Saturday, November 30, 2019
Summary of ââ¬ÅThe Boston Photographsââ¬Â Sample Essay Example For Students
Summary of ââ¬Å"The Boston Photographsâ⬠Sample Essay In ââ¬Å"The Boston Photographs. â⬠author Nora Ephron writes about three really controversial images taken of a deliverance effort that failed. The exposure were taken by Stanley Forman of the Boston Herald American. He was utilizing a motor driven camera. which allowed him to take three frames per second. The first shooting showed a fireman that was delivering a adult female and a kid. The following image showed the fire flight interrupting off the edifice. The 3rd image showed the adult female and her kid in the air falling toward the land. The adult female died on impact. but the kid landed on the womanââ¬â¢s organic structure and lived. We will write a custom essay on Summary of ââ¬Å"The Boston Photographsâ⬠Sample specifically for you for only $16.38 $13.9/page Order now The images were in more than 400 newspapers across the United States. Reader reaction across the state was about all negative. The newspapers received many negative letters from its readers. They all repeated the same thing. ââ¬Å"Invading the privateness of decease. â⬠ââ¬Å"Cheap sensationalism. â⬠ââ¬Å"I idea I was reading the National Enquirer. â⬠Many editors wrote and defended the images. One newspaper responded by stating they printed the article to demo the dangers of fire flights and about the slumlords. Charles Seib. the former managing editor of the Washington Star believed that the editors should hold censored what they published. Seib stated that the editors were non taking the readers into consideration when they show images of decease. Ephron does non hold with Seib and writes. ââ¬Å"It is irresponsibleââ¬âand more than that. inaccurateââ¬âfor newspapers to neglect to demo it. or to demo it merely when an astonishing set of exposures comes in over the Associated Press wire. Most documents covering fatal car accidents will publish images of lacerate autos. But the significance of fatal car accidents is non that a great trade of steel is twisted but that people die. â⬠Ephron besides states that the images should hold been printed because they are ââ¬Å"great images. breathtaking images of something that happened. â⬠She thinks that the fact that the images disturb readers merely goes to demo that photojournalism is frequently more powerful that written news m edia. Response to ââ¬Å"The Boston Photographsâ⬠In Nora Ephronââ¬â¢s ââ¬Å"The Boston Photographs. â⬠it was instead simple to understand each side of the ethical issue. Ephron did a great occupation exemplifying all sides of the issue. First she told about the event. but so went on and showed us the readersââ¬â¢ reaction to the exposure. Following. she went on to state us about the newspaper editors and how they felt about the state of affairs. She besides gave us an illustration. She told us about Charles Seib. the former managing editor of the Washington Star. She explained how Seib felt about printing the images and showed us his point of position. Finally. after covering the whole narrative and doing certain that each side was heard. she explained her point of position. In her sentiment. she backs it up by explicating why she feels the manner she does. She describes how itââ¬â¢s irrelevant as to where it happened. why it happened. or who it happened to. but that it did go on. In the terminal. she concludes really nicely by stating the images deserved to be printed because they were ââ¬Å"great images. breathtaking images of something that happened. That they disturb readers is precisely as it should be: thatââ¬â¢s why photojournalism is frequently more powerful than written news media. ââ¬
Tuesday, November 26, 2019
Ten Tips for Coding Excel VBA Macros
Ten Tips for Coding Excel VBA Macros Ten commonsense suggestions to make coding Excel VBA faster and easier. These tips are based on Excel 2010 (but they work in nearly all versions) and many were inspired by the OReilly book Excel 2010 - The Missing Manual by Matthew MacDonald. 1 - Always test your macros in a throwaway test spreadsheet, usually a copy of one that its designed to work with. Undo doesnt work with macros, so if you code a macro that folds, spindles, and mutilates your spreadsheet, youre outta luck unless you have followed this tip. 2 - Using shortcut keys can be dangerous because Excel doesnââ¬â¢t warn you if you choose a shortcut key that Excel is already using. If this happens, Excel uses the shortcut key for the macro, not the built-in shortcut key. Think about how surprised your boss will be when he loads your macro and then Ctrl-C adds a random number to half the cells in his spreadsheet. Matthew MacDonald makes this suggestion in Excel 2010 - The Missing Manual. Here are some common key combinations that you should never assign to macro shortcuts because people use them too frequently: CtrlS (Save)CtrlP (Print)CtrlO (Open)CtrlN (New)CtrlX (Exit)CtrlZ (Undo)CtrlY (Redo/Repeat)CtrlC (Copy)CtrlX (Cut)CtrlV (Paste) To avoid problems, always use CtrlShiftletter macro key combinations, because these combinations are much less common than the Ctrlletter shortcut keys. And if youââ¬â¢re in doubt, donââ¬â¢t assign a shortcut key when you create a new, untested macro. 3 - Cant remember Alt-F8 (the default macro shortcut)? Do the names mean nothing to you? Since Excel will make macros in any opened workbook available to every other workbook thatââ¬â¢s currently open, the easy way is to build your own macro library with all of your macros in a separate workbook. Open that workbook along with your other spreadsheets. As Matthew puts it, Imagine youââ¬â¢re editing a workbook named SalesReport.xlsx, and you open another workbook named MyMacroCollection.xlsm, which contains a few useful macros. You can use the macros contained in MyMacroCollection.xlsm with SalesReport.xlsx without a hitch. Matthew says this design makes it easy to share and reuse macros across workbooks (and between different people). 4 - And consider adding buttons to link to the macros in the worksheet that contains your macro library. You can arrange the buttons in any functional groupings that make sense to you and add text to the worksheet to explain what they do. Youll never wonder what a cryptically named macro actually does again. 5 - Microsofts new macro security architecture has been improved a lot, but its even more convenient to tell Excel to trust the files in certain folders on your computer (or on other computers). Pick a specific folder on your hard drive as a trusted location. If you open a workbook stored in this location, itââ¬â¢s automatically trusted. 6 - When youre coding a macro, dont try to build cell selection into the macro. Instead, assume that the cells that the macro will use have been pre-selected. Its easy for you to drag the mouse over the cells to select them. Coding a macro that is flexible enough to do the same thing is likely to be full of bugs and hard to program. If you want to program anything, try to figure out how to write validation code to check whether an appropriate selection has been made in the macro instead. 7 - You might think that Excel runs a macro against the workbook that contains the macro code, but this isnââ¬â¢t always true. Excel runs the macro in the active workbook. Thats the workbook that you looked at most recently. As Matthew explains it, If you have two workbooks open and you use the Windows taskbar to switch to the second workbook, and then back to the Visual Basic editor, Excel runs the macro on the second workbook. 8 - Matthew suggests that, For easier macro coding, try to arrange your windows so you can see the Excel window and the Visual Basic editor window at the same time, side-by-side. But Excel wont do it, (Arrange All on the View menu only arranges the Workbooks. Visual Basic is considered a different application window by Excel.) But Windows will. In Vista, close all but the two you want to arrange and right-click the Taskbar; select Show Windows Side by Side. In Windows 7, use the Snap feature. (Search online for Windows 7 features Snap for instructions.) 9 - Matthews top tip: Many programmers find long walks on the beach or guzzling a jug of Mountain Dew a helpful way to clear their heads. And of course, the mother of all VBA tips: 10 - The first thing to try when you cant think of the statements or keywords you need in your program code is to turn on the macro recorder and do a bunch of operations that seem to be similar. Then examine the generated code. It wont always point you to the right thing, but it often does. At a minimum, it will give you a place to start looking. Source MacDonald, Matthew. Excel 2010: The Missing Manual. 1 edition, OReilly Media, July 4, 2010.
Friday, November 22, 2019
These 2 Recommendation Letters Got Me Into Harvard and the Ivy League
These 2 Recommendation Letters Got Me Into Harvard and the Ivy League SAT / ACT Prep Online Guides and Tips When I applied to college, I was accepted into every school I applied to, including Harvard, Princeton, Stanford, MIT, the Ivy League, UC Berkeley, UCLA, and more.While I had a strong overall application, the two teacher letters of recommendation were CRITICAL in getting me admitted. Why? Both teacherssaid I was one of the top students they had ever taught. Both enthusiastically advocated for my personality, leadership skills, and energy. How can YOUearn recommendation letters that will get you into your top choicecolleges?I'll show you how in this article. For the first time, I'm sharing my FULL, UNEDITED letters of recommendation as examples for you. These are the exact letters submitted when I applied to college. Even better, you'll see exactly what my Harvard admissions officer underlined - what really stood out as important and noteworthy. First Things First Quick question - how confident are you in knowingwhat colleges are looking for in your recommendation letters? Do you have a strong understanding of what an effective letter consists of, and what a bad letter looks like? Manystudents have the totally wrong idea of what colleges are looking for in recommendation letters. This, naturally, leads to subpar letters for students. Before I show you my letters, I first want to explainWHYrecommendation letters from teachers are such an important part of your college application, and then WHAT makes effective letters so effective. If you're chomping at the bit and really want to jump directly to my letters, here's Recommendation Letter Example #1, and here's Recommendation Letter Example #2. BUT I highly recommend that you stick with me for the next two sections - you'll get a lot more out of this guide and get much stronger rec letters as a result. Why Teacher Recommendation Letters Are So Important for College The goal of your overall college application is to communicate who you are as a person, in an easily digestible package that can take 20 minutes to understand (or less). From this package, colleges will decide whether they want you to join their community or not. Yeah, it doesn't feel great to have your 18 years of existence compressed into a web form. But that's the best system colleges have come up with so far to deal with the tens of thousands ofcollege applications they receive every year. (UCLA with a record 112,000+ applications) What do colleges care most about? Ultimately, it boils down to two things: how likely you are to succeed in college and in your career how much you'll benefit the school community as a student and beyond These are the ultimate goals of colleges when selecting their next class of students. Your application must convince the college that you will succeed in both goals. Of course, these are complex ideas -success is not only hard to predict, but different people also have different ideas of what success means. But there are a few general principles that hold true for most colleges: previous academic success is a great predictor of future academic success, which in turn predicts career success. certain personality traits are preferred: integrity, leadership, curiosity, creativity, empathy, perseverance, motivation, ambition, collaboration, confidence, and others. You don't need to be perfect in all dimensions, but some of these should apply strongly to you. you also generally want to avoid the opposite of these traits. These are all bad adjectives: unethical,narrow-minded, unmotivated, self-centered, arrogant, rude. For the first admissions requirement of academic success, your coursework and test scores play the biggest role. If you took a rigorous courseload and got a high GPA, and you got a high SAT/ACT score, you have shown that you can handle high school academics. This means you're in a great position to succeed academically in college. Feel like your SAT/ACT scores aren't high enough to impress your top choice colleges?We've written a guide for each test about the top 5 strategies you must be using to have a shot at improving your SAT/ACT score. Download it for free now: How do you show the second requirement - personality traits? Part of this is in your personal essays and extracurriculars, where you'll show what you're interested in and give voice to your personality. But of courseyou'll describe yourself as curious, creative, collaborative, kind, and so forth. Who would describe themselves as unethical and mean? This is why colleges need objective, third-party observers to comment on who you are. This is where your teacher recommendations come in, and why they're so important. The role of the rec letter is to show who you are as a person.Your teachers haveengaged with you throughout at least a year of class. They've seen you in class with other students, and possibly out of class too. There are hundreds of small interactions that piece together to form your teacher's impression of you. How do you interact with students? How do you interact with teachers? How creative was your work? How much did you participate in class discussions? How motivated were you to excel in school? Are you a jerk nobody wants to be around? Or are you someone the teacher entrusts with the future? A greatteacher recommendation tells the college all of the above. Let's Hear From Harvard's Dean of Admissions What if you don't fully believe me yet? I'm just one guy with his own admissions experiences. So I'm going to call on William Fitzsimmons, Dean of Admissions at Harvard College: Recommendations from secondary school teachers and counselors are