Thursday, November 28, 2019

Art Of Theatre Essays - Performing Arts, Theatre, Acting, Actor

Art Of Theatre The Art of Theatre Entertainment is a very important part of our existence, especially in our culture. Without entertainment, whether it is individual or with a group, humans could not stay sane, hence could not survive. There are many types of entertainment. Humans have been entertaining themselves in all sorts of different ways for thousands of years. As simple as playing with sticks and stones, and as complex as flying F-16 fighting jets; we need entertainment. The most popular form of entertainment today is watching television. Although television is the direct means of receiving entertainment for the common family, it is not however the most stimulating. Throughout the ages stories have been past down from generation to generation through word of mouth, and through the advent of theatre arts. Theater unites the past and present in a unique cultural experience. Theatre continues to thrive and has become an important subject for study in schools and universities. Theatre also can be defined, as an e xpressive process that is best understood through the idea of symbolization and its role in the discovery and communication of meaning Theatre is taught as part of a curriculum designed to make students more human and more humane. The emphasis, in this case, is on creative and critical thinking, communication skills, and the philosophical and historical place of theatre in the development and maintenance of various cultures. Theatre, both in study and performance, allows students, whether as performers or as audience, to better understand the human condition not only in the cultures with which they are personally familiar, but also in cultures that may be distanced by time or location. The purpose of theatre is to develop performance art through any distinctively cultural foundations. The curriculum integrates training in the areas of acting, voice and movement, and sometimes dance and song while telling a story of moral and value directly or subliminally. The theatre can affect people, because of the impact it often haves on its audience. The main people that the theatre affects are the Actors themselves. Theater t rains people in a way by offering them vocal communication skills, teamwork, building skills, expedient creativity, and confidence. Theatre is a very team oriented activity that causes the communication skills to heighten. The theatre is also a place that people can go to find themselves and to have a sense of belonging. Theatre entertains and educates. It shows us who we are and who we can be. Most people appreciate the theatre because they enjoy being told a story. People would be better educated and entertained if there was a little more interest in the theatre because of what it stands for, consequences of different actions arousing the emotions of pity and fear, wonder and awe. Theatre enriches our social and cultural heritages through arts, education, performance and production, all with a strong base in literacy and empowerment for life. This function enlightens and enhances lifes images as viewed by diverse cultures around the world. This means that no matter how much a pers on thinks they know there is always something that a person can learn. Actors provide a setting in which they can test the limits of their own creativity by contributing to a generous vision of the human condition. Actors often endeavor to create a diverse body of work that expresses a rigorous, embracing visual by reflecting the highest artistic standards that seeks to maintain an environment in which they as talented artists can do their best work. Actors also strive to engage the audiences in an ongoing dialogue of ideas, by encouraging lifelong learning as a core value. Through productions, outreach, and education, actors hope to aspire the use of theatre experience as a means to challenge, thrill, and stimulate what is best in the human spirit. Acting is not like real life. Acting is willful and extremely conscious. Actors have to determine and plan every desire, every action. When performing, an actor cannot depend upon sudden revelations of subconscious desires and spontaneous bursts of unrehearsed action, because the entire performance would be thrown into chaos. Each member of the cast is constantly trying to figure out and respond to the seemingly random actions of

Sunday, November 24, 2019

Real Estate and Construction Sector in the UAE and the Effects of the Crises on the UAE and the Gulf

