Tuberculosis Essays

Tuberculosis Essays Tuberculosis Essay Tuberculosis Essay Name: Lecturer: Course: Date: Tuberculosis Tuberculosis refers to an infectious disease, lethal in many cases, caused by Mycobacterium. Primarily, Tuberculosis normally affects the lungs but is capable of affecting other parts, as well. The disease spreads through the air when an infected person sneezes, coughs, or transmits saliva through the air. Most Tuberculosis infections are latent and asymptomatic. However, statistics suggested that about ten latent infections go to develop to the disease that kills more than half of the infected individuals when left untreated. In 2007, chronic cases of the disease numbered about thirteen million and eight million in 2010 (Landis, 42). Ultimately, advancement in technology as well as informed population has contributed to the reduction of infection case. Currently, majority of those who contract the disease do so due to compromised immunity. About five-ten percent of individuals infected with HIV are opportunistically infected with tuberculosis. Tuberculosis is capable of affecting any part of the body, but infection normally takes place in the lungs and is referred to as pulmonary tuberculosis. General signs and symptoms include night sweats, fever chills, fatigue, loss of appetite, and weight and finger clubbing may occur. When infection takes place, ninety percent of cases involve the lungs. Specific symptoms include prolonged coughing that produces sputum and chest pains. However, it is important to understand that about twenty-five percent of infected individuals may not exhibit symptoms (Landis, 64). In some cases, the infected person may cough blood, and in extremely rare cases, the pulmonary artery may be eroded leading to massive bleeding. When the illness becomes chronic, the upper lobes of the lungs have a higher propensity if being scarred compared to the lower lobes. The reason in this case is yet to be made clear. It may be due to poor drainage of lymph fluid or better flow of air. Diagnosing tuberculosis based on mere signs and symptoms is not easy as is diagnosing it among people with suppressed immunity. However, diagnosis of tuberculosis should be considered when lung disease signs or constitutional symptoms last longer than a fortnight. Primarily, an X-ray of the chest and sputum tests to detect bacteria involves part of the initial evaluation. With the progress in technology and medical field, tuberculin skin tests and assays on interferon-y release have been rendered to limited use. In contrast, IGRA (interferon gamma release assay) exhibits similar limitations in the case of HIV infected individuals (Koch, 29). A definitive diagnosis of Tuberculosis is currently done through tests undertaken on a clinical sample including pus, tissue biopsy, or sputum. Nevertheless, the slow growing organisms of the mycobacterium as well as their differing culture process imply that conclusive tests are done two to six weeks after infection. However, current trends in diagnosis are conclusively fast as compared to previous ages thus treatment normally takes place before serious infection takes place (Grunberg, 37). Tests on Adenosine deaminase and nucleic amplification currently allow rapid tuberculosis diagnosis. However, these tests are not routinely recommended since they have a tendency of affecting the treatment process of the infected person. Since blood tests are designed to detect antibodies and are not highly sensitive and specific, they are therefore not highly recommended compared to tests that look for the causal bacteria (Koch, 53). In cases of latent tuberculosis, the tuberculin skin test is used for screening people with high TB risk. In this case, however, people immunized against Tuberculosis have a higher chance of exhibiting false positive results. On the other hand, this test may lead to false negative results among people with malnutrition, Hodgkin’s lymphoma, and sarcoidosis. The current trends in Tuberculosis diagnosis have been facilitated by the advancement in technology. In this case, current tools are capable of detecting fluorescence in oxygen enriched liquid sample medium, thus indicating whether the Tuberculosis bacterium is present or not. The growth of the bacteria in the sample requires oxygen thus making it fluorescent when put under ultra violet light. Methods of testing susceptibility for drugs involve the same procedure only that two samples are used, one incorporated and the other without the drug. If the sample with the drug becomes active against Tuberculosis bacteria, then diagnosis is made positive. For the manual system, the technician in charge identifies the fluorescence using an ultra violet lamp. On the other hand, automatic systems are advanced enough to detect more than 900 cultures from a single test (Grunberg, 74). Treatment of Tuberculosis is normally done with antibiotics that attack and kill the mycobacterium. However, effective treatment of the disease is difficult because of the mycobacterium’s unusual chemical and structural composition. This hinders drug entry, making antibiotics less effective. Antibiotics commonly used include rifampicin and isoniazid, and treatment is prolonged, lasting several months. Treatment of latent Tuberculosis is done using a single antibiotic and active tuberculosis is treated using several antibiotics. The main objective is to prevent the bacterium from developing resistance to antibiotics. Directly observed therapy is recommended by the World Health Organization as an effort of ensuring proper taking of the treatment antibiotics.

