Accidental Asian Analysis Essays - 891 Words

The Accidental Asian analysis paper sociology Eric Liu grew up doubting his own identity. Early on he had trouble dealing with the problems of being an Asian-American. Growing up in a white suburban neighborhood Liu constantly felt out of place in. The suburbs that he grew up in caused him to struggle with his individuality. Who and what was he? How did he fit in the â€Å"big picture† as an American? He grew up with a family that allowed him to choose what he wanted to be never forcing any culture on him. Because of this freedom to choose, Eric in turn could not figure out for himself how he should act in a modern United States society as a minority. Liu’s group of collective essay’s deals with the entire process of what it means to be†¦show more content†¦He states that he is not Chinese-American but Chinese American in that exact order. A different, more determined tone is conveyed throughout the rest of the book. The next topic deals with what he calls the â€Å"New Jews†. He believes tha t Asian Americans compare to Jewish immigrants in many ways. The final section of Eric Luis collection covers his marriage to a white women and how that may affect his own personal assimilation. In Liu’s memoir, he goes into great depth describing his father’s role in his life. His father’s sickness was cleverly masked from the family for so many years. Liu wants to be able to relate to his father’s past. He struggles with the idea that he will never have the same cultural background as his parents had. It worries him that he struggles with the Chinese language and feels as though his culture is fading from generation to generation. His father is described as having an â€Å"endless reserve of inner strength† pg 30. The emptiness Liu feels is in part because he thinks he cannot live up to his father. He emphasizes that his â€Å"chineseness† lies with his looks and behavior. He questions his own loyalty to his family because he does not truly believe that he is â€Å"shaped by ethnicity† but rather, â€Å"shaped by situation† pg 30. Sadly as Liu began envisioning his future with his father and even progressing toward id entifying with him, he passes and Liu falls back into questioning and reminiscing about what hisShow MoreRelatedImproving The Lives Of Street Youths952 Words   |  4 Pagesor drugs. Approximately 14% to 34% of street youths are forced to prostitute. When compared with general youths, the mortality rates of street youths are 11 times higher. In terms of Canada, this high mortality rate is caused mainly by suicide or accidental deaths from overdose, which accounts for over 20% of the deaths. This dangerous life is compounded by the government’s deterrent model for dealing with crime. Around 104,000 young offenders were accused under the criminal code in 2013. Key Considerations:Read MoreThe Quest Is A Carries For The Expulsion Of Iraqi Forces From Kuwait1114 Words   |  5 Pagesshift in the axis of world power, as developed nations adjusted to a new and relatively less self-sufficient reality. It explores the multifaceted world of the modern oil and gas industry, with new game changers, both as producers (Brazil, Central Asian), and also as consumers (the emerging economies of the BRICS nations). He explores the critical importance of electricity, this he characterized as the many essentials of modern society and communication, such as Ipads, smartphones, laptop computersRead MoreSatirical Comedy : Fice Essay1717 Words   |  7 Pagescapable of not only reinforcing certain stereotypes, but also normalizing them, which can prove to be detrimental to the social progress that we have made as a country thus far. 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For example, Africans are ‘typed’ by their dark skin color and by their curly hair; Asians are known for their ‘yellowish’ skin color, black hair and slanted eyes, etc. Often, solely on the basis of these physical traits, assumptions are automatically made that become â€Å"intrinsically related to their culture, personality and intelligence†Read MoreCulture Bias in the Media1778 Words   |  8 PagesFuture research recommended an investigation into possible over representation/under representation of violence and minorities in television programming. Although more minority characters are appearing on television in increasing numbers, recent analysis indicates that subtle racial biases still seep through in the portrayals of these groups (Gray, 1995). Incidental Learning Television is a very powerful medium. For many, television is a main source of information. Van Dijk (1987)Read MoreCauses of Road Accidents in Pakistan5901 Words   |  24 PagesJ. Asian Dev. 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Mass Persuasion The Power of Public Speaking Essay

Mass Persuasion: The Power of Public Speaking One of the most basic forms of human communication, speech, is also one of the most complex and intriguing, both in and of itself and in its uniqueness as what many experts would say is the only solely human trait. Through thousands of years of existence, humans have developed and refined speech skills so as to be able to convey simple thoughts as well as deep emotions. While almost all humans are able to speak, some are naturally more gifted at speaking and are able to not only convey their own thoughts and feelings to others but are also able to impose their ideas and emotions on others so tactfully and decisively that the audience can be convinced of most anything. From Roman times to†¦show more content†¦Brutus is also able to apply logic to his argument when he talks of the oppression that would occur if Caesar were to remain in power and claims that the assassination was the only way to eradicate this problem. Through his use of ethos and logos, Brutus is able to sway the audience and gain full support of the public, but his argument which does not very well persuade emotionally will soon topple when the greater speaker, Marc Antony, takes the podium. Marc Antony is an awe-inspiring speaker, able to use all possible persuasion techniques. He speaks after Brutus at