Three Types of Major Networks Essay Example | Topics and Well Written Essays - 500 words

Three Types of Major Networks - Essay Example The connectivity is generally made possible using a copper cable or optic fiber cable (OFC). The reach is further extended somewhat when we use the optic fiber. But that results in substantial increase in costs. Therefore in organisations where the purpose of LAN is not commercial and it is merely for information sharing, OFC is not a viable option. LANs are generally used to connect personal computers and sharing resources like printers. Generally LAN can work on speeds ranging from 10 Mbps to 100 Mbps, with modern networks even working at somewhat higher speeds. The interconnections could be in Bus, Ring, Star or Tree topologies. Bus and Ring are the generally used ones’. The arbitration mechanism for resolving disputes is called Ethernet or IEEE 802.3. Metropolitan Area Networks (MAN): Such networks are called "metropolitan networks" because they are usually used for areas like metro-cities. It is a bigger version of LAN and normally uses similar technology. The coverage area of LAN could extend upto 10 kms. An organisation having couple of offices within a city can make use of MAN for interconnecting all such offices. MAN are also compatible with local networks. A Metro area network is also interconnected with one or two cables without any switching elements. Normally, this type of network is made a high speed network using optical fibre cable connections. Couple of LANs can be interconnected with the help of a MAN. The main reason for placing MAN into a separate category is that a standard has been adopted for them. This standard is called Distributed Queue Dual Bus (DQQB). DQQB is made up of two unidirectional buses (cables) to which all the computers are connected (fig 2). This standard is also known as IEEE 802.6. The key fea ture of MAN is that it allows ‘broadcasting’ i.e. one person/ node can messages for all the person/ nodes in the network simultaneously. This is possible because of the design of DQQB. Wide

The right analysis tools Assignment Example | Topics and Well Written Essays - 500 words

The right analysis tools - Assignment Example For instance if an analytic tool such as the net margin ratio revealed that the firm’s profit margin was low, the analytical tool by itself would not give the person that found those results any type of plan on how to fix the problem. The managers are the people that interpret the data to determine the best course of action to fix the issue the firm is facing. Analytical tools without a manager or decision maker competent to make good decisions on how to remedy the situation are virtually worthless. The use of financial analytical tools help increase the credibility of the information been released by the management team of a company (Dooley). The use of analytical financial tools can greatly help a manager’s ability to make routine decisions. For instance a company can have daily income statements to determine the profitability of a firm on a daily basis. If a manager notices that the profitability of a firm goes down for several consecutive days he can then check and audit the numbers to determine the factors that caused the profitability of the firm to go down. Analytical tools can also help in quality and staffing considerations. It is important for the HR department of firms to use analytical tools to evaluate the performance of each of their employees. 3. How can analysis tools help the finance or accounting arms of a company more so than operations managers? (For example, do computers really think? Do they learn from their mistakes? Can they manipulate or change their environment?) Analytic tools to evaluate operation management are important, but I believe that analytical tools to evaluate the finances or accounting or a company can be more valuable. The reason for my opinion is based on the fact that finance analytical tools can help managers determine critical information about the status of an ongoing operation. For example the current ratio is a finance analytical tool that helps

Great response from Arthur Miller Essay Example for Free

Great response from Arthur Miller Essay The Crucible was written in 1953, by Arthur Miller. Miller has said that the purpose of the play is to comment on the parallels between the unfair Salem Witch trials and the Red Scare that lasted eight years 1948-1956. A Crucible is a large container that is used in the production of steel, where they are heated until they melt. A Crucible can stand extremely high temperatures. This is a direct comment on what the play is about. Arthur Miller provided an artistic response to the political climate and he wrote to tackle certain issues such as intimidation. Under McCarthyism, the United States was afraid of communisms influence. McCarthyism came from Senator John McCarthy, who set out to find any threats to the American life and their security. Anybody suspected of communism, mainly those in the entertainment industry, either confessed and gave names of other people or the American Government blacklisted them. Miller, in the entertainment industry, who was protecting his business and friends from any negative outlook it gave, refused to testify to the Committee and was blacklisted. McCarthyism has a great likeness to the play The Crucible. In both situations people only wishing to save themselves falsely accuse many people who suffer. John and Elizabeth Proctor dont have a normal husband and wife relationship, although they are married. They are distant with one another. Their relationship is full of suspicions and clearly has a lack of trust: What keeps you so late? is an accusation. Elizabeth really means what have you been doing or where have you been to keep you so late. The strength of their relationship is tested. John tries to please Elizabeth but she cannot forget her suspicions. John