extremely important at Harvard and at many other colleges, particularly those with selective admissions processes. Faced with more academically qualified applicants than places in the freshman class, our admission officers review the two required teacher recommendations and the counselor report with great care, often commenting on them in writing on ââ¬Å"reader sheetsâ⬠in each application.We often project the recommendations themselves onto large screens so that all members of the Admissions Committee can see them during the subcommittee and full committee review processes in February and March.Recommendations can help us to see well beyond test scores and grades and other credentials and can illuminate such personal qualities as character and leadership as well as intellectual curiosity, creativity, and love of learning. Along with essays, interviews, and other materials in the application, recommendations can offer evidence of an applicantââ¬â¢s potential to make a significant difference to a college community and beyond. Source Notice how he says Harvard is "faced with more academically qualified applicants than places." What does this imply? "Among a pool of students with the same academic qualifications, we use personality traits to decide who to admit or reject."And letters of recommendation for students describe those personality traits. To beat a dead horse: your teacher recommendations add more color to your academic achievements, your test scores, and your GPA. The best recommendation letters for colleges rave about your personality and personal qualities. This is why my two letters below are so effective. You do NOT want your recommendation letters to just be repeats of your resume. This gives the admissions officer ZERO extra information about who you are a person. You do NOT want your recommendation letters to just say, "Johnny got an A and turned in his homework on time." This makes it very obvious that the teacher has no idea who you are as a person, which means it adds ZERO to your application. Great recommendations talk about more than your class performance. They discuss your personal qualities, how interacting with you feels like, and why you're likely to succeed in the future. First, I'm going to show my letters to you, with analysis of why they were so effective. You'll see the highlights made by my Harvard admissions officer, which will tell you what things she found important. Then I'll give you advice on how to build relationships with your teachers so you can get letters like this on your own. My Letter of Recommendation Samples Usually you donââ¬â¢t get to read letters of recommendation for students because you sign the FERPA waiver, waiving away your rights to read your application. But I was able to retrieve my full Common App and Harvard applicationfrom Harvard, complete with my original letters of recommendation. Most colleges require you to have two letters from teachers in different subjects.The two teachers I asked for letters were my favorite two teachers in all of high school. Personally, I vibed most strongly with teachers who actually cared about teaching. They gave engaged studentswith energy, treated us kindly and empathetically, and went above expectations to help students succeed. Not only did I have the most fun with these teachers, but they were also more likely to advocate for me enthusiastically in their letter. You might not vibe with teachers for the same reasons, but it's important you choose teachers you get along with and who you feel will write you very strong letters. My first letter comes from my AP Chemistry teacher from 10th grade. My second comes from my AP English Language teacher from 11th grade. As you read these letters, remember - these letters didn't come instantly. They take hundreds of small interactions over a year or more to build an impression of who you are. You can't trick a teacher into writing a great recommendation letter for you. If you honestly like learning and are an enthusiastic, responsible, engaging student, a great recommendation letter will follow naturally. The horse should lead the cart. Teacher Letter #1: AP Chemistry Teacher I took AP Chemistry in 10th grade and had Miss Cherryl Vorak (now Mynster). She was one of our younger teachers, having taught for just a few years before I had her. She was my favorite teacher throughout high school for these reasons: She clearly took pride in her work. She wasvery caring, spent a lot of time helping struggling students, and seemed to consider teaching her craft. She was universally well liked by her students, even if they werenââ¬â¢t doing so well. This is pretty rare. She was fair in her policies and grading, and she was kind. This was the kind of teacher where if you weren't doing well, you felt like it was your fault, not the teacher's. I participated in the US National Chemistry Olympiad (this was the major academic honor I earned) and she was my advocate and a great resource for this.She provided me a lot of training materials and helped me figure out college chemistry. By the time I applied to college in senior year,I had known her for two full years and engaged with her continuously, even when I wasn't taking a class with her in junior year. Weââ¬â¢d build up a strong relationship over the course of hundreds of small interactions. All of this flowed down to the recommendation you see here.The horse leads the cart. First, weââ¬â¢ll look at the teacher evaluation page. The Common Application now has 16 qualities to rate, rather than the 10 here. But theyââ¬â¢re largely the same. If the images are hard to read, keep scrolling down - I provide the recommendation in text form. How long have you known this student and in what context? I've known Allen as a student inside the classroom and outside the classroom in extracurricular academic activities since he was in the 10th grade.What are the first words that come to your mind to describe this student? Intelligent, motivated critical thinker; Charasmatic, well rounded, talented individual; Independent, mature, responsible student. List the courses you have taught this student, noting for each the student's year in school (10th, 11th, 12th) and the level of course difficulty (AP, accelerated, honors, IB, elective, etc.) As a 10th grader, Allen was one of the top students in my AP Chemistry class. Please write whatever you think is important about this student, including a description of academic and personal characteristics.We are particularly interested in the candidateââ¬â¢s intellectual promise, motivation, maturity, integrity, independence, originality, initiative, leadershippotential, capacity for growth, special talents, enthusiasm, concern for others, respect accorded by faculty, and reaction to setbacks. We welcomeinformation that will help us to differentiate this student from others. See enclosed letter. Ratings Compared to other college-bound students in his or her secondary school class, how do you rate this student in terms of: Below Average Average Good (above average) Very Good (well above average) Excellent (top 10%) Outstanding (top 5%) One of the top few encountered in my career Creative, original thought âÅ"â Motivation âÅ"â Self-confidence âÅ"â Independence, initiative âÅ"â Intellectual ability âÅ"â Academic achievement âÅ"â Written expression of ideas âÅ"â Effective class discussion âÅ"â Disciplined work habits âÅ"â Potential for growth âÅ"â This was the Common Application from 2004-05, over 10 years ago. In todayââ¬â¢s Common Application, all of these ratings are retained, aside from ââ¬Å"Potential for Growth.â⬠Today's Common Appalso now includes Faculty Respect, Maturity, Leadership, Integrity, Reaction to Setbacks, Concern for Others, and TE Overall. You can tell that Common App teacher evaluations placea strongemphasis on personality. From Miss Vorak, you can seea very strong evaluation. First she says she's known me for over 2 years and has had interactions inside and outside the classroom. Then she's very enthusiastic with her "first words" answer, listing off a lot of strong personal traits.Finally, she gives me the highest ratings possible for all qualities. The Ratings section is really important. In one go, you're compared to all the students your teacher has ever taught. The better your ratings here, the more competitive you are relative to your classmates. What makes for good enough ratings for you? That depends on your personal college goals and your school's competitiveness. The more competitive the colleges are, the higher up your ratings need to be. If you're applying to your state school, where the admissions rate is 30%, and your high school is pretty competitve, simply being Very Good or Excellent can be a strong rating for you. On the other hand, if you're applying to the most selective colleges like Harvard, Stanford, or the other Ivy League schools,it is important to be ranked ââ¬Å"One of the top few encountered in my careerâ⬠for as many ratings as possible. If youââ¬â¢re part of a big school, this is CRITICAL to distinguish yourself from other students. The more experienced and trustworthy the teacher, the more meaningful this is.You really want to make sure youââ¬â¢re one of the best in your school class, if not one of the best the teacher has ever encountered. Next, letââ¬â¢s look at her letter. As you read this, think ââ¬â what are the interactions that would prompt the teacher to write a recommendation like this? This was a relationship built up in a period of over 2 years, with every small interaction adding to an overall larger impression. Again, if the images are too small to read, I'll have the exact text below, so scroll down. And here's the letter in text form. I've bolded the sections that were underlined by my Harvard admissions officer: To Whom It May Concern: It is with very great pleasure that I write this recommendation for Allen Cheng to support his application for admission into Harvard. Allen has a deep passion for science and has been one of the few exceptionally gifted students that I have encountered in my career as an Advanced Placement Chemistry teacher. Among his many achievements and accomplishments, Allenââ¬â¢s performance on a battery of Chemistry Olympiad exams taken by approximately 11,000 students nationwide recently secured him the position as the second alternate for the U.S. Chemistry Olympiad team, ranking 6th in the country for a team which represented our nation in the International Chemistry Olympiad competition in Germany this past spring. As a senior, Allen hopes to surpass his performance once more in hopes of securing a solid position as one of the four members on the 2005 U.S. Chemistry Olympiad team this coming spring. I first encountered Allen when he was a sophomore in my AP Chemistry class. He was the youngest student in the class of upper classmen, but he was the top excelling student among the two sections of AP Chemistry classes that I taught during the 2002-2003 academic year. As a sophomore, he worked very well with others, mastered laboratory techniques, earned the top score on the AP Chemistry Exam, and was one of the top performers on the National Chemistry Olympiad Exam that year. As one of the top performers on the National Chemistry Olympiad Exam in 2003, Allen was one of twenty students in the nation who qualified to be a participant in the United States National Chemistry Olympiad National Team in the spring that year. He spent an extensive amount of time studying independently in order to ensure that he would cover all of the topics that our class did not yet study and often sought additional instruction during lunch and after school during which he asked questions and performed labs from previous Chemistry Olympiad competitions for practice. When results were published, Allen was ecstatic to have qualified as one of the twenty participants in the U.S. Chemistry Olympiad Study Camp and he enjoyed the experience training for the International Chemistry Olympiad during which he was exposed to Organic Chemistry, Physical Chemistry, Analytical Chemistry, Biochemistry, etc., branches of science typically encountered at the college level. As a member of my Advanced Placement Chemistry class, I have found Allen to be an intelligent, conscientious, motivated and responsible student who masters theory-and applies it well. He academically excelled among his peers, often explained concepts to confused classmates, actively participated during discussion, asked questions to ensure that he had a firm understanding of concepts, and sought additional sources for supplementary problem solving exercises. As a scientist, he was always meticulous when performing experiments, he led his lab group to successfully complete experiments, he wrote great detailed analytical lab reports, and he worked well with others. Allen is a self motivated, dedicated, hardworking student of high intelligence who can grasp difficult concepts, think critically and handle the rigor of a competitive college environment. He exhibits the qualities of a leader and promising scientist who truly loves science. Allen truly impresses me as a student who actively seeks new experiences which support his love for science. This past summer, Allen was a participant at the Research Science Institute at MIT where he conducted research in the field of neuroscience. In addition, Allen has been conducting research with the Jisan Research Institute under the guidance of a professor for two years and has recently coauthored a paper which was published and presented in the LASTED International Conference on Robotics and Applications in Hawaii this year. In addition to conducting research, Allen has also been volunteering at Methodist Hospital and in an immunology lab at the City of Hope National Medical Center where he has been able to strengthen his general laboratory skills. He is clearly an independent, active member of society who pursues personal interests. Beyond his academic excellence, Allen is a charismatic individual who is respected and liked by faculty and peers. Throughout his high school career, Allen often stopped by my room during lunch to take my AP Chemistry tests to review his general chemistry, but he also often stopped by during lunch or after school to chat about his latest developments, events in school, or other various topics. His maturity and charisma are qualities that are quite rare among high school students. He interacts well with his peers be it in the classroom setting