Caesar’s funeral, and because he is still loyal to Caesar, he is trying to persuade the audience to revolt against the conspirators who killed Caesar. To do this he utilizes not only ethos, pathos, and logos, but also a more advanced technique of reverse psychology. â€Å"I should do Brutus wrong and Cassius wrong, who you all know are honorable men. I will not do them wrong; I rather choose to wrong the dead, to wrong myself and you† (83), says Marc Antony as he uses reverse psychology to turn people against the conspirators as his first strategy of persuasion. His use of reverse psychology is ingenious in persuading the crowd, because basic human nature does not want freedoms to be restricted, so when Marc Antony places an idea on the crowd such as Brutus being honorable, the crowd immediately reacts to this restriction of their freedoms of opinion by th inkingShow MoreRelatedEssay on The Power Of Language1283 Words   |  6 Pages The Power of Language nbsp;nbsp;nbsp;nbsp;nbsp;Of all possible human qualities, the one that wields the most power is the ability to use, understand and communicate effectively through language. A proficient use of language allows us to clearly communicate an exact idea from one person to another person or group of people. This precise science of being able to convey exactly what you want equates to the acquisition of power. An important link between language and power is persuasionRead MoreThe Power of Language1300 Words   |  6 PagesThe Power of Language Bob Jones 11-19-96 period 3 Mrs. Fox Of all possible human qualities, the one that wields the most power is the ability to use, understand and communicate effectively through language. A proficient use of language allows us to clearly communicate an exact idea from one person to another person or group of people. This precise science of being able to convey exactly what you want equates to the acquisition of power. An important link betweenRead More Language and Perception Essay examples699 Words   |  3 Pagescan lead to persuasion. The power of persuasion allows individuals to influence and control people (Dictionary.com, 2005). This tactic of persuasion can also be referred to as propaganda, which increases power by spreading information for the purpose of promoting some cause (Dictionary.com, 2005). 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Dengue Case Study free essay sample

Introduction Dengue is a mosquito-borne infection that in recent decades has become a major international public health concern. Dengue is found in tropical and sub-tropical regions around the world, predominantly in urban and semi-urban areas. Dengue haemorrhagic fever (DHF), a potentially lethal complication, was first recognized in the 1950s during dengue epidemics in the Philippines and Thailand. Today DHF affects most Asian countries and has become a leading cause of hospitalization and death among children in the region. There are four distinct, but closely related, viruses that cause dengue. Recovery from infection by one provides lifelong immunity against that virus but confers only partial and transient protection against subsequent infection by the other three viruses. There is good evidence that sequential infection increases the risk of developing DHF. The incidence of dengue has grown dramatically around the world in recent decades. Some 2. 5 billion people – two fifths of the worlds population – are now at risk from dengue. WHO currently estimates there may be 50 million dengue infections worldwide every year. The spread of dengue is attributed to expanding geographic distribution of the four dengue viruses and their mosquito vectors, the most important of which is the predominantly urban species Aedes aegypti. A rapid rise in urban mosquito populations is bringing ever greater numbers of people into contact with this vector, especially in areas that are favourable for mosquito breeding, e. g. where household water storage is common and where solid waste disposal services are inadequate. Dengue viruses are transmitted to humans through the bites of infective female Aedes mosquitoes. Mosquitoes generally acquire the virus while feeding on the blood of an infected person. After virus incubation for eight to 10 days, an infected mosquito is capable, during probing and blood feeding, of transmitting the virus for the rest of its life. Infected female mosquitoes may also transmit the virus to their offspring by transovarial (via the eggs) transmission, but the role of this in sustaining transmission of the virus to humans has not yet been defined. Infected humans are the main carriers and multipliers of the virus, serving as a source of the virus for uninfected mosquitoes. The virus circulates in the blood of infected humans for two to seven days, at approximately the same time that they have a fever; Aedes mosquitoes may acquire the virus when they feed on an individual during this period. Some studies have shown that monkeys in some parts of the world play a similar role in transmission. Dengue fever is a severe, flu-like illness that affects infants, young children and adults, but seldom causes death. The clinical features of dengue fever vary according to the age of the patient. Infants and young children may have a fever with rash. Older children and adults may have either a mild fever or the classical incapacitating disease with abrupt onset and high fever, severe headache, pain behind the eyes, muscle and joint pains, and rash. Dengue haemorrhagic fever (DHF) is a potentially deadly complication that is characterized by high fever, often with enlargement of the liver, and in severe cases circulatory failure. The illness often begins with a sudden rise in temperature accompanied by facial flush and other flu-like symptoms. The fever usually continues for two to seven days and can be as high as 41 °C, possibly with convulsions and other complications. In moderate DHF cases, all signs and symptoms abate after the fever subsides. In severe cases, the patients condition may suddenly deteriorate after a few days of fever; the temperature drops, followed by signs of circulatory failure, and