explains to her: I have not moved from there to there without I think to please you, and still an everlasting funeral marches around you heart. This shows that John feels guilt. John Proctor is an honest man. We see this through the way he acts and what he says. John works hard to provide for his family. He has a good clean name in the village and is well respected. However, when the hysteria begins, he wonders whether to expose Abigail for what she really is, even though his name will be ruined. We see that he truly loves Elizabeth when he confesses lechery in order to protect his wife. The audience are drawn to John Proctor. He is one of few people in the play to be truthful throughout, along with Reverend John Hale. Elizabeth is also an honest person. She is a good Christian woman and acts the way shes supposed to as a wife and mother. However, sometimes she can be very cold. She, along with many others, is accused of witchcraft simply because she fired Abigail when she suspected that her and John were attracted to one another and didnt want it to go any further. Even though she has suspected John of lechery and is distant towards him, we know that she deeply loves him. Hale is called into Salem to find out what is going on. He seems a respectful man and gives everyone a chance to prove his or her innocence. He is sort of the plays saviour or hero.  We get to know Abigail Williams through her language and what other characters say. We see that she has power over the other girls and just how far she will go to protect herself, especially in Act 1: I have seen some reddish work done at night and I can make you wish you had never seen the sun go down! Abigail leads the girls in accusing innocent people of witchcraft. Abigail saw the Indians murder her parents. This could have had an affect on the way Abigail is and how she acts. I think that she is able to threaten danger to the girls partly because of her childhood and what she has seen. In Act 3, Abigail shows her power by the way she speaks to Danforth in the courtroom. She even threatens him, saying that the Hell can take him: Let you beware, Mr. Danforth Beware of it! After realising what she has said, she immediately pretends she is in another trance and can see things. This is to allow her to get away with what she has said and so Danforth cant reply to her. There is a great change from Act 1 to Act 3 with regards to hysteria. In Act 1, the girls accuse a few names and they tell just enough lies to protect themselves. Abigail and John Proctor take a gentle lighthearted approach to it in Act 1 and they laugh and joke about it. However, in Act 3 it becomes much more serious. They tell a massive amount of lies and act to make their story believable. Act 3 starts straight away with hysteria. The audience are aware of the gradual build-up because of the characters dialogue. As the play moves further along, the plot thickens as more names are thrown into it and even more unbelievable acting takes place with more and more lies being told. In Act 3, Mary Warren tries to go against the girls with the help of John Proctor in order to save Elizabeth and the other innocents. Mary Warren is already a weak and feeble character and when Danforth questions and speaks to her, he uses cruel vocabulary to fade her. It is obvious that he is on the girls side and doesnt believe a word of what Mary Warren is saying. The girls then accuse Mary Warren of witchcraft. Then she sees that she cannot tell the real truth and overcome the girls lies so she decides to rejoin the girls. To protect herself she accuses John of making her go against the girls and tell lies to them by threatening her. The stage directions in this act build up tension. They add to the drama and the way the girls convincingly act. The stage directions are just as important as the speech. They let us know what is going on and help us understand the characters more. The language also builds up tension. There is a lot of talk about God in the courtroom. Also, there is a lot of cutting each other off. Abigail always tends to cut off Danforth from speaking, so he cant respond to her, this also shows her power. It is almost like Abigail is speaking and saying things just to stop anyone else from doing so.  Personally, I really like the play. I think its a great response from Arthur Miller. There is a mixture of characters and its interesting to see how they interact with one another. I like the play partly because its a true story and I was interested in finding out what happened.

Music Intervention as Anxiety and Stress Relief

Music Intervention as Anxiety and Stress Relief Evelyn Neville Music Intervention as Anxiety and Stress Relief during Minor Medical Procedures Introduction This concept analysis will address the anxiety and stress relief effect of music on patients during routine medical procedures. Music can have a calming effect on patients which can greatly reduce the anxiety and stress the patients may be feeling while enduring procedures such as blood draws or IV insertions (Mok Wong, 2003). The anxiety felt by many patients can provide many obstacles throughout the appointment such as the inability to listen effectively due to the inability to focus (Baldwin, 2016), a negative impact on seeking out further medical treatments in the future (Detz, Lopez Sarkar, 2013), and a general increase in muscle tightness, heart rate, blood pressure and respirations (Bandelow, Boerner ,Kasper, Linden, Wittchen Mà ¶ller, 2013). The alleviation of some of this anxiety and stress may have a powerful impact that could contribute to a patients overall health and continue to build a strong foundation for the relationship between the patient and their health care provider. It is significant that the concept of using music for anxiety relief is studied further as this could provide a new involvement for patients in their own healthcare. It could also