Bar Code Man Assignment Example | Topics and Well Written Essays - 250 words - 1

Bar Code Man - Assignment Example The Woodland and Silver barcode can be described as the â€Å"bull’s eye† symbol made up of a series of concentric circles. Barcode was first used commercially in 1966, however it was soon realized that would have to be some sort of industry standard set. By 1970, the Universal Grocery Products Identification Code (UGPIC) was written by a company called Logicon Inc. Since then the use of barcode has been adopted by many companies and institutions. Barcode man is an exploration of how software can reveal different patterns and variations contained within single textiles. Similarly shaped black and white woven motifs are printed in similar colors to turn them into red, yellow and blue textiles (Seideman 2011) Some of the influence of barcode man in the society today incudes revolutionizing the process of inventory control. And to date they are everywhere around us keeping track of product information and inventory levels. In addition, barcode has brought more transparency and accountability to the society hence limiting fraud especially in prisons and banks. Due to barcodes, hospitals are associated with significant increase in total medication accuracy rates hence ensuring safety. In my opinion, it is the ultimate experience of transformation that has excited us most as a human race. In the last decade, we have only witnessed a small part of what is possible. Specifically the barcode technology was the preserve of the few companies and organizations who could afford it. As the technological possibility of barcode envelopes in the society, it will instill in us a sense of belief, and faith that has traditionally been associated with religion such as the number 666 in the bible. Therefore I believe ‘barcode man’ has created a sense of security and promoted coherence to the society in

Comparison between KFC (uk) and Nando's chickenland Ltd huddersfield Essay

Comparison between KFC (uk) and Nando's chickenland Ltd huddersfield - Essay Example is the highest in the hierarchy and it is very important for a company to be consistent with its strategies so that it can have competitive advantage in the market. Competitive advantage in a company grows when the company is able to provide its clients with quality products and services at the appropriate time and place. Nandos chicken land has used information technology for them to grow at the intended time and send new products and services. The supply system in Nandos chicken land has used information technology in maintaining competitive advantage. A product has competitive value when it provides more value to the users than a competitive product or services. This value can be in symbolic terms of attributor or both. In the past century, Nandos chicken land has been using information technology for operational and management of the company. It is until recently that the company is using information technology to get significant competitive advantage (Khosrowpour, 2002, p. 15). For instance, it was the first to establish online order entry in restaurants and now they dominate the hotel delivering business. Nandos chicken land has set up ways to make reservations through a computer application, which has made it impossible for other companies to overcome them. The importance of products and services offered through the computer by Nando’s chicken land system does not lie on how the information technology is sophisticated or the reports it delivers. But, they are established by examining how they play in the company’s need for competitive advantage (Khosrowpour, 2002, p. 35). These are known as strategic information systems that help in shaping and supporting the competitive advantage of the restaurant. They are plans that help in gaining and maintaining the competitive advantage. KFC (UK) uses commercial advertisement in advertising their products. The commercial advertisement features a live band where the singer swallows fire. The company has a logo

CEO Project---Pepsico Research Paper Example | Topics and Well Written Essays - 1750 words

