight around the house†, like an angel or fairy – combine to create an image of delicate beauty. This is furthered when Daisy makes â€Å"an attempt to rise†, but contents herself with uttering â€Å"an absurd, charming little laugh†, and the declaration that she is â€Å"p-paralysed with happiness.† All of these things make her seem childlike and thus add to her appearance of purity. She speaks in a â€Å"low, thrilling voice†, a voice that holds an â€Å"excitement† that is â€Å"difficult to forget†: â€Å"a singing compulsion, a whispered ‘Listen’, a promise that she had done gay, exciting things a while since and that there were gay, exciting things hovering in the next hour.† She is routinely linked with the colour white (a white dress, white flowers, white car, and so on), always at the height of fashion and addressing people with only the most endearing terms. She appears pure in a world of cheats and liars. As the story continues, however, more of Daisy is revealed, and bit-by-bit she becomes less of an ideal. Given that she is fully aware of her husband’s infidelities, why doesn’t she do anything about it? Because he has money and power and she enjoys the benefits she receives from these things, she is willing to deal with the affairs. Another incident that calls Daisy’s character into question is the way she speaks of her daughter. â€Å"I hope she’ll be a fool,† she says, â€Å"that’s the best thing a girl can be in this world, a beautiful little fool.† Clearly, she has some experience in this area and implies that the world is no place for a woman; the best she can do is hope to survive and the best way to do that is through beauty rather than brains. Daisy, however much described and elaborated on by Nick, is constantly not who she is described as and thus creates a feeling that the more she tells Nick about herself or the more Nick describes her the less we know leaving us unsure of where she stands. Her gayness and complete and utter satisfaction poetically described at the start of their encounter is completely wiped out by the end of the night though the way Daisy describes herself to Nick on the porch outside her house: â€Å"Well, I’ve had a very bad time, Nick, and I’m pretty cynical about everything.† Although we are almost certain that Daisy is not always cynical and more disillusioned than she thinks she is. we are uncertain on who she actually is and where her place is. Her purity is our main aspect established in this encounter except we find it hard to understand the purity when she is exposed to a very harsh and cruel life due to Toms affair and treatment of her. Overall, we can see much of Nick’s view of Daisy summed up merely in the way that he speaks about her; he uses many emotive adjectives to excite a feeling within the reader so as to make Daisy’s energy almost tangible (â€Å"thrilling†, â€Å"glowing†, â€Å"singing†) and oxymoronic phrasing to develop some of the tension underlying her character, e.g. â€Å"tense gaiety†. The main point we achieve in the seemingly lengthy meeting although apparently short thing that we gain from examining Daisy’s character is the first inklings of one of the major themes of the book: that riches do not seal happiness.

Assignment Essay Example | Topics and Well Written Essays - 250 words - 97

Assignment - Essay Example It also leads to an increase in annual crop yields by approximately 30 to 135 million metric tons as well as reduction in projected global mean warming by 0.5Â °C by year 2050 as a result of reductions in ozone in 2030 and beyond. On the other hand BC measures are able to provide significant global climate benefits; however, uncertainties are much larger. In addition, it leads to a reduction in disruptions in regional hydrological cycle, improved agriculture yields and large regional human health benefits. The fact that these policies helps in the protection of food supplies and public health as well as mitigation of climate change may aid in motivating policies to be implemented on the same. Methane and BC measures are complimentary to and distinct from CO2 measures. Early adoption of CH4 and BC measures has little impact on long term temperatures but provides much larger short-term benefits. Mechanisms such as the Prototype Methane Financing Facility and the Clean Development Mechanism under the United Nations Framework Convention on Climate Change reduces CH4 emissions. Because such measures can provide agricultural benefit, improve health, slow the rate of climate change and enhanced warming mitigation necessitates their early and widespread implementation in order to realize such

Amendment of the VAWA statute Thesis Example | Topics and Well Written Essays - 4000 words

Amendment of the VAWA statute - Thesis Example One of the goals of this legislation was to relieve aliens whose U.S. citizen spouses were abusing them from depending on that spouse to obtain legal immigration status. See Violent Crime Control and Law Enforcement Act, Pub. L. No. 103-322, 108 Stat. 1796 (1994) ("VAWA 1994"). Previously, an alien seeking lawful permanent resident ("LPR," or "green card") status based on her marriage to a U.S. citizen or LPR was entirely dependent on her husband to file an immigrant visa petition on her behalf 1.1See 8 U.S.C. ' 1154(a)(1) (1993) (repealed). Congress was concerned that such women were often pressured into remaining in abusive marriages, in light ofthe threat that their husbands would withdraw the visa petitions if they left, thereby putting them at risk of deportation. See 61 Fed. Reg. 13061, 13061-62 (Mar. 26, 1996) (noting that "some abusive citizens . . . misuse their control over the petitioning process . . . . to perpetuate domestic abuse"). Through VAWA 1994, this statute was amended to allow such an alien to "self-petition" for immigrant classification; to prevail, she was required to demonstrate that she was married to a U.S. citizen or LPR, was eligible for immigrant classification based on that relationship, was residing in the United States and had, at some point, lived there together with the spouse, entered into the marriage in good faith, was a person of good moral character, would experience "extreme hardship" if deported, and, during the marriage, either she or her child "was battered or subjected to extreme cruelty perpetuated by the alien's spouse." See H.R. Rep. No. 103-395 (1993), at 23-24; see also 8 U.S.C. ' 1154(a)(1); 8 C.F.R.' 204.2(c)(1)(i). If the petition is granted, the alien can apply to adjust her status to that of an LPR; if it is denied, she can file an administrative appeal. 8 C.F.R. ' 204.2(c)(3)(i)-(ii). VAWA 1994 also provided a remedy for battered spouses who had already been placed in deportation proceedings, by relaxing the requirements for the form of relief known as "suspension of deportation." See VAWA 1994 ' 40703(a) (codified at 8 U.S.C. ' 1254(a))(repealed 1996); Hernandez v. Ashcroft, 345 F.3d 824, 832 (9th Cir. 2003). This form of relief was repealed altogether in 1996, and replaced with an application now known as "cancellation ofremoval." See Illegal Immigration Reform and Immigrant Responsibility Act ("IIRIRA"), Pub. L. No. 104-208, ' 304(a)(3), 110 Stat. at 3009-596-606 (1996) (amending the INA to add, inter alia, section 240A, now codified at 8 U.S.C. ' 1229b). Normally, a non permanent resident seeking cancellation must demonstrate, inter alia, that she has been physically present in the United States for ten years, and that her removal would result in "exceptional and extremely unusual hardship" to a U.S. citizen or LPR relative. 8 U.S.C. ' 1229b(b)(1). If the alien can demonstrate that she was "battered or subjected to extreme cruelty" by a U.S. citizen spouse or parent, she need only show three years of physical presence, and that she personally would suffer "extreme hardship." 8 U.S.C. ' 1229b(b)(2). If she prevails in her application, then her status is adjusted to that of an LPR. 8 C.F.R ' 240.70(c). If her initial application is unsuccessful, she can appeal to the Board of Immigration Appeals and then to a Court of Appeals; if she is ultimately unsuccessful, she is

The Truman Show Movie Review Example | Topics and Well Written Essays - 500 words

The Truman Show - Movie Review Example In the show, which must keep going in order to sustain its own world, Truman Burbank is the ultimate consumer: nothing about his life is secret to the viewer. He is doing what corporations want to observe people doing: acting naturally and making choices which seem to be those of free will. Going into a large corporate store, it is very easy to fill out surveys. Cameras are everywhere. There are parallels everywhere to the ways that consumers are scrutinized, just as Truman Burbank is scrutinized in â€Å"The Truman Show.† The motivation of the show’s producers is motivated to portray Truman Burbank as an ideal consumer so that the self-sustaining world of supply and demand can continue. The producers are the supply; Truman makes the demands. It is a symbiotic relationship, so the producers want to keep it going. They will stop at nothing to keep Truman from the truth, and this is part of what forms much of the tension in the second part of the movie. Overall, Truman Bu rbank is a typical ideal consumer, because he is the object of constant scrutiny and measurement. To me, the conclusion is the most important part of a short essay such as this one, because it really is the last thing that the reader is going to take away from the process. The conclusion here about the cycle of Truman’s routine was something that I completely agreed within this response because I also think that corporations are looking for habits and cycles in their consumers, and this is something that made Truman ideal.   