provide cost effective ways for the healthcare providers to ensure patients are comfortable, are relaxed and walk away feeling better about their relationship with their health care provider. Music is a universal language that we can all relate to and we should use it to our advantage in the medical field. Music has been successfully used to reduce anxiety in dental procedures (Lahmann et al., 2008), the use of music may be a simple and inexpensive way for hospitals, clinics or doctors offices to make the patients experience better and less stressful. It has been found that music may even be have sufficient anxiety and pain relief in postoperative settings that it may be used as a substitute for adverse effect causing opioid medications (Allred, Byers Sole, 2008). Therefore it is significant that health care professionals should attempt to use the benefits of this non-pharmacologic intervention while treating their patients. The specific use of personally chosen music will ensure that the patient feels they have control over the situation and are involved in their own care (Erlang, Nielsen, Hansen Finderup, 2015). Assumptions The underlying assumptions of this concept analysis include that inherently people like music and it can aid in anxiety reduction as shown by lowered blood pressure, heart rate and respiratory rates (Bandelow, Boerner, Kasper, Linden, Wittchen Mà ¶ller 2013). It has also been used in therapy and other medical practices such as dentistry to assist patients in coping with stress, pain and anxiety (Lahmann et al., 2008). Even though everyone copes differently with stress, it can be assumed that many people use music to reduce stress for physiological, cognitive and emotional processes (Thoma, La Marca, Bà ¶nnimann, Finkel, Ehlert Nater, 2013) Preview In the following section of this concept analysis the reader will be presented with a review of literature reviews that describe the concept in different disciplines. Using the Walker and Avant (2005) method, the concept analysis will include a discussion of the concept and its attributes, antecedents and consequences. Lastly, Empirical referents will also be discussed. Literature Review The literature review for this concept analysis was done with materials found on the following databases: Cumulative Index of Nursing and Allied Health (CINAHL), DePaul Library Book Circulation, UptoDate and Google Scholar. The databases were searched between 1990 and 2017, focusing on articles published after 2000. The CINAHL database produced 1 result for nursing theory music, 11,857 results for music, 333 for music anxiety, 1,531 results for generalized anxiety disorder, 61 results for previous pain experience, and 52 results for music procedure. UptoDate was searched for generalized anxiety disorder with an undisclosed amount of total results. Google Scholar produced 908,000 results for music therapy, 46,200 results for music calming, 597,000 results for music preference, 102,000 results for music therapy anxiety reduction, 1,100,000 results for trust anxiety, 268,000 results for nursing theory music, 1,890,000 results for nurse patient relationship, 976,000 results for patient n urse communication long term, 1,990,000 results for music psychology, 749,000 results for music anxiety and 70,400 results by searching music social bonding. Two additional sources were used, 2 books about music found in the DePaul University Library Book Circulation database when searching for music medicine and music philosophy. Music Therapy According to Oxford dictionary music can be defined as vocal or instrumental sounds (or both) combined in such a way as to produce beauty of form, harmony, and expression of emotion (Oxford Dictionary, n.d.). As music is an abstract form of art, it is able to relate the composers and musicians feelings and intention through direct imitation, approximate imitation and symbolization (Cooke, 2001). With this ability to convey emotion and feelings, music is able to stimulate a heightened emotional response from its creators and listeners (Sloboda, 1991), creating a framework for therapists to create an enriched environment through the use of music. Within music therapy the terms music and music therapy have been used interchangeably, this was especially common practice at that time when the profession was not yet established (Horden, 2000). Music in and of itself is defined as the use of music and/or musical elements (sound, rhythm, melody, and harmony) within the music therapy discipline. To describe music therapy the World Federation of Music Therapy goes one step further and defines it as a process designed to facilitate and promote communication, relationships, learning, mobilization, expression, organization and other relevant therapeutic objectives, in order to meet physical, emotional, mental, social and cognitive needs. (Horden, 2000). Music therapy has been used for anxiety reduction in the past including in a study about the effects of music therapy on patients anxiety while undergoing a flexible sigmoidoscopy. The results of this study confirmed that patients who listened to self-selected music tapes during the procedure had significantly decreased scores for State-trait anxiety inventory, heart rates and mean arterial pressures compared to the control group. Within this study it was concluded that music is an effective anxiolitic adjunct for the flexible sigmoidoscopy procedure (Palakanis, DeNobile, Sweeney, Blankenship, 1994). Psychology Music psychology is a branch of psychology that focuses on the production, creation and perception of music. Within music psychology, music is defined as patterned action in time which appears communicative, complex, generative and representational (Hallam, Cross Thaut, 2009). Music psychology can be applied to individual preferences, arguably due to personality, and the way music is perceived. Studies exploring influence of personality on musical