CEO Project---Pepsico - Research Paper Example Employee goals should be defined through job descriptions, which should incorporate employees’ goal responsibilities. This will allow employees to dedicate their time in performing roles that will enable PepsiCo achieve its goals in change strategy. The process of identification of value addition is very important. It involves distinguishing activities that add value and should be retained, activities that do not add value but cannot be avoided by a company and those activities that do not add value and the company should eliminate them (ÄÅ'iarnienÄâ€" and VienaÃ… ¾indienÄâ€", 2012). The process of value identification involves workers, experts and customers in identifying product aspects that are of extreme significance. These are the aspects that should be given priority in this project (Mcleod, 2009). Analysis of the PepsiCo’s aims and objectives shows that the company aims to lead in consumer products in the world that produces convenient foods and beverages. The company also seeks to enrich its employees through growth opportunities and ensure that investors get financial rewards (PepsiCo, 2014). PepsiCo seeks to achieve excellent and sustainable financial performance. The company also aims at ensuring human sustainability through its products, as well as environmental sustainability (PepsiCo, 2011). Based on the above mission, aims vision and objectives of PepsiCo, recommended strategy changes should be implemented on a timely basis to ensure success of the company. These features that require implementation of change include PepsiCo’s policies, functional strategy and business strategy. PepsiCo has invested in research and development and high quality operations to ensure that safe products are provided to consumers (Nooyi & Johnston, 2014). The next step will involve identification of the long term strategic plans and short term strategic plans. In this case, long term strategic

Comparison between KFC (uk) and Nando's chickenland Ltd huddersfield Essay

Comparison between KFC (uk) and Nando's chickenland Ltd huddersfield - Essay Example is the highest in the hierarchy and it is very important for a company to be consistent with its strategies so that it can have competitive advantage in the market. Competitive advantage in a company grows when the company is able to provide its clients with quality products and services at the appropriate time and place. Nandos chicken land has used information technology for them to grow at the intended time and send new products and services. The supply system in Nandos chicken land has used information technology in maintaining competitive advantage. A product has competitive value when it provides more value to the users than a competitive product or services. This value can be in symbolic terms of attributor or both. In the past century, Nandos chicken land has been using information technology for operational and management of the company. It is until recently that the company is using information technology to get significant competitive advantage (Khosrowpour, 2002, p. 15). For instance, it was the first to establish online order entry in restaurants and now they dominate the hotel delivering business. Nandos chicken land has set up ways to make reservations through a computer application, which has made it impossible for other companies to overcome them. The importance of products and services offered through the computer by Nando’s chicken land system does not lie on how the information technology is sophisticated or the reports it delivers. But, they are established by examining how they play in the company’s need for competitive advantage (Khosrowpour, 2002, p. 35). These are known as strategic information systems that help in shaping and supporting the competitive advantage of the restaurant. They are plans that help in gaining and maintaining the competitive advantage. KFC (UK) uses commercial advertisement in advertising their products. The commercial advertisement features a live band where the singer swallows fire. The company has a logo

Raghunath Prasad CASE Essay Example for Free

Raghunath Prasad CASE Essay Father and son equal owners of a vast joint family property – both quarrelled over it – Father instituted criminal proceedings against the son – In order to defend himself, the son borrowed money from the plaintiff at 24% compound interest and mortgaged his properties – In eleven years, the amount payable magnified more than eleven fold – Defendant contended that plaintiff/lender taking unconscionable advantage of his mental distress and exercised undue influence defendant failed to prove that the lender was in a position to dominate his will – Borrower got no relief. However, no presumption of undue influence in following cases and burden of proof lies on the party claiming as such 1. Landlord and tenant 2. Creditor and debtor 3. Husband and wife 1. This is an appeal from a decree, dated November 9, 1920, of the High Court of Judicature at Patna, which varied a decree, dated September 25, 1917, of the Subordinate Judge of Arrah. 2. The suit is for recovery of the amount of principal and interest due by the appellant to the respondents (the plaintiffs) under a mortgage of late May 27, 1910. The Subordinate Judge gave decree in the mortgage suit but only allowed simple interest. The High Court allowed compound interest. 