The influence of family structure and parenting styles on family Essay

The influence of family structure and parenting styles on family members and their behavior in society - Essay Example Children may belong to more than one residential group, for instance. Even if they do not, close family members (most often the father) who continue to play an important role in their children's life may not reside in the same household. Instead of viewing parent as forming a unit, we look at them as two individuals whose conjugal and parental life courses meet for a period of time, during which a child is conceived. The child's family life course is then dependant on whether or not parents continue to follow the same path, or whether they decide to go their separate ways - an event that occurs for some children even before their birth. Family structure implies solidity and permanence, and leads implicitly to the idea that children spend their lives in a given family type: intact, lone-parent or stepfamily. As a result, a large body of research has looked at the impact on children of "growing up" in a lone-parent or stepfamily, without taking into account that relatively few children do in fact spend their entire childhood in one of these family types. The family structure perspective groups all families of the same type " type" into a single category ignoring the events leading up to the formation of the family. More and earlier parental separation means that close and significant family members do not necessarily live in the same household; the analysis of children's family experience, therefore, has to extend beyond the residential group. Parenting is a complex activity that includes many specific behaviors that mark individually and together to influence child outcomes. The construct of parenting style is used to capture normal variations in parents' attempts to control and socialize their children. Parents may differ in how they try to control or socialize their children and the extend in which they do so, it is assumed the primary role of all parents is to influence, teach, and control their children. Parenting style captures two important elements of parenting : Parental responsiveness and parental demandingness. Parental responsiveness refers to the extent to which parents intentionally faster individuality, self-regulation, and self-assertion by being attuned, supportive and acquiescent to children's special needs and demands. Parental demandingness refers to the claims parents make on children to become integrated into the family whole by their maturity demands, supervision, disciplinary efforts and willingness to confront the child who disobeys. Categorizing parents according to whether they are high or low on parental demandingness and responsiveness creates a typology of parenting styles; reflecting different naturally accruing patterns of parental values, practices and behaviors. 1. Indulgent parents are more responsive than demanding. They are non-traditional and lenient, do not require mature behavior, allow considerable self-regulation and avoid confrontation. 2. Authoritarian parent are highly demanding and directive, but not responsive. They are obedience and status oriented, and expect their orders to be obeyed without explanation. 3. Authoritative parents are both demanding and responsive. They monitor and impart clear standards for their children's conduct. They want

Business Environments Essay Example | Topics and Well Written Essays - 3500 words

Business Environments - Essay Example Hanafizadeh, Kazazi and Azam (2011) assert that in scenario planning, various scenarios are considered in the decisions of company management which involves making long term plans for the organization. Managers consider laying plans which are flexible enough to enable the company to adapt to the changes in the legal, economic, political, social cultural and environmental scenarios within a market. The role of scenario planning is to remove the uncertainties which face the business processes as explained by Mason (2003). In this regard, it is explained that scenario planning enables managers to make flexible long term plans which enable an organization to make use of the business opportunities in the business market while reducing the risks associated with the various uncertainties of conducting business in a competitive environment. This paper gives a critical analysis of the various scenarios which managers of an organization consider in scenario planning with an aim of illustrating how this planning enables organizations to survive the competitive global business environment. According to Mason (2003), scenario planning begins with the decision of company management on the most suitable and most appropriate drivers which enable the organization to make the most effective changes for the survival of the uncertain business environment. ... As such organizations must decide on necessary changes within the organization which will enable it to meet the demands of the culturally diverse work force. Mason (2003) points out that the human resource are the drivers of change within an organization, as a result, the management must make decisions which will ensure that the strategic plans meet the needs of the organization. Such planning must be within the social and cultural scenario of the business environment. This is to ensure that the social needs of the employees are met by the organization. These needs include a suitable working environment and a communication and relationship enhancing working conditions. Schoemaker (1995) exemplifies that strategic decisions and planning of adoption and implementation of technological techniques which will enhance the communication process of the work environment. This means that the employees or subordinates will be allowed to have an enhanced communication and relationships among the mselves and the management. This is a process of a social cultural scenario planning through a planning process which ensures that suitable decisions are made to enable the employee needs to be met in the most suitable manner. Hanafizadeh, Kazazi and Azam (2011) explain that the importance which is made on the employees as the drivers of change is attributed to the fact that the workforce of any organization comprises of the most important stakeholder of business success. This is demonstrated by the fact that it is the employees who enable organizations to achieve innovation, creativity and increased production and thus competitiveness in the business environment. Tenaglia and Noonan (1992) assert that in scenario planning, companies must bring the drivers of change

Organizational Culture and Quality Management Practices Assignment

Organizational Culture and Quality Management Practices - Assignment Example In the same way, technology also seems to be highly significant in the process of developing effective competitive strategies (Hill, 2008, p. 72). Technology makes the production of goods and services to be highly efficient and effective, which is desirable for business activities. Â  Amidst an increase in the number of businesses that are emerging in different industries, the need for high standards of quality is something that cannot be overlooked. Different industries have different ways by which they develop and apply quality standards in their management approaches. The use of quality standards ensures that the goods and services that are manufactured follow certain standards and guidelines. According to Horowitz (2010), quality management is an approach that business organizations use in enhancing customer loyalty and success in their operations. This is because customers prefer associating with companies that are known to have standards of product and service management. In this paper, I will be examining the process of development and application of quality standards in the organization that I work for as a sourcing manager, which is the healthcare industry. Â  Goes (2013), explains that the use of quality standards is something that has existed for a very long time in different industries. The need to develop and use measures and standards in the production process often shows that a business is geared towards developing and maintaining its market share. An organization that follows this trend indicates conscious efforts in achieving conformity, reducing high levels of variations and controlling the quality features of their goods and services. All these efforts are often made with the intention of replicating desirable outcomes and making improvements in the management processes of particular business organizations.

Financial Research Report Paper Example | Topics and Well Written Essays - 2000 words

Financial Report - Research Paper Example Blue chip stocks are stocks issued by a well-known company with an established record of making money and paying dividends (Teweles & Bradley & Teweles, 1992). Choosing a blue chip stock will ensure that the investment selected has a lower overall risk in comparison with other offerings in the stock market. Based on these criteria the company selected for investment is the retail giant Walmart. Walmart is the largest retail store in the world. The company has 11,000 stores under 71 banners in 27 countries and e-commerce websites in 11 countries (Walmart, 2015). Walt-mart is also the largest employer in the world with 2.2 million employees. The organization was founded by Sam Walton in 1962. The Walt-Mart store was established in Rogers, Arkansas. Sam Waltons legacy includes valuing the importance of human capital. Doug McMillon is the chief executive officer (CEO) and President of the company. The firm believes in the value of promoting from within. Approximately 75% of the stores managers started as hourly associates. Walt-mart compensates its employees with with an average hourly rate of its full time employees of $12.94 (Walmart, 2015). The organization is also a big supporter of the military. Walmart established a goal of hiring 100,000 veterans. The company believes in the value and importance of having a good corporate social responsibility program. Walmart established a fund of $2 billion to fight hunger in the United States. In 2013 the Walmart Foundation gave out $1.3 billion in cash and in-kind contributions to people around the world. The three most important factors of the firms environmental sustainability initiatives are energy, waste, and products. Renewable energy is used by the company. The goal of the firm is to create zero waste. Walmart sells products that sustain people and the environment. In the U.S. the firm operates three types of stores: superstores, discount stores, and neighborhood

On Multicultural Beliefs and Myths of Sexual Anatomy Essay Example for Free

On Multicultural Beliefs and Myths of Sexual Anatomy Essay Based on what I’ve experienced and heard from one of my Asian friends, most beliefs or myths are more common to males rather than females, with practices mostly concerning the penis. Circumcision is a practice very common in certain parts of the world due to the main influence of religion. In Southeast Asia, specifically in the Philippines, there are still existing beliefs being practiced surrounding circumcision. A male by at least age 10 should be circumcised to ensure they reach their height potential. It is discouraged to have the procedure done right after birth, believing that as the child gets bigger, the foreskin will grow back, thus needing to do another procedure as the child won’t reach his maximum height potential due to the fact that the procedure was done soon after birth. This procedure is usually considered a big event in the child’s life and is decided for by the parents. After the circumcision is done, customary beliefs expect the male child to chew on guava leaves and afterwards, wrap the chewed leaves onto the penis to prevent infection. For some, it is established for the circumcised male child to jump into the river to cleanse the wound. This practice is usually done during the summer months when the kids are out of school and still have time to heal. In the rural areas, it is a huge event and done in makeshift hospitals with volunteers assisting the boys in doing the procedure. Kids often get teased prior to being circumcised by the older kids as this procedure is considered a rite of passage. Kids circumcised soon after birth also get teased about not getting any taller because the procedure was not done at the right time. Of course, by the time that these kids get the right to do the procedure, all bets are off and those circumcised as a baby would often have the upper hand at teasing their previous tormentors. My Asian friend also relayed to me their beliefs about women once they reach the puberty stage and get their menses. According to the old customs in their provinces, the girls are expected clean their underwear upon getting their menses and afterwards, cleanse their face with the same underwear to ensure that they don’t get pimples. Others take it a step further by cleaning their face with their â€Å"first† menstrual blood for the same purpose. The girls are often asked to jump three times on the stairs, which also serves as a cleansing ritual. Some believe that the number of times you jump from the stairs will determine the duration of your menstrual period thus, three jumps would mean you will only have three days of your period. Myths about pregnant women are also widely circulated in their culture, especially in certain rural areas of their country as expectant mothers are advised to be careful when sleeping at night. It is said that evil witches in the form of an elderly woman (although the witch is often regarded as a shape shifter) would take the fetus from the woman’s womb by climbing on top of the roof and yanking the fetus using their long tongue. According to my good friend, this belief is still prevalent in their modern society as it is being portrayed in popular culture via the media. Even in the urban areas, pregnant women are advised by their parents not to sleep near the window for fear that they might be seen and victimized by these witches. All these beliefs and myths are still thriving today in the modern world with the older generation ensuring that the young continue to uphold these traditions and practices. There may be a few that veer away from this path but society still finds a way to remind everyone about these practices.