Real Estate and Construction Sector in the UAE and the Effects of the Crises on the UAE and the Gulf Introduction The current economic status of UAE economy The global crisis that hit the world adversely affected the economies of developing countries. This is because these countries lacked the ability to withstand the external forces that resulted from the collapse of the major world’s economies from which they depended forcing them to restructure their operating business models.Advertising We will write a custom assessment sample on Real Estate and Construction Sector in the UAE and the Effects of the Crises on the UAE and the Gulf specifically for you for only $16.05 $11/page Learn More As the crisis took hold, the Gulf Corporation council countries’ were adversely affected by the depression which hit the region through the trade and financial channels (Khamis, n d). Among the most hit GCC countries was the United Arab Emirates whose economy has transformed itself from a classical base of fishing and pearling into oil based high income econo my with a high concentration of expatriate labor as the main drivers in the key sectors of the economy (IMF, 2003). The UAE had achieved impressive economic growth over the past years due to its rapid development in the non oil economy making it one of the most diversified economies among the Gulf cooperation Council Counterparts (IMF, 2003). However, the region’s persistent dependency on oil as the key driver in the economy and its widely segmented labor market where nationals still continue to have a strong preference for public sector employment over the private sector rendered the region highly vulnerable to the negative implication of the global economic downturn. Real estate and construction sector in UAE The study covers the actual effects of the crisis to the construction and real estate sector in the region which is among the key sectors in the economy contributing an approximate 16% GDP in UAE (IMF, 2003). The sector which had earlier on achieved remarkable growth r apidly declined with the occurrence of the global financial crisis resulting in depreciating values of property as well as departure of foreign investors from the region. The emirate of Dubai provides a clear evidence of the decline in the real estate industry following the crisis.Advertising Looking for assessment on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Consequently, the country provides us with the appropriate case study through which we will analyze the trend in the construction and real estate sector in the period between 2002 and 2006 where the industry achieved remarkable growth, the period between 2008 and 2009 when the global financial crisis hit the economy and the forecasted growth up to 2012. This analysis will be essential in our formulation of an informed conclusion. Financial crisis facing the region It is worth noting that the rental market had been soaring in Dubai due to the increased demand for residential houses and office space. Lease prices as well as the real estate prices have doubled since 2005 with prices varying between $ 1700 and $ 3500 per square meter according to location (Noack, 2007). Due to drastic rent increases, the government of Dubai implemented a rental cap forcing land lords to keep the rent increases to a maximum of 15% per year in 2006 which was further reduced to 7% in 2007 (Noack, 2007). There appeared to be the stepping stone towards stabilization on the rental and real estate markets which could be attributed to the implementation of the rental cap and the establishment of new housing units in the market (Noack, 2007). During the boom period, the countries in the GCC particularly Qatar and the UAE experienced remarkable increases in banking system credit to the private sector and this led to real average credit growth which increased bank leverage and doubled the ratio of private sector credit to non oil GDP to 122% by the end of 2008 (Khamis, 2010). Excess credit coupled with low interest rates and a vibrant economy facilitated higher demand for real estates and equities consequently increasing prices (Khamis, 2010). In the UAE, speculative investments significantly contributed to marked increases in real estate prices.Advertising We will write a custom assessment sample on Real Estate and Construction Sector in the UAE and the Effects of the Crises on the UAE and the Gulf specifically for you for only $16.05 $11/page Learn More Further, following the stock market decline in 2006, GCC markets posted 22-60% gains in 2007 but this dramatically reduced in 2008 by 29-73% with the intensification of the global crisis (Khamis, 2010). With the global recession occurrence, the real GDP growth in the gulf region was expected to sharply decline from 5.8% in 2008 to 1.1 % in 2009 due to correction in oil prices, reduced overall production as well as tight credit conditions (UN, 2009). Among the G CC economies, the UAE was the most affected by the crises with its real GDP falling from 7.4 % to 0.5% between 2008 and 2009 (UN, 2009). This resulted from severe contraction in domestic demand for real estate prices. Literature review UAE attained a per capita income in terms of GDP amounting to $16700 in 1998 which was relatively higher than the GDP of most developing countries (Al Abed and Helyller, 2001). The three emirates of Abu Dhabi, Dubai and Sharjah account for the highest percentage of UAE gross domestic product as well as the population. The income differences between the emirates are generated by the variations in natural resource endowment prevalent in the region (Al Abed and Helyller, 2001). The key resource in the region is oil and gas and in 1998, crude oil contributed for 22% of the total UAE gross domestic product. The UAE economy is highly dependent on external sector as reflected by the import export disparities prevalent in the region’s economy. Both exp orts and imports are relatively high and consequently the external sector plays a major role in performance and evolution of the UAE economy (Al Abed and Helyller, 2001). The 2003-2008 oil price booms spurred economic activity in the GCC consequently strengthening all the sectors in the economy with overall growth in the economy averaging to 6.6% per year which was considerably higher than the pre oil price boom period.Advertising Looking for assessment on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Role of construction and real estate sector in UAE economy The construction and real estate sector is one of the key driving forces in the UAE economy. Increasing volumes of local and tourist population in the region as well as the liberalization