3. The substantial question raised on the appeal is whether the appellant, in the circumstances proved in the case, fell within the protective provisions of Section 2 of the Indian Contract (Amendment) Act, 1899. It may be convenient to set that section out in full: 2. Section 16 of the Indian Contract Act, 1872, is hereby repealed, and the following is substituted therefor, namely: 16.(1) A contract is said to be induced by undue influence where the relations subsisting between the parties are such that one of the parties is in a position to dominate the will of the other and uses that position to obtain an unfair advantage over the other. (2) In particular and without prejudice to the generality of the foregoing principle, a person is deemed to be in a position to dominate the will of another: (a) where he holds a real or apparent authority over the other, or where he stands in a fiduciary relation to the other; or (b) where he makes a contract with a person whose mental capacity is temporarily or permanently affected by reason of age,  illness, or mental or bodily distress. (3) Where a person who is in a position to dominate the will of another, enters into a contract with him, and the transaction appears, on the face of it or on the evidence adduced, to be unconscionable, the burden of proving that such contract was not induced by undue influence shall lie upon the person in a position to dominate the will of the other Nothing in this sub-section shall affect the provisions of Section 111 of the of the Indian Evidence Act, 1872. 4. It is in the view of the Board by that section that the question arising between th ese parties falls to be settled, and not by reference to the legislation of other countries, e. g., the English Moneylenders Act. The statute to be here construed is the Indian Contract Act as amended. It is accompanied with danger to invoke as authority in an Indian case expressions which merely connote the principles which underlie a particular English statute, and form a guide to its interpretation. As will be seen this general observation is required by reason of the citation of certain authorities alluded to in the judgment of the Subordinate Judge and referred to in the argument before their Lordships Board. 5. The appellant is a member of a joint undivided family owning a property of considerable value, including inter alia, 186 villages, assessed to revenue for about Rs. 17,000 annum. 6. The mortgage is dated May 27, 1910. It is for the sum of Rs. 9,999 borrowed from the plaintiffs. The rate of interest is covered by the following provision: I, the declarant, do promise that I shall pay interest on the said debt at the rate of 2 per cent, per mensem on the 30th Jeth of each year. In case of non-payment of the annual interest, the interest will be taken as principal and interest will run thereon at the rate of 2 per cent, par mensem, that is, interest will be calculated on the principle of compound interest. 7. There can be no question that these terms were high: if payment was not made the sum due on the mortgage would speedily mount up. By the decree of the High Court which was pronounced on November 9, 1920, it is seen that the original debt of Rs. 10,000 had reached, with interest and costs calculated up to May 8, 1921, more than a lac of rupees, viz., Rs. 1,12,885. In eleven years the stipulation for interest at 24 per cent, compound had magnified the sum covered by the mortgage more than elevenfold. It is upon these facts, coupled with one other about to be mentioned, that the appellant takes his stand. 8. The statement in the defence admits that at the time of  the execution of the mortgage the defendant was owner of one half of a valuable joint famil y property. The owner of the other half was his father. Father and son had quarrelled. Serious allegations are made by the son against the father; whereas it appears that the father had instituted criminal proceedings against the son. Shortly before the date of the mortgage the defendant had borrowed Rs. 1,000 from the plaintiffs so as to enable him to defend himself in these criminal proceedings. It is alleged that they caused him great mental distress, and that he required more money to conduct his litigations. That is the story. 9. Evidence was taken in the case. It is sufficient to say that the defendants gave no evidence at all. It is quite plain that no Court can accept a story thus unproved by its author as establishing a case either of mental distress or of undue influence under the Indian Contract Act. The only case which the appellant has is the case derived from the contents of the mortgage itself. 10. It is argued with force that these are unconscionable, and that it is the duty of the Court in India to step in either to rescind the contract or to rectify the bargain. It was the latter course which was argued for in the present case. In support of this argument much reliance was placed upon the judgment pronounced by Lord Davey in Dhanipal Das v. Raja Maneshar Bakhsh Singh. (1906) L.R. 33 I.A. 118, s.c. 9 Bom. L.R. 304, 306. 