preferences such as the study performed by Stephen J. Dollinger in 1993 have shown that overall personality does have an influence on the types of music individuals prefer. Dollinger, for example, showed that the personality trait openness had a positive correlation to enjoyment of a variety of different kinds of music (Dollinger, 1993). Anxiety has been linked to experiencing additional stressors in childhood, an environmental factor, according to Wiedemann (2013). He points out that personality traits are another factor that can predispose people to experiencing anxiety and how strongly they experience it. Age can also be a factor in the expression of anxiety, with adolescents having a higher incidence rate of anxiety overall (Wiedemann, 2013). Lastly, Wiedeman discusses that anxiety when due to a life event is adaptive, however once the perceived danger passes and the anxious state lasts, this may be due to a pathologic type of anxiety. These anxiety causing events may also cause the patient to experience lasting bouts of anxiety in the future during similar traumatic events (Wiedemann, 2013). Biology Within biology, music can have a neurobiological role. There music is regarded in biological terms as originating in the brain, so that most explanations concentrate on the ways in which brains process information (Freeman, 1998).   As explained by Freeman in his study, music is defined by deeply personal experiences of individuals which are made unique by the separation of information within the brain as it learns more and goes through epistemological solipsism or isolation of uniqueness of knowledge (Freeman, 1998). As sounds pass through the inner ear, along excited sensory neurons into the primary auditory cortex, musical experience is still a neurobiological experience deprived of emotion. However, as explained by Freeman: as the information is processed through neighboring cortical areas concerned with speech and song the information is passed between the newer brain and older part of the forebrain and can generate memories evoked by listening to music, and arouse the em otional states that have become associated with now familiar songs through previous experiences (Freeman 1998). As this information is continuing to pass through the brain, a sense of social bonding is felt by the subject through the perception, creation and sharing of music and dance (Freeman 1998). This social bonding leads to trust, and is related to a social aspect as well as a release of neurochemicals. It is therefore a plausible assumption that music can create neurobiological stimuli that create an environment of bonding and trust building. This can be an important aspect of a patient-nurse/healthcare professional relationship. Lastly, genetics is another factor when discussing anxiety in patients. In recent studies it has been shown that genetics explained about half of the variance when it comes to the predisposition of anxiety in familial cases (Wiedemann, 2013). Concept Maturity This concept has gained some traction within the last few years, especially in other disciplines besides nursing. Dentistry has used music to assist patients during dental exams and procedures for several years and more studies have been done recently in using music to assist in stress and anxiety relief. Generally the concept has been researched in specific instances such as children in the ED receiving IVs or patients receiving a flexible sigmoidoscopy. A longer term study within the nursing discipline needs to be performed to ensure a complete concept analysis can be done. Analysis Defining attributes The defining characteristics that are repeated in the literature include anxiety, music and a positive effect on decreased heart rate. Anxiety encompasses a general feeling of worry and concern about future events which may have an uncertain ending. This can be very well translated to patients worry and fears about medical procedures that may cause them pain and discomfort as well as feeling a lack of knowledge and control over the situation. It has been confirmed that anxiety can manifest itself in things such as increased heart rate, feeling of tightness, and muscle tension (Bandelow, Boerner ,Kasper, Linden, Wittchen Mà ¶ller 2013). The effect of music on heart rate as a relaxation technique has been studied in a clinical setting. It has been proven that a patients preferred music can have a positive effect on lowering the heart rate post procedure (Vaajoki, Kankkunen, Pietilà ¤ Vehvilà ¤inen-Julkunen, 2011). The heart rate is defined as a clinical value measured as a full heart contraction for the duration of a full minute. The ability to lower heart rate allows us to empirically measure the effects of music on the patients during and after their procedures. The patient will have sole control over their choice of music in this concept. Giving the patient the ability to control the type of music has also shown to provide patients with a sense of choice and involvement in the procedure (Erlang, Nielsen, Hansen Finderup, 2015). The musical choices of the patients will be songs played by instruments that are kept in a key with harmonies and rhythm. The patient has full control over the genre of music which may include rock, classical, pop and acoustic. Antecedents Most adult patients will have previously experienced a blood draw and therefore will know what to expect. This knowledge may range from a feeling of impending doom and anxiety over the pain and discomfort they may experience. Though blood draws may not always be painful, previous experiences influence a patients expectations and can translate into higher anxiety and stress when the previous experience was negative (Reicherts, Gerdes, Pauli Wieser, 2016). The travel to the medical facility and the identification of music to be played are also antecedents to the impending procedure. Consequences Consequences of the attempt to relieve