or with the broader diverse student population where he is well known as a balanced individual with a warm personality and sense of humor. He balances his time well by excelling in a heavy course load filled with advanced placement classes and he also participates in various school and community activities, including our schoolââ¬â¢s academic teams which provide a structured yet fun forum for competition and learning. Allen is a well rounded individual who clearly enjoys a challenge. Overall, Allen exhibits the qualities of a leader as well as a great scientist who has had ample research experience and excels academically in challenging, college level courses. He is an intelligent, well-rounded, and grounded individual who challenges himself and actively seeks new opportunities and experiences. He has the determination, maturity, and intelligence to succeed in any endeavor and always maintains a positive attitude. His academic and personal achievements show that he is committed to his education and will work hard to achieve his goals. He exudes confidence and has a vivid, outgoing, and friendly personality that allows him to get along with others very well in any setting. I admire him for his intelligence, sincerity, honesty, and integrity and am impressed by his discipline as an independent learner. He is a highly motivated individual with a thirst for knowledge. Allen Cheng would truly be a superior addition to the student body at Harvard. Sincerely, Cherryl Vorak AP Chemistry, Chemistry Honors Teacher The letter here is very strong for a multitude of reasons. First, the length is notable ââ¬â most letters are just a page long, but this is nearly two full pages, single spaced.This is pretty rare, since teachers often have to write dozens of letters a year. It's clear she's interacted with me a lot, cares a lot about supporting me, and is willing to put in the work to do so. The structure is effective: first Miss Vorak talks about my academic accomplishments, then about my personal qualities and interactions, then a summary to the future. This is a perfect blend of what effective letters contain.She highlights my most important extracurricular activities and awards (you can read more about it here in my Complete college application). At the detail level, her diction and phrasing are specific and supportive. She makes my standing clear with precisestatements: ââ¬Å"youngest studentâ⬠¦top excelling student among the two sectionsâ⬠and ââ¬Å"one of twenty students in the nation.â⬠Sheââ¬â¢s clear about describing the effort I put in, like studying college-level chemistry and studying independently. When describing my personality, sheââ¬â¢s exuberant and fleshes out a range of dimensions: ââ¬Å"conscientious, motivated and responsible,â⬠ââ¬Å"exhibits the qualities of a leader,â⬠ââ¬Å"actively seeks new experiences,â⬠ââ¬Å"charismatic,â⬠ââ¬Å"balanced individual with a warm personality and sense of humor.â⬠You can see how she's really checking off all the qualities colleges care about and corroborating her ratings. Overall, Miss Vorakââ¬â¢s letter perfectly supports my applicationââ¬â my love for science, my overall academic performance, and my personality. The last part is especially important - she adds much more color beyond my A in AP Chemistry.This letter was important to complement the overall academic performance and achievements shown on the rest of my application. Let's go to my second Common App teacher recommendation. Curious about what my college application looked like, including personal essays, grades, test scores, and extracurriculars? You're in luck - I've published my ENTIRE college application here. This includes my complete Common Application, teacher recommendations, counselor recommendation, and Harvard supplement. This application got me into every school I applied to, including Harvard, Stanford, Princeton, and more. Check out how Miss Vorak's letter complemented my entire college application and my Personal Narrative. Teacher Letter #2: AP English Language Teacher My second teacher Mrs. Swift was another favorite. A middle-aged, experiencedEnglish teacher, I would describe her as ââ¬Å"fiery,â⬠in a good way. She was passionate, always trying to get a rise out of students in class discussions. She was challenging as a teacher and grader, and I always wanted to impress her. Emotionally she was a reliable source of support for students. First, the teacher evaluation from the Common App: How long have you known this student and in what context? 2 years, AP student. What are the first words that come to your mind to describe this student? (blank) List the courses you have taught this student, noting for each the student's year in school (10th, 11th, 12th) and the level of course difficulty (AP, accelerated, honors, IB, elective, etc.) 11th Grade AP English Please write whatever you think is important about this student, including a description of academic and personal characteristics.We are particularly interested in the candidateââ¬â¢s intellectual promise, motivation, maturity, integrity, independence, originality, initiative, leadershippotential, capacity for growth, special talents, enthusiasm, concern for others, respect accorded by faculty, and reaction to setbacks. We welcomeinformation that will help us to differentiate this student from others. (blank) Ratings Compared to other college-bound students in his or her secondary school class, how do you rate this student in terms of: Below Average Average Good (above average) Very Good (well above average) Excellent (top 10%) Outstanding (top 5%) One of the top few encountered in my career Creative, original thought âÅ"â Motivation âÅ"â Self-confidence âÅ"â Independence, initiative âÅ"â Intellectual ability âÅ"â Academic achievement âÅ"â Written expression of ideas âÅ"â Effective class discussion âÅ"â Disciplined work habits âÅ"â Potential for growth âÅ"â You can see right away that her remarks are terser. She didnââ¬â¢t even fill out the section about ââ¬Å"first words that come to mind to describe this student.â⬠You might chalk this up to my not being as standout of a student in her mind, or her just getting tired of recommendation letter requests every year. In ratings, I earned three of the ââ¬Å"one of the top in my careerâ⬠for "Motivation," "Independence, initiative," and "Intellectual ability." The rest are marked as Outstanding (top 5%). These are overall great ratings, but not as universally "top ever" compared to my AP Chemistry teacher. There are a few explanations for this. As a teacherââ¬â¢s career lengthens, it gets increasingly hard to earn this mark. Since Mrs. Swift was a lot older than Miss Vorak, she had run through a ton of students already, which makes it harder to be one of the top few ever encountered. I probably also didnââ¬â¢t stand out as much as I did to my Chemistry teacher ââ¬â most of my achievement was in science (which she wasnââ¬â¢t closely connected to), and I had talented classmates. Regardless, I did appreciate the 3 marks she gave me. Now, the letter. Once again, as you read this letter, think: what are the hundreds of interactions, in the classroom and outside, that would have led to a letter like this? To Whom It May Concern: It is with great pleasure that I recommend Allen Cheng for admission to your school. In my three years of working with him, he has demonstrated the qualities necessary for high success in the demanding academic atmosphere of a high caliber university as well as the social skills needed to be successful in college. Academically, he is an extremely strong student, earning an A both semesters in AP Junior English (a feat few accomplish), and Aââ¬â¢s throughout his high school career. He consistently exhibits dedication and vigor in all that he approaches. He is a member of the National Honor Society, the California Scholarship Federation, and an integral part of the Jisan Research Institute. He is a vital member of all that he is a part of. Outside of the classroom, Allenââ¬â¢s passion is for research. He has a brilliant and lightning quick mind; he is a fantastic scientist, one with great charisma and leadership skills. Though he is a year younger than the rest of his class, he is heads and shoulders above them. He has been more than ready for all that a major university has to offer for quite some time. Perhaps one of Allenââ¬â¢s most outstanding characteristics is his independence of thought and his willingness to express those thoughts. In other situations where students-would never speak their minds, he showed no hesitation to voice questions, thoughts, and ideas. He was always an active participant in class discussions, his animated character and controversial positions often being the spark that set off the entire class to an impassioned and heated period of arguing, often with him at the focal point of one side or another. His other qualities are of equal magnitude ââ¬â his leadership skills came to forefront in group projects where he took charge, assuming the majority of the work and responsibility, ensuring that everything was completed in a timely manner and to his extremely high standards. He also has the ability to take the quiet and shy student and actively engage him or her, transforming that student into an active member of the class. I went out of my way to partner him with other students who needed this kind of attention and encouragement. Another quality that sets him apart from other student leaders is his strength of conviction. He will argue on any topic that has touched a nerve. He breathes with raw, unbridled passion. It is a rare gift in a person of any age; in someone just 16, it is breathtaking. He is honest, never stooping to cheat; he is entertaining, relying on wit, knowledge, and intelligence to persuade. Friends rely on him; he is attentive to their true needs. Teachers enjoy him in their classes. I recommend Allen completely, with no hesitation. He will make his mark and be known. Judith Swift Overall, this letter is very strong. Itââ¬â¢s only one page long, but she spends a lot more time on my personal qualities. She writes with her characteristic flair: ââ¬Å"In other situations where students would never speak their minds, he showed no hesitation to voice questions, thoughts, and ideas.â⬠ââ¬Å"controversial positions often being the spark that set off the entire classâ⬠ââ¬Å"ability to take the quiet and shy student and actively engageâ⬠â⬠¦Ã¢â¬ went out of my way to partner him with other students who neededâ⬠ââ¬Å"strength of convictionâ⬠â⬠¦Ã¢â¬ raw, unbridled passionâ⬠â⬠¦Ã¢â¬ He will argue on any topic that has touched a nerve.â⬠These comments support my personality strongly. I lean more towards an irreverent, straightforwardpersonality, not being afraid to speakmy mind.While this came across in my personal essays and application, an experienced teacher vouching for this adds so much more weight than just my writing it about myself. Again, this impression was built up over a year of her teaching me. It wasn't just one time I stopped by after class. It was continuous participation in class discussions, strong performance throughout the year, and likely observations of me when I didn't know she was even looking. With my two letters in mind, let's end with advice for how you can get the best college rec letters possible. How You Can Get the Best Recommendation Letters from Your Teachers By now, I've repeated my most important advice for you a few times. The important thing is that the advice sticks in, and that you actually practice it. The best recommendation letters for students gush about your personal qualities and why that makes you the promising beacon of the future. You can't trick a teacher into writing a strong letter for you. This is the wrong attitude to have, and most teachers will be able to sniff out insincerity. Don't think that you can just stop by after class three times and get the teacher to be your buddy. Instead, your teacher's impression of you is built up over hundreds of interactions - in class discussions, in group projects, in your homework, during presentations, when arguing about test scores, and even when you think she's not listening. If you honestly like learning and are an enthusiastic, responsible, engaging student, a great recommendation letter will follow naturally. The horse should lead the cart. With all this in mind, here are strategies for how you can build great relationships with your teachers and get super strong letters along the way: Starting sophomore year, identify 2-3 teachers each year you get along with. Have at least one in math/sciences, and another in the other subjects. You won't get letters from all of them, but you do want backups in case your top choice writers don't work out. Prepare well for class discussions, and don't be afraid of sounding dumb. Speak your mind and your teacher will remember it. As a teaching assistantin college and grad school, I can tell you firsthand how annoying it is to ask the class a question and have no one respond. Prep beforehand and show that you're one of the few students who actually cares about learning. In your interactions with teachers, focus on improving yourself and learning, not on getting a better grade.This applies to talking about grading, group projects, and learning what's on a test. Students who grovel for extra points on a test are really annoying. In contrast, students who try to figure out where their weaknesses are and how to improve for the future are really fun to work with. Try to make the teacher's life easier.If you can help the teacher save time, she'll love you for it. This might mean helping out classmates who are struggling, sharing notes with the class, or noticing problems she's having and trying to fix them. This will take sustained effort and energy, but it's the most reliable way to get very strong recommendation letters. Even more, you'll likely have a lot more fun in school, and you'll build a strong relationship with an adult mentor who can teach you a lot. For a lot more detailed advice like this on how to interact with teachers earnestly, check out my How to Get a 4.0 GPA and Better Grades guide. Keep Reading to Build Your College Application Do you like my advice in this guide? Great - I've written a lot more to help you build the strongest college app possible. Want more recommendation letter samples? Check out 4 more excellent recommendation letters from teachers. How to Get a Perfect SAT Score/How to Get a Perfect ACT Score Do you feel like your SAT/ACT score is lower than what your top colleges are looking for? As someone who got a perfect score on the SAT and ACT, I learned important strategies to notice your weaknesses and drill to improve them. Read these guides to boost your SAT/ACT scores. Also, check out my series on getting perfect scores in each of the sections on the SAT/ACT: SAT 800 Series: Reading | Math | Writing ACT 36 Series: English | Math | Reading | Science How to Get Into Harvard and the Ivy League Aiming for a top school like Harvard, Stanford, Yale, or Ivy League-level schools? Your impression of what they're looking for might be COMPLETELYwrong. In this guide, you'll learn: why collegesexist, and what that means for what students they're looking for why being well-rounded is the path to rejection what an application Spike is, and why it'll get you into every college you apply to how to develop a Spike of your own If you're aiming for top tier colleges, this is a must read for you. How to Get a 4.0 GPA and Better Grades Do you feel like you're struggling to balance a rigorous courseload with good grades? You're not alone - this is a challenge for many high school students nationwide. In this guide, I'll tell you everything I know about how to get good grades. This includes mindset and psychology; study habits you need to have; and individual subject strategies. Even if you're not aiming for a 4.0 GPA, this is well worth the read - you'll learn something that can save you hundreds of hours of study time. Want to improve your SAT score by 160 points or your ACT score by 4 points?We've written a guide for each test about the top 5 strategies you must be using to have a shot at improving your score. Download it for free now:
Wednesday, November 20, 2019
The Role of Safeguards in Strengthening Independence Essay - 1
The Role of Safeguards in Strengthening Independence - Essay Example While this is so, manipulation of the auditing bodies is completely inevitable as these bodies are appointed and paid by the client. However, it is possible to optimize independence by neutralizing the threats that put independence at stake. Some threats that affect independence include self interest threats, self review threat, management threats, advocacy threats, familiarity threats and intimidation threats. In this light, designing and deploying effective safeguards will increase the level of auditor independence to and ensure integrity in their work. This can be achieved through the mandatory auditor rotation, peer review, independent auditor appointing, free setting and formulation of effective audit committees. Mandatory Auditor Rotation Mandatory auditor rotation is the act of compelling all financial organizations to adopt and engage a different auditor each financial year to avoid the preference of a single auditor. Often, the management prefers to hire the same auditors every year to ensure that they are able to manipulate them to provide audit results that conform to the will of the management (Chung 2004, p. 8). This inclination of the audit results to the management's opinion undermines independence and reduces the integrity of the end results. In this view, mandatory auditor rotation will ensure that the familiarity and the management threats are suppressed and the audit bodies have a better chance to provide results that reflects the true image of the organization (Chung 2004, p. 8). According to Forbes (2013, Para. 2), the US House of Representatives voted for mandatory auditor rotation as one way of setting the audit bodies free from manipulation. Peer Review In a peer review audit, after the principal au ditor completes the audit process, other qualified professionals evaluate the work to verify its integrity and ensure that the financial statements are in accordance with those of the financial investors. This is a quality assurance process that aims at reducing any errors that may have occurred during the initial accounting process. In addition, this helps to reduce any form of data manipulation that may have been done intentionally under the influence of any independence threat (Allen and Siegel, 2002). Although this process may be quite expensive, it ensures that independence threats are neutralized and more credible results are attained. Independent Auditor appointing and free setting In this process, the role of appointing a professional auditor is withdrawn from the financial investor or client and dedicated to another body. The International Organization of the security commission (2002) states that the role of client in appointing the auditor provides a weakness in the indep endence of the audit results. Often, organizations will choose those auditors that they feel are easy to manipulate or threaten to ensure that they are able to cover up or pursue personal interests by imposing their own opinions on these professionals. To reduce this threat, an independent appointing body should be constituted to ensure that familiarity threats are eliminated by selecting professionals that are least affiliated to the firms. For instance, the government agencies can be chosen to appoint audit bodies for financial investors. Alternatively, shareholder committees should be formulated to take up this role of appointing a credible professional audit body that can provide credible results. In essence, giving this role to an
Tuesday, November 19, 2019
What is the reason behind the success of Open Source Essay
What is the reason behind the success of Open Source - Essay Example For software to become popular there is need to have a large pool of users. Many users ensure that the software penetrates communities at a higher momentum which in turn creates a snowball effect. Open source software needs also to be compatible with the end usersââ¬â¢ needs. It is important to note that consumers of software products need to be protected to a certain degree by developers. However, this liability is not that tight in open source programs. An example is Linux which comes with no warranty or liability clauses and consumers are forced at times to stay with their problems. This reduced obligation by the corporate in respect to functionality or failures of the system makes many engage in open source development. Again in the corporate scenario there are time limits within which problems need to be fixed in case of failures. Open source developers usually save on cost in this respect by having another party make changes or offer support at a small fee. An example of thi s arrangement is Linux and Red Hut. Licensing of open source receives relaxed regulations for example from Free Software Foundation. These regulations make it possible to integrate technical support from a pool of experts. Therefore, for an open source to be adopted by many, programmers are supposed to integrate their resources in bridging the gap of consumer needs. Source Management There is a great deal of difference when an individual develops software and when a pool of programmers develops the same. One person is highly likely to overlook many aspects that are necessary in making the software compatible with the needs of the end user. It is however a challenge to have many developers scattered all over the world doing parallel jobs but it is even worse when there are many development streams involved. This is the case with Linux where the support team is required to deal with various end user preferences all at the same time. In software development and fixing of bugs one chang e can lead to changes in many other segments of the system. This problem has however been simplified in the last decade or so owing to the availability of high speed internet connectivity at low cost for example the AOL (Rehman & Carleton University, 2006). This makes testing of changes faster and efficient. In overall, the free or low cost connection coupled with high speeds provide for the execution of real time changes. This in turn promotes usage and access for many people; both end users and programmers from around the world. Development Environment In developing open source three things are necessary; network, software and the hardware. It is a fact that more people today are able to access internet at the comfort of their homes than it was the case a decade ago. It is however important to note that programmers mostly require high speeds to do their job efficiently. Cable internet in many countries and expanded bandwidth per user, especially at home have hugely increased the n umber of developers. These two factors act as motivators for programmers to take their time to develop software. The hardware on the other hand has changed over the years. Pentium III has been replaced by Pentium IV and now Duo Core machines are in the market. The hardware efficiency and capability to handle huge tasks are other factors to consider. Developers not only require high internet speeds but also high speed machines. There are pieces of software that are more complex than others therefore requiring high speed machines with big hard drive; all of which are possible nowadays. These current capabilities are in line with the increasing sophistication in integrating software development. However, Eclipse IDE is an example of a facilitator which enables programmers to use various operating systems (Rehman & Carleton University, 2006). Through this technology developers are able to scan libraries for materials with increased flexibility and ease. Such software
Saturday, November 16, 2019
Fiction and Literary Works Essay Example for Free
Fiction and Literary Works Essay With that said, it is important to remember that all literary works cannot always be easily classified into a single genre. Moreover, literary works which might be classified as belonging to one genre might possess many qualities more typical of other genres. For example, Shakespeareââ¬â¢s Macbeth is classified as drama, but in many respects takes the form of poetry. In other words, sometimes the differences between categories like drama, poetry, and the short story are not so easily defined. Often a short story might contain poetic or dramatic qualities, or a poem might include narrative and dramatic features. In your post, summarize the major similarities and differences between the forms of drama, poetry, and the short story. Demonstrate your ideas with textual examples from the course readings. In your response, include at least one example of each literary form. If you wish, you may also point to examples which indicate the blurring of literary genres (e. g. , the poetic qualities of Macbeth or the dramatic elements of Gift of the Magi). There are so much to say when it comes to similarities with drama, poetry and a short story. Personally I see that all three have some subliminal message for the audience whether it is lessons learn or an experience personal to the writer. In literary perspectives, like mentioned above, sometimes a poem or short story can merge with another genre such as drama. An example of a short story that can be drama is perhaps ââ¬Å"The Necklaceâ⬠because the story is about a lady who borrows and loses something her friend lent her and went through so much trouble to replace it instead of coming clean with the friend. A drama is meant to have characters that perform and we see this is a short story known as ââ¬Å"Iââ¬â¢m Goingâ⬠where we see the characters clearly speaking and also we get narrative information to help the audience understand the plot and setting. Poetry is written in different formats or rhythms but can also tell a story but does not always have a plot. All have some sort of tone to set the seriousness or relax humor of the literary work. ââ¬Å"My Papaââ¬â¢s Waltzâ⬠is a poem which tells a story of a father and son yet there are also dramatic features as the story is told.
Thursday, November 14, 2019
Titanium Essay -- Biology, Biomaterial, TNA
1. INTRODUCTION: Titanium has played a successful biomaterial in biomedical application especially for orthopedics (bone-anchoring systems), dentistry, drug delivery, and nanotherapeutics in treating bone cancer and arthritis. One of the treatments of bone cancer patients is the replacement of cancerous bone with implant material. The current implant materials have implemented coating technology (such as Calcium phosphate or hydroxyapatite) which gives good cytocompatibilty but over the time it gets encapsulated with the surrounding bone cells and lead to poor osseointegration. An augment of current implant material, we used nanotechnology application tailoring nanoscale topography on conventional implant material into TNA by anodization process. Our aim is to study the cellular interaction of the cells attached to the TNA material compared to several selected control material such as TiP (pure Titanium without surface modification), glass slides other alloy that commonly been used as implant materia l in human. This study is important in order to study whether this material is save from any genotoxicity or oncogenic effect before been use as human implant material. We have performed several preliminary studies, of the cells culture with TNA compared with control material. The morphology characterization by SEM (Scanning Electron Microscope) result shown cells spreading and cytoplasmic extension of cells, but not able to observe neither filipodium nor lamellipodium of the cells cultured on the TNA if compared to the test-control material. We hypotheses these cytoplasmic extensions could penetrate inside the nanotubes cylindrical-like structure. From this we suggested the TNA topography may assist the protein adsorption and pro... ...both numerical and structural chromosome changes and can give risk to cancer (Stewenius, Y., et al. 2005). 3.4 Potential application in cancer treatment From several previous studies have shown, this TNA technology have a potential application in cancer treatment. Mainly in bone cancer treatment, where we can used as implant material to replace the bone lost due to the cancer. Besides study by Enrique Meleà ´ndez (2002) have reported this titania technology have potential as chemotherapeutic agent. Lee, C., et al (2010) also supported Enrique Meleââ¬â¢ndez study, where they concluded that this titania have potential therapeutic application for cancer thermotherapy due to the excellent photothermal properties and high biocompatibility. Therefore our study is important, in order to prove whether the titania is save to be used in this medical treatment application.