of the real estate market had significantly contributed to the rapid growth in the sector due to the rapidly increasing demand for property in the region (Noack, 2007). The United Arab Emirates is by far the biggest property market in the Gulf region which facilitated its domination in the construction sector. Abu Dhabi heavily invested in tourism and residential sector with its numerous projects including beach and island development, town houses, and facilities for residents (Noack, 2007). Dubai’s real estate sector was mushrooming with projects worth billions of dollars and projects including infrastructure development were under construction. Continuous population growth and immigration in the region has led to increased demand f or residential houses especially in Dubai. Other emirates are also increasingly investing on the construction sector but on a relatively smaller scale. Effects of the Crisis in the Region The GCC countries have been hit hard by the decline in oil prices and production as well as by liquidity shortages in global financial markets (Khamis, 2010). The impact of the crisis in the GCC manifested itself in plunging stock and real estate markets with the region’s market capitalization falling dramatically by 41% (Khamis, 2010). As the effects of the global market became more apparent, the average correlation of the GCC markets with the global markets became evident in the period between 2007 and 2008 (Khamis, 2010). The region was further affected by decline in the international asset prices with losses estimated by market analysts at between 20-30% in 2008 (Khamis, 2010). Consequently, real estate prices dramatically declined which corrected prices in Dubai which had initially rise n more sharply. A couple of scholars had predicted the impact of global economic downturn across the Gulf Corporation Council. The economic down turn as well as the dramatic plunge in oil prices led to a major blow on the development efforts in the region and shattered dreams of thousands of investors seeking maximum returns in a region that was once a land of opportunity (BM, 2010). The construction and real estate sector was rendered vulnerable to the adverse effects of the crises due to the fact that credit growth in the region substantially contributed to lending in the real estate sector. This lending was funded substantially by bank’s foreign liabilities which rendered the region’s banking system susceptible to credit losses during economic downturn (Khamis, 2010). The international monetary fund predicted that economic growth across the region would slow down in 3.5 % in 2009 from 6.8% in 2008. The United Arab Emirates which accounts for approximately 46% of the GCC construction boom is likely to be adversely affected according to research findings by EFG Hermes (BM, 2010). The findings further revealed that the region is experiencing a ‘real estate crash ‘and the effects of this have not yet been fully addressed. Objectives, Scope and coverage The Extent of the Crisis in UAE and the gulf region The property and the construction sectors have been worst hit in the emirate following the global economic downturn. Although various sectors continue to register considerable growth in the recent past, the construction and real estate sectors evidently achieved negative growth in 2010 (Property Wire, 2010). This failure can be attributed to the sector’s dependence on demand and supply consequently elongated the recovery period. The world debt crisis has also intensified the negative implications on the real estate sector which plummeted with the diminishing international funding Property sales in the region increased by more tha n half their value since 2008 (Property Wire 2010). A report compiled by the royal institution of Chartered surveyors revealed that there was a substantial increase in the number of distressed assets coming into the UAE market in the third quarter of 2010 and this was further expected to rise in the last quarter of the year (Property Wire 2010). Tom Bunker, an investment sale consultant confirmed this increment in distressed selling citing that this property hit the market below their purchase price and in some cases below the price level at which they were initially sold by the developer. The global economy has started showing signs of revival from its previous down turn (Property digest, 2009). The United Arab Emirate real estate sector has subsequently registered gradual change and according to the Gowealthy Research Team, whereby the demand for off plan properties in the UAE ended with the departure of speculators changing the trend towards preference of ready to move in propert y that are at least half way complete. Dwindling market demand and oversupply of units coupled with distress sales by owners who aim at raising the mortgage requirements have affected the prices of property adversely (Property Digest, 2009). Research by Colliers revealed that home prices in Dubai declined by 40-42% since the fourth quarter of 2008 with sales transactions in Dubai and Abu Dhabi being driven by professional investors rather than speculators. T his helps us to understand the long term impacts of foreign debt as a means of financing local projects. In this region increased foreign debt coupled with global depression has resulted in devaluation of property in Dubai which has consequently affected the region’s economy. The UAE has an ideal location for long term property investment. At present, quality accommodation and work space can be acquired at moderate states with scales heavily tipped in favor of serious investors who negotiate for appreciable bargains (Prop erty Digest, 2009). This creates room for optimism in the UAE real estate market orientation towards long term investment. However, the most important question remains whether the UAE young realty sector is strong and resilient enough to withstand the adverse effects of the forces within the external economies as well as its ability to meet long term investor demands and expectations. To an attempt to achieve this end, the government of Dubai has recently amended Article No. 13 that aims at protecting the stakeholders in the realty sector. The article provides reviewed provisions for cancellation of contracts and also offers property auction licenses to private firms in order to facilitate the auction process. Research question and methodology Our study will focus on a case study of Dubai’s real estate sector and the impact that the global financial crisis has had on the same. This will enable us to evaluate the extent to which the crisis has affected the UAE region since Dub ai is one of the