Global warming Essay Example for Free

Global warming Essay Global warming is the process by which several gases known ‘green-house gases’ (such as carbon dioxide, methane, water vapor, nitrous oxide, etc) are accumulating in the earth’s environment (as a result of human activity and pollution) and are trapping the sun’s energy resulting in a rise in the planet’s temperature. Some of the largest sources of green house gases include power plants, automobiles, etc. The hypothesis statement in this case is â€Å"Carbon Dioxide is not the only the largest contributor to Global warming, it is in fact the only contributor†. A recent study conducted By the US-DoE in the year 2000 clearly suggests that about 99. 5 % of the gases that cause global warming is carbon dioxide (NRDC, 2007, Eco Bridge, 2008, University of California, 2002). Carbon dioxide is emitted from several human activities. About 40 % of the carbon dioxide emitted in the US is from power-plants that emit the gas from burning coal. Even when LPG and natural gas is burnt, it produces huge quantities of carbon dioxide that contribute towards global warming. About 33% of the carbon dioxide is produced from vehicular emission. Vehicles that have poor mileage contribute larger quantities of carbon dioxide that ultimately result in global warming. About 3. 5 % of the carbon dioxide released in the atmosphere is from aero planes. The upper layers of the atmosphere are damaged as a result of air traffic. From building and domestic use, about 12 % of the total carbon dioxide content is contributed (NRDC, 2007, Eco Bridge, 2008, University of California, 2002). The other gases that can contribute towards global warming is methane (0. 47 %), nitrous oxide (less than 0. 1 %), water vapor and CFC’s (less than 0. 01 %). In actual fact, water vapor contributes towards 99. 99 % of the global warming. However, release of water vapor into the environment is by a natural phenomenon and hence it cannot be considered as a result of human activity. Several studies have demonstrated that effect of water vapor is increased by the presence of carbon dioxide in the atmosphere. Another group of thinking is that water vapor ultimately results in cloud formation, resulting of reflecting back the energy waves of the sun into the atmosphere. Besides, water vapor present in the atmosphere is released back onto the ground, thus helping to cool down the planet (NRDC, 2007, Eco Bridge, 2008, University of California, 2002, Hieb, 2003 University of California, 2002). Since the time of James Watt, the levels of carbon dioxide in the atmosphere has been rising. IN the US, an average the per capita emission of carbon is about 5 tons every year per head (one of the highest) and in Sweden it is about 2 tons (One of the lowest). Carbon dioxide molecules trap the heat rays that are radiating from the atmosphere and cause and increase in the air temperature. In cities and in areas having high levels of carbon dioxide at the ground level, it is found that the air temperature is comparatively higher. Whereas in forests, the air temperature is lower as the carbon dioxide is converted to oxygen. Over the last 100 years the temperature of the earth has risen by about 1. 5 to 5 degrees. The concentration of carbon dioxide in the atmosphere is increased from below 280 ppm to above 360 ppm (Hieb, 2003 University of California, 2002). By just doubling the levels of carbon dioxide in the air, the temperature has increased significantly. The levels of methane and other green house gases have fairly remained constant over the years, but global warming is becoming even more severe. Hence, it can be considered that carbon dioxide is not just the largest contribute to global warming; it may as well as be considered the only contributor (University of California, 2002). References: Eco Bridge. â€Å"Causes of Global Warming. † 2008. Eco Bridge. 6 Apr.2008. http://www. ecobridge. org/content/g_cse. htm Monte Hieb. â€Å"Water Vapor Rules the Greenhouse System. † 2003. Geo Craft. 6 Apr. 2008. http://www. geocraft. com/WVFossils/greenhouse_data. html Natural Resources Defense Council. â€Å"Global Warming Basics. † 2007. NRDC. 6 Apr. 2008. http://www. nrdc. org/globalWarming/f101. asp University of California. â€Å"GLOBAL WARMING: The Rise of CO2 Warming. † 2002. University of California. 6 Apr. 2008. http://earthguide. ucsd. edu/globalchange/global_warming/03. html

