What to Expect From Sample Essay Topics for College?

What to Expect From Sample Essay Topics for College? To start with, your motivation for a writer is affected by the essay topic you opt for. Stephen's essay is quite effective. Richard's essay wouldn't be appropriate in all situations. Argumentative essays are a few of the best that you can write as a student. Colleges can tell whenever your essay is merely a form essay. You must be very careful when choosing an essay topic. Choosing topics for argumentative essays is crucial for your general success. At the conclusion of these list, you will discover links to a range of argumentative paragraphs and essays. Your stories aren't debatable. Usually, searching over the world wide web for free essays are often quite challenging. The manner in which you formulate your argument heavily is dependent upon the essay type. In this kind of situation, it's more convenient to locate ready-made essays and use them as an example. Bridget's essay is quite strong, but there continue to be a couple little things that could be made better. A proposal essay is extremely easy to comprehend. If you create a productive outline for your research, you should remember the simple fact that you'll never get lost. If you're writing a background synthesis, in some instances it might be appropriate that you provide an interpretation of the material or have a position (thesis). It's recommended that you just choose the topic that you're able to deal with, for instance, if you're not t sketching the personality characteristics then you ought to better not elect for it. Moreover, online outline templates can easily be available that may enable you to judge where to find a start for your writing and where to end up the paper. An argumentative essay is a certain sort of academic writing. So you don't actually wish to locate a topic! You could have a topic you have to write on but have no clue how to approach it. Therefore, the topic you select plays a critical function. Many college educators don't really deserve the quantity of money that they make. Students are accustomed to the fact which their professors give them with the assignment's topic. The ways they should be taught about their health. With the many activities that they have on their daily schedules, it can be hard to find the time to all the requisite research and writing. Research work in college can be flexible particularly when the professor permits you to select a topic by yourself. Professor Mitchell obtained a grant to have a category of students to Belgium so as to study the EU. Our professionals are among the greatest in the industry, and they can help you compose the perfect essay that exceeds all of your academic expectations. If quality work is all you want, you should think about giving us an opportunity to obey you and offer you with college essay help that will provide you with value for each and every penny you pay. When applying for jobs, in addition, it looks many more prestigious when it's shown that one attended a university instead of a community college. Occasionally it only looks simple, but lots of students forget about the sort of academic writing they need to follow. Life After Sample Essay Topics for College Application essays about challenges reveal how you respond to difficulty to individuals who are quite interested in how you are going to take care of the subsequent four years by yourself. Colleges are interested in finding a feeling of maturity and introspectionpinpoint the transformation and demonstrate your private growth.

The Souls Of Black Folk By. B. Dubois - 1936 Words

Double consciousness is a term coined by W.E.B. DuBois in his 1903 book, entitled The Souls of Black Folk, that describes the cognitive dissonance that arises from being both black and American. DuBois describes the duality felt by African-Americans as always â€Å"measuring one’s soul by the tape of a world that looks on in amused contempt and pity† and that the black man â€Å"simply wishes to make it possible for a man to be both a Negro and an American without being cursed and spit upon by his fellows, without having the doors of opportunity closed roughly in his face.† Ralph Ellison demonstrates the narrator’s struggle with his identity through double consciousness that becomes apparent in many situations and results in Invisible Man developing a â€Å"sense of always looking at one’s self through the eyes of others,† which is what ultimately leads him to become invisible. Throughout Invisible Man, Ellison uses double-consciousness to il lustrate Invisible Man’s descent into invisibility by creating instances where he is placed in a new situation, such as the Brotherhood, where he has to reconcile two warring ideas: one of his past and one of his new reality. The roots of Invisible Man’s desire for invisibility take shape through W.E.B. DuBois description of double-consciousness as seeing yourself through the eyes of others, illustrated by many of Invisible Man’s actions through the novel. Perhaps the most evident example of Invisible Man’s detachment from his own mind and body isShow MoreRelatedThe Souls Of Black Folk By. B. Dubois1080 Words   |  5 PagesIn The Souls of Black Folk by W.E.B. DuBois, DuBois argues his point-of-view on racial tensions in the south during and after Reconstruction. DuBois was a key figure African-American historian and civil rights activist in his time leading and defending his fellows African-Americans. One of DuBois’s themes ranges on race relations developed after Reconstruction in the south. DuBois elaborates on the overwhelming divide between the white population and the black population in his chapter about raceRead MoreSouls Of Black Folk, By B. Dubois1673 Words   |   7 PagesDifferent documents ranging from 1903 to our present day in 2015 mirror this same ideology. People such as W.E.B DuBois, Anne Moody, Martin Luther King Jr., and Barack Obama, expressed the same concern. Many people in our society, past and present, see being African American as a sign of inferiority. Race shouldn’t be the distinguishing factor between people. Moody, King, Obama, and DuBois all show that the fixation on race was a debilitating problem and appealed to their audiences for action to breakRead MoreThe Souls Of Black Folk By William E. B. Dubois1066 Words   |  5 Pagesâ€Å"The Souls of Black Folk† was written in 1903 by William E. B. Dubois (4). Dubois was an activist for civil rights and an author of many pieces regarding the lifestyle, struggle and historic patterns of African Americans (4). Though Dubois was born after the abolition of slavery, he knew the prospects of the African American struggle were most likely formed due to the conditions of black lives during slavery. Dubois was also an educator and advocate for educational opportunities in black communitiesRead MoreThe Souls Of Black Folk, By B Dubois Pioneers Two Concepts That Describe The Black Experience1680 Words   |  7 PagesIn The Souls of Black Folk, W.E.B DuBois pioneers two concepts that describe the Black experience in America— the notions of â€Å"the veil† and â€Å"double-consciousness.† The meaning and implication of these words not only describe the plight of being Black and American then, it also refers to what it means to still be Black and American today – the remnants of the past live on. DuBois explains the veil concept in reference to three things: the literal darker skin of Blacks, which is the physical demarcationRead MoreW.E.B Dubois Thoughts on Education Essay762 Words   |  4 PagesW. E. B DuBoiss thoughts on education The Souls of Black Folk, written by W.E.B DuBois is a collection of autobiographical and historical essays containing many themes. DuBois introduced the notion of twoness, a divided awareness of ones identity. One ever feels his two-ness Ââ€" an American, a Negro; two souls, two thoughts, two unreconciled stirrings: two warring ideals in one dark body, whose dogged strength alone keep it from being torn asunder (215). There are many underlying themesRead More. E. B. Dubois, of the Dawn of Freedom: a Synopsis and Critical Discussion838 Words   |  4 Pages04/04/06 W. E. B. Dubois, Of the Dawn of Freedom: A synopsis and critical discussion William Edward Burghardt Dubois work, The Souls of Black Folk, gave a critical discuss of the early, twentieth century through the eyes of the Negro. Although many have limited this work to Dubois argument of, The Talented Tenth, it should be noted that Dubois work encompasses much more than that. The purpose of the essay is to summarize and give a critical eye to W. E. B. Dubois Of the Dawn ofRead MoreHow Race Relationships Throughout The Southern Area Of The United States1153 Words   |  5 Pagesrelationships in the southern area of the United States can be understood as social facts and further this essay will illuminate if being of black skin colour in the southern area of the United States can be regarded as pathological in respect to Durkheim’s sociological views. Firstly one needs to define the two concepts at hand, namely (a) social facts by Durkheim and secondly, (b) pathological by Durkheim. In regards to (a) social facts, Durkheim refers to ideas, values and concepts that a society has developedRead MoreKarl Marx s The Soul Of Black Folks 947 Words   |  4 Pages W.E. B. Du Bois did not stratify race, class and nation as a personal characteristic but as social hierarchies that formed Blacks access to position, poverty, and authority. W.E.B. Du Bois (1868-1963) was born in Great Barrington, Massachusetts. He was the first African American to earn a doctorate at Harvard University, and he focused on history, civil rights, and sociology. In 1909, Dubois was a founder of the National Association for the Advancement of Colored People (NAACP). The Soul of BlackRead MoreJean Booker T. Washington. B. Dubois1358 Words   |  6 PagesChloe Thompson Ms. Webster English III H 5B 5 May 2015 W.E.B DuBois One of the late 19th century and early 20th century’s most prominent black empowerment leaders was W.E.B DuBois. In research it is clear that DuBois was not subtle to one job or career choice. As a civil rights activist, educator, sociologist, historian, writer, editor, scholar, and poet, DuBois contributed to changing American society today. DuBois is mostly remember for his work with the NAACP and his notorious feud with civilRead MoreB. Du Bois928 Words   |  4 Pagesâ€Å"In my own country for nearly a century I have been nothing but a nigger.† -W.E.B Dubois On February 23, 1868 in a small town of Great Barrington, Massachusetts one of the greatest leaders in African American history was born. William Edward Burghardt Du Bois, better known as W.E.B. Du Bois is one of the greatest scholar, writer, editor, and civil rights activist. Many civil rights leaders and other important black leaders and role models see W.E.B Du Bois as the father of the Civil Rights Movement