Monday, November 11, 2019
Spinal Cord Injuries And Treatments Health And Social Care Essay
IntroductionMusculoskeletal system is an organ system that includes bone and gristle, musculuss, sinews, ligaments and articulations. Low back spinal column hurts can be breaks which affect the bone, herniation which affect the disc, sprain which affects ligaments or musculuss. ( Truumees, 2007 ) . Common hurts of the spinal column are associated with falls from a tallness and motor vehicle accidents. When a force is exerted to the lumbar spinal column and exceeds the stableness and strength of the spinal column it consequences in a break. ( Nadalo, 2007 ) . In injury this can ensue in encroachment of the nervousnesss and can do cauda equina syndrome. Cauda equina syndrome involves failing in the legs, vesica palsy and intestine. ( Larson & A ; Maiman, 1999 ) . Harmonizing to Truumees 2007, there is a scope of breaks that are linked with the spinal column. These scope from compaction breaks, where the bone collapses to when pieces of bone explode into the tissue known as explosion breaks. Fracture disruptions are the worst as the castanetss interruption and skid off from each other, ligaments are torn as good. Normally these state of affairss require surgery. Primary imagination protocol for look intoing spinal pathology comprises conventional skiagraphy, CT, and MRI. ( Kim, 2009 ) .Anatomy part:The spinal cord extends from the hiatuss magnum to L1-L2 phonograph record infinite. It is uninterrupted with the myelin oblongata and terminates in the conus medullaris. Below this degree the nerve roots running inferiorly are jointly called the cauda equina. The cauda equina tallies within the spinal canal, which is bordered interiorly by the vertebral organic structures and posterior by the dorsal bony arch, ( Vaccaro, 2003 ) . The membranous beds covering the spinal cord are referred to as the meninxs. The meninxs consist of three beds ; the Dura, arachnoid and Indian arrowroot mater. The Dura is attached interiorly to the posterior longitudinal ligament. The Indian arrowroot mater is composed of a superficial bed epi-pia and a deep bed pia-glia, ( Clark & A ; Letts, 2001 ) . The first alterations evident in spinal cord anatomy following traumatic hurt are punctate bleedings in the grey and white affair. The motion of the lumbar spinal column is mostly confined to flexure and extension with a minor grade of rotary motion. The part between the superior articular procedure and the lamina is the pars interaticularis, ( Nadalo, 2007 ) .PathophysiologyAs indicated above the breaks of the lumbar spinal column occur any clip the combined forces of compaction, distraction, and rotary motion exceed the strength of the spinal column. The prevailing force determines the nature of the break disruption. It is common that axial rotary motion occurs in the upper lumbar part. With great rotational forces, subluxation and a combined break occur and this consequences with the hurt to the conus medullaris. Compaction of the conus medullaris and nervus roots consequences in failing and hurting, ( Clark & A ; Letts, 2001 ) . Any hurt that involves the spinal cord is serious. If the conus medullaris is injured patients will hold jobs with the intestine, vesica and sexual map. A group of single nervousnesss called cauda equina are found below the conus medullaris. Pressure on these nervousnesss can do long term leg failing, intestine and vesica jobs therefore is treated as an exigency, ( Truumees, 2007 ) . Spinal intervertebral phonograph record distribute the forces that travel through the whole spinal column. They lie between two next vertebral organic structures and act as daze absorbers. Disc herniation or ecstasies occur when the inner nucleus pulposus ruptures through the diminished ring ( outer beds ) of the phonograph record. Disc herniation in the lower dorsum can be due to trauma. Symptoms include lower back hurting, leg hurting, numbness or weakening and prickling of one or both legs. In serious instances nervousnesss to the intestine and vesica can be compressed taking to incontinence, ( Knaub, 2007 ) . Compaction from big cardinal lumbar phonograph record herniation at L4/5 and L5/S1 degree is a common cause of cauda equina. Thickening of the ligamentum flavum and degenerative alterations as a consequence of spinal stricture is another cause of cauda equina. Spinal hurt with breaks or subluxation is another less common cause. Compaction can besides be caused by spinal tumor of metastatic lesions, ( Lavy, James, Wilson-MacDonald & A ; Fairbank, 2009 ) . The symptoms are less prognostic although they are associated with the damage of the vesica, intestine and sexual map and to some extend perianal ( saddle numbness ) . Cauda equina consequences from disfunction of many sacral and lumbar nervus roots. It is besides believed to be caused by interverbral phonograph record herniation. Loss of perianal sensory and sphincter perturbation and this could be with or without urinary keeping. Complete cauda equina has established urinary keeping or flood and uncomplete cauda equina there is decreased urinary esthesis, ( Lavy, James, Wilson-MacDonald & A ; Fairbank, 2009 ) . With disc herniation, if the degenerative procedure advancements, little circumferential crevices develop in the fibrosus, which subsequently coalesce to organize radial, tear. Differentiation between focal bulge of disc stuff and a circumferential expansion is of import, as the former is typically treated surgically, whereas the later can be treated cautiously. Disc herniat ion refers to a focal, uncomplete extension of the contents of the nucleus pulposus through an uncomplete tear of the annulus fibrosus, ( Lee, 2006 ) .Brief lineation of Imaging techniques/protocolsImagination ProbeImagination of the spinal column can be performed by conventional skiagraphy ( CR ) , ultrasound ( US ) , computerised imaging ( CT ) , digital minus angiography ( DSA ) or magnetic resonance imagination ( MRI ) . With conventional skiagraphy, anteroposterior ( AP ) , sidelong and oblique projections of the vertebral column should be obtained. CR provide valuable information sing bony constructions of the spinal column, facet articulations, phonograph record infinites, and foramina while limited information sing the paraspinal soft tissues can be obtained. The spinal cord is good seen with US in the first few months of life, ( Browner, 2003 ) . Multislice CT demonstrates the vertebral column, vascular constructions and disc really good together with better visual image of the spinal cord and paraspinal soft tissues while conventional CT demonstrates the vertebral organic structure and posterior elements really good with merely limited visual image of the soft tissue and spinal cord. DSA is still the gilded criterion for imaging and interventional processs of spinal vascular constructions. DSA is clip devouring, invasive technique that has the disadvantages of high degrees of radiation. MRI imagination has become the mode of pick for imagination of the spinal cord, thecal pouch, nervus roots, extradural infinite, vascular constructions, nervous hiatus, vertebral organic structure, intervertebral phonograph record, facet articulations, spinal ligaments and paraspinal soft tissue, ( Goethem, Hauwe & A ; Parizel, 2007 ) . Injury patients with hurting in the lumbar sacral part necessitate sidelong and AP radiologic positions. If these surveies are negative but clinical symptoms are impressive, farther imagination by CT is indicated. CT is helpful in characterizing complex hurts such as break disruptions and in separating burst breaks from anterior compaction breaks. Acute oncoming of radicular symptoms after acute injury may justify CTM or MRI to except acute intervertebral phonograph record herniation, ( Browner, 2003 ) .Diagnostic value including image visual aspectsPLAIN FILM RAD OF THE LUMBAR SPINE:Radiographic rating starts with the AP and sidelong radiogram. When clinically inappropriate a horizontal beam with the patient recumbent is taken alternatively of the sidelong place. Initial rating of the overall alliance of the thoracolumbar junction and lumbar spinal column is clearly assessed with a sidelong skiagraphy taken in the supine place. Many breaks demonstrate non merely a comminution of the vertebral organic structure but besides a local country of humpback. Oblique projections should be obtained merely when the AP and sidelong radiogram are inconsistent with the clinical rating. The patient ââ¬Ës status must besides let the rotary motion into the oblique place. The oblique projections provide first-class visual image of the pars interaticularis and the aspect articulations, ( Browner, 2003 ) . When viewed in an oblique projection, the lineation of the aspects and the pars interaticularis appear like the cervix of a Scottie Canis familiaris, ( Nadalo, 2007 ) . Soft tissue swelling may bespeak a break even if the break is non straight visualized. Structures that are best seen on the oblique positions include the cross procedure and pedicel on the dependent side and the pars interaticularis. Plain X beam is advantageous as it is readily available and cheap. It besides provide a rapid appraisal of a specific spinal part and depending on the patient ability, weight bearing and dynamic positions possibly obtained. Conventional skiagraphy is utile in corroborating normal osteal constructions, vertebral alliance and structural unity of the spinal column, ( Devlin, 2003 ) . On the contrary field x beam has low sensitiveness and specificity in placing diagnostic spinal pathology. It can non visualize nervous constructions and other soft tissue lesions ( disc herniation ) . It is limited in the diagnosing of early phase tumor or infection because important bone devastation must happen before a radiographic abnormalcy is noticeable, ( Devlin, 2003 ) .CT OF THE SPINECT allows images to be obtained in any plane to show the pathology in inquiry. Multi-planar computed imaging is CT with routinely obtained sagittal and coronal reformatted images. Multi-planar CT including three dimensional CT is presently the imagination technique of pick for spinal hurt. The value of CT is in the axial image, which demonstrates the nervous canal and the relationship of the break fragments to the canal. Axial information obtained in the supine patient are converted electronically into images displayed in the sagittal and coronal planes, without necessitating motion of the patie nt. ( Browner, 2003 ) Thin-section axial CT scanning with a bone algorithm is the individual most sensitive agencies by which to name breaks of the lumbar spinal column. Everyday coiling CT scans of the lumbar spinal column are valuable because multi-section CT scanners can bring forth high-resolution spinal images, even during a primary multi-systemic rating for injury. Good-quality CT images can be used to place more lumbar spinal column hurts than conventional radiographic surveies, ( Oskouian, & A ; Johnson, 2002 ) . CT is known to be the best for bone anatomy appraisal and the usage of multiple transverse sectional images which can be reconstructed to supply images in extraneous planes is an added advantage. It is the chief replacement when MRI is contraindicated, ( Devlin, 2003 ) . The disadvantages of CT follow the exposure to ionising radiation. It provides hapless word picture of nervous elements and next constructions. Ligaments, phonograph record, dural pouch, and nervus roots appear as different sunglassess of grey. Significant pathology can be missed. Sagittal images are non routinely reconstructed at many establishments, ( Devlin, 2003 ) .MRI OF SPECIFIC ACUTE SPINE INJURY:MRI is alone in its ability to observe acute hurt to the spinal cord. Fat appears bright on T1 images and less bright on T2 images. T1 images are good for measuring constructions that contain fat, bleeding or proteinaceous fluid as they demonstrate high signal. T2 images are leaden towards H2O. Water appears bright on T2 images and dark on T1 images. T2 images are most utile in contrasting normal and unnatural anatomy, ( Devlin, 2003 ) . Atlas 2008, suggest that cord odema appears isointense in relation to the normal spinal cord on T1-weighted spin reverberation images but becomes brighter than normal spinal cord on T2-weighted image sequences. MRI signals have the ability to place the histopathology of acute spinal cord hurt. MRI depicts normal ligaments as parts of low signal strength because of deficiency of nomadic H. Break of the ligament is seen on MRI scans as an disconnected break of the low signal, ligament fading or stretching of ligament, association of a lacerate ligament with an attached avulsed bone fragment, ( Browner, 2003 ) . The focal point is normally on spinal constructions when construing spinal column MRI scrutinies and merely the everyday sagittal and axial images are