11. Before, however, addressing themselves to the authorities cited their Lordships think it desirable to make clear their views upon, in particular, Sub-section 3 of Section 16 of the Indian Contract Act as amended. By this sub-section three matters are dealt with. In the first place the relations between the parties to each other must he such that one is in a position to dominate the will of the other. Once that position is substantiated the second stage has been reached, viz., the issue whether the contract has been induced by undue influence. Upon the determination of this issue a third point emerges, which is that of the onus probandi. The burden of proving that the contract was not induced by undue influence is to lie upon the person who was in a position to dominate the will of the other. 12. Error is almost sure to arise if the order of these propositions be changed. The unconscionableness of the bargain is not the first thing to be considered. The first thing to be considered is the relations of these parties. Were they such as to put one in a position to dominate the will of the other? Having this distinction  and order in view the authorities appear to their Lordships to be easily properly interpreted. 13. In the judgment of this Board in Dhanipal Das v. Raja Maneshar Bakhsh Singh, (1906) L.R. 33 I.A. 118. the outstanding effect was that the borrower who mortgaged the estate was actually, at the date of the transaction, under the control of the Court of Wards. He was treated, to use the language of Lord Davey, as under a peculiar disability and placed in a position of helplessness, and the lender was proved to have been aware of that and, therefore, in a position to dominate the borrowers will. Lord Davey thus expressed the Boards view (p. 126): Their Lordships are of opinion that although the respondent was left free to contract debt, yet he was under a peculiar disability and placed in a position of helplessness by the fact of his estate being under the control of the Court of Wards, and they must assume that Auseri Lal, who had known the respondent for some fifty years, was aware of it. They are therefore of opinion that the position of the parties was such that Auseri Lal was in a position to dominate the will of the respondent within the meaning of the amended Section 16 of the Indian Contract Act. It remains to be seen whether Auseri Lal used that position to obtain an unfair advantage over the respondent. 14. This case was followed in terms in the case of Maneshar Bakhsh Singh v. Shadi Lal (1909) L.R. 36 I.A. 96; in which the bond in suit was given by a talukdar in Oudh without the knowledge and consent of the Court of Wards after his estate had been placed under it. In these circumstances the former case was followed, and Lord Collins expressed the opinion of the Board to be that they are satisfied that in this case also the borrower was placed in such a condition of helplessness that the lender was in a position to dominate his will, and that he used that position to obtain an unfair advantage over the appelant. 15. It is sufficient to say that the borrower in the present case was sui juris, had the full power of bargaining and of burdening his estate, that his estate was not under the Court of Wards and that he lay under no disability. With regard to his helplessness nothing whatsoever is proved in the case except the bare fact that he being a man of wealth as owner of one-half of certain joint family property wished to obtain and did obtain certain monies on loan. The only relation between the parties that was proved was simply that they were  lender and borrower. 16. It is an entire mistake to represent the decisions of this Board as being wanting in light upon the last mentioned case. For in Sundar Koer v. Sham Krishen (1906) L.R. 34 I. A, 9, 16, the exact point was referred to by Lord Davey in the course of the judgment read by him (p. 16): There is no evidence of any actual exercise of undue influence by the mortgagees or of any special circumstances from which an inference of undue influence could be legitimately drawn, except that the mortgagor was in urgent need of money. The learned counsel for the appellant argued that the mortgagees wore thereby placed in a position to dominate the will of the mortgagor, and cited a recent decision of this BoardDhanipal Das v. Raja Maneshar Bakhsh Singh. In that case, however, the borrower was a disqualified proprietor under the Oudh Land Revenue Act, 1870, and his estate was under the management of the Court of Wards, and it was on that ground that their Lordships held that the borrower was under a peculiar disability, and the position of the parties was such that the lender was in a position to dominate his will. There is nothing of that kind in the present case, and their Lordships are not prepared to hold that urgent need of money on the part of the boriower will of itself place the parties in that position. 