Difficult Intubation And Post Tonsillectomy Bleeding

Difficult Intubation And Post Tonsillectomy Bleeding A six year old boy with Downs syndrome is on his way to the childrens hospital by ambulance with post-tonsillectomy bleeding. He underwent adeno-tonsillectomy because of recurrent tonsillitis and enlarged adenoids under general anesthesia the day before, some 22 hours ago. Despite being overweight at 37 kilograms and enlarged adenoids he did not suffer from sleep apnea. Prior to his original surgery, the child was uncooperative necessitating an inhalation induction with some struggling. Venous access was difficult even post induction requiring several attempts, and finally being achieved in the left saphenous vein at the ankle. Because of possible atlanto-occipital instability associated with Downs syndrome, laryngoscopy was performed with C-spine precautions. Direct laryngoscopy presented a Grade 3 view due to an enlarged tongue. Bag-mask-ventilation with an oro-pharyngeal airway was easy throughout the preintubation phase. Indirect laryngoscopy using the GlideScopeÂÂ ® revealed a Grade 1 view followed by the placement of a styletted, uncuffed 5 mm ID oral RAE tube. Adeno-tonsillectomy was performed i n the usual fashion and the child was discharged home after an uneventful 20 hour overnight observation period. Apparently, while momentarily unattended at home, the boy ate a hard tea biscuit. The child immediately experienced a sharp pain and an intra oral bleeding started. The emergency physician on duty is confronted with an overweight boy, sitting on a stretcher and spitting blood frequently into a kidney basin. The child is in moderate distress with the following vital signs (HR 152, BP 97/57). The child will not tolerate nasal prong oxygen and the pulse oximeter reading is 94% on room air. Auscultation of the chest is clear. Examination of the mouth reveals brisk bleeding in the right tonsillar bed. An attempt to start an intravenous line in the right saphenous vein is not successful, but blood is obtained for a CBC, coagulation parameters and a cross match for blood. The child is then transferred to the operating room. 45.2 INTRODUCTION: 45.2.1 What is the incidence, Morbidity and Mortality of pediatric post-tonsillectomy bleeding? Tonsillectomy is one of the most frequently performed surgical procedures in children. Rates in children aged 0-14 vary considerably within and between countries. In 1998, they varied from 19 per 10,000 children in Canada to 118 per 10,000 in Northern Ireland, so a very common procedure in both countries (1). The most common post-tonsillectomy complications include postoperative nausea and vomiting and pain. Dehydration may occur in children due to delayed and poor oral intake, nausea and fever. Delayed post-operative bleeding is the most significant complication and though uncommon, is not rare (2). Many estimates of the incidence of post-tonsillectomy bleeding exist in the literature varying widely from 0 to 11.5 percent (3). Typically, however, the rate ranges between 2.9 and 3.4% (4). Mortality rates are rarely reported in the literature. Two large studies reported 0 out of 15,996, and 1 out of 16,381 tonsillectomies in 1979 and 1970 (5). On the other hand, there are many published case reports. Sixty-seven percent of post-adeno-tonsillectomy bleeding originates in the tonsillar fossa and 27% in the nasopharynx. There are two major time frames for post operative bleeding. Most often, the bleeding occurs within the first 24 hours after surgery (primary bleeding) (5). Primary bleeding is generally related to surgical technique, and incidence is declining. Twenty five percent of all post tonsillectomy hemorrhage occurs after 24 hours. This secondary bleeding is not related to surgical technique, is rare and of unchanged prevalence over the years (5). It is mainly observed between the 5th and 10th postoperative day, although it may occur at any time (6). Infection of the tonsillar bed with clot sloughing is believed to be the major cause of secondary bleeding. It tends to occur more commonly in older pediatric patients, because the indication for tonsillectomy in this age group is usually related to recurrent infections rather than airway obstruction, the most common indication in the younger pediatric age group.(5). Since tonsillectomy is usually performed to improve the quality of life in otherwise healthy, young children, any death is unacceptable. 45.3 PATIENT EVALUATION: 45.3.1 What are the initial clinical steps one should take in the patient with post-tonsillectomy bleeding? The diagnosis of post-tonsillectomy bleeding is usually made by a quick history. Parents or patients will mention right away the previous surgery. Differential diagnosis is blunt or sharp trauma to the oropharynx. Rare cases are bleeding tumors of the oropharynx, like hemangioma. The child will present with fresh blood in the mouth and frequent swallowing of blood. Nausea with or without emesis of fresh blood is common. Newer and more potent antiemetic medications may mask or suppress vomiting. Therefore, the amount of blood swallowed may be underestimated. It is not uncommon for children to have been bleeding silently for a prolonged period of time with extensive blood loss. The child is often restless, diaphoretic and pale. The vital signs may show an increased heart rate, because of pain and hypovolemia. In awake children, hypotension following blood loss is a very late sign and then indicates significant hypovolemia. Intravenous access must be established as soon as possible followed by initial volume resuscitation with crystalloid or colloid solutions or. A blood sample for baseline hematocrit or hemoglobin is necessary as well as for blood type and cross match. An intra oral examination will show blood and blood clots. A bleeding source may be seen in the tonsillar bed. Bleeding from the tonsillar bed may initially be controlled using pharyngeal packs and cautery. But children with post tonsillectomy bleeding should be taken back to the operating room for exploration and surgical hemostasis. Repeated attempts to stop bleeding on the ward or in the emergency department should be avoided, except if exsanguination is imminent. A questionnaire of children undergoing tonsillectomy with or without postoperative bleeding showed an increased incidence of post-traumatic stress disorder if the children with bleeding were treated on the ward compared to children without bleeding or if the bleeding was treated in the operating room (7). 45.4 AIRWAY MANAGEMENT 45.4.1 How is the airway usually managed in post-tonsillectomy bleeding? Large volumes of blood may be swallowed, and blood or blood clots are often present in the oral cavity of these children. Despite the fact that the aspiration of blood is not similar in severity to aspiration of gastric acid, it remains an undesirable occurrence. In addition to hypovolemia, patients with post tonsillectomy bleeding present two major problems: Aspiration: These patients must be considered to have a full stomach and are at an increased risk of aspiration. Difficult airway: Blood and blood clots may impair visualization to the vocal cords. In addition swelling of the oropharynx may have occurred because of surgery or infection. This may lead to a changed laryngeal anatomy. Because of the risk of aspiration, a mask induction maintaining spontaneous breathing is not desirable and a rapid sequence induction should be considered. The efficacy and use of cricoid pressure, especially in children is currently controversial. It is noteworthy that cricoid pressure can distort the laryngeal anatomy and worsen the view of the larynx. In addition, it can induce vomiting in the partially anesthetized patient. The blood and blood clots in the oropharynx can impair vision during laryngoscopy or cause plugging of the endotracheal tube. A working suction apparatus is lifesaving and must be prepared in duplicate. One should be a large bore, rigid surgical suction and the other mounted with a flexible endotracheal suction catheter. If one becomes blocked with a blood clot, another is readily available. If large amounts of clot are present, it may be necessary during the initial laryngoscopy to manually remove them with a finger or gauze. A Magill forceps should be available to grab clots deeper in the pharynx, recognizing that these clots may be too fragile to be grasped and removed from the oral cavity using the Forceps. A past history of difficult laryngoscopy is helpful, although this never precludes preparations for a difficult and failed airway. Different sized curved and straight blades as well as a flex tip blade (McCoy laryngoscope) should be readily available. Different sized cuffed endotracheal tubes, with one size up and down of the calculated size must be prepared. They should be preloaded with a well lubricated intubating stylet, as is standard for a rapid sequence induction. A tracheal introducer (Bougie) may be helpful in the presence of a grade 3 view. If the epiglottis is visible, but no laryngeal entrance can be appreciated, a stroke of chest compression may help find the glottic opening by creating air bubbles. The pediatric lightwand represents an elegant technique for intubation in the case of a glottic view obscured by secretions or blood. The extremely bright light can shine easily through blood and blood clots. However experience is necessary when using this device. Indirect laryngoscopy using the video-laryngoscope (GlideScopeÂÂ ® or the AirtraqÂÂ ®) can be difficult. Blood and secretions may block the optical lenses and impair the view to the vocal cords. The lens in the AirtraqÂÂ ® with its position between the lightsource on one side and the guide channel for the endotracheal tube on the other side might be more protected than the lens of the GlideScopeÂÂ ®. Case reports or studies, however, have not been published in this regard. The laryngeal mask plays an accepted role as an alternative airway device in managing the difficult pediatric airway (see Chapter 42). It is used frequently in primary adeno-tonsillectomies. It can be placed quickly and can be used as a conduit for a flexible bronchoscope to guide intubation if required. On the positive side, a laryngeal mask may briefly tamponade the bleeding site, and therefore protect the airway and the optical lens of the bronchoscope. Though, on the other hand, it may not provide sufficient airway protection in situations with increased risk of aspiration like post tonsillectomy bleeding. A case report recently described the successful use of a laryngeal mask for a failed intubation in a post tonsillectomy bleed (8). The use of a flexible bronchoscope alone is not recommended in cases of oropharyngeal bleeding. Experts recommend that the practitioner should rely on the alternative techniques with which they have the most experience and skill. Preparation for the unexpected is essential. An experienced otolaryngologist or other qualified rigid laryngoscopist/bronchoscopist should be in the OR for all of these cases. If direct laryngoscopy fails, a rigid device wielded by the otolaryngologist may just be successful. An appropriately sized, lubricated and tested rigid laryngoscope/bronchoscope connected to a light source and suction must be readily available at the head of the child. Preparation for a surgical airway is also essential (e.g. tracheotomy tray opened and ready). To reduce the risk of postoperative nausea and vomiting the stomach content of the child should be suctioned using an orogastric tube at the end of the procedure, recognizing that this does not guarantee an empty stomach as much of the blood may be clotted. 45.4.2 What are the airway management options for this patient? This patient presents several issues regarding anesthesia induction and airway management: high risk of aspiration difficult intravenous access suspected atlanto-occipital instability known difficult direct laryngoscopy with easy facemask ventilation expected difficult view of the larynx due to blood and secretions Several options for the anesthetic and airway management of this child need to be weighed and considered in light of their risks and benefits: Intravenous induction versus inhalation induction without IV access: This child is undergoing a second surgical procedure within 24 hours. Due to the frightening emergency situation, pain, bleeding and his mental impairment he is distressed and uncooperative. While a smooth inhalation induction with a facemask was preferred for his first surgery, a stomach potentially full of blood mitigates against this approach and for a rapid sequence induction to minimize the duration of an unprotected airway. One might even hope for a rapid venous access following a mask induction to permit medication administration but we know in this case that is not likely. Anesthesia induction with cervical spine precautions versus no C-spine precautions: Downs syndrome is associated with atlanto-occipital instability in up to 20% of cases. It can occur in children as young as 4 years of age. The large head of the Downs child coupled with this atlanto-occipital instability places them at increased risk for cervical spine injury during anesthetic induction. Radiographic findings of cervical spinal instability in Downs syndrome remain controversial. Lateral radiographs of the neck in flexion and extension do not reliably detect atlanto-occipital instability. Due to impaired cognition and anxiety, positioning of the patient can be difficult. Old lateral neck radiographs are not available for this child. Due to the emergency situation, a current neck radiograph is not possible. Therefore cervical spine precautions should be performed. Extreme neck extension should be avoided in this child. Awake tracheotomy versus anesthesia induction with attempted laryngoscopy: The fact that this child has a known difficult direct laryngoscopy together with a documented Grade 3 view favors an awake tracheotomy under local anesthesia. This approach would maintain a protected airway at all times. Awake tracheotomy in adults and children are challenging. Optimal surgical positioning with neck extension is crucial for successful procedure. It is not expected, that this child will tolerate this procedure. This fact, together with the required c-spine precautions would exclude an awake tracheotomy as an option for this child. The plan is to perform an intravenous rapid sequence induction employing indirect laryngoscopy to place an endotracheal tube. Preparations for rigid laryngoscopy are in place and the surgeon is prepared to embark immediately with a surgical airway (in this case a triple set up). 45.4.3 How should you prepare for this case? Following the failed attempt to start an intravenous line in the emergency department, the child was brought to the operating room. As previously outlined, venous access is crucial for induction and fluid resuscitation. Placement of a central line in the awake child is a possible option. For internal jugular vein access, the head may need to be rotated with increased risk associated with the presumed atlanto-occipital instability. The subclavian approach has the risk of a pneumothorax. An ultrasound guided femoral vein approach is an alternative. On the other hand, several studies have shown that an intraosseos cannula can be placed within 60 seconds and that this line provides an excellent access for the administration of medications and fluids. Because of the risks associated with central line placement, the child was prepared for an intraosseous cannula. The right leg was prepped with antiseptic solution, and local anesthetic injected at the tibial plateau. An intraosseous canula was placed without incident. A normal saline solution flowed freely permitting the administration of 20ml.kg-1 bodyweight. Atropine 0.1 mg IV was administered to reduce additional secretions and mitigate vagal responses secondary to laryngoscopy. The usual monitors were applied (pulse oximetry, noninvasive blood pressure and EKG). The surgeon was prepared as was his equipment; the rescue airway cart was in the room. 45.4.4 Management of this child Concurrent with the placement of the intraosseous canula, the child was prepared for a rapid sequence induction. The child was denotrogenated with 100% FiO2 for 3 minutes employing a facemask that was reasonably tolerated with much cajoling. Considering the possibility of significant hypovolemia a 50/50 mix of Ketamine and Propofol (ketofol) was selected for induction and Succinylcholine for neuromuscular blockade. Cricoid pressure during induction was not applied to avoid stimulating vomiting in the already agitated child. It was applied after the child was deeply anesthetized. As soon as the child was deeply asleep and paralyzed, the mouth was suctioned easily and several clots were removed with the Magill Forceps. Again the brisk bleeding from the right tonsillar bed was noted. Since the previous direct laryngoscopy showed a Grade 3 view, a repeated direct laryngoscopy was not attempted. Because the oral cavity seemed to be free of clot, it was decided to proceed with indirect laryngoscopy with the GlidescopeÂÂ ®. Unfortunately, blood obscured the lens and following a prolonged laryngoscopy the attempt to intubate was abandoned. Oxygen saturations fell from 100% to 94% and despite the risk of aspiration, mask ventilation was begun and cricoid pressure was maintained.The saturations recovered nicely. At this point, faced with a failed intubation, rather than a failed airway it was decided to insert a ProSealÂÂ ® laryngeal mask. The oral cavity was once again suctioned with a rigid catheter under direct laryngoscopy and a number 3.0 ProsealÂÂ ® laryngeal mask was easily placed. No air leak was noted and pressure controlled ventilation with a pressure limit of 15 cm H2O was started. A number 5.5 uncuffed endotracheal tube was loaded on a pediatric flexible bronchoscope. Using the LMA ProSealÂÂ ® as a conduit, the bronchoscope was advanced into the trachea. Blood and secretions where present in the LMA and in the trachea but did not obscure the view through the bronchoscope. The ETT was placed easily. With a small air leak at 20 cm H2O airway pressure, it was decided not to change the ETT over a pediatric Cook airway exchanger to a cuffed ETT. Since the LMA did not obscure the surgeons view, it was decided to leave the LMA in place and remove it together with the endo tracheal tube at the end of the procedure after emerge of anesthesia. With a secured airway, the ENT surgeon cauterized the tonsillar bed, and the bleeding artery could be ligated. At the end of the procedure, a large bore nasogastric tube was placed through the suction port of the ProsealÂÂ ® laryngeal mask and the stomach suctioned. The child was taken to the pediatric ICU where he was extubated fully awake one hour later. 45.5 OTHER CONSIDERATIONS 45.5 1 What is the current thinking with respect to the surgical management of post-tonsillectomy bleeding? Life threatening post-tonsillectomy bleeding requires an aggressive approach to surgical management. Initially pressure on the bleeding tonsillar fossa with a clamped gauze or the index finger may give sufficient time to start an intravenous line for blood work and cross match, and to provide for fluid resuscitation or blood transfusion if indicated. If intraoperative localization of the bleeding source is time consuming and local treatment is ineffective, ligation of the external carotid artery at an early stage may be required. Aberrant arterial blood supply to the tonsillar region deriving from the internal carotid artery or the carotid bulb may be present. In cases such as these, packing of the pharynx and angiographic embolization of the feeding artery may be necessary(9). 45.5.2 Are there specific measures that one ought to employ to reduce the postoperative morbidity and mortality of patients following tonsillectomy? The focus on post-tonsillectomy bleeding is on preventive measures, both by the surgeon and the anesthesia practitioner. Tonsillectomy technique: In comparison to the cold knife technique, hot techniques employing bipolar diathermy or coblation tonsillectomy are associated with an increased rate of secondary bleeding (4, 9). The duration, frequency and surgical extent of these techniques are linked to the amount of damage to the surrounding tissue. This damage leads to deeper zones of local necrosis which is vulnerable to bacteria- and enzyme-containing saliva, and therefore at increased risk of secondary bleeding (4, 5). Effects of postoperative, nonsteroidal, antiinflammatory drugs: Nonsteroidal anti-inflammatory drugs (NSAIDs) inhibit platelet cyclo-oxygenase (COX). A recent meta-analysis showed an increased risk of re-operation for hemostasis post-tonsillectomy if conventional NSAIDs such as ketorolac, ibuprofen or ketoprofen were used for postoperative pain control in children (10). On the other hand ketorolac has been proven to be an effective treatment for post tonsillectomy pain, and as a non-opioid delivers an intraoperative opioid sparing effect and leads to a reduction in postoperative respiratory depression, nausea and vomiting. A most recent meta-analysis did not find an altered number of perioperative bleeding events in patients given an NSAID (11). Still, the use of these drugs should be discussed with the surgeon and used with precautions. Effects of dexamethasone for postoperative nausea and vomiting (PONV): Postoperative nausea and vomiting increases the risk of primary hemorrhage and unexpected postoperative hospital admission. Dexamethasone has antiemetic properties in the perioperative setting. However, dexamethasone may inhibit wound healing, attenuate the inflammatory response to local infection and as a result perhaps increase the risk of postoperative bleeding. A recent study in children undergoing tonsillectomy and administered dexamethasone was prematurely terminated because of an increased bleeding rate (12). Similar to NSAIDs, the use of dexamethasone should be discussed with the surgeon und used with caution. Tonsillectomy as outpatient surgery: Traditionally, tonsillectomy has been associated with a hospital inpatient admission. Economic imperatives have pushed hospitals to perform tonsillectomies as outpatient day surgery procedures. The evidence has shown that this can be safely performed with the following exceptions: age under 3 years medical disorders that increase anesthetic and surgical risk craniofacial abnormalities abnormal coagulation, with or without an identifiable bleeding disorder obstructive sleep apnea acute peritonsillar abscess family conditions that prevent easy and rapid return to a medical facility Patients should always be observed for a minimum of 6 hours. They should be able to tolerate oral fluids and be pain free of prior to discharge. As an alternative to hospital admission, a 23 hour overnight observation period can be considered. 45.6 SUMMARY Post-tonsillectomy bleeding is a rare event, which occurs most often within 24 hours following tonsillectomy. However, it may be delayed for up to 14 days postoperatively. The amount and severity of bleeding along with the need to ensure patient comfort and a still surgical field most often make operative revision under general anesthesia necessary. The insidious and continuous nature of the bleeding may lead to significant hypovolemia which is often difficult to assess. Blood work and cross match as well as preoperative intravenous access with fluid resuscitation are crucial in the management of these children. Aspiration and a difficult airway are ever-present risks during the induction of anesthesia in these patients. Rapid sequence induction with direct laryngoscopy and endotracheal intubation is the accepted first choice in the management of these children. An array of pediatric airway management devices need to be immediately available. Blood and secretions can obscure the laryngeal view and can make some devices more useful than others. A surgeon experienced in rigid broncoscopy and establishment of a surgical airway must be present during anesthesia induction. Cautious use of nonsteroidal inflammatory drugs and steroids is advocated. Any death related to a tonsillectomy is a unacceptable bleeding in otherwise healthy children.