How To Be Savvy When Job Hunting With Expert Debra Wheatman

How To Be Savvy When Job Hunting With Expert Debra Wheatman When starting out on a job hunt, savvy seekers use search engines and social media to identify opportunities of interest and then use the descriptions that they’ve found to help tailor their rà ©sumà © for that specific goal, says career coach and certified resume writer Debra Wheatman. â€Å"After learning of an opening, it is advisable for a job seeker to determine a way to ‘network’ into the company as opposed to simply applying online and hoping that a hiring manager or HR representative reaches out to arrange an interview,† she adds.With the number of submissions companies receive via online channels, it’s imperative that job seekers try to establish connections that might provide the inside track.â€Å"Many companies support and encourage employee referrals and are a great way to enter a company,† she says.The president of Careers Done Write recently checked in with us to share some of her insight on today’s job markets and what job seekers can do to improve their chances of landing a position. Here’s what she had to say:These days it seems there are so many online job sites out there, not to mention social media sites like LinkedIn where job seekers can search for jobs – what’s your advice on getting started in the process without getting overwhelmed?LinkedIn is a great start if someone is just getting up to speed. It is a good way to build a network of connections. Once a compelling profile is set up (with a picture), users should start connecting and joining groups with the understanding that participation is key to generating a return. Many LinkedIn profiles have titles, companies but no detail. It takes work, but you will get out what you put into it. There are a lot of resources available to help people who are just getting started on LinkedIn or any other social platform. LinkedIn has some features and tools that allow for people to identify and connect with others they know, as well as the broader community, making it valuable for job search.What do you think are the most common mistakes job hunters make when conducting job searches online?I find that job seekers spend too much time searching online. Networking remains the most critical and useful way to search for new opportunities. Searching online should be part of the overall search strategy. But I do find that people make it most or sometimes the entire strategy, which is counterproductive. Identifying and ultimately securing a new opportunity requires establishing meaningful and thoughtful connections. Especially in today’s market, it is critical for job seekers to be proactive and engaged in the search process.How important is social media to a job search? How are both employers and job seekers alike using it today?Social media is important and here to stay. Job seekers are using tools like LinkedIn and other social sites to conduct research and establish connections as part of the overall s earch strategy. Employers also use social media to research candidates and review information about professional histories, review sample work products and read reviews from others that have worked with or interacted with a job seeker.How should job seekers edit, augment and/or cleanup their social media profiles before starting off on a job hunt?I always tell people that once they post a message or picture, it is out there to stay. Be wise about what you post online. Things of a personal nature do not need to be broadcast for the world to see or read. Be smart about what you share to keep your online reputation clean. I recommend establishing a professional online brand using a professional photo. If there are pictures of someone that are questionable, I recommend removing those. SimpleWash is a tool that can be used to clean up embarrassing comments or seedy status updates that might be contained on a job seeker’s profile. The app is especially useful for young people who s ometimes post before thinking about the longer-term ramifications.What should job seekers do when submitting applications and rà ©sumà ©s via online job boards to make sure their name rises to the top of the pile?Job seekers should always aim to tailor a rà ©sumà © and cover so that their background and achievements are targeted for the position for which they are applying. It should be noted that if a candidate has to redo the rà ©sumà © completely to apply for a role, it is likely not a good fit. Some tweaks or revisions to a rà ©sumà © and cover that highlight essential elements of a person’s background and achievements should be undertaken to ensure the candidate is highlighting key points and examples that set a strong tone as a positive fit for a position.