17. This precisely fits the situation of these parties. It has not been proved,it might be said that it has not even been attempted to be proved,that the lender was in a position to dominate the will of the borrower. 18. In these circumstances, even though the bargain had been unconscionable (and it has the appearance of being so) a remedy under the Indian Contract Act does not come into view until the initial fact of a position to dominate the will has been established. Once that fact is established, then the unconscionable nature of the bargain and the burden of proof on the issue of undue influence come into operation. In the present case, for the reasons stated, these stages are not reached. 19. Their Lordships think it right to observe that the judgment now pronounced is not in accord with the principles laid down by the Appellate Civil Court of Calcutta in Abdul Majeed v. Khirode Chandra Pal (1914) I.L.R. 42 Cal. 690. that where there is ample security, the exaction of excessiv e and usurious interest, in itself raises a presumption of undue influence which it  requires very little evidence to substantiate. Their Lordships think this decision to be wrong. There is no such presumption until the question has first been settled as to the lender being in a position to dominate the borrowers will. Their Lordships are further of opinion with reference to the citation of Smuel v. Newbold [1906] A.C. 461., that that case does not form any authority in the construction of the Indian Contract Act. The case was determined under the Moneylenders Act, 1900, as it expressly bears. The issue was thus stated by Lord Macnaghten (p. 468): It seems to me that the construction of the Moneylenders Act, 1900, is plain enough, and that the evidence before your Lordships is more than sufficient to show that this case is within the mischief which the Act was designed to remedy. 20. In the view of the Board cases of that character form no precedent for a decision of the present appeal which is rested on another and very differently worded statute. 21. Their Lordships are of opinion that the decree of the High Court should be varied by allowing compound interest on the principal at the rate of two per cent, per mensem from the date of the execution of the bond until September 25, 1917, and thereafter simple interest at the rate of six per cent, per annum up to the date of realization, and that in other respects the decree of the High Court should be affirmed, and they will humbly advise His Majesty accordingly. 22. The appellants will pay the costs of the appeal.

Diagnostic Test Related Musculoskeletal System Health And Social Care Essay

Diagnostic Test Related Musculoskeletal System Health And Social Care Essay Both of these can reveal levels of various minerals and other substances indicating disease or a musculoskeletal disorder. The levels of certain protein in the blood may also help diagnose a disease. Blood and Urine samples are the most common tests used to diagnose problems within the musculoskeletal system. Also, prior to surgery, blood samples are used to detect bleeding tendencies. Urinary N-telopeptide of type 1 collagen or N-Tx and deoxypyridinoline (Dpd) both reflects increased osteoclast activity and increased bone resorption. b. Nerve Conduction Studies It is used to measure the electrical activity of muscles when a muscle fiber contracts to determine if the muscles and nerves are working properly. It is performed by stimulating a peripheral nerve at several points along its course and recording the muscle action potential or the sensory action potential that results. Usually, surface or needle electrodes are used. It is placed on the skin over the nerve to stimulate the nerve fibers. A technique called truax biography will show nerve conduction patterns, which changes in various muscle and nerve diseases. c. Imaging Procedures X-Ray Studies Bone X-Rays determines the bone density, erosion, and changes in bone relationships. It is used to diagnose broken bones or joint dislocations, guide orthopaedic surgery such as spine repair or infusion, assist in detection and diagnose of bone cancer, and locate foreign objects around soft tissues and in bones. Joint X-Rays reveal fluid irregularity, spur formation, narrowing and changes in joint structure. It is used to detect degenerative conditions on the joints, fractures, and tumors. Multiple X-Rays with multiple views are also needed for full assessment of the structure being examined. Computed