major determinants of overall performance of UAE economy. Effects of the financial crises on the real estate sector in Dubai The crisis has adversely affected the emirate of Dubai which has heavily invested in construction projects as well as establishment of a financial sector. Dr, Eckart Woertz, program manager of economics at the Gulf Research Center observed that Dubai, which was the pioneer in economic development in the UAE has been adversely affected by the crisis due to its over reliance on real estate sector as well as its foreign debt financed growth (BM, 2010). The impact that the economic downturn has had on the Dubai’s construction sector is an obvious indicator of the extent to which the UAE has been affected by the crisis hence our focus on the emirate. Construction projects worth billions of dollars have been rendered worthless with numerous projects being prematurely terminated due to lack of cash inflow (BM, 2010). A report by Proleads resea rch firm uncovered that an approximate 53% of the projects in Dubai had been suspended while only projects worth $698 were still in operation in a sector estimated to be worth US $1.3 trillion (BM, 2010). In addition, job cuts have been widespread in the real estate sector with numerous companies announcing a lot of redundancies while considerable number of expatriates continues to leave the country (BM, 2010). A report by Emirates Business 24/7 claimed that Indian carriers were preparing to accommodate bulk bookings for constructions workers and expatriates leaving the UAE in search of greener pastures. Further, figure released by Dubai’s ministry of interior naturalization and residency highlighted that 54684 residency visas were cancelled in the beginning of 2009 compared to 29418 in January 2008 with the majority being expatriates and private sector workers who had been frustrated by the poor performance in the construction and real estate industry in Dubai (BM, 2010). Th e impact of the global financial crisis further sent shock waves through out other related industries in the region that relied on the construction sector consequently affecting them negatively. For instance, the media companies which depended heavily on the real estate sector for advertising lost significant revenue due to reduction in advertising efforts by the sector (BM, 2010). The architecture and engineering firms as well as facilities management providers were also adversely affected. According to the Property wire (2010), â€Å"The construction and real estate sectors in Dubai have seen a decrease of almost 5% in 2010 and the recovery is some way off according to officials† (p1). Data Analysis: The Case of Dubai The property industry in Dubai registered remarkable growth in years prior the global financial crisis (Anonymous, 2007). The trend of the industry in the period between 2002and 2006 is a clear indicator of the robust growth that the sector had enjoyed in prev ious years. The graph below displays the percentage growth sustained by Dubai’s real estate sector during the period. Source: Zahrat Dubai real estate. rocketriver.com/zahrat/stat.php However, the upward trend rapidly declined with the occurrence of the global financial crisis that affected all the economies in the world. Reports indicated that the residential property prices in Dubai were bound to decline in the subsequent years from the peak levels seen in the third quarter of 2008. The graph below displays the falling real estate prices in specific locations in Dubai during the period of the financial crisis. Source: Dubai Forums 2009. dubaiforums.com/ar/dubai-property-prices-to-fall-70-from-peak-1-34758.htm Despite the numerous challenges facing the real sector as a result of global financial depression, the region is optimistic that the sector will survive the financial crisis. Substantial market corrections have taken place which has led to the restructuring of the bu siness models in operation. In order to achieve the best case scenario industry conditions as shown in the graph, the government of Dubai should seek to support the country’s economy by increasing infrastructural spending, reducing oil and foreign income dependence in the economy and bail out guarantees to financial institutions in order to improve performance of the industry and regain investors’ confidence. ameinfo.com/196124.html Conclusion The financial crisis that hit the global economy adversely affected numerous countries’ economies without exception of the countries in the GCC. The UAE was the most affected among the GCC member countries with its construction and real estate sector rapidly declining as a result. The construction and real estate sector which contributes significantly to overall GDP in the UAE has had severe consequences on the overall economic growth of the region. Evident from the study, the decline in the sector has significantly reduc ed returns to investment which has led to mass exodus of foreign investors from the region’s free zones and disrupted performance in other related industries. The region should therefore seek to rectify the situation by minimizing their dependence on oil and foreign funding in order to reduce the risks of industry collapse in future. Reference List Al Abed, I., Helyller, P. (2001). United Arab Emirates- A New Perspective. London: Trident Press Ltd. Anonymous (2007). Statistical Report on Dubai Real Estate Trends. Retrieved from rocketriver.com/zahrat/stat.php. Business management (2010). How The Bubble Burst. Retrieved from busmanagementme.com/article/How-the-bubble-burst/. Dubai Forums (2009). Dubai Prices to Fall ‘70% from the Peak. Retrieved from dubaiforums.com/ar/dubai-property-prices-to-fall-70-from-peak-1-34758.htm. IMF (2003). United Arab Emirates: Selected Issues and Statistical Appendix. Washington, D.C: International Monetary Fund. Khamis, M. (2010). Impact of the Global Financial Crisis on the Gulf Corporation Council Countries and the Challenges Ahead. Retrieved from imf.org/external/pubs/ft/dp/2010/dp1001.pdf Noack, S., Betriebswirt, D. (2007). Doing Business in Dubai and the United Arab Emirates. Berlin: GRIN Verlag. Property Digest (2009). UAE Real Estate Sector on the Road to Recovery. Retrieved from gowealthy.com/gowealthy/wcms/en/home/real-estate/property-digest/april-2009/Vol1-April-2009-1240826069217.html Property Wire (2010). Real Estate Sector Is The Worst Hit In Economic Terms, Officials Admit. Retrieved from propertywire.com/news/middle-east/-dubai-real-estate-hit-201012024736.html United Nations (2009). The Global Economic and Financial Crisis: Regional Impacts, Responses and Solutions. New York: United Nations publications.