used. Coronal lookout images are acquired for localization of function intent before each everyday lumbar spinal column MRI scrutiny. This everyday normally includes the hip articulations and proximal thighbones, ( Lavelle & A ; Bell, 2007 ) . Acute intervertebral phonograph record herniation may attach to breaks or disruptions or may happen as an stray lesion. If the phonograph record impinges on the spinal cord or roots, a neurologic hurt may ensue. MRI presentation of a single-level acute intervertebral phonograph record herniation is important in surgical direction in spinal injury to optimize neurologic recovery, ( Browner, 2003 ) . Lumbar spinal column MRI can show many vertebral breaks and most abnormalcies of alliance. MRI is superior to CT in the designation of indirect marks of a break such as pre-cervical hydrops or bleeding, extradural hemorrhage, and sprains of the paraspinal and intra-spinal ligaments. Associated hurts to intracranial constructions are evaluated better by utilizing MRIs than by utilizing CT images, ( Jarvik, Bowen & A ; Ross, 2001 ) . MRI avoids ionising radiation and provides imaging in extraneous planes which makes it advantageous over other modes. It can be used to visualize an full spinal part and avoids missed pathology at passage zones between next spinal parts. It besides provides keen soft tissue item and first-class visual image of intrathecal nervous elements. MRI is sensitive to marrow abnormalcies, ( Atlas, 2008 ) . Contrary MRI does non specify osteal anatomy every bit good as CT. Implanted devices are contraindications to MRI and claustrophobic patients may hold trouble because of the little diameter of the imagination machine, ( Devlin, 2003 ) .Contribution to direction and intervention of the disease ( including consideration of patient issues and the wider context of healthcare proviso )Treatment and Management:The chief intervention for unstable lumbar spinal column breaks is surgical arrested development with spinal canal decompression as needed. A posterior attack involves pedicular arrested development in which 2 sections are fused. The process consequences in both fracture decrease and arrested development. The injured vertebra is grafted through the pedicel. Clearance of bone fragments from within the spinal canal is an of import end for most surgical attacks to lumbar spine breaks. Patients with complete paraplegia can be expected to stay unchanged. As for cauda equina syndrome surgical decompression is recommended after verification by MRI imagination of reversible cause of force per unit area. ( Lavy, James, Wilson-MacDonald & A ; Fairbank, 2009 ) .Research/Developments within diagnostic imagination ( lending to the above )New MR imaging techniques such as diffusion ( DWI ) , perfusion ( PWI ) , functional imagination ( FMRI ) and magnetic resonance spectrometry ( MRS ) provide more specific, elaborate and physiological information about the spinal column and spinal cord and besides enable quantitative rating. Contrast enhanced ( high dosage ) spinal MRA is a really promising technique, peculiarly for testing scrutinies of the spinal venas and arterias. ( Goethem, Hauwe & A ; Parizel, 2007 ) . The betterments in CT engineering, introduced with coiling CT and the newer multi-detector array systems create the potency for CT to supply showing of the thoracic and lumbar spinal column as portion of a everyday thoracic pit and abdominal-pelvic CT survey in a multiple injury patient. Single-slice or coiling CT used in concurrence with lookout AP and sidelong radiogram may finally supply more accurate designation of lumbosacral hurts than is achieved with conventional skiagraphy, ( Browner, 2003 ) . The development of the multi-slice CT engineering with 0.5 2nd gauntry rotary motion allows up to eight axial images to be acquired per second is expected to spread out to more images per second in the close hereafter. Addition of more sensor arrays is anticipated to take to farther additions in the velocity of image acquisition and betterments in image quality, ( Browner, 2003 ) . Bone scan utilizing RNI and extra trials will include Bone densitometry. Dual energy x-ray absorptiometry ( DEXA ) is used to measure bone mass Truumees, E. ( 2007 ) . Understanding lumbar spinal column injury. United States: Stryker Devlin, V. J. , 2003. Spine secrets. Elsevier Health Sciences Nadalo, L. A. , 2007. Lumbar spinal column, injury. Texas, USA: American College of Radiology. Larson, S. J. and Maiman, D. ( 1999 ) . Surgery of the lumbar spinal column. New York: Thieme Vaccaro, A. R. ( 2003 ) . Fractures of the cervical, thoracic, and lumbar spinal column. United Kingdom: Informa Health Care Knaub, M. A. ( 2007 ) . Understanding lumbar phonograph record herniation. United States: Stryker Kim, H. S. , ( 2009 ) . Critical hip upsets show up on spinal imagination surveies: Lookout images illuminate excess spinal lesions, guide scrutiny and assist forestall misdiagnosis of back hurting. The diary of musculoskeletal medical specialty ( UBM Medica ) : Diagnostic Imaging Asia Pacific. Vol. No. July 1, 2009. Lavelle, W. F. and Bell, G. R. Musculoskeletal conditions that may mime spinal pathology, a diagnostic quandary. SpineLine 2007 ; 8 ( 6 ) :14-20 BMJ 11/04/2009 volume 338 Lavy, C. , James, A. , Wilson-MacDonald, J. and Fairbank, J. 2009. Cauda equina syndrome. Goethem, J. W. M. , Hauwe, L. and Parizel, P. , ( 2007 ) . Spinal imagination: Diagnostic imagination of the spinal column and spinal cord. Germany: Springer Berlin Heidelberg. Browner, B. D. , ( 2003 ) skeletal injury: basic scientific discipline, direction, and Reconstruction. USA: Elsevier Health Sciences Lee, J. K. T. , ( 2006 ) . Computed organic structure imaging with MRI correlativity. Philadelphia, USA: Lippincott Williams & A ; Wilkins Clark, P. and Letts, M.A Trauma to the thoracic and lumbar spinal column in the adolescent.A Can J Surg.A OctA 2001 ; 44 ( 5 ) :337-45.A [ Medline ] . Atlas, S. W. , 2008. Magnetic resonance imagination of the encephalon and spinal column. Lippincott Williams & A ; Wilkins. Oskouian, R. J. and Johnson, J.P.A Vascular complications in anterior thoracolumbar spinal reconstruction.A J Neurosurg.A JanA 2002 ; 96 ( 1 Suppl ) :1-5.A [ Medline ] . Jarvik, J.G. , Bowen, B. and Ross, J. , 2001. Practice guideline for the public presentation of magnetic resonance imagination ( MRI ) of the grownup spinal column. ACR pattern guidelines and proficient criterions 2001. Spinal Cord Injuries And Treatments Health And Social Care Essay IntroductionMusculoskeletal system is an organ system that includes bone and gristle, musculuss, sinews, ligaments and articulations. Low back spinal column hurts can be breaks which affect the bone, herniation which affect the disc, sprain which affects ligaments or musculuss. ( Truumees, 2007 ) . Common hurts of the spinal column are associated with falls from a tallness and motor vehicle accidents. When a force is exerted to the lumbar spinal column and exceeds the stableness and strength of the spinal column it consequences in a break. ( Nadalo, 2007 ) . In injury this can ensue in encroachment of the nervousnesss and can do cauda equina syndrome. Cauda equina syndrome involves failing in the legs, vesica palsy and intestine. ( Larson & A ; Maiman, 1999 ) . Harmonizing to Truumees 2007, there is a scope of breaks that are linked with the spinal column. These scope from compaction breaks, where the bone collapses to when pieces of bone explode into the tissue known as explosion breaks. Fracture disruptions are the worst as the castanetss interruption and skid off from each other, ligaments are torn as good. Normally these state of affairss require surgery. Primary imagination protocol for look intoing spinal pathology comprises conventional skiagraphy, CT, and MRI. ( Kim, 2009 ) .Anatomy part:The spinal cord extends from the hiatuss magnum to L1-L2 phonograph record infinite. It is uninterrupted with the myelin oblongata and terminates in the conus medullaris. Below this degree the nerve roots running inferiorly are jointly called the cauda equina. The cauda equina tallies within the spinal canal, which is bordered interiorly by the vertebral organic structures and posterior by the dorsal bony arch, ( Vaccaro, 2003 ) . The membranous beds covering the spinal cord are referred to as the meninxs. The meninxs consist of three beds ; the Dura, arachnoid and Indian arrowroot mater. The Dura is attached interiorly to the posterior longitudinal ligament. The Indian arrowroot mater is composed of a superficial bed epi-pia and a deep bed pia-glia, ( Clark & A ; Letts, 2001 ) . The first alterations evident in spinal cord anatomy following traumatic hurt are punctate bleedings in the grey and white affair. The motion of the lumbar spinal column is mostly confined to flexure and extension with a minor grade of rotary motion. The part between the superior articular procedure and the lamina is the pars interaticularis, ( Nadalo, 2007 ) .PathophysiologyAs indicated above the breaks of the lumbar spinal column occur any clip the combined forces of compaction, distraction, and rotary motion exceed the strength of the spinal column. The prevailing force determines the nature of the break disruption. It is common that axial rotary motion occurs in the upper lumbar part. With great rotational forces, subluxation and a combined break occur and this consequences with the hurt to the conus medullaris. Compaction of the conus medullaris and nervus roots consequences in failing and hurting, ( Clark & A ; Letts, 2001 ) . Any hurt that involves the spinal cord is serious. If the conus medullaris is injured patients will hold jobs with the intestine, vesica and sexual map. A group of single nervousnesss called cauda equina are found below the conus medullaris. Pressure on these nervousnesss can do long term leg failing, intestine and vesica jobs therefore is treated as an exigency, ( Truumees, 2007 ) . Spinal intervertebral phonograph record distribute the forces that travel through the whole spinal column. They lie between two next vertebral organic structures and act as daze absorbers. Disc herniation or ecstasies occur when the inner nucleus pulposus ruptures through the diminished ring ( outer beds ) of the phonograph record. Disc herniation in the lower dorsum can be due to trauma. Symptoms include lower back hurting, leg hurting, numbness or weakening and prickling of one or both legs. In serious instances nervousnesss to the intestine and vesica can be compressed taking to incontinence, ( Knaub, 2007 ) . Compaction from big cardinal lumbar phonograph record herniation at L4/5 and L5/S1 degree is a common cause of cauda equina. Thickening of the ligamentum flavum and degenerative alterations as a consequence of spinal stricture is another cause of cauda equina. Spinal hurt with breaks or subluxation is another less common cause. Compaction can besides be caused by spinal tumor of metastatic lesions, ( Lavy, James, Wilson-MacDonald & A ; Fairbank, 2009 ) . The symptoms are less prognostic although they are associated with the damage of the vesica, intestine and sexual map and to some extend perianal ( saddle numbness ) . Cauda equina consequences from disfunction of many sacral and lumbar nervus roots. It is besides believed to be caused by interverbral phonograph record herniation. Loss of perianal sensory and sphincter perturbation and this could be with or without urinary keeping. Complete cauda equina has established urinary keeping or flood and uncomplete cauda equina there is decreased urinary esthesis, ( Lavy, James, Wilson-MacDonald & A ; Fairbank, 2009 ) . With disc herniation, if the degenerative procedure advancements, little circumferential crevices develop in the fibrosus, which subsequently coalesce to organize radial, tear. Differentiation between focal bulge of disc stuff and a circumferential expansion is of import, as the former is typically treated surgically, whereas the later can be treated cautiously. Disc herniat ion refers to a focal, uncomplete extension of the contents of the nucleus pulposus through an uncomplete tear of the annulus fibrosus, ( Lee, 2006 ) .Brief lineation of Imaging techniques/protocolsImagination ProbeImagination of the spinal column can be performed by conventional skiagraphy ( CR ) , ultrasound ( US ) , computerised imaging ( CT ) , digital minus angiography ( DSA ) or magnetic resonance imagination ( MRI ) . With conventional skiagraphy, anteroposterior ( AP ) , sidelong and oblique projections of the vertebral column should be obtained. CR provide valuable information sing bony constructions of the spinal column, facet articulations, phonograph record infinites, and foramina while limited information sing the paraspinal soft tissues can be obtained. The spinal cord is good seen with US in the first few months of life, ( Browner, 2003 ) . Multislice CT demonstrates