anxiety during a blood draw can include a positive experience due to relieved anxiety as well as improved rapport with the nurse or other health care professional which will result in return of the patient for future screenings and preventative care (Detz, Lopez, Sarkar, 2013) . This in turn will result in the patient seeking out healthier long term behavior as well as a decrease in emergency service use (Weiss Blustein, 1996). Additionally, the patient may feel more relaxed and not tense up as much making the nurses job to perform the blood draw much easier. As illustrated in a study by Hartling, Newton, Liang, Jou, Hewson, Klassen and Curtis (2013) a significant amount of health care providers reported that it was easier to perform IV placement on children admitted into the Emergency Department who listened to music than those who were not listening to music. It was also noted that the health care providers were happier with the placement whe n patients were listening to music than if they were not (Hartling et al., 2013) The opposite experience may also occur, creating a negative consequence. The patient may not have found the music they wanted to listen to and may have not experienced anxiety relief during the blood draw. If the nurse was unsuccessful in performing the blood draw by having to start over, puncturing or fishing for the vein resulting in pain, the patient may reflect on this being a bad experience and will not want to return and may even feel the relationship with the nurse has been damaged which may result in the patient not seeking out medical care in the future. Empirical Referents The attribute of anxiety can be measured through a number of Anxiety scales such as the Generalized Anxiety Disorder seven-item scale (GAD-7) or The Hospital Anxiety and Depression Scale (HADS) (Baldwin, 2016). These measurements can be done before and after the procedure, as well as across a population of patients who did listen to music as well as those that did not. A similar comparison between heart rate, blood pressure and respiration rate should be done for everyone involved in the study. A general Patient Satisfaction Survey may also be done for all patients to get an overall sense of the experience and to ask specifics on the patient-nurse relationship after the procedure. A study that may be emulated can include the study performed by Hartling et al. (2013) which looked at pediatric patients response to having music played while having an IV placed in an Emergency Department setting. Within the study an Observational Scale of Behavioral Distress-Revised was used to measure behavioral distress, as well as child-reported pain, heart rate and parent and health care provider satisfaction, ease of performing procedure and parental anxiety were measured. This takes into account a variety of different types of data (qualitative vs. quantitative) while measuring success from more than 1 angle. Nursing Application The following two cases will outline how anxiety can lead to a positive and negative experience while experiencing a blood draw. The model case will show a positive experience of how music is able to reduce anxiety while the contrary case will portray a case in which anxiety is high for the patient. Model Case Jane Doe is coming in for a routine physical with the instruction of fasting as she will have blood drawn for a routine blood panel. Jane has an established rapport with the doctors office she is attending including the nurse who will be performing the blood draw today. Since Jane has had good experiences with this nurse before she is feeling calm prior to her appointment; she knows what to expect. When the nurse arrives she explains that they have added a new feature of having music played while the blood is being drawn. She is given a tablet with a music app where Jane is able to choose what music she would like to listen to. This gives Jane a sense of control and involvement in the situation and feels she can relax while the nurse is drawing her blood. As Jane relaxes the nurse is able to easily insert the needle and draw the blood quickly on her first attempt. Janes ability to relax her muscles and lowered anxiety ensured that she would not flinch and potentially disrupt the bloo d drawing process. After the appointment Jane leaves happy with the interaction with the nurse and feels the music helped in keeping her anxiety at bay in a natural way reinforcing her positive view of this doctors office. Contrary Case Jane Doe is coming in for a routine physical with the instruction of fasting as she will have blood drawn for a routine blood panel. Jane has never been to this doctors office before and is feeling some anxiety about this new environment. As the nurse gets ready to perform the blood draw, Janes anxiety intensifies as she recalls previous needle sticks. She feels as though she has no control over the situation and is starting to tense up as the nurse begins prepping her arm. The nurse is unable to accurately place the needle into the vein and has to start over. Jane is now feeling more anxious than ever as the first attempt was very painful and now the nurse will attempt to reinsert the needle again. After the appointment, Jane leaves the office not being confident in the ability of the nurse nor her desire to want to continue making appointments with this doctors office. Discussion and Conclusion The purpose of this concept analysis was to analyze the effects of music on patient anxiety during blood draws.   