Thursday, November 21, 2019

Annotated Bibliography and Thesis Statement Instructions on Essay

Annotated Bibliography and Thesis Statement Instructions on Geographical Issues - Essay Example Annotated Bibliography and Thesis Statement Instructions on Geographical Issues The author tries to prove the hypothesis that fish can be used as a navigation tool through various researches done by scientists and navigators. National Research Council, Committee on Precursor Measurements Necessary to Support Human Operations on the Surface of Mars et. Al. Safe on Mars: Precursor Measurements Necessary to Support Human Operations on the Martian Surface. United States, US: National Academies Press, 2002 The astronauts that have landed to the planet mars explain the different hazards posed by the planets terrain. These hazards have different forms such as radiations, geological and the hazards posed by the atmospheric dynamics, which necessitate the study of the hazards to ensure astronauts’ safety while in the planet and their journey back to avoid contamination of the return vehicles. The chemical environmental hazards posed by planet mars are presented, which include the understanding of the between interaction of the Martian soil and the airborne dusts w ith an astronaut and the equipment that are critical, establishing the risk standards, and the toxicity levels of the Martian atmospheric gases. Passing quite a large number of countries, the equator is a major attraction site for many tourists who refer to it as the center of the universe. Neuman explores the San Antonio De Pichincha, Ecuador Park that reveals that the equator is hundreds feet to the northern direction, a fact that has been doubted by many tourists who visit the equator. Neuman uses the park in this newspaper article to study how the equator runs where the path it follows leads to a land traversed by a ravine, which possess a great danger to the construction of monuments; hence, the park’s monument was located in a different area that was initially 100 feet then reconstructed to 800 feet. To ascertain the amazing facts of the equator, a number of scientific research such as â€Å"Measure of the Earth† alongside with the tourists who get to the site describes the monument in the park. Flint, Warren. â€Å"Water Resource sustainability Management: Thinking like a Watershed†. Annals of arid zone 45(3 ) (2006):399-423. Print The journal explains the importance and management practices of the most important element, water, with cited examples all over the world and the effects that the functionality intact and biologically compound ecosystems the element has to the society. Sustainability anchors of aquatic systems presented and analyzed indicate the need to determine the effect they pose to the society’s factor such as health, integrity, and function ability. The watershed improvement strategy, from tradition, starts from the stage of focusing on the specific causes of water pollution ton containing the sources to ensure natural resource protection, social well-being, and preservation of ecological integrity. Flint describes the process that leads to a sustainable watershed natural defined hydrology preservation methods that involves and require a multi-dimension approach of thinking, which results to environmental pay-offs and economic benefits the society with most

Wednesday, November 20, 2019

Research paper Essay Example | Topics and Well Written Essays - 1500 words - 15

Research paper - Essay Example Therefore, this could not have come at the right time. Jack caught the shoplifter and asked her to accompany him to the security area for the necessary interrogations. Interestingly, as Jack escorted the female shoplifter to the security area, her male counterpart yelled and swore that the women did not deserve such treatment. On their way to the security office, Jack instructed the man who was in the company of the shoplifter to remain outside the security office as his presence in the interrogations was of secondary importance. Oblivious of the implications, the partner forced himself into the security room while at the same time yelling, swearing, and pointing accusing fingers at Jack’s face. He also referred to Jack as a â€Å"Nigga† meaning a black man. In a reactionary mood, Jack responded to the situation by hitting the customer in his stomach. This commotion forced Chris to alert the police, and both customers were apprehended. However, pursuant to the Grocery policies, employee code of conduct prohibits aggression and violence within the premises. Moreover, the policy forbids fights and any forms of physical confrontations at the workplace. Taking these policy provisions into consideration, Jack had gone through an elaborate training exposing him to get a proper grip of the company policy on workplace violence. This comprehensive training given to Jack offers the impression that he was liable to any action that violates the company policy provisions. In light of this stance, Jack was fired due to abuse of the nonviolence policy. Furthermore, he had a moral obligation to shape the errant customer in the spirit of the company policy stipulations. Apart from the dismissal, Jack was sued for the unfair portrayal of his nationality. This paper is an expository analysis of three case laws including; Ali vs. Roggers, Zeinali vs. Raytheon Co., and Rashidan vs. Geissberger . According to the

Monday, November 18, 2019

MUVES and the 21st Century Essay Example | Topics and Well Written Essays - 1250 words