the vertebral column, vascular constructions and disc really good together with better visual image of the spinal cord and paraspinal soft tissues while conventional CT demonstrates the vertebral organic structure and posterior elements really good with merely limited visual image of the soft tissue and spinal cord. DSA is still the gilded criterion for imaging and interventional processs of spinal vascular constructions. DSA is clip devouring, invasive technique that has the disadvantages of high degrees of radiation. MRI imagination has become the mode of pick for imagination of the spinal cord, thecal pouch, nervus roots, extradural infinite, vascular constructions, nervous hiatus, vertebral organic structure, intervertebral phonograph record, facet articulations, spinal ligaments and paraspinal soft tissue, ( Goethem, Hauwe & A ; Parizel, 2007 ) . Injury patients with hurting in the lumbar sacral part necessitate sidelong and AP radiologic positions. If these surveies are negative but clinical symptoms are impressive, farther imagination by CT is indicated. CT is helpful in characterizing complex hurts such as break disruptions and in separating burst breaks from anterior compaction breaks. Acute oncoming of radicular symptoms after acute injury may justify CTM or MRI to except acute intervertebral phonograph record herniation, ( Browner, 2003 ) .Diagnostic value including image visual aspectsPLAIN FILM RAD OF THE LUMBAR SPINE:Radiographic rating starts with the AP and sidelong radiogram. When clinically inappropriate a horizontal beam with the patient recumbent is taken alternatively of the sidelong place. Initial rating of the overall alliance of the thoracolumbar junction and lumbar spinal column is clearly assessed with a sidelong skiagraphy taken in the supine place. Many breaks demonstrate non merely a comminution of the vertebral organic structure but besides a local country of humpback. Oblique projections should be obtained merely when the AP and sidelong radiogram are inconsistent with the clinical rating. The patient ââ¬Ës status must besides let the rotary motion into the oblique place. The oblique projections provide first-class visual image of the pars interaticularis and the aspect articulations, ( Browner, 2003 ) . When viewed in an oblique projection, the lineation of the aspects and the pars interaticularis appear like the cervix of a Scottie Canis familiaris, ( Nadalo, 2007 ) . Soft tissue swelling may bespeak a break even if the break is non straight visualized. Structures that are best seen on the oblique positions include the cross procedure and pedicel on the dependent side and the pars interaticularis. Plain X beam is advantageous as it is readily available and cheap. It besides provide a rapid appraisal of a specific spinal part and depending on the patient ability, weight bearing and dynamic positions possibly obtained. Conventional skiagraphy is utile in corroborating normal osteal constructions, vertebral alliance and structural unity of the spinal column, ( Devlin, 2003 ) . On the contrary field x beam has low sensitiveness and specificity in placing diagnostic spinal pathology. It can non visualize nervous constructions and other soft tissue lesions ( disc herniation ) . It is limited in the diagnosing of early phase tumor or infection because important bone devastation must happen before a radiographic abnormalcy is noticeable, ( Devlin, 2003 ) .CT OF THE SPINECT allows images to be obtained in any plane to show the pathology in inquiry. Multi-planar computed imaging is CT with routinely obtained sagittal and coronal reformatted images. Multi-planar CT including three dimensional CT is presently the imagination technique of pick for spinal hurt. The value of CT is in the axial image, which demonstrates the nervous canal and the relationship of the break fragments to the canal. Axial information obtained in the supine patient are converted electronically into images displayed in the sagittal and coronal planes, without necessitating motion of the patie nt. ( Browner, 2003 ) Thin-section axial CT scanning with a bone algorithm is the individual most sensitive agencies by which to name breaks of the lumbar spinal column. Everyday coiling CT scans of the lumbar spinal column are valuable because multi-section CT scanners can bring forth high-resolution spinal images, even during a primary multi-systemic rating for injury. Good-quality CT images can be used to place more lumbar spinal column hurts than conventional radiographic surveies, ( Oskouian, & A ; Johnson, 2002 ) . CT is known to be the best for bone anatomy appraisal and the usage of multiple transverse sectional images which can be reconstructed to supply images in extraneous planes is an added advantage. It is the chief replacement when MRI is contraindicated, ( Devlin, 2003 ) . The disadvantages of CT follow the exposure to ionising radiation. It provides hapless word picture of nervous elements and next constructions. Ligaments, phonograph record, dural pouch, and nervus roots appear as different sunglassess of grey. Significant pathology can be missed. Sagittal images are non routinely reconstructed at many establishments, ( Devlin, 2003 ) .MRI OF SPECIFIC ACUTE SPINE INJURY:MRI is alone in its ability to observe acute hurt to the spinal cord. Fat appears bright on T1 images and less bright on T2 images. T1 images are good for measuring constructions that contain fat, bleeding or proteinaceous fluid as they demonstrate high signal. T2 images are leaden towards H2O. Water appears bright on T2 images and dark on T1 images. T2 images are most utile in contrasting normal and unnatural anatomy, ( Devlin, 2003 ) . Atlas 2008, suggest that cord odema appears isointense in relation to the normal spinal cord on T1-weighted spin reverberation images but becomes brighter than normal spinal cord on T2-weighted image sequences. MRI signals have the ability to place the histopathology of acute spinal cord hurt. MRI depicts normal ligaments as parts of low signal strength because of deficiency of nomadic H. Break of the ligament is seen on MRI scans as an disconnected break of the low signal, ligament fading or stretching of ligament, association of a lacerate ligament with an attached avulsed bone fragment, ( Browner, 2003 ) . The focal point is normally on spinal constructions when construing spinal column MRI scrutinies and merely the everyday sagittal and axial images are used. Coronal lookout images are acquired for localization of function intent before each everyday lumbar spinal column MRI scrutiny. This everyday normally includes the hip articulations and proximal thighbones, ( Lavelle & A ; Bell, 2007 ) . Acute intervertebral phonograph record herniation may attach to breaks or disruptions or may happen as an stray lesion. If the phonograph record impinges on the spinal cord or roots, a neurologic hurt may ensue. MRI presentation of a single-level acute intervertebral phonograph record herniation is important in surgical direction in spinal injury to optimize neurologic recovery, ( Browner, 2003 ) . Lumbar spinal column MRI can show many vertebral breaks and most abnormalcies of alliance. MRI is superior to CT in the designation of indirect marks of a break such as pre-cervical hydrops or bleeding, extradural hemorrhage, and sprains of the paraspinal and intra-spinal ligaments. Associated hurts to intracranial constructions are evaluated better by utilizing MRIs than by utilizing CT images, ( Jarvik, Bowen & A ; Ross, 2001 ) . MRI avoids ionising radiation and provides imaging in extraneous planes which makes it advantageous over other modes. It can be used to visualize an full spinal part and avoids missed pathology at passage zones between next spinal parts. It besides provides keen soft tissue item and first-class visual image of intrathecal nervous elements. MRI is sensitive to marrow abnormalcies, ( Atlas, 2008 ) . Contrary MRI does non specify osteal anatomy every bit good as CT. Implanted devices are contraindications to MRI and claustrophobic patients may hold trouble because of the little diameter of the imagination machine, ( Devlin, 2003 ) .Contribution to direction and intervention of the disease ( including consideration of patient issues and the wider context of healthcare proviso )Treatment and Management:The chief intervention for unstable lumbar spinal column breaks is surgical arrested development with spinal canal decompression as needed. A posterior attack involves pedicular arrested development in which 2 sections are fused. The process consequences in both fracture decrease and arrested development. The injured vertebra is grafted through the pedicel. Clearance of bone fragments from within the spinal canal is an of import end for most surgical attacks to lumbar spine breaks. Patients with complete paraplegia can be expected to stay unchanged. As for cauda equina syndrome surgical decompression is recommended after verification by MRI imagination of reversible cause of force per unit area. ( Lavy, James, Wilson-MacDonald & A ; Fairbank, 2009 ) .Research/Developments within diagnostic imagination ( lending to the above )New MR imaging techniques such as diffusion ( DWI ) , perfusion ( PWI ) , functional imagination ( FMRI ) and magnetic resonance spectrometry ( MRS ) provide more specific, elaborate and physiological information about the spinal column and spinal cord and besides enable quantitative rating. Contrast enhanced ( high dosage ) spinal MRA is a really promising technique, peculiarly for testing scrutinies of the spinal venas and arterias. ( Goethem, Hauwe & A ; Parizel, 2007 ) . The betterments in CT engineering, introduced with coiling CT and the newer multi-detector array systems create the potency for CT to supply showing of the thoracic and lumbar spinal column as portion of a everyday thoracic pit and abdominal-pelvic CT survey in a multiple injury patient. Single-slice or coiling CT used in concurrence with lookout AP and sidelong radiogram may finally supply more accurate designation of lumbosacral hurts than is achieved with conventional skiagraphy, ( Browner, 2003 ) . The development of the multi-slice CT engineering with 0.5 2nd gauntry rotary motion allows up to eight axial images to be acquired per second is expected to spread out to more images per second in the close hereafter. Addition of more sensor arrays is anticipated to take to farther additions in the velocity of image acquisition and betterments in image quality, ( Browner, 2003 ) . Bone scan utilizing RNI and extra trials will include Bone densitometry. Dual energy x-ray absorptiometry ( DEXA ) is used to measure bone mass Truumees, E. ( 2007 ) . Understanding lumbar spinal column injury. United States: Stryker Devlin, V. J. , 2003. Spine secrets. Elsevier Health Sciences Nadalo, L. A. , 2007. Lumbar spinal column, injury. Texas, USA: American College of Radiology. Larson, S. J. and Maiman, D. ( 1999 ) . Surgery of the lumbar spinal column. New York: Thieme Vaccaro, A. R. ( 2003 ) . Fractures of the cervical, thoracic, and lumbar spinal column. United Kingdom: Informa Health Care Knaub, M. A. ( 2007 ) . Understanding lumbar phonograph record herniation. United States: Stryker Kim, H. S. , ( 2009 ) . Critical hip upsets show up on spinal imagination surveies: Lookout images illuminate excess spinal lesions, guide scrutiny and assist forestall misdiagnosis of back hurting. The diary of musculoskeletal medical specialty ( UBM Medica ) : Diagnostic Imaging Asia Pacific. Vol. No. July 1, 2009. Lavelle, W. F. and Bell, G. R. Musculoskeletal conditions that may mime spinal pathology, a diagnostic quandary. SpineLine 2007 ; 8 ( 6 ) :14-20 BMJ 11/04/2009 volume 338 Lavy, C. , James, A. , Wilson-MacDonald, J. and Fairbank, J. 2009. Cauda equina syndrome. Goethem, J. W. M. , Hauwe, L. and Parizel, P. , ( 2007 ) . Spinal imagination: Diagnostic imagination of the spinal column and spinal cord. Germany: Springer Berlin Heidelberg. Browner, B. D. , ( 2003 ) skeletal injury: basic scientific discipline, direction, and Reconstruction. USA: Elsevier Health Sciences Lee, J. K. T. , ( 2006 ) . Computed organic structure imaging with MRI correlativity. Philadelphia, USA: Lippincott Williams & A ; Wilkins Clark, P. and Letts, M.A Trauma to the thoracic and lumbar spinal column in the adolescent.A Can J Surg.A OctA 2001 ; 44 ( 5 ) :337-45.A [ Medline ] . Atlas, S. W. , 2008. Magnetic resonance imagination of the encephalon and spinal column. Lippincott Williams & A ; Wilkins. Oskouian, R. J. and Johnson, J.P.A Vascular complications in anterior thoracolumbar spinal reconstruction.A J Neurosurg.A JanA 2002 ; 96 ( 1 Suppl ) :1-5.A [ Medline ] . Jarvik, J.G. , Bowen, B. and Ross, J. , 2001. Practice guideline for the public presentation of magnetic resonance imagination ( MRI ) of the grownup spinal column. ACR pattern guidelines and proficient criterions 2001.