Impact of Internet Connectivity on the Behaviour of Individual

Question: Discuss about the Impact of Internet Connectivity on Individual's Behavior. Answer: Requirements for the impact of internet connectivity on individuals behavior The Current Model of the project The current model of the project is as shown herein above. The diagram of the model is mentioned below: From the above diagram we can easily state that the model that is defined above is the current model and it has several other significant aspects (2005 International Conference on Emerging Technologies, 2005). We can easily figure out the relationships that have been tried to implement on the various factors that are mentioned in the above diagram. The current model depicts the individual behavioral system with all its positive and negative impacts that relies on the connectivity of the internet along with the addiction towards the same. The Social Network is used as a tool or medium for better connectivity and are correlated among each other. Current problem of the Project The project at present is primarily focused on the effect of social networking on the behavior along with the concept of internet addiction. The concept pertaining to Internet addiction along with the effect that the various social networking sites have on an individuals behavior and the data is not easily available and the parameters that are to be measured for such a project cannot be measured easily. A short description of effect of social networking on an individuals behavior along with the concept of Internet addiction is being provided herein. It has been said by various professionals that the various social websites that are found over the internet has the potential of being harmful for an individual. It is often being reported that the social site have the capability of destroying ones privacy. It has also been further stated that due to the internet and the ubiquity of the present day technology, human beings have become much more complacent in nature as well as risk averse. It is often stated that we individuals do not act in our own way out of the fear of being recorded through some form of digital media and being seen by many over the Internet. A survey was conducted by CNN through its online portal. The survey topic was stated as Are you tired of Social Networking? It was amazing to look at the response for the survey being in the positive for over 70% of the total answers. However conflicting facts state that in just five months of 2009 a total of 72.5% of the total number of twitter account users had joined the mi cro-blogging site and furthermore the report revealed that around 85.3% of all the users on the micro blogging site tweeted at least once in a day. It is to be noted that this is one of numerous reports that puts us a conflict between the Internet and the behavior of an individual (Cantoni, Tardini, 2006). Furthermore it is to be noted that interaction over the internet lacks any physical form of interaction and thus it leaves the individuals to freely act as per their will while being a completely different individual on the inside. The term internet anonymity is also one of the problems and has a direct effect on the individual behavioral pattern. Furthermore, it is to be stated that individuals have become increasingly addicted to the internet with time. Individuals are becoming more and more dependent on this medium of communication with the passage of time. It has been observed through various reports and other researches that the addiction to the internet is being considered as a disorder and is often found to be existing along with issues pertaining to the mental health of an individual. Further researches have revealed that internet addiction is primarily linked with the mental state of depression of an individual. Surveys and further researches have revealed that Internet addiction has a direct effect on an individual psychologically, socially and even occupationally. It has been found that in the past few years there has been an exponential rise in the number of individuals gaining access to the internet and using the same in an excessive manner (Emerging cognitive neuroscience and related technologies, 2008). The addi ction to the internet has been classified in 5 major sections, which being: Cyber sexual Addiction: wherein an addict is spending the majority of their online time in browsing through various pornographic websites and watching cyber porn. Net Compulsions: this is basically a type of obsession for an individual who is an addict. The addicts have a habit of gambling online and being a shopaholic over the digital stores (The Internet, 2009). Cyber-relationship: the addicts who spend the majority of their time in browsing through social websites and are constantly embroiling themselves into relationships that are being forged over the internet. Information Overload: these types of addicts have an excessive urge to surf the internet over and over again for different data and various types of databases (Vasseur, Dunkels, 2010) Computer Game Addiction: These types of addicts of the internet are basically the ones who are spending the majority of their online time in playing games over the internet. Internet addiction has reached to such a point that at present it is being treated as a form of mental disorder. Thus it is being considered as an integral part of the mental health programs all over the world. It might be useful as well as constructive in nature if a study could be conducted methodically and carefully of the various behavioral patterns the individuals who are addicted to the internet along with the behavioral patterns of the individuals while conduction antisocial activities over the internet (Hine, 2013). A proper and fundamental understanding of the root nature of the problems shall be of help to the different researchers as also for the educators for developing a proper educational program. These programs will be able to the solve some of the problems pertaining to excessive internet usage and the effects that the internet has on the behavior of an individual. It is to be noted that all the variables that have stated herein above in this section are complex variables in nature and are not feasible for collection of data. Hence, the proposed model or the theorized model shall be used in place of the current model for a better understanding of the effect that the Internet has on the behavior of an individual. The proposed solution Thus based on the above mentioned problems that might arise while conducting the research, it is being proposed that the model be changed to accommodate the new parameters as given in the hypothesis model as shown herein below. It is to be mentioned herein that the internet connectivity shall not be changing it will be the primary and independent variable in the new model (Zhang, 2002). The use of internet addiction shall be incorporating the various types of internet tools as aforementioned. The factors of the social networking shall be transformed into a dependent variable known as internet connectivity. The dependent variable antisocial behavior shall be transformed to individuals behavior (Huffman, 2012). It is being reiterated that the present topic for the project is complex in nature and will be difficult in collecting proper data for the different parameters. Thus to simplify the method of data collection and reducing the measurable variables to a limited number of parameters, the project topic shall be brought down to focus exclusively on Individuals Behavior and the internet tools along with their effect on the Individuals Behavior (Manley, 2004). Evaluation Table Original Project Plan Proposed new Project plan Environment Information Channels Pros Cons Information Channels Pros Cons Online activities Internet usage Smartphones, Desktops, Devices with internet access Internet Connectivity Use of Internet tools Positive Impact Negative Impact Facts of Internet Connectivity (internal external) Individual Behaviour Wide area to be covered Too many parameters for measurement Not all parameters can be easily measured Internet Connectivity Internet Addictions Positive Impacts Negative Impact Social Networking Antisocial Behaviour and Depression Less area to be covered Lesser number of data parameters Data can be easily obtained Simple nature of data and can be interpreted easily Flowchart The following is the flowchart of the new process: References 2005 International Conference on Emerging Technologies. (2005) (1st ed.). Piscataway, N.J. Brasch, N. (2011).The Internet(1st ed.). Mankato, Minn.: Smart Apple Media. Cantoni, L., Tardini, S. (2006).Internet(1st ed.). London: Routledge. Emerging cognitive neuroscience and related technologies. (2008) (1st ed.). Washington, D.C. Hine, C. (2013).The Internet(1st ed.). Oxford: Oxford University Press. Huffman, R. (2012).Emerging technologies(1st ed.). Delhi: Library Press. Manley, M. (2004).Global connect(1st ed.). Novato, CA: World Trade Press. The Internet. (2009) (1st ed.). [Mosman]. Vasseur, J., Dunkels, A. (2010).Interconnecting smart objects with IP(1st ed.). Burlington, MA: Morgan Kaufmann Publishers/Elsevier. Vasseur, J., Dunkels, A. (2010).Interconnecting smart objects with IP(1st ed.). Burlington, MA: Morgan Kaufmann Publishers/Elsevier. Wiener, G. (2010).The internet(1st ed.). Farmington Hills, MI: Greenhaven Press. Zhang, S. (2002).Emerging technologies(1st ed.). River Edge, NJ [u.a.]: World Scientific.

LensCrafters Essay Example

LensCrafters Essay LensCrafters Name: Instructor: Institution: We will write a custom essay sample on LensCrafters specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on LensCrafters specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on LensCrafters specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Course: Date: LensCrafters Introduction LensCrafters provides eye care services to customers in America, Canada and Puerto Rico with an estimated 860 distributed stores. Its headquarters are in Cincinnati, Ohio. They are known for prescribing sunglasses and eyeglasses and are considered the biggest optical chain in America. It started in 1983 as the only optical store to guarantee eyeglasses in less than an hour. Today, LensCrafters is one of the foremost optical retailers with immaculate customer services, excellent products and â€Å"some of the biggest names in frames† (LensCrafters, 2012). They fit lenses using state-of-the-art equipment to ensure that the customers receive the perfect lenses. With their â€Å"LensSimulator†, they help clients to find the right lens for their sight. LensCrafters offers only expert care for their customers with proficient optometry doctors at every store. CBP, Strategy and Competitive Priorities LensCrafters’s mission statement is focused on being the best at providing exceptional customer service. Their Customer Benefit Package involves providing goods and services that meet the needs of individual customers, all in about an hour. They are popular in North America for their legendary eye exams, an extensive variety of lenses and frames, service delivery in less than one hour, pocket-friendly prices and the unrestricted 90-day guarantee. They also have conveniently located branches, professional employees, the latest eye-exam equipment and eyewear accessories to meet the different tastes of their loyal customers. LensCrafters portray their commitment through honest care for their customer’s eyes and constantly are determined to improve the experiences of their customers. The associates at LensCrafters are straightforward and transparent with their clients. At LensCrafters, the customers are put first and the employees seek to maintain the connection they have w ith their customers. Service Delivery System Design LensCrafters have their branches conveniently located in highly populated areas like shopping malls. This ensures that they reach their target market faster. Their shops are large, sanitary with carpeted floors, specialized display sections, well furnished retail area, fully equipped laboratory with the latest machinery and well-lit rooms. Clients and employees interact in the eye-exam rooms and â€Å"fitting stations† (Collier Evans, 2010). The walls are decorated with certificates and degrees as evidence of the competencies of the employees. Customers are greeted by the relevant employees when they enter the store and directed to the appropriate service area. Here, their eyes are examined and the proper lenses prescribed. The customer is led to the display area where they choose the frames of their liking. The customer watches as the spectacles are being prepared in the laboratory and they get a last fitting. Constant communication is maintained between the customer and the employees. Service Encounter Design The employees at LensCrafters possess the required skills and knowledge for optimum work productivity. Laboratory technicians have the needed certifications for their line of work and all other employees undergo training before and during their period of employment. The employees at LensCrafters offer unsurpassed services because they are well motivated with rewards and employment recognitions from the management team. Grooming is paramount at LensCrafters because their line of service is eye care, which is sensitive. Therefore, all employees and associates observe acute cleanliness measures within and without the stores. Customer relations at LensCrafters is incomparable hence the reason why they have devoted customers and continue to win the hearts of many. Lessons Demonstrated Other organizations might learn to have unmatched mission statements that act as motivators towards providing the best goods and services to their customers. Addressing the needs of customers is also important in any organization, as this enhances the relationship of the organization and their clients. Customers should not be kept waiting during their visit to any organization, there should be assigned employees to deal with customers from the time they book their appointments to the time they leave. The connection between the customer and the organization should not be disrupted. Any business that offers goods and services should employ warranties as one of their business terms and conditions. Like LensCrafters who have a 90-day guarantee on all their products, organizations should provide their customers with the option of returning goods. Business location is imperative when it comes to accessing the target market. LensCrafters has branches in the most convenient places for the sake of their customers. Organizations should ensure that they are located near their customers. This will increase sales and strengthen customer relations. Customer needs are put first and employee honesty is essential for success in any organization. There should be variety in the goods and services offered by the organization with reasonable prices. Customers should be able to have a wide variety from which to choose. Personal and professional hygiene is one of the most important factors for impeccable service provision. The employees of the organization should observe cleanliness regardless of the nature of business. This will guarantee customer loyalty, commitment and trust. Organizations should ensure that they recruit highly qualified employees and offer training services before and during employment. This promotes employee and general business productivity. Inclusive transparency should be encouraged between the organization and its customers in terms of offering the best services. Once a relationship is established between the employees and their customers, constant communication should be maintained. Excellent after-sales services involve employees valuing the customers’ feedback and monitoring their progress after service provision. Organizations should provide proper motivation to the employees because this will reflect how they interact with customers. This can be done through employee performance records and rewarding systems. Service provision is nothing without the latest equipment. Organizations should employ the latest machinery in their laboratories and factories for convenience. Technological advancements have changed the way organizations conduct business by improving working apparatus. LensCrafters use the latest eye care equipment in their laboratories and examination areas to ensure their customers receive the right lenses for their sights. These improvements will guarantee exceptional services. It is also important for organizations to set the recommended behavior standards of their employees. Conclusion LensCrafters are still the only optical retailers whose services are offered in less than an hour. This trait is what makes then unique in their line of business and a threat to their competitors in the eye care market. They possess excellent technical and management skills, which continue to flourish their business in all their branches. LensCrafters have the required characteristics for successful businesses (Benioff Southwick, 2004). Some of their characteristics should be adapted by organizations for growth and strong customer relations. Their service provision includes employee transparency and putting the needs of their customers first and this is why they are rated number one in the United States of America. Reference Benioff, M. R., Southwick, K. (2004). Compassionate capitalism: How corporations can make doing good an integral part of doing well. Franklin Lakes, NJ: Career Press. Print. Collier, D. A., Evans, J. R. (2010). OM2. Mason, OH: South-Western Cengage Learning. Print. LensCrafters (2012). â€Å"About LensCrafters†. Retrieved from http://www.lenscrafters.com/eyeglasses/7/about/company-history-about-lenscrafters