Tomography It is used to identify the location and extent of fractures in areas that are difficult to evaluate such as acetabulum. It can be performed with or without the use of contrast agents and can illustrate a detailed specific plane of involved bone and can also reveal tumors of the soft tissues or injuries to the ligaments or tendons. Magnetic Resonance Imaging It can demonstrate abnormalities such as tumors and narrowing of tissue pathways through the bone. It is a noninvasive procedure and electromagnets are used that is why patients with any metal implants, clips or pacemakers cannot have an MRI. IV contrast agent are used to enhance visualization. Arthrography It identifies acute or chronic tears of the joint capsule or supporting ligaments of the knee, shoulder, ankle, hip, or wrist. A radiopaque contrast agent or air is used. It is injected into the joint cavity to visualize the irregular surfaces. The joint will be put through its ROM to distribute the contrast agent accompanied by a series of X-Rays. If the contrast agent leaks, it means a tear is present. 2. Discuss musculoskeletal changes associated with the aging process. Aging leads to changes in balance, cartilage and bone tissue. The normal aging process does not need to have limited movements. Mobility is affected by personal lifestyle and the degree of activity that the individual has maintained throughout their life. Although, some of the limitations of mobility occurs as a result of fear, such as fear of falling. a. Changes in Balance The maintenance of balance relies on integrating responses from the visual system, vestibular system in the inner ear and the proprioceptors in the muscles and joints. And with aging, older people requires greater angular movement in joints for proprioception to be achieved. b. Cartilaginous Changes There is loss in the normal elastic properties of cartilage due to an increase in water loss and deposition of fibers. The increased fiber density in connective tissue and cartilage produces a mesh or interconnection for the deposition of calcium. And this accounts fot the increased calcification of cartilage with aging. The hyaline cartilage also loses fluid and is converted to fibrocartilage. The articular cartilage changes with the elasticity being lost. Thinning occurs over the weight bearing areas which affects functioning such as the changes in the menisci of the knee joint that will inhibit free movement. The loss of water from cartilage in the intervertebral discs leads to compaction of the vertebrae and shrinkage of the spinal column, which is seen as a loss in height. Many joint of the body becomes stiffened with aging. The height loss is also affected by joint changes and by the flattening of the arc of the foot. c. Bone Changes Osteoporosis is a normal aging process as the androgen decreases. It is an imbalance between bone reabsorption and formation. If it is severe, it may cause fractures and may lead to bowing of the long bones and to an increase in spinal curvature due to vertebral collapse. 3. Discuss patient preparation for an arthroscopy. Arthroscopy is a procedure used to directly visualize a joint to diagnose joint disorders. Various treatments can also be performed through the arthroscope such as treatment of tears, defects, and disease processes. Arthroscopy is most often performed as an outpatient procedure. It is a essentially a bloodless procedure with generally few complications. It is performed in the operating room under sterile conditions. Injection of local anesthesia into the joint or general anesthesia, a spinal or epidural anesthesia is used. The patient should be able to tolerate the anesthetic agent used. Heart and lung function should be adequate. Existing problems such as emphysema should be optimized as possible prior to surgery. Anticoagulants should be carefully adjusted prior to surgery if the patient is taking them. Preoperatively, physical examination, blood tests and urinalysis will be performed. If the patient has a history of heart or lung problems, and is above the age of 50, an ECG and chest X-ray is obtained. The patient should also have instruction on exercises and postoperative mobilization such as crutch walking. Patients are generally encouraged to mobilize the affected part following surgery with adequate analgesia. 