Teenagers' cool culture Essay Example | Topics and Well Written Essays - 2500 words

Teenagers' cool culture - Essay Example Rushkoff describes in vivid detail this loop, as the media studies the kids in order to acquire popular images and then sells them the images of themselves. The youth and teens are instantly drawn to these images thereby desiring them. Following this replication, the media observes the interaction among the adolescents and then create new images to fit with the latest trend, and so on. The important question here is the authenticity of the images of the prevalent teen culture ardently pursued by the youth, which is shaped by the advertisement conglomerates, whose sole purpose is the sale and profits of their businesses, regardless of the protection and protection of the true teen American culture and identity. The ‘cool’ youth culture is actually known to have been initiated in the 1980s when parents began to spend more and more on the needs and desires of their children, as a result of the onset of the nuclear family systems coupled with the double income from both working parents. This also happens to be the period when conglomerates began their cold wars with each other in order to hook the teens into buying their brands and maintain loyalty towards their brands. Marketing and selling acquired a major role in the process, where marketing companies began to hire spies, to inculcate the ‘cool’ teen behavior into their advertisements, in order to lure the youth into buying their products. The impressionable adolescents were obviously drawn towards these images of themselves like a pierced nose or eyebrow, or cuffed leg or sleeve. The cycle of pursuit of ‘cool hunting’ was a vicious and never-ending one because the moment a ‘cool’ behavio r was identified and adopted it ceased to be â€Å"cool†! The intelligent kids obviously became aware of this cycle and the 1990s saw an absolutely new defensive to this mechanism, a rebellious defensive by the youth culture. The smart teens refused to accept or adopt anything that was publicized as

To encourage research and development can determine the success of Essay

To encourage research and development can determine the success of business in the market place - Essay Example ion, pharmaceutical and biotechnology companies invest highest in the R&D area and gain most significant advantage from the resultant invention or discovery, if successful. Thus, pharmaceutical companies practice well-designed strategies for greater functioning in the research area. In the present study, we thirty-five subjects of diverse pharmaceutical background and having their hometown as UK participated in this study. There were 19 males and 16 females with the mean age of 37.6 years. The sample predominantly consisted of pharmaceutical professionals who have been actively involved in at least one research related project. In addition to a short introductory information items, the subjects completed all the essential items as presented in the â€Å"Know Pharmaceutical Research† (KPR) questionnaire. It consisted of 21 items with dichotomous (yes or no) response choices. The KPR questionnaire was administered for collection of the thoughts, ideas, experiences, and knowledge and believes as pertinent to pharmaceutical research. It is essential to note that the participants were contacted by means of email notification(s). The same sequences of events were repeated for data collection from 35 professionals of India with the mean age of 41.2 years. The results revealed that the participants considered investment in the area of R&D in the pharmaceutical companies as an important step for the monetary profit of pharmaceutical business. Quite a significant number of pharmacy professionals highly recommended investment in the area of R&D department. The professionals in both India and UK almost equally realized the benefit of investment in the R&D department. Thus, the reason for less investment in the R&D area in India as compared to that in UK can be ascribed to the relative lack of monetary sources. The present thesis is an attempt to respond with the most scientific base to the questions pertinent to the encouragement in the research and development area as