Through the lens of music therapy, psychology and biology it is concluded that music may act as a cost effective and non pharmacological solution to anxiety reduction while also improving patient-nurse relationships and encouraging patients to further seek medical intervention and preventative care in the future. Musical intervention may even encourage patients to seek a more long-term relationship with their nurse or other Healthcare provider which will ensure better health outcomes in their lifetimes. A practical application of this concept would be a very real possibility at the Japanese American Service Committee. Here, older adults are provided with a place to go while their families are at work to provide a stimulating environment as well as ensuring they are safe. Most of the clients suffer from some type of age related difficulties in performing activities of daily living effectively and on their own. Some may have dementia while others are no longer able to ambulate safely on their own without an assistive ambulation device. Though JASC does have a nurse on staff, they do not have a need to perform blood draws, though the use of music may come in handy while giving vaccines or administering other types of injection medications. Often clients become anxious towards the end of the day as they worry they will not make it home or that their families have forgotten them. The use of music may be a simple and cost effective way for JASC to engage the clients while reducing their worry. The care takers may also teach the clients about the use of music during stressful medical procedures as many of the clients do see their doctors quite often. The education may also be given to the clients families who may be able to put the concept into use and therefore assist in making these doctors visits less stressful for everyone. Implications for further research include a more comprehensive study across all ages, genders, settings, socioeconomic and insurance status, various procedures and patients who are predisposed to anxiety disorders. There are many factors that can influence a patients anxiety level and it is important to distinguish between musics effectives versus a persons inability to effectively deal with anxiety. References   Ã‚   Allred, K. D., Byers, J. F., Sole, M. L. (2010). The Effect of Music on Postoperative Pain and Anxiety. Pain Management Nursing, 11(1), 15-25. doi:10.1016/j.pmn.2008.12.002 Baldwin, D. (2016). Generalized anxiety disorder in adults: Epidemiology, pathogenesis, clinical manifestations, course, assessment, and diagnosis. In M.B. Stein R. Hermann (Eds.). UptoDate. Available from https://www-uptodate-com.ezproxy.depaul.edu/contents/generalized-anxiety-disorder-in-adults-epidemiology-pathogenesis-clinical-manifestations-course-assessment-and-diagnosis?source=search_resultsearch=generalized%20anxiety%20disorder%20diagnosisselectedTitle=1~128 Bandelow, B., Boerner, J. R., Kasper, S., Linden, M., Wittchen, H. U., Moeller, H. J. (2013). The diagnosis and treatment of generalized anxiety disorder. Deutsches Aerzteblatt International, 110(17), 300-309. doi:10.3238/arztebl.2013.0300 Cooke, D. (2001). The language of music. London: Oxford University Press. Detz, A., Là ³pez, A., Sarkar, U. (2013). Long-Term Doctor-Patient Relationships: Patient Perspective From Online Reviews. Journal of Medical Internet Research, 15(7). doi:10.2196/jmir.2552 Dollinger, S. J. (1993). Research Note: Personality and Music Preference: Extraversion and Excitement Seeking or Openness to Experience? Psychology of Music, 21(1), 73-77. doi:10.1177/030573569302100105 Erlang, A. S., Nielsen, I. H., Hansen, H. O., Finderup, J. (2015). Patients Experiences Of Involvement In Choice Of Dialysis Mode. Journal of Renal Care, 41(4), 260-267. doi:10.1111/jorc.12141 Freeman, W. J. (1998). A neurobiological role of music on social bonding. In N. Wallin, B. Merkur, S. Brown   (Eds.), The Origins of Music. Cambridge MA: MIT Press. Hallam, S., Cross, I., Thaut, M. (2016). The Oxford handbook of music psychology. Oxford: Oxford University Press. Hartling, L., Newton, A. S., Liang, Y., Jou, H., Hewson, K., Klassen, T. P., Curtis, S. (2013). Music to Reduce Pain and Distress in the Pediatric Emergency Department. JAMA Pediatrics, 167(9), 826. doi:10.1001/jamapediatrics.2013.200 Horden, P. (2014). Music as medicine: the history of music therapy since antiquity. Aldershot: Ashgate. Lahmann, C., Schoen, R., Henningsen, P., Ronel, J., Muehlbacher, M., Loew, T., . . . Doering, S. (2008). Brief Relaxation Versus Music Distraction in the Treatment of Dental Anxiety. The Journal of the American Dental Association, 139(3), 317-324. doi:10.14219/jada.archive.2008.0161 Mok, E., Wong, K. (n.d.). Effects of Music on Patient Anxiety. Aorn Journal, 77(2), 396-410. http://dx.doi.org/10.1016/S0001-2092(06)61207-6 Palakanis, K. C., Denobile, J. W., Sweeney, B. W., Blankenship, C. L. (1994). Effect of music therapy on state anxiety in patients undergoing flexible sigmoidoscopy. Diseases of the Colon Rectum, 37(5), 478-481. doi:10.1007/bf02076195 Reicherts, P., Gerdes, A. B., Pauli, P., Wieser, M. J. (2016). Psychological Placebo and Nocebo Effects on Pain Rely on Expectation and Previous Experience. The Journal of Pain, 17(2), 203-214. doi:10.1016/j.jpain.2015.10.010 Sloboda, J. A. (1991). Music Structure and Emotional Response: Some Empirical Findings. Psychology of Music, 19(2), 110-120. doi:10.1177/0305735691192002 Thoma, M. V., Marca, R. L., Brà ¶nnimann, R., Finkel, L., Ehlert, U., Nater, U. M. (2013). The Effect of Music on the Human Stress Response. PLoS ONE, 8(8). doi:10.1371/journal.pone.0070156 Vaajoki, A., Kankkunen, P., Pietilà ¤, A., Vehvilà ¤inen-Julkunen, K. (2011). Music as a nursing intervention: Effects of music listening on blood pressure, heart rate, and respiratory rate in abdominal surgery patients. Nursing Health Sciences, 13(4), 412-418. doi:10.1111/j.1442-2018.2011.00633.x Weiss, L. J., Blustein, J. (1996). Faithful patients: the effect of long-term physician-patient relationships on the costs and use of health care by older Americans. American Journal of Public Health, 86(12), 1742-1747. doi:10.2105/ajph.86.12.1742 Wiedemann, K. (2015). Anxiety and Anxiety Disorders. In International Encyclopedia of the Social Behavioral Sciences (2nd ed., Vol. 1, pp. 804-810). Amsterdam: Elsevier.