4. Discuss components of a musculoskeletal physical assessment. a. Posture Spine is assessed for normal curvature. It is convex through the thoracic portion and concave through the cervical and lumbar portions. Kyphosis, lordosis and scoliosis are common deformities of the spine. Kyphosis is mostly seen in elderly patients with osteoporosis and in some with neuromuscular disease. The entire back, buttocks and legs should be exposed during inspection of the spine. Spinal curves and trunk symmetry are inspected from posterior and lateral views. Differences in the height of the shoulders or iliac crest are noted. Symmetry of the shoulders and hips, line of the vertebral column are inspected at erect position and patient bending forward. Height should be measured especially in adults because in older adults, loss of height occurs due to loss of vertebral cartilage and osteoporosis. b. Gait Have the patient walk away for a short distance and observe the patients gait for smoothness and rhythm. Unsteadiness and irregular movements which are frequently seen in elderly patients are abnormal. c. Bone Integrity Deformities and alignments are assessed in the bony skeleton. Symmetric parts are compared. Abnormal bone growths are observed. Shortened extremities, amputations, and body parts that are not in anatomical alignments are documented. If fractures are present, movement must be minimized to avoid additional injuries and some may include abnormal angulation of long bones, motion at points other that joints and crepitus. d. Joint Function ROM, deformity, stability and nodular formation are noted. ROM is done both actively and passively. Goniometer can be used for precise measurement of ROM. If the joint is compromised or painful, it should be examined for effusion, swelling and increase in temperature for it may reflect active inflammation. If there is positive inflammation on the joints, a physician is consulted. Palpation of the joint while it is in passive movement will provide information on joint integrity. The joint normally moves smoothly; snap or crack indicates a ligament is slipping over a bony prominence. The slightly roughened surfaces results in crepitus. Tissues around the joints are examined for nodule formation. The size of the joint is often exaggerated by atrophy of the muscle proximal and distal to that joint which is seen in rheumatoid arthritis. e. Muscle Strength and Size Muscular strength and coordination, size of individual muscles, and patients ability to change position are assessed. Muscle tone is determined by palpating the the muscle while passively moving the relaxed extremity while muscle strength is assessed by having the patient perform certain maneuvers with and without added resistance. Muscle clonus may also be elicited by sudden, forceful, sustained dorsiflexion of the foot or extension of the wrist. Involuntary twitching of muscle fiber groups may be observed. The girth of an extremityis measured to monitor increased size. It may decrease due to muscle atrophy. It is important that the measurement be taken at the same location of the extremity and with the extremity in the same position, with the muscles at rest. Distance from a specific landmark must be indicated. Variations in size greater than 1cm are considered significant. f. Skin Skin is inspected for edema, color, and temperature. Palpation is performed to reveal if any areas are warmer which suggests increased perfusion of inflammation, or vice versa. Cuts, bruises, skin color, and evidence of decreased circulation or inflammation are noted. g. Neurovascular Status Frequent neurovascular examination is important for patient with musculoskeletal disorders due to the risk for tissue and nerve damage. Circulation, motion and sensation are assessed. SOURCES: Brunner and Suddarths textbook of Medical-Surgical Nursing 12th Edition Julia Kneale et. al. (2005) Orthopaedic and Trauma Nursing 2nd Edition Clinical Assignment 1. Complete a musculoskeletal physical assessment. a. Temporomandibular joint Inspection: No swelling 3 fingers can be inserted sideways Palpation: No swelling and tenderness Both side firm, same strength There was a snap during opening Muscle strength The jaw can move in all directions and can move against resistance b. Cervical spine Inspection: Neck is straight and head is erect Palpation: No swelling and tenderness No spasms Both side firm, same strength Patient was able to do the following: flexion, extension, lateral bending and rotation Muscle strength Can oppose resistance applied c. Thoracolumbar spine Inspection: No deformity Vertically aligned Palpation: No swelling and tenderness No spasms Percussion No tenderness Muscle strength Can flex, extend, laterally bend and rotate spine Can oppose resistance applied d. Upper extremities Inspection: No deformity on both sides Symmetrically aligned No deviations Palpation: No swelling and tenderness No spasms No atropy Fat pads fairly solid No synovial thickening Percussion Negative tinels sign Muscle strength Can perform ROM in shoulders, elbows, wrists and hands Can oppose resistance e. Lower extremities Inspection: No deformity on both sides Symmetrically aligned No deviations Palpation: Hip joint not swollen No swelling and tenderness No spasms No atrophy Muscle strength