My Achievements and Inspirations Essay Example for Free

My Achievements and Inspirations Essay Education does not stop after graduating in college. It actually starts once a person realizes that it should be innate until the last years of his or her life as it would ultimately become one of the treasures that we can keep in old age. I was born on July 19, 1983 in Lahore, Pakistan. However, when I was still very young, my parents Nisar Ahmad and Rubina Nisar decided to move to Bahrain, the country where I was raised. They sent me to a reputable school where I completed my high school. They have always been supportive when it comes to the quality of my education. Indeed, I was very young, but I believe this was where my dreams were born. In high school, I became very interested in biology and chemistry. I found out that there is much more to discover in a living organism than just its physical nature. This realization left me an overflowing surge of curiosity. My chemistry teacher, Mrs. Prasana, was the one responsible for this passion that I have right now. She provided me everything she could with regard to chemistry and biology-related information. Read more: Inspirational Essays about Life Gradually, she became my inspiration in pursuing this complex but wondrous fields of science. After high school, I moved back to my hometown in Pakistan where I earned my bachelor’s degree in Biochemistry in one of the most renowned universities of this field. It was absolutely a new phase of my life because I get to further my education in something that I have always dreamt of learning. Studying life sciences was my dream, which is why during my undergraduate program; I have undergone internship in a hospital near my home. It was a life-changing experience for me. I would feel most alive when I worked in the laboratory under the supervision of my supervisor. I am confident with myself every time I do laboratory works, and I know that I have significant skills in handling lab works with high efficiency which I believe should be necessary for a healthcare worker. I have lived in three different countries; Bahrain, Pakistan, and in the United States. As an effective clinical scientist, it is a must that one practices flexibility at all cost as it can be a necessary trait in producing quality outputs.

Communication and Culture: The Benefits of Beginning Foreign Language Study Early :: Research Papers

Communication and Culture: The Benefits of Beginning Foreign Language Study Early As global awareness increases, American interest in the study of languages other than English increases apace. Unlike early programs which did not teach â€Å"languages†¦primarily to learn oral/aural communication, but to learn for the sake of being ‘scholarly’ or, in some instances, for gaining a reading proficiency in the foreign language† (Brown 18), the twentieth century began to focus on communicative goals, and a variety of new theories and methods for teaching were put forth. A common goal has emerged, and modern programs push students towards fluency. Therefore, more research is being conducted into the best possible ways to create competent communicators. The Longman Dictionary of Language Teaching and Applied Linguistics defines communicative competence as â€Å"the ability not only to apply the grammatical rules of a language in order to form grammatically correct sentences but also to know when and where to use these sentences and to whom† (Richards, Platt, and Platt 65). As scholars search for the best ways to achieve communicative competence, they emphasize the importance of beginning language study early. The critical period hypothesis first put forth by Lenneberg in the late 1960’s holds â€Å"that there is a limited developmental period during which it is possible to acquire a language†¦to normal, nativelike levels† (Birdsong, 1). At the most generous estimate, this critical period is thought to extend from the age of 2 only until puberty, and some estimates posit a much narrower window (for more information on the possible causes of the critical period, see Birdsong, 7-9). According to Krashen, Long, and Scarcella, although â€Å"adults and older children in general initially acquire the second language faster than young children (oldest-is-better for rate of acquisition), †¦child second language acquirers will usually be superior in terms of ultimate attainment (younger-is-better in the long run)† (574). This eventual attainment includes superior pronunciation skills (Fledge 101) when compared with learners who began their study later in life. Although â€Å"starting age determines the levels of [communicative] accuracy achieved, particularly in pronunciation† (Ellis qtd. in Nunan 41), beginning young has an additional advantage. The young learner has many years of schooling left in which to explore this new language, and â€Å"the number of years’ exposure contributes greatly to the overall communicative fluency of the learners† (Ellis qtd. in Nunan 41). Although the pace of the young learner may be slower than that of the older learner, â€Å"when language learning begins earlier, it can go on longer and provide more practice and experience, leading ultimately to greater fluency and effectiveness† (Curtain and Pesola, Languages and Children 3) than is generally achieved when study begins after puberty.