The Role Of Puck in A Midsummer Nights Dream :: Midsummer Nights Dream

The Role Of Puck in A Midsummer Night's Dream      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The role and character of Puck, or Robin Goodfellow, in A Midsummer Night's Dream, is not only entertaining but quite useful.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   William Shakespeare seems to have created the character of Puck from his own childhood.   In Shakespeare's   time it was believed that fairies and little people did exist.   Whenever something went wrong around the farmyard or house or village, incidents such as buckets of milk ‘accidentally' spilling over, or tools suddenly disappearing, or doors opening for no reason,   it was blamed on ‘ those damn little people!'.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The idea of Puck's character is a lovely one.   One can't help but be attracted to him and his innocent, little pranks.  Ã‚   He is also known by the name Robin Goodfellow.   The audience can only see this ‘Robin Goodfellow' side of Puck when he is trying to fix something he disrupted, hence the name Goodfellow.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   When compared to Oberon, King of the Fairies and Titania, Queen of the Fairies and the remaining fairies of the play, Puck does not seem to fit in as well.   While Oberon and Titania belong to the forest and the world of dainty fairies, a small village setting seems more appropriate for Puck.   He is the type of fairy that likes to be around mortals and cause them trouble, as opposed to other fairies.   This is why Puck's   little job with a love potion and a young couple is perfect for him and he perfect for the job.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Puck is a likable character who tends to create mischief around himself. Everything is a game to crafty little Puck.  Ã‚   Yet once he realizes that he has caused a problem he will make sure to the best of his ability and power that it is rectified.   As in the scene with Hermia and Lysander, and Helena and Demetrius.   When Puck mistook Lysander for Demetrius (Shakespeare conveniently had the characters look alike or ‘only slightly individualized') and dropped the love-juice into Lysander's eyes and then (with help from Oberon) realized what he had done he knew he had to fix it.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Shakespeare conveniently created ‘Puck' to add some probability to the play.   Since the typical audience believed in fairies and little people, Puck could be convincing in his role.   It is possibly,   even today, more plausible to