Read The Article And Please Write The Following Direction As Below Essay

Read The Article And Please Write The Following Direction As Below Essay Read The Article And Please Write The Following Direction As Below – Essay Example The Twilight of Equality Review The work is about neo-liberalism and the performance of the American economy over theyears from when it began its actual economic potential after the attainment of independence. There have been several liberal movements from the feminism, gay liberalism, and now this is about the economic liberalization in totality of its economy and economic performance. The thesis is about the government in collaboration with big unions and the efforts that were made to make every business practice liberal to enhance the better living of the citizens. The thesis of neo-liberalism began in the US where it was later adopted in the English states as a measure to open up financial and economic markets.The audience of the book or article is the democratic front with politics coming into play. It covers the audience of the 20th and the 21st century, revealing several aspects about unions, treaties and agreements that the American government made with other stakeholders, wi thin borders and outside borders as well. The book also covers the political front in the American government and their influence on the economic and social performance of both the state and democracy in the business and financial sector. The institutions that make up the democratic economic form are addressed and the public entity of the American people and their perspectives on liberalism and democracy of businessThe author has used several reports that indicate the agreements and treaties that the American government made to base the argument. The writer has used aspects of culture and history, more of which are from historical materials to support the concepts of neo-liberalism. The Acts of the constitution have also been referred to by the author as a basis on how the government and state need to handle the whole issue of neo-liberalism. The author has also done comparison on the state of liberalism from the first. Works citedLissa, D. The Twilight of Equality: Neo liberalism, Culture Politics and Attack on Democracy. Boston: Beacon Press Limited. U.S.A. 2010. Print9th century up to the current 21st century.

Conjugating Apparaître (to Appear)

Conjugating Apparaà ®tre (to Appear) As you learn French, you quickly come to understand that the conjugating of verbs is a major part of the language. Its important to learn how to do this and verbs like  apparaà ®tre  are good practice for your studies. Meaning to appear,  apparaà ®tre  is an irregular verb so it can be a bit tricky. This lesson will show you how to conjugate it. Conjugating the French Verb  Apparaà ®tre There are times when conjugating French verbs is easy and times when its a little tougher.  Apparaà ®tre  falls into the latter category because it does not follow the patterns of regular verbs. Yet, there is a pattern here and it follows through with almost all other  French verbs ending  in  -aà ®tre.  This means that once you study  apparaà ®tre, you can move on to similar irregular verbs. When conjugating  apparaà ®tre, you will need to match the subject pronoun the I, you, we, etc. or in French,  j, tu, nous   with the tense needed for the sentence. This chart will help with that. For instance, to translate I appear, you will say japparais or for we will appear, you will use nous apparaà ®trons. Subject Present Future Imperfect j' apparais apparaà ®trai apparaissais tu apparais apparaà ®tras apparaissais il apparaà ®t apparaà ®tra apparaissait nous apparaissons apparaà ®trons apparaissions vous apparaissez apparaà ®trez apparaissiez ils apparaissent apparaà ®tront apparaissaient The Present Participle of  Apparaà ®tre   When you give  apparaà ®tre  an -ant  ending, you will be using the present participle. It can be used as a verb, but also an adjective, gerund, and noun when needed.  The  present participle  of  apparaà ®tre is  apparaissant.   The Past Tense of  Apparaà ®tre   You can use the imperfect to express having appeared in the past, but its more common (and easier) to use the  passà © composà ©. This allows you to use a single past participle for every subject, no matter if its I appeared or we appeared. The catch to this is that you have to conjugate and use the  auxiliary verb  for apparaà ®tre, which is  avoir.  The  past participle  of apparaà ®tre  is  apparu. To put these together, you will say jai  apparu for I appeared. More Conjugations of  Apparaà ®tre   Those are not the only conjugations associated with  apparaà ®tre. While you should be aware of them, the passà © simple and imperfect subjunctive are used in formal writing. The subjunctive and conditional forms of  apparaà ®tre  are a little more important. You will use the subjunctive when the verb mood implies uncertainty and the conditional when it may or may not be depending on conditions. Subject Subjunctive Conditional Passà © Simple Imperfect Subjunctive j' apparaisse apparaà ®trais apparus apparusse tu apparaisses apparaà ®trais apparus apparusses il apparaisse apparaà ®trait apparut apparà »t nous apparaissions apparaà ®trions apparà »mes apparussions vous apparaissiez apparaà ®triez apparà »tes apparussiez ils apparaissent apparaà ®traient apparurent apparussent The final conjugation for  apparaà ®tre  is the imperative. This verb mood allows you to drop the subject pronoun and use only the verb form. It applies to the  tu, nous,  and  vous  uses, so instead of nous apparaissons, you can just say apparaissons. Imperative (tu) apparais (nous) apparaissons (vous) apparaissez The Pattern to Conjugating -aà ®tre  Verbs With one exception, all  French verbs  that end in  -aà ®tre  are conjugated the same way as  apparaà ®tre.  Compare the conjugations above to those for  disparaà ®tre  (to disappear) and  paraà ®tre  (to seem) and you will see the similarities. These same rules apply to the following verbs: comparaà ®tre  - to appear in courtconnaà ®tre  - to know, be familiar withmà ©connaà ®tre  - to be unaware ofreconnaà ®tre  -  to recognizereparaà ®tre  - to reappeartransparaà ®tre  - to show through The exception to the pattern is  naà ®tre, which means to be born. You will have to memorize that one on its own.

Company Analysis - Ipremier Case Study Term Paper

Company Analysis - Ipremier Case Study - Term Paper Example Turley is in a hotel room during the attack, it takes him time to coordinate a team to handle the crisis. The worst is that the team or the employees of the institution do not have proper knowledge of the technical operations of the system or the website hence they have to move all the way to the provider who cannot be reached over the phone at the time. The customers are at stake since their credit cards are in the verge of being stolen at any moment then. Taking into account the short period presented to Bob to handle the crisis as the CIO, we have to commend him for the enormous tasks he had to perform. It is also important to note that one of the obstacles is that the scenario was complicated. The case shows vividly that all the communication line got broken down during the attack prompting stress and panic among all the junior employees (Pendlebury & Groves, 2004). There is no clear division of duties to enhance the operations of the firm effectively and efficiently. Duties and responsibilities have to be assigned during the attack and this is further fueled by the existence of the outdated emergency procedures. We are informed from the case that, Bob during his tenure was to install or renew the system which they had no done up to this far and therefore had to move with speed most so after the occurrence of such vices. Another major problem was with Qdata the computer service provider. The firewall and the infrastructure of the services provided by them were not satisfactory and did not help in blocking or mitigating the attack. Qdata employees did not show enough expertise and experience in dealing with similar situations. The firewall was not able to prevent the attack given the low level of technology that Qdata was still embracing (Axelrod, 2004). Above all, Qdata employees were not willing to help iPremier’s representatives to access the NOC. In addition, this predicted the miscommunication between Ipremier and Qdata was clear in the case give n that an employee had to run all the way to the service provider (Fink, 2006). If I were Turley, amidst the crisis I would have engaged several risk management strategies rushing to protect the data systems using my It knowledge before remaining helpless. Secondly, I would have brought in an expert who was readily accessible to help in blocking any form of transactions from the site at least until normalcy returned before I informed the CEO of the technicalities just for a point of information. An urgent meeting of all the employees would then be called immediately to ponder on the way forward from the integration of the views of all the parties (Austine, Leibrock, & Murray, 2007). 2. The Ipremier Company CEO, Jack Samuelson, had already expressed to Bob Turley his concern that the company might eventually suffer from a "deficit in operating procedures." Were the company's operating procedures deficient in responding to this attack? What additional procedures might have been in pla ce to better handle the attack? As earlier pointed out by the CEO of Ipremier, Jack Samuelson of the existence of the operation procedures, actually, there exist several of the deficiencies in terms of the response given to this attack. The deficiencies are in form of the risk response and recovery systems concerning the business that the business is engaged and how they are running the business. First, the firewall of the system does not have a backup system given the low

No topic Essay Example | Topics and Well Written Essays - 250 words

No topic - Essay Example Trustworthiness is another significant quality for a customer service representative. If the customers are unable to have faith in what the representative is saying, they will not wish to transact with him. Thus, one must not make false or exaggerated claims, and must only promise what they can deliver. A customer service representative must always be polite and patient. They must refrain from getting agitated, even if the customer is making unwarranted demands. They must hear the customer out, and pay close attention to their needs and wants. After their requirements are established, the customer service representative ought to respond courteously and explain to the customer in detail, what he has inquired about. Additionally, a customer service representative must be able to solve problems in a quick and efficient manner. They must be flexible and accommodating to the customers’ needs. I have been working in the customer service field for three years now, which has endowed m e with a notable comprehension of how to deal with customers. This experience in the field will be a great advantage for me when interacting with individuals. I am a hard working person and will have no qualms about putting in extra effort to ensure customer satisfaction.