MUVES and the 21st Century - Essay Example In the same way, these have enhanced access to learning and business practices. Many people from different parts of the world have been enrolling in institutions abroad to enroll in distance learning courses through the e-learning portals and systems created by the institutions offering this kind of learning (Jarrett, 2008). In this, the benefits of technological advancements cannot be overemphasized in any way. It remains the responsibility of institutions and business organisations that want to take advantage of these developments to make approaches through which they can improve their social and business process through the use of these systems and others, which continue to be developed. Multi-User Virtual Environments, also known as MUVEs refers to the popular and well-known forms of multi-media based entertainments. However, in the recent past, these kinds of media have been receiving wide acceptance in various other disciplines, because of the ability to facilitate important practices when effectively used. For instance, in many places the attention of MUVEs seems to have changed drastically, to focus on the ability support learning activities in the education sector. In this regard, many research groups have been active in designing different kinds of MUVEs, while investigating their perceived effectiveness in delivering some of the set goals and objectives. These research processes have been offering various kinds of MUVEs in different formats in order to determine their ability to achieve the set goals and objectives in teaching and learning. It is expected that the ongoing research into the effectiveness of these technologies will play a leading role in influencing the various practices not only in the education sector, but also in other sectors and in this century. MUVEs that are designed for use in the wider educational community often have certain embedded problems and