Just in Time Distribution Essay -- essays research papers fc

Just-In-Time Distribution and Barilla SpA   Ã‚  Ã‚  Ã‚  Ã‚  Anybody who knows something about business had heard the term Just-in-time (JIT) inventory. It involves producing only what is need, when it is needed. The principle of Just in time is to eliminate sources of manufacturing waste by getting the right quantity of raw materials and producing the right quantity of products in the right place at the right time.(1) In this way, manufactures receive parts and materials â€Å"just in time† to meet the day’s manufacturing quota with hardly any extra.(3)   Ã‚  Ã‚  Ã‚  Ã‚  JIT is a manufacturing management method developed in Japan during the 70’s to meet customer demands. The individual most credited with the development of JIT is Taiichi Ohno, the vice president of Toyota Motor Company. After Toyota introduced JIT and was proven to be successful, it was tried by other companies shortly after and now today is widely used by many companies. JIT can be applied to almost any type of industry and channel relationships. JIT could someday become the norm of the business world. Before the introduction of JIT, there were a lot of manufacturing defects in the system such as inventory problems, product defects, risen cost, large lot production, and delivery delays. Some other problems also included equipment breakdowns, and uneven production levels. The inventory problems included unused inventory that was unproductive and the extra effort of storing and managing it. To store inventory, it costs money called a Carrying Cost, which can be expensive. However, with the use of the JIT system, inventory costs can be reduced by as much as 50 percent if not more. For product defects, the manufactures knew that a single product defect can cause breakdown the producer’s creditability so they must have a defect-free process. Instead of a large lot production, manufactures decided they should produce more than just one good and have a diverse line of products. And finally, the way they were running things did not manage well for the fast delivery request, so there was a need to have a faster and reliable delivery system in order to handle customers’ needs.(1) With the use of the JIT system, these problems were solved and made things run a lot more smoothly with a lot less cost. To make the JIT system successful the cooperation between manufacture and its cha... ... cooperation during negotiations and to reinforce agreements. Being a new customer they are open to new ideas, whereas the current distributors and customers are more reluctant to change. Such target markets could include the small independent shops. Barilla isn’t the only case that has tried to implement JITD. It is being use for perishables because they have such a short shelf life and need to be shipped out fast with little to no storage. Overall, I think JITD could be useful to the right companies. Who knows maybe someday it will be as popular as the famous JIT. Bibliography 1.) Wong, Nancy, â€Å"Conceptual Theory†, Iowa State University, http://www.clubpom.com/Student_Wing/Public/JITtutorial.html 2.) Russell, Roberta S., and Taylor, Bernard W., Operations Management, 4th Edition, ch. 11, pg. 511-535. 3.) Rosenbloom, Bert, Marketing Channels, 7th Edition, 2004, pg. 405-406. 4.)Harvard Business School, â€Å"Barilla SpA (A)†, Boston, MA; Harvard Business School Publishing, 14 June 1994. 5.) â€Å"Just in Time distribution: the time is right.†, Supermarket News, 19 August 1991. http://www.highbeam.com/library/doc0.asp?docid=1G1:11145856&refid=ink_tptd_mag&skeyword=&teaser=

Critique of a Website Essay -- Website Design Analysis Essays Papers

Critique of a Website Web sites are just like magazines, newspapers, brochures, menus, or even directions on how to make nitroglycerin from house-hold goods, in that they all have to be put together in such a manner that whoever is reading or browsing over it will be able to clearly distinguish this from that. In this sense, a critique of any particular web site will have justification, while carefully considering also that this is an altogether new medium of information exchange. Now, all of this talk of togetherness is actually a general reference to basic design principles, such as color coordination, if color is used, text size, font choice/ style, art integration, accessibility, and just plain and simple design of the page. For example, it wouldn't be all that appealing to the eyeball if a page being viewed had all the text jumbled up in a corner, so small your eyes were bleeding by the time you figured out that it wasn't even worth the trouble. Darn. It's important to rememeber, especially these day s, that what you read is as important as how it looks. Have you ever tried reading an interview in a Raygun magazine? Kinda hard, right? Design totally for its own sake is nice, as art that is, and admittedly it looks cool. However, it's two in the morning and you're standing in line at the corner 7-11 trying to pay for your 40 ounce bottle of Kool-Aid, and you happen to see that your favorite MTV Pearl Crap-clone band is on the cover of this hip magazine and you go to read it, but you can't. It's not because to you failed elementary school three times in two years, but because the maestro in charge decided to get fancy with it and thought it'd be cool if he hid the text under a black box or likewise photograph. I like to loo... ...the misifits skull in the background. nice. http://www.lehigh.edu/~pj12/kubrick.html --clockwork orange... at times I wish I had those eye-lid clamps for some of my classes, that and bottle of visine, too. it's a nicely designed page, with lots of information on his films. I forgot he was the one who directed dr. strangelove, a personal classic of mine. http://www.ee.pdx.edu/~caseyh/horror/hellraiser/ --i'm a clive barker fan, so this one was an obvious pick for me. lots of information anybody could ever want to know about the cenobites and the hellraiser mythology. http://nw.demon.co.uk/barkerverse/ --the official clive barker web site... duh. I particularly enjoyed this site because it contained much information on him and plenty of graphics and pictures from his new movie, Lord of Illusions, and others. Besides, it was nicely put together.