the patient may rapidly go into a critical state of shock and die within 12 to 24 hours, or quickly recover following appropriate medical treatment. There is no specific treatment for dengue fever. For DHF, medical care by physicians and nurses experienced with the effects and progression of the complicating haemorrhagic fever can frequently save lives decreasing mortality rates from more than 20% to less than 1%. Maintenance of the patients circulating fluid volume is the central feature of DHF care. At present, the only method of controlling or preventing dengue virus transmission is to combat the vector mosquitoes. Vector control is implemented using environmental management and chemical methods. Proper solid waste disposal and improved water storage practices, including covering containers to prevent access by egg-laying female mosquitoes are among methods that are encouraged through community-based programmes. The application of appropriate insecticides to larval habitats, particularly those that are useful in households, e. g. water storage vessels, prevents mosquito breeding for several weeks but must be re-applied periodically. Small, mosquito-eating fish and copepods (tiny crustaceans) have also been used with some success. During outbreaks, emergency vector control measures can also include broad application of insecticides as space sprays using portable or truck-mounted machines or even aircraft. However, the mosquito-killing effect is transient, variable in its effectiveness because the aerosol droplets may not penetrate indoors to microhabitats where adult mosquitoes are sequestered, and the procedure is costly and operationally difficult. Regular monitoring of the vectors susceptibility to widely used insecticides is necessary to ensure the appropriate choice of chemicals. Active monitoring and surveillance of the natural mosquito population should accompany control efforts to determine programme effectiveness. Anatomy and Physiology Blood Components * Plasma is a straw-colored liquid portion of the blood in which the cells and platelets are suspened. It makes up approximately 50-55% of a blood sample. It consist of water (approximately 92%), amino acids, proteins, carbohydrates, lipids, vitamins, hormones, electrolytes and cellular wastes. Serum is essentially the same as plasma, only it has no fibrinogen and clotting factors. If whole blood is allowed to clot and the clot will be removed. Blood cells, along with platelets, comprise the remaining portion of the blood sample. The blood volume is approximately 8 percent of the total body weight. * Erythrocytes, or red blood cells (RBCs), transport oxygen (O2) and carbon dioxide (CO2) in the blood. Erythrocytes contain the protein hemoglobin to which both O2 and CO2 attach. * Mature erythrocytes lack a n ucleus and most cellular organelles, thereby maximizing the cells volume and thus its ability to carry hemoglobin and to transport O2. * Erythrocytes are shaped like flattened donuts with a depressed center (rather than a donut hole). Their flattened shape maximizes surface area for the exchange of O2 and CO2 and allows flexibility that permits their passage through narrow capillaries. * Hemoglobin contains a protein portion, called globin, and nonprotein heme groups. Globin consists of four polypeptide chains, each of which contains a heme group. The heme group is a red pigment that contains a single iron atom surrounded by a ring of nitrogen-containing carbon rings. One oxygen atom attaches to the iron of each heme group, allowing a single hemoglobin molecule to carry four oxygen atoms. Each erythrocyte contains about 250 million hemoglobin molecules. Oxyhemoglobin (HbO2) forms in the lungs when erythrocytes are exposed to oxygen as they pass through the lungs. Deoxyhemoglobin (Hb) forms when oxygen detaches form the iron and diffuses into surrounding tissues. * Carbaminohemoglobin (HbCO2) forms when CO2 attaches to amino acids of the globin part of the hemoglobin molecule. About 25 percent of the CO2 transporte d from tissues to lungs is in this form. * Carbonic anhydrase, an enzyme in erythrocytes, converts CO2 and H2O in the blood plasma to H+ and HCO3? About 65% of the CO2 collected from tissues travels in the blood plasma as HCO3?. Because they lack cellular organelles and thus physiology to maintain them, erythrocytes survive for only about 120 days. * Leukocytes, or white blood cells (WBCs) has three types: * Granulocytes constitute 60-80% of the total number of leukocytes. They contain granules in their cytoplasm and act as phagocytes. The three types of granulocytes are neutrophils, eosinophils and basophils which are also referred as polymorphonuclear leukocytes. * Neutrophils are the most plenty of the granulocytes (55-70%). They act as a phagocytes that are less mature than a fully developed neutrophil. A shift to the left describes the increase in immature neutrophils resulting from activation of the bone marrow to produce white blood cells in response to infectious processes. As the bands mature, the nucleus becomes segmented and develops into neutrophils, which is why neutropils are often referred to as â€Å"segs†. Neutrophils are the first type of phagocytic cell to arrive at the site of invasion, drawn by chemicals released by damaged tissue and invading organism * Eosinophils accounts for 1% to 4% of the total number of circulatory leukocytes. They are also phagocytes but they are not efficient in this role compare to the neutrophils. They have the ability to engulf antigen-antibody complexes from allergic responses. They also have the ability to protect the individual from parasitic infections * Basophils (0. 