Body Atlas Essay Example for Free

Body Atlas Essay Last meeting, we watched a film called body atlas. The film was about human body, bones, heart, blood, skin, reproductive system, and etc. It gives us a basic understanding of the parts and function of different systems in the human body. For example, the heart, it keeps our body alive because it pumps blood all around our body that contains oxygen. Heart has the main role of blood circulation in the body. Another important part of the body is the blood. It carries substances like nutrients such as amino acids and oxygen to the other parts of the body. It also contains white blood cells which are vital for the body’s immune system. From the film, one that strikes me the most was the reproductive system and how babies are made. We’ve all know the basic idea on how to make babies – man meets woman, they both get naked and have sex, and nine months later, a baby pop out. But from the film we’ve watched, it shows the step by step process on how the egg cell and sperm cell meet and how is the baby created inside the body. When a man ejaculates, despite the millions of sperms cell produced and released , only one can fertilized an egg. If an egg cell meets up with a healthy sperm on its way to the uterus, the two can join and begin the process of creating a new life. The first 12 weeks of pregnancy, known as the first trimester, abound with changes and growth in the unborn baby. It takes up to two weeks for the process to be completed for you to become pregnant. In the 3rd week, sperm and egg come together to create a zygote. In the fifth week, though the unborn baby is less than 1/4-inch long, her brain, heart, spinal cord and other vital organs begin to form. The babys circulatory system also begins the first stages of development. Sixth and seventh week, Some of the babys basic facial features are now visible during the sixth and seventh weeks, and his heart begins pumping blood. Eight week, with legs and arms growing longer and fingers beginning to develop, also develops an upper lip and nose, and the nipples and eyes are visible. Ninth and tenth week, Bones begin to form in your babys arms, which now bend at the elbows. The babys toes also start developing, and his eyelids and ears continue to be formed. At the 10th week, your babys  head gets rounder, the neck begins to develop and the eyelids close to guard the eyes. At the 11th week, the baby ends the embryonic period and enters the fetus stage. The fetus begins to develop external genitalia. In the final week of the first trimester, the baby grows fingernails. After that, a new life begins.

Atheism :: essays research papers

Atheism, from the Greek a ("without") and theos ("deity"), commonly and loosely refers to the theoretical or practical denial of the existence of a deity. The concrete meaning of atheism has varied considerably in history: even the earliest Christians were labeled "atheists" because they denied the existence of the Roman deities. In Western culture, where monotheism has been the dominant mode of religious belief, atheism has generally referred to the denial of the existence of a transcendent, perfect, personal creator of the universe. To be an atheist need not mean that one is nonreligious, for there are "high" religions, such as Buddhism and Taoism, that do not postulate the existence of a supernatural being. Monotheism has been so basic to and compounded with Western moral and philosophical beliefs as well as political institutions that until recently atheism has been widely believed to be both immoral and dangerous to society. Plato not only viewed atheism as irrational but argued that certain atheists deserved the death penalty. When Christianity finally became the dominant religion in the West, atheism and heresy were thought to be worthy of exile or death because, as Thomas Aquinas argued, it was a much more serious matter to corrupt the soul than to damage the body. Atheism was also dangerous to the political authority of Western monarchies that claimed to rest upon divine right. Even during the Enlightenment when the divine right of kings was challenged and religious toleration defended, John Locke, a staunch advocate of toleration, denied free speech to atheists on the grounds that they undermined and destroyed religion. The believability of atheism seems directly proportionate to the growth of the sciences and the emergence of humanism since the Renaissance. In the 19th century the biological sciences seemed to make theological explanations of the origins of the universe and of the emergence of humankind unnecessary. Particularly important were the writings of David Hume and Immanuel Kant, which established that attempts to prove the existence of God from the world order were invalid. In the mid-19th century, explicitly atheistic and humanistic systems of philosophy appeared. Ludwig Feuerbach, Karl Marx, Arthur Schopenhauer, and Friedrich Nietzsche were not only atheists but also militant critics of religion generally and of Christianity particularly. Modern philosophical atheism is based on both theoretical and practical reasons.

Florence Nightingale Essay

Florence Nightingale was a revolutionary nurse leader in her time. She was an activist for the â€Å"sick poor† (Monteiro, 1985, p. 181) who had the forethought, organization, planning, skills, knowledge, and determination to accomplish great strides in public health and nurse training. She was not just an activist for a specific gender or race, but she was an advocate for the general health and well-being of humanity. Her work still inspires nursing today and has laid the foundation for many nurse theories still relevant for what is now more than a hundred years after her death. History and Contributions Florence Nightingale was born in 1820 to an upper-class family in England. Florence’s childhood years were spent bringing aid to the less fortunate. She left home at the age of thirty to begin a 3-year nurse training program in Kaiserswerth, Germany (Chitty & Black, 2011, p. 29). Florence is best known for her work in the Crimean War where she and a group of untrained women went to assist the wounded and sick soldiers in Scutari, Turkey. While in Scutari, her theory surrounding the impact that environment had on health began to take shape. She used her understanding of the impact of environment on health, coupled with statistical evidence she gathered while caring for the soldiers, to bring change to the British Army (Chitty & Black, 2011, p. 30). Her experience during the Crimean War would prove to be invaluable to her later work in London. The Crimean War ignited a passion in Florence Nightingale to pursue the proper training for nurses. It was her belief that nursing could not be accomplished by well-meaning, upper-class women who came to bring aid to the â€Å"sick poor† (Monteiro, 1985, p. 184). In her words, â€Å"there is no such thing as amateur nursing† and â€Å"nursing was an art requiring an organized, practical, and specific training† (Monteiro, 1985, p. 184). In 1860, Florence began a nurses’ training program at St. Thomas’ Hospital in London. Her training program was the first of many of its kind in England and in the United States (Chitty & Black, 2011, p. 30). Florence would go on to pursue social reform in London and Liverpool where workhouses housed infirmaries that were rampant with infectious diseases. In 1864, there were 1,200 â€Å"sick poor† being housed together in a Liverpool workhouse infirmary (Monteiro, 1985, p. 181). Florence was asked by William Rathbone, a wealthy merchant, to devise public policy that would address the conditions these â€Å"sick poor† were living in. Her first recommendation to Rathbone was that he start a training school for nurses so that the problem in Liverpool could have long-term attention from properly trained nurses. Florence agreed to help and began with a questionnaire for all of the workhouses to assess the actual state that they were in. According to Florence, the questionnaire â€Å"revealed facts so shameful that they could not be ignored† (Monteiro, 1985, p. 182). Her plan involved dividing the sick into four categories and quarantining them from the rest of the workhouse inhabitants, establishing one administration over all the workhouses to maintain continuity, and raising funds through taxes to cover the expenses involved in caring for the â€Å"sick poor† (Monteiro, 1985, p. 182). While her plan was reasonable, it was met with political opposition in London and soon a leadership change would decline it’s acceptance into â€Å"Poor Law†. Later, the new leader, Gathorne Hardy, would write his own policy that somewhat resembled Florence’s. His policy made it into law and brought forth the beginning of change in London. Liverpool, however, was enforcing Florence’s plan and was seeing positive results. One of the graduates of the St. Thomas nursing school, Agnes Jones, was placed as the Superintendent over the Liverpool workhouse infirmaries along with twelve other trained nurses to assist her. Florence would continue her pursuit of establishing the nurse’s proper role in public health and the nurse’s proper training in eleven writings that she authored until her last in 1897. Summary Florence Nightingale had a central theme from the time of the Crimean War to her work in London and Liverpool: trained nurses were an absolute necessity and that the sick should be met where their sicknesses began, at home. She believed that teaching the poor to be clean and find assistance with sanitation would deter the many infectious diseases that were prevalent in her time. She taught others and she herself sought to teach them in their own environment, their homes. This would later be called Public Health Nursing. Not only did Florence Nightingale forge the way for nurse education but she also brought necessary focus to Public Health Nursing that is still impacting nurses and our communities today. In 1894 Florence is quoted as saying, â€Å"it is cheaper to promote health than to maintain people in sickness† (Monteiro, 1985, p. 185). Her words still ring true today. References Chitty, K. K., & Black, B. P. (2011). The History and Social Context of Nursing. In M. Iannuzzi (Ed.), Professional Nursing: Concepts & Challenges (6th ed., pp. 29-30). Maryland Heights, Missouri: Saunders Elsevier. Monteiro, L. A. (1985, February). Florence Nightingale on Public Health. American Journal of Public Health, 75(2), 181-186. doi: http://ajph.aphapublicati