Trip to Florida :: essays research papers

It's hard to decide which entertainment to see near Orlando, Florida first.Universal has a lot for kids, Spiderman, Cat in the Hat, Popeye water rides, some of the rides you can only go on with a child so this was the first time I got to ride them with my sister's kids. I guarantee you will want to come back. This was my first time at SeaWorld and it was a lot to see in 1 day, luckily we had the second day free to spend more time, and I still didn't see it all. It is good if kids like to see animals (like zoos and aquariums) and touch and feed them (dolphins and stingrays and sea lions) and watch shows. WDW is actually 4 parks and it is impossible to see in just 1 day. Magic Kingdom has the classic rides (Space Mountain, Haunted Mansion, Pirates of Carribean, etc) mostly slow (but sometimes dark & scary) for kids and adults. Epcot has different countries represented, but not many rides, except the new one "Mission Space" (more for adults); not as entertaining as MK. MGM has a good selection of rides for kids and shows and a couple adult rides (Rock-n-roll coaster, Tower of terror); my first time there was 2 years ago and it was fun but not as much fun as MK. Animal Kingdom is "nahtazu" (not a zoo) but had few rides for kids and adults (safari, dinosaur); it was as interesting as a zoo, but not as fun as MK. They also have water parks if you go in summer, and a racetrac/sports park, I've never been to yet. Obviously my favorite is Magic Kingdom. I definitely wouldn't go to Orlando without spending time at Universal/IOA too, I love Jurassic Park ride, and Back to the future ride, and ET ride, and new Mummy ride, and Men in black ride. (They're rides are related to movies or TV) I went to Busch Gardens years ago, but my sister said they improved it a lot. It's not just flowers and plants, it has lots for kids to ride too (more like fair rides).

The Power of Stretching :: Sports Running Stretch Exercise Essays

The Power of Stretching "The money and the fame are irrelevant really. I'm just a hamstring away from oblivion; you've got to look at it like that." ---- Steve Jones Running is the oldest and most popular sports in the world. Most runners feel that running is fairly simple, when in reality it is very complex. Running is one of the only sports that gives the whole body a work out. Leg strength and cardiovascular endurance play huge roles in the success of a runner, but they are not the only things that measure ones running ability. Upper body strength and back support are also important in running. Since athlete's's bodies are made up entirely of muscle, they must exercise often in order to take care of themselves and prevent injuries. Muscles are like any other thing in the world, the more you use them the stronger they get. Running long distances is strenuous on the muscles and if they are over worked and under cared for they can be damaged. Running causes the muscles that are active to become strong and less flexible, whereas the opposing muscles that are relatively under used become weaker. When muscles are being used they expand and contract often. If the muscles were not used in a while they usually get sore from the work out. Since muscles are the most important part of being athletic, proper care should go into maintaining them. Stretching before and after runs is a perfect way to care for your muscles. WHAT IS STRETCHING? The three main reason why stretching is so beneficial to a runners body is: it reduces the risk of injury, prevents muscle soreness after exercise, and it improves athletic performance. What is actually happening to the body during a stretch is very complex. Each muscle contains stretch receptors which attach themselves to the working part of the muscle called, muscle fibers. The stretch receptors measure the degree of the stretch, sending a message through the spinal cord to the nerves that control the contraction of the muscle where the receptors are. As the runner stretches more intensely the receptors begin to send out pulses harder and more rapidly. These pulses exceed a certain frequency, and the stretched muscle contracts and shortens, preventing overstretching. STRETCHING INJURIES Unfortunately, stretching is not done willingly by runners. Even though it would only take an extra five to ten minutes on top of the one or two hour run, most runners choose to skip stretching.