5%-1% of all leukocytes) contain histamine, heparin and serotonin. These are similar to the mast cell activity seen in allergic and inflammatory reactions. Basophils have limited phagocytic activity. * Monocytes account for 2%-3% of circulating leukocytes and are large phagocytic cells produced in the bone marrow. Once they leave the circulation, they reside in tissues to become macrophages. Macrophages are responsible for removing dead and senescent cells as well as having the ability to engulf microorganisms. * Lymphocytes account for 20%-40% of circulating leukocytes. They originate primarily from the lymph nodes and also from the bone marrow. There are three types of lymphocytes: T-lymphocytes,B-lymphocytes and NK cells or mull cells. * Thrombocytes or platelets. Many of platelets are present in circulat ion. The spleen contains the remainder of platelets. Approximately 20,000 to 40,000 new platelets per cubic millimetre of blood are produced each day. The life span of platelets is approximately 10days. * `The major functions of platelets are to maintain homeostasis and coagulation. They have the ability to plug breaks in blood vessels and therefore are able to maintain the integrity of these vesssels * Platelets also release thromboplastin (factor 111) necessary for the conversion of prothrombin to thrombin, which is the first step of coagulation. Demographic Profile Name Address Age Sex Date of Birth Place of Birth Nationality Religion Civil Status Educational Attainment Father Occupation Mother Occupation OTHER Admitting Diagnosis: Acute Tonsilopharyngitis T/C Dengue Fever Syndrome Principal Diagnosis: Dengue Hemorrhagic Fever Attending Physician: Hospital Admitted: Date/Time Admitted: Date/Time Discharged: History of Present Illness According to the significant other, one day prior to admission the patient suffered fever with a temperature of 39. 5 Centigrade accompanied by productive cough able to expectorate yellowish non-blood tinged sputum. The patient was given Ibuprofen (Dolan) 250mg/ml to be taken every 4 hours but it didn’t relieve the patient. It was then followed up with Paracetamol 250mg/5ml with the same frequency. Few hours prior to admission, the patient still had a persistent fever which prompts the significant other to consult the present institution and through assessment, it was then advised that the patient should be admitted for further examination and management. History of Past Illness Through interview to the significant other, the patient was said to be completely immunized. The patient hasn’t been hospitalized for the past 7 years due to any accident or illnesses. The patient was said to be living in a concrete house but with a poor environment sanitation such as presence of garbages and stagnant water. Head to Toe Assessment BODY PART| FINDINGS| Skull| ? proportional to the size of the body, round, with prominences in the frontal area anteriorly ; the occipital area posteriorly, symmetrical in all planes, gently curved| Scalp/Hair| ? scalp is white, clean, free from masses, lumps, nits, dandruff ; lesions, with no areas of tenderness upon palpation; hair is black, evenly distributed ; covers the whole scalp, thick ; shiny| Face| ? oblong shaped, symmetrical, smooth ; no involuntary muscle movements| Eyes/Vision| ? yes are parallel ; evenly placed, symmetrical, nonprotruding, with scant amount of secretions, both eyes black ; clear; sclera is white ; clear; eyebrows are black, symmetrical, thick, can raise both symmetrically ; without difficulty, evenly distributed ; parallel with each other; eyelashes are evenly distributed ; turned outward; upper eyelids cover a small portion of the iris, cornea ; the sclera when the eyes are open, when the eyes are closed the lids meet completely , symmetrical ; the color is the same as the surrounding skin; lid margins are clear, without scaling or secretions; lower palpebral conjunctiva are shiny, moist, transparent ; salmon pink in color; iris are proportional to the size of the eye, round ; symmetrical; pupils are from pinpoint to almost the size of the iris, round, symmetrical, constricts with increasing light ; accommodation; able to move eyes in full range of directions| Ears/Hearing| ? ears are parallel, symmetrical, proportional to the size of the head, bean-shaped, helix is in line with the outer canthus of the eye, skin is the same color as the surrounding area ; clean; ear canal ispinkish, clean, with scant amount of cerumen ; a few cilia; able to hear whisper spoken 2 feet away | Nose| ? nose is in midline, symmetrical, patent; internal nares are clean, dark pink with few cilia| Mouth/Lips| ? lips are pinkish, symmetrical, lip margin is well-defined, mooth ; moist; gums are pinkish, smooth, moist, no swelling, n o retraction, no discharge; no dental caries; tongue is pinkish, slightly rough on top, smooth along the lateral margins, moist, shiny ; freely movable; cheeks are pinkish, moist ; smooth; frenulum is in midline, straight ; thin; soft palate is pinkish, smooth ; moist; hard palate is slightly pinkish; uvula is at the center, symmetrical ; freely movable| Neck| ? proportional to the size of the body ; head, symmetrical ; straight, no palpable lumps, masses or areas of tenderness| Thorax and Lungs| ? chest contour is symmetrical, spine is straight, no lumps, no masses, no tender areas, with clear breath sounds| Heart| ? no abnormal pulsations, pulsations are palpable ; visible in apical area| Breast| ? symmetrical, pinkish nipples, no cracks ; discharges, uniform in skin color, smooth ; intact, no lumps, masses ; tenderness| Abdomen| ? bdominal skin is unblemished, no scars, color is uniform with the body color, abdomen is rounded with symmetric movements caused by respiration; umbili cus is concave| Upper Extremities| ? symmetrical, with visible veins, fine hair evenly distributed, warm, dry ; elastic upon palpation, with area of tenderness on the left arm; palms are pinkish, warm, soft ; elastic; nails are transparent, smooth ; convex with light pink nail beds ; white translucent tips; 5 fingers in each hand; both shoulders, arms, elbows, hands ; wrists can be moved in different range of motion with relative ease; marks of petechial rashes| Lower Extremities| ? kin is smooth, fine hair is evenly distributed, absence of varicose veins, muscles symmetrical, length symmetrical, 5 toes in each foot, sole ; dorsal surface is smooth with pink nail beds ; white translucent tips; both legs, knees, ankles, ; toes can be moved in different range of motion with relative ease| Pathophysiology Predisposing factor Tropical areas