Course Description Essay

This course introduces the student to the essential elements of finance for business. Emphasis is placed on financial management, financial markets, and the tools, techniques, and methodologies used in making financial decisions. Topics include: Financial planning, working capital management, capital budgeting, long-term financing, and international finance. Policies Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents: University policies: You must be logged into the student website to view this document. Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Mayo, H. B. (2012). Basic finance: An introduction to financial institutions, investments, and management (10th ed.). Mason, OH: South-Western. Titman, S., Keown, A. J., & Martin, J. D. (2011). Financial management: Principles and applications (11th ed.). Upper Saddle River, NJ: Pearson/Prentice Hall. All electronic materials are available on the student website. Week One: Introduction to Finance and Analysis   

Compensated Dating

Wu Wing-ying (right) says compensated dating is not school-category specific, â€Å"Even if a student studies well, her moral and values may not be correct, and will love to make quick bucks for brand names as well† A survey found that nearly five percent of secondary school respondents said they would involve in enjo-kosai, of which 2% came from (Band 1) secondary schools. There was a case in which a Band 1 17-years-old secondary school girl, who engaged in enjo-kosai for fun and quick money, recognized the consequences of enjo-kosai after contracting a sexually transmitted diseases. The agency responsible for the survey/investigation saw that the values of compensated dating girls had been distorted, instead the agency emphasized that enjo-kosai was equivalent to prostitution, and that young girls needed to bear the consequences of enjo-kosai such as contracting sexually transmitted diseases, pregnancy and psychological problems. The Hong Kong Association of Sexuality Educators, Researchers & Therapists Ltd, using questionnaires, interviewed nearly 3000, average age of 15 years old, Form 1. to Form 6 students in May 3000. Survey showed that 4. 6 percent of respondents said they would engage in enjo-kosai, of which 2% came from Band 1 schools, followed by 1. 7% from Band 3 schools; and 6. 6% secondary school students responded that they knew or they are friends with students currently in enjo-kosai. The survey also pointed out that, 87% respondents saw enjo-kosai as a means to earn money for high consumption, such as to buy brand-name items. Second, 43% said they could find affection/being loved in enjo-kosai, as well as 24% respondents said they engaged in enjo-kosai for drugs. In addition, 61% of respondents thought enjo-kosai was immoral; but 45% believed enjo-kosai was a way of social life that provided different needs, and 38 percent believed enjo-kosai was the best way to make quick money. Ng wing-ying, vice chairman of the Association said that Hong Kong girls had many misunderstanding of enjo-kosai thinking enjo-kosai was not immoral, and even thought that enjo-kosai did not involve sex but love from money exchange, and access to care/concern, to which she believed having such distorted values and belief will cause great harm. She believed schools category had no impact to people engaging in enjo-kosai, â€Å"Even if a student studies well in school, her/his moral and values may not be correct that he/she will also earn quick money for favorite brand name. † Ng said she had contact with a 17-years-old girl compensated dating girl called Aling (a pseudonym) coming from Band 1 secondary school with a middle-class family background. Due to wanting to make quick money, have fun and hope to obtain concern/care, she engaged in enjo-kosai, who also recruited those female students lacking money or wanting to have fun into the â€Å"sea† of prostitution. Yesterday, The Association played a short segment of Aling's interview yesterday. Aling said that she started enjo-kosai at the age of 14 because she