Accounting and Auditing: Crazy computers

FASB (Financial Accounting Standards Board) plays the role of determining Generally Accepted Accounting Principles to ensure proper accounting standards are followed. According to FASB, revenue is recognized once it is earned.Commission in Crazy Computer's case is recognized immediately since Crazy Computers collects the cash on behalf of Third Party insurance and then pays it. Commission however should not be added to sales because when balancing the equation, Sales is equal to opening stock plus purchases less closing stock.This means that by adding commission to sales the equation may not balance and it will be exaggerated. The commission revenue consists of income and it is therefore used in the final statements of accounts to calculate the profit of the business.Commission received from TPI can therefore be used when coming up with profits for the year. In case Third Party Insurance agrees to re insure, revenue to be obtained from Third Party Insurance (TPI) will only be recogni zed after Third Party Insurance pays up the amount to Captive Insurance Company (CIC).Commission revenue can only be recognized immediately if Crazy Computers will automatically be deducted from the $110 that the company gives to Third Party Insurance so that it does not have to wait for TPI to pay. This would mean that Crazy Computers would have $165 at the end of the sale then give $25 to TPI.However, it may not show whether the computers on their own were able to sustain themselves without the boost from the commissions earned. When Crazy Computers introduce CIC, they will still get the commission but it will be offset when the amount received from TPI is added.Even as Crazy Computers recognizes revenue from sale of third party insurance on behalf of TPI, it should be careful when it comes to receiving the money back for re-insurance through CIC. The best method to account for the funds to be collected from the Captive Insurance is to do them separately from Crazy Computers.This is because Crazy Computers and CIC are two different kinds of businesses. FASB advices that in order to check the progress of a business it is good to gauge its profitability which is done by subtracting the expenses from sales made by the business.This will ensure that when it comes to paying claims, revenue received from Crazy Computers should not be used for CIC obligations. It will also ensure that the money collected from CIC is not to be used in the computer business unless Crazy Computers borrows from CIC.If Crazy Computers was to account for CIC revenue together with the computer revenue, calculating profits would get complicated since the revenue received is not made from sales only. In other words, treating the two businesses as separate entities will ensure the profitability of the two can be determined.Crazy Computer's idea to create a wholly owned subsidiary would be a good idea if the Third Party Insurer agrees to re-insure with them. Based on the transaction illustrat ed in the case study, currently Crazy computers pay $110 for insurance such that TPI takes responsibility for any obligations from customers.Because CC gets commission for every sale made then from the $200 received it is left with $80 after paying the sales persons $10. With the introduction of CIC and if TPI agrees to re insure with CIC, CC will get $ 85 back out of the $110 paid to TPI.This means that cash received goes up from $80 to $165. CIC would therefore be profitable. However, in case of any third party obligations CIC will be solely responsible. This is why it is extremely important for Crazy Computers to ensure that CIC's income does not mix with computer income so as to ensure each department can sustain its own expenses.Word count (635).ReferenceFASB. (2008). Financial Accounting Standards and Revenue Recognition.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   from http/www.fasb.org.

Mayahuel - The Aztec Goddess of Maguey

Mayahuel - The Aztec Goddess of Maguey Mayahuel was the Aztec goddess of maguey or agave (Agave americana), a cactus plant native to Mexico, and the goddess of pulque, an alcoholic drink made from agave juices. She is one of several goddesses who protect and support fertility in its different guises.   Key Takeaways: Mayahuel Alternate Names: NoneEquivalents: 11 Serpent (post-classic Mixtec)Epithets: The Woman of 400 BreastsCulture/Country: Aztec, Post-classic MexicoPrimary Sources: Bernadino Sahagun, Diego Duran, several codices, especially the Codex MagliabechianoRealms and Powers: Maguey, pulque, drunkenness, fertility, revitalizationFamily: The Tzitzimime (powerful destructive celestial beings who embodied creative powers), Teteoinan (Mother of the Gods), Toci (Our Grandmother) and the  Centzon Totochtin (400 Rabbits, Mayahuels children) Mayahuel in Aztec Mythology   Mayahuel was one of several Aztec gods and goddesses of fertility, each of whom had specific roles. She was the goddess of maguey, and patron of the 13-day festival (trecena) in the Aztec calendar that starts with 1 Malinalli (grass), a time of excesses and a lack of moderation.   Mayahuel was known as â€Å"the woman of the 400 breasts,† probably a reference to the many sprouts and leaves of maguey and the milky juice produced by the plant and transformed into pulque. The goddess is often depicted with full breasts or breastfeeding, or with many breasts to feed her many children, the Centzon Totochtin or â€Å"the 400 rabbits,† who were the gods associated with the effects of excessive drinking.   Appearance and Reputation In the existing Aztec codices, Mayahuel is depicted as a young woman with multiple breasts, emerging from a maguey plant, holding cups with foaming pulque. In the Codex Borbonicus, she wears blue clothing (the color of fertility), and a headdress of spindles and unspun maguey fiber (ixtle). The spindles symbolize the transformation or revitalization of disorder into order.   The Bilimek Pulque Vessel is a piece of carved dark green phyllite completely covered in complex iconographic signs, and in the collections of the Welt Museum in Vienna, Austria. Made in the early 1500s, the jar has a large head projecting out from the side of the vase that has been interpreted as the day sign Malinalli 1, the first day of Mayahuels festival. On the reverse side, Mayahuel is illustrated as decapitated with two streams of aquamiel squirting out from her breasts and into a pulque pot below.   Other associated images include a stele from the great classic period pyramid of Teotihuacan dated between 500–900 CE which shows scenes from a wedding with guests drinking pulque. A rock painting at the postclassic Aztec site of Ixtapantongo illustrates Mayahuel rising from a maguey plant, holding a gourd in either hand. Her head is crowned with the head of a bird and a feathered head-dress. In front of her is a pulque god and Pantecal, the father of her 400 children.   The Myth of the Invention of Pulque According to the Aztec myth, the god Quezalcoatl decided to provide humans with a special drink to celebrate and feast and gave them pulque. He sent Mayahuel, goddess of maguey, to the earth and then coupled with her. To avoid the rage of her grandmother and her other ferocious relatives the goddesses Tzitzimime, Quetzalcoatl and Mayahuel transformed themselves into a tree, but they were found out and Mayahuel was killed. Quetzalcoatl collected the bones of the goddess and buried them, and in that place grew the first plant of maguey. For this reason, it was thought that the sweet sap, the aguamiel, collected from the plant was the blood of the goddess. A different version of the myth tells that Mayahuel was a mortal woman who discovered how to collect aquamiel (the liquid), and her husband Pantecalt discovered how to make pulque. Sources Garnett, W. The Paintings at Tetitla, Atetelco and Ixtapantongo. Artes de Mà ©xico 3 (1954): 78–80. Print.Kroger, Joseph and Patrizia Granziera. Aztec Goddesses and Christian Madonnas: Images of the Divine Feminine in Mexico. Ashgate Publishing, 2012.Milbrath, Susan. Decapitated Lunar Goddesses in Aztec Art, Myth, and Ritual. Ancient Mesoamerica 8.2 (1997): 185–206. Print.Miller, Mary, and Karl Taube. The Gods and Symbols of Ancient Mexico and the Maya: An Illustrated Dictionary of Mesoamerican Religion. London: Thames Hudson, 1993.Taube, Karl. Las Origines del Pulque. Arqueologia Mexicana 7 (1996) :71. The Bilimek Pulque Vessel: Starlore, Calendrics, and Cosmology of Late Postclassic Central Mexico. Ancient Mesoamerica 4.1 (1993): 1–15.

Free Research Paper

Free Research Paper Free Research Paper Free Research Paper What is my opinion about free research paper?   I do not like it.   I think that free research paper is good only when used as an example of the format.   Otherwise, it should not be copied and submitted as your own. Most universities have a style guide detailing formatting and presentation requirements for academic research paper writing (spacing, required sections, maximum length, etc.) which you will need to follow. Getting a copy of this early, and writing all your chapter drafts in the approved style, can save a lot of time later. If you ask your supervisor or other students, you may be able to obtain an electronic file formatted in the required paper style. If your university has no particular rules for research paper formatting and presentation, then your professional judgment and the rule of consistency should be employed. Read other English research papers in your library and journal articles in order to ascertain general standards apply in your discipline and structure of headings best helps the clarity of the text. Watch for good and bad examples of the use of bold and italic type, font sizes, and so on. Writing a research paper consult with your adviser as much as possible, it will help you avoid many mistakes. Research Paper Ideas Finally, you should read a hard copy of your research paper writing from start to finish, rechecking your paper structure, arguments and looking for grammatical problems. (Some people can edit academic research paper writing successfully on screen. However, most people are more accurate in editing a printed copy of the paper, and it is the printed copy that your examiners will read, so we recommend using a hard copy for final editing.) Your final draft should ideally be fully edited by someone else who is unconnected with the research, and who can read the paper from start to finish, concentrating on spelling, grammar, formatting, expression and presentation. This stage is important for all students in obtaining a final meticulous check, but particularly important if English is not your first language. This final 'editor' may be a friend or family member, or even a professional editor. It should be a native English-speaker if possible, and should certainly be someone who writes well and who is capable of careful attention to detail. If you need research paper help, you can freely ask us for assistance.   We are open 24/7 to help you with research paper writing at any time of day and night.   High quality research paper is a guarantee of good grade and your excellent academic record. Do not hesitate to contact us if you need more information about our research paper writing service.