Stimulates WBC Bite from mosquito (Aedes Aegypti) Virus enters circulation (Chikungunya Virus)) Virus disseminated to blood Precipitating factor Poo r environmental sanitation Mosquito carrying dengue virus Thermostat change Fever, flash skin and chills Stimulates hypothalamus Release of pyrogen IgG adheres to the platelet (initiates destruction of the platelet) Decrease clotting function thrombocytopenia Possible for bleeding rashes, melena, abdominal pain, low hgb, low hct and low rbc) stimulates intense inflammatory response Related Treatment Drug Infomation| Contraindications| Side Effects/ Adverse Effects| Nursing Intervention| Generic Name: ParacetamolDoctor’s Order: 250mg/5ml5ml p. o. every 4 hoursClassification: Anti-pyreticIndication: Treatment for feverDrug Action:Decrease fever by inhibiting the effects of pyrogens on the hypothalamic heat regulating centers and by a hypothalamic action leading to sweating and vasodilation| Contraindicated with allergy to acetaminophenUse cautiously with impaired hepatic function, chronic alcoholism, pregnancy, lactation. Side Effects Stimulation Drowsiness Abdominal painAdvers e Effects CNS: Headache CV: Chest pain, dyspnea, myocardial damage when doses of 5-8g/day are ingested daily for several weeks or when doses of 4g/day are ingested for 1 year GI: Hepatic toxicity and failure, jaundice GU: Acute renal failure, renal tubular necrosis Hematologic: Methemoglobinemia- cyanosis, hemolytic anemia- hematuria, anuria, neutropenia, leukopenia, pancytopenia, thrombocytopenia and hypoglycaemia Hypersensitivity: Rash, fever| Consideration * Assess for the temperature of the patient before giving the medication and during the peak level of the drug. Avoid using multiple preparations containing acetaminophen * Discontinue drug if hypersensitivity reactions occur. * Treatment for overdose: Monitor serum levels regularly, N-acetylcysteine should be available as a specific antidote; basic life support measure may be necessary. Education * Do not exceed recommended dose; do not take for longer than 10 days. * Advise patient that drug is only for short term use and to consult the physician if giving to children for longer than 5 days or adults for longer than 10 days. * Warn patient that high doses or unsupervised long term use can cause liver damage. * Report rash, unusual bleeding or bruising, yellowing of skin or eyes, changes in voiding patterns. | Drug Infomation| Contraindications| Side Effects/ Adverse Effects| Nursing Intervention| Generic Name: AmpicillinDoctor’s Order: Ampicillin 500mg IVClassification: PenicillinIndication: Active against: Streptococci, non penicillinase producing staphylococci, Listeria, Pneumococci, Enterococci, Haemophilus influenza, E. coli, Enterobacter, Klebsiella, Proteus mirabilis, Neisseria meningitides, N. gonorrhea, Shigella, SalmonellaDrug Action:Binds to bacterial cell wall, resulting in cell death| Contraindicated with allergy. | Side Effects: diarrhea, nausea and vomiting, rashesAdverse Effects: Seizure| Consideration * Monitor intake and output. * Assess food tolerance. Observe patient for signs and symptoms of Anaphylaxis( rash, pruritus, laryngeal edema, and wheezing) * Assess skin for â€Å"ampicillin rash†, normal allergic, dull red, macular or maculopapular, mildly pruritus. * Obtain a history before initiating therapy to determine previous use and reactions to penicill ins and cephalosphorins. Education * Instruct the patient to take medication around the clock and to finish the drug completely as directed, even if feeling better. * Caution patient to notify health care professional if fever and diarrhea occur, especially if stool contains blood, pus or mucus. | Date| Shift| Bot. #| Kind of Solution| Volume| Drops| CC hr| Time Started| 8/11/2011| 2-10| 1| PLR| 1L| | | 4:40pm| 8/12/2011| 6-2| 2| PLR| 1L| | | 8:05pm| 8/12/2011| 2-10| 3| D5 0. 3 Nacl| 1L| | | 9pm| Laboratory Result Hematology For a Complete Blood Count (CBC), specimens of venous blood are taken, it includes hemoglobin and hematocrit measurements, erythrocyte (RBC) count, leukocyte (WBC) count, red blood cell (RBC) indices, and a differential white cell count. The CBC is a basic screening test and one of the most frequently ordered blood tests. | 08/11/2011 2:54pm| 08/12/2011 10:46am| 08/13/201105:29 pm| Normal Values| WBC| 3. 6| 4. 0| 2. 3| 5. 0 – 10. 0 X 10 g/L| DIFFERENTIAL COUNT| * NEUTROPHIL| 0. 66| 0. 27| 0. 34| 0. 40 – 0. 60| * LYMPHOCYTES| 0. 23| 0. 59| 0. 60| 0. 20 – 0. 40| * MONOCYTES| 0. 10| 0. 12| 0. 03| 0. 02 0. 08| * EOSINOPHILS| 0. 01| 0. 01| 0. 02| 0. 1 – 0. 03| * BASOPHILS| 0. 00| 0. 01| 0. 01| 0 – 0. 02| HEMOGLOBIN | 125| 135| 131| 140 – 175 g/L| HEMATROCRIT| 0. 37| 0. 40| 0. 39| 0. 42 – 0. 48| RBC| 4. 61| 4. 96| 4. 82| 5. 5 – 6. 5 X10 12/L| MCU| 81| 81| 80| 88 – 96| MCH| 27. 2| 27. 2| 27. 2| 27 – 33 pg| MCHC| 338| 337 | 338| 300 – 360 g/L| RDW| 11. 8| 11. 7| 11. 7| 12. 7 – 22. 7 %| PLATELET| 140| 142| 145| 150 – 450 X 10 g/L| MPV| 4. 74| 4. 6| 4. 6| 4. 5 – 7. 5 Fl| Urinalysis Urine tests include tests for specific gravity, pH and the presence of abnormal constituents such as glucose, ketones, protein, and occult blood. 8/11/2011 3:44 PM Urinalysis Macroscopic| | Chemical| | Color:Transparency:Microscopic:RBC:PUS Cells:BacteriaEpithelial CellsMucus ThreadsCrystalsAmorphous UratesAmorphous PhosphatesAmorphous BiuratesCalcium oxalate CastPUS CastCoarse Granular Cast:Fine Granular Cast:Remarks| YellowClearMicroscopic0 – 2 / HPF0 – 2 / HPFFewFewFewFew| SpecificPHNitrate: Protein:Glucose:ketone:Urobilinogen:Bilirubin:Leukocytes:Blood:Yeast Cells:Pregnancy:Micral Test:Others:| 1. 0156. 5NegativeNegativeNegativeNegativeNormalNegativeNegativeNegat ive| Serology Description| Result| Dengue NS: Ag| Negative| Dengue Blot| IgG| Negative| IgM| Negative| Recommendations * Boost immune system through eating rich in vitamin C foods and nutritious well-balance diet. * Increase oral fluid intake. * Call the physician and report any untoward signs and symptoms such as bleeding. Cover water drums and water pails at all times to prevent mosquitoes from breeding. * Replace water in flower vases once a week. * Clean all water containers once a week. Scrub the sid es well to remove eggs of mosquitoes sticking to the sides. * Clean gutters of leaves and debris so that rain water will not collect as breeding places of mosquitoes. * Old tires used as roof support should be punctured or cut to avoid accumulation of water. * Collect and dispose all unusable tin cans, jars, bottles and other items that can collect and hold water * Preventive Measures: (CLEAN). Accdg to DOH. Chemically treated mosquito nets Larvae eating fish Environmental clean up Anti mosquito soap/lotion Neem trees/eucalyptus tree