African American Studies Notes Essay

1. Discuss the four basic thrusts of the student movement which led to the founding of Black Studies * The Civil Rights Movement (1960) * Break down the barriers of legal separation in public accommodations * Achieve equality and justice for Blacks * Organize Blacks into a self-conscious social force capable of defining, defending and advancing their interests * SNCC emerged as a vanguard group in the CR struggle. * Mobilized, organized and politicized thousands of Black students * Politicized many White students and their leaders through recruiting and training them and bringing them to the South to work in the struggle * The Free Speech Movement (UC Berkeley, 1964) * White student protest against the rigid, restrictive and unresponsive character of the university * Demand for civil rights on campus. * The Anti-Vietnam War Movement (1965) * General student protest against the Vietnam war and university complicity in it through its cooperation with the government in recruitment and research and development programs * Launched by new leftists, especially the Students for a Democratic Society * SNCC, Us, the Congress of Racial Equality participated * Based on opposition to: * The threat the draft posed to Blacks and other males of color not covered by student deferment and especially vulnerable in the South * The government’s war against Third World liberation movements and peoples in general and Vietnam in particular * Fighting an unjust war for a nation depriving Blacks of basic and human rights * The Black Power Movement (1965) * Led to direct establishment of Black Studies * The Watts Revolt in Los Angeles. * Ushered in a new dialog about relations of power in society and the university, the pervasive character of racism, and the need for struggle to overturn the establish order and create a more just society * Stressed the importance of self-determination, need for power, relevant education, cultural grounding, studying and recovering African culture * Organizations stressed the need for the university and society to recognize the diverse cultures of the U. S. * Called on students to engage in struggle in the classrooms, on campus in general and in society to improve life of African people and society itself 2. Discuss the emergence of Black Studies at SFSU * It began in 1966 * Led by black students * It was the rising tide of the black power movement and reflected its sense of social mission and urgency * Black students at SFSC and other campuses responded to the national activism of the Black Power Movement and the Watts Revolt. * 1966 changed their name to Black Student Union (BSU) to indicate a new identity and direction. * Black students developed a black arts an culture series * BSU demanded a legitimate Black Studies Department funded by the college and controlled by black people brought stiff resistance * BSU also demanded special admissions programs for a given number of black studies but it was also resisted. 3. Identify the major groups involved and the contribution of Dr. Nathan Hare * In 1968, Dr. Hare, an author and former professor, was appointed to be coordinator of Black Studies * He was given the task to formulate an autonomous Black Studies Department * He was fired from Howard University for his activism in support of students and the struggle of â€Å"relevant education† * He continued to stress on â€Å"relevant education† when he came to SFSU * By April 1968, Hare had completed his proposal and a program for special admission for Black students * The board of trustees continually delayed implementation of the program and it is this which led to the student’s strike * The university was shut down. * Eventually the students won the strike, which ended march 1969 * San Francisco State (SFSU) became the first institution of education to establish a Black Studies program and department. * GROUPS INVOLVED: Black Power Movement, Civil Rights Movement, Free Speech Movement, Anti-Vietnam War Movement 4. What were the early academic and political concerns of the advocates of Black Studies * Academic 1) concerned with traditional white studies. White studies was seen as inadequate and a distortion of the lives and culture of African people. White studies posed whites as the exemplary model for everyone, was seen as Eurocentric. 2) White studies was also seen as resistant to change which was necessary for relevant education. Black Studies argued for the need to teach Black Studies from a black frame of mind. This later became known as Afrocentric perspective. * Political 1) concerned with the low number of blacks on campus, which was seen as racist exclusion to maintain a white monopoly. So it was demanded that special admission and recruitment efforts were made to solve this problem. 2) Concerned with the treatment of racism. Sought out to make blacks respected and politically involved on campus. 3) Concerned with social problems of the black community and how black students and black studies could address and solve them. 5. What were the early objectives of Black Studies * To teach the Black experience in all its variedness and with special attention to history, culture, and current issues. * Black Studies assemble and create a body of knowledge that contributed to intellectual and political emancipation. (Developing an intellectual and dependent mind and using that knowledge in the interest of Black and human freedom). * Create intellectuals who were dedicated to community service and stressed the importance for Black intellectuals who were conscious, capable, and committed to Black liberation and a higher level of human life. * To nurture, maintain, and continue expansion of an equally beneficial relationship between the campus and the community. Dr. Nathan Hare â€Å" We must bring community to the campus and the campus to the community†. * To establish and confirm its position in the academy as a discipline essential to the educational project and to any real conception of a quality education. (Both an academic and political challenge). Chapter Two Study Questions 4. Discuss the emergence of the Afrocentric initiative and Molefi Asante’s founding role in it. * Emerging in the late 70s and finding its theoretical foundation in a work by Molefi Asante titled Afrocentricity: The Theory of Social Change and published in 1980 * Asante introduced Afrocentricity as the indispensable perspective of the Black Studies project and initiated a wide-ranging discourse which had both academic and social implications and consequences * Asante energized Black Studies discourse and gave a fresh and added thrust to the pursuit of new research directions in Black Studies with his insistence on African location or centeredness, African agency, and an African frame of reference in research and methodology and intellectual production * He became a much sought after lecturer and commentator * He defines Afrocentrism as a term used to negate and miscast Afrocentricity by its opponents 5. What does multiculturalism and pluralism have in common? * Multiculturalism can be defined as thought and practice organized around respect for human diversity * Expression in four basic ways: * Mutual respect for each people and culture as a unique and equally valuable way of being human in the world * Mutual respect for each people’s right and responsibility to speak their own special cultural truth and make their own unique contribution to society and the world * Mutual commitment to the constant search for common ground in the midst of our diversity * Mutual commitment to an ethics of sharing in order to build the world we all want and deserve to live in * Pluralism * Based on exceptional values as determined by the host of society Chapter Four Studying Questions 1. What arguments does Van Sertima make to prove African presence in Olmec civilization? * Unearthed evidence like more Olmec heads, especially one at tres zapotes showing Ethiopian type braids; more clay sculptures of African types which reflect the coloration and texture of African hair; reaffirmation of skeletal evidence; new evidence from ancient maps; new comparisons of African and south African pyramids; and further discussion on dating of the voyages. 2. What are some basic misconceptions about the holocaust of enslavement? Discuss its impact. * The enslavement was not a â€Å"trade† but instead the whole process by which captives were obtained on African soil was through warfare, trickery, banditry and kidnapping. * Europeans blame Arabs and Africans for participation in the process of enslavement, however they were always the ones benefitting from it. Basically, what looked like an Arab-controlled â€Å"trade† was in fact a European dominated â€Å"trade† with Europeans using Arabs as middlemen. * Although some Africans enslaved others, it was a part of their culture and they were able to be civil with the rest of society. * Impact: depopulation through mass murder, societal disruption/destruction, forced transfer of populations, caused loss of youth and skilled personnel, thus affected scientific, technological and cultural progress of africs. Economic destruction. 3. What was the basis for enslavement and some of its basic aspects? * Based on brutality, cultural genocide, and machinery of control. * Brutality: physical, psychological, sexual * Cultural genocide: destruction of political identities and ethnic units, families, cultural leaders, the outlawing of African languages. * Machinery of control: involved five mechanisms of control- laws, coercive bodies, the church, politically divisive strategies, plantation punishments * 4. List and discuss the major forms of resistance to enslavement * Day-to-day resistance: daily refusal and challenge with which Africans confronted the enslavement system. Included sabotage, breaking tools, destroying crops etc. * Abolitionism (underground railroad). * Emigrationism: the push to emigrate back to Africa or go elsewhere where Africans could be free. * Armed resistance: revolts, ship mutinies, etc. * Cultural resistance: used culture to inspire and maintain one’s humanity through dances, moral narratives, music etc. 5. What were some of the basic reasons for the failure of reconstruction? * White terrorist societies intensified. Ex: ku klux klan * Congress did not give blacks the support they needed and they were essentially reintegrated back into the southern economy under semi-enslaved conditions as sharecroppers. * â€Å"Black codes† (segregation and discrimination) and they didn’t receive land, forcing them back to the plantation. * Supreme court’s benefit through rulings favorable to the south * The Hayes-Tilden compromise in 1877- president hayes granted south federal troop withdrawal, leaving blacks to fend for themselves in racist society 6. What were some of the reasons for the great migration? * To escape the racist south * Wanted to escape crop failures, natural disasters like floods in the south * Growth of industry in the north, labor demands due to WWI * No more immigration from Europe, therefore no more unskilled laborers and domestic servants * The north promised blacks greater opportunities- recruited them 7. What were some of the major organizations founded to struggle against injustice in the early 1900s? Discuss the black womens club movement. * Rose out of African cultural traditions which stressed responsibility to family and community which led to free black women and men establishing numerous mutual aid societies during enslavement * Founded first national conference of the colored women of America which established the national association of colored women * Also the Niagra movement, the NAACP and the urban league 8. Identify the major groups and leaders of the 60s * Booker T. Washington: â€Å"major black leader of his time† * W. E. B. DuBois: white activist-scholar * Marcus Garvey: pan-africanist dedicated to building a nation-state in Africa * Ida B. Wells-Barnett: journalist, organizer, lecturer and teacher 9. What are some major challenges and achievements of the 70s, 80s and 90s? * 70s: 1. Challenges- began with recovery from the massive suppression on the black movement by COINTELRO (counterintelligence program launched by the FBI by director J. Edgar Hoover) 2. Hoover tried to stifle any form of a black revolution 3. Affirmative action- â€Å"reverse discrimination† 4. Achievements- blacks penetration and victories in electoral politics 5. Sought to build national independent power structures 6. Resurgence of pan-africanism * *80s: 1. Challenges- continuing crisis of US society, rise of the vulgar and â€Å"respectable† right, continuing struggle to rebuild a black mass movement and appropriate alliances and coalitions in order to defend black gains, win new ones and minimize losses 2. Problem of alliance and coalition 3. Achievements- heightened level of electoral political activity among blacks 4. First black governor (Virginia) * 90s: 1. Challenges- increasing negative attitude of the Supreme Court to racial injustice and affirmative action, continuation of hate crimes, veto and later passage of 1991 civil rights act, increase in poverty 2. Achievements- election of Bill Clinton and 39 blacks on congress and one black senator 10. Discuss the million persons marches. What were their similar concerns and their effect on the black community? * **Million man march/ day of absence- voiced concern about increasing racism, deteriorating social conditions, etc.and the impact on the world * -Day of absence: women organized communities to stay away from business/ school and to register people to vote and empower the community as a whole * -Created a sense of possibility and promise; after there were increases in membership in organizations, adoption rates, mentoring programs and social activism. * Million woman march- needed to energize the lives and struggles of black women * Million youth march- same thing, but with youths (not a huge turnout) * –All of these marches were a statement for self-consciousness as black men, women, and youth and the responsibility to community and struggle which this implies and requires 11. What are some major challenges of the beginning 21st century? * 2000 presidential election and voter suppression (gore and bush), tragedy and aftermath of hurricane Katrina, HIV/AIDS epidemic, continuing police abuse, deteriorating socio-economic conditions