Culture in American Society Essay Example | Topics and Well Written Essays - 500 words

Culture in American Society - Essay Example Culture can be judged by means of religion, lifestyle, literature, music, foods, arts, and architecture, language, fashions, behaviors, rituals, and symbols employed by individuals of a society (Tyler 1974). The culture is shifted from generation to the other generation and keeps on changing (Kroeber and Kluckhohn 1952). The topic, which interests me the most, is the association of culture to the development of society and individuals of a society. American society has developed not because of one culture but it has many cultures behind its origin. America is a multicultural society in which, people from different societies develop and add their own cultural values to this multicultural society (Schlesinger 1991). Because of the existence of multiple cultures in America, the society as a whole is affected (Schlesinger 1991). I want to do research on American society and the role of multiple cultures and individuals from those cultures on the development of the society as a whole. I w ant to analyze whether the multicultural impact on the society has come up to be advantageous or disadvantageous and how has the society developed because of the migration of individuals from multiple cultures. Culture is an important part of our lives, which is responsible for shaping our personalities (Dabaghian 1970). It enables us to develop into the individuals as we are. People from different cultures are different because of the different social values that are there because of culture (Tyler 1974). With the help of culture, the development in a society can be judged. With the passage of time, the culture of a society goes through various transactions that are the outcome of change in cultural values because of many reasons (Dabaghian 1970). This aspect can be better judged in American society that has gone through many transactions since its development.  Ã‚  

Smartlipo laser liposuction technique explained to prospective Essay

Smartlipo laser liposuction technique explained to prospective patients - Essay Example rtlipo makes use of the tumescent technique, where highly diluted lidocaine and epinephrine are injected into the target fat tissues, so that they swell and become tumescent (meaning firm). Lidocaine is a local anesthetic while epinephrine helps in minimising blood loss. Then, the fat cells are broken down by using calibrated lasers and the fluid formed is easily suctioned off through a cannula, about 1-2mm wide. The traditional methods require the patient to be put under general anesthesia, causing much discomfort. Hospitalization is required, followed by weeks of slow recovery. Besides, surgical blood loss and bruising is higher. Smartlipo requires a very small incision in the skin for inserting the cannula, hence can be performed under local anesthesia. One doesn’t feel any pain during the procedure, and only a little pain after the anesthesia wears off, which can be easily taken care of with minor pain medications. Most patients need just one session of about 45 minutes to one hour for treating one body area. Recovery period is also very less compared to traditional methods. Many people return to work within two hours of the procedure, while some like to rest for a few days. Results can be seen immediately, with continued improvement over a period of three months. From then on, the skin looks completely normal, with hard to spot scars. The fat removed by Smartlipo doesn’t grow back in the treated areas in adults, eliminating the problem of regaining fat after losing it. Besides, the laser technology helps firm up the skin from under which fat removal has been done, thereby preventing ungainly sagging, so commonly seen in traditional liposuction methods. A Smartlipo session is followed by a doctor’s checkup and instructions. It is essential to follow the instructions strictly. One must take pain medications as directed and also use the compression bandages to prevent blood clotting and ensure quick healing. No other medicines like anti-inflammatory

Journal Assignment Example | Topics and Well Written Essays - 250 words - 7

Journal - Assignment Example In the story, the two main characters, a man and a woman, are involved in a decision-making process about an issue that can affect their life. Being both free spirits, they are both hesitant to admit that their life will inevitably change like the hills that look like white elephant that look out of place in the horizon. Because the said issue is of great effect to both their lives, they are continuously talking about it. The man wants the woman to do something but she clearly does not like it. But both of they do not verbalize such feelings instead they are expressing the opposite. The argument between the two main characters can be compared to the factors in life that can affect the decisions that people make. There are people who are like travellers and just depend on fate to lead them to their destinations. There are people who take active actions and make important decisions in life to be able to achieve their goals. The in the story still wanted to have an easy traveller’s life but he is telling the woman that he can accept her decision which ever choice she makes. On the other hand, the woman wanted to arrive at a serious decision but she is telling the man that she is carefree regarding the decision they had to make. The story captures the complexity of life. It also reveals a perspective that no matter how people wanted to have free spirit and leave everything to fate, at one point decisions are needed to be