Strategic Plan, Part Ii Swott Analysis Essay Example

Strategic Plan, Part Ii: Swott Analysis Essay Strategic Plan, Part II: SWOTT Analysis BUS/475 SWOTT Analysis Today’s business world is one of many challenges; challenges with our Federal Government encroaching upon the business world with regulatory changes and restrictions, challenges with an ever-changing economic climate that seems to swing in either direction and challenges with both political parties that engage in meaningless finger-pointing, rather than looking for solutions. Having a Strategic Plan in place is important to ensure that any business has a successful start to their business life. Companies need to develop strategic plans that include performing a SWOTT analysis to establish how the business will survive in these tough economic times. A SWOTT analysis is defined as a situation analysis of an organization’s internal Strength and Weaknesses, external Opportunities, Threats and Trends faced by the company, are closely examined to chart a strategy for survival of the company, (Business Dictionary, 2011). By focusing on leadership, the legal and regulatory climate, global economic climate, technological advances, innovation, processes and systems trends, a company can determine what changes need to be made to survive. Below is a SWOTT analysis for an all online loan origination system called The Loan Doctor, LLC. Strengths The Loan Doctor’s fully integrated online format is similar to the questionnaire system that Turbo Tax uses in their software system; each â€Å"yes† or â€Å"no† response sets up a new set of questions or responses for the next series of questions or responses; in the end, the system gets the right response it requires to make a decision to approve or deny the loan application. We will write a custom essay sample on Strategic Plan, Part Ii: Swott Analysis specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Strategic Plan, Part Ii: Swott Analysis specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Strategic Plan, Part Ii: Swott Analysis specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The Loan Doctor, LLC recognizes the past inefficiencies, breakdowns in communication, confusion over the fees being charged and the interest rate being charged on the loan program and eliminates the confusing loan process that most people do not understand and most mortgage professionals have trouble explaining. The Loan Doctor, LLC also recognizes the general public’s frustration in dealing with personnel that are not as educated about the mortgage loan guidelines and process as they should be, rustration with rates changing at the last minute or fees that come up at the last minute. The Loan Doctor eliminates the need for undertrained personnel that can sometimes cause confusion of the information on the loan application, or failed follow-through by personnel; The Loan Doctor eliminates the human error factor altogether. This online structure allows for management to oversee each function or phase of the process. This structure also allows for minimal accounting and supervision. The Loan Doctor’s ongoing and increasing database will position the business to operate in high volume by being able to accumulate data and service their ongoing database for future refinance or streamlined needs. Weaknesses Older people of our population prefer to work face-to-face with a â€Å"live body† in person, rather than working on an online system where they cannot ask questions during the process. Because of the lack of a one-on-one interaction, many customers may feel like a â€Å"number† rather than a person; in today’s â€Å"entitled† society, many people like to feel important, with an online format, these same people may view this online format as â€Å"cold† and impersonal. Our location, or lack of a physical location, would be seen as a weakness. Other mortgage companies could try to capitalize on this format, claiming the exact cold and impersonal touches linked with this kind of all online origination system. Opportunities Legal, regulatory, compliance and RESPA requirements will have to be met with an internal â€Å"check balances† system that oversees these areas to ensure all files are met with RESPA, MDIA or HVCC requirements, and that files meet HMDA requirements for post-closing auditing. The online system would be considered innovative by most as it would eliminate the need for a Loan Officer or a Loan processor, skipping by both of these job elements going directly to Underwriting for loan approval; competition from other mortgage companies would attempt to discredit an all online origination system. There is an opportunity to reach customers in all areas of the country, once all compliance and licensing requirements are met, to originate and sell loans in other states using this same online internet system. Threats As stated above, other â€Å"mortgage shops† would attempt to discredit an all online origination system by pointing out the lack of a â€Å"live body† person to point questions to. To counter this, The Loan Doctor will employ knowledgeable mortgage professionals to handle questions in an online chat forum that walks the client through any questions they might have; these mortgage professionals would be paid per diem, per helped client. They would be fully trained on the software The Loan Doctor uses. These threats would be from the older portion of our population that likes face-to-face interaction vs. an online system where they cannot ask questions during the process. Competitors will have the