Can perform ROM in shoulders, elbows, wrists and hands Can oppose resistance Web Assignment 1. Summarize an article discussing techniques used in assessing the musculoskeletal system. How do the components of the health history guide the assessment? http://www.medkaau.com/videos/peguide.pdf There are general and regional considerations in the article. The general considerations are as follows; the patient should be undressed and gowned as needed, some parts of the exams may not be appropriate depending on the clinical situation. Examining the musculoskeletal system is all about anatomy. When taking the patients history for acute problems, we should always inquire about the mechanism of injury, loss of function and onset of swelling or edema. Also, the initial treatment should be asked. Meanwhile, when taking the patients history for chronic problems, we should ask the patient about past injuries and treatments, effect of function, and current symptoms. There are cardinal signs of musculoskeletal disease which are pain, swelling, redness, increased warmth, deformity, and loss of function. We should always begin with inspection, palpation, and ROM regardless of the region being examined. A complete evaluation will include a focused neurologic exam of the affected area. IPPA is first used in examination then active and passive ROM exercises in specific joints. After this, vascular status, pulses, capillary refill, erythema, cyanosis, clubbing, and lymphatic are assessed. The last things to be examined are the specific tests for Upper Extremities Snuffbox Tenderness, Drop Arm Test, Impingement Sign, Flexor Digitorum Superficialis Test, and Flexor Digitorum Profundus. And these are the vascular and neurologic tests; Allen Test, Phalens Test, and Tinels Sign. And these are for the lowe extremities; Collateral Ligament Testing, Lachman Test, Anterior/Posterior Drawer Test, Ballotable Patella, and Milking the Knee. For the Back are the following tests Straight Leg Raising, FABER Test which stands for Flexion, ABduction, and External Rotation of the hip. It is used to differentiate hip or sacroiliac joint pathology from spine problems.

Jane Austens Emma Essay -- Jane Austen Emma Essays Society

Jane Austen's Emma Beautiful dresses, passionate romances, elegant parties, a general state of leisure and happiness – these are only a few of the idealistic views of the nineteenth century. In her novel, Emma, Jane Austen paints a much more realistic picture of the ins and outs of high society in England of the 1800’s. Through the presumptions and pride of the characters of heroine, Emma Woodhouse, and secondary character, Mrs. Elton, Austen presents a stark critique of the social assumptions and diplomatic maneuvering so common of the society of her time, however, by the end of the novel, Austen’s critique is made clear by a subtle foil of these two characters – Emma having been the only one of the two to learn her lesson. Both of these two ladies, each high in status, display somewhat of a god-complex, taking it upon themselves to partially assist, but mostly re-mold, women whom they view as inferior to themselves. Though Mrs. Elton does this in a much less tactful and more forceful way, she and Emma both view their respective pupils as a pawn to be toyed with and, ultimately, a display of their superiority. Emma’s fancies of becoming a puppet-master begin when she is in the company of Harriet Smith, a girl attending Mrs. Goddard’s boarding school. Austen tells Emma’s thoughts, writing, â€Å"She would notice her†¦ improve her†¦ detach her from her bad acquaintance, and introduce her into good society; she would form her opinions and her manners. It would be an interesting, and certainly a very kind undertaking; highly becoming her own situation in life, her leisure and powers† (37-38). This passage makes clear Emma’s intentions of whittling Har riet into what Emma deemed best, not just to better Harriet’s situati... ...Emma tells Jane her preference of having things in the open. These two situations, back to back, serve to foil the two characters of Emma and Mrs. Elton – Emma coming away the more respectable of the two. Through Emma and Mrs. Elton, Jane Austen makes clear her vast understanding of the society in which she lives, and she shakes her finger to it. The heartache that both characters cause, Mrs. Elton in Jane Fairfax and Emma in Harriet, serves as a reproach to the gossipy, haughty, conspiring women in her society. Mr. Knightly, who serves as Emma’s conscience through most of the novel, best portrays the lesson by telling Emma, â€Å"Mystery; Finesse – how they pervert the understanding!† (352), and it is this advice that Austen makes clear throughout her novel. Works Cited Austen, Jane. Emma. Ed. R.W Chapman. Rev. Mary Lascelles. Oxford: Oxford UP, 2006.