Immediate Dentin Sealing Of Crown Health And Social Care Essay

Immediate Dentin Sealing Of Crown Health And Social Care Essay Background: Dental crowns are ideal restoration to protect teeth that have been extremely worn down, broken, weakened by caries, and heavily filled or root canal treated. They can be also used for aesthetic purposes. Full crown preparation requires more tooth removal than other restorations and is associated with dentine exposure. When a two-stage crown fabrication is planned, there is a risk of bacterial contamination of the pulpal tissue through dentine and eventually vitality loss. The main objective of this protocol is to assess whether immediate sealing of the exposed dentine surface following crown preparation of back teeth can lead to a decrease in microleakage and bacterial infiltration from the oral environment. Methods: This protocol, immediate dentine sealing of crown preparations, demonstrates a model for a one year, three years and six years follow-up, in-vivo, randomised controlled trial with a balanced treatment allocation of 1:1 (immediate dentine sealing vs. delayed sealing). The treatment will include tooth preparation, impression taking, temporary crown placement and full crown fit on a posterior tooth. Discussion: The results of the study would provide insight into the question of whether immediate sealing of dentine after crown preparation reduces the bacterial ingression and incidence of vitality loss of teeth. The results would also help to provide evidence based suggestions for clinicians and other researchers. Overview This dissertation consists of literature review and a representation of the study design and methodology, followed by data management, statistical analysis and quality assurance of proposed study. Other sections are allocated to ethical consideration and reflection on thesis procedure. DECLARATION No portion of the work referred to in the dissertation has been submitted in support of an application for another degree or qualification of this or any other university or other institute of learning. INTELLECTUAL PROPERTY STATEMENT The author of this dissertation (including any appendices and/or schedules to this dissertation) owns certain copyright or related rights in it (the Copyright) and s/he has given The University of Manchester certain rights to use such Copyright, including for administrative purposes. Copies of this dissertation, either in full or in extracts and whether in hard or electronic copy, may be made only in accordance with the Copyright, Designs and Patents Act 1988 (as amended) and regulations issued under it or, where appropriate, in accordance with licensing agreements which the University has entered into. This page must form part of any such copies made. The ownership of certain Copyright, patents, designs, trade marks and other intellectual property (the Intellectual Property) and any reproductions of copyright works in the dissertation, for example graphs and tables (Reproductions), which may be described in this dissertation, may not be owned by the author and may be owned by third parties. Such Intellectual Property and Reproductions cannot and must not be made available for use without the prior written permission of the owner(s) of the relevant Intellectual Property and/or Reproductions. Further information on the conditions under which disclosure, publication and commercialisation of this dissertation, the Copyright and any Intellectual Property and/or Reproductions described in it may take place is available in the University IP Policy (see http://documents.manchester.ac.uk/display.aspx?DocID=487), in any relevant Dissertation restriction declarations deposited in the University Library, The University Librarys regulations (see http://www.manchester.ac.uk/library/aboutus/regulations) and in The Universitys Guidance for the Presentation of Dissertations. Acknowledgements I have great pleasure to express my gratitude to my Tutor (Juliette Kendall). She has been most helpful and supportive throughout. Introduction, Research question and PICO 1.1 Introduction Restoring teeth with full-coverage crowns is a routine treatment in general dental practice. This normally requires two visits, one for crown preparation and impression taking and one for final cementation of the crown once the restoration has been produced in the dental laboratory. Provisional crowns which will be provided to protect the tooth between two visits could cause problems since they are not bonded to the prepared tooth surface permanently and require removal prior to final cementation. Problems may occur if the bacteria from oral cavity gain access to the pulpal tissue. The consequence could be pulp inflammation or even irreversible pulp infection, which requires endodontic treatment. There are some evidence in the literature that suggests that applying a sealant material on the freshly prepared teeth may reduce the invasion of the pulp by bacteria (Magne et al., 2007). Any effort needs to be made to reduce the risk of vitality loss in teeth requiring a full-coverage crow n. There are other alternatives to reduce the bacterial ingression like CAD/CAM technology. This method allows restoring a tooth with a crown in a single visit. Reis 2006 believes that using this system may decrease the possibility of bacterial infection of the pulp as there is no need for provisional coverage of the prepared tooth. 1.2 Research question Protecting the exposed dentine with a sealant after a crown preparation requires some additional steps and is more expense and time-consuming than the traditional procedure. The research question is if it is clinically necessary to seal the exposed dentine immediately after the preparation with a dentine sealing agent or not. 1.3 PICO Population: NHS and private patients between the age of 18 and 58 years of age in general dental practice requiring full-coverage crowns of a posterior tooth. Intervention: Sealing the exposed dentine of prepared teeth for full crown coverage with a dentine sealing agent instantly after the preparation before taking a final impression and temporisation. Control: Not sealing the exposed dentine of prepared teeth for full crown coverage with a dentine sealing agent instantly after the preparation. Outcome measure: Comparing the vitality loss of the prepared teeth for full crown restoration at one year, three years and six years. Aims and objectives Aims: The aim of the study is to evaluate the efficiency of instant sealing of posterior teeth prepared for full crown coverage prior to impression taking and temporisation in terms of vitality loss compared with teeth without any sealant application. Objectives: The primary objective is to assess whether an instant sealing of prepared posterior teeth for full crown restorations with a dentine sealant results in a reduction in vitality loss. To organise a clinical trial and to allocate two groups of participants (NHS and private) aged between 18 and 58 requiring a crown on a posterior tooth. One group will have their prepared teeth covered and one group not. To analyse the achieved data and to determine whether there is a difference between groups in terms of loss of vitality. Literature review 3.1 Introduction The assumption of this protocol is the proposition that the instantaneous sealing of exposed dentine after crown preparation, will help against the bacterial contamination of the pulpal tissue and decreases the probability of the treated tooth requiring root canal treatment in the future. 3.2 Search Strategy The strategy conducted for this literature review included an electronic search of the following databases: EMBASE (1995 Oct 2011), MEDLINE (1995 Oct 2011) and Cochrane Library. The reference list includes hand-searched articles and key journals related to researching. Key words: REFER TO KEY WORD EITHER HERE OR APPENIX 3.3 Background Where tooth destruction by dental disease is extensive, restoration may only be possible with full coverage restorations or crowns. There is a big number of NHS and private patients in UK requiring a full coverage of posterior teeth due to failed huge previous restorations, fractured cusps or following a root canal therapy. Tooth preparation for full coverage crown requires more tooth removal than other restorations. It should be carried out in a conservative way. The reason is to reduce the post-preparation sensitivity and pulp tissue protection in vital teeth and to maximise the remaining tooth structure. 3.4 Crown Preparation and pulp Health of pulp tissue can be affected by any restorative treatment. This is due to a continuous extension between dentinal and pulpal fluid (Pashley 1992). Preparation for a full-coverage restoration requires removal of most of the enamel resulting in an exposed dentine surface and may affect the pulp. In one study by Jackson et al. (1992) irreversible pulpitis occurred in 5.7% of cases in which crowns were placed. The bigger the exposed dentine surfaces during tooth preparation like for a crown, the greater the risk of bacterial infiltration from the oral environment (Pashley, 1990). Saunders and Saunders (1998) considered the vitality loss in adults who received full crowns in a dental hospital based on radiographic analysis and found that 19% of the patients in the study have lost vitality of the prepared teeth. A study by Cheung et al. (2005) aimed to investigate the influence of factors connected with pulpal damage in teeth restored with porcelain fused to metal (PFM) crowns or crowned as a fixed bridge abutment. The study reveals that the preparation for either of the restorations requires a considerable reduction of dentine and may cause trauma to pulp tissue but the survival rate of pulp in single-unit crowns is higher than in abutment teeth. Bergenholtz and Nyman (1984) and Karlsson (1986) demonstrated a permanent pulpal damage rate of 1% year for vital teeth following a crown restoration. 3.5 Crown Vs. other restorations Many previous studies have supported the use of indirect intracoronal restorations (porcelain or composite) in vital teeth as advantageous against full-coverage restorations due to their less invasively preparation and more conservative nature (Jackson, 2008, Magne et al., 1996, Dietschi et al., 1994). They have been also considered to be easier to do than a crown and are no more expensive than crowns or root canal treatments. A literature review by Kerschbaum and Voß 1981 showed that inlay restorations at 10 years have 9.5% lower rate of vitality loss compared to full crown restorations. When aesthetic aspect is not the first priority properly designed and provided inlays and onlays have the same longevity and durability as crowns (Jackson, 2008). Cusp replacement with resin composite can be considered as alternative to traditional cusp replacement by crowns due to advanced adhesive technology. Deliperi et al. (2006) highlight that if the bonding agent is not stressed, an acceptable success rate could be achieved by using this method. According to van Dijken et al. (2001) an indirect cusp replacement restoration with ceramic might be considered indicated. This has the benefit of saving valuable remaining tooth substance and eventually avoiding endodontic therapy. 3.6 Dentin Bonding There are recommendations in the literature for sealing the dentine with a Dentine Bonding Agent (DBA) following crown preparations in order to minimise the associated complications like hypersensitivity (Clinical Research Associates 1993). Dentine bonding agents have shown to be advantageous over the smear layer itself due to their mechanical retention (Nakabayashi et al. 1982) and moisture and acid resistance (Brunton et al. 2000). Over the last decades they have been considered as a modern way of sealing exposed dentine (Ferrari M. et al. 1999, Swift EJ et.al 2001). Some authors have compared the effectiveness of DBA with smear layer as a natural barrier. Pashley (1984) states that dentine permeability can be reduced up to 98% when smear layer is produced by slow or fast rotary headpieces but it would not last for more than a few days due to acidic PH from the oral cavity (Kerns DG. et al. 1991) .There are several advantages of DBAs over the smear layer like hybrid layer as described by Nakabayashi (1982) and resisting moisture and acid (Brunton et al. 2000). The result of various in-vitro studies on humans teeth (Pashley et al. 1992, White et al. 1992, Al-Fawaz et al. 1993) and animals teeth (Suzuki et al. 1994) supports the idea of sealing the dentine of prepared teeth for a crown restoration. A literature review by Lam, C.W. and Wilson, P.R. (1999) revealed that dentine sealing with bonding agents prior to crown cementation could be beneficial due to fluid flow reduction in dentine tubules. Magne (2005) believes that immediate application of dentine bonding agents or Immediate Dentine Sealing (IDS) prior to impression taking can reduce the postoperative sensitivity and bacterial contamination. 35% H3PO4 is normally used to remove the smear layer before DBA application. There are different ways of sealing dentinal tubules after the preparation. Edward and swift (2009) reviewed several in vitro research studies on the immediate dentine sealing technique in a critical appraisal and came to following conclusions. First, immediate sealing of fresh dentin improves the resin adhesion and the bond strength will be affected by late application. Second, the IDS provide a mechanical barrier which minimises the postoperative sensitivity, bacterial contamination and eventually the necessity of local anaesthesia. Most Practitioners prefer to use self-etch-adhesives. However, Magne et al. (2007) believe that a three-step, etch-and-rinse adhesive has shown to be more efficient. In order to avoid complications after the IDS, some clinical steps need to be taken. The appearance of an O2 -inhibitory layer is not desirable and should be prevented by light-curing the dentine adhesive twice under a glycerine coating. This step avoids the reaction between inhibitory layer and impression material. The reaction between temporary crown and sealed tooth should also be prevented by applying a separating material. The influence of dentine on antimicrobial effect of ingredients added to one-step dentine sealants was assessed by Gondim et al. (2008) and revealed a reduced affectivity after polymerisation with UV light. 3.7 Temporary Crowns Temporary crowns are provisional restorations that are fitted on the teeth between preparation and fit appointment. They have various functions, mainly dentine protection and tooth movement prevention. Their role is often overlooked by practitioners (Wassel et al. 2002). Pre-formed crowns (plastic, metal) and self or light cured resins are usually used in the dental practices as convenient for temporary restorations. Many temporary crowns have poor-fitting margins based on production procedure and material used. Some materials create a gap between the temporary and the prepared tooth due to polymerisation shrinkage (Robinson and Hovijitra, 1982)( Tjan et al. 1987). Cervical border of a temporary crown is the primary area to be reached by bacteria from the oral environment. Richardson et al. (1991) believe that dentine in the cervical margin shows higher permeability than dentine in other surfaces of the prepared tooth and that confirms the importance of good marginal adaptation of temporary crowns. A paper by Cagidiaco et al. (1996) considers the exposure of vital pulp tissue to bacterial contamination and irritants after dentine preparation in the base of a cavity, especially if temporary shows an unsatisfactory sealing. Exposed dentinal tubules after a crown preparation provide a way for transfer of substances between the pulpal tissue and periphery (Garberoglio and Brannstrom M. 1976). These tubules are expected to be sealed by cement. Different researchers (White et al. 1992, White et al. 1994, Lyons. et al, 1997, Baldissare. et al. 1998, Goldman et al. 1992) have found microleakage to be present after either permanent or temporary crown cementation. Literature review supports the evidence of benefit of immediate dentine bonding as a technique during temporisation of indirect provided restorations but reveals a lack of in vivo evidence. This fact supports the requirement for this clinical study. Study design methodology The study design and methodology will be presented in accordance with the CONSORT explanation for reporting on clinical trials (Moher et al., 2010). 4.1 Trial Design This will be a randomised controlled parallel two-armed trial-pragmatic group trial to take place over the duration of a six-year period. The study will provide a 1:1 allocation ratio. One molar tooth will be randomly chosen per participant. The evaluation of the outcome will take place at one year, three years and five years (Fig 1). 4.1.1 Changes to trial design The Data Monitoring Committee (DMC) will have access to the un-blinded data. The study protocol may be altered by DMC due to their recommendations. 4.2 Participants Participant selection will take place utilising new and existing patient population that attends the dental practice. Recruitment will be on a continuous basis until the required numbers of participants have been enrolled into the study (see section 5 for sample size calculation). This will ensure the pragmatic nature of the trial as no proactive recruitment of patients from leaflet drops and advertising will take place. A trained member of staff will administrate the consent process once a patient has been identified as having an eligible tooth suitable for the study. 4.2.1 Inclusion criteria for participants: Healthy adult patients between 18-58 years of age Provide a written informed consent, understand spoken and written English. Regular attenders (at least every six months) with a two-year record Require a full coverage of a Molar (Upper or Lower arch) With a crown Selected tooth must be periodontally healthy. Selected tooth must be vital and without any history of pulpitic symptoms within the last 12 months. Are able to attend follow-up appointments. In terms of periodontal status, the chosen teeth for study have to have a BPE less than three mm as per guidelines published by British Society of Periodontology (BSP). The teeth must be also radiographically free of any pre-operative pathological signs meaning intact pulp with no evidence of radiopaque foreign materials in the pulp chamber and/or root canals(s) and no periradicular radiolucent area. 4.2.2 Exclusion criteria for participants: Irregular attenders to dental practice History of pulpitic symptoms in the last 12 months Patients participating in any other medical trials Notable medical history change or pregnancy Existing periapical pathology (radiographically) Periodontal pockets more than three mm Pulpal exposure or extending caries into the pulp chamber Vulnerable adults or children 4.3 Study location and settings The trial will take place in twenty dental practices based in the United Kingdom. General Dental Practitioners with more than five years experience and qualification in a post-graduate restorative dentistry will be recruited. 4.4 Withdrawals Patients may be disqualified if they experience medical complications or refuse to attend routine check-ups. A patient may also be withdrawn from the study if the tooth suffers from a trauma, requires extraction or develops pockets deeper than 3mm due to insufficient oral hygiene. Information on all patients, including the reason for the withdrawal will be collected and added to trial data report. Patients may also choose to withdraw from the study themselves. 4.5 Randomisation Initial selection process will include all teeth that are suitable per patient. To maintain allocation concealment and to limit the occurrence of selection bias (Vickers A.J. 2006) a remote allocation officer in the central generates the allocation of teeth for either the intervention or control group. The participants initials, gender, date of birth and tooth notation will be submitted to a centre securely, where randomisation will occur within the patients to select the eligible tooth and to allocate the patient to the treatment or control group using a computer generated sequential number list. The trial will include only one allocated tooth per patient per control or treatment group. The indication of allocation will be sent to the general dental practitioner in an envelope with the patients identification code and the tooth number. The code for trial remains hidden until the clinical procedure to treat all eligible teeth is ready. At this time, it will be opened by the operator but not revealed to the participants. The randomisation will be balanced to a 1:1 ratio for each provider in each practice. Simple randomisation is suitable to generate a balanced group. Balance between the groups at each location will be verified by the trial allocation operator regularly. 4.6 Baseline assessment A baseline examination will be carried out by operators once the suitable patients have completed the consent procedure. The assessment will include: Patients Identification, age and gender Medical and social history Dental history Extra-oral examination: Musculoskeletal assessment, Soft tissue profile, TMJ Intra-oral examination: Oral Hygiene, periodontal assessment, soft tissue, occlusal analysis, vitality testing, Ridge mapping, Radiographic evaluation of tooth prior to preparation Reason for Crown placement 4.7 GDP training Each of the operators will attend a one-day training program on techniques. Clinical consensus will be ensured and standardised in a discussion with investigators in a separate session and will include a clinical protocol for the preparation of teeth for a full coverage with a crown, impression taking and temporisation. Additional clinical protocols will be prepared for immediate dentine sealing after preparation and for final cementation of the restoration. A clinical team member will be appointed as the independent observer to evaluate the compliance to the study criteria. All materials and Instruments used will be applied as per manufacturers instructions. The Crown system used in the study is Cercon ht (Dentsply) full Contour Zirconia. The high strength of zirconia-based ceramic restorations increases the indications for choice. They can be a near ideal choice for restoring crowns, fixed partial dentures, and implants in aesthetic areas. Because of their high strength, zirconia-based ceramic restorations can be cemented with traditional cements or bonded with adhesive resin cements. Like gold, Cercon ht has a simple, clinical protocol, requiring conservative tooth reductions of as little as 0.5 to 1.0 mm. A feature that is friendly to both patients dentition and dentists chair time. All clinical and laboratory techniques for teeth involved in the study are specified as per Dentsply protocol. 4.8 Intervention A universal self-priming dental adhesive system (Prime Bond NT Dual cure, Dentsply) and a dual cure resin cement (Calibra, Dentsply) will be used to bond the indirect restoration to the tooth. The literature supports the chosen material for this proposed study (Barnes et al., 2006). 4.8.1 Intervention protocol for Immediate Dentine Sealing (IDS) The teeth will be sealed immediately after preparation with Prime Bond NT Dual Cure (Dentsply). To avoid any bond contamination, retraction cord will be placed before dentine sealing. The protocol for dentine bonding is as manufacturers instructions: Clean freshly instrumented dentine with water spray and air dry. It is recommended not to etch dentine to minimize the possibility of post-operative sensitivity. Place 1-2 drops of Prime Bond NT adhesive into a clean plastic mixing well. Place an equal number of drops of Self Cure activator into the same mixing well. Mix Contents for 1-2 seconds with a clean, unused brush tip. Immediately apply mixed adhesive/activator to thoroughly wet all the tooth surfaces. These surfaces should remain wet for 20 seconds and may necessitate additional application of mixed adhesive/activator. Remove excess solvent by gently drying with clean, dry air at least for 5 seconds. Surface should have a uniform glossy appearance. Cure mixed adhesive/activator for 10 seconds using a curing light. Check curing light for minimum curing output of at least 550mw/cm2 and a spectral output, including 470nm (peak absorption of the CQ photoinitiator). Control Group Exactly the same procedure will be used for the control group prior to final bonding of the Crown. 4.8.2 Protocol for Impression taking Study Group (IDS) In practice, freshly cut dentin is present only at the time of tooth preparation (before impression). Freshly cut dentin is the ideal substrate for dentin bonding. Most studies on Dentine Bonding Agents (DBA) bond strength use freshly prepared dentin (Magne 2005). There is a possibility for the oxygen inhibition layer of filled resin of the dentine bonding agent to inhibit the setting of the impression material. The bonded teeth have to be cleaned with pumic and a rubber prophylactic cup and washed with water and air dried before the impression (Magne and Nielsen, 2009b). Impressions will be taken with an A-silicone double-mix technique (Aquasil ultra, Dentsply) as per manufactures Instruction. Control Group (no sealing) Impressions will be taken as per study group without sealing the dentine with DSA. 4.8.3 Protocol for temporisation Study Group (IDS) A prefabricated light curable temporary Crown (Protemp Crown temporisation material, 3M ESPE) will be fitted on the prepared tooth standard temporary cements. The occlusion will be controlled and if necessary adjusted. Control group A temporary crown will be fitted as above without any DBA application and after Impression taking as per clinical consensus guidelines. 4.8.4 Protocol for final cementation Study group (IDS) Just prior to the luting procedures (when placing the final restoration), it is recommended to roughen the existing adhesive resin using a coarse diamond bur at low speed or by microsandblasting (Magne 2005). The tooth and the restoration will be treated as per manufacturers instructions, and the crown can be cemented with dual cure resin (Calibra, Dentsply). Control group The same procedure as for study group will be carried out except the adhesive resin roughening step. 4.9 Outcomes The outcome measures will be assessed, and the CRF forms updated at baseline and at recall appointments of 1 year, 3 years and 5 years. Any relevant clinical incident between these times affecting the trial tooth needs to be recorded on CRF. Base-line findings and post-operative taken periapical (PA) of each trial tooth at one year and five years will be studied, assessed and recorded by two blind assessors. These precalibrated, independent observers will examine the radiographs and categorize the periapical status of the selected teeth according to a written set of criteria (Cheung et al. 2005) (Table 1). Categories 1, 2 or 3 are deemed to be associated with a non-vital pulp. If there are any disagreement, a third assessor will be involved as an arbitrator before a final score is reached. The protocol for Periapicals will adhere to the guidelines produced by the faculty of General Dental Practitioners (Pendlebury et al., 2004). An Independent assessor will audit each practice participating in the study to ensure compliance with radiology regulations (IRMER). 4.10 Blinding Every effort will be made to prevent disclosure of the exact nature of the study aim and to which arm of the study the participants have been allocated. This will be specified to minimise assessment reactivity, which has been hypothesised by McCambridge and Strang (2005). The date collection statistician who assesses and calculates the outcome results will also be blinded to the individual patient allocation to limit detection bias. The operators will not be blinded but the allocation of whether the tooth is to be control or intervention will be concealed until intervention procedure is to be carried out. 4.11 Follow up An important selection criterion to minimise drop-out is the eligibility of the patients to be regular attenders at the relevant dental practices. Patients lost to follow up will be recorded.. Category Status Description 0 Intact pulp No evidence of radiopaque foreign material in pulp chamber and/or root canal(s), and no periradicular radiolucent area 1 Widening of the PDL space Widening of the apical part of the periodontal ligament space, not exceeding two times the width of the lateral periodontal ligament space 2 Periapical radiolucency Radiolucency in connection with the apical part of the root, the diameter exceeding two times the width of the lateral periodontal ligament space 3 Endodontically treated tooth Tooth with radiopaque material in pulp chamber (if discernible) and/or root canal(s) Table 1- Radiographic categorization of pulpal status (Cheung et al. 2005) 4.12 Safety This study will not be utilising any investigational medicinal products; it will therefore be classed as a non- Clinical Trial of an Investigative Medicinal Product trial (non-CMITP). All untoward incidents will be adverse events rather than adverse reaction. The study is also compatible with Data Protection and Mental Capacity Act. The treatment options being studied are non-life threatening on non-vulnerable adults with no risk of harm and no unknown or uncertain risks. A Data Monitoring Committee (DMC) will be appointed who makes recommendations, as required, to the chair of the Trial Steering Committee. This committee is responsible for ensuring that the intervention and control techniques will be carried out under the guidance provided by the EU directive for Good Clinical Practice. 4.12.1 Assessment of Safety There are no expected unexpected adverse events since the intervention is used routinely in general dental practice. The using of etching gel has expected adverse events should it come into contact with the soft tissues (Material Safety Data Sheet (MSDS) sheet). All other dental materials involved (Prime Bond NT Dual Cure, Calibra dual cure resin cement (Dentsply), Protemp Crown temporisation material, 3M ESPE) are fully licensed within the medical devices regulations for use in dentistry in UK. All operators are experienced dental practitioners having handled these materials routinely and will be trained in dealing with expected adverse reactions should the product inadvertently come into contact with pati