ability to differentiate themselves in their processes vs. ur online process that won’t have sales-people to close the deal. To counter this, The Loan Doctor will need to offer the lowest fees and rates to be competitive to help offset any uneasy clients due to lack of human-to-human contact. Other threats include changes in laws or regulatory environments that could affect business in certain regions. To counter this, The Loan Doctor would need to have a strong compliance manager in place to oversee and regulate any changes, in any region, so the sake of closing the transaction for the client and for The Loan Doctor. Trends As our population continues to grow into the internet age, more and more people are becoming computer and internet savvy; the younger population would gravitate to an all online mortgage company as most simply do not have time to take out of their day to visit a loan officer in person (if the loan officer is available), or most do not like the feeling of being â€Å"sold† into a loan or lender. Internet mortgage leads continue to increase as many people would rather be anonymous and try and get as much information as they can before â€Å"showing their cards† to the lender. The Lending Tree is still one of the most popular online lead origination systems on the internet; The Lending Tree, in its â€Å"hay-day† proposed the lowest rate from the best four lenders that would offer their lowest fees and rates to get your business. The model at Lending Tree touted that â€Å"with Lending Tree; when banks compete, you win† and they sold the consumer on the premise that they would receive four offers within fifteen minutes (The Lending Tree 2012); the problem with Lending Tree is that they sold your information to other lead rigination systems and before the consumer knew what was going on, they were being contacted by 12-15 competitors. In closing, a full-time online loan origination system eliminating human error, tacky or opinionated sales people, unreliable or untrustworthy mortgage employees and files that seems to â€Å"sit on peoples desks† are virtually eliminated in an all online, error-free environment that will only rely an form ally trained Underwriters and IT personnel to track and push the file through approval, through Underwriting, through to Clear to Close, to loan docs and finally through the funding process to close the loan. The current economy has left the general public wary of trusting just about any bank or lender out there right now; with Wall Street bailouts, automobile manufacturer bailouts and politicians that seem to engage in finger-pointing rather than finding solutions, the general public is left to themselves to try and figure out what the best option is for them. Most would like to remain anonymous until they feel they have uncovered the best deal, before they are willing to expose themselves of â€Å"show their cards† to a company or system the no longer trust; an full-time online origination system, allows them to do just that; remain anonymous, while gaining information, before they are willing to commit or buy. References The Lending Tree (2012). When banks compete, you win, retrieved from http://www. lendingtree. com/ WebFinance, Inc. (2012). SWOT Analysis, retrieved from Businessdictionary. com: http://www. businessdictionary. com/definition/SWOT-analysis. html#ixzz26fyPzeXb Strategic Plan, Part Ii Swott Analysis Essay Example Strategic Plan, Part Ii: Swott Analysis Essay Strategic Plan, Part II: SWOTT Analysis BUS/475 SWOTT Analysis Today’s business world is one of many challenges; challenges with our Federal Government encroaching upon the business world with regulatory changes and restrictions, challenges with an ever-changing economic climate that seems to swing in either direction and challenges with both political parties that engage in meaningless finger-pointing, rather than looking for solutions. Having a Strategic Plan in place is important to ensure that any business has a successful start to their business life. Companies need to develop strategic plans that include performing a SWOTT analysis to establish how the business will survive in these tough economic times. A SWOTT analysis is defined as a situation analysis of an organization’s internal Strength and Weaknesses, external Opportunities, Threats and Trends faced by the company, are closely examined to chart a strategy for survival of the company, (Business Dictionary, 2011). By focusing on leadership, the legal and regulatory climate, global economic climate, technological advances, innovation, processes and systems trends, a company can determine what changes need to be made to survive. Below is a SWOTT analysis for an all online loan origination system called The Loan Doctor, LLC. Strengths The Loan Doctor’s fully integrated online format is similar to the questionnaire system that Turbo Tax uses in their software system; each â€Å"yes† or â€Å"no† response sets up a new set of questions or responses for the next series of questions or responses; in the end, the system gets the right response it requires to make a decision to approve or deny the loan application. We will write a custom essay sample on Strategic Plan, Part Ii: Swott Analysis specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Strategic Plan, Part Ii: Swott Analysis specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Strategic Plan, Part Ii: Swott Analysis specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The Loan Doctor, LLC recognizes the past inefficiencies, breakdowns in communication, confusion over the fees being charged and the interest rate being charged on the loan program and eliminates the confusing loan process that most people do not understand and most mortgage professionals have trouble explaining. The Loan Doctor, LLC also recognizes the general public’s frustration in dealing with personnel that are not as educated about the mortgage loan guidelines and process as they should be, rustration with rates changing at the last minute or fees that come up at the last minute. The Loan Doctor eliminates the need for undertrained personnel that can sometimes