Friday, November 15, 2019

Two Recent Technological Advances In Endoscopy Nursing Essay

Two Recent Technological Advances In Endoscopy Nursing Essay I am currently working at a day case endoscopy unit, the two advances in endoscopy procedures I will be looking at are, scope guide and minimal sedation. I will be assessing patients at the day case endoscopy unit I currently work at by participating in procedures which use scope guide and minimal sedation. During this period, I will be emphasising at the improvements in the care and safety of patients, to see how these have improved quality of patient care and diagnose problems at ease. Endoscopist, Nurses and Surgeon depend largely on advancement in technology for delivering enhanced patient care and ability to diagnose problems at ease. The application of computer-assisted image guidance technology to the Endoscopic surgical procedures allow creation of new methods to address the challenges by providing the needed 3-D imager that ultimately improves accuracy, efficiency and safety during procedures. (Daniel L Farkas et al 2008). Scope guide 3-D imager, is a non contact form which uses a low intensity magnetic field to display a real time 3 dimension view of the position and orientation of the colon scope with the abdominal cavity by means of detromagnetic transmission coils built into the colonoscope insertion tube. 3 D imager that ultimately improves accuracy, efficiency and safety during procedures (Daniel L. Farkas et al 2008). The scope guide 3 D imager assist in identification of the correct combination of manoeuvres necessary to straighten out the loops o nce formed Olympus 2008. A consultant Endoscopist London UK commented about scope Guide 3 D imager when we started to develop the electromagnetic imaging technology for scope guide. I envisioned a system that would allow colonoscopist to feel as comfortable as a tourist driving through the most unpredictable city with the assistance of a safety navigation system he commented today scope guide does just that i.e. improving colonoscopy by providing a real time 3 dimensional display of colonoscope position and configuration, the endoscopist no longer need to rely on guess and feel to determine the orientation of an inserted scope, scope guide will change the why you see colonoscopy, 3 D imager is an essential part of quality colonoscopy. 3 D imager is able to show shape both from lateral and anterior view direction simultaneously in split screen mode. The use of this scope guide eliminates the hazard of radiation for patients, doctors, this makes the 3 D imager ideal for daily clinical usage and for training purpose. (Yamamate (2008) and Koichin et al, (2008) both stated that is pain free colonoscopy possible? The greatest advantage of this new technology is that when using insufflators air is an enemy. The 3 D imager gives easy visualization and manoeuvres and to orientate the scope along the colon. Easily it avon loops and whenever loops occurs straightening it on and takes less time unlike long time procedures. 3 D imager couple with EVIS EXERA 11 260 series system delivers images in high definition. There are certain scopes that can be used with the 3 D imager which deliver image on the scope guide monitor in three dimensional, which make it possible for the patient watches it on the screen. No sedation sometimes or individual sedation given, patient tolerate the procedure well with aid of the scope guide makes the procedure quicker, safer and comfortable for most patients. The use of this 3 D imager is done by attaching the cord from the guide monitor to the scope, which transmits a current to the scope and shows on the 3 D imager monitor showing where the scope is, if there are loops in the colon, and serves as a guide to the endoscopist. 3 D imager is safe and effective equipment for treatment of making colonoscopy less painful especially in patients with long colon or loopy colon, whereas procedures are abandoned most times when patients cannot tolerate it because its very painful and far fear of perforation. Some of the producing real time 3D imager is that it is capable of producing real time 3D image display of position and orientation of the colonoscopy. The endoscopist no longer needs to rely on guess work or fluoroscopy to determine the configuration of an inserted scope. The Scope Guide 3-D imager uses a low intensity magnetic field to display a real time 3-dimension view of the position and orientation of the colon scope with the abdominal cavity by means of electromagnetic transmission coils built into the colonoscope insertion tube. The scope guide assist the endoscopist in the identification of the correct combination of manoeuvres necessary to straighten out the loops once formed (Olympus, 2008) It shows the correct ways to manoeuvres and straightens complex looping. It is completely safe for daily usage due to the electromagnetic transmission coils within the scope creates a low intensity magnetic field. It generally reduces pain during colonoscopy which enhance advance total cave of patient in today endoscopy procedures. It helps in giving quality care throughout the procedure for the patient, endoscopist and nurses, it eliminates the hazard of radiation from X-ray during colonoscopy, but with the 3 D imager scope guide, X-ray is no longer required. It helps to reduces time during procedure by making complicated procedure easy, hence less lengthy procedure, it helps their ability in pain management of their painful. The scope guide can be dangerous if the cords are not well attached to the scope, which could give a false picture. The nurse plays an important role in the care of the patient before during and after 3 D imager scope guide is used. In my unit all the advantage of scope guide demonstrated at Solna conference for all endoscopists in UK and Ireland can be seen practically every day since the colonoscopist started using the equipment. We have three procedure rooms running and the unit is having only one Scope Guide 3-D Imager. It is now a competitions between the endoscopist, as to who will use the equipment even when the procedure is not too difficult as some might claim but because it give them easy visualisation and manoeuvres and to orientate the scope along the colon. Easily they can avoid loops and whenever loop occurs straightening it on was very easy and takes less time unlike before when we do not have the equipment. All the noise and shout of pains by the patient during colonoscopy procedures has drastically reduced since the introduction of the equipment in the unit, and nurses job in the procedure room has become less stressful unlike before. When a patient requires the use of 3 D imager scope guide due to post hysterotory operation or very difficult previous colonoscopy because of looping, we care for them in the following way. Initially the patient is admitted for an outpatient procedure and checked in, consented, during consenting the doctor will explain to the patient for the need of using the 3 D imager what difficulties involved in manoeuvring the scope and patient during the use of it, repositioning of the patient to get a good view and to minimise the looping if that why, hence the patient will sign the consent form (nursing and midwifery council 2008), British Society of Gastroenterology 1991, 2008) (BSG guidelines) sedation is given via intravenous (IV) route and if to give any emergency injection if need be. A nasal catheter sponge is also attached to the patient for oxygen administration. The patient is given blue knickers for privacy and because of repositioning to prevent unnecessary exposure of patient (privacy and dignity). The patient is firstly positioned on the left lateral with knees bent towards the chest, meanwhile monitory if the oxygen saturation, pulse and blood pressure are checked throughout the procedure. The patient is talked through the procedures, informing the patient when to expect more pain when negotiating the flexures of the colon. The monitor of the scope guide cord is then attached to the scope to be used, and right setting done which brings on the light on monitor of the scope guide. Sedation and if possible muscle relencant i.e. antispasmodic or analgesic is administered through the intravenous route, everyone i.e. the doctor and nurses in the room will wear an apron, gloves and goggles (Health and Safety Executive 1992). The Endoscopist will reconfirm from the nurse whether the constant the procedure, the scope guide must be checked and the cotside on the left hand side is let down and the flexible plate is placed near the patients stomach and to be sure no damage and plate well placed prior to start of procedure. The big movable plate should be put in right position and not on the chest or let (Aorn 2004). During the procedure the scope guide setting is changed as the patient is repositioned which should be visually seen on the monitor to give a right direction of the scope in the colon and monitored. The procedure time, the patient is observed and monitored for abdominal pain and possible sweating or vasovagal reactions. The pain level of the patient is assessed which will determine whether to top up the sedation , pain reliever or antispasmodic injections by the endoscopist, through the nurse in there is there as the patients advocate, the cardiac arrest trolley with the defibrillator should be ac cessible within easy reach (BSG 2003). Post care of the patient should be monitored for severe abdominal pain caused by 3 D imager (Malick 2006). The patient will be wheeled on the trolley to the recovery ward and continuous monitory of the observations and vital signs for any of the complication must be recorded and documented. During the consenting time, the patient must have been provided with verbal and written instructions emphasising on observations for severe pain and bleeding (in case of perforation), if any unexpected symptoms arise, they should go to accident and emergency immediately (Norton et al 2008). In the endoscopy unit where I work, 3 D imager scope guide was implemented late last year, through its a new technology its own. This initially course some problems because some of the medical team I work with, some will say leave the cortside up, some say let it down because of the insufficient training on the use of the imager. Even on repositioning the patient, some medical team do not know where the arrow on the monitor should be which will affect the image. In treating conditions or scoping patients who has had hysterectomy or with lots of looping in the colon, I have observed the differentiation between when the scope guide is used and when not. The colonoscopist find it much comfortable for the patient and each visualisation and manoeuvres, loops avoided easily and easily straightening, loops if it occurs, the scope guide used may delivers images in high definition. The scope guide has gradually wins the heart of most Endoscopists in my unit for less lengthy time on one procedure. The use of the scope guide there is no need of colonoscopy procedure under X-ray i.e. between barium Enemy or CT scan this eliminates the hazard of radiation for patients. My unit is regards as one of the best bowel cancer screening unit due to the use of scope guide 3 D imager. The procedure is quick, safer, painless and comfortable for most patients, this has really encouraged patient to come for the screening process at my unit. 2nd assignment Minimal sedation is given according to patients preferences in procedures (BSG 2008) such as gastroscopy, brochoscopy flexible sigmodoscopy, colonoscopy, stent insertion to my unit, minimal sedation is mandatory for endoscopic retrograde cholangiopancreatograph patients (ERCP). Minimal sedation is a method of sedation which was formally known as conscious sedation. In this case, its a technique in which no pain relievers are used therefore making patient to be awake an aware during unpleasant procedure without too much discomfort experience for successful endoscopy, general anaesthesia and minimal sedation used, but minimal sedation is much a safer method to control pain and anxiety during procedures (Rex 2006). In my unit, minimal sedation is used for most procedures done i.e. both lower and upper gastro intestinal endoscopies, formally in my workplace 6 8 mg midazolam was used which is no more used. The report of the rapid response (2008) the maximum dose of midazolam is 5mg which is now the most recent practice in my unit. Minimal sedation has been used and accepted because it does not require an anaesthetist, which is more economical this technique is very useful for endoscopist in providing a better examination which improves patients comfort and amnesic effect (Regula and Sokol-Kobielska 2008). The drug of choice because of its rapid onset, short duration of action is Midazolam, it provide an amnesic effort and help to relax the patient (Norton et al 2008). The most common benzodiazepines are diazepam and midazolam, majority of Endoscopist prefer to use midazolam because of it fast onset of action and high amnesic effect (National Guidelines Clearing House 2003). During procedures the group called benzo diazepams are used either alone or in combination with an opiate e.g. pethidine or fentanyl, when it is been used alone the occurrence of respiratory complication with either midazolam or fentanyl is fairly low. Contrary, the implications increases when both drugs are given in combination.