could make easy money. She charged about 1500 dollars, or even as high as 4000 dollars. Once, her customer didn't use condom and she had sexually transmitted infection. She said that she only stopped enjo-kosai after meeting her boyfriend, and contracting sexually transmitted diseases. She deeply regreted for engaging in enjo-kosai. Ng wing-ying worried that enjo-kosai would proliferated rapidly through the Internet, coupled with summer approaching, enjo-kosai would become the hottest summer job. She pointed out that young girls already had fuzzy moral boundary, as Internet popularized, the prevalence of compensated dating would spread to internet as well, such as online enjo-kosai advertising in which young girls treated prostitution as selling goods, clearly stating their figure measurements, age, and range of services which reflected the girls had completely itemize themselves as goods for sale. Ng also pointed out that some prostitution synidcations would induce girls with drugs so that they could easily manipulate the girls to long-term prostitution once the girls were addicted to drugs, however Ng emphasized that enjo-kosai is prostitution, and young girls should be aware of potential problems from enjo-kosai such as sexually transmitted diseases, pregnancy, sexual assault and consequences of other psychological effects. She added that parents should be vigilant about their children's behaviors, including whether they had suddenly have more money, bought brand-names and cellphones, as well as instilling their children proper values. In addition, the Police should vigorously deter compensated dating activities, and schools should also incorporate moral and sex education into the curriculum of moral and sexual education in order to stop this unhealthy rising trend of enjo-kosai. reasons to compensated dating 1. 87% wants to make quick bucks for spending on brand names 2. 47% says they like customers to give expensive gifts 3. 3% wants to be loved by someone 4. 42% earns money to buy drugs 5. 33% to earn tuition fee and pay family expense In the past, police had cracked down many enjo-kosai activities. In one operation, police found 20 underage girls, of which the youngest was only 13 years old. The girls and the clients both thought enjo-kosai was a normal social activity. Social worker said young girl s in enjo-kosai thought they had the freedom to pick clients therefore they did not picture themselves as prostitutes, and these young girls also over-estimated their problem solving abilities, such that their situations was similar to people with drug problem. Police and social workers are calling for parents, teachers and school social workers to pay attention to the abnormal behavior of girls. Kowloon West Crime Headquarters Chief Inspector of the fifth team, Chung Chi-Ming said in September last year to target enjo-kosai, they commenced their first operation â€Å"whale search operation†, and successfully bashed two prostitution rings. In the second operation, though they found prostitution syndicates to have reduced activities, an emergence of â€Å"Internet Pimp† appeared, that is, a middle man who worked for both enjo-kosai girls and clients. There were even â€Å"female† middle men who became enjo-kosai girls first, then turned to pimping after they didn't want to engage in enjo-kosai†. From the operation, 20 girls, aged between 13 to 16 were found, of which some had disappearing records. Chung Chi-Ming said that compensated dating girls came from broken families, eager to be care, even embellished prostit ution into normal social activities, â€Å"the words they often say are: We are not chickens, just compensated dating†. Chung Chi-Ming urged parents and teachers to pay careful attention to students money spending behaviors through observation or conversation. If they found studnets to have profuse spending behavior, parents and teachers should seek help from school social workers so that social workers could make referrals for psychological counseling or contacted Police for possible criminal involvement.