cause confusion of the information on the loan application, or failed follow-through by personnel; The Loan Doctor eliminates the human error factor altogether. This online structure allows for management to oversee each function or phase of the process. This structure also allows for minimal accounting and supervision. The Loan Doctor’s ongoing and increasing database will position the business to operate in high volume by being able to accumulate data and service their ongoing database for future refinance or streamlined needs. Weaknesses Older people of our population prefer to work face-to-face with a â€Å"live body† in person, rather than working on an online system where they cannot ask questions during the process. Because of the lack of a one-on-one interaction, many customers may feel like a â€Å"number† rather than a person; in today’s â€Å"entitled† society, many people like to feel important, with an online format, these same people may view this online format as â€Å"cold† and impersonal. Our location, or lack of a physical location, would be seen as a weakness. Other mortgage companies could try to capitalize on this format, claiming the exact cold and impersonal touches linked with this kind of all online origination system. Opportunities Legal, regulatory, compliance and RESPA requirements will have to be met with an internal â€Å"check balances† system that oversees these areas to ensure all files are met with RESPA, MDIA or HVCC requirements, and that files meet HMDA requirements for post-closing auditing. The online system would be considered innovative by most as it would eliminate the need for a Loan Officer or a Loan processor, skipping by both of these job elements going directly to Underwriting for loan approval; competition from other mortgage companies would attempt to discredit an all online origination system. There is an opportunity to reach customers in all areas of the country, once all compliance and licensing requirements are met, to originate and sell loans in other states using this same online internet system. Threats As stated above, other â€Å"mortgage shops† would attempt to discredit an all online origination system by pointing out the lack of a â€Å"live body† person to point questions to. To counter this, The Loan Doctor will employ knowledgeable mortgage professionals to handle questions in an online chat forum that walks the client through any questions they might have; these mortgage professionals would be paid per diem, per helped client. They would be fully trained on the software The Loan Doctor uses. These threats would be from the older portion of our population that likes face-to-face interaction vs. an online system where they cannot ask questions during the process. Competitors will have the ability to differentiate themselves in their processes vs. ur online process that won’t have sales-people to close the deal. To counter this, The Loan Doctor will need to offer the lowest fees and rates to be competitive to help offset any uneasy clients due to lack of human-to-human contact. Other threats include changes in laws or regulatory environments that could affect business in certain regions. To counter this, The Loan Doctor would need to have a strong compliance manager in place to oversee and regulate any changes, in any region, so the sake of closing the transaction for the client and for The Loan Doctor. Trends As our population continues to grow into the internet age, more and more people are becoming computer and internet savvy; the younger population would gravitate to an all online mortgage company as most simply do not have time to take out of their day to visit a loan officer in person (if the loan officer is available), or most do not like the feeling of being â€Å"sold† into a loan or lender. Internet mortgage leads continue to increase as many people would rather be anonymous and try and get as much information as they can before â€Å"showing their cards† to the lender. The Lending Tree is still one of the most popular online lead origination systems on the internet; The Lending Tree, in its â€Å"hay-day† proposed the lowest rate from the best four lenders that would offer their lowest fees and rates to get your business. The model at Lending Tree touted that â€Å"with Lending Tree; when banks compete, you win† and they sold the consumer on the premise that they would receive four offers within fifteen minutes (The Lending Tree 2012); the problem with Lending Tree is that they sold your information to other lead rigination systems and before the consumer knew what was going on, they were being contacted by 12-15 competitors. In closing, a full-time online loan origination system eliminating human error, tacky or opinionated sales people, unreliable or untrustworthy mortgage employees and files that seems to â€Å"sit on peoples desks† are virtually eliminated in an all online, error-free environment that will only rely an form ally trained Underwriters and IT personnel to track and push the file through approval, through Underwriting, through to Clear to Close, to loan docs and finally through the funding process to close the loan. The current economy has left the general public wary of trusting just about any bank or lender out there right now; with Wall Street bailouts, automobile manufacturer bailouts and politicians that seem to engage in finger-pointing rather than finding solutions, the general public is left to themselves to try and figure out what the best option is for them. Most would like to remain anonymous until they feel they have uncovered the best deal, before they are willing to expose themselves of â€Å"show their cards† to a company or system the no longer trust; an full-time online origination system, allows them to do just that; remain anonymous, while gaining information, before they are willing to commit or buy. References The Lending Tree (2012). When banks compete, you win, retrieved from http://www. lendingtree. com/ WebFinance, Inc. (2012). SWOT Analysis, retrieved from Businessdictionary. com: http://www. businessdictionary. com/definition/SWOT-analysis. html#ixzz26fyPzeXb