The Omega Directive :: essays research papers

I was on my way into the ‘office’ and I saw the secretary; â€Å"Hey Cheryl.† â€Å"Hey Martin. Here, isn’t it the big day today?† she asked â€Å"Yep, she’s finally coming online.† I replied, with a bit of an excited tone in my voice â€Å"Christ! What is it with men always having to call things ‘she’?† Her voice had something of a viscous snap to it. â€Å"Hey, don’t blame me dear. I just work here don’t I?† She giggled. I like it when she giggles. It’s got a sweetness to it that, for some reason, most other women lacked. I smiled at her. â€Å"So†¦Ã¢â‚¬ ¦..are you, going to let me in? Or shall I just stand all day looking at you, which I wouldn’t actually mind doing?† I heard a buzz and then a click at the door. â€Å"I’ll take that as a ‘yes’ then, shall I? Or are you just messing with my head?† â€Å"Go on, in, now! Or do I have to smack your rear end to get you in there?† She said. â€Å"Well, come on over here and try it baby!† I said to her with one great big cheesy grin on my face. â€Å"Oh you dirty man, you!† She said, sarcastically. We always were saying stuff like that in our own little way. It was†¦different. I’d never been like this with anyone else. It was always just us two. Then there would be a great booming voice from inside the ‘office’. â€Å"BRYSON!!!!!!!!!!!!!!!! GET YOUR SCRAWNY ASS IN HERE, NOW!!!!!!!!!!† â€Å"Oh dear, General Solomon’s calling.† I said with some remorse. â€Å"Don’t you mean ‘great wind-bag of Alcatraz’?† She said. I laughed. That’s the nickname I’d given him when I had started at the Pentagon. He was supposedly an ex guard over on Alcatraz prison island†¦. supposedly. I crossed the threshold into a huge room. Dimly lit, only the centre table was illuminated. I could see the General’s face. â€Å"I told you not to be late. I watched you out there flirting with Cheryl, it’s not on. I’ve told you before to leave my daughter alone!† Everyone turned and looked at me. I couldn’t help but say:- â€Å"Who, me?† I got a warm laugh from everyone in the room. Except of course from Mr. Stern faced – lover’s father – who – hates – me. His emotionless face and piercing stare were enough to make anyone cower for fear of their lives. He always looked like he was going to attack you or something.