11 Funny Quotes About the Good Ol School Days

11 Funny Quotes About the Good Ol School Days Whats the best part of school life? Some would vouch for the great education, the great learning experience, the knowledge sharing, and other such scholarly pursuits. But many would admit that the best part of school life is all the fun one has. These funny school quotes will take you on a trip down memory lane. Share them with your school buddies and renew old ties. Funny School Quotes Beatrix PotterThank goodness I was never sent to school; it would have rubbed off some of the originality.William GlasserThere are only two places in the world where time takes precedence over the job to be done: school and prison.Jeff FoxworthyI have never been jealous. Not even when my dad finished fifth grade a year before I did.Will RogersThere is nothing so stupid as the educated man if you get him off the thing he was educated in.Heinrich HeineIf the Romans had been obliged to learn Latin, they would never have found time to conquer the world.Mark TwainIn the first place, God made idiots; that was for practice; then he made school boards.Woody AllenI was thrown out of college for cheating on the metaphysics exam: I looked into the soul of another boy.Will DurantEducation is a progressive discovery of your own ignorance.Albert EinsteinIt is a miracle that curiosity survives formal education.Norm CrosbyMy school was so tough the school newspaper had an obituary section.B. F. Skin nerEducation is what survives when what has been learned has been forgotten.

Writing and Selling Your Mystery Novel

Writing and Selling Your Mystery Novel Writing and Selling Your Mystery Novel Writing and Selling Your Mystery Novel By Maeve Maddox Some novelists like to begin with a blank page and see where their thoughts take them. This approach may be good enough to get started, but if its a mystery you want to write, sooner or later youll need a plan. Before you get too far, you may want to check out Hallie Ephrons Writing and Selling Your Mystery Novel: How to Knock em DEAD with Style. The creator of forensic psychologist, Dr. Peter Zak (Delusion, Amnesia, Addiction, and Obsessed) Ephron lays out a four-part approach to the essentials of planning, writing, and selling a mystery novel: Part I: Planning Part 2: Writing Part 3: Revising Part 4: Selling In addition, an appendix of resources includes lists of authors groups, agents, and contests. Part 1 leads the writer through the steps of setting up the premise, devising the plot, and establishing the cast of characters. Specially designed forms simplify the process of working out characters and their relationships to each other and to the crime. To Outline or Not to Outline? Ive heard writers insist they never outline their novels, but just let the characters take over. Ephron says she wishes her characters would take over, but they never do, so she outlines. An outline neednt be that kind of horror with Roman numerals and neatly-balanced sub-topics that the English teachers of my youth were so fond of. Ephrons outlines are for her eyes only. She numbers each scenearabic numerals are just fineand briefly notes the following: time of day setting characters in the scene what happens which character has the point of view Part 2 addresses such writing techniques as how to write a dramatic opening, how to introduce characters, how to dramatize scenes, and how to write suspense. Part 3 provides a practical, easy-to-follow plan for revision. This section warns the writer against beginning revision with a word tweaking approach: Its tempting to open up your document and start editing, tweaking word choices and punching up sentences. Instead, Ephron recommends these three techniques: Reread from start to finish, examining the main plot and central character. Create a scene-by-scene outline and analyze the chronology and pacing. Take multiple selective read-throughs, leapfrogging through your manuscript looking at subplots and characters. The suggestions for marketing the finished mystery in Part Four are gleaned from Ephrons personal experience as the author of the Dr. Zak mysteries. She tells how to target agents and how to put together a query packet. She includes a sample query letter and sample summaries. Finally, Ephron acknowledges the truth that the effort to sell a book can be as much of an endurance test as writing one, but urges persistence: The race goes not to the clever or swift but the bullheaded and persistent who dont know enough to give up. You can find the book on Amazon.com Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Book Reviews category, check our popular posts, or choose a related post below:100 Exquisite AdjectivesIs There a Reason â€Å"the Reason Why† Is Considered Wrong?Threw and Through

Power Dynamics Term Paper Example | Topics and Well Written Essays - 500 words

Power Dynamics - Term Paper Example Power in nursing is also related to oversight roles and the management of the daily running of nursing activities (Daly, Speedy and Jackson, 2003). A nurse manager can adopt a leadership or management technique that involves issuing incentives to employees performing exceptionally well in the activities. According to Daly, Speedy and Jackson (2003), this is referred to as reward power. In addition, the nursing manager can also cancel or do away with these additional incentives when the employees perform poorly in their duties. This is described as coercive power (Daly, Speedy and Jackson, 2003). A situation where good performance is rewarded and poor performance fined is an illustration of two types of power being used simultaneously. It is worth noting that gender has an influence in how power is used in nursing. According to McMurry (2011), nursing is considered a feminine vocation or line of work. However, there are some men who have in the past pursued nursing as a career contrary to this conventional viewpoint. In some health institutions, male nurses have not been allowed to participate in caring activities involving female patients. McMurry (2011) additionally posits that "In some facilities, policies actually barred men from certain jobs such as in birthing and womens surgery units, especially in private catholic hospitals" (p. 24). Subsequently, women working in vocations subjugated by men experienced similar prejudice and unfairness. Other factors that creates power imbalances in nursing include race or ethnicity, level of education, economic status, and also physical disabilities. All these factors contribute to prejudice and unfairness in the workplace. Discrimination affects the level of productivity and involvement of individuals in work related activities. Therefore, women are more likely to be rewarded in the nursing field as they are favored by the vocation as compared to men.