Wednesday, November 13, 2019

The Use of Drugs by 1950s Artists Essay -- Illegal Drugs Speed Narcoti

A movement arose among the artists of 1950s America as a reaction to the time's prevailing conformity and affluence whose members attempted to extract all they could from life, often in a strikingly self-destructive way. Specifically, the Beat writers and jazz musicians of the era found escape from society in drugs and fast living. But what exactly led so many to this dangerous path? Why did they choose drugs and speed to implement their rebellion? A preliminary look at the contradictions that prevailed in 1950s American society may give some insight into these artists' world. At the end of World War II, American culture experienced an overhaul that ushered in a period of complacency beneath which paranoia seethed. A generation that had lived through the privations of the Depression and the horrors of world war was now presented with large suburban homes, convenient and impressive appliances, and pre-packaged entertainment. Such wonders so soon after extended hard times were greeted enthusiastically and even treated with a sense of awe. They may have encouraged few distinctions among the middle class -- the houses in a suburb were generally as identical as hamburgers at McDonald's -- but they represented a wealth to which few had before enjoyed access. Life became automated, with dishwashers cleaning up after dinner and air conditioning easing mid-summer heat. The new conveniences left more time for families to absorb the new mass culture presented through television, records, and Spillane novels. Excitement over the new conveniences and entertainment led America to increasingly become an acquiring society. To my parents' generation, childhood in the 50s was a time when people were generally pleased with themselves and with the... ...McNally, Dennis. Desolate Angel: Jack Kerouac, the Beat Generation, and America. New York: Random House, 1979. O'Neil, Paul. "The Only Rebellion Around". Life 47 (November 30, 1959): 115-116, 119-120, 123-126, 129-130. Parkinson, Thomas, ed. A Casebook on the Beat. New York: Thomas Y. Crowell Company, 1961. Peretti, Burton W. Jazz in American Culture. Chicago: Ivan R. Dee, 1997. Rigney, Francis J. and L. Douglas Smith. The Real Bohemia. New York: Basic Books, 1961. Tytell, John. "The Beat Generation and the Continuing American Revolution". American Scholar 42 (1973): 308-317. Van Den Haag, Ernest. "Conspicuous Consumption of Self". National Review VI (April 11, 1959): 656-658. Wakefield, Dan. New York in the Fifties. Boston: Houghton Mifflin, 1992. Woideck, Carl. Charlie Parker: His Music and Life. Ann Arbor: University of Michigan Press, 1996.