Essay on Indiaâ€an Emerging Power in the World Essay

Rare are the moments in history when a nation suddenly captures the imagination of the world. For India, those rare moments have arrived. The country is achieving a high economic growth of over 8 per cent of its GDP annually, on a consistent basis. In fact, India’s economic growth rate is second highest in the world-next only to China. The developed world has been left behind. The two Asian giants-India and China have today turned the leaders of growth of the global economy. One can get the measure of India’s resurgent economy from the fact that the world GDP growth is around 4 per cent. For advanced countries, the growth rate is around 3. 5 per cent, while India is maintaining its GDP growth around 8. 5 per cent of its GDP. The economic experts feel that the average world’s growth rates could have been dismal if they had not been boosted by the resurgent economies of India and China. It is the high growth rates of these two Asian giants that are keeping the global economy floating and preventing it from sinking in deep depression. India’s growth rate, though quite remarkable at present is about two per cent lower than that of China. But the country is fast catching up with its eastern neighbour, and the predictions are that India will soon overtake China-which started its economic reforms in 1979-full 12 years earlier than India. India started its economic reforms in 1991 amidst deep economic crisis. The process of reforms was halted with the exit of Narsimha Rao’s government in 1996. By late 1990s and the early years of the new millennium, the reforms were slowed down as the Left parties in the BJP-led National Democratic Alliance (NDA) were against privatisation and globalisation of Indian economy. However, the process of reforms gathered momentum when Dr. Manmohan Singh-the Finance Minister in Rao’s government and the author of economic reforms became the Prime Minister in the Congress-led United Progressive Alliance. Though the compulsions of coalition politics prevent him from putting reform process in full swing, yet the reform process is being accelerated. The industrial production has been achieving high growth- in the vicinity of 15 per cent year-on-year. The production has covered large-scale medium, small-scale and tiny industries. There has been a balance in various types of industries like mining and quarrying, steel and cement, primary industries as well as secondary industries. The range of production has been very vast including electronics, textile, transportation, pharmaceuticals, power generation, electricals, various types of consumer durables, etc. As a result of high production, the local business in these items has flourished leading to increased corporate profits, a high rate of saving and investment and hence, capital formation. The revenue that the government earns in the shape of taxes-direct as well as indirect has increased many-fold. With this increase in revenue the government has been able to set up new projects for development, and complete already started projects. Many sick industrial units have either been merged with other healthy units or have been rehabilitated with additional grants. Development in the industrial sector has given new opportunities in trade and employment to millions of people. Our computer software and Information Technology have progressed by leaps and bounds during the last decade. Many computer software parks and IT-enabled services parks have been set up in different cities such as Bangalore, Chennai, Gurgaon, Hyderabad, Noida and elsewhere. The number of companies doing such business has increased more than 100 per cent during the last ten years. India has become an expert in computer technology. Several companies from Europe and America are outsourcing their business through India. Our major IT companies like Infosys, TCS, Wipro, Satyam Computers, Tech Mahindra and HCL are generating profit of millions of rupees every year. A number of call centres have come up in major cities to cater to the needs of outsourcing business. Our exports have almost doubled during the last four years. The foreign exchange reserves have crossed US $ 200 billion which have given India a great financial strength. Our rupee has become very strong against the other international currencies- notably dollar, pound and euro. However, there is poverty amidst plenty in many areas. Millions people live in poverty and destitution. They do not have even the basic amenities of life, viz. ood, clothing and shelter. This is because of the large size of our population, illiteracy, poor public distribution system and corruption. But, things are improving fast in India. Centuries of exploitative rule by the British had drained India of its wealth. After achieving independence, the country had a great task of rebuilding the basic infrastructure, spread education and bring new technology. The planned growth put the country back on track. Today, the literacy rate has improved to over 75 per cent, the per capita income has rossed Rs 25,000, health care facilities are available in every part of the country, and employment opportunities are growing. The large size of the population is actually a great source which can lead the country to dizzy heights. Nearly fifty per cent of our population is young which means a great working potential, which, if properly utilized can increase production and eradicate poverty. India is the biggest democracy in the world. The governments at the centre as well as at the states level are elected on the basis of universal adult franchise. Although the country is a melting pot of different communities, religious and languages, all enjoy equal rights and share the same responsibilities. There is no distinction between people on the basis of caste, creed and religion. The political structure is well laid down in the tenets of the Constitution so that there is no political crisis. There has been a stable political atmosphere in the country right from independence. The political deadlocks, if any, are resolved peacefully. Such stability and system has served as an abject lesson for many other countries and enhanced India’s stature in the world at large. India’s foreign policy also has been open and clear-aiming to develop friendly relations with other countries, including its neighbours. At international meetins and conferences, India is given a pride-of-place. The developing countries look to India for guidance and help. Militarily, India is one of the strongest countries in the world. Having the third largest army in the world, it has a huge arsenal of weaponry including nuclear weapons. Its Army, Navy and Air Force are always ready to meet any challenge. India believes in having peaceful relations with other countries, but in today’s world of changing equation, it is necessary to have a military might to deter other countries to do any mischief. During the last decade or so, India has shown a tremendous all-round progress. Its economy has grown at face pace; the social life of people has in general been peaceful and progressive. The main indicators like literacy, per capita income, employment, etc. have been positive. The rights of people are well protected. The world is now looking at India with a renewed respect-as it is an emerging power in the world.