Panel Discussion

Eulene Albert F. Geronimo SPEECOM EG Reflection Paper for Panel Discussion To be honest, we felt a little disappointed when Ms. Jeanne Purpura told us minutes before our panel discussion that the projector was not available for use. In addition, we also sort of panicked because almost half of what we would deliver that day was only based and could only be delivered effectively by our powerpoint presentation. The graphs and statistics we have researched about were included in that visual aid; the audience might have enjoyed and understood the discussion more if the projector was functioning well.All the same, we still managed to get through. In fact, in my opinion, we have achieved our objective of informing the audience about mobile nuclear drive, its advantages, disadvantages and consequences to the health and welfare of the society. However, no panel discussion is perfect. In fact, no speech is flawless; everyone has his/her own strengths and weaknesses. And in this paper, I am goi ng to discuss the strong and weak points of our panel discussion. Let me begin with the â€Å"Speaker† aspects in the rubric for panel discussion.I admit that one of the weak spots of our group was the lack of enthusiasm in our facial expressions and voice projection. We, the panel members, also failed to establish rapport with one another. However, in my opinion, my groupmates and I tried our best to be as knowledgeable as possible with regards to our assigned topic. Without a doubt, I can tell that we looked prepared and credible, not just because we are engineering students and are expected to really have some grasp of these kind of topics but because we have really researched and internalized the issue in depth.We also wore appropriate formal attire and took our respective roles as different kinds of engineers seriously. As a result of these, we had some convincing power towards the audience that I felt their eagerness to listen and learn more about our subject matter. Th ey even asked a handful of questions and this serves as proof that they were really into our discussion. On the other hand, I confess that the flow of our discussion was not that organized. The ideas did not come in a smooth flow and I think, this was one of the consequences of not having a visual aid.In effect, the panel discussion lacked spontaneity. However, we should have adjusted with regards to that aspect for the reason that technical difficulties are inevitable and a good speaker should have seen that and have prepared for that beforehand. In the rubric, we scored relatively high in the â€Å"Message Content† part. I think it is because our arguments are supported with adequate evidence and well–researched facts and information. We failed to cite our references though, for the reason that our list of references was embedded in our powerpoint presentation.Lastly, based on the feedback we have received from our blockmates, I believe that our group has answered th e questions of the audience credibly and convincingly. Next aspect would be the organization. Thanks to our moderator, Mr. Doolittle, who started and ended our panel discussion with a bang. On the other side of the coin, we failed to use transitions and the details we discussed were not that logically organized, like what I said in one of the paragraphs above. In other words, a smooth flow of ideas was not observed.Apologies. In the aspect of transmission, we also scored relatively high. There was a varied intonation and a conversational tone while we delivered the information. There was also a controlled speed delivery; we went not too fast but not too slow. In simpler words, we went at a moderate pace, so as not to hurry or lose the eagerness of the audience. When it comes to nonverbal aspects of speech delivery, our group did not fail to apply what we have learned. I noticed some simple but effective gestures while watching our video.Even the effortless movements of hands while d iscussing could help in transmitting what we are trying to express or say. Our group also explained the technicalities and the mechanics of nuclear power in layman’s terms so as to be understood by our blockmates who are not that familiar with our subject matter. For this reason, I think it is valid to say that we used clear language to benefit everyone. Still, we fell trap to using fillers like uhm’s and ah’s and unavoidable pauses. Sorry for those. On the bright side, there was no code-switching in our discussion.In linguistics,  code-switching  is the switching between two or more languages, or language varieties, in the context of a single conversation. In our discussion, we really tried our very best to explain the topic to our audience through he use of only one language, English. This is for the reason that English will be used when we communicate with our fellow engineers and with other professionals less than five years from now. Last would be the a udience rapport. At the beginning of the discussion, our moderator formally acknowledged the presence of the audience, especially of Ms.Jeanne. Also, our group made it a point to include audience participation in our discussion. In truth, according to them, we have addressed and answered their questions and clarifications properly. Also, a big â€Å"thank you† to our moderator, Mr. Doolittle, who did well in maintaining the balance of our discussion and for adding some humor when the topic becomes serious and very technical; without him, the audience might have been bored with the endless scientific terms being bombarded to them. With this, the audience paid attention and rapport with them was established.What’s more, the fact that our topic, Mobile Nuclear Drive, was new, interesting, appealing and environment-related adds to the list of our strengths of our panel discussion. Conversely, one weak point in this aspect would be the failure of establishing and maintainin g eye contact with the audience. To sum up, for the reason that we received more good comments than bad ones from our blockmates, I can say that our panel discussion was not much of a disaster even though we did not have a powerpoint presentation to aid us.Just like the previous activity, the Informative Speech, I also learned lots of lessons in this Panel Discussion activity. First, be prepared just in case a technical difficulty comes in and ruins your original plan. Always have plan B. Second, rapport is very essential when it comes to almost everything. But to be specific, audience rapport in speeches is a â€Å"must† because without it, your whole speech would be wasted because no one will listen to you. Third, know your topic from the heart. Who knows?You could be asked with heaps of questions and you should be able to answer if not all, most of them. Plus, five years from now, we might be working in a company and when it comes to project or business proposals, we shoul d master every detail, may it be big or small, so as to gain the credibility and trust of other, even higher professionals. Lastly, there must be a logical organization of the details or the parts of your speech so as not to confuse your audience and for them to continue listening with eagerness and full attention.

This Is My Most Important Event in My Life

A Significant Event I think in a human life, everyone has a significant event that they can't forget. Mine is a poignant farewell party where I said good-bye to my family, my relatives, and my friends. Everyone was laughing and telling funny stories, but I wanted to be alone. I sat on the roof of my house and looked at the stars. It was very hard to leave. I knew I loved them so much and I didn’t truly want to go to the U. S. ; however, I decided I must go and make my own future. I realized that this was my chance to build my career which would benefit me and my family. It was an emotional evening.I will always remember it. It was a lovely day with a sunny morning, a cloudy afternoon, and a windy evening. That morning, I went to the America Embassy for an appointment with the delegate for an interview to receive my F-1 Visa. Maybe it was my lucky day. There were many people who wanted to get a Visa that day. I had waited more than three hours in the waiting room for my turn. I was nervous about what he would ask me. But the interview was easier than I thought. I passed it with a smile on my face. When my father knew I had passed the interview, he was really happy.He told me he would organize a big farewell party for me, and he did it. He invited all of our relatives and friends. Then we prepared everything for the upcoming party together. When all of us were in my house, we separated two groups. One went to market to buy food and beverages. Another group went to the bakery to buy a big farewell cake. We attended the farewell party with a happy atmosphere. During the evening, we took photos and sang the songs we loved. We had a feast with a diverse menu, which included appetizers, main dishes and the desserts. We were joking while we were cooking and eating.The meal was good, but I really enjoyed our affection for each other. After the dinner, we went to the living room to continue the party with playing cards and video games. After a while, my grandpa be gan telling us some his legend tales. Step by step, everybody told many funny stories that made me laugh too much. I knew everyone was sad that I would be leaving, but they still celebrated because they loved me. I realized it, and I laughed with them because I didn’t want them worry about me. On the other hand, I still wanted to be alone so that I could think about many things.I didn’t even know what I was thinking about. I just wanted to find a quiet space so that I could feel peaceful in my mind. I climbed up, sat on the roof and looked at the stars on the sky. Some thought started appearing in my mind. I knew when I left my country; my parents would be sad and worry about me. I thought about my younger brother, who was still a teenager and hoped he would start studying hard and listening to what my parents said. I was also concerned that I would not see my grandparents anymore because they were very old. I knew I would miss my aunts and uncles also.I thought about my friends and all the good time we’d had together. We still had many plans to perform together. Furthermore, I thought about my future. I might perceive and experience more things in the other culture. In addition, I was able to improve my English skill in listening as speaking. This was my opportunity in order to build my career according to my plan; this also was my chance so that I could found my own company. Otherwise, I would be independent. I imagined that how many troubles I would meet. Not only I didn’t scare, but I also felt interesting.I would figure them out and handled by myself. There were some reasons motivate me that I should left Vietnam to the U. S. That really was my significant event; the first time I seriously thought about a lot of things in one night. And now I realize I have matured more since I came here. I’m becoming a man. I may solve many problems as well as I know how to take care of myself. Nonetheless, I still miss my parents, my a ll relatives. I always want to graduate the University as fast as I can so that I could come back my country and visit all of them.