Saturday, November 9, 2019
Laws and Regulations Essay
Introduction British Petroleum is the USââ¬â¢s largest corporation. One of the largest oil producers, BP services globally for billions of dollars each year. BP distributes oil and natural gas all over the world. British Petroleum has run into several problems with federal regulations over many years. Because of safety issues against the communities OSHA had to investigate many times for oil spills and natural gas leaks. Coca Cola is also one of the largest company beverage companies on the world. Coca Cola was used at first to cure addicts but the n it was revamped and used for making drinks for everyone. Like BP, Coca Cola had its issues with the law as well. They have been accused of violating human rights, pesticides in the groundwater, and finding cancer causing chemicals in the soft drinks. In 2008 it was concluded that Coca Cola was in direct violation FDA for health risk. We will compare and contrast the risks of safety regulations, OSHA violation, product safety and liability, workers compensation, and workplace data security and property protection from Coca Cola and British Petroleum. OSHA The Occupational Safety and Health Act (OSH Act) of 1970 is a federal regulation that establishes and enforces health and safety policy in the workplace (Goetsch, 2008). It covers private sector employers and employees and encourages states to participate in health and safety programs. States that participate receive half of its funding from the federal government (OSHA.gov, 2011). In the advent of increasing awareness and training of health and safety, company safety representatives must be up-to-date on laws, regulations and liability. The OSH Act requires employers to maintain statistical health and safety records and to report occupational illnesses and injuries under certain conditions at each company location. The reporting conditions are the following: ââ¬Å"Death of one or more workers, one or more days away from work, restricted motion or restrictions to the work that an employee can do, loss of consciousness of one or more workers, transfer of an employee to another job, medical treatment beyond in-house first aid (if it is not on the first-aid list, it is considered medical treatment), and any other condition listed in Appendix B of the ruleâ⬠(Goetsch, 2008, p. 121). Employers are responsible for informing employees about health and safety practices, laws, and regulations. OSHA regulations apply to BP and Coca-Cola with some deviation because of the nature of the business. OSHA regulations include general industry standards and it provides health and safety training programs for employees and employers. In the last few years, BP has been under much scrutiny. OSHA fined BP $87.4m for safety violations that led up to the 2005 Texas City refinery explosion (Walter, 2009). In 2010, BPââ¬â¢s Gulf of Mexico oil spill is still under investigation by the government. Insiders blame the spill on BPââ¬â¢s decision to shortcut procedures and skip a quality test (Casselman & Gold, 2010). Unlike BP, Coca-Cola received OSHA recognition in 2009 for having the highest employee safety and health standards at its Milesburg, PA site (OSHA.gov, 2009). Workerââ¬â¢s Compensation According to Goetsch (2008) ââ¬Å" the concept of workerââ¬â¢s compensation developed as a way to allow injured employees to be compensated appropriately without having to take their employer to courtâ⬠(Overview of Workerââ¬â¢s Compensation, p. 174). British Petroleum (BP) and Coca-Cola are large organization with locations around the world. Both organization have over 90,000 workers worldwide and have worker compensation plans to make sure injured employees are cared for. According to Ramos Law (2011), ââ¬Å"workers at Coke suffer injuries similar to that of other factory employees. These workers suffer shoulder injuries from repetitive jobs such as mixing formula; knew injuries from loading product; or back pain from general warehouse jobsâ⬠(Hurt While Working at Coca-Cola or in the Beverage Industry?, para. 1). Coke needs to do a risk analysis and provide training to reduce the amount of workersââ¬â¢ compensation claims. British Petroleum (BP) had a massive oil spill in April of 2010 off the Gulf of Mexico in which BP hired over 20,000 people to help clean up the disaster. The care, training and protective gear for the cleanup crews was below safety standards. Training and protective gear could be the cause of the workerââ¬â¢s compensation claims that BP has will continue to receive. According to Johnston Moore & Thompson Attorneys at Law (2011), ââ¬Å"seven oil spill workers were hospitalized on May 26 after experiencing nausea, dizziness and headaches. Four more were hospitalized on May 28, two of whom were admitted for chest painsâ⬠(First Workersââ¬â¢ Compensation Cases Building for Oil Spill Cleanup, para. 4). The fumes from the oil and the touching of the hazardous material to try and reduce the damage caused many to become sick. The safety standards of BP are being questioned for both the workers and the surrounding areas that were hit by this devastating oil spill. Product Safety and Liability Product safety and liability is a law that was created to hold distributors, retailers, manufacturers, and suppliers responsible for injuries caused from the product (Goetsch, 2008). This law was designed so that in the event injury occurs the consumer is protected. There are a number of different concepts that have laid the groundwork for the product liability law. The four major reasons that the laws were created were from, negligent manufacture, breach of warranty, strict liability in tort, and negligent design (Goetsch, 2008). Companies must take the time to ensure that the products that have been designed meet the safety standards to prevent potential instances from occurring. Coca Cola ensures that the product safety and liability is met by measuring the product and package requirements against the company standards. The company uses ââ¬Å"The Coca-Cola Management Systemsâ⬠which is a quality management system that maintains the companyââ¬â¢s operations worldwide, maintain the Coca-Cola standards (thecoca-colacompany.com, 2011). BP has been under the analysis for quite some time since the oil spill occurred that caused millions of dollars in damage to the Gulf of Mexico. Since that time BP has created new ideas to monitor the waters that hold different oil rigs, these have been created to ensure quality monitoring. BP has created an observation program that will support constant monitoring. (BP.com, 2011) This will allow for the creation of quality monitoring preventing additional instances of the oil spill occurring in the future. This is important part of the product liability and safety program to ensure that the company follows the guidelines required to prevent future liabilityââ¬â¢s from occurring. This new quality monitoring will be able to ââ¬Å"detect changes within the water quality, marine mammal vocalizations and weather and water temperatureâ⬠(BP.com, 2011). Workplace Data and Property Protection In the workplace the most important option to the company is security and protection. Companies spend millions of dollars creating systems to protect all the assets and data that passed through a system. At BP, system security over their data tying global partnerships each refinery is a goal amongst the company. British Petroleum train each employee to keep information confidential and away from media if there is a minor incident. The risk of an employee breaking that code of silence about vital information is likely to happen. They have contracts to state employees cannot talk to media or there will be consequences that could ultimately lead to termination. Environmental Protection Agency protects the property and materials produced by BP. EPA keeps the regulation on what products are safe for BP to use to drill oil. Coke Cola has similar issues of security, but they are interested in keeping new products under the table so they can have the advantage over their competition once they launch a product. Their data protection requires a secure system as well. Both IT departments make sure systems do not get hacked by putting up server walls on the system. The security side of the results of companywide is an enterprise-level record of reference that becomes the official record for a given employee, customer, supplier, facility or other entity. Records of reference are the gold standard against which all other records in the system must be validated. These bind together the mass of company data and are at the core of the master data management approach to enterprise-wide integration (Goetsch, 2008). Although other large corporations are developing their own information frameworks, BPââ¬â¢s design is unique in that it specifically complements BPââ¬â¢s decentralized business structure. Casselman and Gold (2010) describes a situation in which a BP employee might have multiple records in one or more human resource databases, making it time-consuming to weed out the duplicate data. Conclusion There are many risks and contrasting information between the Coca Cola and British Petroleum. Both must follow rules and regulations of OSHA and federal laws in order to stay in business. Both companies had their share of setbacks when it came to employees and safety issues that made the public eye. Both companies continue to make billions of dollars and each year as the rules change they are learning to change with it. References BP.com. (2011) BP Deploying Advance Unmanned Water Quality Monitoring Vehicles in Gulf of Mexico. Retrieved from http://www.bp.com/genericarticle.do?categoryId=2012968&contentId=7064711 Casselman, B. and Gold, R. (2010). BP decisions set stage for disaster. Current, 524,14-16. Retrieved from Academic Search Complete. Goetsch, L. (2008). Occupational safety and health for technologists, engineers, and managers (6th ed.). Upper Saddle River, NJ: Prentice Hall. Johnston Moore & Thompson Attorneys at Law. (2011). Hunysvills Pearsonal Injusry Law. Retrieved from http://www.huntsvillepersonalinjurylaw.com. OSHA.gov. (2009). U.S. Department of Laborââ¬â¢s OSHA recognizes Coca-Cola Danone Waters LLC for workplace safety and health success. Retrieved from http://www.osha.gov/ pls/oshaweb/owadisp.show_document?p_table=NEWS_RELEASES&p_id=18137. OSHA.gov. (2011). United States Department of Labor. Occupational Safety & Health Administration. Retrieved from http://www.osha.gov/OSHA_FAQs.html. Ramos Law. (2011). Ramos Law Firm Workersââ¬â¢ Comp Blog. Retrieved from http://www.ramoslawblog.com. Thecoca-colacompany.com. (2011) Product Quality: Coca-Cola Quality. Retrieved from http://www.thecoca-colacompany.com/citizenship/quality.html Walter, P. (2009). BP handed 87.4m fines. Chemistry & Industry, 22, 7. Retrieved from Business Source Complete.
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